Journal articles on the topic 'Institution not elsewhere classified'
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Hughes, Kenneth V., Michael C. Bard, Jean E. Lewis, Jan L. Kasperbauer, and George W. Facer. "Hemangiopericytoma of the Nasal Cavity: A Review of 15 Cases over a 40-Year Period." American Journal of Rhinology 6, no. 6 (November 1992): 203–9. http://dx.doi.org/10.2500/105065892781976655.
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Hemangiopericytomas are rare tumors of vascular origin most commonly found in the extremities or retroperitoneal area. When they originate from the nasal cavity and paranasal sinuses, they tend to be less aggressive and generally do not metastasize. The term “hemangiopericytoma-like lesion” has been coined for sinonasal hemangiopericytomas that display more benign histologic and growth characteristics than do those located elsewhere. Fifteen cases of hemangiopericytoma of the nasal cavity and paranasal sinuses were reviewed over the period 1951 to 1990; included are follow-up data on cases reported earlier from this institution. The clinical course, management, and outcome was evaluated and correlated with the histologic characteristics of the tumors. The recurrence rate in our series was 13.3%; the mean follow-up was 11 years. No patients died of their disease or had evidence of metastatic disease. This clinicopathologic review suggests that sinonasal hemangiopericytomas should not be classified as “hemangiopericytoma-like” lesions; rather, they should be expected to have significant local recurrence rates with low rates of distant metastasis and mortality. Long-term follow-up is essential as there can be local recurrence after many years.
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Huang, Qin, Alona Muzitansky, and Eugene J. Mark. "Pulmonary Neuroendocrine Carcinomas." Archives of Pathology & Laboratory Medicine 126, no. 5 (May 1, 2002): 545–53. http://dx.doi.org/10.5858/2002-126-0545-pnc.
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Abstract Context.—Primary pulmonary neuroendocrine tumors are traditionally classified into 3 major types: typical carcinoid (TC), atypical carcinoid (AC), and large cell neuroendocrine carcinoma (LC) or small cell neuroendocrine carcinoma (SC). Confusion arises frequently regarding the malignant nature of TC and the morphologic differentiation between AC and LC or SC. Objective.—To provide clinicopathologic evidence to streamline and clarify the histomorphologic criteria for this group of tumors, emphasizing the prognostic implications. Patients.—To minimize variability in diagnostic criteria and treatment plans, we analyzed a group of patients whose diagnosis and treatment occurred at a single institution. We reviewed 234 cases of primary pulmonary neuroendocrine tumors and thoroughly studied 50 cases of resected tumors from 1986 to 1995. Results.—On the basis of morphologic characteristics and biologic behaviors of the tumors, we agree with many previous investigators that these tumors are all malignant and potentially aggressive. Based on our accumulated data, we have modified Gould criteria and reclassified these tumors into 5 types: (1) well-differentiated neuroendocrine carcinoma (otherwise called TC) (14 cases, with less than 1 mitosis per 10 high-power fields [HPF] with or without minimal necrosis); (2) moderately differentiated neuroendocrine carcinoma (otherwise called low-grade AC) (6 cases, with less than 10 mitoses per 10 HPF and necrosis evident at high magnification); (3) poorly differentiated neuroendocrine carcinoma (otherwise called high-grade AC) (10 cases, with more than 10 mitoses per 10 HPF and necrosis evident at low-power magnification); (4) undifferentiated LC (5 cases, with more than 30 mitoses per 10 HPF and marked necrosis); and (5) undifferentiated SC (15 cases, with more than 30 mitoses per 10 HPF and marked necrosis). The 5-year survival rates were 93%, 83%, 70%, 60%, and 40% for well, moderately, and poorly differentiated, and undifferentiated large cell and small cell neuroendocrine carcinomas, respectively. We found nodal metastasis in 28% of TC in this retrospective review, a figure higher than previously recorded. Conclusion.—Using a grading system and terms comparable to those used for many years and used for neuroendocrine tumors elsewhere in the body, we found that classification of pulmonary neuroendocrine carcinomas as well, moderately, poorly differentiated, or undifferentiated provides prognostic information and avoids misleading terms and concepts. This facilitates communication between pathologists and clinicians and thereby improves diagnosis and management of the patient.
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Laakso, Maria. "Nuorten lokerointi ja kehittyminen Salla Simukan nuortendystopiaromaaneissa Jäljellä ja Toisaalla." Sananjalka 60, no. 60. (December 17, 2018): 204–16. http://dx.doi.org/10.30673/sja.70037.
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Coming of age and classification of adolescents In Salla Simukka’s YA-dystopias Jäljellä and Toisaalla
Finnish YA-author Salla Simukka takes a current societal problem into the center of her novel pair Jäljellä (Left Over, not translated, 2012) and Toisaalla (Elsewhere, not translated, 2012). These novels criticize the current system, where even young children are forced to choose specialized studies and make decisions that affect their whole future. This is a consequence on a modern western information society, where branches of knowledge are differentiated. These theme Simukka’s novels handle with the methods off dystopic fiction.
Both novels depict a dystopic world, where adolescents are classified into groups based on their personality and their talents. Both novels depict a world very much like our own, but the time of the story lies in the near future. As usual to the dystopic fiction the author pics up some existing progressions from the reality and then extends those conditions into a future, and this way the flaws of the current conditions are revealed. In my article I claim, that Simukka’s novels take under critical consideration the whole Western concept of coming of age. Especially crucial is the idea of growth as being something controllable. In western cultures the growing up of an individual is standardized and regulated by institutions and fields of science such us daycare, school, medicine, and psychology. In Simukka’s novels this idea is exaggerated but still recognizable.
The motif of classifications or sorting the adolescents has lately been popular in YA-fantasy and YA-dystopia. Simukka’s novels borrow from two bestsellers: J.K. Rowling’s Harry Potter -series (1997–2007), and Veronica Roth’s Divergent-series (2011–2013). These examples seem to prove, that the idea of adolescents of being sorted or being classified is important in contemporary genre fiction targeting young audiences. Sorting or classification as motifs seem to be connected to the contemporary understanding of youth and growing up.
In this article I consider the classification motif in Simukka’s novel. I consentrate especially to the connections between the motif and the wider theme of growing up. I examine the motif beside the Western ideas of growth and coming of age. Besides that I also study the different genre frames Simukka’s novels use to discuss of growing up in contemporary society. These genre traditions include dystopic fiction, YA-literature and fairytale. In this article I propose, that the classification motif allegorizes the demands set to adolescents in contemporary society but also appeals to the young readers as a fantasy of belonging to the group.
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Ferrucci, Pier Francesco, Bruno Achutti Duso, Luigi Nezi, Luca Mazzarella, Fiorenza Lotti, Sara Gandini, Gianmarco Orsolini, et al. "Abstract CT167: Neoadjuvant ipilimumab/nivolumab in locally advanced or oligometastatic melanoma: An open label, single arm, multi-institutional clinical study with molecular and immunological biomarker’s analysis." Cancer Research 82, no. 12_Supplement (June 15, 2022): CT167. http://dx.doi.org/10.1158/1538-7445.am2022-ct167.
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Abstract Efficacy, safety, together with molecular and immunological biomarkers were studied in a sequential clinical trial of neoadjuvant immunotherapy, surgery and adjuvant immunotherapy in locally advanced or oligometastatic melanoma patients (pts), within an open label, single arm and two sites study. Treatment schedule consisted in four primary cycles of inverted dose ipilimumab 1 mg/kg and nivolumab 3 mg/kg every 3 weeks, followed by radical surgery and adjuvant nivolumab 480 mg every 4 weeks for 6 cycles. Primary objective was pathological complete remission (pCR) rate, according to International Neoadjuvant Melanoma Consortium (INMC) criteria, while secondary objectives were: safety, feasibility and efficacy; QoL; identification of biomarkers of response and resistance; degree of immune activation; longitudinal evaluation of the gut microbiome. From March 2019 to April 2021, 43 pts were enrolled in the trial and, with an intent to treat of 35 pts, 34 completed the primary phase, 31 received surgery and 28 completed the adjuvant phase. Four pts were withdrawn during primary phase for progression (2), toxicity (1) and consent withdrawal (1). Study primary endpoint has been met since 20/31 pts undergoing surgery reached a pCR/near pCR (65%), 4/31 (13%) a pathological partial remission (pPR) and 7/31 (22%) pts a pathological no response. With a median follow-up of 17 months, 33/35 pts are alive. Treatment failure occurred in 9 pts: 2 pts progressed during primary phase and did not undergo surgery; 7 pts progressed during adjuvant (3 pts) or follow-up phase (4 pts). Six out of these 7 pts were classified as pNR at surgery, while the other, classified as pCR, did not receive adjuvant therapy. Both pts in stage IV relapsed. Unfortunately, one pt died for ischemic stroke after 5 months from adjuvant therapy while on CR. Treatment related toxicities were mainly G1-2 and only 6 pts (17%) developed G3-4 adverse events (AE): 3 transaminitis, 1 pneumonitis, 1 myocarditis, 1 CPK increase and 1 dermatomyositis. Translational studies on samples collected before, during therapy and at progression have been performed: whole exome sequencing and gut microbiota dynamics on longitudinal samples showed some relationships with responses and developing resistances. These data, never presented elsewhere previously, are in part new and in part confirmatory of immunological or molecular signatures described by other groups. In conclusion, primary immunotherapy with Ipilimumab/Nivolumab in pts affected by locally advanced/oligometastatic melanoma is able to achieve an elevated pCR/near pCR rate which appears to be predictive of long term relapse free survival. Translational data analyzed longitudinally on each patient can allow for a better selection of pts, giving new insight on the mechanisms of melanoma progression and resistance. Citation Format: Pier Francesco Ferrucci, Bruno Achutti Duso, Luigi Nezi, Luca Mazzarella, Fiorenza Lotti, Sara Gandini, Gianmarco Orsolini, Elisabetta Pennacchioli, Patrizia Gnagnarella, Teresa Manzo, Simone Ribero, Maria Teresa Fierro, Rebecca Senetta, Concetta Riviello, Virginia Caliendo, Pietro Quaglino, Massino Barberis, Giuseppina Bonizzi, Emilia Cocorocchio. Neoadjuvant ipilimumab/nivolumab in locally advanced or oligometastatic melanoma: An open label, single arm, multi-institutional clinical study with molecular and immunological biomarker’s analysis [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr CT167.
