This article, written in hindsight, is a personal account of a British Council and Afghan Ministry of Higher Education project that sought to establish mentoring relationships between the next ...generation of leaders in Afghanistan and volunteers from UK higher education. Several learning points have emerged: the need for a simple programme design; the inappropriateness of mentoring to develop management and leadership skills at this time; a desire to formalise inputs; a necessity for face-to-face input and the difficulties of establishing mentoring relationships virtually. These findings contribute to understanding of the difficulties of implementing virtual mentoring within a challenging post-conflict environment.
Acute kidney injury (AKI), fluid overload (FO), and mortality are common in pediatric patients supported by extracorporeal membrane oxygenation (ECMO). The aim of this study is to evaluate if using a ...fluid management algorithm reduced AKI and mortality in children supported by ECMO. We performed a retrospective study of pediatric patients aged birth to 25 years requiring ECMO at a quaternary level children’s hospital from 2007 to 2019 In October 2017, a fluid management algorithm was implemented for protocolized fluid removal after deriving a daily fluid goal using a combination of diuretics and ultrafiltration. Daily algorithm compliance was defined as ≥ 12 h on the algorithm each day. The primary and secondary outcomes were AKI and mortality, respectively, and were assessed in the entire cohort and the sub-analysis of children from the era in which the algorithm was implemented. Two hundred and ninety-nine (median age 5.3 months; IQR: 0.2, 62.3; 45% male) children required ECMO (venoarterial in 85%). The fluid algorithm was applied in 74 patients. The overall AKI rate during ECMO was 38% (26% severe—stage 2/3). Both AKI incidence and mortality were significantly lower in patients managed on the algorithm (
p
= 0.02 and
p
= 0.05). After adjusting for confounders, utilization of the algorithm was associated with lower odds of AKI (aOR: 0.40, 95%CI: 0.21, 0.76;
p
= 0.005) but was not associated with a reduction in mortality. In the sub-analysis, algorithm compliance of 80–100% was associated with a 54% reduction in mortality (ref: < 60% compliant; aOR:0.46, 95%CI:0.22–1.00;
p
= 0.05).
Conclusion
: Among the entire cohort, the use of a fluid management algorithm reduced the odds of AKI. Better compliance on the algorithm was associated with lower mortality. Multicenter studies that implement systematic fluid removal may represent an opportunity for improving ECMO-related outcomes.
What is Known:
• Acute kidney injury and fluid overload are associated with morbidity and mortality in children supported by extracorporeal membrane oxygenation.
What is New:
• A systematic and protocolized approach to fluid removal in children supported by extracorporeal membrane oxygenation reduces acute kidney injury incidence.
• Greater adherence to a protocolized fluid removal algorithm is associated with a reduction in mortality.
Instrument joué : Cristal, Bernard et François Baschet, Paris, 1980, E.983.14.1, Musée de la musique (Paris).
- Paroles de Robert Doisneau / Robert Doisneau
- Pine Trees / Moriarty, compositeur; ...Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, voix, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, piano, guitare, harmonica, voix
- Paroles de Robert Doisneau / Robert Doisneau
- Jaywalker / Moriarty, compositeur; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, voix, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, piano, guitare, harmonica, voix
- Crimson Singer / Moriarty, compositeur; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, voix, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, piano, guitare, harmonica, voix
- Présentation du concert / Rosemary Standley, Stephan Zimmerli
- La chanson de Margaret / V. Marceau, musique ; Pierre Mac Orlan, parol; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, voix, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, piano, guitare, harmonica, voix
- La rue Saint-Jacques (extrait) suivi d'un instrumental / V. Marceau, musique ; Pierre Mac Orlan, parol; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, voix, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, piano, guitare, harmonica, voix
- Paroles de Robert Doisneau / Robert Doisneau
- Reverse / Moriarty, compositeur; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, cristal Baschet, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, voix, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, piano, guitare, harmonica, voix
- Julie Gold's Candy Cane Tale avec des paroles de Robert Doisneau / Moriarty, compositeur; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, cristal Baschet, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, voix, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, piano, guitare, harmonica, voix
- Le laboratoire de Robert Doisneau / Stephan Zimmerli, Rosemary Standley
- La complainte du progrès / Alain Goraguer, musique ; Boris Vian, parol; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, voix, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, piano, guitare, harmonica, voix
- Fever / Eddie Cooley, John Davenport, compositeurs; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, voix, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, piano, guitare, harmonica, voix
- Les instruments des frères Baschet / Stephan Zimmerli
- Beasty Jane / Moriarty, compositeur; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, cristal Baschet, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, cristal Baschet
- Paroles de Robert Doisneau / Robert Doisneau
- Si la photo est bonne / Barbara, compositrice; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, cristal Baschet, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, guitare
- Sleepy Blood / Moriarty, compositeur; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, cristal Baschet, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, guitare
- I Wanna Be Evil / Lester Judson, Raymond Taylor, compositeurs; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, cristal Baschet, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, guitare
- When I Ride / Moriarty, compositeur; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, cristal Baschet, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, guitare
- Intervention / Rosemary Standley
- Où sont tous mes amants ? / Charles André Cachant, Maurice Vandair, compositeurs; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, cristal Baschet, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, guitare
- Intervention / Charles Carmignac
- Bacon / Moriarty, compositeur; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, cristal Baschet, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, guitare
- Ramblin Man / Hank Williams, compositeur; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, cristal Baschet, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, cristal Baschet
- Private Lily / Moriarty, compositeur; Charles Carmignac, banjo, guitare électrique; Eric Dubessay, batterie, percussions, voix; Arthur B. Gillette, cristal Baschet, guitares, piano, synthétiseur modulaire, voix; Rosemary Standley, tôle à voix; Vincent Talpaert, contrebasse, basse; Stephan Zimmerli, guitare
Instrument played: Cristal, Bernard and François Baschet, Paris, 1980, E.983.14.1, Museum of Music (Paris).
