3,413 research outputs found
Perioperative Goal-Setting Consultations by Surgical Colleagues: A New Model for Supporting Patients, Families, and Surgeons in Shared Decision Making
No full textPatients with postoperative complications are often subjected to prolonged life-sustaining treatment based on erroneous assumptions about their goals of care. Shared decision making is an evidence-based approach that helps ensure patients’ wishes and values are honored in their course of treatment. Perioperative palliative care can help create goal-concordant trajectories of care for high risk, seriously ill, or complicated patients, through sophisticated prognostication, higher-level communication, and recommendations based on the best available evidence and patients’ stated goals and priorities. Here, we present a surgeon-to-surgeon consultative model that surmounts many barriers to perioperative palliative care consultation and, as illustrated in the cases presented herein, offers profound and unique benefits for patients, families, and surgeons alike. While the support of a surgical colleague with palliative care skills can be helpful postoperatively in the setting of unanticipated outcomes or prolonged recovery, it is particularly beneficial when accessed preoperatively for the purposes of goal-concordant decision making and advance care planning. We encourage both individuals and professional societies to develop and expand the niche for surgeons interested in assisting with goal setting and shared decision making for patients on a consultative basis, particularly in the preoperative period
Daily Reflections (Meditations) on the Scriptures from the Roman Catholic Lectionary.
No full textToday's liturgy offers us the paradox of God's intimacy or nearness, and the overwhelming power of God's glory.||In the memorial of Anne and Joachim, which tradition identifies as the parents of Mary and Grandparents of Jesus, we recognize the Church's affirmation of Jesus' humanity and his location in history. While the biblical witness gives legal testimony of Jesus' location in Israel's families through his paternity in Joseph, the New Testament is silent about Mary's ancestry. Written late in the second century, the apocryphal "gospel of James" mentions Anne and Joachim as saintly parents of Mary. While the gospel itself, and its flowery legends, was never accepted in the canon of Scripture, the Eastern Church especially continued to remember the parents of Mary and sought to honor them. In the Franciscan-inspired renewal of appreciation for Jesus' humanity during the 13th Century, the long-held Eastern tradition of Mary's parentage was brought forward into the Latin Church.|Grandparents are often thought to have the privilege of loving unconditionally (without having to punish), and handing on the wisdom of the community in a way that children can not always hear from their parents. It is not hard to imagine Jesus being formed in the prayer traditions of Israel by holy grandparents who had lovingly raised their daughter in the Covenant. It is perhaps this impulse _ this desire to anchor Jesus firmly in the human experience of loving family and in the context of human history that has led the Christian community to honor Anne and Joachim.|But it is the readings for today that provide the paradox of intimacy and Glory that the feast only hints at. After leading the people out of Egypt, God chooses to remain close to the people that he rescued from slavery and is forming in the desert "womb." The first reading _ woven together from chapters 33 and 34 of Exodus _ gives us a picture of God being intimately available to the people. At divine command the people set up a tent where God's presence (in cloud and fire) can be experienced and where those who want to speak to God can do so. When Moses goes there to talk to God "face-to-face" the people stand at the entrance of their own tents and experience God's powerful presence at a slight distance. Those who know the scriptures, of course, know that experiencing God face-to-face is sure death (no human can survive that and live), and yet, God makes an exception for his friend Moses _ and Moses' followers share in that experience at a modest distance!|The good news for us, who believe in the Incarnation of God in human flesh and human history, is that we too can experience God intimately without being destroyed because Jesus' humanity mediates the Kabod _ the power and glory of God that is so overwhelming. Jesus himself becomes our "tent" wherein we can stand face-to-face and know God and God's loving desire for us.|But today's Gospel warns us that the power of God's glory remains and brings all of human history to accountability. God has sown the seeds of goodness and glory within our world. Those seeds come to fruition in the children and grandchildren of the friends of God and prophets _ those who hear the word, hold it in our hearts and live it in our daily lives. Will we stand face-to-face and be destroyed as chaff or will we reflect the glory of God, and "shine like the sun"
'The cracked mirror': Anne Sexton's poetics of self-representation
No full textThis thesis re-evaluates the work of the poet Anne Sexton (1928-1974), concentrating, in particular, on the indeterminacies, contradictions and aporia which it finds to be characteristic of her ostensibly frank and self-revelatory writing. The study is based on a close textual
analysis of Sexton's writing, is informed by oststructuralist theories, and is sustained by an
examination and discussion of archive collections of her previously unpublished papers. In seeking an understanding of Sexton's poetics, the thesis identifies and interrogates the strategies of denial and obfuscation apparent in her own explication of her work - principally, by scrutiny of the unpublished, and previously unresearched, drafts of a series of lectures
