110 research outputs found
Does one size fit all? An update on chronic ventilatory support in different respiratory illnesses
No full textHome noninvasive ventilation (HNIV) improves outcomes in different disease categories. In this article, we discuss indications for when and how to initiate HNIV in COPD, obesity hypoventilation syndrome (OHS) and neuromuscular disorders (NMD). While in COPD, significant diurnal hypercapnia and high-intensity HNIV are essential ingredients for success, in NMD and OHS, early respiratory changes are best detected during sleep through oxy-capnography associated (or not) with respiratory polygraphy. In COPD and OHS, it is crucial to consider the coexistence of obstructive sleep apnoea because treatment with continuous positive airway pressure may be the simplest and most effective treatment that should be proposed even in hypercapnic patients as first-line therapy. In NMD, the need for continuous HNIV and eventual switching to tracheostomy ventilation makes this group’s management more challenging. Achieving successful HNIV by improving quality of sleep, quality of life and keeping a good adherence to the therapy is a challenge, above all in COPD patients. In OHS patients, on top of HNIV, initiation of other interventions such as weight loss management is crucial. More resources should be invested in improving all these aspects. Telemonitoring represents a promising method to improve titration and follow-up of HNIV
Statement from the Early Career Member Committee (ECMC) Chair and Co-chair and introduction of the new ECMC members
No full textA apresentação dos membros do Comité de Membros "Early Career" da European Respiratory Society (ERS) por ser uma Comissão Científica de uma Sociedade Científica Europeia, representa um indicador de produtividade científica muito significativo para o ciTechCare e para o Politécnico de Leiria. Esta publicação é um reconhecimento da qualidade dos investigadores do Politécnico de Leiria (ciTechCare) e tem potencial elevado para a divulgação da atividade científica.The Early Career Member Committee (ECMC) of the European Respiratory Society (ERS) consists of a group of 14 ERS members below 40 years of age, who represent the interests of the Early Career Members (ECMs) from the assemblies. Each ECM representative has specific tasks within the ECMC, which have been presented in a previous issue of Breathe [1]. In 2020, Niki Ubags and Maxime Patout took up the position of Chair and Co-chair of the ECMC and two ECMs joined the Committee and became the ECM representatives for Assemblies 6 and 9. This article provides a statement from the ECMC Chair and Co-chair and introduces the two new members of the ECMC.info:eu-repo/semantics/publishedVersio
ERS international congress, Madrid, 2019: Highlights from the respiratory intensive care assembly
No full textThe Respiratory Intensive Care Assembly of the European Respiratory Society is delighted to present the highlights from the 2019 International Congress in Madrid, Spain. We have selected four sessions that discussed recent advances in a wide range of topics: from acute respiratory failure to cough augmentation in neuromuscular disorders and from extra-corporeal life support to difficult ventilator weaning. The subjects are summarised by early career members in close collaboration with the Assembly leadership. We aim to give the reader an update on the most important developments discussed at the conference. Each session is further summarised into a short list of take-home messages
A United Methodist Theology of Service
No full textA United Methodist theology of service is developed in the general context of United Methodist sacramental theology. Baptism, as a sign of covenant with God, marks the entry into a Christian life of service in the world. Holy Communion marks the continual nurturing of the Christian through the Holy Spirit in following the way of Jesus
THE CAUCHY PROBLEM FOR THE INFINITESIMAL MODEL IN THE REGIME OF SMALL VARIANCE
No full textWe study the asymptotic behavior of solutions of the Cauchy problem associated to a quantitative genetics model with a sexual mode of reproduction. It combines trait-dependent mortality and a nonlinear integral reproduction operator "the infinitesimal model" with a parameter describing the standard deviation between the offspring and the mean parental traits. We show that under mild assumptions upon the mortality rate m, when the deviations are small, the solutions stay close to a Gaussian profile with small variance, uniformly in time. Moreover we characterize accurately the dynamics of the mean trait in the population. Our study extends previous results on the existence and uniqueness of stationary solutions for the model. It relies on perturbative analysis techniques together with a sharp description of the correction measuring the departure from the Gaussian profile
“The Development of Mater Ecclesia in North African Ecclesiology”
No full textThe image of mater ecclesia became one of the most popular and enduring ecclesial metaphors during the patristic era. Since its introduction in the late second century, early Christian writers continuously employed mater ecclesia as an image characterizing the corporate identity of the church. This dissertation traces the development of the maternal metaphor in North African Christianity, where it was most frequently utilized. By examining how North Africans represented the church as a mother in light of their ecclesiological concerns, this dissertation demonstrates that the metaphor of mater ecclesia primarily functioned as a symbol for group membership and represented a tangibly discernable boundary, separating the saved from the damned. As such, this study concludes that the appellation of mater ecclesia, as developed in North African ecclesiology, was more polemical and exclusive in its meaning and function than previously considered. The implications of this, especially with regard to the disappearance of mater ecclesia in modern Catholic ecclesial discourse, are also discussed
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