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Masarova, Lucia, Prithviraj Bose, Naveen Pemmaraju, Zeev E. Estrov, Lingsha Zhou, Sherry A. Pierce, Jorge E. Cortes, Hagop M. Kantarjian, and Srdan Verstovsek. "Evaluation of Cytogenetic Stratifications in Myelofibrosis." Blood 132, Supplement 1 (November 29, 2018): 1763. http://dx.doi.org/10.1182/blood-2018-99-120225.
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Abstract Introduction: The revised cytogenetic risk stratification of patients with primary myelofibrosis (PMF) divided patients into 3 prognostic categories, with additional new category of very high risk patients (VHR). This score should enhance traditional classification incorporated in the Dynamic International Prognostic Scoring System-Plus (DIPPS-Plus). Objective: To evaluate the prognostic utility of cytogenetic stratifications (DIPSS-Plus and the revised cytogenetic model) in patients with PMF referred to our institution between 1984 and 2016. Methods: We retrospectively reviewed the charts of 883 patients with PMF with available cytogenetic analysis at the time of referral to our institution (> 10 metaphases). Cytogenetic was reported according to the International System for Human Cytogenetic Nomenclature. Patients were classified into cytogenetic risks based on DIPSS-Plus (Gangat, JCO, 2011), and the revised cytogenetic model (Tefferi, Leukemia, 2017). Overall survival (OS) was estimated using the Kaplan-Meier method, and groups were compared by the log rank test. Impact of cytogenetic abnormalities on OS was also evaluated by comparing them against patients with diploid karyotype using stepwise Cox regression. Results: Median age was 66 years (range, 27-88), and 64% of patients were male. The distribution of DIPSS scores was as follows: 8% low, 48% intermediate 1, 44% intermediate 2 and 14% high. OS in each DIPSS category was 53, 46, 26, 15 months (p<0.001). The JAK2, MPL and CALR mutation was present in 55% (n=486), 6% (n=50), and 7% (n=64). Overall, 563 (64%) patients had diploid karyotype. The most frequent abnormal karyotypes were single 20q- (n=68, 8%), single 13q- (n=40, 4.5%), and ≥3 abnormalities (Abn; complex karyotype, CK, n=52, 6%). Among patients with CK, 27 (52%) pts had VHR Abn. After a median follow-up of 22.4 months (range, 0.5-251); 708 (80%) of patients died. Eighty five patients (10%) developed acute leukemia, 39% of these patients had CK. According to DIPSS-plus, patients were stratified into favorable (FAV, n=758, 86%) and unfavorable (UNF, n=126, 14%) category with distinct median OS of 35 months (range, 31-39), and 17 months (range, 11.6-22), p < 0.001 (HR 1.37, [95% CI 1.11-1.7]). Three year OS was 49% and 32%, respectively (Figure 1a). The revised cytogenetic stratification classified patients into favorable (n=687, 78%), unfavorable (n=151, 17%), and VHR (n=47, 5%) with respective OS of 35, 32 and 10 months (overall p<0.001, FAV vs UNF p= 0.8; Figure 1b); similar between patients in favorable and unfavorable groups. Three year OS for each group was 49%, 46% and 12%, respectively. OS of patients with individual cytogenetics (as used in the revised classification) is depicted in Table. Patients with single deletion 13q have significantly inferior OS than the remaining patients in FAV group. Patients with sole abnormality of chromosome 1 and trisomy 9 had the longest OS within the FAV group, but without reaching a statistical significance. Similarly, patients with sole trisomy 8, sole deletion 7q/5q, and other sole Abn not included elsewhere, had inferior OS when compared to the remaining patients in UNF group (Table 1). After re-grouping patients with different OS from FAV and UNF groups, we have noticed an intermediate group of patients containing the above mentioned Abn with distinctly different OS from FAV and UNF group of 24 months (range, 14.5-33; Figure 1c). Conclusions: Results from our cohort of 883 PMF patients did not confirm better discriminatory power of revised cytogenetic stratification model when compared to the DIPSS-Plus, as it failed to differentiate different OS between favorable and unfavorable groups. In our cohort, patients with single deletion 13q, single trisomy 8, and abnormalities of 5q/7q have superior OS to very high risk patients, but inferior to all remaining patients. Because the revised cytogenetic stratification has been already incorporated into newer complex molecular prognostic models of patients with PMF (MIPSSversion2.0, GIPSS), its further validation is warranted. Table Abbr.: Chr, chromosome, del, deletion, DUP, duplication, transl, translocation, excl, excluding; ¥OTHER solo: INV(9) in [3], Abn chr. 11, 12, 16, 17, 18 (mostly deletion of p/q arms, or addition) [7]; VHR = very high risk (-7; inv(3)/3q21; i(17q); 12p-/12p11.2; 11q-/11q23; autosomal trisomies excl. +8/+9). Disclosures Bose: Incyte Corporation: Honoraria, Research Funding; CTI BioPharma: Research Funding; Astellas Pharmaceuticals: Research Funding; Constellation Pharmaceuticals: Research Funding; Pfizer, Inc.: Research Funding; Celgene Corporation: Honoraria, Research Funding; Blueprint Medicines Corporation: Research Funding. Pemmaraju:plexxikon: Research Funding; cellectis: Research Funding; Affymetrix: Research Funding; daiichi sankyo: Research Funding; stemline: Consultancy, Honoraria, Research Funding; novartis: Research Funding; samus: Research Funding; celgene: Consultancy, Honoraria; abbvie: Research Funding; SagerStrong Foundation: Research Funding. Cortes:novartis: Research Funding. Verstovsek:Novartis: Membership on an entity's Board of Directors or advisory committees, Research Funding, Speakers Bureau; Celgene: Membership on an entity's Board of Directors or advisory committees; Incyte: Consultancy; Italfarmaco: Membership on an entity's Board of Directors or advisory committees.
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VAN DER PERS, MARIEKE, EVA U. B. KIBELE, and CLARA H. MULDER. "Intergenerational proximity and the residential relocation of older people to care institutions and elsewhere." Ageing and Society 35, no. 7 (April 8, 2014): 1429–56. http://dx.doi.org/10.1017/s0144686x14000300.
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ABSTRACTWe investigated the extent to which the geographic proximity of adult children affected the relocations of older people in the Netherlands in 2008. A major contribution of this study is the examination of the differentiation between relocation to care institutions and elsewhere. Data from the Dutch population register linked to complementary datasets were analysed for nearly one million inhabitants aged 75 and above, using multinomial logistic regression models to estimate the effects of intergenerational proximity and of other factors on the propensity to relocate to an institution and elsewhere. An interaction of proximity with partnership status as an indicator of the presence of an important care provider was considered. We found that older people were less likely to move elsewhere when their children were living very close by, and were more likely to do so when their children were living farther away. Having children living close was negatively associated with the likelihood of moving to a care institution. Very close proximity had an additional negative effect on the propensity of older people with a partner to relocate elsewhere whereas the negative effect was less for older people without a partner on moving elsewhere. Our findings did, however, show that (recently) widowed people were more likely to move elsewhere when their children were living more than 40 kilometres away.
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Brown, Tiffany A., Pamela K. Keel, and Ruth H. Striegel. "Feeding and Eating Conditions Not Elsewhere Classified (NEC) inDSM-5." Psychiatric Annals 42, no. 11 (November 1, 2012): 421–25. http://dx.doi.org/10.3928/00485713-20121105-08.