which she delivered in 1972. Chapters One and Two consider the origins of `confessional' or - Sexton's preferred term - 'personal' poetry and reassess her place within contemporary poetry. They suggest that
Sexton's writing is engaged in a process of negotiation and contestation, both with the boundaries and expectations of confessionalism, and with the strictures of T. S. Eliot's theory of `impersonality'. In support of these arguments, Chapter Two offer a reading of Sexton's
little-known poem, `Hurry Up Please It's Time', alongside its intertext, Eliot's The Waste Land. Chapter Three reassesses received views of the supposedly beneficial interrelationship between confessional speaker and reader. It examines Sexton's appropriation of dramatic
masks and personae and her use of metaphors of striptease and prostitution, and suggests that these are employed simultaneously to appease and to repel an intrusive audience. Similarly, Chapters Four and Five trace Sexton's problematisation of two previously-accepted tenets of confessional poetry: its status as autobiography and its truthfulness, drawing attention to the techniques employed in order to give the impression of both. Chapter Six considers Sexton's
problematic engagement with a language which is not malleable, transparent, and referential but, rather, is experienced as uncooperative and occlusive. Finally, the thesis recuperates Sexton from the common charge of narcissism, arguing that it is the writing, rather than the poet, which is self-reflexive and self-conscious. In this respect, it concludes that her work - perhaps unexpectedly - anticipates many of the tendencies of postmodernist writing
Interview: Anne-Marie Fortier
No full textThis paper is an edited version of an email interview conducted by Debra Ferreday and Adi Kuntsman with Anne-Marie Fortier, the author of Multicultural Horizons: Diversity and the Limits of the Civil Nation (Routledge, 2008). Fortier’s work has been informative in the development of some of the arguments explored in this special issue; in their conversation Ferreday and Kuntsman asked her to comment on the ideas of haunting, racial imaginaries, nostalgia, national anxieties, political feelings and hopes for the future
Anne Moody History Project Recognized by the Mississippi Department of Corrections: Warden and Staff Praised for Work Honoring Anne Moody, author of Coming of Age in Mississippi
No full textCopyright (c) 2019 by Roscoe Barnes III#AnneMoodyThis is a news report about the retirement of Warden Jody Bradley and the praise he and his staff received for their work at Wilkinson County Correctional Facility (WCCF), Woodville, Miss. Commissioner Pelicia E. Hall of the Mississippi Department of Corrections (MDOC) honored Bradley with a letter of congratulations. In that same letter, she commended him and his team for their work with the Anne Moody History Project (AMHP). AMHP is a staff-led community service endeavor created to promote and help preserve the legacy of civil rights pioneer Anne Moody, author of Coming of Age in Mississippi.To learn more about Anne Moody, see her research page here: http://roscoereporting.blogspot.com/p/anne-moody.html#ComingOfAgeinMississippi</div
Elution of antibiotics from poly(methyl methacrylate) bone cement after extended implantation does not necessarily clear the infection despite susceptibility of the clinical isolates
No full textChronic orthopedic infections are commonly caused by bacterial biofilms, which are recalcitrant to antibiotic treatment. In many cases, the revision procedure for periprosthetic joint infection or trauma cases includes the implantation of antibiotic-loaded bone cement to kill infecting bacteria via the elution of a strong local dose of antibiotic(s) at the site. While many studies have addressed the elution kinetics of both non-absorbable and absorbable bone cements both in vitro and in vivo, the potency of ALBC against pathogenic bacteria after extended implantation time is not clear. In this communication, we use two case studies, a Viridans streptococci infected total knee arthroplasty (TKA) and a MRSA-polymicrobial osteomyelitis of a distal tibial traumatic amputation (TA) to demonstrate that an antibiotic-loaded poly(methyl methacrylate) (ALPMMA) coated intermedullary rod implanted for 117 days (TKA) and three ALPMMA suture-strung beads implanted for 210 days (TA) retained killing ability against Pseudomonas aeruginosa and Staphylococcus aureus in vitro, despite different clinical efficacies. The TKA infection resolved and the patient progressed to an uneventful second stage. However, the TA infection only resolved after multiple rounds of debridement, IV vancomycin and removal of the PMMA beads and placement of vancomycin and tobramycin loaded calcium sulfate beads.<br/
Character Training in the Primary Grades
No full textFor many centuries, at least from the time of Plato, the proper rearing of children has been stressed as the most important factor in civilization. The daily adjustments of the early years of childhood, which are under the complete and direct supervision of home and school, constitute the warp and woof out of which is woven the personality, disposition, and character of the child. The habits of affection and antipathy, as well as of generosity and selfishness, the habits of happiness or discontent, as well as of amiability or irritability, are established in these early periods of the child*s life by the moral and social ideals of those who train and instruct him, and set the standards for his thoughts and behavior.ProQuest Traditional Publishing Optio
Daily Reflections (Meditations) on the Scriptures from the Roman Catholic Lectionary.
