58 research outputs found
MANAGEMENT OF LEPTOSPIROSIS WITH COMPLICATIONS - CASE REPORT
Get PDFLaporan kasus ini menyajikan seorang pria berusia 54 tahun dengan leptospirosis ikterik dan dugaan gangguan ginjal. Leptospira adalah bakteri penyebab leptospirosis, penyakit zoonosis yang sering terjadi selama musim banjir. Leptospirosis memiliki berbagai manifestasi klinis, dari gejala ringan seperti sakit kepala dan mialgia hingga bentuk berat yang dikenal sebagai sindrom Weil, ditandai dengan jaundice, gangguan ginjal, dan perdarahan. Indonesia memiliki insiden leptospirosis yang tinggi, menempati peringkat ketiga di dunia untuk angka kematian. Pasien, berasal dari daerah yang baru-baru ini terkena banjir, datang dengan keluhan utama demam naik-turun selama satu minggu, disertai sesak napas, ketidaknyamanan epigastrium, mual tanpa muntah, dan tinja berwarna teh. Riwayat medisnya termasuk hipertensi yang dikelola dengan amlodipine. Pemeriksaan fisik menunjukkan sklera ikterik dan tinea pedis. Tes laboratorium menunjukkan peningkatan kadar nitrogen urea darah, meskipun kreatinin serum normal, menunjukkan cedera ginjal akut yang memerlukan pemantauan lebih lanjut. Diagnosis leptospirosis didasarkan pada presentasi klinis dan riwayat paparan banjir. Pasien menerima terapi antibiotik dengan cefotaxime, serta agen gastroprotektif dan anti-inflamasi. Setelah lima hari pengobatan, ia menunjukkan perbaikan signifikan dan dipulangkan dalam kondisi stabil. Leptospirosis sering terjadi di daerah tropis dan berisiko tinggi bagi individu yang tinggal di daerah rawan banjir atau terpapar lingkungan yang mungkin terkontaminasi oleh urine tikus. Diagnosis dini dan terapi yang tepat sangat penting untuk mencegah komplikasi berat seperti gagal ginjal dan kematian. Leptospirosis adalah penyakit yang dapat dicegah dan diobati dengan diagnosis dini dan manajemen yang tepat. Perawatan medis dengan antibiotik dan perawatan suportif sangat penting untuk mencegah perkembangan penyakit yang parah
Successful Management of Complex Intestinal Tuberculosis with Ileal Perforation: A Case Report
Get PDFBackground: Intestinal tuberculosis (ITB) with ileal perforation represents a formidable challenge in the realm of extrapulmonary tuberculosis. This case report underscores the complexities inherent in managing such cases, highlighting the critical need for a multidisciplinary approach that integrates pharmacological and surgical interventions.
Case presentation: A 57-year-old male presented with a history of both pulmonary and intestinal tuberculosis, complicated by ileal perforation. He had previously undergone a six-month course of anti-tuberculosis treatment and a laparotomy for ileal perforation repair. The patient's current presentation included abdominal pain, nausea, and vomiting, indicative of obstructive ileus. Diagnostic assessments revealed elevated inflammatory markers and imaging confirmed partial obstructive ileus and active pulmonary tuberculosis. The patient was managed with extended anti-tuberculosis therapy and intravenous antibiotics, resulting in significant clinical improvement and enhanced quality of life.
Conclusion: This case report emphasizes the importance of early detection, comprehensive assessment, and individualized treatment plans in managing complex ITB cases. The successful outcome achieved in this case underscores the efficacy of a multidisciplinary approach that combines pharmacological and surgical interventions
The Encounter with Jesus Crucifed and Risen in the Soteriology of Sebastian Moore
No full textDegree awarded: Ph.D. Systematic Theology. The Catholic University of AmericaThe Encounter with Jesus Crucified and Risen in the Soteriology of Sebastian MooreTuan Le Quang, Ph.D.Director: William Loewe, Ph.D.Sebastian Moore, an English Benedictine monk of Downside Abbey, has written a series of books on soteriology: The Crucified Jesus Is No Stranger (1977), The Fire and The Rose Are One (1980), The Inner Loneliness (1982), Let This Mind Be in You (1985), and Jesus the Liberator of Desire (1989). In this series, Moore seeks to determine the dynamics of the transformative, salvific transformation that occurs in the encounter with Jesus crucified and risen. In successive chapters this dissertation offers a textual analysis of each of Moore's books. Each chapter unearths the philosophically and psychologically based theological anthropology and the Christology operative in the soteriology of each book and notes shifts that occur from book to book.Moore's approach to soteriology negotiates the turn to the subject of modern thought. His soteriology draws on Bernard Lonergan's explication of the realm of human interiority and integrates this with the work of a series of psychological theorists (C. Jung, E. Becker, A. Miller) and with insights drawn from the Christian contemplative traditions, thus forging a kind of interdisciplinary theology founded in spirituality. Moore seeks to understand the relationship between Jesus and the sinful human being and to identify and articulate the dynamics of healing and transformation in the one who encounters and accepts the Crucified into one's life.Moore probes how, in the encounter with Jesus crucified and risen, the individual is transformed into a new life. Plunged into death with Jesus, one is raised to a new life in the Body of Christ. One is brought by Jesus to the fullness of life in a new community, a new humanity with new identity, freedom and communion. Moore's soteriology urges a need to discover oneself in oneself and challenges the believer to experience the liberating and transforming power of the crucified and risen Jesus.Made available in DSpace on 2012-02-15T20:07:57Z (GMT). No. of bitstreams: 1
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Identifying the ozone-neutral aircraft cruise altitude