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Saskin, Aliza, Yulia Lin, Richard A. Wells, Martha Lenis, Alex Mamedov, Jeannie Callum, and Rena Buckstein. "Prophylactic Rh and Kell Antigen Matching Significantly Decreases Rates of Alloimmunization in Transfusion Dependent MDS Patients." Blood 124, no. 21 (December 6, 2014): 4297. http://dx.doi.org/10.1182/blood.v124.21.4297.4297.
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Abstract Background: 40-80 % of patients with myelodysplastic syndrome (MDS) become transfusion dependent during their disease course and are at risk for the development of alloimmunization. Red blood cell (RBC) alloantibodies can make finding compatible blood for transfusion more difficult, expensive and time consuming. Allommunization rates of approximately 30-47% have been reported in patients with sickle cell disease and the transfusion of RBCs prophylactically matched for Rh antigens E and C, and K antigens reduced the rate of alloimmunization from 3% to 0.5% per unit (Vichinsky et al, 2001). In 2007, our hospital instituted a policy of transfusing prophylactic Rh and K matched blood to MDS patients. The objectives of this study were to compare the rates of alloimmunization in MDS patients who received prophylactic Rh and K matched blood compared to those that did not and identify potential risk factors for alloimmunization. Methods: 193 Transfusion dependent MDS patients were identified out of 387 patients registered and prospectively followed in a local MDS registry. Transfusion dependence was defined as the receipt of at least 1 unit of PRBC every 8 weeks for a minimum of 16 weeks. Records of transfusions received up to May 1, 2014 were collected from blood bank databases of the hospitals at which patients were transfused. Patients were classified according to whether phenotyping had been performed, the location of transfusions (transfused only at our institution, transfused only at an outside institution or transfused at both sites) and whether prophylactic Rh (E, C antigens) and K matched blood was transfused. Data were descriptively analyzed and we conducted univariate and multivariate logistic regression using p< 0.05 as statistically significant to identify risk factors for alloimmunization. Results: 176 MDS patients with complete transfusion records are included, 73 transfused at Sunnybrook, 92 transfused in community hospitals and 11 at both. The median age was 72 yrs (range 22-89), 60% were male, and 8%, 43% and 27% had very low, low and intermediate risk R-IPSS scores respectively. Median follow up was 2.9 years (IQR 1.6-5) 3.49 SD). Blood groups O, A, B, AB and O were 45%, 38%, 15% and 2% respectively, while 85% were RhD+. The median time from diagnosis until first transfusion was 4 months (IQR: 0.2-14), with 51 patients having received at least 1 transfusion prior to diagnosis at a median time of 0.9 months. 4.5% had a pre-existing allo-antibody at time of MDS diagnosis. With a median follow up from diagnosis of 3 years (IQR:1.6-5)), the median number of RBC units transfused was 38 (IQR: 15-98)) and 36 (20%) patients developed new alloantibodies (median 2 (IQR (1-2.5) alloantibodies). The median number of RBC units until first allo antibody was 13.5 units (range 0-121) and 1.25 years from diagnosis (95% CI:0.4-2.1). The majority of the alloantibodies were in the Rh (n=28) and K (n=14) groups (80%) and co-existed 27% of the time. More patients transfused at our hospital received prophylactic Rh K matched blood sometimes or always (60% versus 26%) and rates of allo-immunization were decreased by 65% (absolute rate of alloimmunization 10% versus 29%). By multivariate analysis analysis, number of rbc transfused (p<.0001), receiving prophylactic phenotype matched blood (p=.0008) and location of transfusions (Sunnybrook versus elsewhere (p=.03)) were independent risk factors for alloimmunization. Conclusions: 20-30% of RBC transfusion dependent MDS patients will become allo-immunized to clinically significant blood group antigens, the majority being Rh and K antigens. The practice of phenotyping at baseline and prophylactically transfusing Rh and Kell matched blood decreases rates of alloimmunization up to 65% and should be strongly considered for routine transfusion practice in centres that treat MDS. Table 1. All Patients (n=176) Sunnybrook (n=73) Community(n=92) Ever phenotyped 45% 64% 28% Phenotyped before 1st transfusion 20% 38% 8% Developed allo-antibodies 20% 10% 29% Received prophylactic Rh K matched blood (developed alloantibodies) Never Sometimes Always 58% (16%) 24% (42%) 18% (6%) 40% (3%) 23% (23%) 37% (7%) 74% (22%) 22% (60%) 4% (0%) Figure 1. Allo Antibody free survival according to number of red cell units transfused in patients that developed an allo-antibody Figure 1. Allo Antibody free survival according to number of red cell units transfused in patients that developed an allo-antibody Disclosures Wells: Celgene: Honoraria, Other, Research Funding; Novartis: Honoraria, Research Funding; Alexion: Honoraria, Research Funding. Buckstein:Celgene: Research Funding.
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Fatic, Aleksandar. "Key issues in fighting organised crime in the Balkans." Medjunarodni problemi 57, no. 1-2 (2005): 71–99. http://dx.doi.org/10.2298/medjp0502071f.
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Traditional definitions of organised crime tend to focus on its links with the market. They depict organised crime as an alternative industry based on the stable supply of a criminal market, characterised by the use of force or threat by it, and motivated by illicit profit or a quest of political power. These definitions arise from the historically most common depictions of specific activities of organised crime, which in most parts of Europe and North America have traditionally been associated with the illegal collection of debts, extortion rackets, contract murders or systemic corruption leading to, and associated with, a transnational trade in drugs. Through the evolution of the definitions, these stereotypes have gradually waned away, and the use of violence, as well as the primary motivation by material profit, has been omitted from the lists of obligatory characteristics that a crime must fulfill in order to be classified as ?organised crime?. More recently, in the European Union definition, the use of violence and motivation by profit alone have been made only conditional criteria, and the quest of institutional power has been recognised as a motivating factor for organised crime equal to that of generating illicit profit. These new definitional approaches have opened the way to revolutionary ways of understanding the development of organised crime, specifically to including white-collar crime and massive fraud in the future definitions of organised crime, as well as further elaborating the aspect of political violence that is present in many organised crime activities across the world. In the Balkans, these new moments in defining organised crime appear to have been tested particularly directly in Serbia, where, first, there has been a long public debate over a systematic ?siphoning away? of public funds to the accounts of private companies through the mass corruption of a former, post-communist government until 2001. Subsequently, organised criminal rings have been accused of having masterminded and executed the assassination of the late Serbian Prime Minister, Dr Zoran Djindjic. The Balkans, and particularly Serbia, have been exposed to some of the most destructive consequences of organised crime. Correspondingly, the region can serve as a polygon or testing grounds for the exploration of the conceptual issues associated with organised crime. Finally, the experiences in crime control gained in this process could be valuable tools to address organised crime elsewhere. This especially concerns the emergence of what has recently become known in criminological discourse as the ?New War-Making Criminal Entity?. This paper explores the key features of organised crime against the background of the Serbian, and, by extension, Balkan circumstances, and draws conclusions as to how these experiences can be useful more globally.
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Cook, Jeffrey, and Tanis Hinchcliffe. "Designing the well-tempered institution of 1873." Architectural Research Quarterly 1, no. 2 (1995): 70–78. http://dx.doi.org/10.1017/s1359135500002773.
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The Museum of Natural History in London exemplified the state of environmental services when it was built in 1873. Although the admirable qualities of the building's natural lighting have sometimes been noticed, other aspects of its environmental design have drawn little comment. This paper explores the fabric of the building behind the scenes, related to the integral construction for ventilation. Recent on-site investigations under the floor of the basement, within the attics and elsewhere, reveal the former presence of a comprehensive fresh-air ventilation system of surprising versatility before the advent of electrically-driven fans. Archival documents provide details. The design and performance of such fresh-air systems inform us about the evolution of building services and about the practice of architecture and engineering as distinct professions. And the forgotten knowledge revealed may serve to help in the design of natural and low energy systems for large buildings today.
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Louis, David N., Pieter Wesseling, Werner Paulus, Caterina Giannini, Tracy T. Batchelor, J. Gregory Cairncross, David Capper, et al. "cIMPACT-NOW update 1: Not Otherwise Specified (NOS) and Not Elsewhere Classified (NEC)." Acta Neuropathologica 135, no. 3 (January 25, 2018): 481–84. http://dx.doi.org/10.1007/s00401-018-1808-0.
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2015 Program Committee, BRASS. "From Committees of RUSA: BRASS Program: Not Elsewhere Classified: Researching New and Niche Industries." Reference & User Services Quarterly 55, no. 2 (December 16, 2015): 156. http://dx.doi.org/10.5860/rusq.55n2.156.
