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Kinds of View Terms modified by View Selected AbstractsNON-GYNAECOLOGICAL CYTOLOGY: THE CLINICIAN'S VIEWCYTOPATHOLOGY, Issue 2006I. Penman There is increased recognition of the importance of accurate staging of malignancies of the GI tract and lung, greater use of neoadjuvant therapies and more protocol-driven management. This is particularly important where regional lymph node involvement significantly impacts on curability. Multidetector CT and PET scanning have resulted in greater detection of potential abnormalities which, if positive for malignancy, would change management. There is also a greater recognition that many enlarged nodes may be inflammatory and that size criteria alone are unreliable in determining involvement. In other situations, especially pancreatic masses, not all represent carcinoma as focal chronic pancreatitis, autoimmune pancreatitis etc can catch out the unwary. A preoperative tissue diagnosis is essential and even if unresectable, oncologists are increasingly reluctant to initiate chemotherapy or enroll patients into trials without this. The approach to obtaining tissue is often hampered by the small size or relative inaccessibility of lesions by percutaneous approaches. As such novel techniques such as endoscopic ultrasound (EUS) guided FNA have been developed. A 120cm needle is passed through the instrument and, under real-time visualisation, through the gastrointestinal wall to sample adjacent lymph nodes or masses. Multiple studies have demonstrated the safety and performance of this technique. In oesophageal cancer, confirmation of node positivity by has a major negative influence on curative resection rates and will often lead to a decision to use neoadjuvant chemotherapy or a non-operative approach. Sampling of lymph nodes at the true coeliac axis upstages the patient to M1a status (stage IV) disease and makes the patient incurable. In NSCLC, subcarinal lymph nodes are frequently present but may be inflammatory. If positive these represent N2 (stage IIIA) disease and in most centres again makes the patient inoperable. Access to these lymph nodes would otherwise require mediastinosocopy whereas this can be done simply, safely and quickly by EUS. Overall the sensitivity for EUS , FNA of mediastinal or upper abdominal lymph nodes is 83,90% with an accuracy of 80,90%. In pancreatic cancer performance is less good but pooled analysis of published studies indicates a sensitivity of 85% and accuracy of 88%. In a recent spin-off from EUS, endobronchial ultrasound (EBUS) instruments have been developed and the ability to sample anterior mediastinal nodes has been demonstrated. It is likely that this EBUS , FNA technique will become increasingly utilised and may replace mediastinoscopy. The development of techniques such as EUS and EBUS to allow FNA sampling of lesions has increased the role of non-gynaecological cytology significantly in recent years. Cytology therefore remains important for a broad range of specialties and there is ongoing need for careful and close co-operation between cytologists and clinicians in these specialties. References:, 1. Williams DB, Sahai AV, Aabakken L, Penman ID, van Velse A, Webb J et al. Endoscopic ultrasound guided fine needle aspiration biopsy: a large single centre experience. Gut. 1999; 44: 720,6. 2. Silvestri GA, Hoffman BJ, Bhutani MS et al. Endoscopic ultrasound with fine-needle aspiration in the diagnosis and staging of lung cancer. Ann Thorac Surg 1996; 61: 1441,6. 3. Rintoul RC, Skwarski KM, Murchison JT, Wallace WA, Walker WS, Penman ID. Endobronchial and endoscopic ultrasound real-time fine-needle aspiration staging of the mediastinum ). Eur Resp J 2005; 25: 1,6. [source] TOWARD THE GLOBAL STANDARDIZATION OF ENDOSCOPIC SUBMUCOSAL DISSECTION PROPOSAL FOR 10 YEARS FROM NOW , PRESENT AND FUTURE VIEW OF KOREADIGESTIVE ENDOSCOPY, Issue 2009Joo Young Cho Endoscopic submucosal dissection (ESD) is the main treatment of early gastric cancer in Korea. The Korean Society of Gastrointestinal Endoscopy (KSGE) has organized an ESD research group and made several plans to standardize pathologic and therapeutic points of view. This article is to introduce the present and future view of ESD in Korea. [source] ENDOSCOPIC SUBMUCOSAL DISSECTION IN THE UPPER GASTROINTESTINAL TRACT: PRESENT AND FUTURE VIEW OF EUROPEDIGESTIVE ENDOSCOPY, Issue 2009Horst Neuhaus In Western countries endoscopic mucosal resection (EMR) has been widely accepted for treatment of early Barrett`s neoplasia and flat or depressed colorectal adenomas. In contrast endoscopic submucosal dissection (ESD) is infrequently performed for several reasons. It seems to be difficult to overcome the learning curve of this difficult technique because of the low case volume of early gastric cancer. On the other hand ESD of esophageal or colorectal lesions is even more challenging and is considered to be inappropriate for learning. In addition the indication for esophageal or colorectal ESD is controversial in view of excellent results of the well