Automating Patients Admission

Author(s):  
Hans Lehmann ◽  
Terence Wee

The rationale for using a single case study approach is set out and put into context of current case research literature and thinking. The validity of the approach and its implications for being able to generalise from its findings are discussed. The key point in the case is the determination of a private hospital in Auckland, New Zealand, to re-engineer its processes with information technology. Persisting in the face of apathy and even resistance by its main business partners, they achieved a viable pilot system on a minimum budget, using common, off-the-shelf software and technologies. Starting from a modest electronic presence, the hospital’s aim is to become the centrepiece of an electronic community, offering a rich set of communications and other media for the medical practitioners who use the hospital facilities. The case in this chapter is the history of the first service project, an electronic interface for surgeons to book operating facilities and to automate admission procedures. The process changes and improvements are described, as are the resolution of environmental issues such as security and patient privacy. The architecture of the system, which centres on the basic structure of an intranet, is outlined. A number of points of general import for interactive surgeon-hospital systems are developed from the case in conclusion. Pointers for further and/or follow-up research are given.

2020 ◽  
Vol 2020 ◽  
pp. 1-3 ◽  
Author(s):  
Tiffany Lu ◽  
Tarundeep Grewal

We describe a case of new onset angioedema likely due to Ezetimibe therapy in an elderly patient with a prior history of drug-induced bradykinin reactions who had been on the medication for multiple years. This is the second reported incidence of Ezetimibe-associated angioedema in literature. A 90-year-old African American female presented with angioedema of the face and oral mucosa with associated difficulty speaking developing hours after taking Ezetimibe 10 mg PO. She denied adding any new or unusual foods to her diet. A thorough clinical history determined Ezetimibe was the likely culprit. Ezetimibe was immediately discontinued. The swelling subsided after administration of methylprednisolone 125 mg, epinephrine 1 mg/mL, injection 0.3 mL, diphenhydramine 25 mg, and famotidine 20 mg BID within 48 hours. The patient’s C1 esterase inhibitor level was measured to be within normal limits. Food panel allergy testing showed very low or undetectable IgE levels in all categories. Based on the limited reports in literature and our current case, we conclude that there is a likely association of angioedema with Ezetimibe. The mechanism, however, is unknown since it is not related to bradykinin or mast cell-mediated activation. Clinicians should advise patients taking Ezetimibe to report any swelling of the lips, face, and tongue and to immediately discontinue its use if these signs are present.


Author(s):  
Sofyan Hadi

This research was written with the aim of presenting a manuscript of the Al-Qur'an which is easily accessible to the Muslim community in Indonesia in studying and practicing reading the Qur'an from the history of Qalun through the initial step in the form of "Prototype of Indonesian Standard Al-Qur'an Manuscripts. The History of Qalun according to Tharîq al. -Syâtibiyyah ”.In this study, the findings of differences in the reading of the history of Hafsh and the history of Qalun according to tharîq al-Syâthibiyyah are presented, both in terms of general principles (ushyliyyah) and certain readings in certain verses and letters (farsy al-hurûf). In the ushûliyyah rule, the difference is in the mim jama 'rule, ha` kinâyah, idghâm saghîr, mad munfashil, two hamzah in one word, two hamzah in two words, ya` idhâfah, ya` zâidah, and the word التَّوْرٰىةَ. As for the difference in farsy al-hurûf there are certain words in certain verses, such as the word; ملك, يخدعون, يكذبون.Furthermore, the findings related to the punctuation marks (dhabth) applied to the Indonesian Standard Al-Qur`an Manuscripts of the history of Hafsh and several Al-Quran manuscripts of the history of Qalun circulating in the Islamic world today, including the Mushaf al-Jamâhîriyyah History of Qalun from Libya. Madinah al-Munawwarah, Jordan, Tunisia and Egypt. In general, the use of punctuation marks (dhabth) in these manuscripts follows the dhabth ulama of the masyâriqah or maghâribah school with reference books including: al-Thirâz 'alâ Dhabth al-Kharrâz by al-Tanasi, Dalîl al-Hairân' ala al-Kharraz by al-Maraghini, Al-Muhkam by al-Dani.The most interesting thing in this dissertation is the finding that the punctuation marks (dhabth) in the Indonesian Standard Al-Qur'an Manuscripts which are adapted to the qiraat narrations of Hafsh can be applied to qiraat narrations of Qalun by means of; (1) Keep using the punctuation mark (dhabth) which has been standardized in the Indonesian Standard Al-Qur'an Mushaf which is still relevant to be applied to qiraat narrations of Qalun; (2) Modifying its use in qiraat narrations of Qalun; (3) Creating a new punctuation mark (dhabth) that does not exist in the Indonesian Standard Al-Qur'an Mushaf.This research is in line with the Indonesian Standard Al-Qur'an Mushaf in several ways, namely related to rasm, count of verses and punctuation marks (dhabth) and in line with the Mushaf Application of al-Taysîr bi al-Qirâ`at al-'Asyr from Hazim's Qalun history. al-Barduni in terms of the face of the recitation of Qalun shillah mim jama 'ma'a al-qashr on the other hand, the findings of this study are different from the existing Indonesian Standard Mushaf (MSI) because MSI is in accordance with Hafsh's history reading, whereas in this dissertation it produces MSI according to the reading of Qalun's history. The difference with the Manuscripts of the application of al-Taysîr bi al-Qirâ`at al-'Asyr by Hazim al-Barduni and several manuscripts of Qalun history from abroad that exist in the world today is that the use of rhymes, verse counts, and punctuation in findings This dissertation is adapted to what MSI already exists.This research is a qualitative research through library research with a comparative study approach. The primary source of this research is the Standard Indonesian Al-Qur'an Manuscripts and several Al-Qur'an Manuscripts from Qalun from several countries, Hirz al-Amâniy Wa Wajh al-Tahâniy fî al-Qirâ`ât al-Sab 'by al-Qasim. bin Fiyrruh Bin Khalaf Bin Ahmad al-Syathibiy al-Ra'ainiy al-Andalusiy (d. 590 H), and Al-Mukhtashar al-Jâmi 'li Ushûl Riwâyât Qâlûn' an Nâfi 'by Abd al-Halim Muhammad Al-Hadi Qabah.