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The Business Research and Services Section (BRASS) 2015 program was directed to business research professionals who may be stymied by researcher requests related to newer or niche industries. In a stimulating ninety-minute session, two top research professionals informed, confronted and engaged their American Library Association (ALA) audience with their well-paced array of smart search strategies and sources designed to meet industry challenges. The presentation was effective in identifying research workaround strategies and tying real industry problems with practical, on-the-job solutions.The material provided here and the bibliography of sources may serve as additional resources for emerging industry queries of library users. The BRASS program presentation is available via this ALA conference website (http://alaac15.ala.org/node/28603).
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Burford, C., R. Laxton, Z. Sidhu, M. Aizpurua, A. King, I. Bodi, K. Ashkan, and S. Al-Sarraj. "ATRX immunohistochemistry can help refine ‘not elsewhere classified’ categorisation for grade II/III gliomas." British Journal of Neurosurgery 33, no. 5 (April 24, 2019): 536–40. http://dx.doi.org/10.1080/02688697.2019.1600657.
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Bissell, Richard E. "Recent Practice of the Inspection Panel of the World Bank." American Journal of International Law 91, no. 4 (October 1997): 741–44. http://dx.doi.org/10.2307/2998106.
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The creation of the independent Inspection Panel in 1993 by identical resolutions of the International Bank for Reconstruction and Development and the International Development Association (World Bank or Bank) has been well analyzed elsewhere. What has not been noted is the actual practice of the Inspection Panel, as well as the evolving impact on international law of the cases brought before this innovative institution associated with the World Bank.
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Mpofu, Stanley. "Mature Age Entry Schemes: A Comparative Analysis of Student Profiles in Five Universities in Southern Africa." Journal of Adult and Continuing Education 7, no. 1 (March 2001): 75–92. http://dx.doi.org/10.1177/147797140100700107.
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This study is an attempt to extend earlier analyses (Davies, 1995; Mpofu, 1997) of the target clientele of mature age entry schemes to a level where we understand who exactly avails themselves for these programmes, in five universities in Southern Africa. To say that the enrolees of these programmes vary from country to country and, in some cases, from institution to institution (within the same country), is perhaps to state the obvious. However, in the absence of empirical research to determine the actual participants in several institutions, implementers of these programmes in these institutions and elsewhere will continue to rely on speculations and unsubstantiated claims with regard to whom is likely to enrol in the programmes.
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Brady, Claire, Richard Martin Bambury, Jodie E. Battley, Susan Murray, Seamus O'Reilly, Derek G. Power, Eugene J. Moylan, et al. "Resection of breast cancer brain metastases: A single institution experience." Journal of Clinical Oncology 30, no. 15_suppl (May 20, 2012): e11569-e11569. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.e11569.
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e11569 Background: Resection of a single brain metastasis (SBM) in metastatic cancer has been shown to improve overall survival (OS). A previously reported series from MD Anderson of breast cancer patients undergoing SBM resection reported a median overall survival of 19 months. We report our experience of SBM resection for breast cancer. Methods: Retrospective observational study of patients who underwent resection of SBM from breast cancer brain in a tertiary referral centre from 2000-2011. Results: 20 patients underwent SBM resection from 2000-2011. All patients received WBRT after surgery. 2 patients had progressive metastatic disease presenting as brain metastases. Median time from original breast cancer diagnosis to development of SBM was 53 months (range:1-286months). 9 patients had solitary brain metastases (no metastases elsewhere) and 11 patients had synchronous metastases elsewhere. Regarding the primary breast tumour: 41% of patients were ER+, 57% were HER2+ and 25% were triple negative. 1 patient had discordance of ER status between the primary tumour and brain metastasis (changed from ER- to ER+). Median overall survival was 9 months (95% CI: 5-18 months) with 1 year OS of 50%, 2 year OS of 15% and 3 year OS of 5%. Patients treated between 2006-2011 had better median OS than those treated 2000-2005(18 months vs 6 months – p-value not significant). Patients with a solitary brain metastasis had better median OS than those with synchronous extracranial disease (13 months vs 6 months – p-value not significant). An additional 2 patients underwent craniotomy for presumed breast cancer metastasis but histology revealed glioblastoma multiforme. Conclusions: We report on a cohort of patients undergoing metastatectomy for single brain metastasis from breast cancer. Median OS was 9 months but there was a trend towards better survival in patients treated in recent years when compared with those treated from 2000-2005. Improved systemic therapies may account for this difference. Also of note 2 patients undergoing resection for presumed brain metastases were found to have GBM, highlighting the role of tissue diagnosis in patients presenting with a solitary brain lesion.
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Eamon, Michael. "“An Extensive Collection of Useful and Entertaining Books”: The Quebec Library and the Transatlantic Enlightenment in Canada." Journal of the Canadian Historical Association 23, no. 1 (May 22, 2013): 1–38. http://dx.doi.org/10.7202/1015726ar.
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At the height of the American Revolution in 1779, the Quebec Library was created by Governor Sir Frederick Haldimand. For Haldimand, the library had a well-defined purpose: to educate the public, diffuse useful knowledge, and bring together the French and English peoples of the colony. Over the years, the memory of this institution has faded and the library has tended to be framed as an historical curiosity, seemingly divorced from the era in which it was created. This paper revisits the founding and first decades of this overlooked institution. It argues that its founder, trustees, and supporters were not immune to the spirit of Enlightenment that was exhibited elsewhere in the British Atlantic World. When seen as part of the larger social and intellectual currents of the eighteenth century, the institution becomes less of an historical enigma and new light is shed on the intellectual culture of eighteenth-century Canada.
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Naris, Nurning Agusriyanti. "Penerapan Subak dalam Institusi Sosial Petani Transmigran Bali." Jurnal Sosialisasi: Jurnal Hasil Pemikiran, Penelitian dan Pengembangan Keilmuan Sosiologi Pendidikan 1, no. 3 (November 21, 2022): 64. http://dx.doi.org/10.26858/sosialisasi.v1i3.38437.
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Balinese people live harmoniously with beliefs and culture that simultaneously. not only known for its beautiful beaches but also no less interesting is its agriculture. Subak is a traditional Balinese agricultural institution which is still being maintained. In general, many also interpret subak as an irrigation institution. Studies on subak in Bali have been written by several researchers both from within and outside the country. It is interesting how farmers still apply traditional agricultural institutions where now various government programs related to agriculture are implemented. Bali has proven that it can survive and cooperate with the local government to combine subak and farmer groups. This study wants to provide another description of how the implementation of subak is carried out elsewhere by farmers from Bali through the transmigration program. Without irrigation, the subak institution can still function as a farmer's living space. This research is reviewed from a sociology religious perspective using the ethnographic writing method through several field studies. This paper contributes to understanding Balinese farming communities who continue to maintain their beliefs and culture through a traditional institution called “subak”.
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Dakskobler, Igor, Andrej Martinčič, and Daniel Rojšek. "Phytosociological Analysis Of Communities With Adiantum Capillusveneris In The Foothills Of The Julian Alps (Western Slovenia)." Hacquetia 13, no. 2 (December 1, 2014): 235–58. http://dx.doi.org/10.2478/hacq-2014-0016.
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Abstract We conducted a phytosociological study of the communities hosting the rare and endangered fern Adiantum capillus-veneris in the foothills of the Julian Alps, in Karst and in Istria. Based on a comparison with similar communities elsewhere in the southern Alps (northern Italy) we classified most of the recorded stands into the syntaxa Eucladio-Adiantetum eucladietosum and -cratoneuretosum commutati. Releves from the southern Julian Alps, located in comparatively slightly colder and moister local climate and the dolomite bedrock are classified into the new subassociation -hymenostylietosum recurvirostri subass. nova. Stands with the abundant occurrence of the liverwort Conocephalum conicum, are classified in to the new subassociation -conocephaletosum conici subass. nova. Stands in conglomerate rock shelters along the Soča at Solkan are classified into the new association Phyteumato columnae-Adiantetum ass. nova, a community of transitional character between the classes Adiantetea capilli-veneris and Asplenietea trichomanis.
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Garanča, Biruta. "THE STRUCTURE OF MACHINERY BUILDING IN LATGALE AND PERSPECTIVES OF ITS DEVELOPMENT." Latgale National Economy Research 1, no. 1 (June 30, 2009): 53. http://dx.doi.org/10.17770/lner2009vol1.1.1761.
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The financial facility of development of machinery building in Latgale is expected in manufacturing of electrical and optical equipment and in production of metal and metal ware. At present the proportion of production of leading machinery and equipment non-classified elsewhere, as well as of production of transport means has a tendency to reduce and also they have lesser probability to manage the financial crisis.
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Goldberg, David. "Should our major classifications of mental disorders be revised?" British Journal of Psychiatry 196, no. 4 (April 2010): 255–56. http://dx.doi.org/10.1192/bjp.bp.109.072405.
