2,597 research outputs found
Patterns in the recording of vital signs and early warning scores: compliance with a clinical escalation protocol
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The Divisive Power of Humour: Comedy, Taste and Symbolic Boundaries
Using British and Dutch interview data, this article demonstrates how people from different social classes draw strong symbolic boundaries on the basis of comedy taste. Eschewing the omnivorousness described in recent studies of cultural consumption, comedy audiences make negative aesthetic and moral judgements on the basis of comedy taste, and often make harsh judgements without the disclaimers, apologies and ambivalence so typical of ‘taste talk’ in contemporary culture. The article demonstrates how, in particular, Dutch and British middle class audiences use their comedy taste to communicate distinction and cultural superiority. We discuss several reasons why such processes of social distancing exist in comedy taste and not other cultural areas: the traditionally low status of comedy; the strong relation between humour and personhood; the continuity between comedy tastes and humour styles in everyday life; as well as the specific position of comedy in the British and Dutch cultural fields
Rating the Financial Health of U.S. Production Agriculture using Synthetic Credit Rating
Agribusiness, Agricultural and Food Policy, Production Economics,
The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death
INTRODUCTION:
Early warning scores (EWS) are recommended as part of the early recognition and response to patient deterioration. The Royal College of Physicians recommends the use of a National Early Warning Score (NEWS) for the routine clinical assessment of all adult patients.
METHODS:
We tested the ability of NEWS to discriminate patients at risk of cardiac arrest, unanticipated intensive care unit (ICU) admission or death within 24h of a NEWS value and compared its performance to that of 33 other EWSs currently in use, using the area under the receiver-operating characteristic (AUROC) curve and a large vital signs database (n=198,755 observation sets) collected from 35,585 consecutive, completed acute medical admissions.
RESULTS:
The AUROCs (95% CI) for NEWS for cardiac arrest, unanticipated ICU admission, death, and any of the outcomes, all within 24h, were 0.722 (0.685-0.759), 0.857 (0.847-0.868), 0.894 (0.887-0.902), and 0.873 (0.866-0.879), respectively. Similarly, the ranges of AUROCs (95% CI) for the other 33 EWSs were 0.611 (0.568-0.654) to 0.710 (0.675-0.745) (cardiac arrest); 0.570 (0.553-0.568) to 0.827 (0.814-0.840) (unanticipated ICU admission); 0.813 (0.802-0.824) to 0.858 (0.849-0.867) (death); and 0.736 (0.727-0.745) to 0.834 (0.826-0.842) (any outcome).
CONCLUSIONS:
NEWS has a greater ability to discriminate patients at risk of the combined outcome of cardiac arrest, unanticipated ICU admission or death within 24h of a NEWS value than 33 other EWSs
Assessment for learning : a model for the development of a child’s self competence in the early years of education
In recent years policy documents, curricula and other educational initiatives have promoted a pedagogy founded on the concept of independent learning. This is broadly defined as ‘having the belief in yourself to think through learning activities, problems or challenges, make decisions about your learning and act upon those decisions (Blandford and Knowles, 2009:336). The central role of Assessment for Learning (AfL) in this process is often overlooked in practice. By considering the findings from a small scale research study this article addresses the central role of the teacher /practitioner in developing effective AfL in the early years classroom (3-5 years)
Magnetic Cycles in a Convective Dynamo Simulation of a Young Solar-type Star
Young solar-type stars rotate rapidly and many are magnetically active; some
undergo magnetic cycles similar to the 22-year solar activity cycle. We conduct
simulations of dynamo action in rapidly rotating suns with the 3D MHD anelastic
spherical harmonic (ASH) code to explore dynamo action achieved in the
convective envelope of a solar-type star rotating at 5 times the current solar
rotation rate. Striking global-scale magnetic wreaths appear in the midst of
the turbulent convection zone and show rich time-dependence. The dynamo
exhibits cyclic activity and undergoes quasi-periodic polarity reversals where
both the global-scale poloidal and toroidal fields change in sense on a roughly
1500 day time scale. These magnetic activity patterns emerge spontaneously from
the turbulent flow and are more organized temporally and spatially than those
realized in our previous simulations of the solar dynamo. We assess in detail
the competing processes of magnetic field creation and destruction within our
simulations that contribute to the global-scale reversals. We find that the
mean toroidal fields are built primarily through an -effect, while the
mean poloidal fields are built by turbulent correlations which are not
necessarily well represented by a simple -effect. During a reversal the
magnetic wreaths propagate towards the polar regions, and this appears to arise
from a poleward propagating dynamo wave. The primary response in the convective
flows involves the axisymmetric differential rotation which shows variations
associated with the poleward propagating magnetic wreaths. In the Sun, similar
patterns are observed in the poleward branch of the torsional oscillations, and
these may represent poleward propagating magnetic fields deep below the solar
surface. [abridged]Comment: 20 pages, 14 figures, emulateapj format; accepted for publication in
ApJ. Expanded and published version of sections 5-6 from
http://arxiv.org/abs/0906.240
The racist bodily imaginary: the image of the body-in-pieces in (post)apartheid culture
This paper outlines a reoccurring motif within the racist imaginary of (post)apartheid culture: the black body-in-pieces. This disturbing visual idiom is approached from three conceptual perspectives. By linking ideas prevalent in Frantz Fanon’s description of colonial racism with psychoanalytic concepts such as Lacan’s notion of the corps morcelé, the paper offers, firstly, an account of the black body-in-pieces as fantasmatic preoccupation of the (post)apartheid imaginary. The role of such images is approached, secondly, through the lens of affect theory which eschews a representational ‘reading’ of such images in favour of attention to their asignifying intensities and the role they play in effectively constituting such bodies. Lastly, Judith Butler’s discussion of war photography and the conditions of grievability introduces an ethical dimension to the discussion and helps draw attention to the unsavory relations of enjoyment occasioned by such images
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