In Browder, 'care' is mentioned over 150 times!

OK - so now you're teasing ...

'Surgery theory investigates the homotopy types of manifolds, using a combination of algebra and topology. It is the aim of these notes to provide an introduction to the more algebraic aspects of the theory, without losing sight of the geometric motivation.' Ranicki, 2001. 

'IV. Surgery and the Fundamental Theorem

In this chapter we develop the techniques of surgery for constructing normal cobordisms and use them to prove the Fundamental Theorem. The ideas of surgery have their origins in the theory of 2-manifolds, in the process of "cutting off handles", and in general, in the theory of Marston Morse of non-degenerate critical points of differentiable functions.' Browder, 1972.

In Browder, care is mentioned over 150 times!

'Poincaré' that is.

individual

|

INTERPERSONAL : SCIENCES

humanistic -------------------------------------------  mechanistic

SOCIOLOGY : POLITICAL

|

group-population

	'The Classifying Spaces for Surgery and Cobordism of Manifolds'
Try to - follow the language* ...	"Follow the money!"

Ranicki, A. (2001) An introduction to algebraic surgery. Surveys on Surgery Theory, Volume 2, edited by Sylvain Cappell, Andrew Ranicki and Jonathan Rosenberg, Princeton: Princeton University Press, 2001, pp. 81-164. https://doi.org/10.1515/9781400865215-005

Browder, W. (1972) Surgery and the Fundamental Theorem. In: Surgery on Simply-Connected Manifolds. Ergebnisse der Mathematik und ihrer Grenzgebiete, vol 65. Springer, Berlin, Heidelberg.

https://doi.org/10.1007/978-3-642-50020-6_4

Madsen, I. H., and Milgram, R.J., (1979) The Classifying Spaces for Surgery and Cobordism of Manifolds. Princeton University Press.

Image: https://m.media-amazon.com/images/I/41THEeVvpdL.jpg

*concepts!

Under the SSKIN

Since W2tQ started almost 15 years ago a collection of 250 draft posts have gathered (virtual dust). Many are probably empty - half-baked ideas - with no clear title (reminder - of the contents).

In nursing there are (thankfully) constant reminders, one being: the need to strike a balance between the person, being least restrictive, assumed mental capacity, best interests and high quality care delivery.

Revisiting the threshold concepts, h2cm and deprivation of liberty safeguarding draft paper brings recollection of a draft post and the lesson:

In many nursing situations you cannot assess what you cannot see.

In Nursing Times 29.11.11 a Nursing Practice comment item was titled:

“Compulsory training would help every HCA spot moisture lesions” 

Denise Elson, points to the SKIN (Surface, Keep moving, Incontinence and Nutrition) bundle as a set of very useful principles, and further refined to SSKIN:

SSKIN - Surface: Skin inspection: Keep moving: Incontinence: Nutrition

The Tissue Viability use the principle of SSKIN:

• Surface: make sure you're on a supportive surface 
• Skin inspection: check it isn't discoloured or sore 
• Keep moving: change your position often 
• Incontinence: keep clean and dry 
• Nutrition: eat healthily and drink frequently ( https://www.plymouthhospitals.nhs.uk/tv-sskin )

As a reflective exercise, if needed, think about SSKIN within h2cm - Hodges' model. Not just the physical (SCIENCES) focus but how these relate to the INTRA-INTERPERSONAL, SOCIAL, POLITICAL and the SPIRITUAL. We will revisit this using h2cm.

On the blog's 15th anniversary 20th April, I'll also try and put some numbers together.

Whitlock, J., et al. (2011) Using the skin bundle to prevent pressure ulcers. Nursing Times; 107: 35, 20-23.

See also:
Tissue Viability Society

Scratching the surface: Optimization algorithms

... In healthcare ..? 

Well - yes,

we've definitely scratched the surface,

but not a sufficient number of surfaces,

and not necessarily the right ones 

in the right order...

individual

|

INTERPERSONAL : SCIENCES

humanistic --------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

My source:

An overview of #GradientDescent optimization #algorithms | @DataScienceCtrl https://t.co/bHrOnW03tk #AI #DataScience #DeepLearning #NeuralNetworks #abdsc pic.twitter.com/qKOMwNrF4l

— Duane Baker (@DBaker007) January 7, 2018

Lines, opposites and unity

"The point, then, is that lines join the opposites as well as distinguish them. And that precisely is the essence and function of all real lines and surfaces in nature. They explicitly mark off the opposites while at the same time time they implicitly unify them. For example, let's draw the line representing a concave figure, as follows: 

concave  )  (convex) 

But notice immediately that with the very same line I have also created a convex figure. This is what the Taoist sage Lao Tzu meant when he said that all opposites arise simultaneously and mutually." (p.25)

Wilber, K. (2001) No Boundary,  Eastern and Western Approaches to Personal Growth. Boston: Shambhala.

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