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SummaryOur major classification systems (DSM and ICD) face three main problems: the high rates of ‘comorbidity’ that are produced by our present diagnostic rules, the increasing use of ‘not elsewhere classified’ (NEC) by practising clinicians, and the fact that each new edition is longer and more complex than the one preceding it. A major simplification of the chapter structure used by each classification might pave the way to address these problems.
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Gangadhar, K., and D. Santhosh. "Primary Skull Osteosarcoma: MDCT Evaluation and Histopathological Correlation in Two Cases." Neuroradiology Journal 25, no. 2 (April 2012): 188–92. http://dx.doi.org/10.1177/197140091202500206.
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Osteosarcomas are typically long bone tumors and rarely affect the skull, with most articles reporting single cases. As elsewhere in the body, these lesions may be classified as primary or secondary, chiefly post-Paget and post-radiation therapy. We describe two cases of primary osteosarcoma of skull one presenting with cerebellar symptoms and another with giant skull swelling. Complete evaluation with 64 slice CT and histopathological correlation was carried out.
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Steiner-Khamsi, Gita, and Ines Stolpe. "Non-Traveling ‘Best Practices' for a Traveling Population: The Case of Nomadic Education in Mongolia." European Educational Research Journal 4, no. 1 (March 2005): 22–35. http://dx.doi.org/10.2304/eerj.2005.4.1.2.
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This article deals with a particular ‘best practice’ in Mongolia (boarding schools) that neither traveled elsewhere nor was rescued from the socialist past and adopted in the post-socialist present. The boarding schools accommodating children from nomadic herder families have experienced a long decade (1991–2003) of neglect. The boarding school system of the twenty-first century has ceased to be a universal institution catering to a nomadic population, and has been transformed into a socially stratified system that mostly attracts students from poor families (nomadic and otherwise) who could not afford to entertain alternative living arrangements for their school-aged children. The authors treat nomadic education in Mongolia as an interesting case of a ‘transfer vacuum.’ The authors investigate the political and economic reasons for this immunity towards ‘lessons from elsewhere’ or ‘lessons from the past,’ and draw conclusions for research on educational policy borrowing and lending.
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Ani, Emmanuel Ifeanyi. "Responding to two arguments against the student evaluation of teaching scheme in Nigerian universities." African Journal of Educational Studies in Mathematics and Sciences 16, no. 1 (September 4, 2020): 51–62. http://dx.doi.org/10.4314/ajesms.v16i1.4.
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Student evaluation of teaching (SET) has been around Universities in the Western and Eastern Hemispheres for a few decades now. SET is making in-roads into the Nigerian tertiary education sector. In this project, I identify two arguments (or assumptions) behind the opposition to the institution of SET in Nigeria. I demonstrate that these arguments/assumptions are incorrect and their worries not enough to scrap the programme. I also show that opposition to SET has been witnessed elsewhere before SET gained acceptance.
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Imran, Imran, Handar Subhandi Bakhtiar, and Dirga Achmad. "Legal Standing and Authority of the Regional Representative Council in the Indonesia Constitusional System." Amsir Law Journal 1, no. 2 (April 6, 2020): 54–60. http://dx.doi.org/10.36746/alj.v1i2.23.
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The Regional Representative Council (DPD) as a regional representative institution is located as a state institution. The existence of the DPD reflects the principle of territorial or regional representation (regional representation). Therefore, as a representative institution, the DPD should ideally have the legislative, supervisory and budgetary functions as well as the House of Representatives (DPR). However, the DPD as a representative institution with these three functions actually has a very weak and soft function. The two chambers of the House of Representatives (DPR and DPD) do not have balanced authority. DPD and DPR are two rooms (houses, chambers) whose authority is not balanced, because it is classified as soft bicameral.
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Jordan, Katy, and Ian Badger. "Neat but not gaudy: planning and creating an electronic induction tutorial at the University of Bath." Library and Information Research 28, no. 89 (September 14, 2009): 45–49. http://dx.doi.org/10.29173/lirg166.
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A team of staff at the University of Bath Library and Learning Centre has developed a web-based e-learning package for library induction. This article charts the whole planning process, setting it within context of e-learning developments at the parent institution and throughout the wider academic environment. It shows how input from academic staff and librarians have shaped the content of the induction tutorial, while its structure and presentation was inspired by examples of good practice elsewhere in the academic library world.
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MACHAVA, BENEDITO. "REEDUCATION CAMPS, AUSTERITY, AND THE CARCERAL REGIME IN SOCIALIST MOZAMBIQUE (1974–79)." Journal of African History 60, no. 3 (November 2019): 429–55. http://dx.doi.org/10.1017/s0021853719001014.
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AbstractThroughout the socialist experiment between 1974 and 1992, the Mozambique Liberation Front (Frelimo) ran a network of internment camps officially known as reeducation centers. Established in remote rural sites to mentally decolonize wayward members of urban society and putative enemies of the socialist revolution, the camps became a dumping ground for unwanted citizens accused of all kinds of wrongdoing. Although the Frelimo leaders envisioned a pedagogical institution that would undo the damage of colonialism by transforming reeducatees into new social beings, the gap between the idea of rehabilitation and the reality of detention was abysmally wide. Austerity – the order of the day throughout the fifteen years of socialist experiment in Mozambique – conditioned and defined the organic functioning of reeducation camps. Unlike internment camps elsewhere, Mozambique's camps were not strictly regimented. The carceral regime that emerged not only set Mozambique's reeducation centers apart from camps elsewhere, they were also far from the technocratic moralism and panoptic ambitions of the ruling party.
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Ryan, Michael, Benton Emblom, E. Lyle Cain, Jeffrey Dugas, and Marcus Rothermich. "Long-Term Clinical Outcomes of Osteochondritis Dissecans Lesions of the Elbow Treated with Arthroscopy." Orthopaedic Journal of Sports Medicine 9, no. 7_suppl4 (July 1, 2021): 2325967121S0020. http://dx.doi.org/10.1177/2325967121s00202.
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Objectives: While numerous studies exist evaluating the short-term clinical outcomes for patients who underwent arthroscopy for osteochondritis dissecans (OCD) of the capitellum, literature on long-term clinical outcomes for a relatively high number of this subset of patients from a single institution is limited. We performed a retrospective analysis on all patients treated surgically for OCD of the capitellum at our institution from January 2001 to August 2018. Our hypothesis was that clinical outcomes for patients treated arthroscopically for OCD of the capitellum would be favorable, with improved subjective pain scores and acceptable return to play for these patients. Methods: Inclusion criteria for this study included the diagnosis and surgical treatment of OCD of the capitellum treated arthroscopically with greater than 2-year follow-up. Exclusion criteria included any surgical treatment on the ipsilateral elbow prior to the first elbow arthroscopy for OCD at our institution, a missing operative report, and/or any portions of the arthroscopic procedure that were done open. Follow-up was achieved over the phone by a single author using three questionnaires: American Shoulder and Elbow Surgeons – Elbow (ASES-E), Andrews/Carson KJOC, and our institution-specific return-to-play questionnaire. Results: After the inclusion and exclusion criteria were applied to our surgical database, our institution identified 101 patients eligible for this study. Of these patients, 3 were then excluded for incomplete operative reports, leaving 98 patients. Of those 98 patients, 81 were successfully contacted over the phone for an 82.7% follow-up rate. The average age for this group at arthroscopy was 15.2 years old and average post-operative time at follow-up was 8.2 years. Of the 81 patients, 74 had abrasion chondroplasty of the capitellar OCD lesion (91.4%) while the other 7 had minor debridement (8.6%). Of the 74 abrasion chondroplasties, 29 of those had microfracture, (39.2% of that subgroup and 35.8% of the entire inclusion group). Of the microfracture group, 4 also had an intraarticular, iliac crest, mesenchymal stem-cell injection into the elbow (13.7% of capitellar microfractures, 5.4% of abrasion chondroplasties, and 4.9% of the inclusion group overall). Additional arthroscopic procedures included osteophyte debridement, minor synovectomies, capsular releases, manipulation under anesthesia, and plica excisions. Nine patients had subsequent revision arthroscopy (11.1% failure rate, 5 of which were at our institution and 4 of which were elsewhere). There were also 3 patients within the inclusion group that had ulnar collateral ligament reconstruction/repair (3.7%, 1 of which was done at our institution and the other 2 elsewhere). Lastly, 3 patients had shoulder operations on the ipsilateral extremity (3.7%, 1 operation done at our institution and the other 2 elsewhere). To control for confounding variables, scores for the questionnaires were assessed only for patients with no other surgeries on the operative arm following arthroscopy (66 patients). This group had an adjusted average follow-up of 7.9 years. For the ASES-E questionnaire, the difference between the average of the ASES-E function scores for the right and the left was 0.87 out of a maximum of 36. ASES-E pain was an average of 2.37 out of a max pain scale of 50 and surgical satisfaction was an average of 9.5 out of 10. The average Andrews/Carson score out of a 100 was 91.5 and the average KJOC score was 90.5 out of 100. Additionally, out of the 64 patients evaluated who played sports at the time of their arthroscopy, 3 ceased athletic participation due to limitations of the elbow. Conclusions: In conclusion, this study demonstrated an excellent return-to-play rate and comparable subjective long-term questionnaire scores with a 11.1% failure rate following arthroscopy for OCD of the capitellum. Further statistical analysis is needed for additional comparisons, including return-to-play between different sports, outcome comparisons between different surgical techniques performed during the arthroscopies, and to what degree the size of the lesion, number of loose bodies removed or other associated comorbidities can influence long-term clinical outcomes.
