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Traditionally, white radical Republicans like Charles Sumner and Thaddeus Stevens have been given the main credit for the work of Reconstruction that culminated with the ratification of the 14th and 15th Amendments. This chapter shifts the focus to consider the work of Frederick Douglass and other Black activists in contesting the racist president Andrew Johnson and applying pressure to the Republicans to bring about the full citizenship and enfranchisement of African Americans. Douglass had a dramatic 1866 meeting with Andrew Johnson in the White House, and he continued to apply pressure to Johnson and the Republicans over the next several years. The chapter considers some of Douglass’s most important Reconstruction writings, including his essays in the Atlantic Monthly, his great 1867 lecture “Sources of Danger to the Republic,” and the 1881 version of his Life and Times of Frederick Douglass.
Background: Eye movements reveal neurodegenerative disease processes due to overlap between oculomotor circuitry and disease-affected areas. Characterizing oculomotor behaviour in context of cognitive function may enhance disease diagnosis and monitoring. We therefore aimed to quantify cognitive impairment in neurodegenerative disease using saccade behaviour and neuropsychology. Methods: The Ontario Neurodegenerative Disease Research Initiative recruited individuals with neurodegenerative disease: one of Alzheimer’s disease, mild cognitive impairment, amyotrophic lateral sclerosis, frontotemporal dementia, Parkinson’s disease, or cerebrovascular disease. Patients (n=450, age 40-87) and healthy controls (n=149, age 42-87) completed a randomly interleaved pro- and anti-saccade task (IPAST) while their eyes were tracked. We explored the relationships of saccade parameters (e.g. task errors, reaction times) to one another and to cognitive domain-specific neuropsychological test scores (e.g. executive function, memory). Results: Task performance worsened with cognitive impairment across multiple diseases. Subsets of saccade parameters were interrelated and also differentially related to neuropsychology-based cognitive domain scores (e.g. antisaccade errors and reaction time associated with executive function). Conclusions: IPAST detects global cognitive impairment across neurodegenerative diseases. Subsets of parameters associate with one another, suggesting disparate underlying circuitry, and with different cognitive domains. This may have implications for use of IPAST as a cognitive screening tool in neurodegenerative disease.
The chapter discusses Douglass’s three major autobiographical narratives – Narrative of the Life of Frederick Douglass (1845), My Bondage and My Freedom (1855), and Life and Times of Frederick Douglass (1881, 1892) – in multiple and sometimes competing contexts. Taken together, Douglass’s autobiographies, which are indebted to the American autobiographical tradition established by Benjamin Franklin, reveal a black leader who regularly revises himself and his ideas. The Narrative appears to advocate William Lloyd Garrison’s moral suasionism and to draw on the slave narrative tradition. But Douglass worked against that tradition when he revised the Narrative for publication in Ireland in 1845 and 1846. In the 1855 My Bondage and My Freedom, Douglass emphasized his close connections to the black community and his support for revolutionary violence. His monumental Life and Times, written near the end of his career, linked the struggles and contingencies of his own life with that of the nation.
Central to Siemerling’s impressive study of black Canadian writing is an optimism about the recuperative potential of historical knowledge. My contribution to the forum acknowledges that potential, while raising questions about the limits of such knowledge for addressing the persistence of racist ideologies and practices. My test case is Siemerling’s fine reading of Lawrence Hill’s novels.
To present our data evaluating the feasibility of simultaneous cochlear implantation with resection of acoustic neuroma.
Methods
This paper describes a case series of eight adult patients with a radiologically suspected acoustic neuroma, treated at a tertiary referral centre in Newcastle, Australia, between 2012 and 2015. Patients underwent cochlear implantation concurrently with removal of an acoustic neuroma. The approach was translabyrinthine, with facial nerve monitoring and electrically evoked auditory brainstem response testing. Standard post-implant rehabilitation was employed, with three and six months’ follow-up data collected. The main outcome measures were: hearing, subjective benefit of implant, operative complications and tumour recurrence.
Results
Eight patients underwent simultaneous cochlear implantation with resection of acoustic neuroma over a 3-year period, and had 25–63 months’ follow up. There were no major complications. All patients except one gained usable hearing and were daily implant users.
Conclusion
Simultaneous cochlear implantation with resection of acoustic neuroma has been shown to be a safe treatment option, which will be applicable in a wide range of clinical scenarios as the indications for cochlear implantation continue to expand.