640 research outputs found
Morbidity after elective resection of prenatally diagnosed asymptomatic congenital pulmonary airway malformations
No full textBackground/AimThe optimal management of prenatally diagnosed asymptomatic congenital pulmonary airway malformations (CPAM) is controversial. Since there is a paucity of data relating to surgical risks in this specific population, we reviewed our experience to further inform this controversy.MethodsEthically approved 10 year (2004–2013) retrospective review. Patients were included only if the CPAM was diagnosed prenatally and remained asymptomatic. Indication for surgery was physician recommendation and/or parental choice.Main resultsSixty patients were identified. Median age at surgery was 6.5 months (range 65 days to 9.6 years). Resections were performed thoracoscopically (n = 51, one conversion) or by thoracotomy (n = 9). Surgical time was 2.5 hr (43 min to 4.75 hr). A chest drain was used in 58/60 and remained in situ 53 hr (23–108). There were no intra‐operative complications or blood transfusions. All patients were extubated at the end of the procedure with no re‐intubations. Post‐operative hospitalization was 73.4 hr (23.8 hr to 4.2 days). Overall, complications occurred in 14/60 (23%). Eleven were minor but three were major: tension pneumothorax associated with new presentation of a small previously undiagnosed diaphragmatic hernia 5 days following resection; aggressive fibromatosis of the chest wall in the region close to resection 2 years later; and near‐fatal hypovolemic cardiac arrest due to massive haemorrhage from a feeding vessel on postoperative day 7. There were no deaths and no cases of pleuropulmonary blastoma.ConclusionResection of prenatally diagnosed asymptomatic CPAM is associated with a significant risk of complications, which may be life threatening. These data contribute to a balanced discussion of risks and benefits for these children
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Correction for Langer and Le, Scaling confirmation of the thermodynamic dislocation theory
No full textCorrection for “Scaling confirmation of the thermodynamic dislocation theory,” by J. S. Langer and K. C. Le, which was first published November 9, 2020; 10.1073/pnas.2018647117 (Proc. Natl. Acad. Sci. U.S.A. 117, 29431-29434). The authors note that the affiliation for K. C. Le should instead appear as two separate affiliations: Materials Mechanics Research Group, Ton Duc Thang University, Ho Chi Minh City 729000, Vietnam; and Faculty of Civil Engineering, Ton Duc Thang University, Ho Chi Minh City 729000, Vietnam. The corrected author and affiliation lines appear below. The online version has been corrected
Christian-Jewish Encounter
No full textModerated by William McDonough, S.T.D., Associate Professor of Theology / Coordinator, M.A. in Theology Program, St. Catherine University Mary C. Boys, Ph.D.
Dean of Academic Affairs / Skinner and McAlpin Professor of Practical Theology, Union Theological Seminary
Mary C. Boys is dean of academic affairs and Skinner and McAlpin Professor of Practical Theology at Union Theological Seminary, New York City, where she has taught for twenty years, and is an adjunct faculty member of the Jewish Theological Seminary of America, also in New York City. She previously served for seventeen years on the faculty of Boston College. Having received her master\u27s and doctoral degrees from Columbia University in a joint program with Union Theological Seminary, Dr. Boys did advanced study at the Ecumenical Institute for Theological Research in Jerusalem, Israel, and received honorary doctorates from Hebrew Union College-Jewish Institute of Religion, Catholic Theological Union, Jewish Theological Seminary of America, and Gratz College. She is the author of six books, including Educating in Faith: Maps and Visions (1989), Has God Only One Blessing? Judaism as a Source of Christian Self-Understanding (2000), and Redeeming Our Sacred Story: The Death of Jesus and Relations between Jews and Christians (2013). She also has edited four books and published nearly 100 articles in scholarly and popular journals. A Seattle native, she has been a member since 1965 of the Sisters of the Holy Names of Jesus and Mary. Ruth Langer, Ph.D.