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Kim, Jin K., Martin A. Koyle, Lucshman Raveendran, Chia Wei Teoh, Michael E. Chua, Jessica M. Ming, Walid A. Farhat, Diane Hebert, and Armando J. Lorenzo. "Pediatric Kidney Transplant Experience in Ontario: A Review of Division of the Surgical and Medical Management Across Local Tertiary Care Institutions." Canadian Journal of Kidney Health and Disease 7 (January 2020): 205435812092571. http://dx.doi.org/10.1177/2054358120925712.
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Background: Our institution is the largest pediatric kidney transplantation (KT) center in Canada and the referral center for pediatric KT in Ontario. Pediatric KT recipients are referred to our center for KT and transferred back to their local tertiary care institutions for post-transplant care. This investigation assesses whether the current system of transferring patients back to their local tertiary care institutions following KT allows decreased burden and distribution of resources from a single centralized surgical center. Methods: A retrospective review of KT performed at our institution between 2000 and 2015 was performed. Patients were divided into those who began their chronic kidney disease (CKD) care at our institution and those who began their care elsewhere. Readmission to our institution within 1 year of KT for surgical and nonsurgical complications was compared. The geographical proximity of patients to our institution and institution of initial CKD care was assessed quantitatively and mapped visually. Results: Of 324 patients who underwent KT, 244 (75.3%) began their CKD care at our institution. Those who began their CKD care at other institutions had shorter initial admissions to our institution (17 [14-24] vs 14 [12-17], P < .0001) and were less likely to be readmitted to our institution for nonsurgical concerns at <6 months after transplant ( P < .0001) and 6 to 12 months after transplant ( P < .0001). There were similar readmissions for complications requiring surgical management. The relationship between the center of CKD initiation and readmission remained significant on multivariate analysis. There was a significant difference in distance (km) to our institution between the 2 groups (46 [interquartile range = 24-109] vs 203 [117-406], P < .0001). Conclusion: Patients who are geographically distanced from our institution began their CKD care at their closest institution and were managed effectively at those institutions following initial discharge/transfer of care, suggesting that there is an effective distribution of health care resources with regard to CKD and KT care.
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Nugroho, Bayu Hari, and Sawarni Hasibuan. "Risk Assessment on Online Learning Method in Indonesian Higher Education Institution during Pandemic Covid-19." Journal of Educational Analytics 1, no. 3 (November 30, 2022): 179–96. http://dx.doi.org/10.55927/jeda.v1i3.1131.
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In early 2020, the spread of the Covid-19 virus spread in Indonesia. The Indonesian government implements distance learning at all levels of education. This study aims to examine 47 risks that can disrupt the online learning process, especially in tertiary institutions. The risk matrix method consists of low risk, medium risk and high risk classifications. Of the 47 potential risks assessed, 29.78% are classified as low risk, around 63.83% are classified as medium risk, then 6.39% are classified as high risk. This study found unfulfilled numbers for student enrollment; plagiarism and bandwidth consumption as high risks in e-learning methods during the co-19 pandemic. Higher education management needs to make a strategic plan in anticipating these risks. This study provides several strategies using the 5W+1H method. The strategy is to recalculate tuition fees and payment methods to increase student enrollment, HEI management must implement regulatory policies and also apply the UPCC method to minimize plagiarism, and optimize information technology to manage bandwidth consumption.
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Morris, Laurence, and Lindsey McDermott. "Improving information literacy and academic skills tuition through flipped online delivery." Journal of Information Literacy 16, no. 1 (June 5, 2022): 172. http://dx.doi.org/10.11645/16.1.3108.
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The COVID-19 pandemic forced UK universities to move the majority or all of tuition online. The Library Academic Support Team at Leeds Beckett University used that shift as an opportunity to improve information literacy (IL) and academic skills tuition across the institution. Instruction and support were redesigned on a flipped basis to ensure that online delivery improved on face-to-face delivery rather than simply replicating it. This project report reviews that work with usage statistics, user feedback, practicalities of service provision and discussion of impact. The report extends existing literature with a model of significant institution-level changes to IL and academic skills instruction which could be applied elsewhere. It concludes that the shift to flipped online learning was a qualified success, with the revised approach proving notably more popular and inclusive, also providing other benefits such as more focused in-class discussion.
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Batisla-ong, Soceline, and Soceline N. Batisla-ong. "DISASTER RISK REDUCTION MANAGEMENT CAPABILITIES OF STATE UNIVERSITIES AND COLLEGES AND LOCAL GOVERNMENT UNITS IN ILOLO: BASIS OF DEVELOPMENT PROGRAM." Polaris Global Journal of Scholarly Research and Trends 1, no. 1 (October 29, 2022): 97–115. http://dx.doi.org/10.58429/pgjsrt.v1n1a96.
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This research was conducted to determine the disaster risk reduction management capabilities of the State Universities and Colleges and Local Government Units in the Province of Iloilo and formulate a development program based on the result. A total of 160 respondents were involved in this study. In gathering the needed data, a valid and reliable researcher-made instrument in the form of a questionnaire checklist was utilized considering all the variables included in the study. The data gathered were analyzed using the mean, the-Kruskal Wallis and Mann-Whitney set at a .05 alpha level of significance. The findings revealed that the disaster preparedness, disaster response, prevention and mitigation, and rehabilitation and recovery of the four State Universities and Colleges as a whole and classified as an institution was “very satisfactory” while the Local Government Units as a whole and classified as to location was “excellent.”
Significant differences existed in the disaster preparedness, disaster response, prevention, mitigation, and rehabilitation and recovery capability levels of the SUCs classified as to institution and LGUs classified as to location. The State Universities and Colleges and Local Government Units’ capability levels in disaster preparedness and disaster response were significantly different while no significant differences in prevention and mitigation and rehabilitation and recovery were found. The challenges encountered by residents during disasters were inadequate.
Keywords:
DRRM, Universities, Colleges, LGU
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MONNIOT, FRANÇOISE, and SUSANNA LÓPEZ-LEGENTIL. "Deep-sea ascidians from Papua New Guinea." Zootaxa 4276, no. 4 (June 14, 2017): 529. http://dx.doi.org/10.11646/zootaxa.4276.4.5.
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Four deep-sea ascidian species collected during the KAVIENG 2014 expedition in Papua New Guinea are described, including additional characteristics not reported previously. Fimbrora calsubia is classified within the family Ascidiidae, Dicopia fimbriata and Octacnemus bythius within Octacnemidae, and Culeolus recumbens within Pyuridae. Anatomical observations confirmed previous descriptions for these four species collected elsewhere. Here, we describe additional morphological features for these species and provide the first barcode DNA sequences (based on a fragment of the mitochondrial gene Cytochrome Oxidase I) for D. fimbriata and C. recumbens.
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Farkas, Zoltán. "The concept and coverage of institution." Rationality and Society 31, no. 1 (January 8, 2019): 70–97. http://dx.doi.org/10.1177/1043463118821654.
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The concept of institution is a rather unclear concept in the contemporary social science literature. In the “Introduction,” I give a survey of the different interpretations of the concept of institution. In the first part, I make a distinction between loose norms and tight norms, and I define the concept of institution in connection with the concept of tight norm. Institution is a system of tight norms and additional norms specifying the validity scope of the tight norms as well as the control of their actual realization. Furthermore, I introduce the concept of quasi-institution to denote the typical transitions between norm systems of a different nature. In connection with the shaping of institutions and the control, I introduce the concept of the coverage of institution. The coverage of institution is the ability to shape and change the norms composing the given institution and to control the actions falling into the validity scope of institutional norms. In the second part, institutions are classified according to their coverage and distinction is made between externally covered, one-sidedly covered, and internally covered institutions. Concerning quasi-institutions, I make a distinction between its two typical forms: the norm system with one-person coverage and institutional morals.
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Weickhardt, George G. "The Pre-Petrine Law of Property." Slavic Review 52, no. 4 (1993): 663–79. http://dx.doi.org/10.2307/2499646.
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The development or lack of development of private property rights in Russia commands interest and significance far beyond the narrow confines of legal history. The institution of private property serves not only as a bulwark of stability but also as a limit to the state's authority. In the words of Richard Pipes, “Ownership of property creates a commitment to the political and legal order since the latter guarantees property rights: it makes the citizen into a co-sovereign, as it were.” Elsewhere Pipes notes that in the west private property “confronted royal power with effective limits to its authority.”