established EMR technique which is less time-consuming and safer than ESD. A recent survey of leading Western endoscopy centers indicated the limited experience with ESD with a low number of cases for all potential indications. Only a few training courses have been established and the number of ongoing clinical studies is limited. Only 12 out of 340 published articles on "endoscopic mucosal dissection" were reported from Western countries. A better acceptance of ESD requires improvement of the technique to allow an easier, faster and safer approach. There is a strong demand for structured training courses and limitations of human cases to selected centers which participate in prospective trials. A close collaboration between Western and Asian centers is recommended for improvement of the ESD technique and its clinical application. [source] MAGNIFICATION ENDOSCOPIC VIEW OF AN EARLY GASTRIC CANCER USING ACETIC ACID AND NARROW-BAND IMAGING SYSTEMDIGESTIVE ENDOSCOPY, Issue 2006Hideki Toyoda A 62-year-old woman was referred to Mie University Hospital, Tsu, Japan, for examination of upper gastrointestinal tract. The conventional endoscopy showed a slightly depressed lesion on the greater curvature at the gastric body. The surface of surrounding non-neoplastic mucosa using magnification endoscopy with acetic acid was gyrus-villous pattern whereas the surface of the lesion was rough. Furthermore, magnification endoscopy using acetic acid and narrow-band imaging system visualized clearer fine surface pattern of carcinoma. The lesion had a rough mucosa with irregularly arranged small pits. The lesion was resected completely by endoscopic mucosal resection with insulated-tip electrosurgical knife. Narrow-band imaging system with acetic acid may be able to visualize not only the capillary pattern but also the fine surface pattern of gastric carcinoma. [source] WANTED: A BROADER VIEW OF ALCOHOL STUDIESADDICTION, Issue 2 2010DWIGHT B. HEATH No abstract is available for this article. [source] TAX REFORM: A DIFFERENT VIEWECONOMIC PAPERS: A JOURNAL OF APPLIED ECONOMICS AND POLICY, Issue 2 2007GEOFFREY KINGSTON The mainstream view of tax reformers in Australia is that dropping our top personal tax rate closer to our corporate rate is the best way to use persistent budget surpluses in order to promote national prosperity. Yet the international evidence suggests that dropping our corporate rate would be more effective in lifting output and wages. Prominent tax reformers have tended to go along with recent measures that will shield the elderly from most direct taxation. Further down the track, however, questions will arise about whether the young are bearing an inordinate share of the tax burden. [source] SUPPLY REDUCTION'S HIDDEN CASUALTIES: A VIEW FROM THE TRENCHESADDICTION, Issue 3 2009STEFFANIE A. STRATHDEE No abstract is available for this article. [source] [Commentary] SMOKING CESSATION IN 10 SECONDS,A GENERAL PRACTITIONER'S VIEWADDICTION, Issue 2 2008MARTIN EDWARDS No abstract is available for this article. [source] LEIBNIZ'S POSITIVE VIEW OF CHINAJOURNAL OF CHINESE PHILOSOPHY, Issue 1 2006WENCHAO LI [source] IMPLANT OR ROOT CANAL THERAPY: AN ENDODONTIST'S VIEWJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 3 2005Martin Trope DMD [source] THE COMMUNITY VIEW REVISITEDMETAPHILOSOPHY, Issue 5 2007CLAUDINE VERHEGGEN Abstract: Joining a vast Wittgensteinian anti-theoretical movement, John Canfield has argued that it is possible to read the claims that (1) "language is essentially communal" and (2) "it is conceptually possible that a Crusoe isolated from birth should speak or follow rules" in such a way that they are perfectly compatible, and, indeed, that Wittgenstein held them both at once. The key to doing this is to drain them of any theoretical content or implications that would put each claim at odds with the other. I argue here, first of all, that it is not possible to detheorize both (1) and (2) and still hope to say anything illuminating about the nature of language. In fact, Canfield himself does not succeed in detheorizing both (1) and (2) but ends up trivializing (1) and leaving (2) with quite a bit of theoretical content. I further argue, however, that this is getting the matter the wrong way around. Contra Canfield et al., it is only when we recognize this that we can appreciate how radical and innovative Wittgenstein's claims about language really are. [source] A COMMENT ON ADAMS AND BALFOUR: DIGNITY VIOLATIONS, AN ALTERNATIVE VIEW OF ,ADMINISTRATIVE EVIL'PUBLIC ADMINISTRATION, Issue 4 2008FINN TSCHUDI The major focus of Adams and Balfour's article in this volume is on what they call ,administrative evil' where ,evil' is not intended but somehow inherent in modern ,technical rationality'. Adams and Balfour draw inspiration from Bauman's (1989) work and, further, use the interesting metaphor that administrative evil is ,masked'. This means it is difficult to recognize , unlike intentional evil which is ,unmasked', that is, readily recognized. Common to both forms is that ,evil' implies ,depriving of humanity' or