Oyuncu gerekmemektedir. Sahne, oyunun başından sonuna kadar boş kalacaktır; tek istisna, yaratacağı çarpıcı gölgelerden faydalanılabilecek olan kürsüdür. Oyun başlamak üzereyken, hem sahneye, hem de salona, mutlak karanlık hâkim olmalıdır (ışıklı giriş-çıkış tabelaları kapatılmalı ve salona hiçbir ışık süzmesinin girmemesi için gereken bütün önlemler baştan alınmalıdır.) Mutlak Karanlık esnasında Mutlak Sessizlik sağlanmalı ve izleyicilerin tahammül sınırlarının sonuna kadar korunmalıdır. İzleyiciler bu durumdan rahatsız olup, kıpırdanmaya başladıkları an, bir metronom sesi duyulur (pianississimo'dan forte'ye). Metronom sesini duyan izleyici, yeniden sessizleşir. Metronom sesi, izleyicilerin duyabilmek için kulaklarını zorlamalarını gerektirecek kadar alçalır. Salona yeniden mutlak sessizlik ve karanlık hâkim olur.
This article describes the special needs of the critically ill morbidly obese, with a focus on the care of the postoperative obesity surgery patient. The technique of surgery is described elsewhere in this journal. Details of nursing care complicated by obesity are discussed. Environment of care modifications required for routine care of the morbidly obese in critical care are detailed. Pharmacokinetic factors to be considered are reviewed. A case study is presented to coalesce concepts presented.
Why are the Melanesian states of Fiji, Papua New Guinea, Solomon Islands and Vanuatu experiencing considerable civil unrest and, in this respect, why are they so different from the other small island states of the Pacific region? It is argued that while, like the other Pacific island countries, they have had poor economic growth and high birth rates, they do not have easy emigration to high‐income countries. Therefore, they have large pools of under‐employed people. Other distinguishing characteristics are their richness in natural resources and weak central governments relative to local‐level power structures. The civil unrest derives from competition for the natural resources in an environment of weak states and hence poorly defined and enforced property rights, and moreover, the large pool of under‐employed provides ample scope for the creation of grievances to back up the claim for the resources. One message for donor nations is that the provision of compensation to settle the grievances will likely only generate further grievances and not resolve the basic problem.
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