Academic literature on the topic 'Bruce (County)'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the lists of relevant articles, books, theses, conference reports, and other scholarly sources on the topic 'Bruce (County).'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Journal articles on the topic "Bruce (County)"

1

Smith, Brendan. "The Bruce Invasion and County Louth, 1315-18." Journal of the County Louth Archaeological and Historical Society 22, no. 1 (1989): 7. http://dx.doi.org/10.2307/27729669.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Brister, Ronald. "Bruce Wade: Tennessee's Forgotten Geologist." Earth Sciences History 13, no. 1 (1994): 47–51. http://dx.doi.org/10.17704/eshi.13.1.y4wxp17373q18388.

Full text
Abstract:
A burst of intense geological exploration and interpretation of the eastern Mississippi Embayment marked the first three decades of the 20th century. Bruce Wade, a Vanderbilt and Johns Hopkins-trained geologist, played a central role in the interpretation of the stratigraphy and paleontology of the Cretaceous deposits of West Tennessee. He discovered and described the perfectly preserved and extensive fauna of the Coon Creek fossil site, made detailed county stratigraphic studies, and is credited with discovering the first fossil insect preserved in amber reported from North America. Wade served in World War I and later worked in the oil industry in Mexico as an exploration geologist in the early 1920's. His promising career was cut short by a severe illness which left him confined in hospitals for the rest of his life. He died at the age of 84 in relative obscurity.
APA, Harvard, Vancouver, ISO, and other styles
3

Gilmore, Peter E. "“Hark ye, Sweet Liberty Boys”: David Bruce, Western Pennsylvania’s Federalist Frontier Poet." Pennsylvania History: A Journal of Mid-Atlantic Studies 89, no. 4 (2022): 552–79. http://dx.doi.org/10.5325/pennhistory.89.4.0552.

Full text
Abstract:
ABSTRACT The poetry of Western Pennsylvanian David Bruce in the 1790s offers a unique perspective on the politics of a turbulent decade in a region emerging from frontier conditions. His advocacy of Federalist politics enjoyed vibrant coloration as verse composed in Scots. His choice of language expressed his own background as a recent Scottish immigrant while allowing him to pose as “the Scots-Irishman.” A project that began as an act of political ventriloquism became admonition, reproachment, and condemnation as Bruce used his poetic skill to criticize and ridicule frontier democrats who actually were Irish of Scots cultural legacy. His poetry both gives voice to the concerns of a Federalist shopkeeper and offers pen-portraits of leading “Irish Jacobins” (as Bruce would have seen them) in Washington County and their views in the years between the Whiskey Rebellion and the Democratic-Republic triumph in 1800.
APA, Harvard, Vancouver, ISO, and other styles
4

STARR, JOANN, and BRUCE E. ZAWACKI. "Voices from the Silent World of Doctor and Patient." Cambridge Quarterly of Healthcare Ethics 8, no. 2 (1999): 129–38. http://dx.doi.org/10.1017/s0963180199802023.

Full text
Abstract:
Joann Starr, a Roman Catholic nun, and Bruce Zawacki, a burn surgeon, met 22 years ago in the Los Angeles County, University of Southern California Burn Center in the roles of a patient and her physician struggling over issues of autonomy and informed consent. After recovery, she remained a nun and has become a patient advocate and doctoral candidate in bioethics. He remained a burn surgeon and has become a bioethics teacher and author. Although they live in distant locations, they maintain their friendship and frequently discuss their shared experience. Recently they met to reflect on the events, lessons, and meanings of their original encounter.
APA, Harvard, Vancouver, ISO, and other styles
5

Morris, T. F., and R. I. Kelly. "Origin and physical and chemical characteristics of glacial overburden in Essex and Kent counties, southwestern Ontario." Canadian Journal of Earth Sciences 34, no. 3 (1997): 233–46. http://dx.doi.org/10.1139/e17-022.

Full text
Abstract:
The overburden of Essex and Kent counties, southwestern Ontario, has been described as consisting of a clayey silt to silty clay till overlying a gravelly unit resting on bedrock. Recent Quaternary geology mapping has identified additional materials and redefined the origin of others by determining the stratigraphic position and physical and geochemical properties of materials encountered in a sonic drilling program and field mapping. Catfish Creek Till was deposited on the bedrock surface during the Nissouri Stadial as ice advanced south over the area. As ice retreated during the Erie Interstade, fine-grained glaciolacustrine material was deposited in glacial Lake Leverett and overlay Catfish Creek Till. Tavistock Till was deposited over glacial Lake Leverett material as the Huron lobe readvanced south during the Port Bruce Stadial. As the Huron lobe retreated north, coarse-grained glaciolacustrine materials were deposited in the Leamington area. Ice from the Erie lobe deposited the Port Stanley Till along the north shore of Lake Erie in Kent County and deflected meltwater southward from the Huron lobe in the Blenheim area. A series of recessional moraines were deposited by the Huron lobe as it retreated north. The area is capped by a fine-grained glaciolacustrine deposit.
APA, Harvard, Vancouver, ISO, and other styles
6

Catling, Paul M., and Brenda Kostiuk. "Some Wild Canadian Orchids Benefit from Woodland Hiking Trails - and the Implications." Canadian Field-Naturalist 125, no. 2 (2011): 105. http://dx.doi.org/10.22621/cfn.v125i2.1193.

