Meeting Jesus Again for the First Time: The Historical Jesus and the Heart of Contemporary Faith. By Marcus J. Borg. San Francisco: Harper, 1994. ix + 150 pages. $16.00.

Horizons ◽  
1995 ◽  
Vol 22 (2) ◽  
pp. 292-292
Author(s):  
Douglas Burton-Christie
Zootaxa ◽  
2008 ◽  
Vol 1908 (1) ◽  
pp. 51-56 ◽  
Author(s):  
NIEL L. BRUCE ◽  
REGINA WETZER

Collections made along the coast of California have revealed the presence of a species of Pseudosphaeroma Chilton, 1909, a genus common in New Zealand coastal waters. The genus is entirely Southern Hemisphere in distribution, and this record reports the introduction of a species of Pseudosphaeroma into the San Francisco and Central Coast region of California, the first reported occurrence of the genus as an invasive taxon, and the first record of the genus from the Northern Hemisphere. The genus is also recorded for the first time from the Galapagos and Argentina.


1958 ◽  
Vol 15 (1) ◽  
pp. 47-77 ◽  
Author(s):  
Vadim D. Vladykov ◽  
W. I. Follett

Lampetra ayresii (Günther), a species of parasitic river lamprey endemic to western North America, is redescribed on the basis of material from off the Skeena River, British Columbia, to San Francisco Bay, California. A neotype is designated. Transformed specimens differ from those of the European Lampetra fluviatilis (Linnaeus) in having a larger eye, a longer prebranchial and a shorter branchial region, and possibly a lower second dorsal fin, an acute rather than an obtuse caudal fin, a higher average number of trunk myomeres, and an area of dark pigment on the caudal fin. Ammocoetes differ from those of Lampetra fluviatilis principally in having a higher number of myomeres, a dark caudal spot (which distinguishes them also from ammocoetes of Lampetra planeri (Bloch), the nonparasitic brook lamprey), and an absence of dark pigment on most parts of the head and on the precursor of the tongue. Specimens from Oregon are recorded for the first time. Specimens from Mill Creek, Tehama County, California, show that this species ascends the Sacramento River farther than previous records indicated. An annotated synonymy is included. Lampetra ayresii is indicated as distinct from Ammocoetes cibarius Girard, which is regarded as identical with Entosphenus tridentatus (Richardson). Lampetra ayresii and Lampetra fluviatilis are illustrated by a number of original drawings and photographs.


1955 ◽  
Vol 10 ◽  
pp. 7-12
Author(s):  
Joe Ben Wheat

Before 1933, a number of sites had been dug in the area including the drainage of the upper Gila, the San Francisco, and the Mimbres rivers. Most of these were late Pueblo sites. Customarily they were thought to represent a regional variant of the culture now called Anasazi. A few investigators, however, suspected that these remains might have had a separate origin. In 1933, Haury excavated Mogollon Village for Gila Pueblo, and the following summer, Harris Village. These were published in 1936 (Haury 1936a and 1936b). For the first time there appeared a clear statement of se'quent phases in the area. But equally important was the resultant hypothesis that these cultural remains were not a regional variation of Anasazi but, instead, represented a hitherto unrecognized group.


2012 ◽  
Vol 22 (1) ◽  
pp. 3-39
Author(s):  
Phillip Muñoa

This article demonstrates that the apocryphal text of Tobit sheds important light on notions of deliverance that were emerging in Second Temple Judaism. Raphael, the angel-deliverer of Tobit, depicts a stage in the development of angelic mediation that stands apart from angelic deliverers in previous Jewish texts, and can be significantly associated with early Christianity's view of Jesus. Here, for the first time, is a heavenly being who appears as a nondescript Israelite and brings news of hope, healing and demonic liberation to suffering Israelites of little account. Raphael offers a precedent for Christian accounts that the historical Jesus was a preexistent savior who lived as a simple Israelite.


2018 ◽  
Vol 128 (1) ◽  
pp. 68-77 ◽  
Author(s):  
Doris D. Wang ◽  
Kunal P. Raygor ◽  
Tene A. Cage ◽  
Mariann M. Ward ◽  
Sarah Westcott ◽  
...  

