Thinking about obstetric anaesthesia

2020 ◽  
pp. 1-28
Author(s):  
Rachel Collis

The labour ward can be a stressful and demanding experience for all anaesthetists, junior and senior alike. Therefore, starting to working on a labour ward presents a number of new challenges to the novice obstetric anaesthetist, in an environment which many may not have spent any time visiting or working within since medical school. A helpful A–Z of survival is set out, where although no point is more important than the other, it is a useful tool to guide you through your first weeks or months. The chapter also offers resources to help with non-English speaking mothers and suggested advice of how to deal with difficult situations or behaviour. The principles of conducting audit, research and quality improvement work, which are an integral part of improving service delivery and facilitating efficient management of a high quality service, are also described.

Author(s):  
John Cousins ◽  
David Foskett ◽  
David Graham ◽  
Amy Hollier

Food and beverage service is a difficult job. Whilst there have been changes in food and beverage service, with less emphasis on the high level technical skills (mistakenly bemoaned by some as deskilling) what wasn’t initially being recognised was that other parts of the job are just as, if not more, important. The other thing that wasn’t initially recognised was that the provision of high quality service was not confined to a particular type of restaurant and a particular type of service style. In other words excellence in food and beverage is not defined by the inclusion of a narrow range of high-level technical skills.


Author(s):  
Basil Enemute Iwhiwhu

Records are a vital business resource and are key to the effective functioning and accountability of the organization. Efficient management of records is essential in order to support organization’s core business activities, to comply with legal and regulatory obligations, and to provide a high quality service to individuals. Electronic records management programme ensures that the organizational business activities are well documented, organized and managed, accessible, protected from unauthorized access and disposed off (either destroyed or archived). Credible and dependable information systems are desired to achieve this. Also, adequate skills sets are required by personnel working with and managing electronic records. The relevance of all these are articulated in this chapter.


Author(s):  
Edna Ullmann-Margalit

Some of the most difficult decisions in law and ordinary life are simplified by the use of some kind of presumption. Accused criminals are presumed to be innocent, and most of the time, legislative acts are presumed to be constitutional. And when people do not know what to do, they often adopt a presumption of some kind—for example, sticking with the status quo, or perhaps in favor of making a specific change. In countless domains, presumptions help people to extricate themselves from difficult situations. They can serve as a way of breaking an initial symmetrical situation by using a supposition not fully justified, yet not quite rash either—favoring one action over the other.


Laws ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 46
Author(s):  
Esther Salmerón-Manzano

New technologies and so-called communication and information technologies are transforming our society, the way in which we relate to each other, and the way we understand the world. By a wider extension, they are also influencing the world of law. That is why technologies will have a huge impact on society in the coming years and will bring new challenges and legal challenges to the legal sector worldwide. On the other hand, the new communications era also brings many new legal issues such as those derived from e-commerce and payment services, intellectual property, or the problems derived from the use of new technologies by young people. This will undoubtedly affect the development, evolution, and understanding of law. This Special Issue has become this window into the new challenges of law in relation to new technologies.


2002 ◽  
Vol 22 (2) ◽  
pp. 117-162 ◽  
Author(s):  
Robert J. Tracy ◽  
Nicholas Greco ◽  
Erika Felix ◽  
Donald F. Kilburg

Many proverbs seem to convey wisdom because they help people to reframe life's predicaments. Positive reframes, such as Every cloud has a silver lining, often draw positive implications from adverse circumstances (cf. “positive reappraisals,” “gain frames”). In contrast, negative reframes, such as All that glitters is not gold, provide helpful warnings about difficult situations, and therefore encourage proactive coping (cf. “problem-focused coping”). This study examined the validity of the distinction between positive and negative reframes and whether the distinction applies to proverbs. Six judges categorized 199 proverbs as positive or negative reframes. Results showed that the positive reframes were rated by college students as more pleasant, conceptually simpler, and more familiar than the negative reframes. Further, proverbs that were composed by students were of higher quality when they were positive rather than negative reframes. On the other hand, positive and negative reframes occurred similarly often among the 199 proverbs, and did not differ consistently in rated truth, rated imagery arousal, or reading grade level. We concluded that many proverbs can be regarded as positive or negative reframes, which constitute basic thinking strategies that help people cope with life's challenges.


1882 ◽  
Vol 10 ◽  
pp. 312-343
Author(s):  
Isaac N. Arnold

The noblest inheritance we Americans derive from our British ancestors is the memory and example of the great and good men who adorn your history. They are as much appreciated and honoured on our side of the Atlantic as on this. In giving to the English-speaking world Washington and Lincoln we think we repay, in large part, our obligation. Their pre-eminence in American history is recognised, and the republic, which the one founded and the other preserved, has already crowned them as models for her children.


