scholarly journals Current Challenges in Access to Melanoma Care: A Multidisciplinary Perspective

Author(s):  
Nikhil I. Khushalani ◽  
Thach-Giao Truong ◽  
John F. Thompson

A diagnosis of melanoma requires multidisciplinary specialized care across all stages of disease. Although many important advances have been made for the treatment of melanoma for local and advanced disease, barriers to optimal care remain for many patients who live in areas without ready access to the expertise of a specialized melanoma center. In this article, we review some of the recent advances in the treatment of melanoma and the persistent challenges around the world that prevent the delivery of the best standard of care to patients living in the community. With the therapeutic landscape continuing to evolve and newer more complex drug therapies soon to be approved, it is important to recognize the many challenges that patients face and attempt to identify tools and policies that will help to improve treatment outcomes for their melanoma.

2022 ◽  
pp. 1-22
Author(s):  
Luis F. Herrera ◽  
Belinda del Carmen Carrion ◽  
Andrea Figueroa ◽  
Jesseyfer Guzmán ◽  
Salma Helena Armendariz de la Fuente ◽  
...  

Using telemedicine systems, physicians around the world have been able to provide health access to their own communities and others abroad. Telemedicine is still a developing field in the health sciences, but much progress has been made with the advent of new communication technologies. Today, telemedicine offers an alternative to traditional physician consultations, especially for those patients with different needs. Patients with mobility issues, low socioeconomic standing, and far away from big cities have seen benefits from this form of patient care. Not only has telemedicine been able to just bridge these gaps, but it has also provided a new way for the international community of health practitioners to cooperate and aid areas in need of specialized care in the developing world. New cooperation programs between developed and developing countries have been developed to bring specialist knowledge to areas that otherwise would not have access to it. Telemedicine is a way to take care of patients in this technological area and perhaps will become the new standard of care.


1994 ◽  
Vol 28 (3) ◽  
pp. 375-377 ◽  
Author(s):  
Alex Wodak

Surely alcohol and drug matters in Australia should be regarded as the province of psychiatry? Decades before any other branch of medicine displayed any interest in the subject and long before alcohol and drugs were considered even remotely respectable, numerous Australian psychiatrists provided inspiration and leadership in this Cinderella field. Drs Bartholomew, Bell, Buchanan, Chegwidden, Dalton, Drew, Ellard, Lennane, Milner, Milton, Waddy and Pols are some of the best known among the many Australian psychiatrists who pioneered efforts to improve treatment for patients with alcohol and drug problems. The NHMRC Committee on Alcohol and Drug Dependence, which has a considerable potential for influencing the field in Australia, has always been dominated by psychiatrists. In the United Kingdom and the United States, countries which often serve as models for much of Australian medical and other practice, alcohol and drug matters are determined almost exclusively by psychiatrists. Is there any evidence that they have been held back by a psychiatric hegemony on alcohol and drug's? For many decades (and until quite recently), alcohol and drug matters were handled for the World Health Organisation by its Mental Health Division. Did we suffer globally because WHO placed alcohol and drugs under the control of psychiatry?


2019 ◽  
Vol 26 (2) ◽  
pp. 227-252
Author(s):  
Deborah Solomon

This essay draws attention to the surprising lack of scholarship on the staging of garden scenes in Shakespeare's oeuvre. In particular, it explores how garden scenes promote collaborative acts of audience agency and present new renditions of the familiar early modern contrast between the public and the private. Too often the mention of Shakespeare's gardens calls to mind literal rather than literary interpretations: the work of garden enthusiasts like Henry Ellacombe, Eleanour Sinclair Rohde, and Caroline Spurgeon, who present their copious gatherings of plant and flower references as proof that Shakespeare was a garden lover, or the many “Shakespeare Gardens” around the world, bringing to life such lists of plant references. This essay instead seeks to locate Shakespeare's garden imagery within a literary tradition more complex than these literalizations of Shakespeare's “flowers” would suggest. To stage a garden during the sixteenth and seventeenth centuries signified much more than a personal affinity for the green world; it served as a way of engaging time-honored literary comparisons between poetic forms, methods of audience interaction, and types of media. Through its metaphoric evocation of the commonplace tradition, in which flowers double as textual cuttings to be picked, revised, judged, and displayed, the staged garden offered a way to dramatize the tensions produced by creative practices involving collaborative composition and audience agency.


