Old Nurses and New: Nursing in the London Teaching Hospitals Before and After the Mid-Nineteenth-Century Reforms

1993 ◽  
Vol 1 (1) ◽  
pp. 43-70 ◽  
Author(s):  
CAROL HELMSTADTER
Author(s):  
Mark Franko

This book is an examination of neoclassical ballet initially in the French context before and after World War I (circa 1905–1944) with close attention to dancer and choreographer Serge Lifar. Since the critical discourses analyzed indulged in flights of poetic fancy a distinction is made between the Lifar-image (the dancer on stage and object of discussion by critics), the Lifar-discourse (the writings on Lifar as well as his own discourse), and the Lifar-person (the historical actor). This topic is further developed in the final chapter into a discussion of the so-called baroque dance both as a historical object and as a motif of contemporary experimentation as it emerged in the aftermath of World War II (circa 1947–1991) in France. Using Lifar as a through-line, the book explores the development of critical ideas of neoclassicism in relation to his work and his drift toward a fascist position that can be traced to the influence of Nietzsche on his critical reception. Lifar’s collaborationism during the Occupation confirms this analysis. The discussion of neoclassicism begins in the final years of the nineteenth-century and carries us through the Occupation; then track the baroque in its gradual development from the early 1950s through the end of the 1980s and early 1990s.


2003 ◽  
Vol 10 (suppl 1) ◽  
pp. 13-40 ◽  
Author(s):  
Jo Robertson

In the 1800s, humoral understandings of leprosy successively give way to disease models based on morbid anatomy, physiopathology, and bacteriology. Linkages between these disease models were reinforced by the ubiquitous seed/soil metaphor deployed both before and after the identification of M. leprae. While this metaphor provided a continuous link between medical descriptions, Henry Vandyke Carter's On leprosy (1874) marks a convergence of different models of disease. Simultaneously, this metaphor can be traced in popular and medical debates in the late nineteenth century, accompanying fears of a resurgence of leprosy in Europe. Later the mapping of the genome ushers in a new model of disease but, ironically, while leprosy research draws its logic from a view of the world in which a seed and soil metaphor expresses many different aspects of the activity of the disease, the bacillus itself continues to be unreceptive to cultivation.


Author(s):  
Alice Soares Guimarães

This chapter examines transformations of state–society relations in eighteenth-century Portugal in relation to Enlightened political debates of the time. It also explores how these transformations shaped the relations between Portugal and Brazil in the nineteenth century, the debate about the political form of independent Brazil, and the intra-Brazilian struggles over this form before and after independence. More importantly, it challenges the notion that the Enlightenment was absent from the Portuguese Empire as a result of the rejection of modern ideas by conservative world views and projects. It argues that there was a Luso-Brazilian Enlightenment that was plural and eclectic, supporting both critiques and defences of the absolute power of the king, endorsing simultaneously a secularisation process, the promotion of reason and Roman Catholicism, and fostering not only revolutionary projects but also conservative state reforms.


Author(s):  
James Kelly

This chapter looks at Irish responses to Peterloo. It looks at the relations between radical reformers and the movement for Catholic Emancipation. The kind of political repression that was enacted in Manchester in August of that year was more common in Ireland, and reformers made common cause with Irish Catholics, many of whom were beginning to migrate to the industrial towns of Northern England. Ireland gave English reformers a cautionary example of tyrannical government, while Irish writers and politicians saw in Peterloo an illustration of the English establishment's true coercive colours. There was however a deeper sense in which Peterloo and the Irish Question were imbricated in early nineteenth-century culture. The role of public speaking, the control of potentially subversive speech, and the challenge of radical politics to traditional standards of rhetoric and oratory were all brought into focus in the years leading to the massacre.


2017 ◽  
pp. 29-45
Author(s):  
Vito Adriaensens ◽  
Steven Jacobs

In its earliest years of existence, cinema seems to have been fascinated by stasis and stillness. As if emphasizing its capacity to represent movement, early cinema comprises many scenes in which moving people interact with static paintings and sculptures. Moreover, films made shortly before and after 1900 often make explicit the contrast between the new medium of film and the traditional arts by means of the motif of the statue or the painting coming to life. In so doing, early film continued a form of popular entertainment that combined the art of the theater with those of painting and sculpture, namely the tableau vivant, or living picture. Focusing on the trick films of Georges Méliès and the early erotic films by the Viennese Saturn Company, this chapter reveals the importance and continuity of nineteenth-century motifs and traditions with regard to tableaux vivants as they were presented on the legitimate stage, in magic, in vaudeville, and in burlesque.


2020 ◽  
Vol 27 (3) ◽  
pp. e100170
Author(s):  
Johanna I Westbrook ◽  
Neroli S Sunderland ◽  
Amanda Woods ◽  
Magda Z Raban ◽  
Peter Gates ◽  
...  

