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Comparison of methods of measuring the brachial systolic pressure in determining the ankle/brachial indexO'Flynn, Ellen Ivy January 1991 (has links)
This study was designed to determine which method of measuring the systolic blood pressure is more accurate when determining the ankle/brachial index (ABI), which is an important tool in assessing graft patency for patients who have had peripheral vascular surgery. The accuracy of the stethoscope diaphragm was compared with the stethoscope bell and Doppler methods used to measure the brachial systolic pressure. These pressures were then used in the calculation of the ABI and then the ABI was compared by method and time since surgery.
The theoretical framework for this study was drawn from theories on sound generation, transmission and measurement. This study used a two-repeated measures design in which the subjects served as their own control. The results were then analyzed using an ANOVA specific to a two-repeated measures design.
The sample consisted of 31 subjects which comprised 80% of all peripheral vascular surgery patients admitted over a two month period to a large tertiary care hospital in Western Canada. The subjects ranged in age from 47 to 82 years, the majority had at least one other medical condition in addition to peripheral vascular disease, were on a variety of medications, and 35% had had previous vascular surgery. The subjects had their brachial systolic blood pressure measured by the three methods on the third, fourth and fifth postoperative day. At the same time they also had their dorsalis pedis and posterior tibial pressures measured by the Doppler method.
There was no significant difference in the brachial systolic blood pressure related to the methods used to take the blood pressure, the postoperative day that the blood pressure was measured, nor was there any interaction between method and occasion. Also, there was no significant difference in either the dorsalis pedis or posterior tibial ankle/brachial indices related to method used to measure the brachial systolic blood pressure, the postoperative day the measurement was taken, nor any interaction between method and occasion. The findings suggest that peripheral vascular surgery patients often have systolic pressures that differ between the right and left arm which would make a major difference in the calculation of the ABI. Therefore, the pressures should be measured in both arms, followed by documentation and consistent use of the arm with the highest pressure when determining the ABI. The findings also suggest that inservice education and periodic skill checking be implemented when the nurse is required to employ the Doppler method owing to the number of variables to consider when operating this instrument. / Applied Science, Faculty of / Nursing, School of / Graduate
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The right to self-determination: an international criminal law perspectiveLee, Joanne Elizabeth 05 1900 (has links)
Recent events in East Timor and other regions have highlighted the dangers of leaving issues of self-determination
unresolved for too long. Despite the tact that self-determination is one of the guiding
principles of the UN Charter, many controversies over its precise meaning and application continue to
preclude a coherent, comprehensive approach to the principle by Stales. This thesis analyses the main
controversies over the right of all peoples to self-determination and suggests some conclusions as to the
present status of this right under international law.
The author also analyses potential approaches to enforcing a legitimate right to self-determination and
concludes that there appears to be no effective enforcement mechanism, unless one has the support of a
sovereign State in advocating one's cause. Historically, realisation of this right has more often
involved a successful campaign of violence or coercion against the party denying the right, and
subsequent recognition by the international community of the legitimacy of the campaign. Clearly, this
situation is not conducive to international peace and security.
The author argues that international criminal law may provide the only effective means of enforcing
legitimate rights to self-determination at this time. This conclusion is drawn with reference to
Professor M. Cherif Bassiouni's theory of five stages through which a human right evolves, from a
mere aspiration, to a right whose breach attracts penal proscriptions. Bassiouni argues that, in
international law, a human right becomes a suitable subject for international criminal law when
effective enforcement modalities for that right have failed.