Professor of Jewish Studies / Associate Director, Center for Christian-Jewish Learning, Boston College
Ruth Langer is professor of Jewish studies in the theology department and associate director of the Center for Christian-Jewish Learning at Boston College. She received rabbinic ordination in 1986 and a Ph.D. in Jewish Liturgy in 1994 from Hebrew Union College - Jewish Institute of Religion in Cincinnati. The current chair of the Council of Centers on Christian-Jewish Relations, she has for many years been co-editor of the council’s electronic scholarly journal Studies in Christian-Jewish Relations. Dr. Langer is the author of many scholarly articles and book chapters and her own book Cursing the Christians? A History of the Birkat HaMinim (2011) combines her two major scholarly interests: the development of Jewish liturgy and Jewish-Christian relations. This volume traces the transformations of a Jewish prayer that was, in its medieval forms, a curse of Christians, from its putative origins in the early rabbinic period, through its censorship by the church, into an inoffensive prayer that asks God to rid our world of evil. Dr. Langer is also the author of To Worship God Properly: Tensions between Liturgical Custom and Halakhah in Judaism (1998), the co-editor of Liturgy in the Life of the Synagogue (2005)
The spectrum and management of noniatrogenic vascular trauma in the pediatric population
No full textThe Google Book search settlement: A law and economics analysis
No full textBeginning in December 2004 Google has pursued a new project to create a book search engine (Google Book Search). The project has released a storm of controversy around the globe. While the supporters of Google Book Search conceive the project as a first reasonable step towards unlimited access to knowledge in the information age, its opponents fear profound negative effects due to an erosion of copyright law. Our law and economics analysis of the Book Search Project suggests that – from a copyright perspective – the proposed settlement may be beneficial to right holders, consumers, and Google. For instance, it may provide a solution to the still unsolved dilemma of orphan works. From a competition policy perspective, we stress the important aspect that Google’s pricing algorithm for orphan and unclaimed works effectively replicates a competitive Nash-Bertrand market outcome under post-settlement, third-party oversight.Book Rights Registry; Competition Policy; Copyright; Fair Use; Google Book Search; Library Program; Orphan Works
Hegemonic femininities in the classroom
No full textIn this chapter the author explores the possibilities for a concept of hegemonic femininity, based around a more Gramscian conception of hegemony than that which has been developed from Connell’s groundbreaking research in this area. After outlining the problems associated with Connell’s original conception, she then proposes an alternative definition of hegemonic gender performance which could encompass both masculinities and femininities and also apply to children. Following this, the author considers how researchers have identified hegemonic masculinities and femininities in school settings and note that they have a good deal in common. She then explores in more detail her own research in two London schools, demonstrating again that, in school settings at least, hegemonic masculinities and femininities operate in parallel and contain many common features. (DIPF/Orig.
Preoperative diagnostic procedures in locally advanced rectal carcinoma (>= T3 or N+). What does endoluminal ultrasound achieve at staging and restaging (after neoadjuvant radiochemotherapy) in contrast to computed tomography?
