1,354,154 research outputs found
Radical hysterectomy for recurrent or persistent cervical cancer following radiation therapy
No full textDinamika Resistensi Subtil Terhadap Penyerobotan Sawit: Studi Terhadap Masyarakat Maneo Seram Utara, Maluku Tengah
No full textThis article analyzes the discontent of the Maneo people of North Seram against Nusaina, a palm oil company that operates on their custom (adat) territory. Nusaina obtained land for its operation in Seram through various cunning schemes, deceiving the Maneo people into agreeing to lease their land by exploiting their lack of access to legal assistance. The uneasy relationship that has unfolded ever since has led to perpetual and subtle tension between Maneo and Nusaina. The situation that the Maneo find themselves in is illustrative of that of many indigenous Austronesians. Although the traditional norm among Austronesian societies dictates that earlier arriving groups are to be ranked higher, the expansion of extractive capitalism has disrupted this. The presence of extractive corporates has created a situation where Austronesian indigenous societies are losing access to their traditional land and resources. In resisting potentially devastative changes brought about by Nusaina, the Maneo incorporate symbols that associate their people with the land and assert the traditional order of precedence
Morality and community in Maneo, Seram, Indonesia.
No full textThe study examines processes of community formation. Specifically, it focuses on how people in small-scale, relatively isolated communities manage to negotiate the differences and conflicts between them in the absence of local authority structures and institutions for dispute resolution. The research centers on the Maneo, a group composed of about 1000 persons divided between six permanent villages and a number of widely scattered, smaller settlements on the eastern Indonesian island of Seram. The Maneo are relatively mobile; their economy is largely based on subsistence hunting and foraging, although many now also raise cloves. Settlement, though, is less determined by economy than by structural processes and related social practices. Maneo settlements are mostly composed of core (male) sibling groups. This pattern emerges from a system of marriage payment exchanges, the completion of which results in the patrilocal residence of the couple and the patrilateral recruitment of offspring to the father's clan and line of descent. Cooperation in mobilizing payments is essential. Yet the study finds that mutual assistance among brothers--who might be expected to support one another given cooperation in other areas of activity--is limited. The lack of cooperation is traced to structural contradictions that both unite and divide brothers and their descendants. But the continued co-residence of brothers raises more fundamental questions concerning the moral basis of their interaction and the moral basis of community. Evidence collected from marriage case studies and from interviews and observations of various disputes, challenges assumptions about the normative basis of morality. Instead, drawing on a model of morality derived from pragmatics and psychology, analysis focuses on relational identities, narratives, and deliberation. Although there is considerable movement into and out of various Maneo settlements, the model presented here sheds light on how it is possible for members of communities to negotiate at least some of the potential conflicts that divide them. The data for the study was collected over twenty months of field work between June, 1992 and February, 1994.PhDAsian historyCultural anthropologySocial SciencesSocial structureUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/129855/2/9635528.pd
Randomized study comparing classII vs class III radical hysterectomy in early cervical cancer.
No full textParametric HBIM Procedure for the Structural Evaluation of Heritage Masonry Buildings
No full textIn the architecture, engineering and construction sectors, Building Information Modeling (BIM)‐based procedures have become adopted more and more. In fact, the development of suitable BIM models facilitates the management of the design and construction phases and improves the efficiency of the maintenance policies during the life cycle of the building. Although the BIM method is mostly implemented in the building industry for new constructions, in recent years, the deployment of this technology has also attracted increasing attention for existing structures to rebuild their geometry and gather relevant data, especially for historical buildings; in this case, we refer to Heritage BIM (HBIM). A HBIM procedure requires a multidisciplinary approach involving not only historical, conservation, and restoration considerations but also suitable maintenance and repair plans, duly balancing the structural needs with the preservation of the historical value of the building and its content. Although the integration of the structural assessment in the HBIM process would be highly beneficial, its practical implementation is often in the early stages. In the paper, an original parametric procedure for the assessment of existing masonry buildings is proposed in the BIM environment. The procedure combines E‐PUSH, a software program for the structural analysis of masonry structures under seismic and non‐seismic actions with an appropriate BIM approach, so improving the management of gathered data through cognitive phases. The assessment process is, thus, simplified since data required for the structural analysis are directly retrieved from the BIM model, and the structural analyses and verifications are performed without using external programs. The proposed BIM workflow is finally illustrated and discussed referring to a relevant case study, the seismic vulnerability assessment of the “Bernardo Rucellai” school in Florence (Italy)
120.[Nuclear Magnetic Resonance Imaging in the staging of adenocarcinoma of the uterine cervix].
No full text
La Risonanza Magnetica Nucleare nella stadiazione dell'adenocarcinoma della cervice uterina
No full textClinical staging is often inaccurate in the evaluation of local extension of cervical carcinoma. In the present study the sensivity of MR imaging in predicting extracervical tumor invasion on the basis of the detection of a thinning of the univolved cervical stromal ring (3 mm or less) was compared to the sensivity achieved by direct visualization of a complete stomal interruption. Fifteen consecutive patients with adenocarcinoma of the uterine cervix (FIGO stage Ib-IIa), were examined with axial and sagittal weighed MR sequences. Pathologic proof after hysterectomy was obtained in all subjects. The sensitivity in predicting extracervical involvement on the basis of the MR Imaging visualization of a thinned stroma was 83%, whereas the sensitivity obtained by detection of a complete stromal interruption was 50%. Among women with a spared cervical stroma of more than 3 mm at MR Imaging, only one had at pathologic examination microscopic metastasis in a parametrial lymphnode, accounting for a negative predictivity value of 87%. The results of our study points out a high concordance between MR Imaging findings and pathologic results, and indicate that the detection of a intact cervical stromal ring exceeding 3 mm at MR imaging is related to a very low risk of extracervical seeding of tumor. On the other side, the detection of a thinned stromal ring is related to a high incidence of parametrial invasion. The information obtained by this imaging technique may therefore be extremely useful in the accurate tailoring of treatment for these patients
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