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Chapter 4 details Mary Jane Holmes’s mistrust of “family pride” and her contention that “work” – of any sort – will challenge spoonery, crackerhood, and “white trash” dysgenics (her terms for national disruptions).
The near-infrared reflectance spectra of Pluto and its satellites are rich with diagnostic absorption bands of ices of CH4, N2, CO, H2O, and an incompletely identified ammonia-bearing molecule. Following years of investigation of the spectra of Pluto and Charon with ground-based telescopes, NASA’s New Horizons spacecraft obtained spectral maps of these bodies and three small satellites on its passage through the system on July 14, 2015, showing the distribution of these ices, as well as a colored, non-ice component. Spectral modeling mapped the distribution of the various ices and showed their abundance and mixing details in relationship to regions of differing surface elevation, albedo, and geologic structure. Additionally, owing to their greatly different degrees of volatility, the ices of Pluto are distributed in patterns responsive to Pluto’s climatic changes on both short and long terms. The surface of Charon is dominated spectrally by H2O ice with one or more ammoniated compounds, and three of the four very small satellites show both H2O ice and the ammonia signature.
Nineteenth-Century American Women's Serial Novels explores the prolific careers of four exemplary novelists - E. D. E. N. Southworth, Ann Stephens, Mary Jane Holmes, and Laura Jean Libbey. These commercially successful writers helped to shape the popular tradition of serial magazine fiction by drawing on readers' tastes along with their cultural concerns. Their astonishing productivity led magazine editors and publishers to return to them repeatedly for more serials to be turned into even more novels, even as they reprinted these fictions under new titles. Dale M. Bauer analyzes how serials deployed the repetition of plots and the traumas representing the sources of women's anxieties and pain. Arguing that these novels provided temporary resolutions to the social, economic, and psychological tensions that readers faced, Bauer explains how this otherwise forgotten archive of fiction now offers an extraordinarily expanded range of women's literary effort from the nineteenth to the twentieth century.
This study aimed to evaluate the effect of neck dissection on survival and complication rates in patients with no clinical or radiological evidence of cervical nodal disease (N0) undergoing salvage laryngectomy.
A retrospective study was conducted of patients with squamous cell carcinoma of the larynx following primary radiotherapy that required salvage laryngectomy. Disease-free and overall survival rates were compared over three years using Kaplan–Meier analysis. Pharyngocutaneous fistula rate, hospitalisation length and the requirement for further surgical intervention were also compared across cohorts.
Twenty-three cases met the inclusion criteria (17 neck dissections, 6 undissected). No significant differences in survival outcomes were identified. One patient who underwent neck dissection for advanced, recurrent transglottic squamous cell carcinoma showed evidence of occult lymph node metastases. Fistula rates did not differ significantly between dissected and non-dissected groups; however, two patients required surgical repair of post-operative pharyngocutaneous fistula following neck dissection.
In this study, elective neck dissection did not appear to alter survival outcomes or complication rates during salvage laryngectomy. Given the small but significant risk of occult neck metastases, its true value remains unclear.