Full text
Abstract:
To clarify the impact that trails have on orchids we compared the occurrence of orchids on the lightly trampled edges of bare trails, with the occurrence of orchids in the surrounding woodland and noted the degree of disturbance. A two-way mixed analysis of variance, using six trails from across Canada, indicated that location by distance strata interaction was lacking. Orchid densities were consistently higher within a few meters of the bare portion of a trail than further away. The width of the disturbance gradient for two well-used trails in parks in Bruce County, Ontario, was determined with regression to be within 1 m from the edge of the bare portion of the trail. Calypso bulbosa var. americana on trails in in Alberta, Epipactis helleborine and Goodyera oblongifolia on trails in Ontario, Goodyera repens on trails in Northwest Territories and all native orchids (cumulatively) on trails on Flowerpot Island, Ontario demonstrated consistent and significant increased abundance within the trail disturbance gradients in comparison to their occurrence in the surrounding forest. More flowering plants of Goodyera oblongifolia and mature capsules of Epipactis helleborine occurred in the trail disturbance gradient than beyond suggesting a beneficial impact on fecundity. The disturbance gradient effect likely includes light trampling which reduces competition, compacts soil, and exposes mineral soil. The effect also includes increased light and microclimate differences near to the path. Landscape managers should recognize that in some situations orchids may benefit greatly from trails and that trails may be better considered as a benefit than as a problem.
APA, Harvard, Vancouver, ISO, and other styles
7

Shirzadi, Navid, Ameer Nizami, Mohammadali Khazen, and Mazdak Nik-Bakht. "Medium-Term Regional Electricity Load Forecasting through Machine Learning and Deep Learning." Designs 5, no. 2 (2021): 27. http://dx.doi.org/10.3390/designs5020027.

Full text
Abstract:
Due to severe climate change impact on electricity consumption, as well as new trends in smart grids (such as the use of renewable resources and the advent of prosumers and energy commons), medium-term and long-term electricity load forecasting has become a crucial need. Such forecasts are necessary to support the plans and decisions related to the capacity evaluation of centralized and decentralized power generation systems, demand response strategies, and controlling the operation. To address this problem, the main objective of this study is to develop and compare precise district level models for predicting the electrical load demand based on machine learning techniques including support vector machine (SVM) and Random Forest (RF), and deep learning methods such as non-linear auto-regressive exogenous (NARX) neural network and recurrent neural networks (Long Short-Term Memory—LSTM). A dataset including nine years of historical load demand for Bruce County, Ontario, Canada, fused with the climatic information (temperature and wind speed) are used to train the models after completing the preprocessing and cleaning stages. The results show that by employing deep learning, the model could predict the load demand more accurately than SVM and RF, with an R-Squared of about 0.93–0.96 and Mean Absolute Percentage Error (MAPE) of about 4–10%. The model can be used not only by the municipalities as well as utility companies and power distributors in the management and expansion of electricity grids; but also by the households to make decisions on the adoption of home- and district-scale renewable energy technologies.
APA, Harvard, Vancouver, ISO, and other styles
8

Guiaşu, Radu C. "Range expansion of the vulnerable crayfish Creaserinus fodiens (Cottle, 1863) (Decapoda, Cambaridae) in Ontario, Canada, with added notes on the distribution, ecology and conservation status of this species in North America." Crustaceana 94, no. 4 (2021): 467–86. http://dx.doi.org/10.1163/15685403-bja10104.

Full text
Abstract:
Abstract The distribution of the semi-terrestrial burrowing crayfish Creaserinus fodiens (Cottle, 1863) in Ontario was updated based on the examination of the records stored in the crayfish database of the Royal Ontario Museum in Toronto and specimens collected during field studies. New Ontario locality records are reported for this crayfish species from MacGregor Point Provincial Park and other nearby sites in Bruce County, along the shores of Lake Huron. These are among the northernmost locality records reported for this species in North America. These new records represent a northwestern range expansion for this crayfish species in southern Ontario. As a result of these new records, the revised distribution of this species in Ontario is estimated to cover an area of about 32 620 km2. This is an increase of 7620 km2 over a previous 1996 estimate of this range. Creaserinus fodiens is a vulnerable species in Ontario, mainly due to the loss of suitable wetland habitats. Thus, the new locations and the range expansion reported here provide some hopeful news about the long-term future of burrowing crayfishes in this Canadian province. At some of the new locations, C. fodiens was found together with Faxonius immunis (Hagen, 1870), another burrowing crayfish species. However, this analysis of all the relevant records found in the collections of the Royal Ontario Museum (Toronto) and the Canadian Museum of Nature (Ottawa) shows that our knowledge of the distribution of C. fodiens in Ontario remains quite incomplete. A survey of the conservation status and challenges for this crayfish species in various regions of North America was also undertaken.
APA, Harvard, Vancouver, ISO, and other styles
9

Morris, T. F., J. H. McAndrews, and K. L. Seymour. "Glacial Lake Arkona – Whittlesey transition near Leamington, Ontario: geology, plant, and muskox fossils." Canadian Journal of Earth Sciences 30, no. 12 (1993): 2436–47. http://dx.doi.org/10.1139/e93-210.

Full text
Abstract:
Proglacial subaquatic fans between Leamington and Colchester, Essex County, Ontario, were deposited in glacial Lake Maumee at the end of the Port Bruce Stade by ice retreating northward. Some fans were buried by till and glaciolacustrine materials. One fan surface, northwest of Leamington, was only modified by lake current that transgressed and regressed over it. An aggregate excavation (Bondi site) exists within the surface of this fan. We describe the sedimentology of the site that provides evidence for fan and overlying bar deposits.Lake levels fell to the levels of lakes Arkona (216 m) and Ypsilanti (122 m) following the deposition of the fans. Large terrestrial areas supported plants and animals. Their presence is recorded at the Bondi site by a single bone and several organic mats recovered from the fan and bar sediment contact at two separate exposures. Radiocarbon dates on the bone of 13 410 ± 100 BP (TO-1803), organic material dates of 13 225 ± 200 BP (BGS-1404) and 13 150 ± 100 BP (WE-01-89), the altitude. (209 m), and the sedimentological setting indicate deposition during the Lake Arkona (216 m) – Lake Whittlesey (226 m) transition period.The pollen and plant macrofossil assemblages recovered from the organic material indicate a forest–tundra environment, with a mean July temperature of 14 °C. This interpretation fits well with the bone identified as cf. Euceratherium sp., a shrubox. The discovery of cf. Euceratherium sp. is surprising, as its previous range was south and west of this site. The organic material was subsequently buried by the formation of a bar as water levels rose within the Lake Erie basin and transgressed the site.
APA, Harvard, Vancouver, ISO, and other styles
10

Suffling, Roger, Michael Evans, and Ajith Perera. "Presettlement forest in southern Ontario: Ecosystems measured through a cultural prism." Forestry Chronicle 79, no. 3 (2003): 485–501. http://dx.doi.org/10.5558/tfc79485-3.

