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Catholics before Vatican II lived in a world emotionally and even geographically apart from non-Catholics and non-believers. The church was identified as a European institution embedded in the cultures of the traditionally Catholic countries of Southern and Eastern Europe brought to North America and Australia by immigration. Highly authoritarian and hierarchically organized, the Catholic Church provided a universe largely at odds not only with Protestants but also with “modern” developments in government, sciences, and philosophy.
Hypoxemic patients often desaturate further with movement and transport. While inhaled epoprostenol does not improve mortality, improving oxygenation allows for transport of severely hypoxemic patients to tertiary care centers with a related improvement in mortality rates. Extracorporeal membrane oxygenation (ECMO) use is increasing in frequency for patients with refractory hypoxemia, and with increasing regionalization of care, safe transport of hypoxemic patients only becomes more important. In this series, four cases are presented of young patients with severe hypoxemic respiratory failure from Legionnaires’ disease transported on inhaled epoprostenol to ECMO centers for consideration of cannulation. With continued climate changes, Legionella and other pathogens are likely to be a continued threat. As such, optimizing oxygenation to allow for transport should continue to be a priority for critical care transport (CCT) services.
A 2018 workshop on the White Mountain Apache Tribe lands in Arizona examined ways to enhance investigations into cultural property crime (CPC) through applications of rapidly evolving methods from archaeological science. CPC (also looting, graverobbing) refers to unauthorized damage, removal, or trafficking in materials possessing blends of communal, aesthetic, and scientific values. The Fort Apache workshop integrated four generally partitioned domains of CPC expertise: (1) theories of perpetrators’ motivations and methods; (2) recommended practice in sustaining public and community opposition to CPC; (3) tactics and strategies for documenting, investigating, and prosecuting CPC; and (4) forensic sedimentology—uses of biophysical sciences to link sediments from implicated persons and objects to crime scenes. Forensic sedimentology served as the touchstone for dialogues among experts in criminology, archaeological sciences, law enforcement, and heritage stewardship. Field visits to CPC crime scenes and workshop deliberations identified pathways toward integrating CPC theory and practice with forensic sedimentology’s potent battery of analytic methods.
Excavations at Abreu Garcia provide a detailed case study of a mound and enclosure mortuary complex used by the southern proto-Jê in the southern Brazilian highlands. The recovery of 16 secondary cremation deposits within a single mound allows an in-depth discussion of spatial aspects of mortuary practices. A spatial division in the placement of the interments adds another level of duality to the mortuary landscape, which comprises: (1) paired mound and enclosures, (2) twin mounds within a mound and enclosure, and (3) the dual division in the mound interior. The multiple levels of nested asymmetric dualism evoke similarities to the moiety system that characterizes modern southern Jê groups, highlighting both the opposition and the complementarity of the social system. The findings offer deeper insight into fundamental aspects of southern proto-Jê social organization, including the dual nature of the community, the manifestation of social structure in the landscape, and its incorporation into mortuary ritual. The results have implications for research design and developing appropriate methodologies to answer culture-specific questions. Furthermore, the parallels among archaeology, ethnohistory, and ethnography enable an understanding of the foundation of modern descendent groups and an assessment of the continuity in indigenous culture beyond European contact.
This volume explores the diverse ways in which the Book of Psalms profoundly influenced medieval English literature and culture, through a series of connected overviews and special case studies. A number of recent studies have highlighted the Psalter's reception in Early Modern English (and wider European culture), while three monographs by contributors to this volume offer focused studies of the Psalter in individual periods of medieval English literature: Jane Toswell's The Anglo-Saxon Psalter, Annie Sutherland's English Psalms in the Middle Ages: 1300–1450and Michael P. Kuczynski's Prophetic Song: The Psalms as Moral Discourse in Late Medieval England. But as yet no single study has sought to offer a comprehensive survey of English responses to the Book of Psalms from the conversion of the Anglo-Saxons to the cusp of the Reformation. By bringing work by experts on both Old and Middle English literature into dialogue, this volume breaks down the traditional disciplinary binaries of pre- and post-Conquest English, late medieval and Early Modern, as well as emphasizing the complex and fascinating relationship between Latin and the vernacular languages of England. In order to encourage the reader to make connections both across and within these various periods and languages, the book is arranged thematically rather than chronologically, with three sections designed to offer a variety of perspectives on the Psalms and medieval English literature.
Section I (Translation) focuses on the development of English psalm translation from its beginnings in Old English interlinear glosses in Latin psalters through the multilingual psalters of the Anglo-Norman era to the stand-alone vernacular psalters of the fourteenth and fifteenth centuries. Concentrating on the Psalter as a book, this section charts the emergence of English as a scriptural language in the medieval period.
Section II (Adaptation) considers how medieval English prose and verse writers draw on the Psalms as a source of literary inspiration. Demonstrating how the Psalter could be adapted and redeployed within the context of medieval worship and prayer, it begins with a discussion of the first adaptation of the entire Psalter into English verse, before turning to a consideration of the development of the abbreviated psalter tradition. This section also addresses the wider influence of psalmic language and imagery on Old English praise and lament poetry, and on Middle English alliterative verse.
