RESUMO
A preliminary report is presented by an international project team working on developing a model for a structured and holistic approach to companioning parishioners in the journey of formation in the Christian life. A holistic model involves working in three domains: positive psychology, spirituality, and personal and social ethics. Structure is provided by utilizing four self-assessment instruments to inform the work the pastor and the parishioner do together.
Assuntos
Cristianismo , Clero/psicologia , Amigos , Saúde Holística , Humanos , Internacionalidade , Modelos Teóricos , Assistência Religiosa , Espiritualidade , Inquéritos e QuestionáriosRESUMO
AIM: The purpose of this article is to present the results of a private cardiac surgical practice. This information could also serve as a hermeneutical text for new wisdom. METHODS: A personal database of 1 750 consecutive patients who had had coronary artery bypass graft (CABG) surgery was statistically analysed. Mortality and major morbidity figures were compared with large registries. Risk factors for postoperative death were determined. RESULTS: Over a period of 12 years, 1 344 (76.8%) males and 406 (23.2%) females were operated on. The observed mortality rate was 3.03% and the expected mortality rate (EuroSCORE) was 3.87%. After stepwise logistic regression, independent risk factors for death were urgency (intra-aortic balloon pump), renal impairment (chronic kidney disease, stage III), re-operation and an additional procedure. Apart from the 53 deaths, another 91 patients had major complications. CONCLUSION: Mortality and morbidity rates compared favourably with other international registries. Mortality was related to co-morbidities. This outcome contributes to a hermeneutical understanding focusing on new spiritual wisdom and meaning for the surgeon.
Assuntos
Ponte de Artéria Coronária , Hermenêutica , Prática Privada , Adulto , Idoso , Idoso de 80 Anos ou mais , Distribuição de Qui-Quadrado , Comorbidade , Ponte de Artéria Coronária/efeitos adversos , Ponte de Artéria Coronária/mortalidade , Bases de Dados Factuais , Feminino , Humanos , Tempo de Internação , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/mortalidade , Medição de Risco , Fatores de Risco , África do Sul , Fatores de Tempo , Resultado do TratamentoRESUMO
The electrochemistry of the salts, [emim]2[UBr6] and [emim]2[UO2Br4] ([emim] = 1-ethyl-3-methylimidazolium), has been investigated in both a basic and an acidic bromoaluminate(III) ionic liquid. In the basic ionic liquid, the hexabromo salt undergoes a one-electron reversible reduction process at a stationary glassy carbon disc electrode, while the tetrabromodioxo salt was reduced to a uranium(IV) species by an irreversible two-electron process with the simultaneous transfer of oxide to the ionic liquid. On the other hand, dissolution of either of the salts in an acidic bromoaluminate(III) ionic liquid resulted in the formation of the same electroactive species. The solid state structures of the uranium chloride salts, [emim]2[UCl6] and [emim]2[UO2Cl4], have previously been reported, but have now been re-evaluated using a new statistical model developed in our group, to determine the presence or absence of weak hydrogen bonding interactions in the crystalline state.