Full text
Abstract:
To better manage southern Ontario's natural forests, the former and present status of old growth must be understood. We hypothesize that old-growth pine (Pinus spp.), although dominant elsewhere, was less common in southern Ontario than popular history suggests: we are obliged to evaluate historical information that has been filtered both by the original compilers and through our own biases. Beginning around 600 AD, the predominant beech (Fagus americana) forest was partially replaced by maple (primarily Acer saccharum), oaks (Quercus spp.) and eastern white pine (P. strobus). This pine increase either followed abandonment of pre-Columbian agriculture or, more plausibly, accompanied climate cooling. Eighteenth and 19th century European settlers encountered abundant large trees, which they hewed for square pine timber, milled timber, and tanbark. Other stands were cut and burned for agricultural clearance, with a potash by-product. Until recently, Ontario research emphasized the old-growth pine stands of central and northern Ontario to the relative exclusion of other kinds of old forest because very few southern Ontario old-growth stands remained to study. Ontario forest resource inventory data (FRI) show stands of over 150 years totalling only 1475 ha in 1978, concentrated on the Oak Ridges Moraine, the St. Lawrence Valley and the Awenda Peninsula. Red (P. resinosa) and eastern white pine stands constituted only 5.3% of the 1978 forested area, with virtually none of over 150 years, whereas eastern hemlock (Tsuga canadensis) stands constituted 12.8%. The difficulty in finding modern old growth necessitates historical reconstruction using physical, written and graphical resources, including early survey records and trade statistics. In a case study of 1822 survey data from Darling Township (Lanark Co.) and 1960 FRI, vegetation was classified using TWINSPAN and mapped using ARC/INFO Thiessen polygons. In 1822, dominant hemlock occupied half the township but it has since been eliminated as a dominant. Conversely, there were no pine-dominated forests in 1822, but these had increased to 16% of the area by 1960. A second case used similar methods, with 1855 data for St. Edmunds and Lindsay townships (Bruce Co.) and 1981 FRI. Although logging halved the area and reduced the stature of pines in the large pinery, the elimination of dominant hemlock (originally 41% by area) is more significant. Fragmentary square timber trade data suggest that at least half the large pines in Bruce County were in St. Edmunds, so pine must have been spectacularly concentrated in a few areas. The third case, a map constructed from Gourlay's 1817–1819 survey, also demonstrates that pine-dominated areas were in the minority in southern Ontario, concentrated on sandy soils around Lakes Ontario and Erie. However, big hemlocks, beeches, maples and oaks were much more common overall. Management responses to this information should include designation of older southern Ontario forest stands (especially those never cleared since settlement) for maturation into an old-growth state, and the systematic restoration of eastern hemlock and beech stands for conservation purposes in southern Ontario. Key words: old-growth forest, Canada, Ontario, historical ecology, forest history
APA, Harvard, Vancouver, ISO, and other styles
More sources

Dissertations / Theses on the topic "Bruce (County)"

1

Rankin, Lisa K. "Historical context and the forager/farmer frontier : re-interpreting the Nodwell site /." *McMaster only, 1998.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
2

Kranz, Tova E. "Body, Land, and Memory| Counter-Narratives in the Poetry of Minnie Bruce Pratt, Brenda Marie Osbey, and Natasha Trethewey." Thesis, University of Louisiana at Lafayette, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10618383.

Full text
Abstract:
<p> In the South, as William Faulkner famously observed in his 1951 novel <i> Requiem for a Nun</i>, &ldquo;The past is never dead. It&rsquo;s not even past.&rdquo; The power of historical narrative is not lost on the region&rsquo;s contemporary writers either, including poets Minnie Bruce Pratt, Brenda Marie Osbey, and Natasha Trethewey. This thesis examines these poets&rsquo; works within the context of Southern studies, as well as the ways in which each poet grounds counter-narratives in Southern soil, and communal memories in the region&rsquo;s marginalized bodies. Establishing these bodies&mdash;those of black, mixed-race, and lesbian women in particular&mdash;as sources of intensely regionalized knowledge and memory legitimizes the kind of subjective histories from which these poets appear to draw while also establishing a tradition of multiplicity in narrative. Tracing memory&rsquo;s evolution and preservation in marginalized bodies also casts them as sources of collective memory capable of augmenting or dismantling the white patriarchal master narrative of Southern history.</p><p>
APA, Harvard, Vancouver, ISO, and other styles
3

Lawrence, Bryce [Verfasser], Dietwald [Akademischer Betreuer] Gruehn, and Ekhart [Gutachter] Hahn. "The County Diagnostic: A regional environmental footprint framework for the USA : and A comparative case study application of the County Diagnostic within the US Eastern Temperate Forest Ecoregion / Bryce T. Lawrence ; Gutachter: Ekhart Hahn ; Betreuer: Dietwald Gruehn." Dortmund : Universitätsbibliothek Dortmund, 2016. http://d-nb.info/1138438758/34.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

Wilks, Stephen Leslie. ""Now is the Psychological Moment" - Earle Page and the Imagining of Australia." Phd thesis, 2017. http://hdl.handle.net/1885/142195.

