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Repeated Attempts (repeated + attempt)
Selected AbstractsOn the Relative Isolation of a Micronesian Archipelago during the Historic Period: the Palau Case-StudyINTERNATIONAL JOURNAL OF NAUTICAL ARCHAEOLOGY, Issue 2 2007Richard Callaghan Contact between Europeans and Pacific Islanders beginning in the early 1500s was both accidental and intentional. Many factors played a role in determining when contacts occurred, but some islands remained virtually isolated from European influence for decades or even centuries. We use Palau as a case-study for examining why this archipelago was free from direct European contact until 1783, despite repeated attempts by the Spanish to reach it from both the Philippines and Guam. As computer simulations and historical records indicate, seasonally-unfavourable winds and currents account for the Spanish difficulty. This inadvertently spared Palauans from early Spanish missionaries, disease, and rapid cultural change. © 2007 The Authors [source] Management of congenital tracheal stenosis , using spontaneous ventilation to facilitate cardiopulmonary bypassPEDIATRIC ANESTHESIA, Issue 4 2006KATHERINE TAYLOR FANZCA Summary We present an unusual case of an infant with life-threatening tracheal stenosis scheduled for repair utilizing cardiopulmonary bypass. After repeated attempts at intubation endtidal CO2 was absent. The child was eventually managed with spontaneous breathing sevoflurane via a facemask. The possible causes of absent endtidal CO2 after intubation are discussed. [source] Child protection at the community levelCHILD ABUSE REVIEW, Issue 6 2004Gordon Jack Abstract In the UK, individual and family-level interpretations of child protection have historically taken precedence over community-level interpretations, despite repeated attempts to balance these two approaches. With the publication of the Green Paper Every Child Matters (Department for Education and Skills, 2003) and the development of Children's Trusts, there is yet another opportunity to ensure that the community-level aspect of child protection is properly recognized and resourced. This is particularly important within the UK because of the large structural inequalities that exist in the distribution of income and other resources and services. As a result of the very close associations between these inequalities and health and welfare outcomes, large numbers of children are adversely affected in ways that are generally unrecognized by the present child protection system. Evidence about the role of parents' social support networks and the social capital of communities in promoting children's welfare and protecting them from signi,cant harm is considered. The potential of strategies designed to strengthen the capacity of disadvantaged families and communities to provide positive environments for children is also reviewed. Copyright © 2004 John Wiley & Sons, Ltd. [source] A pitfall in screening with decoy cells after simultaneous pancreas kidney transplantationCLINICAL TRANSPLANTATION, Issue 6 2008L.R. Lard Abstract:, In this report, we describe a bladder-drained simultaneous pancreas-kidney transplant (SPKT) recipient with a polyoma virus-associated nephropathy (PVAN) in whom the urine cytology failed to detect decoy cells despite repeated attempts. Several tests were performed to confirm our hypothesis that pancreatic enzymes can degrade decoy cells and granulocytes. This case illustrates an important pitfall in the urinary screening for PVAN with cytology and for urinary tract infections with urine sediment in bladder-drained SPKT recipients. [source] | |||||||||||||