- Lyrics by Robert Doisneau/Robert Doisneau
- Pine Trees/Moriarty, composer; Charles Carmignac, banjo, electric guitar; Eric Dubessay, drums, percussion, voice; Arthur B. Gillette, guitars, piano, modular synthesizer, voice; Rosemary Standley, voice, sheet metal; Vincent Talpaert, double bass, bass; Stephan Zimmerli, piano, guitar, harmonica, voice
- Lyrics by Robert Doisneau/Robert Doisneau
- Jaywalker/Moriarty, composer; Charles Carmignac, banjo, electric guitar; Eric Dubessay, drums, percussion, voice; Arthur B. Gillette, guitars, piano, modular synthesizer, voice; Rosemary Standley, voice, sheet metal; Vincent Talpaert, double bass, bass; Stephan Zimmerli, piano, guitar, harmonica, voice
- Crimson Singer/Moriarty, composer; Charles Carmignac, banjo, electric guitar; Eric Dubessay, drums, percussion, voice; Arthur B. Gillette, guitars, piano, modular synthesizer, voice; Rosemary Standley, voice, sheet metal; Vincent Talpaert, double bass, bass; Stephan Zimmerli, piano, guitar, harmonica, voice
- Presentation of the concert/Rosemary Standley, Stephan Zimmerli
- the song of Margaret/V. Marceau, music; Pierre Mac Orlan, parol; Charles Carmignac, banjo, electric guitar; Eric Dubessay, drums, percussion, voice; Arthur B. Gillette, guitars, piano, modular synthesizer, voice; Rosemary Standley, voice, sheet metal; Vincent Talpaert, double bass, bass; Stephan Zimmerli, piano, guitar, harmonica, voice
St. James Street (extract) followed by an instrumental/V. Marceau, music; Pierre Mac Orlan, parol; Charles Carmignac, banjo, electric guitar; Eric Dubessay, drums, percussion, voice; Arthur B. Gillette, guitars, piano, modular synthesizer, voice; Rosemary Standley, voice, sheet metal; Vincent Talpaert, double bass, bass; Stephan Zimmerli, piano, guitar, harmonica, voice
- Lyrics by Robert Doisneau/Robert Doisneau
- Reverse/Moriarty, composer; Charles Carmignac, banjo, electric guitar; Eric Dubessay, drums, percussion, voice; Arthur B. Gillette, Baschet crystal, guitars, piano, modular synthesizer, voice; Rosemary Standley, voice, sheet metal; Vincent Talpaert, double bass, bass; Stephan Zimmerli, piano, guitar, harmonica, voice
- Julie Gold' s Candy Cane Tale with lyrics by Robert Doisneau/Moriarty, composer; Charles Carmignac, banjo, electric guitar; Eric Dubessay, drums, percussion, vocals; Arthur B. Gillette, Baschet crystal, guitars, piano, modular synthesizer, voice; Rosemary Standley, voice, sheet metal; Vincent Talpaert, double bass, bass; Stephan Zimmerli, piano, guitar, harmonica, voice
- The Laboratory of Robert Doisneau/Stephan Zimmerli, Rosemary Standley
- The lament of progress/Alain Goraguer, music; Boris Vian, parol; Charles Carmignac, banjo, electric guitar; Eric Dubessay, drums, percussion, voice; Arthur B. Gillette, guitars, piano, modular synthesizer, voice; Rosemary Standley, voice, sheet metal; Vincent Talpaert, double bass, bass; Stephan Zimmerli, piano, guitar, harmonica, voice
- Fever/Eddie Cooley, John Davenport, composers; Charles Carmignac, banjo, electric guitar; Eric Dubessay, drums, percussion, voice; Arthur B. Gillette, guitars, piano, modular synthesizer, voice; Rosemary Standley, voice, sheet metal; Vincent Talpaert, double bass, bass; Stephan Zimmerli, piano, guitar, harmonica, voice
- The instruments of the Baschet brothers/Stephan Zimmerl