Full text
Abstract:
Earle Christmas Grafton Page (1880-1961) – Country Party leader, Treasurer and Prime Minister – was the most extraordinary visionary to hold high public office in the Australian Parliament during the first several decades of the twentieth century. His incessant activism in regionalism, new states, hydroelectricity, economic planning, co-operative federalism and rural universities had a distinctively personal dimension. But he also contributed to and led several larger, and in some respects, perennial themes in Australian history related to issues summarised in this thesis as developmentalism. This study assesses the relationship between Page and this wider current of debate. Page’s career as one of Australia’s longest serving senior politicians is characterised by his remarkably consistent but pragmatically opportunistic efforts to shape the still formative government and society of the Australian nation according to his personal vision of its economic and social future. His efforts influenced more conventional government policy, both directly through his membership of governments and indirectly through his long-term impact on what policy ideas were prominent in public debate. Page’s successes and also his failures elucidate the wider issue of the place of concepts of national development in modern Australian history. This thesis is a biographically-based study of the significance of applied policy ideas. The emphasis is on describing and analysing the most distinctive of Page’s policy initiatives, seeking to illuminate his significance in the wider world of ideas and politics. Page has been cast by some historians as merely reflective of a Country Party intent on securing resources for rural interests: this is greatly to underestimate his originality and significance. Although he drew on specific ideas held by other public figures and civic movements, Page uniquely moulded these into a coherent national vision that drew heavily on concepts of the desirable spatial disposition of population and the appropriate scale of public institutions. Over decades, Page made telling references to what he called the psychological moment. This marked whenever he judged that he at last had the public and political support needed to achieve one of his treasured policy goals. It encapsulates his awareness that his vision of the nation normally sat far outside the political mainstream and of the consequent difficulties he faced in trying to implement it. It also suggested, however, a sense that his ideas had potential to appeal to an Australian public who were open to fresh ways of viewing the national project. Page broadened existing developmentalist thought through his rare synthesis of ideas that both delineated and stretched the Australian political imagination. His rich career confirms that Australia has long inspired popular ideals of national development, but also that their practical implementation was increasingly challenged during the twentieth-century. Page’s influence and experience supports arguments that Australian public life has been rich in applied thinkers. His work shows how assessment of the contribution of an engaged individual, their ideas and advocacy, can illuminate a past that is both relevant to still unresolved issues in Australian politics and which is also suggestive of alternative paths.
APA, Harvard, Vancouver, ISO, and other styles

Books on the topic "Bruce (County)"

1

Gateman, Laura M. Lighthouses around Bruce County. Spinning Wheel Publishing, 1991.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
2

Lighthouses around Bruce County. Spinning Wheel Publishing, 1990.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
3

Hoffman, Douglas W. Soil survey of Bruce County. Ontario Ministry of Agriculture and Food, 1990.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
4

Broad Horizons Books of Bruce County Incorporated., ed. Bruce County books in print. Brucedale Press, 2000.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
5

1957-, Robertson-Brown Corinne, ed. Shorewords: Selections by Bruce County writers. Brucedale Press, 1994.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
6

Society, Bruce County Genealogical. Cemetery records Bruce County: Hillcrest Cemetery, Tara. B.C.G.S., 2004.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
7

Stewart, Jeff. Bruce County marriages: Marriage registrations for Bruce County, Ontario from 1869 to 1873 ; compiled by Jeff Stewart & Sherilyn Bell. Winfield Pub., 1998.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
8

Society, Bruce County Genealogical. Cemetery records, Bruce County: Sacred Heart Cemetery, Teeswater. B.C.G.S., 2004.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
9

Associates, Peter Barnard. Bruce County Public Library management study: Phase three report : recommendations & implementation strategy. Peter Barnard Associates, 1986.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
10

Ontario Genealogical Society. Bruce and Grey Branch., ed. Wesleyan Methodist baptismal register: Bruce County, 1843-1898 : a transcription. United Church of Canada, Victoria University Archives / Bruce & Grey Branch, OGS, 2001.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
More sources

Book chapters on the topic "Bruce (County)"

1

Benz, Corinna, and Michael D. Urbaniak. "Synchronization of Trypanosoma brucei by Counter-Flow Centrifugal Elutriation." In Cell-Cycle Synchronization. Springer US, 2022. http://dx.doi.org/10.1007/978-1-0716-2736-5_11.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Penn, William A. "Guarding the Railroad." In Kentucky Rebel Town. University Press of Kentucky, 2016. http://dx.doi.org/10.5810/kentucky/9780813167718.003.0003.

Full text
Abstract:
This chapter examines the military defenses on the Bluegrass corridor of the Kentucky Central Railroad, which was important for military transportation and communications. State Guards, Home Guards, and Union volunteers encamped in the Cynthiana, Ky., area to guard the railroad, including Camp Bruce. The book describes in detail the establishment and activities of Camp Frazer, one of the first Union camps in Kentucky after neutrality ended. It was organized by Col. Van Derveer’s 35<sup>th</sup> Ohio Voluntary Infantry in September 1861. The reaction of citizens to these troops is explored in the chapter. The book documents other Union regiments who guarded the railroad, including Col. S. R. Mott’s 118<sup>th</sup> Ohio infantry, who built stockades for Union squads to protect railroad bridges. The chapter examines the interaction of Union troops occupying the county with local citizens, and the military arrest of secessionists caught sabotaging bridges.
APA, Harvard, Vancouver, ISO, and other styles
3

French, Lisa. "Ubu Films: Sydney’s Underground Radical Culture 1965–72." In World Film Locations: Sydney. Intellect, 2015. http://dx.doi.org/10.1386/9781783203482_8.

Full text
Abstract:
Sydney is most well known internationally for its spectacular harbour, opera house and stunning Northern Beaches. But the history of the city includes an avant-garde underbelly. In 1965 Sydney was a fertile breeding ground for counter-cultural, underground cinema. and one of Australia’s first avant-garde independent film-making, distribution and exhibition groups, ‘Ubu’, was established. The name, from Alfred Jarry’s 1896 subversive play, Ubu Roi, signposted their revolutionary aims. Ubu’s members experimented with film form and pushed the boundaries of cultural conventions. They screened their own work and that of international and local avant-garde film-makers like Bruce Connor, Norman McLaren, Paul Winkler and Dusan Marek. They lobbied against censorship and built a creative community. Numerous members later became important to the revival of the Australian feature film industry in the 1970s, including Bruce Beresford, Yoram Gross, Phillip Noyce and Peter Weir.
APA, Harvard, Vancouver, ISO, and other styles
4

"Case Study: Village of Belle Terre v. Bruce Boraas, 1974²³." In The Supreme Court in the Intimate Lives of Americans. New York University Press, 2020. http://dx.doi.org/10.18574/nyu/9780814723012.003.0032.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Dingwall, Christopher. "‘The Inexpressible Need of Inclosing and Planting’: Country House Policies in Scotland, 1660–1750." In The Architecture of Scotland, 1660-1750. Edinburgh University Press, 2020. http://dx.doi.org/10.3366/edinburgh/9781474455268.003.0016.

