Guillain-Barre Syndrome

Guillain-Barre Syndrome consists of a group of neuropathic conditions characterized by progressive weakness and diminished or absent myotatic reflexes. The estimated annual incidence in the United States is 1.65 to1.79 per 100,000 persons (Walling & Dickson, 2013). Understanding how this condition progresses and the affects it has on a patient will assistant in providing optimal patient care as a future nurse anesthetist. As stated by Turakhia, P., Barrick, B., and Berman, J. (2013) “the anesthetic implications for the various comorbidities are varied and can be profound” (p.1). An individual who suffers from Guillain-Barre is a patient who certainly requires critical care management in order to avoid complications associated with the disease. Being aware of the pathophysiology, risk factors, signs and symptoms, and treatment involved in caring for Guillain-Barre Syndrome can better prepare the advanced practicing nurse for patients suffering from this condition

Nickel complexes of a bis(benzimidazolin-2-ylidene)pyridine pincer ligand with four- and five-coordinate geometries

The four- and five-coordinate complexes [(CNC)NiX2] (X = Cl, Br, I), [(CNC)NiX]PF6 (X = Cl,Br) and [(CNC)NiCl]ClH2O have been isolated, where CNC is the bis(N-butylbenzimidazolin-2-ylidene)-2,6-pyridine pincer ligand. A five-coordinate geometry is rare for this class of complex.Where amenable, the complexes have been structurally characterised by single crystal X-raydiffraction studies and in solution by NMR, UV-vis and MS studies. The five-coordinate dibromocomplex [(CNC)NiBr2] is readily prepared on the gram-scale from the benzimidazolium saltprecursor and Ni(OAc)24H2O in DMSO without the exclusion of air. Halide exchange and saltmetathesis reactions using [(CNC)NiBr2] afford the other four- and five-coordinate complexes.[(CNC)NiBr2] displays very low solubility, and upon dissolution affords solutions of the fourcoordinate[(CNC)NiBr]+. Factors that influence the formation of four- or five-coordinatecomplexes with this ligand class are discussed

Childhood and the politics of scale: Descaling children's geographies?

This is the post-print version of the final published paper that is available from the link below. Copyright @ 2008 SAGE Publications.The past decade has witnessed a resurgence of interest in the geographies of children's lives, and particularly in engaging the voices and activities of young people in geographical research. Much of this growing body of scholarship is characterized by a very parochial locus of interest — the neighbourhood, playground, shopping mall or journey to school. In this paper I explore some of the roots of children's geographies' preoccupation with the micro-scale and argue that it limits the relevance of research, both politically and to other areas of geography. In order to widen the scope of children's geographies, some scholars have engaged with developments in the theorization of scale. I present these arguments but also point to their limitations. As an alternative, I propose that the notion of a flat ontology might help overcome some difficulties around scalar thinking, and provide a useful means of conceptualizing sociospatiality in material and non-hierarchical terms. Bringing together flat ontology and work in children's geographies on embodied subjectivity, I argue that it is important to examine the nature and limits of children's spaces of perception and action. While these spaces are not simply `local', they seldom afford children opportunities to comment on, or intervene in, the events, processes and decisions that shape their own lives. The implications for the substance and method of children's geographies and for geographical work on scale are considered

Synthesis and structural studies of a lanthanide complex of a calix[4]arene tris-amide

The coordination chemistry of amide-substituted calixarenes is reviewed. The synthesis of a gadolinium complex of a trisamide calix[4]arene is described, involving the reaction of 5,11,17,23-tetra-tert-butyl-24-hydroxy-26,27,28-tris(diethylcarbamoylmethoxy) calix[4]arene (L) with gadolinium picrate dodecahydrate. Structural studies demonstrated that the complex can be formulated as [(pic-O)Gd{(L H)(EtOH)}](pic)2 EtOH

Targeting Mr Average: Participation, gender equity and school sport partnerships

The School Sport Partnership Programme (SSPP) is one strand of the national strategy for physical education and school sport in England, the physical education and school sport Club Links Strategy (PESSCL). The SSPP aims to make links between school physical education (PE) and out of school sports participation, and has a particular remit to raise the participation levels of several identified under-represented groups, of which girls and young women are one. National evaluations of the SSPP show that it is beginning to have positive impacts on young people's activity levels by increasing the range and provision of extra curricular activities (Office for Standards in Education (OFSTED), 2003, 2004, 2005; Loughborough Partnership, 2005, 2006). This paper contributes to the developing picture of the phased implementation of the programme by providing qualitative insights into the work of one school sport partnership with a particular focus on gender equity. The paper explores the ways in which gender equity issues have been explicitly addressed within the 'official texts' of the SSPP; how these have shifted over time and how teachers are responding to and making sense of these in their daily practice. Using participation observation, interview and questionnaire data, the paper explores how the coordinators are addressing the challenge of increasing the participation of girls and young women. The paper draws on Walby's (2000) conceptualisation of different kinds of feminist praxis to highlight the limitations of the coordinators' work. Two key themes from the data and their implications are addressed: the dominance of competitive sport practices and the PE professionals' views of targeting as a strategy for increasing the participation of under-represented groups. The paper concludes that coordinators work within an equality or difference discourse with little evidence of the transformative praxis needed for the programme to be truly inclusive. © 2008 Taylor & Francis