No full textDepletion of stratospheric ozone, and the associated increase in population exposure to UV radiation, is an environmental consequence of high-altitude, supersonic aviation. Assessments of the impacts of emissions from subsonic aircraft – which fly at lower altitudes – have instead shown that they produce a net increase, rather than decrease, in global net ozone, suggesting the existence of an intermediate “column ozone neutral” cruise altitude. Knowing this altitude and its variation with factors such as latitude, season, and fuel composition could provide a pathway towards reducing the environmental impacts of aviation, but would require a prohibitive number of atmospheric simulations. We instead use the newly developed GEOS-Chem tropospheric-stratospheric adjoint to identify the location of the column ozone-neutral aircraft cruise altitude as a function of these factors. We show that, although the mean ozone neutral altitude is at 13.5 km globally, this varies from 14.6 km to 12.5 km between the equator and 60°N. This altitude varies by less than a kilometer between seasons, but the net depletion resulting from flying at greater altitudes varies by a factor of two. We also find that eliminating fuel sulfur would result in a neutral altitude 0.5–1.0 km greater than when conventional jet fuel is burned. Our results imply that a low Mach number supersonic aircraft burning low-sulfur fuel (e.g. biofuels) may be able to achieve net zero global ozone change. However, for a fleet to achieve ozone neutrality will require careful consideration of the non-linear variation in sensitivity with altitude and latitude.Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Aircraft Noise and Climate Effect
Investigating Performer Uniqueness: The Case of Jascha Heifetz
No full textThis thesis is based on the conviction that the greatest musical performers of history can and should be granted the same level of academic scrutiny and study as is so often received by the greatest composers. Composers had the early advantage of producing durable manuscripts, while performers prior to the age of recording were unable to leave more than impressions in the minds of those who heard them. With the recent successes of numerous investigations into performance and recordings, including the CHARM and CMPCP projects, such studies are becoming ever more viable and significant.
The thesis focuses on the violinist Jascha Heifetz (1901-1987) and primarily his performances of the Bach solo violin works (BWV 1001-1006). While there have been studies of individual pieces, of particular performers, and of multiple recordings of the same piece, a study focussing on specific repertoire played by a specific performer is something that has been somewhat overlooked in the literature. The thesis draws on numerous methods to distil what is distinctive and unique about Heifetz. This includes an examination of what and how the performer played, why the performer played that way, and how that way of playing compares to other performers. The study concludes with a discussion of Heifetz’s unique performer profile in the context of violin performance history.
Focussing on one of the most famous and successful performing musicians of the twentieth century along with some of the most frequently played pieces, this case study will suggest research methods and approaches transferable to related studies. The thesis draws on original interviews with former Heifetz students, friends, and colleagues, and on over thirteen months of archival research in the Jascha Heifetz Collection held by the Library of Congress. This array of previously untapped material aided the analytical and empirical investigations into Heifetz’s uniqueness
From page to screen : placing hypertext fiction in an historical and contemporary context of print and electronic literary experiments
Get PDFOnly recently has our perception of the computer, now a familiar and ubiquitous element of
everyday life, changed from seeing it as a mere tool to regarding it as a medium for creative
expression. Computer technologies such as multimedia and hypertext applications have
sparked an active critical debate not only about the future of the book format, ("the late age
of print" {Bolter} is only one term used to describe the shift away from traditional print
media to new forms of electronic communication) but also about the future of literature.
Hypertext Fiction is the most prominent of proposed electronic literary forms and strong
claims have been made about it: it will radically alter concepts of text, author and reader,
enable forms of non-linear writing closer to the associative working of the mind, and make
possible reader interaction with the text on a level impossible in printed text.
So far the debate that has attempted to put hypertext fiction into a historical perspective
has linked it to two developments. Firstly the developments in computer technology that
made hypertext not only possible but also widely accessible and secondly a tradition of
postmodern theory, where characteristics attributed to hypertext echo concepts of
fragmentation, multiplicity and instability that theorists like Barthes and Derrida have
formulated previously and that have led to the notion of hypertext as an "authentic, yet
functional postmodern form" {Roberts}
A third element that is not generally subject to critical evaluation is the practice of
(post)modern writing in which a number of authors consciously break with the linearity of
print conventions in favour for a more fragmented narrative and presentation as well as
actively inviting the reader's participation in what Barthes calls "writerly" text. There are two
reasons why these "proto-hypertexts" have been widely ignored or dismissed: Hypertext is
still widely define as exclusive to the electronic realm and is furthermore generally
perceived in oppositional pairs in contrast to print, i.e. non-linear vs. linear and interactive
vs. passive, which conceptually does not leave room for a study of an "evolution" out of
existing forms of writing practice.