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Alwi Musa Muzaiyin

Trade is a form of business that is run by many people around the world, ranging from trading various kinds of daily necessities or primary needs, to selling the need for luxury goods for human satisfaction. For that, to overcome the many needs of life, they try to outsmart them buy products that are useful, economical and efficient. One of the markets they aim at is the second-hand market or the so-called trashy market. As for a trader at a trashy market, they aim to sell in the used goods market with a variety of reasons. These reasons include; first, because it is indeed to fulfill their needs. Second, the capital needed to trade at trashy markets is much smaller than opening a business where the products come from new goods. Third, used goods are easily available and easily sold to buyer. Here the researcher will discuss the behavior of Muslim traders in a review of Islamic business ethics (the case in the Jagalan Kediri Trashy Market). Kediri Jagalan Trashy Market is central to the sale of used goods in the city of Kediri. Where every day there are more than 300 used merchants who trade in the market. The focus of this research is how the behavior of Muslim traders in the Jagalan Kediri Trashy Market in general. Then, from the large number of traders, of course not all traders have behavior in accordance with Islamic business ethics, as well as traders who are in accordance with the rules of Islamic business ethics. This study aims to determine how the behavior of Muslim traders in the Jagalan Kediri Trashy Market in buying and selling transactions and to find out how the behavior of Muslim traders in the Jagalan Kediri Trashy Market in reviewing Islamic business ethics. Key Words: Trade, loak market, Islamic business


Author(s):  
Benedetta Zavatta

Based on an analysis of the marginal markings and annotations Nietzsche made to the works of Emerson in his personal library, the book offers a philosophical interpretation of the impact on Nietzsche’s thought of his reading of these works, a reading that began when he was a schoolboy and extended to the final years of his conscious life. The many ideas and sources of inspiration that Nietzsche drew from Emerson can be organized in terms of two main lines of thought. The first line leads in the direction of the development of the individual personality, that is, the achievement of critical thinking, moral autonomy, and original self-expression. The second line of thought is the overcoming of individuality: that is to say, the need to transcend one’s own individual—and thus by definition limited—view of the world by continually confronting and engaging with visions different from one’s own and by putting into question and debating one’s own values and certainties. The image of the strong personality that Nietzsche forms thanks to his reading of Emerson ultimately takes on the appearance of a nomadic subject who is continually passing out of themselves—that is to say, abandoning their own positions and convictions—so as to undergo a constant process of evolution. In other words, the formation of the individual personality takes on the form of a regulative ideal: a goal that can never be said to have been definitively and once and for all attained.


Author(s):  
T. M. Rudavsky

Of the many philosophical perplexities facing medieval Jewish thinkers, perhaps none has challenged religious belief as much as God’s creation of the world. No Jewish philosopher denied the importance of creation, that the world had a beginning (bereshit). But like their Christian and Muslim counterparts, Jewish thinkers did not always agree upon what qualifies as an acceptable model of creation. Chapter 6 is devoted to attempts of Jewish philosophers to reconcile the biblical view of creation with Greek and Islamic philosophy. By understanding the notion of creation and how an eternal, timeless creator created a temporal universe, we may begin to understand how the notions of eternity, emanation, and the infinite divisibility of time function within the context of Jewish philosophical theories of creation.


Geoheritage ◽  
2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Roger Crofts ◽  
Dan Tormey ◽  
John E. Gordon

AbstractThis paper introduces newly published guidelines on geoheritage conservation in protected and conserved areas within the “IUCN WCPA Best Practice Guidelines” series. It explains the need for the guidelines and outlines the ethical basis of geoheritage values and geoconservation principles as the fundamental framework within which to advance geoheritage conservation. Best practice in establishing and managing protected and conserved areas for geoconservation is described with examples from around the world. Particular emphasis is given to the methodology and practice for dealing with the many threats to geoheritage, highlighting in particular how to improve practice for areas with caves and karst, glacial and periglacial, and volcanic features and processes, and for palaeontology and mineral sites. Guidance to improve education and communication to the public through modern and conventional means is also highlighted as a key stage in delivering effective geoconservation. A request is made to geoconservation experts to continue to share best practice examples of developing methodologies and best practice in management to guide non-experts in their work. Finally, a number of suggestions are made on how geoconservation can be further promoted.