No full text|For nearly a year after my husband's death, I used to visit his grave almost daily – in snow, rain, and warm weather, it was a strangely consoling experience to simply spend a few moments in prayer for him and for all those of my family who have preceded me into death. I found that it was a good place to pray for the graces I need to live into the death in this world that will serve as a passage to the fullness of the Kingdom, through God's Mercy.|For Catholics, a cemetery with its consecrated ground, gravestones marking the places of human remains and multiple symbols of death and resurrection is an extension of a Church building. The dead who have gone before us are members of our faith family, still living in Christ through the gift of Baptism. They are witnesses to the Body of Christ. |Today's Feast of Mary Magdalene, Apostle to the Apostles, reminds us of the gift of prayer at a gravesite. Mary needed consolation in her terrible and immediate grief over the cruel death of her dearest friend. Like the other Mary's she was concerned that his body be reverently cared for according to Jewish law and custom and the timing of his death had not made that possible. The group of women friends thus determined to attend to those needs that early Sunday morning. |But at the tomb a stunning surprise awaited her – her worry about the rock in front of the tomb being too heavy to move was suspended as she arrived to see the open grave with no body wrapped in a shroud to be found. The intensity of her grief over the possible further abuse of Jesus's dignity led her to beg the unrecognized "gardener" to give her his broken body and allow her to properly care for it. |St. Ignatius would challenge us who contemplate this moment in gospel time to establish a "composition of place", that is to see in our heart's eye (through our imagination) the place of the tomb, to notice the coolness or the warmth of the day, to feel the early morning breeze, to smell the mixture of scents of nature (soil, flowers, and greenery) with the scent of a recently placed dead body and to see the early morning light as it transforms from the greyness of pre- dawn to the golden moments of sunrise. |Remember moments of your own grief for the loss of someone you really cared for and feel Mary's piercing anguish. Then hear the voice of the "gardener" call her name – literally announcing her salvation.|Mary (or Eileen, Sarah, Anne, Janice . . . your name). |He speaks your name, and you know He is alive.|He speaks Mary's name, my name, your name, and we are alive with new life, with the power to witness to others the Good News of his eternal mercy.|One invitation of today's liturgy is to take time to hear him call your name. Go to a sacred space for you – a place of memory and hope – and allow Jesus to speak to your heart, to invite you to the labor of apostolic witness for the salvation of all the others we are sent to. Remember that the tomb is a place of hope. A place not of ghosts and hauntings but a place of call and invitation. Today, a few years after my husband's death, I visit his grave at Holy Sepulcher Cemetery and see my own gravestone next to his. I go there both to anticipate the call to the fullness of life and to be close to those who have gone before and wait to welcome me home. May you find such consolation on this feast of renewed and renewing friendship with God
Consumption Growth and Agricultural Shocks in Rural Madagascar
No full textThe aim of this paper is to evaluate the effect of rainfall and agricultural shocks on consumption growth in Madagascar. We are also interested in the impact of local endowments in infrastructures and social services on consumption growth. To achieve this goal, a micro model of household consumption growth is estimated thanks to household panel data collected by the Reseau des Observatoires Ruraux (ROR) between 1999 and 2004. Additional data sources include the 2001 communes census organized by the Ilo program of Cornell University. Altogether these different data sources make an unusually rich data set, at least when considered with developing country standards. We use panel data fixed effect estimation technique to remove unobserved household and community level time invariant heterogeneity. We find that production shocks have a substantial impact on consumption growth and we find sign of persistence of rainfall shocks. Roads and education seems to improve household’s consumption growth and remotness decreases it.risks, growth, poverty, Food Security and Poverty,
Interactive Computing and Causality
No full text@inproceedings{ci-nicolle-2006, author = {Nicolle, Anne}, title = {Interactive Computing and Causality}, booktitle = {i-C&P, computers and philosophy, an international conference}, year = {2006}, address = {Laval}, month = {mai}, note = {8 p. à paraître}, country = {FR} }International audienc
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