Jamaica is the third largest island in the Caribbean. The epidemiology of acute gastroenteritis (AGE) is important to Jamaica, particularly in the areas of health, tourism, and because of the ...potential impact on the local workforce and the economy. Data collected by the National Surveillance Unit on the prevalence of AGE transmitted by food are not accurate. To determine the true magnitude, risk factors, and the extent of underreporting of AGE in Jamaica, we conducted a cross-sectional, population-based retrospective survey during the periods of 21 February-7 March and 14-27 June 2009, corresponding to high- and low-AGE season respectively. Of the total 1,920 persons selected randomly by a multistage cluster-sampling process, 1,264 responded (response rate 65.8%). Trained interviewers administered a standardized, validated questionnaire during face-to-face interviews. The overall prevalence of self-reported AGE was 4.0% (95% CI 2.9-5.1) at a rate of 0.5 episodes/per person-year. The highest monthly prevalence of AGE (14.6%) was found among the 1-4 year(s) age-group and the lowest (2.1%) among the 25-44 years age-group. Of the 18 cases (36%) who sought medical care, 11% were hospitalized, 33% were treated with antibiotics, and 66.7% received oral rehydration fluids. Only 2 cases who sought medical care reportedly submitted stool specimens. The mean duration of diarrhoea was 3.1 days, which resulted in a mean loss of 4 productive days, with over half of the cases requiring someone to care for them. The burden of syndromic AGE for 2009 was extrapolated to be 122,711 cases, showing an underreporting factor of 58.9. For every laboratory-confirmed AGE case, it was estimated that 383 more cases were occurring in the population. This research confirms that the prevalence of AGE is underreported in Jamaica and not being adequately detected by the current surveillance system. The components of the integrated surveillance system for AGE in Jamaica, particularly the laboratory aspect, need to be strengthened.
Venue: Rail Club
src: Core-Sound Binauarals > SPSB-6 > Sony PCM-M10 loc: POS, clamped upstairs to rail, right of center. set 1) intro > Straight To Hell 2) Thrown out of the Bar 3) Smoke & Wine 4) ...Looking For A Mountain 5) Trashville 6) Crazed Country Rebel 7) Long Hauls & Close Calls 8) Gutter Town 9) Rebel Within 10) Country Heroes 11) Held Up 12) P.F.F. 13) Day by Day 14) Dyin' Day 15) Toothpickin' 16) Dreadfull Drive 17) Troopers Hollar 18) 7 Months & 39 Days 19) D. Ray White 20) (2 new cd announcement / 6 Pack of Beer) 21) Low Down 22) Pills I Took 23) Dick in Dixie 24) Hellbilliy Joker 25) Life of Sin A Fiendish Threat set (inc) 26) There’s Another Road 27) ? 28) Can I Rip U 29) Broke Jaw (cut)
Venue: Underground
Damn Band / Hellbilly set 01. Straight To Hell (cut-in) 02. Thrown Out Of The Bar 03. Smoke & Wine 04. I Don't Know 05. Crazed Country Rebel 06. Long Hauls And Close Calls 07. 3 ...Shades Of Black 08. Mississippi Mud 09. The Rebel Within 10. -> One Horse Town 11. Troopers Hollar 12. Day By Day 13. Ghost To A Ghost 14. Dyin' Day 15. Pills I Took 16. D. Ray White 17. I'll Never Get Out Of This World Alive 18. Foggy Mountain Breakdown > band intro 19. Country Heroes 20. P.F.F. 21. Low Down 22. Dick In Dixie 23. Hellbilly Joker 24. Life Of Sin 25. Hellbilly ADD set: 01. Rooster 02. In The Camouflage 03. Make A Fall 04. Living Beyond Doom 05. Bend 06. Fighting the Devils Inside You 07. I Feel Sacrificed 3Bar set: 08. instrumental 09. Now There's a Bull 10. 37 Heifers 11. Angus of Death 12. -> Cow Sold 13. Countin' Cows 14. Longhorn 15. Y Bar Ranch 16. Lot 53 17. Cuttin' Hay 18. Branded 19. Square Bailor > band intro 20. Mad Cow 21. Black Cow
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