BackgroundElectronic medication systems (EMS) have been highly effective in reducing prescribing errors, but little research has investigated their effects on medication administration errors (MAEs).ObjectiveTo assess changes in MAE rates and types associated with EMS implementation.MethodsThis was a controlled before and after study (three intervention and three control wards) at two adult teaching hospitals. Intervention wards used an EMS with no bar-coding. Independent, trained observers shadowed nurses and recorded medications administered and compliance with 10 safety procedures. Observational data were compared against medication charts to identify errors (eg, wrong dose). Potential error severity was classified on a 5-point scale, with those scoring ≥3 identified as serious. Changes in MAE rates preintervention and postintervention by study group, accounting for differences at baseline, were calculated.Results7451 administrations were observed (4176 pre-EMS and 3275 post-EMS). At baseline, 30.2% of administrations contained ≥1 MAE, with wrong intravenous rate, timing, volume and dose the most frequent. Post-EMS, MAEs decreased on intervention wards relative to control wards by 4.2 errors per 100 administrations (95% CI 0.2 to 8.3; p=0.04). Wrong timing errors alone decreased by 3.4 per 100 administrations (95% CI 0.01 to 6.7; p<0.05). EMS use was associated with an absolute decline in potentially serious MAEs by 2.4% (95% CI 0.8 to 3.9; p=0.003), a 56% reduction in the proportion of potentially serious MAEs. At baseline, 74.1% of administrations were non-compliant with ≥1 of 10 procedures and this rate did not significantly improve post-EMS.ConclusionsImplementation of EMS was associated with a modest, but significant, reduction in overall MAE rate, but halved the proportion of MAEs rated as potentially serious.


2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S406-S406
Author(s):  
Lou Ann Bruno-Murtha ◽  
Rebecca Osgood ◽  
Casey Alexandre ◽  
Rumel Mahmood

Abstract Background Our goal was to reduce the rate of hospital-onset (HO) C. difficile (CD) by prompt testing in patients with diarrhea on hospital day (HD) 1–3 using a nurse-driven testing protocol (NTP) with PCR and improve identification of disease after HD 3 using a combined toxin/antigen assay (TAA). Methods An automated best practice advisory/NTP was developed in Epic, triggered by documentation of diarrhea during HD 1–3, to facilitate prompt stool collection, testing and initiation of contact precautions. Education was provided. The NTP was fully implemented at 2 community-teaching hospitals mid-February 2016. The TAA was adopted 7/27/16 for testing after HD 3. Results In 2016, the standardized infection ratio (SIR) at Cambridge and Everett was 0.43 (P = 0.009) and 0.5 (P = 0.017), respectively, reflecting a 48–61% decrease from 2015. There was a 14–28% improvement in identifying cases as community-onset. The TAA led to a further decline in HO-CD by 10–61%. Refer to the graph for quarterly SIRs before and after implementation. Despite a 26% increase in testing volume, costs are less with the current strategy. Conclusion Prompt identification of CD improves care and prevents inflation of HO-CD. This strategy has enhanced our efforts to reduce our SIR (observed/expected cases) and resulted in a substantial incentive payment for CHA. Disclosures All authors: No reported disclosures.


1975 ◽  
Vol 6 (1) ◽  
pp. 16-24 ◽  
Author(s):  
David P. Chandler

The “holy man's” (nak sel) rebellion against the Vietnamese that broke out in 1820 along the Cambodian-Vietnamese border is the best-documented one of its kind in pre-colonial Cambodia, and makes a useful addition to the literature of such revolts in Buddhist Southeast Asia. Its importance in Cambodian terms lies in its anti-Vietnamese character, the participation in its ranks of Buddhist monks, the collusion of Cambodian authorities, and the way in which these themes foreshadow Cambodian political thinking, before and after the arrival of the French.


2002 ◽  
Vol 20 (3) ◽  
pp. 479-515 ◽  
Author(s):  
Gretchen Ritter

The Nineteenth Amendment to the Constitution had surprisingly little impact on women's citizenship or the American constitutional order. For seventy-two years, from 1848 until the passage of the Nineteenth Amendment in 1920, suffrage was the central demand of the woman rights movement in the United States. Women demanded the right to vote in the nineteenth century because they believed it would make them first class citizens with all the rights and privileges of other first class citizens. Both normatively and instrumentally, the suffragists believed that voting would secure equal citizenship for women by raising their civic status and allowing them to assert their political interests. Yet in many ways women were more politically efficacious in the years just prior to the passage of the Nineteenth Amendment than they were afterward. Further, their ability to claim rights from the courts and legislatures, on the basis of their new status as voting citizens, was limited.


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