By examining hypertext fiction in a context of print experiments (Cortazar, Borges, B.S.
Johnson, Andreas Okopenko, Raymond Queneau, Miroslav Pavic, Italo Calvino) and also in
a context of other forms of digital literary experimentation (collaborative projects and
computer-generated writing), this thesis aims to, on a diachronic level, reincorporate
hypertext fiction into an evolutionary (though radical) literary tradition and examines the
manner in which concepts which originated in this tradition have been taken over often
very literally and without much redefinition. On the a-historical, synchronic level, this study
explores some of the possible formats for literature in the new electronic textual media:
hypertext fiction, collaborative writing projects, computer-generated writing and the
different challenges these present to our understanding ofliterature.
After an introduction in Chapter 1, Chapter 2 and 3 discuss two of the keywords of
hypertext theory, its "grand narratives' (non-linearity and interactivity) and the
appropriation of the terminology to hypertext theory and to hypertext fiction. Chapter 4
and 5 will look at alternative, though related, approaches to electronic fiction: Chapter 4 will
examine aspects of collaborative writing in both a print and a digital environment while
computer-generated writing stands at the centre of Chapter 5
Poetry as a performing art in the English-speaking Caribbean.
Get PDFThis thesis seeks to demonstrate that there is a direct relationship
between the emergence of poetry as a performing art in the English speaking Caribbean and phases of nationalist agitation from the uprisings
against unemployment, low pay and colonial neglect during 1937-8 to the
present. Though the poetry has many variations in scope, ranging from
light-hearted entertainment, its principal momentum has been one of
protest, nationalism and revolutionary sentiment. The thesis seeks to
relate tone, style and content both to specific periods and cultural
contexts, and to the degree of engagement of the individual artist in the
political struggle against oppression.
Frequently theatrical, the poetry has commanded a stage and a
popular audience. Though urban in style, it is rooted in older, rural
traditions. Creole, the vernacular of the masses, is a vital common
denominator. The poetry is aurally stimulating, and often highly
rhythmic. The popular music of the day has played an integral part, and
formative role in terms of composition.
The fundamental historical dynamic of the English-speaking Caribbean
has been one of violent imperialist imposition on the one hand, and
resistance by the black masses on the other. Creole language, with its
strong residuum of African grammatical constructs, concepts and
vocabulary, has been a central vehicle of resistance. It is a low-status
language in relation to the officially-endorsed Standard English. The
thesis argues that artists' assertion of Creole, and total identification
with it through their own voice, is a significant act of defiance and
patriotism.
Periods of heightened agitation in the recent past have each led to
the emergence of a distinctive form of performance poetry. Chapter two
examines the role of Louise Bennett as a mouthpiece of black pride and
nationalist sentiment largely in the period preceding independence. Her
principal aim is the affirmation of the black Jamaican's fundamental
humanity. She uses laughter both as a curative emotional release and as
an expression of mental freedom. She lays the foundations of a comic
tradition which does not fundamentally challenge the contradictions of
the post-independence period.
Chapter three relates the emergence of the Dub Poets of Jamaica to
the development of Rastafarianism into a mass post-independence
nationalist revival, and to the contribution of intellectuals, most
symbolically Walter Rodney, to the process of decolonization. Reggae
music, the principal creative response to the dynamics of the period both
in terms of lyrics and rhythmic tension, infuses the work of Michael
Smith, Cku Onuora, Mutabaruka and Erian Meeks examined in this study.
Chapter four illustrates the development of performed poetry in the
context of periods of insurrection and revolution in the East Caribbean.
It examines the Black Rower movement as a stimulus to cultural
nationalism and revolutionary sentiment, and its transcendence to
internationalism and socialism in the context of the Grenada Revolution.
Abdul Malik straddles and exemplifies the creative dynamic which exists
between urban, industrial Trinidad and its tiny, rural and poor
neighbour, Grenada
The Legacy of Iconoclasm: religious war and the relic landscape of Tours, Blois and Vendôme, 1550-1750
No full textThis study explores the process of physically rebuilding, renewing and reinventing the relic landscape in the regions around Tours, Blois and Vendôme following the widespread iconoclastic damage of the French religious wars. The author takes a long-term perspective exploring developments over two hundred years, from the mid-sixteenth through to the mid-eighteenth centuries. The book explores what the physical renewal of the landscape can tell us about evolving beliefs and practices concerning relics during the Catholic Reformation and what reconstruction activities reveal about the meaning and experience of relic veneration. It pays particular attention to how the relic landscape evolved through relic translations and how communities that oversaw relic shrines remembered the iconoclastic acts of the religious wars through liturgical and ritual commemorations, memorials, artistic renderings, oral traditions and written accounts.Publisher PD
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