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573 results on '"Michael O'Brien"'

569. TREATMENT OF PUERPERAL SEPSIS

Author

Montague H. Renall, Arthur D. Morris, J. A. Lumsden Cook, Remington Hobbs, and Michael O'Brien

Subjects
medicine.medical_specialty, business.industry, Puerperal sepsis, Correspondence, General Engineering, medicine, General Earth and Planetary Sciences, General Medicine, Intensive care medicine, Bioinformatics, business, General Environmental Science
Published
1924
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570. Action researching my practice as a facilitator of experiential learning with pastoralist farmers in central west Queensland

Author

Roberts, Gerard Michael O'Brien

Subjects
Doctor of Philosophy (PhD), action research, farmers, agriculture, farming
Abstract

My thesis document is contextualised as a three year study of my practice as a facilitator of experiential learning with pastoralist farmers in my role as an agricultural extension officer. In the study I used an action research methodology to provide change and understanding in situations in which it was too difficult to control variables. In my use of the methodology, action provided change and research provided understanding. The action research methodology also provided rigour through the spiral of its cyclic process. Within the agricultural extension context, my learning outcomes about my role in working participatively and collaboratively with pastoralists, prompted significant change in my practice of facilitation. The change enabled us as an experiential learning group facilitated by an agricultural extension officer, to provide for pastoralist participants to increasingly direct their own learning. From reflection on the project observations that led to my working more collaboratively and participatively, I theorise that improved facilitation practice can derive from personal and collaborative reflection as a part of action researching. My reflection, during the process of thesis writing allowed me to use action science to demonstrate that my improved facilitiation practice came about from enhanced congruency of theories of action of participation and collaboration. Personally, I developed a more congruent practice of participation and collaboration through action researching my practice of facilitating experiential learning with pastoralists, and by reflecting on the emergent outcomes for me as the facilitator. This thesis concludes with my consideration of whether or not my specific learning outcomes may provide a foundation for some cautious expansion of the emergent outcomes of the action research such that they may be of interest to others in extension.

Published
1997

572. PSYCHO STROLLS HOME.

Author

MICHAEL O'BRIEN

Abstract

PSYCHO bounced back to form with victory in the Beamish stout phil sweeney Memorial Chase at Thurles yesterday. [ABSTRACT FROM PUBLISHER]

Published
2011

573. Upper thoracic versus lower thoracic upper instrumented vertebrae endpoints have similar outcomes and complications in adult scoliosis.

Author

Kim HJ, Boachie-Adjei O, Shaffrey CI, Schwab F, Lafage V, Bess S, Gupta MC, Smith JS, Deviren V, Akbarnia B, Mundis GM, OʼBrien M, Hostin R, and Ames C

Subjects
Databases, Factual, Disability Evaluation, Female, Follow-Up Studies, Humans, Kyphosis diagnostic imaging, Lumbar Vertebrae surgery, Male, Middle Aged, Pelvic Bones surgery, Radiography, Reoperation, Retrospective Studies, Sacrum surgery, Scoliosis diagnostic imaging, Spinal Fusion methods, Treatment Outcome, Kyphosis surgery, Postoperative Complications etiology, Scoliosis surgery, Spinal Fusion adverse effects, Thoracic Vertebrae surgery
Abstract

Study Design: Retrospective review-multicenter database., Objective: The purpose of this study was to compare the upper thoracic (UT) and lower thoracic (LT) upper instrumented vertebrae (UIV) in long fusions to the sacrum for adult scoliosis., Summary of Background Data: The optimal UIV for stopping long fusions to the sacrum/pelvis are controversial. Although a UT endpoint may lead to greater operative times, blood loss, and higher rates of pseudarthrosis, the risk for the development of proximal junctional kyphosis and need for revision surgery is likely lower., Methods: Retrospective analysis of a prospective database of patients with adult spinal deformity, Patients were selected on the basis of fusions to the sacrum/pelvis with UIV of T1-T6 (UT group) and those with a UIV of T9-L1 (LT group). Demographic data, operative details, and radiographical outcomes with Scoliosis Research Society scores, and Oswestry Disability Index outcomes were collected, as well as complication data were compared. The Fisher exact T tests were used for statistical analysis., Results: A total of 198 patients (UT = 91, LT = 107) with a mean age of 61.6 were followed for an average of 2.5 years. Demographic variables were similar between the groups except for larger numbers of females in the UT group and a slightly higher body mass index in the LT group. Preoperatively, the UT group demonstrated significantly more lumbar scoliosis, thoracic scoliosis, and thoracolumbar kyphosis. The UT group demonstrated a larger number of fused segments length of stay and longer operative times. There was slightly larger volume of blood loss in the UT group.The total number of complications and number of revision surgical procedures were similar between the groups. The UT group had a higher percentage of patients with 2 or more complications. Both groups had similar proximal junctional kyphosis angles and number of cases requiring revision for proximal junctional kyphosis. Scoliosis Research Society and Oswestry Disability Index outcomes were similar between the groups., Conclusion: The UT and LT groups had similar outcomes. The UT group may have a higher rate of total complications, but major complications requiring return to the operative room were similar. The length of stay and operative times were higher in the UT group but may have been necessarily evidenced by the significantly higher coronal deformity and greater thoracolumbar kyphosis in the UT group., Level of Evidence: 4.

Published
2014
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