Full text
Abstract:
This chapter is concerned with the ornamental planting surrounding Scotland’s country houses, often referred to as the ‘policies’, a word which is said to be derived from the Latin word ‘politus’ meaning polished or elegant.The period of the late seventeenth century and early eighteenth century is often described as the Age of Improvement, when many landowners invested in the enclosure of their estates and the plantation of trees.Using contemporary accounts and illustrations, the chapter describes the geometrical style of planting which was popular at the time, examining links with contemporary English and European landscaping of the period.Reference is made to the social context, which allowed Scotland’s landowners to exchange ideas and keep up with changes of fashion.Among notable figures whose work is described are John Reid, author of Scotland’s first gardening book The Scots Gard’ner, along with the architect Sir William Bruce and prominent landowners such as Thomas Hamilton Sixth Earl of Haddington and John Dalrymple Second Earl of Stair.
APA, Harvard, Vancouver, ISO, and other styles
6

Coltoff, Philip. "Why The Children’s Aid Society Is Involved in This Work." In Community Schools in Action. Oxford University Press, 2005. http://dx.doi.org/10.1093/oso/9780195169591.003.0009.

Full text
Abstract:
The Children’s Aid Society (CAS), founded in 1853, is one of the largest and oldest child and family social-welfare agencies in the country. It serves 150,000 children and families through a continuum of services—adoption and foster care; medical, mental health, and dental services; summer and winter camps; respite care for the disabled; group work and recreation in community centers and schools; homemaker services; counseling; and court mediation and conciliation programs. The agency’s budget in 2003 was approximately $75 million, financed almost equally from public and private funds. In 1992, after several years of planning and negotiation, CAS opened its first community school in the Washington Heights neighborhood of New York City. If you visit Intermediate School (IS) 218 or one of the many other community schools in New York City and around the country, it may seem very contemporary, like a “school of the future.” Indeed, we at CAS feel that these schools are one of our most important efforts in the twentieth and twenty-first centuries. Yet community schools trace their roots back nearly 150 years, as previous generations tried to find ways to respond to children’s and families’ needs. CAS’s own commitment to public education is not new. When the organization was founded in the mid-nineteenth century by Charles Loring Brace, he sought not only to find shelter for homeless street children but to teach practical skills such as cobbling and hand-sewing while also creating free reading rooms for the enlightenment of young minds. Brace was actively involved in the campaign to abolish child labor, and he helped establish the nation’s first compulsory education laws. He and his successors ultimately created New York City’s first vocational schools, the first free kindergartens, and the first medical and dental clinics in public schools (the former to battle the perils of consumption, now known as tuberculosis). Yet this historic commitment to education went only so far. Up until the late 1980s, CAS’s role in the city’s public schools was primarily that of a contracted provider of health, mental health, and dental services.
APA, Harvard, Vancouver, ISO, and other styles
7

Müller, Timo. "The Sonnet and Black Transnationalism in the 1930s." In The African American Sonnet. University Press of Mississippi, 2018. http://dx.doi.org/10.14325/mississippi/9781496817839.003.0004.

Full text
Abstract:
While the transnational dimensions of the Harlem Renaissance are widely acknowledged, scholarly accounts often suggest that the Great Depression narrowed the scope of African American writing to localized concerns such as social improvement and folk expression. The chapter complicates this assumption by drawing attention to the little-known sonnets Claude McKay and Countee Cullen wrote in the 1930s, some of which remained unpublished until the early twenty-first century. These sonnets show that African American poetry sustained a range of transnational conversations throughout the 1930s. The chapter examines two such conversations: the negotiation of black travel around the Atlantic and the Mediterranean, and the Pan-Africanism incited by the Italo-Ethiopian War of 1935/36. Besides McKay and Cullen, the chapter considers sonnets by the neglected poets J. Harvey L. Baxter, Alpheus Butler, and Marcus Bruce Christian.
APA, Harvard, Vancouver, ISO, and other styles
8

Napier, William. "Thomas Albourn, William Bruce’s Plasterer: ‘An Englishman and the Best Plaisterer that was ever yet in Scotland’." In The Architecture of Scotland, 1660-1750. Edinburgh University Press, 2020. http://dx.doi.org/10.3366/edinburgh/9781474455268.003.0008.

Full text
Abstract:
This chapter explores the work and influence of Thomas Alburn an English plasterer who came to Scotland as a soldier and stayed on after the Restoration to work in houses thoughout the southern half of the country. The plasterwork created by Alburn and his men evolved from the 1660s when it relied on decorative elements borrowed from the early seventeenth century, before being influenced by plasterwork common in England.It then transformed completely after he worked alongside plasterers from London at Thirlestane, Holyrood and Balcaskie. Throughout this period the Alburn family seem to have been the plasterers of choice of Sir William Bruce, having worked under his direction at the Royal Palaces, directly for him at Balcaskie and Kinross, and in many of the houses of his private clients. The Alburns also undertook work for Bruce’s successor in office, James Smith. However, their influence in the eighteenth century appears to have lessened as plasterers Clayton, Enzer and Calderwood rose to prominence, the Alburn family plaster moulds eventually being sold at roup in 1750s.
APA, Harvard, Vancouver, ISO, and other styles
9

Calabresi, Steven Gow. "Introduction The Birth and Growth of Judicial Review: 1607–2020." In The History and Growth of Judicial Review, Volume 1. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780190075774.003.0001.

Full text
Abstract:
This introductory chapter discusses how judicial review of the constitutionality of legislation has usually emerged historically for a combination of four reasons. First, judicial review of the constitutionality of legislation is a response to a nation’s need for an umpire to resolve federalism or separation of powers boundary line disputes. The second main cause of the origins and growth of judicial review of the constitutionality of legislation is what can be called the rights from wrongs hypothesis; judicial review very often emerges as a response to an abominable deprivation of human rights. The third major cause is the out-and-out borrowing of the institution of judicial review of the constitutionality of legislation from either the United States’ model; the German Civil Law model; and, most recently, from the Canadian Second Look judicial review constitutional model. The fourth major cause is the existence of a system of checks and balances, which gives Supreme Courts and Constitutional Courts political space to grow in. Revolutionary charismatic constitutionalism can also lead to the growth of judicial review as Professor Bruce Ackerman has explained in an important new book, REVOLUTIONARY CONSTITUTIONS: CHARISMATIC LEADERSHIP AND THE RULE OF LAW (2019).
APA, Harvard, Vancouver, ISO, and other styles
10

Johnston, Bruce W. "Liability of Multinational Corporations in Canada for International Human Rights Violations." In Human Rights Litigation against Multinationals in Practice. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780198866220.003.0005.

