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The Education for Sustainability Jig-Saw Puzzle: Implementation in Universities  [PDF]
Ian Thomas, Kathryn Hegarty, Sarah Holdsworth
Creative Education (CE) , 2012, DOI: 10.4236/ce.2012.326125
Abstract: Why is it taking so long to implement curriculum change for Education for Sustainability (EfS)? Despite a wealth of literature and government reporting about the need for EfS, we have seen few moves to include EfS across the curriculum in universities. Importantly, the sort of curriculum change we are seeking represents a complex process in complex organizations. No single factor affects this type of change. Rather there are several interconnecting aspects of organizations, disciplines, individuals, and beliefs. Hence, in discussing curriculum change we identify the roles of: organizational change; institutional strategies; academic development; curriculum development; learning and teaching practice; pedagogy; the campus; graduate attributes; and professional associations. Overall we do not offer a quick solution, rather we identify the need for a systemic approach to recognizing the range of elements that make up the EfS picture, and how they relate to one another. In parallel we recognize the role that the values of disciplines, and the academics themselves, play in influencing all the elements we have discussed. Our proposition is that if we all recognize the issues discussed, and tailor our responses to the situations of the university (and disciplines) we have targeted, then we can facilitate implementation of EfS.
Book Review: Social Movements and Organized Labour: Passions and Interests Edited by Jürgen R. Grote and Claudius Wagemann
Ian Thomas MacDonald
- , 2019, DOI: 10.1177/0019793918818178
Abstract:
National Identity, Implicit In
Ian Grey,Justin Thomas
- , 2019, DOI: 10.1177/0022022118812131
Abstract: A sense of connectedness, and belonging to a valued social group (social identity processes), has been found to promote psychological well-being. This study, using implicit and explicit assessments, extends the exploration of social identity and well-being to citizens of the United Arab Emirates (Emiratis). In this cross-sectional correlational study, Emirati college women (N = 210), all of them bilingual (English/Arabic), performed an affective priming task designed to assess, implicitly, in-group (Emirati) preference (a positive bias toward the in-group relative to an out-group). Participants also completed the Multicomponent In-Group Identification Scale (MIIS), a measure of in-group identification and self-report measures of English/Arabic language proficiency. Participants also reported their psychological well-being using the World Health Organization’s well-being index. Implicit in-group preference and self-reported Arabic language dominance were independently predictive of higher levels of psychological well-being. The implicit measure was the strongest, most robust, predictor. Interventions aimed at maintaining or increasing a positive sense of a shared social identity may be a useful objective of public mental health strategy
Ventricular metastasis resulting in disseminated intravascular coagulation
Thomas John, Ian D Davis
World Journal of Surgical Oncology , 2005, DOI: 10.1186/1477-7819-3-29
Abstract: A 74-year-old woman with TCC bladder and DIC was found to have a cardiac lesion suspicious for metastatic disease. The DIC improved with infusion of plasma and administration of Vitamin K, however the cardiac lesion was deemed inoperable and chemotherapy inappropriate; given the patients functional status. We postulate that direct activation of the coagulation cascade by the intraventricular metastasis probably triggered the coagulopathy in this patient.Cardiac metastases should be considered in cancer patients with otherwise unexplained DIC. This may influence treatment choices.DIC is characterised by the widespread activation of coagulation. This in turn results in intravascular formation of fibrin and ultimately thrombotic occlusion of small to medium sized vessels [1]. The commonest causes are sepsis and trauma. Malignancy is a well recognised cause of a prothrombotic state, with DIC occurring in up to 7% of solid organ tumours[2]. It is most frequently associated with adenocarcinomas such as pancreatic, breast and prostate cancer. Transitional cell carcinoma is rarely associated with DIC, with very few reports in the literature.A 74 year old woman presented with a two day history of haematuria and increasing lethargy one month following palliative radiotherapy to the bladder for a T4 Grade III urothelial carcinoma. Clinical examination revealed large ecchymoses over both upper and lower limbs as well as oral mucosal bleeding without any evidence of petechiae. The patient was apyrexial and vital signs were all within normal limits. There were no other significant findings on cardiovascular, respiratory and abdominal examination.Laboratory analysis revealed INR 2.7 (normal range: 0.9–1.3), APTT 73 sec (25–38) D-dimer 25 μg/mL (0–0.2), fibrinogen <0.05 g/L (1.5–4.0), platelets 25 × 109/L (150–400), consistent with disseminated intravascular coagulation (DIC). Computerised tomographic (CT) scan of the thorax and abdomen revealed a lesion within the right ventricle
Laparoscopic Cholecystectomy in a Patient with Erythropoietic Protoporphyria
Thomas Roe,Ian S Bailey
Journal of Surgical Case Reports , 2010,
Abstract: Erythropoietic protoporphyria (EPP) is an inherited defect in haem synthesis causing dangerous phototoxic reactions following exposure to wavelengths of light around 400nm. It can cause catastrophic post-operative complications following open surgery, in which environment various safety measures are now routinely employed. The dangers at laparoscopy have never been discussed in the literature, and nor have any specific precautions been recommended.We describe a 35 year old woman with gallstones undergoing prophylactic laparoscopic cholecystectomy to prevent future cholestasis precipitating porphyric liver failure. A pre-operative trial of the cutaneous effects of the laparoscopic light source was performed to assess the potential risk of use within the peritoneal cavity. The procedure was uneventful and the patient suffered no adverse reaction.We suggest that a trial of the effects of the laparoscopic light source on the skin of EPP patients provides valid reassurance regarding the safety of the laparoscopy for short surgical procedures.