to ,make someone suffer', and there is no reason to question this. A basic aim of the article is thus to draw attention to ,masked evil', phenomena Adams and Balfour believe are insufficiently attended to. There is a broad variety of problems which Adams and Balfour do not touch on but which more or less appropriately can be subsumed under the label ,masked evil'. Adams and Balfour mention a continuum according to degree of deliberation on consequences. There are, however, no examples given of acts which do not occur at any extreme of deliberation. A related point is that there are historical and cultural determinants of whether (and to what extent) we regard some forms of suffering as ,evil' or not. [source] TWINNING, INORGANIC REPLACEMENT, AND THE ORGANISM VIEWRATIO, Issue 1 2010S. Matthew Liao In explicating his version of the Organism View, Eric Olson argues that you begin to exist only after twinning is no longer possible and that you cannot survive a process of inorganic replacement. Assuming the correctness of the Organism View, but pace Olson, I argue in this paper that the Organism View does not require that you believe either proposition. The claim I shall make about twinning helps to advance a debate that currently divides defenders of the Organism View, while the claim I shall make about inorganic replacement will help to put the Organism View on a par with its rival views by allowing it to accommodate a plausible intuition that its rivals can accommodate, namely, the intuition that you can survive a process of inorganic replacement. Both claims, I shall also argue, are important for those who are interested in the identity condition of a human organism, even if they do not hold the view that you are essentially an organism. [source] A GIFT HALF UNDERSTOOD: REDISCOVERING AN INCARNATIONAL VIEW OF POLITICAL AUTHORITYTHE HEYTHROP JOURNAL, Issue 4 2010DAVID HENRECKSON First page of article [source] PROBLEMS ARISING FROM AN INCONSISTENT VIEW OF GODTHE HEYTHROP JOURNAL, Issue 1 2005Conor Farrington First page of article [source] A PERSONAL VIEW OF A CONFERENCE HELD IN MEMORY OF STEPHEN MITCHELLBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 1 2002MARGUERITE VALENTINE PHD No abstract is available for this article. [source] A Better Distorted ViewCONSERVATION, Issue 1 2005The physics of diffusion transforms the way we see maps No abstract is available for this article. [source] A Japanese View on Corporate GovernanceCORPORATE GOVERNANCE, Issue 1 2004Ariyoshi Okumura No abstract is available for this article. [source] A View on Creative Cities Beyond the HypeCREATIVITY AND INNOVATION MANAGEMENT, Issue 4 2008Gert-Jan Hospers Fuelled by the influential work of urban guru Richard Florida, the European knowledge economy is seeing a rise of cities calling themselves ,creative cities'. In this paper we have a look at the concept of creative cities and offer a view on them beyond the hype. We understand ,creative cities' as competitive urban areas that combine both concentration, diversity, instability as well as a positive image. Examples of creative cities in history and recent best practice of two such urban areas in Europe (Øresund and Manchester) show that local governments cannot plan knowledge, creativity and innovation from scratch. We conclude, however, that local governments can increase the chance that urban creativity emerges by providing the appropriate framework conditions. [source] Sustainable Development and the Sustainability of Competitive Advantage: A Dynamic and Sustainable View of the FirmCREATIVITY AND INNOVATION MANAGEMENT, Issue 3 2002Miguel A. Rodriguez Does the need for sustainable development hinder businesses' ability to create value? Is a firm's competitiveness negatively affected by considering that need? After quickly reviewing the main literature contributions on the relationship between business and society, and drawing from resource-based view of the firm and sustainable development literature, this paper presents a proposal for a dynamic and sustainable view of the firm. It shows how considering the changes introduced into the competitive landscape by sustainable development influences the way in which companies develop their resources, capabilities and activities, fostering the persistence of competitive advantages based on knowledge and innovation. [source] Innovation and Knowledge Management: The Long ViewCREATIVITY AND INNOVATION MANAGEMENT, Issue 3 2001Michael Lester The challenge of the e,Economy is one of technological change and the innovation process affords insights into how this new knowledge can be harnessed across the economy to increase productivity and generate wealth. The conceptual framework for this paper is National Systems of Innovation (NSI) as applied to Australia Edquist (1997); Freeman (1995). NSI allows us to take a holistic view of innovation that realistically blends technology with institutional elements, particularly including issues of collaboration. Taking a Long View (Schwartz (1991), that is, looking back on the legacy of experience with the