Author(s):  
Woosung Kang

Thing is a categorically indeterminate and comprehensive concept that cannot easily be pinned down to any single or specific meaning. It has a long history of heterogeneous significations, from material objects, through legal issues, to supersensible noumena. For modern philosophies of subjectivity, things are reducible to that which is available for human thinking and acting. Things are represented as objects for the subject in the form of presence-at-hand, and this representational relationship forms the basic structure of the world in modernity. Under the capitalist system of commodity exchanges, moreover, this anthropocentric relationship with things undergoes what is called reification or fetishism, which turns all things human into relations between objects. The objectification of things makes it possible for humans to dominate the world, but fetishism in turn dominates human beings as mere objects. Heidegger’s attempt to deconstruct this objectification reverberates with the Marxist critique of capitalist commodification, and in literature, with the modernist endeavor to overcome reification. These efforts to secure the thingness of the thing are linked to the early 21st century’s efforts to re-establish non-humanistic relations with things and the world. Recently, under the banner of an “ontological turn,” there has been an explosion of interest in things, motivated in particular by growing concerns about anthropocentrism. Indeed, in the face of unprecedented technological change and hyper-digitalization, a new relation between human and nonhuman is desperately required. New ontologies thus try to build a non-hierarchal, object-oriented, monistic universe of hybrids, quasi-objects, and assemblages, such that human beings become only a part of the parliament of things.


2016 ◽  
Vol 7 (3) ◽  
pp. 245-255 ◽  
Author(s):  
Michael J. Sandford

This article begins by outlining contemporary anti-work politics, which form the basis of Sandford’s reading. After providing a brief history of anti-work politics, Sandford examines recent scholarly treatments of Jesus’ relationship to work. An examination of a number of texts across the gospel traditions leads Sandford to argue that Jesus can be read as a ‘luxury communist’ whose behaviour flies in the face of the Protestant work ethic. Ultimately, Sandford foregrounds those texts in which Jesus discourages his followers from working, and undermines work as an ‘end in itself’, contextualising these statements in relation to other gospel texts about asceticism and the redistribution of wealth.


2020 ◽  
pp. 97-114
Author(s):  
Elena M. Burova ◽  

The article covers the issues of initiative acquisition of archives in the documents of personal origin during the Great Patriotic War, the organization of work to identify and collect the wartime documents. Collecting documents of ordinary citizens, in particular letters from the front and to the front is analyzed. Proposals to create the specialized archives of documents on the history of the war were never implemented. Quite a lot of the actions, search operations and expeditions were conducted in the country, for example, the “Chronicle of the Great Patriotic War”, the “Frontline letter”, the “Search”, the “Memory”, etc., during which a significant number of documents of war participants and home front workers were collected and stored. Not so much of the documents of personal origin of the war participants are concentrated in the archives. In general, there prevails the collection type of organization for storing documents from the period of the Great Patriotic War. With reference to the corpus of documents of personal origin of the war period the research literature pays its attention mostly to correspondence and diaries, memoirs. Historians and archivists, analyzing wartime letters, offer different classifications depending on the authors, recipients, subjects, etc. The article provides a generalized classification of letters based on their inherent similarities. The author also analyzes the reasons for a small number of extant diaries and memoirs, and provides examples of their classification. Likewise the article describes current approaches to the collection of personal papers within the frames of the Moscow Glavarkhiv project “Moscow – with care for history” and the Ministry of Defense project “The Memory Road”.