Full text
Abstract:
Bruce W. Johnston reviews the current state of play in Canada regarding the imposition of civil liability on multinationals for human rights abuses occurring overseas. He explains the bijural nature of the legal system and the consequential developments of civil law in Quebec and common law elsewhere. He outlines, by reference to case law, the relevant law on jurisdiction, including in class actions, and application of forum non conveniens, forum necessitatis, and choice of law, under common and civil law. Regarding causes of action, he considers the corporate veil hurdle and important judgments on direct liability of the parent company, in Choc v. Hudbay Minerals and most strikingly, the direct application of customary international human rights law by the Supreme Court in Nevsun. Equally important in terms of practical access to justice, the chapter outlines the rules on procedures relating to opt-out class actions, legal costs, including litigation funding.
APA, Harvard, Vancouver, ISO, and other styles

Conference papers on the topic "Bruce (County)"

1

Schlossnagle, Trevor, Janae Wallace, and Janae Wallace. "GROUNDWATER QUALITY IN THE BRYCE CANYON AREA, GARFIELD COUNTY, UTAH." In GSA Annual Meeting in Phoenix, Arizona, USA - 2019. Geological Society of America, 2019. http://dx.doi.org/10.1130/abs/2019am-336637.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Schlossnagle, Trevor, Janae Wallace, and Emily McDermott. "GROUNDWATER RESIDENCE TIMES IN THE BRYCE CANYON AREA, GARFIELD COUNTY, UTAH." In 72nd Annual GSA Rocky Mountain Section Meeting - 2020. Geological Society of America, 2020. http://dx.doi.org/10.1130/abs/2020rm-346355.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Jun, Seung-kook, Xiaobo Zhou, Daniel K. Ramsey, and Venkat N. Krovi. "Kinetostatic Design-Refinement of Articulated Knee Braces." In ASME 2013 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/detc2013-12716.

Full text
Abstract:
Knee bracing has been used to realize a variety of functional outcomes in both sport and rehabilitation application. Much of the literature focuses on the effect of knee misalignment, force reduction and superiority of custom braces over commercial over-the-counter braces. Efforts on developing exoskeletons to serve as knee augmentation systems emphasize actuation of joints, which then adds to bulkiness of ensuing designs. In lieu of this, we would like to employ a semi-active augmentation approach (by addition of springs and dampers). Such an approach serves to redirect power (motions and forces) to achieve the desired functional outcomes from the knee braces. However, the suitable selection of geometric dimensions of the brace and spring parameters to achieve desired motion- and force-profiles at the knee remains a challenge. We therefore introduce a two-stage kinetostatic design process to help customize the brace to match a desired kinematic/static performance.
APA, Harvard, Vancouver, ISO, and other styles
4

Andrade, Ewerton R., and Marcos A. Simplicio Junior. "Lyra2: Password Hashing Scheme with improved security against time-memory trade-offs." In XXX Concurso de Teses e Dissertações da SBC. Sociedade Brasileira de Computação - SBC, 2017. http://dx.doi.org/10.5753/ctd.2017.3455.

Full text
Abstract:
To protect against brute force attacks, modern password-based authentication systems usually employ mechanisms known as Password Hashing Schemes (PHS). Basically, a PHS is a cryptographic algorithm that generates a sequence of pseudorandom bits from a user-defined password, allowing the user to configure the computational costs involved in the process aiming to raise the costs of attackers testing multiple passwords trying to guess the correct one. In this context, the goal of this research effort is to propose a novel and superior PHS alternative. Specifically, the objective is to improve the Lyra algorithm, a PHS built upon cryptographic sponges whose project counted with the authors' participation. The resulting solution, called Lyra2, preserves the efficiency and flexibility of Lyra, and it brings important improvements when compared to its predecessor: (1) it allows a higher security level against attack venues involving time-memory trade-offs; (2) it includes tweaks for increasing the costs involved in the construction of dedicated hardware to attack; (3) it balances resistance against side-channel threats and attacks relying on cheaper (and, hence, slower) storage devices. Besides describing the algorithm's design rationale in detail, the thesis also includes a detailed analysis of its security and performance.
APA, Harvard, Vancouver, ISO, and other styles
5

Nichols, T. C., D. A. Bellinger, M. S. Read, et al. "PREVENTION OF OCCLUSIVE CORONARY THROMBOSIS BY MONOCLONAL ANTIBCDY TO VON WILLEBRAND FACTOR IN SWINE." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1642833.

Full text
Abstract:
Von Willebrand's disease protects pigs from developing cyclic or permanent coronary thrombosis (C/P-Th) following experimentally induced stenosis and injury (S/I) in an open chest anesthetized pig (Nichols et al, Circ Res., 1986; 59:1526). To confirm that this protection is related specifically to absence of von Willebrand factor (vWF), an IgG kappa monoclonal antibody (MAb) to purified porcine vWF was produced in mice. MAb inhibited platelet aggregation by ristocetin and botrocetin, but not ADP, thrombin, or collagen. MAb was infused into seven normal pigs. Bleeding times (BT) in all pigs were prolonged to &gt;10 min, and platelet agglutinating factor levels as a measure of vWF activity were &lt;2% for approximately 2 hours or longer. There was no significant change of hematocrit, platelet count or Factor VIII coagulant activity. Coronary stenosis was produced by placing a Goldblatt clanp (GC) around the left anterior descending coronary artery (LAD). A 20-MHz Doppler velocity crystal was placed distal to GC to measure LAD blood flow velocity. The LAD was injured at the GC site with spring loaded forceps. C/P-Th were detected by flow velocity changes and vessels were examined by light and scanning electron microscopy. Five of seven pigs were given MAb prior to S/I; after S/I, four of these five had no C/P-Th. The fifth pig developed C/P-Th after 2 hours when vWF activity had returned to 10% and BT had shortened to 2.5 min. The other two pigs were given MAb after S/I had produced C/P-Th. The first had total resolution and the second partial resolution of these cyclic thromboses. This S/I technique produced C/P-Th in 8 of 9 normal pigs. Thus, this MAb reduces vWF activity and prevents C/P-Th. This study confirms a direct role of vWF in supporting occlusive coronary thrombosis in this porcine model and suggests reduction of vWF activity could be a therapeutic approach to arterial thrombotic diseases. (Supported by Grant Nos. HL26309-06 and HL01648-40. MAb supplied by Bruce Evatt, M.D., C.D.C., Atlanta, Georgia)
APA, Harvard, Vancouver, ISO, and other styles
6