innovation process, will also facilitate looking forward strategically from Australia's current practices, and to speculate on the prospects. This paper illustrates selectively and not comprehensively, from my own direct experience, the evolution of innovation policies in Australia and speculates on their implications for collaboration in the e,Economy by drawing on selected case studies in Research and Development, Industry and Trade, and the e,Economy. It also draws upon work for my doctorate in knowledge management at the University of Technology. The selection and synthesis of theory inevitably also reflect, however idiosyncratically, my academic training in engineering, politics and economics. [source] Situating Global Capitalisms: A View from Wall Street Investment BanksCULTURAL ANTHROPOLOGY, Issue 1 2005Karen Ho The project of conceptualizing powerful subjects and intervening against Wall Street investment banks' hegemonic claims is thwarted by social scientific norms of approaching late capitalism and globalization. Overarching scripts of capitalist globalization not only prevent understanding the heterogeneous and complicated particularities of Wall Street's approaches to the global but also ironically parallel the marketing schemes and hyped representations of Wall Street capitalist promoters. Drawing from in-depth fieldwork with investment bankers, this article portrays Wall Street's uses and understandings of the global and the contingencies and contexts of its global imaginings. It demonstrates that even for the most seemingly globalized and powerful of actors, global ambitions can implode and generate internal contradictions. [source] Gazing at the Hand: A Foucaultian View of the Teaching of Manipulative Skills to Introductory Chemistry Students in the United States and the Potential for Transforming Laboratory InstructionCURRICULUM INQUIRY, Issue 3 2005STEPHEN DEMEO ABSTRACT Many studies of chemistry have described the rise of the academic chemical laboratory and laboratory skills in the United States as a result of famous men, important discoveries, and international influences. What is lacking is a perspective of the manifestations of the balances of power and knowledge between teacher and student. A Foucaultian analysis of the teaching of manipulative skills to the introductory student in high school and college in the United States during the later half of the 19th and into the 20th century has provided such a perspective. The analysis focuses on the body, specifically students' hands, and how this body has been redescribed in terms of time, space, activity, and their combinations. It is argued in the first part of this article that the teaching of manipulative skills in the chemistry laboratory can be characterized by effects of differential forms of power and knowledge, such as those provided by Foucault's ideas of hierarchical observation, normalization, and the examination. Moreover, it is evident that disciplinary techniques primarily focused on the physical hands of the student have been recast to include a new cognitive-physiological space in which the teaching of manipulative skills currently takes place. In the second part of this article, the author describes his own professional development as a laboratory instructor through a series of reflective statements that are critiqued from a Foucaultian perspective. The personal narratives are presented in order to pro- vide science educators with an alternative way for their students to think about the relationship between one's manipulative skills and the quality of their data. The pedagogical approach is related to the maturation process of the chemist and contextualized in the current paradigm of laboratory practice, inquiry-based science education. [source] Phenol Chemical Matricectomy Is Less Painful, with Shorter Recovery Times but Higher Recurrence Rates, Than Surgical Matricectomy: A Patient's ViewDERMATOLOGIC SURGERY, Issue 8 2010JESSICA C. HASSEL DR MED BACKGROUND Ingrown toenails have a tendency for recurrence. Operative interventions can be successful, and several procedures are in use. OBJECTIVE Retrospective evaluation, to reveal differences in postoperative pain, time to recovery, and satisfaction with the cosmetic outcome in patients treated with a phenol (PCM) or surgical matricectomy (SM). MATERIALS & METHODS All matricectomy patients at the Dermatology Department of the Ludwigshafen City Hospital between 2004 and 2008 were interviewed over the telephone. Of 72 evaluable patients with a total of 112 ingrown nail sides, 33 were treated with PCM and 39 with SM. The patient group consisted of 40.3% women, the median age was 31. RESULTS Patients after PCM indicated two points less postoperative pain on an analogue scale from 0 to 10 (p<.001). In the PCM group, more patients recovered from the operation in less than 1 week (p=.007). Patient evaluation of cosmetic outcome was not different between the groups (p=.76), but recurrence rates were significantly higher in the PCM group (31.5%, vs 6.9% in the SM group, p=.006) CONCLUSION