School of Historical and Philosophical Studies - Research Publications
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ItemNo Preview AvailableCluster randomisation or randomised consent as an appropriate methodology for trials in palliative care: a feasibility study [ISRCTN60243484].(Springer Science and Business Media LLC, 2004-04-27)BACKGROUND: Although guidelines for the care of the dying patient exist the evidence base to support the guidelines is poor. Some of the factors contributing to this include failure to recruit to trials, protective healthcare professionals and subsequent attrition from trials due to the death of the patients. Recent studies report favourably on the use of cluster randomisation as an appropriate methodology for use in this patient group. METHODS/DESIGN: A feasibility study, exploring two types of randomisation as appropriate methodology for trials involving dying patients. Cluster randomisation and randomised consent will be utilised following a crossover design at two sites, one oncology ward and one Macmillan unit within the Northwest Wales NHS Trust. All patients commencing on the Integrated Care Pathway (ICP) for the Last Days of Life will be eligible for inclusion in the study. Using the hypothesis that it is not necessary to prescribe an anti-emetic medication when setting up a syringe driver for the dying patient, the study will evaluate different models of research methodology. DISCUSSION: The identification of the most appropriate methodology for use in studies concerning this patient group will inform the development of future clinical studies. Furthermore, the outcomes of this feasibility study will inform the development, of a proposal seeking funding for Wales-wide trials in palliative care. The identification of an appropriate methodology will provide a starting point for the establishment of a robust evidence base for the care of the dying patient.
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ItemNo Preview AvailableHealth biotechnology in China - reawakening of a giant(NATURE PUBLISHING GROUP, 2004-12-01)
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ItemNo Preview AvailableConclusions: promoting biotechnology innovation in developing countries(NATURE PORTFOLIO, 2004-12-01)
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ItemStrengthening the role of genomics in global health(PUBLIC LIBRARY SCIENCE, 2004-12-01)How genomics and related health biotechnologies can improve the health of the poor and contribute towards meeting the Millenium Development Goals
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ItemSetting priorities in health care organizations: criteria, processes, and parameters of success(BMC, 2004-09-08)BACKGROUND: Hospitals and regional health authorities must set priorities in the face of resource constraints. Decision-makers seek practical ways to set priorities fairly in strategic planning, but find limited guidance from the literature. Very little has been reported from the perspective of Board members and senior managers about what criteria, processes and parameters of success they would use to set priorities fairly. DISCUSSION: We facilitated workshops for board members and senior leadership at three health care organizations to assist them in developing a strategy for fair priority setting. Workshop participants identified 8 priority setting criteria, 10 key priority setting process elements, and 6 parameters of success that they would use to set priorities in their organizations. Decision-makers in other organizations can draw lessons from these findings to enhance the fairness of their priority setting decision-making. SUMMARY: Lessons learned in three workshops fill an important gap in the literature about what criteria, processes, and parameters of success Board members and senior managers would use to set priorities fairly.
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ItemNo Preview AvailableOne world: The ethics of globalization(Yale University Press, 2004-12-01)The book encompasses four main global issues: climate change, the role of the World Trade Organization, human rights and humanitarian intervention, and foreign aid. Singer addresses each vital issue from an ethical perspective and offers alternatives to the state-centric approach that characterizes international theory and relations today. On climate change, for example, he sees the ethical issue as one that concerns a common global resource - the capacity of the atmosphere to absorb waste gases. How much of this resource should developed notions appropriate, and how much should be left for developing nations? Regarding the WTO, Singer asks whether the organization allows free trade to override all other values, and he assesses the evidence for and against the view that globalization helps the poor. In his consideration of human rights, the author asks to what extent we can develop global laws protecting human rights and what the criteria for intervention should be when these rights are violated. Finally, Singer addresses the obligations of the world's rich nations to assist the poor nations. © 2002 by Peter Singer. All rights reserved.
