UNLABELLED Two studies are reported which first observe, and then attempt to replicate, the cognitive demands of intensive care unit (ICU) activity whilst concurrently learning audible alarms. The first study, an observational study in an ICU ward, showed that the alarms are very frequent and co-occur with some activities more than others. The three most frequently observed activities observed ...

A 24 year old West Indian woman was admitted as an emergency having suffered an injury to the right knee on landing awkwardly on a trampoline. She was a reasonably experienced club trampoliner and on admission there was an obvious dislocation of the right knee joint. The peripheral pulses were absent in the right foot and capillary return was sluggish. The anterior dislocation (Figs. 1 and 2) w...

Purpose – A measurement system that strives to close the gaps between measures, vision and culture by aligning the cognitive and affective domains will address all the substantive measurement issues faced by leaders in complex organizations, thereby enabling the potential for organizational learning, enhanced decision making and sustainable performance improvement to be realized. This paper aim...

A best evidence topic was written according to a structured protocol. The question addressed was whether patients undergoing coronary bypass grafting and mitral intervention for moderate to severe ischaemic mitral regurgitation are best treated with mitral repair or replacement. Five hundred and fifty papers were found using the reported search. Based on the 14 non-randomised studies judged to ...

Resuming in-person teaching and learning during the COVID-19 pandemic implies that schools must deploy strategies to enforce adherence safety protocols help contain reduce spread of corona virus disease among school children. Thus, current qualitative study adopted a case design explore were deployed elementary students. A semi-structured interview guide was used gather data from 30 teachers en...

The program committee received 23 papers and, of these, accepted 17. All papers received at least three reviews. The reviewers were asked to rate the papers, and papers were accepted based on an averaged rating. In addition, the program includes three review papers by experts in their fields. This is in the hope that the topics covered will help to attract more local and regional participation ...

Watermarking has increased dramatically in recent years in the Internet and digital media. Watermarking is one of the powerful tools to protect copyright. Local image features have been widely used in watermarking techniques based on feature points. In various papers, the invariance feature has been used to obtain the robustness against attacks. The purpose of this research was based on local f...

Background Decentralisation aims to bring services closer to the community and has been advocated in the health sector to improve quality, access and equity, and to empower local agencies, increase innovation and efficiency and bring healthcare and decision-making as close as possible to where people live and work. Fiji has attempted two approaches to decentralisation. The current approach refl...