The Prevention of Delirium and Complications Associated with Surgical Treatments (PODCAST) study: protocol for an international multicentre randomised controlled trial

INTRODUCTION Postoperative delirium is one of the most common complications of major surgery, affecting 10-70% of surgical patients 60 years and older. Delirium is an acute change in cognition that manifests as poor attention and illogical thinking and is associated with longer intensive care unit (ICU) and hospital stay, long-lasting cognitive deterioration and increased mortality. Ketamine has been used as an anaesthetic drug for over 50 years and has an established safety record. Recent research suggests that, in addition to preventing acute postoperative pain, a subanaesthetic dose of intraoperative ketamine could decrease the incidence of postoperative delirium as well as other neurological and psychiatric outcomes. However, these proposed benefits of ketamine have not been tested in a large clinical trial. METHODS The Prevention of Delirium and Complications Associated with Surgical Treatments (PODCAST) study is an international, multicentre, randomised controlled trial. 600 cardiac and major non-cardiac surgery patients will be randomised to receive ketamine (0.5 or 1 mg/kg) or placebo following anaesthetic induction and prior to surgical incision. For the primary outcome, blinded observers will assess delirium on the day of surgery (postoperative day 0) and twice daily from postoperative days 1-3 using the Confusion Assessment Method or the Confusion Assessment Method for the ICU. For the secondary outcomes, blinded observers will estimate pain using the Behavioral Pain Scale or the Behavioral Pain Scale for Non-Intubated Patients and patient self-report. ETHICS AND DISSEMINATION The PODCAST trial has been approved by the ethics boards of five participating institutions; approval is ongoing at other sites. Recruitment began in February 2014 and will continue until the end of 2016. Dissemination plans include presentations at scientific conferences, scientific publications, stakeholder engagement and popular media. REGISTRATION DETAILS The study is registered at clinicaltrials.gov, NCT01690988 (last updated March 2014). The PODCAST trial is being conducted under the auspices of the Neurological Outcomes Network for Surgery (NEURONS). TRIAL REGISTRATION NUMBER NCT01690988 (last updated December 2013).

International conference paper presentations: A multimodal analysis to determine effectiveness

International conference presentations represent one of the biggest challenges for academics using English as a Lingua Franca (ELF). This paper aims to initiate exploration into the multimodal academic discourse of oral presentations, including the verbal, written, non-verbal material (NVM) and body language modes. It offers a Systemic Functional Linguistic (SFL) and multimodal framework of presentations to enhance mixed-disciplinary ELF academics' awareness of what needs to be taken into account to communicate effectively at conferences. The model is also used to establish evaluation criteria for the presenters' talks and to carry out a multimodal discourse analysis of four well-rated 20-min talks, two from the technical sciences and two from the social sciences in a workshop scenario. The findings from the analysis and interviews indicate that: (a) a greater awareness of the mode affordances and their combinations can lead to improved performances; (b) higher reliance on the visual modes can compensate for verbal deficiencies; and (c) effective speakers tend to use a variety of modes that often overlap but work together to convey specific meanings. However, firm conclusions cannot be drawn on the basis of workshop presentations, and further studies on the multimodal analysis of ‘real conferences’ within specific disciplines are encouraged.

Actes du IIIme Congres international de botanique : Bruxelles 1910 /

v. 1. Comptes-rendus des séances, excursions, etc. -- v. 2. Conferences et memoires.

Conférences principales et conferences de sections. Main congress lectures and lectures in the sections.

Proceedings for the 9th and 11th congress not published?

National over-the-road freight, covering over the road agreements of the Eastern, Central, Western and Southern conferences.

Mode of access: Internet.

Report of the delegates of the United States to the Third International Conference of the American States : held at Rio de Janeiro, Brazil, July 21, to August 26, 1906.

Issued also as part of the United States Congress serial set (Senate document no. 365, 59th Congress, 2nd session --- SERIAL 5073).

Strategic and operational risk in an international collaboration agency: a knowledge management solution

The International Cooperation Agency (identified in this article as IDEA) working in Colombia is one of the most important in Colombian society with programs that support gender rights, human rights, justice and peace, scholarships, aboriginal population, youth, afro descendants population, economic development in communities, and environmental development. The identified problem is based on the diversified offer of services, collaboration and social intervention which requires diverse groups of people with multiple agendas, ways to support their mandates, disciplines, and professional competences. Knowledge creation and the growth and sustainability of the organization can be in danger because of a silo culture and the resulting reduced leverage of the separate group capabilities. Organizational memory is generally formed by the tacit knowledge of the organization members, given the value of accumulated experience that this kind of social work implies. Its loss is therefore a strategic and operational risk when most problem interventions rely on direct work in the socio-economic field and living real experiences with communities. The knowledge management solution presented in this article starts first, with the identification of the people and groups concerned and the creation of a knowledge map as a means to strengthen the ties between organizational members; second, by introducing a content management system designed to support the documentation process and knowledge sharing process; and third, introducing a methodology for the adaptation of a Balanced Scorecard based on the knowledge management processes. These three main steps lead to a knowledge management “solution” that has been implemented in the organization, comprising three components: a knowledge management system, training support and promotion of cultural change.

Speaker positioning in interpreter-mediated press conferences

This article investigates potential effects which (the recontextualisation of) interpreted discourse can have on the positioning of participants. The discursive event which forms the basis of the analysis are international press conferences which bring politicians and journalists together. The dominant question addressed is: (How) do interpreter-mediated encounters influence the positioning of participants and thus the construction of interactional and social roles? The article illustrates that methods of (critical) discourse analysis can be used to identify positioning strategies which are employed by participants in such triadic exchanges. The data come from press conferences which involve English, German, and French as source and target languages.

Coretta King at International Women's Year conference

General note: Title and date provided by Bettye Lane.

Mormon women in support of ERA at International Women's Year conference in Houston

General note: Title and date provided by Bettye Lane.

Elizabeth Reid International Women's Year conference

General note: Title and date provided by Bettye Lane.

Cosmonaut Valentina Tereshkova at a plenary session for International Women's Year

General note: Title and date provided by Bettye Lane.

Torch runners at International Women's Year conference in Houston

General note: Title and date provided by Bettye Lane.

Torch relay with last mile runners Michelle Cearcy, Billie Jean King, Peggy Kokernot, and Sylvia Ortiz at International Women's Year conference in Houston

General note: Title and date provided by Bettye Lane.

International women attend Non-Governmental Organization conference

General note: Title and date provided by Bettye Lane.