PEDIATRICS ◽  
1963 ◽  
Vol 32 (6) ◽  
pp. 1078-1086
Author(s):  
Robert M. Sigmond

Community-wide planning of hospitals and related facilities in a metropolitan area helps to translate the miracles of modern medical science into high quality service for all at reasonable cost. Community-wide planning for children's inpatient services should encourage grouping of small segregated pediatric units in which most children receive care today. These small units interfere with provision of high quality, comprehensive care and are wasteful of scarce personnel and dollars. Experts should agree upon the minimum size unit in which effective care can be provided; this minimum would obviously be much larger than most units in existence today. To achieve this minimum, most general hospitals should affiliate with major general hospitals or children's medical centers at which their pediatric inpatient facilities could be grouped into a few large units. The children's medical centers should take leadership in exploring the feasibility and nature of such affiliations of which the key element is the medical staff relationship. Such affiliations are consistent with and conducive to valid objectives of children's medical centers: leadership in promotion of child health, child care, education and research. Failure of children's medical centers to develop such affiliations may have dire consequences in the long run.


2012 ◽  
Vol 14 (1) ◽  
pp. 8-11 ◽  
Author(s):  
C.M. Bona ◽  
I.R. Biasetto ◽  
M. Masetto ◽  
C. Deschamps ◽  
L.A. Biasi

Even though the Lavandula species may be propagated by seeds, it should not be the preferred propagation method because it causes a great lack of uniformity. On the other hand, asexually propagated lavender crops would provide more homogeneous crops, and clones from high quality plant material would increase the odds for obtaining a higher quality essential oil. However, problems such as poor rooting and restrict market availability for superior clones have been a problem in vegetative propagation of the Lavandula species. The objective of this work was to define which type and size of cutting is more adequate for cutting propagation of L. dentata, a very productive Lavandula species. Cuttings with 5, 8, 10 or 13 cm and from the apical or basal parts of stems cut from L. dentata stock plants were placed in Plantmax HT® filled polystyrene foam trays and kept under intermittent mist system for two months. Averages of root number, length of the longest root, fresh and dry root weight, and percentage of rooting were evaluated. Apical cuttings combined 97.9% rooting with an average of 13.2 roots per cutting and basal cuttings 93.7% rooting with 2.98 roots per cutting. Apical cuttings with at least 10 cm in length were considered the most adequate for cutting propagation of L. dentata.


Think ◽  
2013 ◽  
Vol 12 (34) ◽  
pp. 33-56
Author(s):  
Matthew Carey Jordan

This essay is about liberal and conservative views of marriage. I'll begin by mentioning that I would really, really like to avoid use of the terms ‘liberal’ and ‘conservative’, but when push comes to shove, I know of no better labels for the positions that will be discussed in what follows. I would like to avoid these labels for a simple reason: many people strongly self-identify as liberals or as conservatives, and this can undermine our ability to investigate the topic in a sane, rational way. Politics, at least in the contemporary English-speaking world, functions a lot like the world of sports. Many people have a particular team to which their allegiance has been pledged, and the team's successes and failures on the field are shared in the hearts and minds of its loyal followers. In my own case – and here, I ask for your pity – I am a fan of the National Football League's Cleveland Browns. As much as I might wish things were otherwise, I rejoice in the Browns' (rare) triumphs and suffer when they lose (which happens frequently). I do not wait to see what happens in the game before I decide which team to cheer for; if it's an NFL game, and I see orange and brown, I know where my allegiance lies. Furthermore, I identify with my fellow Browns fans in a way that I cannot identify with followers of, say, the Pittsburgh Steelers. Clevelanders are my people. We share something, and what we share unites us in opposition to Steeler Nation. Their victories are our defeats. It is a zero-sum game: for one of us to win, the other must lose.


THE BULLETIN ◽  
2021 ◽  
Vol 2 (390) ◽  
pp. 44-49
Author(s):  
R. Aetdinova ◽  
I. Maslova ◽  
Sh. Niyazbekova ◽  
O. Balabanova ◽  
Zh. Zhakiyanova ◽  
...  

The article justifies for the need to identify and to keep track, in practice, of different groups of risks inherent in educational institutions under current conditions of pandemic and post-pandemic transformation of education under the influence of modern world uncertainty. Transformation of education functions in the epoch of digital economy changes the content and types of risks concomitant to the activities carried out by schools. Schools belong to the most conservative types of organizations. However, the environment in which schools operate is constantly changing. An educational institution, as any enterprise, has to engage in the activity aimed at risk management. Manifestation of the risk is, on the one hand, fraught with threats and damage, on the other hand, with opportunities. Assessment of possible threats and risks allows timely projection of undesirable results, creation of a system for situational response to unforeseen circumstances and, in the final analysis, formulation of a strategy for development of the university which would allow achievement of modern high quality education, its fundamentality and conformity to important topical requirements of the personality, society and state. Causes of developing risks characteristic of educational institutions are disclosed. External and internal risks characteristic of educational institutions, sources generating them and the importance of managing them are analyzed. The analysis of risks made reveals multi-varied threats and opportunities in the external and internal envi-ronment of the institution and their ability to have a significant effect on educational, organizational and financial activities of the schools.


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