The Book of Psalms had a profound impact on English literature from the Anglo-Saxon to the late medieval period. This collection examines the various ways in which they shaped medieval English thoughtand contributed to the emergence of an English literary canon. It brings into dialogue experts on both Old and Middle English literature, thus breaking down the traditional disciplinary binaries of both pre- and post-Conquest English and late medieval and Early Modern, as well as emphasizing the complex and fascinating relationship between Latin and the vernacular languages of England. Its three main themes, translation, adaptation and voice, enable a rich variety of perspectives on the Psalms and medieval English literature to emerge.
Tamara Atkin is Senior Lecturer in Late Medieval and Early Renaissance Literature at Queen Mary University of London; Francis Leneghan is Associate Professor of Old English at The University of Oxford and a Fellow of St Cross College, Oxford.
Contributors: Daniel Anlezark, Mark Faulkner, Vincent Gillespie, Michael P. Kuczynski, David Lawton, Francis Leneghan, Jane Roberts, Mike Rodman Jones, Elizabeth Solopova, Lynn Staley, AnnieSutherland, Jane Toswell, Katherine Zieman.
We test in practice a Multiple Criteria Decision Analysis (MCDA) framework for the value assessment of a set of therapeutic options for the indication of hormone relapsed metastatic prostate cancer (mPC) through a series of simulation exercises with the participation of decision makers from different Health Technology Assessment (HTA)/insurance agencies across Europe, including TLV (Sweden), AETSA (Andalusia-Spain), INAMI-RIZIV (Belgium) and AOTMiT (Poland). The drugs evaluated were abiraterone, cabazitaxel and enzalutamide.
Using a multi-attribute value theory framework, past research outcomes and literature findings, an mPC-specific value tree was constructed incorporating relevant concerns as criteria. By adopting the MACBETH approach the different drugs were scored against the criteria through the development of value functions, relative weights were assigned to the criteria using a swing weighting technique, scores and weights were combined using an additive aggregation technique, and sensitivity analysis of results was conducted. All stages were informed through the participation of a small group of experts from each HTA/insurance agency at a series of decision conferences taking place in each country.
Value parameters considered spanned the dimensions of therapeutic impact, safety profile, innovation level and socioeconomic impact. Overall weighted preference value scores were produced reflecting the performance of the treatments against the criteria while considering their relative importance. Order of treatments’ rankings was identical across all agencies, with enzalutamide scoring highest and cabazitaxel lowest. Therapeutic impact criteria always produced the greatest relative weight. Hypothetical priority setting decisions were made based on “value-for-money” grounds through the use of “cost per unit of value” metrics by incorporating purchasing costs.
The MCDA framework tested possesses a number of characteristics that could facilitate decision making, including the systematic and explicit incorporation of value trade-offs as part of model assessment and the transparency throughout all its stages. Therefore, it has the prospects to act as a practical evaluation tool for value assessment and communication during the HTA process.
We report here the microstructural changes occurring in the zirconium alloy Excel (Zr–3.5 wt% Sn–0.8Nb–0.8Mo–0.2Fe) during heavy ion irradiation. In situ irradiation experiments were conducted at reactor operating temperatures on two Zr Excel alloy microstructures with different states of alloying elements, with the states achieved by different solution heat treatments. In the first case, the alloying elements were mostly concentrated in the beta (β) phase, whereas, in the second case, large Zr3(Mo,Nb,Fe)4 secondary phase precipitates (SPPs) were grown in the alpha (α) phase by long term aging. The heavy ion induced damage and resultant compositional changes were examined using transmission electron microscopy (TEM) in combination with scanning transmission electron microscope (STEM)-energy dispersive x-ray spectroscopy (EDS) mapping. Significant differences were seen in microstructural evolution between the two different microstructures that were irradiated under similar conditions. Nucleation and growth of <c>-component loops and their dependence on the alloying elements are a major focus of the current investigation. It was observed that the <c>-component loops nucleate readily at 100, 300, and 400 °C after a threshold incubation dose (TID), which varies with irradiation temperature and the state of alloying elements. It was found that the TID for the formation of <c>-component loops increases with decrease in irradiation temperature. Alloying elements that are present in the form of SPPs increase the TID compared to when they are in the β phase solid solution. Dose and temperature dependence of loop size and density are presented. Radiation induced redistribution and clustering of alloying elements (Sn, Mo, and Fe) have been observed and related to the formation of <c>-component loops. It has been shown that at the higher temperature tests, irradiation induced dissolution of precipitates occurs whereas irradiation induced amorphization occurs at 100 °C. Furthermore, dose and temperature seem to be the main factors governing the dissolution of SPPs and redistribution of alloying elements, which in turn controls the nucleation and growth of <c>-component loops. The correlation between the microstructural evolution and microchemistry has been found by EDS and is discussed in detail.