Nonleptonic Two-Body Decays of D Mesons in Broken SU(3)
Ian Hinchliffe,Thomas A. Kaeding
Physics , 1995, DOI: 10.1103/PhysRevD.54.914
Abstract: Decays of the D mesons to two pseudoscalars, to two vectors, and to pseudoscalar plus vector are discussed in the context of broken flavor SU(3). A few assumptions are used to reduce the number of parameters. Amplitudes are fit to the available data, and predictions of branching ratios for unmeasured modes are made.
Intraoperative MRI in pediatric neurosurgery—an update
Ian Mutchnick,Thomas M. Moriarty
- , 2014,
Abstract: Social and technical trends in medicine are continuously driving the development of safer and less invasive neurosurgical procedures. Our knowledge of neuroanatomy, in conjunction with the high quality and non-invasive diagnostic modalities of CT and MRI, has better defined surgical targets and approaches. Effective neuro-imaging contributes to the arrival of patients with subtle—or even non-existent on—symptoms to our OR, increasing the stakes of neurosurgical intervention dramatically. Patient and/or parental expectations, education and access to understandable medical information on the internet have increased dramatically, effectively raising the bar for what should be accomplished by attending physicians (1-3). In turn, the need for procedural refinement drives surgical innovation, several aspects of which were reviewed in the pediatric neurosurgical context in a recent article (4). In this article we will focus on the use of intraoperative magnetic resonance imaging (ioMRI) in the pediatric neurosurgical context, beginning with a history of its development followed by a review of current ioMRI configurations and the available outcomes data in the pediatric neurosurgical realm. Outcomes from studies in adults have been included where relevant. Finally, we share some key points about our experience using this real-time, high-resolution modality in the care of young patients
Prosthetic Impingement in Total Hip Arthroplasty—The Trigger for Adverse Wear  [PDF]
Ian C. Clarke, Jean Yves Lazennec, Evert Johannes Smith, Thomas K. Donaldson
Open Journal of Orthopedics (OJO) , 2020, DOI: 10.4236/ojo.2020.1012033
Abstract: Development of total hip arthroplasty (THA) now spans more than 5 decades encompassing combinations of metal-on-metal (MOM), ceramic-on-metal (COM), metal-on-plastic (MOP), ceramic-on-plastic (COM), and ceramic-on-ceramic (COC). In every arena of extensive technical development, there exists a data set that when viewed in isolation seemed of little import, but when assembled in-toto may produce a generational shift in perception. Our review focused on two such THA events. Firstly, COC retrieval studies (1999-2001) noted habitual wear patterns on heads and peripheral wear stripes, along with femoral-neck impingement, and ceramic surfaces stained gray by metal debris. These COC data indicated THA risks included, 1) cup edge-loading (E/L) on heads producing “stripe wear”, 2) component impingement releasing metal particles resulting in 3) tissues contaminated by metal debris. A corresponding MOM impingement-debris mechanism was only perceived by Howie (2005) in a McKee-Farrar retrieval study. Our anticipation at LLUMC was that MOM retrievals would provide superior wear details to those seen on COC retrievals. We noted stripe wear in the polar zone of CoCr heads and basal stripes in the non-wear areas. The basal-polar stripe combinations were found in all MOM retrievals. Basal-polar stripe combinations followed cup-rim profiles in our LLUMC simulations of prosthetic impingement. LPUH videos demonstrated the formation of stripe wear in functional-standing and functional-sitting postures for both impingement and subluxation episodes using THA and RA designs. The stripes on CoCr heads revealed the large scratches we now term “microgrooves”. Microgroove width varied from 40 -
Green Jobs in Australia: A Status Report
Ian Thomas,Orana Sandri,Kathryn Hegarty
Sustainability , 2010, DOI: 10.3390/su2123792
Abstract: This paper captures the breadth of complexity in the debate about ‘green jobs’ as the world seeks to transition to a ‘low carbon economy’ and to reduce greenhouse gas emissions through the reduction of reliance for energy on the burning of fossil fuels. A consideration is provided within both the Australian and international contexts of the current assertions and projections regarding green jobs, their definition and location in the economy. The substantive focus of the paper is on the development of these notions in the Australian context. We consider the understanding brought to the term and explore some of the intersections for vocational employment and training which have emerged in debate about the ways in which nations will manage the carbon pollution reduction imperative. We explore the ways forward for a coherent understanding of the need to build capacity for green jobs.
Statin use is associated with a reduced incidence of colorectal cancer: a colonoscopy-controlled case–control study
Thomas Broughton, Jamie Sington, Ian LP Beales
BMC Gastroenterology , 2012, DOI: 10.1186/1471-230x-12-36
Abstract: This was a case–control study examining statin use in symptomatic patients attending for diagnostic colonoscopy. Statin use was compared between patients with CRC and a control group, who had all had normal colonoscopy. Structured interviews and clinical records notes were used to determine drug exposure. Logistic regression was used to compare statin exposure and correct for confounding factors.There was a significant inverse association between previous statin use and a diagnosis of CRC (OR？=？0.43 (95% confidence interval 0.25 – 0.80), p<0.01). This inverse association was stronger with higher statin doses (OR？=？0.19 (0.07 – 0.47), p<0.01) and greater duration of statin use (statin use >years: OR？=？0.18 (0.06 – 0.55), p<0.01).Statins use was associated with a protective effect against the development of CRC. This effect is associated with a significant dose and duration response. These findings need to be repeated in other observational studies before an interventional study can be considered.
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