2010 ◽  
Vol 18 (3) ◽  
pp. 329-345
Author(s):  
Hubert Markl

The reason why I wavered a bit with this topic is that, after all, it has to do with Darwin, after a great Darwin year, as seen by a German scientist. Not that Darwin was very adept in German: Gregor Mendel’s ‘Versuche über Pflanzenhybriden’ (Experiments on Plant Hybrids) was said to have stayed uncut and probably unread on his shelf, which is why he never got it right with heredity in his life – only Gregory Bateson, Ronald A. Fisher, and JBS Haldane, together with Sewall Wright merged evolution with genetics. But Darwin taught us, nevertheless, in essence why the single human species shows such tremendous ethnic diversity, which impresses us above all through a diversity of languages – up to 7000 altogether – and among them, as a consequence, also German, my mother tongue, and English. It would thus have been a truly Darwinian message, if I had written this article in German. I would have called that the discommunication function of the many different languages in humans, which would have been a most significant message of cultural evolution, indeed. I finally decided to overcome the desire to demonstrate so bluntly what cultural evolution is all about, or rather to show that nowadays, with global cultural progress, ‘the world is flat’ indeed – even linguistically. The real sign of its ‘flatness’ is that English is used everywhere, even if Thomas L. Friedman may not have noticed this sign. But I will also come back to that later, when I hope to show how Darwinian principles connect both natural and cultural evolution, and how they first have been widely misunderstood as to their true meaning, and then have been terribly misused – although more so by culturalists, or some self-proclaimed ‘humanists’, rather than by biologists – or at least most of them. Let me, however, quickly add a remark on human languages. That languages even influence our brains and our thinking, that is: how we see the world, has first been remarked upon by Wilhelm von Humboldt and later, more extensively so, by Benjamin Whorf. It has recently been shown by neural imaging – for instance by Angela Friederici – that one’s native language, first as learned from one’s mother and from those around us when we are babies, later from one’s community of speakers, can deeply impinge on a baby’s brain development and stay imprinted in it throughout life, even if language is, of course, learned and not fully genetically preformed. This shows once more how deep the biological roots are that ground our cultures, according to truly Darwinian principles, even if these cultures are completely learned.


2013 ◽  
Vol 83 ◽  
pp. 170-190 ◽  
Author(s):  
Verity Burgmann

AbstractThe autonomist Marxist critique of determinist Marxism offers even more valuable insights for labor historians than that mounted by earlier antideterminists, such as Sartre and Thompson, who emphasized proletarian agency to counter determinist orthodoxy in which the accumulative logic of capital unilaterally shapes the world. Autonomist Marxism is more far-reaching. It places labor at the very beginning of the labor-capital dialectic: Labor can exist independently of capital, but capital needs to command labor to ensure profit; therefore, capitalist development does not occur due to internal momentum but in reaction to labor's tendency to unloose itself from capital. Linebaugh and Rediker offer a similar hypothesis in exploring the myth of the many-headed hydra—and demonstrate the fruitfulness of such an approach. By contrast, the notion of the multitude in Hardt and Negri'sEmpirehas not been well received by labor historians due to its inexplicable abstraction when read in isolation from other autonomist texts. This article attempts to rescue the ideas of autonomist Marxist philosophers, especially Toni Negri, from the enormous condescension of labor history.


It would be impossible in an obituary of ordinary length to convey any idea of the many-sided activity by which Lord Kelvin was continually transforming physical knowledge, through more than two generations, more especially in the earlier period before practical engineering engrossed much of his attention in importunate problems which only he could solve. It is not until one tries to arrange his scattered work into the different years and periods, that the intensity of his creative force is fully realised, and some otion is acquired of what a happy strenuous career his must have been in early days, with new discoveries and new aspects of knowledge crowding in upon him faster than be could express them to the world. The general impression left on one's mind by a connected survey of his work is overwhelming. The instinct of his own country and of the civilised world, in assigning to him a unique place among the intellectual forces of the ast century, was not mistaken. Other men have been as great in some special department of physical science: no one since Newton—hardly even Faraday, whose limitation was in a sense his strength—has exerted such a masterful influence over its whole domain. He might have been a more learned mathematician or an expert chemist; but he would then probably have been less activity, the immediate grasp of connecting principles and relations; each subject that he tackled was transformed by direct hints and analogies brought to bear from profound contemplation of the related domains of knowledge. In the first half of his life, fundamental results arrived in such volume as often to leave behind all chance of effective development. In the nidst of such accumulations he became a bad expositor; it is only by tracing his activity up and down through its fragmentary published records, and thus obtaining a consecutive view of his occupation, that a just idea of the vistas continually opening upon him may be reached. Nowhere is the supremacy of intellect more impressively illustrated. One is at times almost tempted o wish that the electric cabling of the Atlantic, his popularly best known achievement, as it was one of the most strenuous, had never been undertaken by him; nor even, perhaps, the practical settlement of electric units and instruments and methods to which it led on, thus leaving the ground largely prepared for the modern refined electric transformation of general engineering. In the absence of such pressing and absorbing distractions, what might the world not have received during the years of his prime in new discoveries and explorations among the inner processes of nature.


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