The thesis concludes with a suggestion that the right to self-determination may be one of the rights
protected under the 1998 Rome Statute of the International Criminal Court, within the definition of the
crime against humanity of "persecution" (article 7(1)(h) & (2)(g)). / Law, Peter A. Allard School of / Graduate
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Age determination of Acacia Erioloba in the Kalahari Gemsbok National ParkSteenkamp, Carol Judith 10 August 2005 (has links)
Please read the abstract/summary in the section, 00front/07back, of this document. / Dissertation (MSc (Botany))--University of Pretoria, 2006. / Plant Science / unrestricted
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Self-regulation when it is challenging: motivation and difficulties in daily lifeMaillet, Myles 21 December 2021 (has links)
Despite good intentions, people often encounter challenges and obstacles in pursuit of their goals. The types of difficulties people experience each day have been well-documented (e.g., desires and temptations, resource depletion, social influences). However, despite these difficulties, some people are still able to attain their goals. Research on self-determination theory (Ryan & Deci, 2000) suggests that relative autonomous motivation (RAM) may explain inter-individual (and intra-individual) differences in effort and persistence when self-regulation is difficult (e.g., Ntoumanis et al., 2014). In two manuscripts, a series of daily diary designs are used to examine the role of motivation when self-regulation is difficult. The first focuses on the role of RAM during goal striving in a healthy eating across each day (Study 1) and during lunches (Study 2). These studies provide some evidence that students with higher (vs. lower) RAM are more likely to attain more difficult healthy eating goals, which may be due to perceiving fewer obstacles in pursuit of these goals, or through the use of more effective (i.e., approach-based) strategies. Then, the second manuscript involves undergraduate students enrolled in online (Study 1) and in-person classes (Study 2) during the Covid-19 pandemic, and focuses on how their situational motivation to do schoolwork may be impacted when they experience motivational interference. Mixed findings emerged regarding the impact of motivational interference on students’ situational motivation but further evidence highlighted the protective effects of RAM when interference occurred. Taken together, these manuscripts contribute to a growing body of research on the study of self-regulation in daily life and on the role of RAM when difficulties arise. / Graduate / 2022-12-14
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Stanovení kompetencí ve firmě Gufero - Tomin / Assessment Competency in Firm Gufero - TominGrenčík, Ľuboš January 2009 (has links)
This diploma thesis deals with competencies of people who participate on a company running. The determination of these competencies and their dividing according to their types and roles that occur in the company are analyzed at the theoretical level. The work examines and studies strategy being the basic reference point for the formulation of the company’s targets and tasks related to them, accomplishment of which is the foundation of the assigned competencies. The practical part of the thesis deals with analysis of an actual company’s environment with the main purpose of determining the particular area of the enterprise which creates a narrowed place and tries to solve this problem by establishing the appropriate competencies.
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Tension between the right to external self-determination and territorial integrity in Africa : Somaliland as a case studyFarah, Mohamed D. January 2010 (has links)
The concept of nation-state was imposed on the African continent.
The African state is not the product of natural growth of the African peoples from tribal societies to nations.The colonial masters brought to Africa a nation-state that was based on legal and philosophical principles evolved elsewhere in the world.These principles became the measurements against which any nation should be tested to qualify for statehood. Accordingly, African borders were drawn.
The two conflicting principles of self-determination and territorial integrity are amongst those principles.
The former entails the right to peoples to determine their destination both politically
and economically. The latter protects countries from fragmentation. The irony is how to ensure that all peoples achieve their right to self-determination and at the same
time, national states are protected from dissolution. / Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2010. / A dissertation submitted to the Faculty of Law University of Pretoria, in partial fulfilment of the requirements for the degree Masters of Law (LLM in Human Rights and Democratisation in Africa). Prepared under the supervision of Dr. Magnus Killander of the Faculty of Law, University of Pretoria, Pretoria, South Africa. 2010. / http://www.chr.up.ac.za/ / Centre for Human Rights / LLM
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Indo-Pakistani conflict and development of South Asia: is an independent Kashmir State a possible consideration?Adekoye, Raquel Abimbola January 2018 (has links)
A thesis submitted to the Faculty of Arts in fulfilment of the requirements for the Degree of Doctor Of Philosophy (Development Studies) in the Department of Anthropology and Development Studies at the University of Zululand, 2018 / The thesis explores the conflict between India and Pakistan over Kashmir as a dispute symbol. It highlights the socio-economic implications of the conflict on the conflicting states of India and Pakistan. The conflicting symbol, Kashmir, as well as the entire South Asia that house all of them, with a view to suggest a lasting solution which it gives as, the creation of an independent Kashmir State. It is argued here that domestic politics in both India and Pakistan complicates the Kashmiri issue. In Pakistan, it has enabled the military to assume a dominant and pre-eminent position in politics. In India, a penchant for coalition government creates an immobility that is felt on the Kashmir crisis. In general, there is an on-going, serious and intense arms race between India and Pakistan that has increasingly led to a diversion of resources to investment in nuclear technology by both countries. Holding on to Kashmir has made India vulnerable to terrorist attacks, with the consequences of not only diverting developmental resources to enhancing security, but also exacerbating conflict with Pakistan. Economic relations between the main antagonists have remained marginal since the partition. Initiatives such as cooperation in water resource management between the two countries, and proposed joint development of oil and gas pipelines have failed to materialize. This led to the conclusion that both countries have allowed their economic relations with potential for huge benefits to be held hostage to the Kashmir crisis.
