Surgical programme at Royal Alexandra Hospital, Sydney, for Papua New Guinea children with congenital heart disease, 1978-1994

Objective : To report the history of the Royal Alexandra Hospital for Children (RAHC) Papua New Guinea (PNG) cardiac surgical programme and describe the selection, preoperative clinical features and postoperative outcome of children with congenital heart disease managed by the programme. Methods : Details for each of the PNG cardiac patients admitted to RAHC following selection by visiting cardiologists between 1978 and 1994 were entered into a database, and analysed and interpreted. Results : A congenital heart defect was confirmed in 165 of the 170 children selected. The male to female ratio was 1:1 and the mean age on admission to RAHC was 5.5 years. Almost all of the children for whom data were available (98%) had a weight for age and 41% had a height for age less than the 3rd centile. One-sixth had delayed milestones. A large number were tachypnoeic, in heart failure, or had pulmonary hypertension on admission. Ventricular septal defect and tetralogy of Fallot were the commonest defects, and lesions such as aortic stenosis, coarctation of the aorta and transposition of the great arteries were absent or rare. Thirty-one (19%) of the children selected initially did not receive surgery because of pulmonary hypertension, or because the lesions did not fall within the programme guidelines for operation. One hundred and twenty-nine children had corrective and four had palliative procedures. Half of the operated children had postoperative complications. Eight children died, all following open-heart procedures, giving a case fatality rate of 6%. Preoperative tachypnoea, hepatomegaly, cardiac failure and pulmonary hypertension were strongly associated with poor outcome. Conclusions : The programme was an arduous exercise for all organizations concerned, but achieved comparatively good short-term outcomes. The experience gained should assist in planning for similar programmes.

Mapping the royal road and other hierarchical functions

In this paper we present a technique for visualising hierarchical and symmetric, multimodal fitness functions that have been investigated in the evolutionary computation literature. The focus of this technique is on landscapes in moderate-dimensional, binary spaces (i.e., fitness functions defined over {0, 1}(n), for n less than or equal to 16). The visualisation approach involves an unfolding of the hyperspace into a two-dimensional graph, whose layout represents the topology of the space using a recursive relationship, and whose shading defines the shape of the cost surface defined on the space. Using this technique we present case-study explorations of three fitness functions: royal road, hierarchical-if-and-only-if (H-IFF), and hierarchically decomposable functions (HDF). The visualisation approach provides an insight into the properties of these functions, particularly with respect to the size and shape of the basins of attraction around each of the local optima.

The wedding of Prince Charles and Camilla Parker-Bowles: royal mediation and press mediatization

Bearing in mind the relationship between discourse and society at large, this article addresses the way the British monarchy represented Charles’s second marriage and the way the media constructed their accounts in the period from 10 February (announcement) until 9 April 2005 (wedding) in relation to wider issues such as power relations, newspaper economic structures and popular culture. Particular attention is paid to the multifunctional features of discourse (i.e. its ideational, interpersonal and textual functions), which requires a contextualized reading of a dual process of mediation: on the one hand, the staging of the ceremony by St. James’s Palace and its strategy for attaining monologic closure and, on the other hand, discursive representations by the British press open to a polyphony of voices and discursive frames

Elaboração e aplicação de um Programa de Treino aos alunos do 2º ano de Dança, da Academia de Dança do Vale do Sousa, com vista à realização do exame de Grau 5 da Royal Academy of Dance

Relatório Final de Estágio apresentado à Escola Superior de Dança, com vista à obtenção do grau de Mestre em Ensino de Dança.

Le pouvoir royal et les villes portugaises au Moyen Age

pp. 15-28

Le pouvoir royal et les villes portugaises

Pendant le Moyen Âge, le Portugal est apparu comme un espace périphérique indissociable de la Chrétienté européenne, dont la diversité naturelle avait établi un contraste entre le nord, ouvert aux influences atlantiques, et le sud, proche de la Méditerranée. Ce clivage valait aussi pour la réeeptivité aux influenees culturelles léguées par le passé, en particulier romaine et islamique, dont I'héritage était plus sensible dans les zones situées au sud du Tage, ce dont témoignait notamment une plus forte densité urbaine. Cependant, le territoire portugais s'insérait encore dans une Péninsule Ibérique marquée par des siècles deprésenee musulmane et par une longue période de conflits militaires liés au mouvement de eonquête territoriale ehrétienne. On peut dire que I'émergenee politique du royaume portugais, presque à la fin de la premiére moitié du XIIe siècle (1143), résulte en grande partie de cette situation, sans aueun doute déterrninante pour la constitution de cette mosaique d'entités politiques, earactéristique de la Péninsule Ibérique au Moyen Âge. Mais on peut dire que I'autonomie portugaise et surtout son affirmation territoriale doit être assoeiée a un proeessus d'affirmation en faisant face aux unités politiques voisines ça veut dire les royaumes de León et Castille.

Royal Philips Medical Technology

Equity research report

Medical botany containing systematic and general descriptions, with plates, of all the medicinal plants, indigenous and exotic, comprehended in the catalogues of the materia medica, as published by the Royal Colleges of Physicians of London and Edinburgh : accompanied with a circumstantial detail of their medicinal effects, and of the diseases in which they have been most successfully employed /

v.1

Medical botany containing systematic and general descriptions, with plates, of all the medicinal plants, indigenous and exotic, comprehended in the catalogues of the materia medica, as published by the Royal Colleges of Physicians of London and Edinburgh : accompanied with a circumstantial detail of their medicinal effects, and of the diseases in which they have been most successfully employed /

v.2

Medical botany containing systematic and general descriptions, with plates, of all the medicinal plants, indigenous and exotic, comprehended in the catalogues of the materia medica, as published by the Royal Colleges of Physicians of London and Edinburgh : accompanied with a circumstantial detail of their medicinal effects, and of the diseases in which they have been most successfully employed /

v.3

Medical botany containing systematic and general descriptions, with plates, of all the medicinal plants, indigenous and exotic, comprehended in the catalogues of the materia medica, as published by the Royal Colleges of Physicians of London and Edinburgh : accompanied with a circumstantial detail of their medicinal effects, and of the diseases in which they have been most successfully employed /

v.4

Transactions of the Royal Irish Academy.

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Meteorology ... Prepared under the superintendence of the director of the Meteorological office with the co-operation of a committee of the Royal society.

Pt.2