No full textIntroduction. Neoadjuvant radiochemotherapy (neoRT/CT) in locally advanced rectal cancer requires an exact initial determination of the depth of the cancerous infiltration (T-status) and of locoregional lymph node metastasis (N-status). For staging and restaging, contrast-enhanced computed tomography (CT) is usually used. In specialised centers, the endorectal ultrasound (rES) may be preferred, Methods. Between January 1998 and May 2001,the T- and N-status of 102 patients with adenocarcinoma of the rectum ( greater than or equal toT3 or N+) was determined prospectively by rES and CT (group I: n=61 without neoRT/CT, examined once; group II: n=41 examined before and after neoRT/CT). All diagnostic findings were compared using the (y)pTNM-classification. Results. In the patients from group 1, the depth of infiltration (uT) was predicted correctly by rES in 75% and by CT in 48% of cases; the carcinomas were understaged in 10% and 41% of cases and overstaged in 15% and 11%, respectively. According to the histopathological findings,the N-status was determined correctly by rES and CT in 75% and 57% of cases, understaging occurred in 8% and 30% and overstaging in 17% and 13%, respectively. In cases in which both methods resulted in identical T- (uT+ctT) or N-staging (uN+ctN), the accuracy increased to 82% and 80%, respectively. In patients from group II, after neoRT/CT rES and CT allowed the exact prediction of the yuT-stage in 66% and 51%, respectively. Only 2% were understaged by rES (understaging by CT. 22%). Overstaging occurred in 32% and 27% by rES and CT, respectively. The N-status determined by rES and CT was in accordance with the histopathological findings in 68% and 76%of cases, respectively. Understaging occurred in 20% and 17%, overstaging in 12% and 7%, respectively. Again identical staging results in both rES and CT increased the accuracy of the T- (yuT+yctT) or N- (yuN+yctN) classification to 90% and 83%, respectively. In group II, downsizing of the tumor by more than one T-stage was correctly assessed by rES results in 15/20cases (75%). A complete remission of initial uT3-carcinoma was diagnosed correctly in only two of eight ypT0-cases. In contrast, CT demonstrated a remission of disease in all cases but was unable to predict the extent of tumour reduction. A remission of lymph node metastasis was accurately shown by rES in 17/19 cases (90%) and by CT in 10/12 cases (83%). Conclusion. The staging of pretherapeutic, locoregional T- and N-status by rES is superior to that by CT (T-status: P=0.0164, N-status: P=0.0035). At restaging, rES offers higher accuracy in the detection of residual tumour infiltration (but not significantly to CTyT-status: P=0.0833, yN-status: P=0.7962) and assessment of local remission. Therefore rES should be the method of choice in staging to avoid overtreatment in neoadjuvant settings. After neoRT/CT, the predictive efficacy of the rES for the downsizing/-staging of rectal cancer must be evaluated on greater numbers of patients receiving standardised diagnostic procedures and therapy
Election, Brotherhood and Inheritance: A Canonical Reading of the Esau and Edom Traditions
No full textWhat is the reader of the Bible to make of Esau, Jacob’s brother? Why is Israel’s neighbor Edom treated so harshly in the prophetic literature? And how might one understand the relationship of these traditions? This study engages these questions by offering a canonical reading of the Esau and Edom traditions of the Hebrew Bible in light of the theological issue of election, looking specifically at the portrayal of Esau and Edom in Genesis, Deuteronomy, and the prophetic material. First, it is argued that the depiction of Esau in Genesis is, on the whole, positive. Though the unchosen son, Esau is blessed and responds well to the challenges life presents him with. Thus, the unchosen brother is by no means cursed or excluded from the divine economy. These motifs find resonance in Deuteronomy, which in particular construes the issue of land possession in explicitly theological language, while reinforcing the kinship motif. Second, it is put forward that Edom is portrayed negatively by the prophets for violating a relationship of brotherhood, and for disrespecting the divine apportioning of the lands. It is this twofold rejection of their brother Israel as well as YHWH who has appointed the lands that helps account for the harsh message of the prophets. And third, it is suggested that these two traditions have resonance with one another based on their overarching theological concerns, heuristically labeled brotherhood and inheritance. Returning to the issue of election, it is proposed that these themes may helpfully be understood within the theological categories of divine initiative and human response, as the response of those involved is taken up in YHWH’s own responsiveness, whether in blessing or judgment
Zo meet je de waarde van sociale investeringen
No full textWat leveren investeringen in de zachte, sociale kant van gebiedsontwikkeling op? Deze vraag houdt ontwikkelaars, gemeenten en beleggers al langer bezig. Een antwoord is te vinden via de capability-benadering. Hierbij staan niet de kwantitatieve fysieke functies centraal, maar de kwalitatieve mate waarin mensen in staat zijn deze te gebruiken.Practice Chair Urban Area Developmen
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