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Discontinuity and disaster: Gaps and the negotiation of culpability in medication delivery

This paper shows how discontinuities in the process of drug delivery enable but also underdetermine the isolation of a culprit in adverse medication events. A case example illustrates how we are forced to abandon conceptualizations of blame that assume a dichotomy (either culpable or not), and shift instead to a more nuanced version that estimates the degree to which an actor desired, generated, o

Dynamic Fetal and Placental Circulatory Changes during Uterine Contractions

Popular Abstract in Swedish Oxytocin-stresstestet (OST) introducerades för mer än 30 år sedan som ett kliniskt test att bedöma moderkakans reservkapacitet att tillgodose fostrets behov av syre. Vid ett OST framkallas med hjälp av oxytocininfusion ett regelbundet ”värkarbete” i avsikt att imitera värkarbetet under förlossningen. Under livmodersammandragningarna stängs blodcirkulationen i livmodern The best mode of delivery for fetuses with intrauterine growth restriction (IUGR) and umbilical artery (UA) blood flow changes is not well elucidated. Uterine artery, fetal UA, middle cerebral artery (MCA), and venous blood flow changes during uterine contractions during an oxytocin challenge test (OCT) have not been observed systemically. AIMS: To evaluate outcome in IUGR with UA blood flow chang

The 21st Century Cockpit: iPad Related Activities and the Affected Cockpit JCS

In aviation, pilots engage in safety critical activities in the cockpit to guarantee a safe flight. Throughout history these activities have been transformed by introducing new artifacts in the cockpit, such as rules and technology, changing thereby the way in which pilots try to achieve safe flight outcomes. The recent introduction of the iPad in the cockpit of airlines, as part of the process of