In terms of the level of economic development, India holds big advantage. This advantage is harnessed into a superior conventional military capability which has also enabled India to rule out first strike as its nuclear doctrine. However, the disadvantageous position of Pakistan makes it view nuclear weapons as the equalizer, and the possibility of a first use is not ruled out. As a possible negotiated solution to the Kashmir conflict, it is argued here that as long as both India and Pakistan cling to their historically-entrenched positions, there is hardly any chance for permanent peace in Kashmir, thereby complicating their strategic stance in the region. It also argues that the Independence of Kashmir is the only guarantee of a lasting solution to the Kashmir conflict and South East Asia development crisis. The theories of Neo-Realism and Neo-Liberalism are central in this thesis to explain outcomes towards peace initiatives between India and Pakistan, and the implications for South Asia. Three specific concepts advanced by neo-realists and neo-liberal theorists are chosen to explore and explain the three principles of this study: The Balance of Power, Security and Economic Co-operation. Kashmir’s embroidery of encounters from forces of brutality, state repression particularly on the Indian occupied territories, massive militarization, stunted infrastructural and socio-economic development, insecurity to gross human rights violations leaves impacts so grave for social structures needed for modernity and sense of decent livelihood. Methodologically, the thesis provides a conceptual definition of the right to self-determination particularly from the United Nations perspective. It then applies the United Nations declared right of self-determination to Kashmir. This is achieved by outlining United Nations action on Kashmiri self-determination and then by applying the components of the right to Kashmir. The thesis concludes with some observations regarding resolving the Kashmir crisis. The central of this is the inevitable position that the realization of the right to self-determination will bring to fore in realizing peace and development for the region as a whole and to the parties involved in the crisis.
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Land as Body: Indigenous womxn’s* leadership, land-based wellness and embodied governanceGilpin, Erynne M. 27 January 2020 (has links)
As many Indigenous voices and teachings reveal, individual practices of leadership are an everyday commitment to cultural resurgence and actualize within the personal spaces of the home, kitchen table, garden, birth-room and familial relations. Individual enactments of leadership are further determined by personal sense of agency derived from feelings of personal wellness, community well-being, relational balance and alignment of the mental, spiritual, emotional and physical selves. Healthy environments, including territories that encompass Land and Water, are essential for overall community wellness. This issertation examines emergent themes of Indigenous wellness, governance and gender to broaden current definitions of Indigenous governance and leadership towards a gendered, storied and embodied understanding. Countering the notion that governance and wellness are separate entities within the field of Indigenous Governance, this paper draws the Indigenous body into focus as a crucial site for self-determination in what I define as embodied governance. In doing so, we situate the Indigenous body within a self-determination framework that brings together critical Indigenous studies, Indigenous governance and culturally grounded wellness practices. Utilizing narrative inquiry, storytelling methods, relationship based models of accountability, this research project included the guided conversations of 17 self-identified Indigenous Womxn between 21-60 years of age from 10 different Nations, to explore: definitions of leadership in their everyday lives, the conditions for their personal wellness and community well-being, and finally, how these notions are predicated upon meaningful relationship to Land/Waters. My research defines wellness and well-being within the Cree-Michif framework of Miyo-Pimatisiwin (personal wellness, self-care, healing, internal balance) and Miyo-Wîchêtowin (care for others, accountability and belonging, kinship, relational governance, external balance). These concepts inform what I define as an embodied governance framework of self-determination to engage in ongoing efforts of personal, community, Land/Water-based healing for the purpose of protecting the future of generations to come. The final analysis celebrates and honours on-the-ground practices of embodied governance by focusing on rooted examples of creative resurgence, Land-Water based healing practices and a focus on an emergent theme of embodied birth and reproductive governance. These learnings support that determinants of individual leadership must be supported by a sense of personal wellness contained by relationship to Land and Waters. The dissertation begins with a critical examination of the colonial underpinnings that sabotage community healing, wellness and traditions of governance as derived by relationship to home Lands and Waters. In this way, I aim to interrupt the predominant trope of the Indigenous body or community as continuously in crisis. Instead, this paper situates Indigenous healing practices as radical sites of governance. This dissertation argues for the reconsideration of self-determination as embodied governance, which begins with the body as a site of regeneration, resurgence and renewal. / Graduate
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A Determination of the Earth's Gravity Field in Spheroidal CoordinatesHamilton, M. Spencer, Jr. 01 May 1961 (has links)
The earth's gravity field G * at a point P in the region surrounding the earth's surface is defined as the force acting on a unit mass concentrated at P. This is a force resulting from two components: (1) G1 due to the gravitational attraction of the earth's mass, and (2) G2 due to the earth's rotation.
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The Electric Utilities Rate Structure DeterminationKeilani, Walid M. 01 May 1968 (has links)
The purpose of this study is to analyze the determination of the rate structure of the electric utilities. It consists of three chapters.
The first chapter deals with the determination of the rate basis of electric utilities. The calculation of the rate base is explained, and also the problems of the price level changes.
The second chapter shows the calculation of the rate of return and the measures used for testing the fair rate of return.
The third chapter is an analysis showing the effect of the different cost and demand factors in determining the rate structure of electric utilities.
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