Wei, Zhigang, Pingsha Dong, and Thomas P. Forte. "A Rapid Convex Hull Algorithm for Implementing Path-Dependent Multi-Axial Fatigue." In ASME 2010 Pressure Vessels and Piping Division/K-PVP Conference. ASMEDC, 2010. http://dx.doi.org/10.1115/pvp2010-25682.

Full text
Abstract:
The Path-Dependent Maximum Range (PDMR) is a general-purpose multi-axial fatigue life assessment tool recently developed by Battelle researchers. The PDMR has been successfully applied to fatigue analysis of engineering components under variable amplitude, non-proportional, multiaxial fatigue loading histories. PDMR begins by seeking the maximum possible distance (or range) between any two points in the equivalent stress/strain space over a given fatigue loading history, while also identifying the associated loading path-length. The process continues recursively until each loading path has been counted. PDMR then collects the cycles calculated and the associated path-lengths for subsequent calculations of the fatigue damage. The effectiveness of the PDMR method has been validated by its ability to correlate a large amount of fatigue data. In a computerized PDMR calculation, most of the central processor unit’s (CPU) time is spent searching for the maximum range. While a brute-force search is the simplest to implement, and will always find a solution if it exists, its cost, in many practical problems, tends to grow very quickly as the size of the loading spectrum increases with O(n2) time complexity, where n is the number of spectrum data points. In this paper, Andrew’s monotone chain algorithm, a sophisticated and reliable convex hull algorithm is implemented into the PDMR to reduce the solution time. Like the widely used angular Graham Scan sort, Andrew’s monotone chain runs in O(n log n) time due to the merge-sort approach. The Rotating Caliper algorithm, which is another computational algorithm for quickly determining all antipodal pairs of vertices on a predetermined convex hull, is also introduced. Several examples have clearly demonstrated that these algorithms can be used in combination to significantly decrease the execution time for the PDMR in engineering fatigue analysis and design.
APA, Harvard, Vancouver, ISO, and other styles
7

Ettema, Roelof, Goran Gumze, Katja Heikkinen, and Kirsty Marshall. "European Integrated Care Horizon 2020: increase societal participation; reduce care demands and costs." In CARPE Conference 2019: Horizon Europe and beyond. Universitat Politècnica València, 2019. http://dx.doi.org/10.4995/carpe2019.2019.10175.

Full text
Abstract:
BackgroundCare recipients in care and welfare are increasingly presenting themselves with complex needs (Huber et al., 2016). An answer to this is the integrated organization of care and welfare in a way that personalized care is the measure (Topol, 2016). The reality, however, is that care and welfare are still mainly offered in a standardized, specialized and fragmented way. This imbalance between the need for care and the supply of care not only leads to under-treatment and over-treatment and thus to less (experienced) quality, but also entails the risk of mis-treatment, which means that patient safety is at stake (Berwick, 2005). It also leads to a reduction in the functioning of citizens and unnecessary healthcare cost (Olsson et al, 2009).Integrated CareIntegrated care is the by fellow human beings experienced smooth process of effective help, care and service provided by various disciplines in the zero line, the first line, the second line and the third line in healthcare and welfare, as close as possible (Ettema et al, 2018; Goodwin et al, 2015). Integrated care starts with an extensive assessment with the care recipient. Then the required care and services in the zero line, the first line, the second line and / or the third line are coordinated between different care providers. The care is then delivered to the person (fellow human) at home or as close as possible (Bruce and Parry, 2015; Evers and Paulus, 2015; Lewis, 2015; Spicer, 2015; Cringles, 2002).AimSupport societal participation, quality of live and reduce care demand and costs in people with complex care demands, through integration of healthcare and welfare servicesMethods (overview)1. Create best healthcare and welfare practices in Slovenia, Poland, Austria, Norway, UK, Finland, The Netherlands: three integrated best care practices per involved country 2. Get insight in working mechanisms of favourable outcomes (by studying the contexts, mechanisms and outcomes) to enable personalised integrated care for meeting the complex care demand of people focussed on societal participation in all integrated care best practices.3. Disclose program design features and requirements regarding finance, governance, accountability and management for European policymakers, national policy makers, regional policymakers, national umbrella organisations for healthcare and welfare, funding organisations, and managers of healthcare and welfare organisations.4. Identify needs of healthcare and welfare deliverers for creating and supporting dynamic partnerships for integrating these care services for meeting complex care demands in a personalised way for the client.5. Studying desired behaviours of healthcare and welfare professionals, managers of healthcare and welfare organisations, members of involved funding organisations and national umbrella organisations for healthcare and welfare, regional policymakers, national policy makers and European policymakersInvolved partiesAlma Mater Europaea Maribor Slovenia, Jagiellonian University Krakow Poland, University Graz Austria, Kristiania University Oslo Norway, Salford University Manchester UK, University of Applied Sciences Turku Finland, University of Applied Sciences Utrecht The Netherlands (secretary), Rotterdam Stroke Service The Netherlands, Vilans National Centre of Expertise for Long-term Care The Netherlands, NIVEL Netherlands Institute for Health Services Research, International Foundation of Integrated Care IFIC.References1. Berwick DM. The John Eisenberg Lecture: Health Services Research as a Citizen in Improvement. Health Serv Res. 2005 Apr; 40(2): 317–336.2. Bruce D, Parry B. Integrated care: a Scottish perspective. London J Prim Care (Abingdon). 2015; 7(3): 44–48.3. Cringles MC. Developing an integrated care pathway to manage cancer pain across primary, secondary and tertiary care. International Journal of Palliative Nursing. 2002 May 8;247279.4. Ettema RGA, Eastwood JG, Schrijvers G. Towards Evidence Based Integrated Care. International journal of integrated care 2018;18(s2):293. DOI: 10.5334/ijic.s22935. Evers SM, Paulus AT. Health economics and integrated care: a growing and challenging relationship. Int J Integr Care. 2015 Jun 17;15:e024.6. Goodwin N, Dixon A, Anderson G, Wodchis W. Providing integrated care for older people with complex needs: lessons from seven international case studies. King’s Fund London; 2014.7. Huber M, van Vliet M, Giezenberg M, Winkens B, Heerkens Y, Dagnelie PC, Knottnerus JA. Towards a 'patient-centred' operationalisation of the new dynamic concept of health: a mixed methods study. BMJ Open. 2016 Jan 12;6(1):e010091. doi: 10.1136/bmjopen-2015-0100918. Lewis M. Integrated care in Wales: a summary position. London J Prim Care (Abingdon). 2015; 7(3): 49–54.9. Olsson EL, Hansson E, Ekman I, Karlsson J. A cost-effectiveness study of a patient-centred integrated care pathway. 2009 65;1626–1635.10. Spicer J. Integrated care in the UK: variations on a theme? London J Prim Care (Abingdon). 2015; 7(3): 41–43.11. Topol E. (2016) The Patient Will See You Now. The Future of Medicine Is in Your Hands. New York: Basic Books.
APA, Harvard, Vancouver, ISO, and other styles
8

