Australia’s brutal carceral-border regime is a colonial system of intertwining systems of oppression that combine the prison-industrial complex and the border-industrial complex. It is a violent and multidimensional regime that includes an expanding prison industry and onshore and offshore immigration detention centres; locations of cruelty, and violent sites for staging contemporary politics and coloniality. This article shares insights into the making of a radical intersectional dance theatre work titled Jurrungu Ngan-ga by Marrugeku, Australia’s leading Indigenous and intercultural dance theatre company. The production, created between 2019–2021, brings together collaborations through and across Indigenous Australian, Kurdish, Iranian, Palestinian, Filipino, Filipinx, and Anglo settler performance, activism and knowledge production. The artistic, political and intellectual dimensions of the show reinforce each other to interrogate Australia’s brutal carceral regime and the concept of the border itself. The article is presented in a polyphonic structure of expanded interviews with the cast and descriptions of the resulting live performance. It identifies radical ways that intersectional and trans-disciplinary performances can, as an ‘act of liberation’, be applied to make visible, embody, address, and help dismantle systems of oppression, control and subjugation.
AimThe aim of this study was to investigate the incidence, predictors, and outcomes of delirium in intensive care units.BackgroundDelirium is a common complication in intensive care units. In developing countries, it can be misdiagnosed or unrecognised.DesignProspective cohort study reported according to the strengthening the reporting of observational studies in epidemiology criteria.MethodsWe included patients who were conscious, >18 years old, and admitted to the intensive care units for at least 8 h between December 2019 and February 2020. Patients with a Richmond score of −4 or −5, mental disability, receptive aphasia and/or visual or auditory impairment were excluded from the study. Delirium was assessed using the Confusion Assessment Method for the ICU (CAM‐ICU), whereas the functional outcome was assessed by the Katz Activity of Daily Living Index.ResultsThis study included 111 patients with a delirium incidence of 31.5%. The severity of illness was the only significant predictor of delirium. Patients with delirium had longer intensive care unit and in‐hospital stays in contrast to those without delirium. Delirium was associated with in‐hospital and 4‐month mortality but not the activities of daily living.ConclusionsDelirium is associated with increased length of stay and mortality. Further investigation to determine whether delirium management can improve outcomes is warranted.
INTRODUCTION:Cerebral hemodynamics is an important parameter to be considered in the management of critically ill patients, unfortunately this information is not accessible to all physicians. This text will describe the use of the noninvasive sensor to monitor intracranial compliance (ICC), through the evaluation of the intracranial pressure pulse morphology (ICPwf), to adjust the arterial blood pressure (ABP) bedside. METHODS:Non-invasive brain4care technology for ICC monitoring was used for the determination of appropriate ABP ranges for cerebral autoregulation. This new tool consists of a sensor positioned on the patient's scalp and an algorithm which transforms the ICPwf in 2 numbers: P2/P1 ratio and time to peak. RESULTS:Case1. Male patient, 40 yo with septic shock and neurological decline. The ABP was adjusted by the ICPwf analysis, the first monitoring shows an abnormal ICPwf (P2/ P1 ratio of 0.56), suggesting reduced perfusion. The mean ABP was raised from 68mmHg to 90mmHg, resulting in a normal ICPwf (P2/P1 ratio of 0.81). The patient had an excellent outcome, alternating the GCS of 4 to 10 within 24 hours. Case 2. Male patient, 67 yo, head trauma due to fall from her own height. TC showed bitemporal contusion, acute subdural hematoma and midline deviation. ABP values between 75 and 85mmHg showed best ICC, confirmed by TCD. The ABP target was maintained without improvement of Glasgow Come Scale (9) and P2/P1 ratio higher than 1.2, suggestive of intracranial hypertension. A lumbar puncture was done (30ml of CSF was removed) the result was a P2/ P1 ratio of 0.9, improvement of the patient's cognitive status and better arterial blood flow velocity detected by TCD. After 14 days the patient was transferred to a rehabilitation. Case 3. Male patient, 17 yo, a victim of a car accident with GCS of 3 at scene. TC indicates diffuse axonal lesion, swelling and subgaleal hematoma. The ABP with best intracranial compliance was between 70 and 85mmHg. The patient was discharged from the ICU 16 days after the accident. CONCLUSIONS:The sensor was applicable to all patients, presenting practicality and safety. The information allowed better management and safety to the patient and physicians, optimization of procedures and pertinence in the conduct.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.