No abstract
A 53-year-old man with previous aortic valve surgery presented with paroxysmal narrow complex tachycardia, induced by exercise. His PR interval was greater than 400 ms when in sinus rhythm and atrioventricular nodal reentry tachycardia (AVNRT) was diagnosed with invasive electrophysiological studies. Single echoes were repeatedly inducible with single-paced extrastimuli. Cryotherapy was then used to ablate the fast pathway using single echoes to monitor anterograde slow pathway and retrograde fast pathway function during ablation.
The Delphi Method has been applied to a wide variety of predictive and consensus building problems in the West. It has achieved mixed success in its ‘native’ environment. This paper reports on the successful use of the Delphi by an interdisciplinary, international team of English‐speaking consultants in an Arabic‐speaking country, politically dominated by a centralist regime. In the sixth year of the Iran‐Iraq war, a group of international consultants proceeded with the development of a master plan for the development of the City of Baghdad, the Greater Baghdad Area and Central Iraq. Work on the plan had begun in 1982 but had been slowed by the war and its effect on the Iraqi economy, a lack of consensus on the part of the Iraqi government and a substantial degree of uncertainty in the government's confidence in the consulting team's perceptions. An accelerated form of the Delphi was structured and applied over a period of three weeks, employing high ranking members of the Iraqi technocracy. The results indicated a good degree of consensus on a number of material issues. The consultants obtained a clearer picture of the client's desires, and the client was left with greater confidence in the consultant's perceptions of the planning problems and solutions. There was a notable reduction in the level of uncertainty and disagreement among both Iraqi and expatriate members of the planning team. Finally, there was an increased acceptance of the resulting master plan due to the demonstrable participation of senior government officials in its formulation and the credibility they attached to the process of the Delphi. At the time of writing, the plan has been accepted by the government of Iraq.
Children are considered not to be full members of society and that their participation should be limited. Further, that this limitation is imposed by adults. In order to counter these views it is key to afford space for children s voices and that these are facilitated in some way. Philosophy with Children, in all its variety of approaches and practices, lays claim to being a tool that allows children to develop the skills necessary for citizenship such as participation and airing their views. This chapter focuses on the role of Community of Philosophical Inquiry (CoPI), a specific method of practical Philosophy with Children, to empower children and give them a voice. CoPI has a series of distinctive features that makes it especially apt in meeting this goal. Children are able to articulate their views on a particular topic and this is supported by the structure of the dialogue itself. In addition, their statements must build on previous statements by demonstrating dis/agreement and the participants must provide reasons to justify that dis agreement The method thereby emphasises the primacy of the children s thinking and the facilitator works to juxtapose speakers in order to drive the dialogue further philosophically. In this chapter, these features of CoPI are illustrated by examples from dialogues on the Good Life, stimulated by the question "What kind of society would you like to live in?" CoPI is shown to give children voice with a view to promoting their participation in society while also eschewing the imbalance in the adult/child power relationship as questions regarding the good life ultimately invite us to reconsider our views of children.
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