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Murphy, Michael. "Technology Development at the Bedford Institute of Oceanography, 1962-1986." Scientia Canadensis 39, no. 1 (October 12, 2017): 74–92. http://dx.doi.org/10.7202/1041379ar.
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This paper explores the relationship between technology and discovery in oceanography, examining examples of instrumentation development at the Bedford Institute of Oceanography (BIO). Between 1962 and 1986, BIO researchers and technicians initiated a wave of rapid technological development, while also adopting technology developed elsewhere. These developments were abridge into the digital age as BIO staff incorporated computer hardware and software into instrument development. This paper summarizes these developments, their impact on the work of the Institute, and factors that influenced this work, and how they changed over time BIO emerged as a world-class oceanographic institution.
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Oktavia, Tanty. "Perancangan Model Sistem Informasi Penunjang Operasional pada Lembaga Bimbingan Belajar." ComTech: Computer, Mathematics and Engineering Applications 3, no. 2 (November 1, 2012): 788. http://dx.doi.org/10.21512/comtech.v3i2.2307.
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Tutoring institution is an organization which classified in education which focuses on improving the quality of learning of all students in order to achieve the desired target. The operational activities on this institution consist of registration, scheduling, evaluation, and administration supporters. It will be less effective if the process is done manually. Therefore, many institutions are starting to restructure the model of information systems to support the company’s operations. This study describes about a design of information system model using object oriented approach introduced by Satzinger, which each phase is represented using UML diagrams. The result achieved in this research is to produce a general model of information systems in supporting the operations of a tutoring institution.
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Leach, Stephen. "History, Ethics and Philosophy: Bernard Williams’ Appraisal of R. G. Collingwood." Journal of the Philosophy of History 5, no. 1 (2011): 36–53. http://dx.doi.org/10.1163/187226311x555446.
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AbstractThe author examines Williams’ appraisal of Collingwood both in his eponymous essay on Collingwood, in the posthumously published Sense of the Past (2006), and elsewhere in his work. The similarities and differences between their philosophies are explored: in particular, with regard to the relationship between philosophy and history and the relationship between the study of history and our present-day moral attitudes. It is argued that, despite Williams usually being classified as an analytic philosopher and Collingwood being classified as an idealist, there is substantial common ground between them. Williams was aware of this and made clear his sympathy for Collingwood; but, nonetheless, the relationship between Williams and Collingwood has not previously been explored in any detail. After establishing the common ground between these philosophers, and the areas of disagreement, the author suggests that both may have something to gain from the other.
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WALTON, JOHN K., and DAVID TIDSWELL. "‘Classified at random by veritable illiterates’: the taking of the Spanish census of 1920 in Guipúzcoa province." Continuity and Change 20, no. 2 (August 2005): 287–313. http://dx.doi.org/10.1017/s0268416005005503.
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This article offers an approach through administrative and cultural history to the problems associated with gathering and processing data for the Spanish national census of 1920, and by implication for earlier Spanish censuses. It focuses on the Basque province of Guipúzcoa, making use of correspondence between the central statistical office in Madrid, the provincial jefe de estadística and the localities, and of reports on three problematic towns within the province. The issues that emerge regarding ‘undercounting’, the definition of administrative boundaries and the classification of demographic characteristics are set in the wider context of census-taking practices and problems elsewhere in Spain and in other cultures.
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Carlson, Katherine A. "Doing Good and Looking Bad: A Case Study of Prison/Community Relations." Crime & Delinquency 38, no. 1 (January 1992): 56–69. http://dx.doi.org/10.1177/0011128792038001004.
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Research studies find that the objective impacts of prisons on their host communities are largely favorable. At the same time, residents of these communities often hold unfavorable attitudes toward their prison and community relationships with the institution may be poor. Using examples from an in-depth study of a new prison in a small town, one source of this disparity is sought in usual practices that would be found elsewhere as well. Corrections/community relations are likely to be influenced by the processes involved in prison siting and operations, and by differences in the premises underlying the judgments of local residents and corrections officials.
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Ito, Kenmochi, Aida, Kurihara, Kawai, Suzuki, Shibata, Hiratsuka, and Hasegawa. "The Outcomes of Pancreatic Transplantation from Pediatric Donors–A Single Institution Experience." Journal of Clinical Medicine 8, no. 9 (September 4, 2019): 1386. http://dx.doi.org/10.3390/jcm8091386.
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Objectives: The aim of this study was to compare the outcomes of pancreatic transplantation from pediatric donors younger than 15 years of age to the outcomes of pancreatic transplantation from adult donors. Methods: Sixty patients underwent pancreatic transplantation in our facility from August 2012 to June 2019. These patients were divided into two groups according to the age of the donor: Cases in which the donor was younger than 15 years of age were classified into the PD group (n = 7), while those in which the donor was older than 15 years of age were classified into the AD group (n = 53). The outcomes of pancreas transplantation were retrospectively compared between the two groups. Results: Pancreatic graft survival did not differ between the PD and AD groups. Furthermore, there were no differences in the HbA1c and serum creatinine levels at three months, with good values maintained in both groups. The results of oral glucose tolerance tests (OGTTs) revealed that the blood glucose concentration did not differ between the two groups. However, the serum insulin concentration at 30 min after 75 g glucose loading was significantly higher in the PD group. Conclusion: The outcomes of pancreatic transplantation from pediatric donors may be comparable to those of pancreatic transplantation from adult donors and the insulin secretion ability after transplantation may be better.
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Polsiri, Piruna. "Concentrated ownership and prediction of financial institution failures." Corporate Ownership and Control 8, no. 4 (2011): 84–95. http://dx.doi.org/10.22495/cocv8i4p5.
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In an emerging economy where ownership concentration is common and legal protection of outside investors is weak, financial and economic factors that are widely documented might not have been sufficient in constructing sound models to predict financial institution failures. Using the data of financial institutions listed in the Thai stock exchange during the 1997 East Asian financial crisis, this study showed that to develop sound prediction models that are robust across time to failure models, ownership variables should be incorporated in the models. Specifically, in the logit models that include both financial and ownership variables, 85.45%, 85.41%, and 91.49% of financial institutions were correctly classified in the models using the data of one, two, and three years prior to failure, respectively. It was also find that the presence of family as the largest shareholder increases the probability that a financial institution was closed. This evidence supports the expropriation effects of controlling families. Finally, the results suggested evidence of a “too-big-to-fail” policy in the closure procedures of Thai financial institutions during the East Asian financial crisis.
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Pridmore, Saxby, Helen Hornsby, David Hay, and Ivor Jones. "Survival Analysis and Readmission in Mood Disorder." British Journal of Psychiatry 165, no. 6 (December 1994): 824–27. http://dx.doi.org/10.1192/bjp.165.6.824.
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BackgroundThis is an exploratory study of readmission in mood disorder.MethodThe study is naturalistic and employs survival analysis. We identified 821 individuals with ICD–9 diagnoses, drawn from the Tasmanian Mental Health Register.ResultsNo demographic variables influence the time to readmission. Two groups emerge: those with affective psychoses, and those with neurotic depression, brief depressive reaction and depressive disorders not elsewhere classified. The former group demonstrated shorter times to readmission than the latter. There was no support for a unipolar–bipolar distinction.ConclusionsAffective psychoses have a less favourable outcome than expected. There was support for an endogenous-neurotic distinction.
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Golding, Rosemary. "Musical Chairs: The Construction of ‘Music’ in Nineteenth-Century British Universities." Nineteenth-Century Music Review 6, no. 2 (November 2009): 19–39. http://dx.doi.org/10.1017/s1479409800003086.
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When, in 1838, the University of Edinburgh received General John Reid's bequest founding a Chair of Music, members of the Senatus were baffled by their duty to establish a Professorship in a subject previously absent from university curricula, at an institution with no apparent call, or desire, for musical instruction. There was, furthermore, no obvious precedent for such a post elsewhere. Oxford and Cambridge's music professorships dated back to the seventeenth century, but both had been virtual sinecures since not long after their foundation. The institution of the Royal Academy of Music in the previous decade provided no model for a university subject, as it catered primarily for young ladies and aspiring professional performers, with no obviously ‘academic’ form of study. German universities included musical study but were primarily concerned with history in terms of stylistic development, with compositional ends in mind. The trustees appointed to manage the Reid bequest faced the daunting task of creating an entirely new academic subject, which needed to be divorced from current musical study and practice in order to render it suitable for the university environment.
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Lăzăroiu, Laurențiu-Leonard. "The Motivation of Betrayal by Leaking of Classified Information." Land Forces Academy Review 22, no. 1 (March 1, 2017): 35–39. http://dx.doi.org/10.1515/raft-2017-0006.