Chanden, Mysore Chandrashekar, J. S. Aadithyaa, P. S. Prakash, and Haridas Bharath. "Machine learning for building extraction and integration of particle swarm optimization with sleuth for urban growth pattern visualization for liveable cities." In 55th ISOCARP World Planning Congress, Beyond Metropolis, Jakarta-Bogor, Indonesia. ISOCARP, 2019. http://dx.doi.org/10.47472/pukd9844.

Full text
Abstract:
Rapidly increasing population and migration from rural areas to nearby urban agglomerations develop tremendous pressure on system of the existing cities without compromising socioeconomic and cultural linkages. Policy interventions, both at global and local scale, have created newer avenues for the researchers to explore real-time solutions for problems world-wide. For instance, the outcome of 2015 United Nations agenda for the achievement of the Sustainable Development Goals (SDGs) by the year 2030 primarily focuses on urbanization issues and probabilistic modelling of future scenarios to obtain a robust alternative for resource utilization and further for maximizing sustainability through land use pattern analysis. This is the clear indication toward the very important role of “ever dormant” urban planning, especially in the case of a rapidly developing country such as India. Remote sensing and geo informatics along with Machine learning can provide extremely relevant information about the pattern change in cities and as input to visualize the future growth pockets. In this context, potential of cellular automata (CA) in urban modelling has been explored by various researchers across the globe. In the recent past, models have been drawing majority of the attention along with geographic CA processes about urban growth and urban sprawl studies. Most recent approaches include optimization of transition rules based on machine learning techniques and evolutionary algorithms that follow nature-inspired mechanism such as Genetic Algorithm, Ant colony optimization, Particle Swarm Optimization (PSO), simulated annealing, Grey Wolf optimizer etc. Irrespective of any modelling technique, model calibration remains one of the challenging and most crucial steps towards obtaining realistic results. This research communication tries to demonstrate a novel idea of integrating PSO with SLEUTH post calibration of the spatial-temporal footprint of urban growth from the year 1990 to 2017 for Kolkata, a historical megacity of Eastern India. Results were evaluated and validated using statistical fit measuresreveals PSO-SLEUTH performed substantially better compared to traditional Brute Force calibration method (BFM). Another significant development was in terms of computation time of optimized values from days (BFM) to hours (PSO). The study identifies Kolkata region to be sensitive to spread and road gravity coefficients during calibration procedure. Results indicate growth along the transport corridors with multiple agents fuelling the growth. Further, with the aid of high spatial resolution data, buildings were extracted to understand the growth parameters incorporating neural networks. Using the results, renewable energy aspects were explored to harness and provide a suitable local solution for energy issues in energy gobbling cities. Pattern of landscape change, development of better process of modeling and extraction of building from machine learning techniques for planning smart cities with self-sustaining energy is presented in this research work.
APA, Harvard, Vancouver, ISO, and other styles

Reports on the topic "Bruce (County)"

1

Wallace, Janae, Trevor H. Schlossnagle, Hugh Hurlow, Nathan Payne, and Christian Hardwick. Hydrogeologic Study of the Bryce Canyon City Area, Including Johns and Emery Valleys, Garfield County, Utah. Utah Geological Survey, 2021. http://dx.doi.org/10.34191/ofr-733.

Full text
Abstract:
Groundwater resources development and the threat of future drought in Garfield County, southwestern Utah, prompted a study of groundwater quality and quantity in the environs of Bryce Canyon National Park and Bryce Canyon City in Johns and Emery Valleys. Water quality, water quantity, and the potential for water-quality degradation are critical elements determining the extent and nature of future development in the valley. The community of Bryce Canyon City is an area of active tourism and, therefore, of potential increase in growth (likely from tourism-related development). Groundwater exists in Quaternary valley-fill and bedrock aquifers (the Tertiary Claron Formation and Cretaceous sandstone). Increased demand on drinking water warrants careful land-use planning and resource management to preserve surface and groundwater resources of Johns and Emery Valleys and surrounding areas that may be hydrologically connected to these valleys including Bryce Canyon National Park.
APA, Harvard, Vancouver, ISO, and other styles
2

Larson, Thomas K. Results of an Intensive Cultural Resource Inventory in the Boyer Bend Area, Brule County, South Dakota. Defense Technical Information Center, 1995. http://dx.doi.org/10.21236/ada302369.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

Full text
Abstract:
As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
APA, Harvard, Vancouver, ISO, and other styles
4

Geomorphic response to channel modifications of Skuna River at the State Highway 9 crossing at Bruce, Calhoun County, Mississippi. US Geological Survey, 1994. http://dx.doi.org/10.3133/wri944000.

Full text
APA, Harvard, Vancouver, ISO, and other styles
We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!

To the bibliography