Author(s):  
Chris Forster

Modernist literature is inextricable from the history of obscenity. The trials of such figures as James Joyce, D. H. Lawrence, and Radclyffe Hall loom large in accounts of twentieth-century literature. Filthy Material: Modernism and the Media of Obscenity reveals the ways that debates about obscenity and literature were shaped by changes in the history of media. The emergence of film, photography, and new printing technologies shaped how “literary value” was understood, altering how obscenity was defined and which texts were considered obscene. Filthy Material rereads the history of modernist obscenity to discover the role played by technological media in debates about obscenity. The shift from the intense censorship of the early twentieth century to the effective “end of obscenity” for literature at the middle of the century was not simply a product of cultural liberalization but also of a changing media ecology. Filthy Material brings together media theory and archival research to offer a fresh account of modernist obscenity with novel readings of works of modernist literature. It sheds new light on figures at the center of modernism’s obscenity trials (such as Joyce and Lawrence), demonstrates the relevance of the discourse of obscenity to understanding figures not typically associated with obscenity debates (such as T. S. Eliot and Wyndham Lewis), and introduces new figures to our account of modernism (such as Norah James and Jack Kahane). It reveals how modernist obscenity reflected a contest over the literary in the face of new media technologies.


Author(s):  
Jennifer Knust

The pericope adulterae (John 7:53–8:11) is often interpreted as an inherently feminist story, one that validates women’s humanity in the face of a patriarchal order determined to reduce sexual sinners and women more generally to the status of object. Reading this story within a framework of queer narratology, however, leads to a different point of view, one that challenges the consequences of seeking rescue from a god and a text that are both quite willing to forge male homosocial bonds at a woman’s expense. As the history of this story also shows, texts and their meanings remain unsettled and therefore open to further unpredictable and contingent elaboration. Pondering my own feminist commitments, I attempt to imagine a world and a story where a woman is a person and Jesus is in need of rescue. Perhaps such a world is possible. Or perhaps it is not.


Author(s):  
Elisabeth van Houts

This book contains an analysis of the experience of married life by men and women in Christian medieval Europe c. 900–1300. The focus will be on the social and emotional life of the married couple rather than on the institutional history of marriage. The book consists of three parts: the first part (Getting Married) is devoted to the process of getting married and wedding celebrations, the second part (Married Life) discusses the married life of lay couples and clergy, their sexuality, and any remarriage, while the third part (Alternative Living) explores concubinage and polygyny as well as the single life in contrast to monogamous sexual unions. Four main themes are central to the book. First, the tension between patriarchal family strategies and the individual family member’s freedom of choice to marry and, if so, to what partner; second, the role played by the married priesthood in their quest to have individual agency and self-determination accepted in their own lives in the face of the growing imposition of clerical celibacy; third, the role played by women in helping society accept some degree of gender equality and self-determination to marry and in shaping the norms for married life incorporating these principles; fourth, the role played by emotion in the establishment of marriage and in married life at a time when sexual and spiritual love feature prominently in medieval literature.


Author(s):  
Stephen D. Bowd

Renaissance Mass Murder explores the devastating impact of war on the men and women of the Renaissance. In contrast to the picture of balance and harmony usually associated with the Renaissance, it uncovers in forensic detail a world in which sacks of Italian cities and massacres of civilians at the hands of French, German, Spanish, Swiss, and Italian troops were regular occurrences. The arguments presented are based on a wealth of evidence—histories and chronicles, poetry and paintings, sculpture and other objects—which together provide a new and startling history of sixteenth-century Italy and a social history of the Italian Wars. It outlines how massacres happened, how princes, soldiers, lawyers, and writers, justified and explained such events, and how they were represented in contemporary culture. On this basis the book reconstructs the terrifying individual experiences of civilians in the face of war and in doing so offers a story of human tragedy which redresses the balance of the history of the Italian Wars, and of Renaissance warfare, in favour of the civilian and away from the din of the battlefield. This book also places mass murder in a broader historical context and challenges claims that such violence was unusual or in decline in early modern Europe. Finally, it shows that women often suffered disproportionately from this violence and that immunity for them, as for their children, was often partially developed or poorly respected.


Author(s):  
Allan Megill

This epilogue argues that historians ought to be able to produce a universal history, one that would ‘cover’ the past of humankind ‘as a whole’. However, aside from the always increasing difficulty of mastering the factual material that such an undertaking requires, there exists another difficulty: the coherence of universal history always presupposes an initial decision not to write about the human past in all its multiplicity, but to focus on one aspect of that past. Nevertheless, the lure of universal history will persist, even in the face of its practical and conceptual difficulty. Certainly, it is possible to imagine a future ideological convergence among humans that would enable them to accept, as authoritative, one history of humankind.


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