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Abstract Trying to forecast the human behavior involves acts and knowledge of motivational theories, applicable to profile of each organization and in particular to each individual’s style. The anticipation of personal attitudes has not the only aim for a passive monitoring of professional activity, but also wants to increase performance of risk avoidance, in acordance with a specific organizational environment. The emergence and development of motivational forms and values, whose projections determine social crimes, are risk factors, affecting the professional activity of the person, but also affecting the performance and stability of the institution. Moreover, if the motivation determines attitudes aimed at compromising classified information, the resulting actions may be considered as threats to national security. The prevention of such threats can only be achieved by understanding motivational mechanisms and external conditions for the perssonel that make it possible to transform some intentions into real actions.
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Kopacz, Marek S., Cathleen P. Kane, Brady Stephens, and Wilfred R. Pigeon. "Use ofICD-9-CMDiagnosis Code V62.89 (Other Psychological or Physical Stress, Not Elsewhere Classified) Following a Suicide Attempt." Psychiatric Services 67, no. 7 (July 2016): 807–10. http://dx.doi.org/10.1176/appi.ps.201500302.
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van Calster, Geert, and Andreas Schöpgens. "Multilevel Constitutional Review and EU External Treaty Making After Opinion 2/15." European Foreign Affairs Review 23, Issue 4 (December 1, 2018): 439–62. http://dx.doi.org/10.54648/eerr2018036.
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Regional free trade agreements (FTAs), such as the EU-Singapore (EUSFTA) or the EU-Canada Comprehensive Economic and Trade Agreement (CETA), foresee judicial mechanisms for investor state dispute settlement (ISDS). The EU Treaties (TEU and TFEU) remain silent on the competence nature of external institution-building. It is no surprise therefore that ISDS causes inter-institutional disputes. Constitutionality reviews at national and EU level are challenged by ISDS institution-building. Examples are the German constitutional court’s 2016 decisions on CETA and its investment court system (ICS), and the Court of Justice of the European Union’s (CJEU) Opinion 2/15 on the EU-Singapore agreement. This article looks both at the national and supranational constitutional courts of a multilevel composite adjudication system of relevance to EU external relations, with a particular focus on ISDS. After some general considerations on Member State courts’ influences on EU external activities, the article compares the double-layered (competence and substance) review-approaches at both levels, to then analyse the recent application of these approaches to the Singapore agreement and CETA. The aim is to show that in external relations, as elsewhere, the EU depends on system-internal cooperation between its constitutional courts. As this is particularly important for institution-building, the article will also point to some legal uncertainties which these courts generate for ISDS.
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SURER, ILHAMI, LINDA A. BAKER, ROBERT D. JEFFS, and JOHN P. GEARHART. "MODIFIED YOUNG-DEES-LEADBETTER BLADDER NECK RECONSTRUCTION IN PATIENTS WITH SUCCESSFUL PRIMARY BLADDER CLOSURE ELSEWHERE: A SINGLE INSTITUTION EXPERIENCE." Journal of Urology 165, no. 6 Part 2 (June 2001): 2438–40. http://dx.doi.org/10.1016/s0022-5347(05)66224-6.
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Yayac, Michael, Nicholas Schiller, Matthew S. Austin, and P. Maxwell Courtney. "2020 John N. Insall Award: Removal of total knee arthroplasty from the inpatient-only list adversely affects bundled payment programmes." Bone & Joint Journal 102-B, no. 6_Supple_A (June 2020): 19–23. http://dx.doi.org/10.1302/0301-620x.102b6.bjj-2019-1369.
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Aims The purpose of this study was to determine the impact of the removal of total knee arthroplasty (TKA) from the Medicare Inpatient Only (IPO) list on our Bundled Payments for Care Improvement (BPCI) Initiative in 2018. Methods We examined our institutional database to identify all Medicare patients who underwent primary TKA from 2017 to 2018. Hospital inpatient or outpatient status was cross-referenced with Centers for Medicare & Medicaid Services (CMS) claims data. Demographics, comorbidities, and outcomes were compared between patients classified as ‘outpatient’ and ‘inpatient’ TKA. Episode-of-care BPCI costs were then compared from 2017 to 2018. Results Of the 2,135 primary TKA patients in 2018, 908 (43%) were classified as an outpatient and were excluded from BPCI. Inpatient classified patients had longer mean length of stay (1.9 (SD 1.4) vs 1.4 (SD 1.7) days, p < 0.001) and higher rates of discharge to rehabilitation (17% vs 3%, p < 0.001). Post-acute care costs increased when comparing the BPCI patients from 2017 to 2018, ($5,037 (SD $7,792) vs $5793 (SD $8,311), p = 0.010). The removal of TKA from the IPO list turned a net savings of $53,805 in 2017 into a loss of $219,747 in 2018 for our BPCI programme. Conclusions Following the removal of TKA from the IPO list, nearly half of the patients at our institution were inappropriately classified as an outpatient. Our target price was increased and our institution realized a substantial loss in 2018 BPCI despite strong quality metrics. CMS should address its negative implications on bundled payment programmes. Cite this article: Bone Joint J 2020;102-B(6 Supple A):19–23.
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Tibout, Pauline, Natasha Ferguson, Guillaume St-Laurent, Judith Rondeau-Legault, David Simonyan, and Valérie Larouche. "RETROSPECTIVE STUDY OF THE RADIOLOGICAL FINDINGS OF THE MEDIASTINUM AFTER END-OF-TREATMENT FOR A MEDIASTINAL LYMPHOMATOUS MASS IN PEDIATRIC ONCOLOGY." Paediatrics & Child Health 23, suppl_1 (May 18, 2018): e43-e43. http://dx.doi.org/10.1093/pch/pxy054.111.
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Abstract BACKGROUND Reactive thymic hyperplasia, or rebound thymus, is a well-known phenomenon following chemotherapy. While rebound thymus has been described after treatment for many different malignancy, it has been more often noted after treatment for lymphomas. In children and adolescents in which the primary lymphoma was located in the mediastinum, a mediastinal mass, such as a reactive thymic hyperplasia, can be misdiagnosed as a tumor relapse. It can be difficult for the clinician to differentiate between a tumor relapse and a reactive thymic hyperplasia, which may cause unnecessary additional imaging and invasive diagnostic procedures as well as anxiety for the patient and his family. OBJECTIVES The main objective was to measure the incidence of reactive thymic hyperplasia following treatment for a paediatric mediastinal lymphoma. The secondary objectives were to describe the radiologic findings which may help differentiate thymic hyperplasia and tumor relapse and to analyse if the finding of a mediastinal mass changed the clinical management. DESIGN/METHODS We conducted a retrospective cohort study. The consent for reviewing medical files was obtained from the institutional ethics board. We obtained data from the archives at the Centre mère-enfant Soleil, CHU de Québec. The medical and radiologic files of 72 paediatric patients which completed two years of follow-up after the treatment for mediastinal lymphoma were reviewed. The radiologic imaging reports were analysed and the patients were classified depending if they developed a mediastinal mass during follow-up or not. If a mass was developed, its characteristics were described to differentiate between a tumor relapse and a thymic hyperplasia. Statistical analyses were performed using SAS 9.4 Statistical Software (Institute SAS, Cary, NC, USA). Descriptive analysis includes mean ± standard deviation, range and median, interquartile range for continuous variables, and frequency and percentage for categorical. Bivariate tests were used to compare the rebound thymic hyperplasia group with the group without this problem. RESULTS The patients were followed for a mean of 27.7 ± 28.0 months (95% CI 21.1–34.2) and a median of 12.6 months. Of seventy-two patients reviewed, thirty-nine (54.2%) developed a mediastinal mass at follow-up. Of them, three had a mediastinal relapse of their tumor. One patient had a lymphoma relapse located elsewhere than the mediastinum and a benign rebound mediastinal mass. Thirty-five out of the 72 patients (48.6%, 95% CI 37.3%-60%) developed a benign mediastinal mass and were diagnosed with having rebound thymic hyperplasia. Of those thirty-five patients, twelve were investigated with additional imaging, and one had a mediastinal biopsy showing true thymic hyperplasia. The other twenty-three were followed-up according to the clinician, with no modification to their follow-up because of the mediastinal mass. These results are shown in Table 2. The majority of the rebound thymic hyperplasia were a mass of triangular shape, with well-defined margins and homogenous density. It remained unchanged or minimized at follow-up, but it was noted that three patients had an augmentation of the hyperplasia at follow-up, while remaining disease-free. The age <14 years old was a risk factor in our population (Hazard Ratio (HR) 1.95, p=.0491). CONCLUSION Reactive thymic hyperplasia is a common phenomenon showed in half of our cohort of patients. Some radiological findings, including triangular shape, well defined margins and mild homogenous enhancement, oriented towards a rebound thymic hyperplasia. Additional imaging study should be limited to patients whose rebound mass or symptoms make the clinician suspect a tumor relapse. A prospective cohort study with standardized care should be conducted to better characterize the rebound thymic hyperplasia and help the clinician approach a mediastinal mass at follow-up.