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ItemYou have to be pleasing and coperative: Australia's vision splendid for post-WWII migrants(University of Melbourne Postgraduate Association, 2004)
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ItemA survey of modern pollen and vegetation along an altitudinal transect in southern Georgia, Caucasus region(ELSEVIER SCIENCE BV, 2004)This paper describes the pollen representation of vegetation patterns along an altitudinal transect in the South Caucasus region. Surface sediments from eight small- to medium-sized lakes and wetlands were analysed for modern pollen, and the results analysed numerically using detrended correspondence analysis (DCA) and dichotomised ordination (TWINSPAN). Pollen spectra from the semidesert region have a clear palynological signal characterised by an abundance of Chenopodiaceae. Differentiation of oak forest, upper tree-line and subalpine communities is more difficult: all are dominated by arboreal pollen (AP) types. The authors propose a number of indicator pollen types and pollen threshold values that may assist in detecting tree-line variations and deforestation events in Holocene pollen diagrams.
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Item'Hail to the King!' – the return of doom( 2004-12)It was back in 1993 that the horror was unleashed in the form of the DOOM: EVIL UNLEASHED. Developed by the Texas-based company id Software, this computer game was to introduce radical innovations not only to the First Person Shooter (FPS) genre, but also to the soft and hardware technology that drove gaming. In 1994, the sequel DOOM II: HELL ON EARTH was to push the envelope further still. Drawing upon the science fiction and horror conventions of cinematic examples like ALIEN (Ridley Scott, 1979), ALIENS (James Cameron, 1986) and EVIL DEAD II (Sam Raimi, 1987), both DOOM games upped the ante in game culture by transferring experiences familiar to the horror and science fiction film spectator over to the gamer. Discussing DOOM's influences, Jay Wilbur, the then chief executive officer of id stated that id ‘wanted to make an ALIEN-like game that captured the fast-paced action, brutality and fear of those movies’, while also amplifying the action and horror with EVIL DEAD II, whose ‘chainsaws and shotguns are an unbeatable combination’. It would not be an understatement to say that these two games are up there with the most popular and influential games in game history. Significantly, one of the concerns of the games’ creators – John Carmack and John Romero – was to transfer the dread, suspense and terror that was familiar to film audiences into the game environment. Fast forward to 2004: a new breed of game horror is born again in the form of the PC-game DOOM 3 (to be released in December 2004 on X"Box). Like its addictive predecessors, DOOM 3 introduces an even greater ‘filmic’ quality to its game space and, yet again, a new standard of gaming aesthetics and technology is created. Todd Hollenshead, head of id Software has stated that ‘DOOM 3 is a video game experience unlike any before it… From the cinema quality visuals and the incredible 5.1 sound, to the terrifying atmosphere and hyper-realistic environments, the whole game screams “interactive horror film”.’ In particular, the DOOM games typify a strong tendency amongst game developers towards fetishizing the film object, and what is perceived as the cinema’s convincing illusion of ‘realism’. But the cinema is by no means the only media form that has impacted upon games. Through an analysis of DOOM 3 and its heritage, this essay will address the question of games and their history, arguing that their reliance on past sources does not detract from their uniqueness. The creators of games like DOOM 3 deliberately place their creations within a rich, diverse tapestry of media history not in an admission of their lack of originality, but rather so that they can flag their innovation. In fact, as will be argued below, the ways in which John Carmack (Lead Programmer of the DOOM trilogy) and the rest of the production team at id Software arrange and reshape their influences has a story to tell us about how these games situate themselves within the arena of competing entertainment media.
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ItemSusan Norrie( 2004)The work of Susan Norrie, which now spans more than two decades, is challenging, provocative and inspirational. As with all visionary artists, Norrie’s practice has developed and changed over time, now incorporating painting, objects, still and moving images and sound. from her paintings to her installations and video projections, Norrie’s work combines technical brilliance and extraordinary talent with an acute and restless intelligence.