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Kounis syndrome is the concurrence of acute coronary syndrome or coronary vasospasm with conditions associated with the release of inflammatory cytokines through mast cell activation in the setting of allergic or anaphylactic reactions. Many identified triggers have been identified in paediatric patients including exposures, drugs, and immunisations; however, to our knowledge this is the first case report of Kounis syndrome linked to immunotherapy. We present a case of a 9-year-old with seasonal allergies presenting with clinical symptoms of Kounis syndrome following her weekly subcutaneous injection of allergens. Clinicians need a high index of suspicion for Kounis syndrome in patients who develop systemic signs of anaphylaxis with clinical, laboratory, electrocardiographic, and echocardiographic findings of acute coronary syndrome to help direct therapy and improve outcomes.
The present volume brings scholarly perspectives from a variety of disciplines to bear on a specific medieval object: a beautifully produced parchment manuscript, now in Bern, Switzerland, containing over 500 songs. The first stanza of each song is carefully copied beneath staves for their melodies, but the planned musical notation was never entered. Despite the intriguing poignancy of the empty staves for musicologists, their muteness has led to the relative neglect of Bern, Burgerbibliothek, Cod. 389, known to scholars of trouvère song by Schwan's siglum C. After all, what can a musicologist say about a song when only the text survives? The lack of notation is the first of several factors that has led to the relative scholarly neglect of C, including its provenance on the easternmost border of the Francophone region, its choice not to organise by author corpora, its comparatively high numbers of unica, and the absence of illuminations.
C has thus been perceived as distant from a ‘central’ trouvère tradition embodied by the surviving authorially organised and richly illuminated manuscripts that hail largely from the Artois and Champagne; the supposedly problematic aspects of C have combined in various ways to cause C's neglect not just in musicology, but also in other academic disciplines that study trouvère song. Although literary scholars have considered C more deeply than their musicological colleagues, they have typically done so in conjunction with the creation of editions of the texts of specific authors or edited collections of predominantly anonymous secondary genres, like the pastourelle. C's eastern provenance has meant that the variants that it presents for those songs with concordances in other, more ‘central’ sources have been noted in the apparatus of critical editions, but largely relegated to a secondary status: indeed, some of the authorial songs in C have themselves been treated as of secondary authenticity within their respective author corpora. The high number of unica in C – over 20% of its contents – have all now been edited, but not yet thoroughly integrated into literary scholarship; that so many of C's songs are not also found in other sources has reinforced the impression of C as a peripheral source.
Trouvère songbooks are designated in bold type by their sigla as given in Raynaud/Spanke. Troubadour songbooks have sigla, in bold type, according to Pillet/Carstens and are preceded by the prefix ‘troub’, for example, troubD. Motet sources are represented by the sigla in Ludwig's Repertorium and, where it is necessary to distinguish a motet source from a trouvère source, are preceded by the prefix ‘motet’, for example, motetF. A full list of sigla is provided in the list of abbreviations. Where a manuscript has both a trouvère and a troubadour siglum, only the trouvère siglum is used (with the exception of Chapter 6, where the Occitan content is discussed specifically). trouvère songs are identified by an RS number according to Raynaud/Spanke; troubadour songs are similarly identified by a PC number according to Pillet/Carstens, and conducti by the identifier given in Anderson's collected edition. Songs are referred to in italics with the spelling given in Raynaud/Spanke. Quotations from manuscripts (including the incipit of a song in the orthography in which it appears in a specific chansonnier) are given in single quotation marks and Roman type. Where a song has two numbers in Raynaud/Spanke, only the corrected number is given. Where it is necessary to indicate the state of copying of a song's music notation, designates that music notation has been entered, ≡ designates empty staves, and ⬜ designates space left in the manuscript for staves which were never entered. When lines of poetry are quoted within the text, a forward slash (/) is used to separate poetic lines.
This article presents a normative framework for the assessment of education policies and applies it to the issue of schools’ selecting their students on the basis of religious criteria. Such policies can be justified, and challenged, on many different grounds; public debate is not conducted in terms adequate to the task. The authors’ main objectives are to supplement with non-consequentialist considerations a recent, consequentialist, approach to the normative assessment of education policy proposed by Brighouse et al. (2016, 2018), and to apply the proposed framework to issues of school composition and selection. They argue, further, that policies allowing schools to select all their students on the basis of their parents’ religious affiliation cannot be justified.