The structure of breech revolutions, a response to: “Upright breech birth: New video research risks reviving Friedman’s curse”

Birth ◽  
2021 ◽  
Author(s):  
Shawn Walker ◽  
Anke Reitter
1942 ◽  
Vol 43 (4) ◽  
pp. 715-719 ◽  
Author(s):  
Edward G. Waters
Keyword(s):  

2015 ◽  
Vol 24 (2) ◽  
pp. 177-189 ◽  
Author(s):  
J Davis Harte ◽  
Caroline SE Homer ◽  
Athena Sheehan ◽  
Nicky Leap ◽  
Maralyn Foureur

Background: Conducting video-research in birth settings raises challenges for ethics review boards to view birthing women and research-midwives as capable, autonomous decision-makers. Aim: This study aimed to gain an understanding of how the ethical approval process was experienced and to chronicle the perceived risks and benefits. Research design: The Birth Unit Design project was a 2012 Australian ethnographic study that used video recording to investigate the physical design features in the hospital birthing space that might influence both verbal and non-verbal communication and the experiences of childbearing women, midwives and supporters. Participants and research context: Six women, 11 midwives and 11 childbirth supporters were filmed during the women’s labours in hospital birth units and interviewed 6 weeks later. Ethical considerations: The study was approved by an Australian Health Research Ethics Committee after a protracted process of negotiation. Findings: The ethics committee was influenced by a traditional view of research as based on scientific experiments resulting in a poor understanding of video-ethnographic research, a paradigmatic view of the politics and practicalities of modern childbirth processes, a desire to protect institutions from litigation, and what we perceived as a paternalistic approach towards protecting participants, one that was at odds with our aim to facilitate situations in which women could make flexible, autonomous decisions about how they might engage with the research process. Discussion: The perceived need for protection was overly burdensome and against the wishes of the participants themselves; ultimately, this limited the capacity of the study to improve care for women and babies. Conclusion: Recommendations are offered for those involved in ethical approval processes for qualitative research in childbirth settings. The complexity of issues within childbirth settings, as in most modern healthcare settings, should be analysed using a variety of research approaches, beyond efficacy-style randomised controlled trials, to expand and improve practice-based results.


Author(s):  
Виктор Геннадьевич Аковецкий ◽  
Алексей Викторович Афанасьев ◽  
Анжела Асхатовна Ильченко

Оценка геоэкологических рисков на объектах нефтегазового комплекса непосредственно связана с обеспечением безопасности территорий, на которых они расположены. Особенно тяжелые последствия воздействия на экологическое состояние территорий оказывают аварийные разливы нефти и нефтепродуктов. Решение данного класса задач требует оценки уровня аварийного разлива и его классификации с позиций возникновения чрезвычайной ситуации. В статье рассмотрена возможность замены традиционных визуальных методов оценки разливов на разработанные автоматизированные и автоматические способы, использующие для решения задач классификации материалов аэрокосмических съемок. Приведены результаты автоматической классификации изображений мониторинговых наблюдений, которые имели место при аварийном разливе дизельного топлива в г. Норильске, аварии танкера на морской акватории о. Маврикий и аварии сухопутного нефтепровода. Полученные результаты показали работоспособность разработанных методов и возможность их использования в задачах инвентаризации и паспортизации аварийных разливов нефти на суше и акваториях. Purpose. The aim of this work is to ensure the environmental safety of the territories where the accidental spills of oil and oil products have occurred. They have a significant negative impact on the environment of land and water areas. To minimize their impact and eliminate the consequences, an “emergency” regime is introduced in Russia. Depending on the level of the oil spill, it may cover both the territory of a separate facility and a region, and the entire state as a whole. Methods. Traditionally, an estimate of the level of a spill is determined based on the mass of the spilled oil through visual observations from aircraft or ground measurements at selected points. This approach does not allow an accurate assessment of the total area of pollution, the nature of pollution inside the oil slick, as well as the dynamics of its spread over time. To eliminate these limitations, it is proposed to use systems of aerospace monitoring observations and automatic measurements of oil slick parameters: area, composition and mass. To solve this problem, the method of “comparison with the reference standard” was used. Here, samples of color gradations of oil and oil product spill spots proposed in the Bonn Agreement of 2004 were prepared as reference standards. Results. The method was implemented using the experimental software complex AGIR-TM (Aerospace, Geoinformatics, Research, Risks-Technological Modules) which was developed at the Department of Geoecology of the Gubkin Russian State University of Oil and Gas (NRU). During the experimental testing of this method, the work was carried out to assess the accidental spill in the following cases diesel fuel in Norilsk (2020), oil on a tanker in the water area of Mauritius (2020) and oil in an oil pipeline (2012, 2017). The method provides the localization of the area spills along with the color correction (normalization), classification of the composition of oil and oil products and the through account of the investigated processes. The work results in determination for the area of the oil and oil products spill, its composition and weight. Conclusions. The article shows the relevance of solving problems related to the problem of liquidation of emergency spills of oil and oil products at the facilities of the oil and gas complex. The main approaches to aerospace monitoring observations and automatic interpretation of spill parameters are considered. The proposed approach is based on the use of “digital twins” that implement the transition from manual (visual) to automated and automatic modes for determining the parameters of an oil spill: area, composition and mass. The results presented in the article showed the efficiency of the proposed method and the possibility of its use in the tasks of assessing geoecological risks associated with accidental spills of oil and oil products on land and in water areas.


Author(s):  
Christine L. Roberts ◽  
Brian Peat ◽  
Charles S. Algert ◽  
David Henderson-Smart

Author(s):  
Sharon J. Derry ◽  
Lana M. Minshew ◽  
Kelly J. Barber-Lester ◽  
Rebekah Duke

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