Browsing by Subject "death"
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- ItemOpen AccessMedicine and the Arts Week 5 - Seeing and living with dementia(2015-01-21) Dowling, FinualaIn this video, writer and poet Finuala Dowling introduces and read six short poems that are taken from her anthology ‘Notes from the Dementia Ward’. This is the second video in Week 5 of the Medicine and the Arts Massive Open Online Course.
- ItemOpen AccessMedicine and the Arts Week 6 - Death and the corpse(2015-01-21) Levine, SusanIn this video, Associate Professor Susan Levine introduces the topic of death and the corpse. She outlines how a multi-disciplinary approach will be used to address questions related to the topic and introduces the guest educators who will feature in subsequent videos: Professor Lorna Martin, a forensic pathologist. Professor Deborah Posel, a prominent sociologist. And Kathryn Smith, a fine and forensic artist from Stellenbosch University. This is the first video in Week 6 of the Medicine and the Arts Massive Open Online Course.
- ItemOpen AccessMedicine and the Arts Week 6 - Dicing with death(2015-01-21) Martin, LornaWarning: this video contains images from a real autopsy procedure. Lorna Martin, a forensic pathologist, talks about the forensic scientist’s work with human corpses and describes in some detail the standard procedure for dissecting and documenting a corpse. This is the fifth video in Week 6 of the Medicine and the Arts Massive Open Online Course.
- ItemOpen AccessMedicine and the Arts Week 6 - Forensic aesthetics(2015-01-21) Smith, KathrynIn this video, Kathryn Smith, a forensic artist, presents a philosophical exploration of photography, truth, evidence and indexicality as each one intersects with the corpse. In terms of photographing the dead as a forensic artist, Kathryn describes how she sees capturing the face in death as a way of giving respect and identity to a corpse. This is the third video in Week 6 of the Medicine and the Arts Massive Open Online Course.
- ItemOpen AccessMedicine and the Arts Week 6 - In dialogue about the corpse(2015-01-21) Levine, Susan; Posel, Deborah; Smith, Kathryn; Martin, LornaIn this video, Susan Levine reflects on how each of the three speakers in previous videos used their different perspectives to address the topic of death and the corpse and poses additional questions to them. Lorna is asked about her interaction with the families of the deceased. Deborah is asked to elaborate on the concept of 'discipline'. Kathryn is asked how her work interfaces with art presentation and representation. This is the sixth video in Week 6 of the Medicine and the Arts Massive Open Online Course.
- ItemOpen AccessMedicine and the Arts Week 6 - The discipline of death(2015-01-21) Posel, DeborahIn this video, Deborah Posel, a sociologist, explores the journey taken by medical professionals as they become familiar with the intimate details of death and dying. She considers how medical students explore the corpse in order to reveal its mysteries and develop their knowledge of the body with the ultimate goal of preserving life. This is the fourth video in Week 6 of the Medicine and the Arts Massive Open Online Course.
- ItemOpen AccessMedicine and the Arts Week 6 - The sociology of death(2015-01-21) Posel, DeborahIn this video, sociologist Deborah Posel, discusses the philosophical implications of death, arguing that death is integral to what we understand by "life". She also discusses the symbolic investment in death in human societies and what the treatment of death can tell is about how societies function. She also focuses on how the corpse is used as a powerful, paradoxical, and sometimes taboo representation of both life and death. This is the second video in Week 6 of the Medicine and the Arts Massive Open Online Course.
- ItemOpen AccessWhy, how and when do children die in a Paediatric Intensive Care Unit (PICU) in South Africa?(2020) Wege, Martha Helena; Morrow, Brenda; Rossouw, Beyra; Argent, AndrewObjectives: To describe the characteristics of children who died and their modes of dying in a South African Paediatric Intensive Care Unit (PICU). Design: Retrospective review of data extracted from the Child Healthcare Problem Identification Programme (Child PIP)and the PICU summary system (admission and death records) on children of any age who died in the PICU between 01 January 2013 and 31 December 2017. Setting: Single-centre tertiary institution. Patients: All children who died during PICU admission were included. Measurements and Main Results: Four-hundred and fifty-one (54% male; median (IQR) age 7 (1-30) months) patients died in PICU on median (IQR) 3 (1-7) days after PICU admission; 103 (22.8%) had a cardiac arrest prior to PICU admission. Mode of death in 23.7% (n=107) was withdrawal of life sustaining therapies; 36.1% (n=163) died after limitation of life sustaining therapies; 22.0% (n=99) died after failed resuscitation and 17.3% (n=78) were diagnosed brain dead. Ultimately, 270 (60%) children died after the decision to limit or withdraw life sustaining therapies. There was no difference in the number of deaths during office and after-hours periods (45.5% vs. 54%; p = 0.07). Severe sepsis (21.9%) was the most common condition associated with death, followed by cardiac disease (18.6%).Ninety-four (20.8%) patients were readmitted to the PICU within the same year; 278 (61.6%) had complex chronic disorders. During the last phase of life, 75.0% (n=342) were on inotropes, 95.9% (n=428) were ventilated, 12.0% (n=45) received inhaled nitric oxide and 10.8% (n=46) renal replacement therapy. Only 1.5% (n=7) of children became organ donors and postmortems were done in 47.2% (n=213) of the patients. Conclusions: Most PICU deaths occurred after a decision to limit or withdraw life-sustaining therapy. Severe sepsis was the most common condition associated with death. Referral for organ donation was extremely rare.