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8 result(s) for "Ruddell, Deborah"
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The besieged ego
'The Besieged Ego' critically appraises the representation, or mediation, of identity in contemporary film and television shows through a thorough analysis of split and fragmentary characters. As I show, the prevalence of nonautonomous characters in horror, fantasy and psychological based film and television products calls into question the very concept of a unified, 'knowable' identity that can be traced progressively through time with continuity. I use psychoanalysis as an interpretive tool and model in order to effectively understand representations of identity that are not 'whole'; psychoanalysis arguably allows for, and engages with, a splintered or fractured identity as its very premise lies in unknowable psychical forces such as the unconscious. The concept of 'ego' is particularly useful as a concept through which to analyse onscreen representations of identity; the differing definitions of Freud's ego (realist and narcissistic) alongside Lacan's delusional ego allow for an understanding of identity that shifts and is deeply enigmatic, unknowable and in essence confusing. However, representations of split identities can only be fully examined in light of social and cultural contexts; I therefore employ an eclectic range of approaches and methodologies throughout the thesis in order to ascertain what is at stake in the representation and meaning of the double. The form of the double, and cinematic modes and rhetorics used to denote fragmentary identity, is addressed in the thesis through a detailed analysis of texts drawn from a range of industrial and cultural contexts. The double carries significant cultural meanings about what it means to be 'human' and the experience of identity as a gendered individual; I argue that the double, or split identity, has become a 'new myth' that expresses in fictional form our problematic experience of the world as a social, and supposedly whole and autonomous, subject.
The popcorn astronauts : and other biteable rhymes
\"Take a bite out of the calendar with this ... collection of ... seasonal poems, each one an ode to a favorite food\"--Amazon.com.
Developing Climate Resilience in Aridlands Using Rock Detention Structures as Green Infrastructure
The potential of ecological restoration and green infrastructure has been long suggested in the literature as adaptation strategies for a changing climate, with an emphasis on revegetation and, more recently, carbon sequestration and stormwater management. Tree planting and “natural” stormwater detention structures such as bioswales, stormwater detention basins, and sediment traps are popular approaches. However, the experimental verification of performance for these investments is scarce and does not address rock detention structures specifically. This 3-year study investigates the infiltration, peak flow mitigation, and microclimate performance of a natural wash stormwater retention installation using one-rock dams in an urban park in Phoenix, Arizona, USA. Field data collected during the study do not depict change in the hydrogeomorphology. However, hydrologic modeling, using data collected from the field, portrays decreases in peak flows and increases in infiltration at the treated sites. Additionally, we observe a lengthening of microclimate cooling effects following rainfall events, as compared with the untreated sites. In this urban arid land setting, the prospect that rock detention structures themselves could reduce warming or heat effects is promising.
Economic evaluation alongside the Probiotics to Prevent Severe Pneumonia and Endotracheal Colonization Trial (E-PROSPECT): study protocol
IntroductionVentilator-associated pneumonia (VAP) is a common healthcare-associated infection in the intensive care unit (ICU). Probiotics are defined as live microorganisms that may confer health benefits when ingested. Prior randomised trials suggest that probiotics may prevent infections such as VAP and Clostridioides difficile–associated diarrhoea (CDAD). PROSPECT (Probiotics to Prevent Severe Pneumonia and Endotracheal Colonization Trial) is a multicentre, double-blinded, randomised controlled trial comparing the efficacy of the probiotic Lactobacillus rhamnosus GG with usual care versus usual care without probiotics in preventing VAP and other clinically important outcomes in critically ill patients admitted to the ICU.Methods and analysisThe objective of E-PROSPECT is to determine the incremental cost-effectiveness of L. rhamnosus GG plus usual care versus usual care without probiotics in critically ill patients. E-PROSPECT will be performed from the public healthcare payer’s perspective over a time horizon from ICU admission to hospital discharge.We will determine probabilities of in-ICU and in-hospital events from all patients alongside PROSPECT. We will retrieve unit costs for each resource use item using jurisdiction-specific public databases, supplemented by individual site unit costs if such databases are unavailable. Direct costs will include medications, personnel costs, radiology/laboratory testing, operative/non-operative procedures and per-day hospital ‘hoteling’ costs not otherwise encompassed. The primary outcome is the incremental cost per VAP prevented between the two treatment groups. Other clinical events such as CDAD, antibiotic-associated diarrhoea and in-hospital mortality will be included as secondary outcomes. We will perform pre-specified subgroup analyses (medical/surgical/trauma; age; frailty status; antibiotic use; prevalent vs no prevalent pneumonia) and probabilistic sensitivity analyses for VAP, then generate confidence intervals using the non-parametric bootstrapping approach.Ethics and disseminationStudy approval for E-PROSPECT was granted by the Hamilton Integrated Research Ethics Board of McMaster University on 29 July 2019. Informed consent was obtained from the patient or substitute decision-maker in PROSPECT. The findings of this study will be published in peer-reviewed journals.Trial registration numberNCT01782755; Pre-results.
Human Health
Summer season average temperatures in the Southwest United States are projected to be up to 9°F (approximately 5°C) higher than the present by the end of the twenty-first century (see Chapters 6 and 7 for details on climate change predictions in the Southwest). Global climate models also forecast changes in precipitation patterns, drought, flooding, and sea-level rise, and an increase in the frequency, duration, and intensity of extreme heat events throughout the Southwest. These climate changes will vary across the region, however, they are sufficient to threaten human health and well-being (Kunkel, Pielke, and Changnon 1999; Parmesan, Root, and Willig 2000; Baker et al. 2002; Christensen et al. 2004; Meehl and Tebaldi 2004; Harlan et al. 2006; Ruddell et al. 2010).