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Giant cell myocarditis is a rare but often devastating diagnosis. Advances in cardiac imaging and mechanical circulatory support have led to earlier and more frequent diagnoses and successful management. This disease state has wide variation in acuity of presentation, and consequently, optimal treatment ranging from intensity and type of immunosuppression to mechanical circulatory support is not well defined. The following case describes the management of a patient with an unusual presentation of giant cell myocarditis over a 10 year course of advanced heart failure therapies and immunomodulatory support. This case highlights emerging concepts in the management of giant cell myocarditis including sub-acute presentations, challenges in diagnosis, and treatment modalities in the modern era.

Full Text, Thesis (PhD Doctorate), Doctor of Philosophy (PhD), School Educ & Professional St, Arts, Education and Law, This dissertation presents, discusses, and advances findings and contributions from an investigation into how professional orchestral musicians learn as they engage in their work together. Understanding the processes, demands, and consequences of orchestral work is important for informing the practices of professional and aspiring orchestral musicians, orchestral organisations, and educational institutions. Musicians’ well-being and the longevity of their working lives are of particular concern for this community. Learning and development are identified as important factors in understanding individuals’ vocational practices and how they work together. It follows that the conceptual framework of this investigation focuses on microgenetic learning and ontogenetic development to elaborate how intersubjectivity arises as musicians engage together in and learn through orchestral practices. Intersubjectivity refers here to the shared understandings of self and activity that arise from interaction with others, changing and developing with continued participation. From a sociocultural perspective, learning refers to microgenetic changes in individuals’ understanding and practice, while development lies within ontogenetic changes in their knowledge and abilities. As individuals engage together in activities, their learning and developmental processes contribute to a gradually emerging intersubjectivity, that is, shared understandings of what they know, can do, and value. To address the concerns raised regarding musicians’ ongoing practices, this investigation aims to describe and explain what intersubjectivity and engagement look like in orchestral performance. It also aims to comprehend how learning and development occur within this engagement. To investigate learning and development in orchestral performance, an ethnographic inquiry was conducted to generate an account of how a small sample population of orchestral musicians engaged with and experienced their working envir

Giant cell myocarditis is a rare but often devastating diagnosis. Advances in cardiac imaging and mechanical circulatory support have led to earlier and more frequent diagnoses and successful management. This disease state has wide variation in acuity of presentation, and consequently, optimal treatment ranging from intensity and type of immunosuppression to mechanical circulatory support is not well defined. The following case describes the management of a patient with an unusual presentation of giant cell myocarditis over a 10 year course of advanced heart failure therapies and immunomodulatory support. This case highlights emerging concepts in the management of giant cell myocarditis including sub-acute presentations, challenges in diagnosis, and treatment modalities in the modern era.

This dissertation presents, discusses, and advances findings and contributions from an investigation into how professional orchestral musicians learn as they engage in their work together. Understanding the processes, demands, and consequences of orchestral work is important for informing the practices of professional and aspiring orchestral musicians, orchestral organisations, and educational institutions. Musicians’ well-being and the longevity of their working lives are of particular concern for this community. Learning and development are identified as important factors in understanding individuals’ vocational practices and how they work together. It follows that the conceptual framework of this investigation focuses on microgenetic learning and ontogenetic development to elaborate how intersubjectivity arises as musicians engage together in and learn through orchestral practices. Intersubjectivity refers here to the shared understandings of self and activity that arise from interaction with others, changing and developing with continued participation. From a sociocultural perspective, learning refers to microgenetic changes in individuals’ understanding and practice, while development lies within ontogenetic changes in their knowledge and abilities. As individuals engage together in activities, their learning and developmental processes contribute to a gradually emerging intersubjectivity, that is, shared understandings of what they know, can do, and value. To address the concerns raised regarding musicians’ ongoing practices, this investigation aims to describe and explain what intersubjectivity and engagement look like in orchestral performance. It also aims to comprehend how learning and development occur within this engagement. To investigate learning and development in orchestral performance, an ethnographic inquiry was conducted to generate an account of how a small sample population of orchestral musicians engaged with and experienced their working envir, Thesis (PhD Doctorate), Doctor of Philosophy (PhD), School Educ & Professional St, Arts, Education and Law, Full Text