Both matricectomies have advantages and disadvantages. We should discuss these issues with our patients to help them decide on the kind of matricectomy. The authors have indicated no significant interest with commercial supporters. [source] Sentinel Lymph Node Biopsy: An Alternate ViewDERMATOLOGIC SURGERY, Issue 4 2008JOHN A. ZITELLI MD First page of article [source] Rethinking Medical Ethics: A View From BelowDEVELOPING WORLD BIOETHICS, Issue 1 2004Paul Farmer ABSTRACT In this paper, we argue that lack of access to the fruits of modern medicine and the science that informs it is an important and neglected topic within bioethics and medical ethics. This is especially clear to those working in what are now termed ,resource-poor settings', to those working, in plain language, among populations living in dire poverty. We draw on our experience with infectious diseases in some of the poorest communities in the world to interrogate the central imperatives of bioethics and medical ethics. AIDS, tuberculosis, and malaria are the three leading infectious killers of adults in the world today. Because each disease is treatable with already available therapies, the lack of access to medical care is widely perceived in heavily disease-burdened areas as constituting an ethical and moral dilemma. In settings in which research on these diseases are conducted but there is little in the way of therapy, there is much talk of first world diagnostics and third world therapeutics. Here we call for the ,resocialising' of ethics. To resocialise medical ethics will involve using the socialising disciplines to contextualise fully ethical dilemmas in settings of poverty and, a related gambit, the systematic participation of the destitute sick. Clinical research across steep gradients also needs to be linked with the interventions that are demanded by the poor and otherwise marginalised. We conclude that medical ethics must grapple more persistently with the growing problem posed by the yawning ,outcome gap' between rich and poor. [source] A Semantic View of Ecological Theories,DIALECTICA, Issue 1 2001David G.A. CastleArticle first published online: 23 JUN 200 Philosophical analysis of ecological theories has lagged behind the study of evolutionary theory. The semantic conception of scientific theories, which has been employed successfully in the analysis of evolutionary theory, is adopted here to analyse ecological theory. Two general problems in ecology are discussed. One arises from the continued use of covering law models in ecology, and the other concerns the applicability of ecological theory in conservation biology. The semantic conception of ecological theories is used to resolve these problems. [source] A Darker View of U.S. Policy in the Cold WarDIPLOMATIC HISTORY, Issue 1 2010David N. Gibbs First page of article [source] Reassessing Roosevelt's View of Chamberlain after Munich: Ideological Affinity in the Geoffrey Thompson-Claude Bowers Correspondence*DIPLOMATIC HISTORY, Issue 5 2009Kevin Smith First page of article [source] The Pocket Echocardiograph: Validation and FeasibilityECHOCARDIOGRAPHY, Issue 7 2010Benjamin C. Culp M.D. Background: A new, miniaturized ultrasound device, the pocket echocardiograph (PE), is highly portable and can be carried inside a lab-coat pocket. Studies of this device are limited and have not examined the use by novice echocardiographers. We hypothesize that a novice echocardiographer can use PE to produce interpretable cardiac images, and that both novice and expert echocardiographers can use PE to accurately quantify ejection fraction. Methods: Unselected subjects (n = 40) in an echocardiography laboratory underwent blinded formal transthoracic echocardiography (TTE) and PE (Acuson P10, Siemens, Mountain View, CA, USA). A cardiology fellow with 2 months of echocardiography training acquired PE images. The fellow and an experienced echocardiographer interpreted the PE studies offline in a blinded fashion. To assess adequacy, studies were graded as technically adequate, limited, or inadequate. A visual estimation of ejection fraction was made. Comparisons were made to the formal reported TTE. Results: Subjects were heterogeneous, 43% male; age 64 ± 17 years, and ejection fraction 52.4%± 12.3%. All PE studies were interpretable, and the vast majority of PE and TTE images were considered technically adequate (77.5% and 85% respectively; P = 0.32). Ejection fraction showed a good correlation, bias, and limits of agreement for the fellow's interpretation (r = 0.78, ,5.9%, ±16.6%) with stronger association for the experienced echocardiographer (r = 0.88, ,0.8%, ±11.4%). Conclusion: Novice echocardiographers using the PE can produce adequate quality images. Both expert and novice echocardiographers can use PE to quantify ejection fraction over a broad range of patients. The device's low cost and portability may greatly expand the availability of bedside echocardiography for routine or urgent cardiovascular assessment. (Echocardiography 2010;27:759-764) [source] | ||||||||||||||||||||||||||||||||||||||||