2,597 research outputs found

    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

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    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

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    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

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    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 Ω\Omega-effect, while the mean poloidal fields are built by turbulent correlations which are not necessarily well represented by a simple α\alpha-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

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    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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