OBJECTIVECommon surgical treatments for trigeminal neuralgia (TN) include microvascular decompression (MVD), stereotactic radiosurgery (SRS), and radiofrequency ablation (RFA). Although the efficacy of each procedure has been described, few studies have directly compared these treatment modalities on pain control for TN. Using a large prospective longitudinal database, the authors aimed to 1) directly compare long-term pain control rates for first-time surgical treatments for idiopathic TN, and 2) identify predictors of pain control.METHODSThe authors reviewed a prospectively collected database for all patients who underwent treatment for TN between 1997 and 2014 at the University of California, San Francisco. Standardized collection of data on preoperative clinical characteristics, surgical procedure, and postoperative outcomes was performed. Data analyses were limited to those patients who received a first-time procedure for treatment of idiopathic TN with > 1 year of follow-up.RESULTSOf 764 surgical procedures performed at the University of California, San Francisco, for TN (364 SRS, 316 MVD, and 84 RFA), 340 patients underwent first-time treatment for idiopathic TN (164 MVD, 168 SRS, and 8 RFA) and had > 1 year of follow-up. The analysis was restricted to patients who underwent MVD or SRS. Patients who received MVD were younger than those who underwent SRS (median age 63 vs 72 years, respectively; p < 0.001). The mean follow-up was 59 ± 35 months for MVD and 59 ± 45 months for SRS. Approximately 38% of patients who underwent MVD or SRS had > 5 years of follow-up (60 of 164 and 64 of 168 patients, respectively). Immediate or short-term (< 3 months) postoperative pain-free rates (Barrow Neurological Institute Pain Intensity score of I) were 96% for MVD and 75% for SRS. Percentages of patients with Barrow Neurological Institute Pain Intensity score of I at 1, 5, and 10 years after MVD were 83%, 61%, and 44%, and the corresponding percentages after SRS were 71%, 47%, and 27%, respectively. The median time to pain recurrence was 94 months (25th–75th quartiles: 57–131 months) for MVD and 53 months (25th–75th quartiles: 37–69 months) for SRS (p = 0.006). A subset of patients who had MVD also underwent partial sensory rhizotomy, usually in the setting of insignificant vascular compression. Compared with MVD alone, those who underwent MVD plus partial sensory rhizotomy had shorter pain-free intervals (median 45 months vs no median reached; p = 0.022). Multivariable regression demonstrated that shorter preoperative symptom duration (HR 1.005, 95% CI 1.001–1.008; p = 0.006) was associated with favorable outcome for MVD and that post-SRS sensory changes (HR 0.392, 95% CI 0.213–0.723; p = 0.003) were associated with favorable outcome for SRS.CONCLUSIONSIn this longitudinal study, patients who received MVD had longer pain-free intervals compared with those who underwent SRS. For patients who received SRS, postoperative sensory change was predictive of favorable outcome. However, surgical decision making depends upon many factors. This information can help physicians counsel patients with idiopathic TN on treatment selection.


Author(s):  
Amir A. Khisamutdinov

The article is devoted to the history of libraries in Beijing and Tianjin, closely connected with the history of the Russian emigration in China. For the first time there are analyzed the activities of the various libraries: religious, public and private. Special attention is paid to the individuals who build the library funds. The source for this article was formed by the collections of the Hamilton Library of the University of Hawaii (Honolulu, USA) and the Museum of the Russian Culture in San-Francisco, as well as by the holdings and catalogs of other American libraries, where the books, previously held by the Russian libraries in Beijing and Tianjin, were revealed.


2014 ◽  
Vol 37 (3) ◽  
pp. E6 ◽  
Author(s):  
Adib A. Abla ◽  
Jeffrey Nelson ◽  
W. Caleb Rutledge ◽  
William L. Young ◽  
Helen Kim ◽  
...  

Object Patients with posterior fossa arteriovenous malformations (AVMs) are more likely to present with hemorrhage than those with supratentorial AVMs. Observed patients subject to the AVM natural history should be informed of the individualized effects of AVM characteristics on the clinical course following a new, first-time hemorrhage. The authors hypothesize that the debilitating effects of first-time bleeding from an AVM in a previously intact patient with an unruptured AVM are more pronounced when AVMs are located in the posterior fossa. Methods The University of California, San Francisco prospective registry of brain AVMs was searched for patients with a ruptured AVM who had a pre-hemorrhage modified Rankin Scale (mRS) score of 0 and a post-hemorrhage mRS score obtained within 2 days of the hemorrhagic event. A total of 154 patients met the inclusion criteria for this study. Immediate post-hemorrhage presentation mRS scores were dichotomized into nonsevere outcome (mRS ≤ 3) and severe outcome (mRS > 3). There were 77 patients in each group. Univariate and multivariate logistic regression analyses using severe outcome as the binary response were run. The authors also performed a logistic regression analysis to measure the effects of hematoma volume and AVM location on severe outcome. Results Posterior fossa location was a significant predictor of severe outcome (OR 2.60, 95% CI 1.20–5.67, p = 0.016) and the results were strengthened in a multivariate model (OR 4.96, 95% CI 1.73–14.17, p = 0.003). Eloquent location (OR 3.47, 95% CI 1.37–8.80, p = 0.009) and associated arterial aneurysms (OR 2.58, 95% CI 1.09, 6.10; p = 0.031) were also significant predictors of poor outcome. Hematoma volume for patients with a posterior fossa AVM was 10.1 ± 10.1 cm3 compared with 25.6 ±28.0 cm3 in supratentorial locations (p = 0.003). A logistic analysis (based on imputed hemorrhage volume values) found that posterior fossa location was a significant predictor of severe outcome (OR 8.03, 95% CI 1.20–53.77, p = 0.033) and logarithmic hematoma volume showed a positive, but not statistically significant, association in the model (p = 0.079). Conclusions Patients with posterior fossa AVMs are more likely to have severe outcomes than those with supratentorial AVMs based on this natural history study. Age, sex, and ethnicity were not associated with an increased risk of severe outcome after AVM rupture, but posterior fossa location, associated aneurysms, and eloquent location were associated with poor post-hemorrhage mRS scores. Posterior fossa hematomas are poorly tolerated, with severe outcomes observed even with smaller hematoma volumes. These findings support an aggressive surgical posture with respect to posterior fossa AVMs, both before and after rupture.


Neurosurgery ◽  
2007 ◽  
Vol 60 (6) ◽  
pp. 1045-1049 ◽  
Author(s):  
Vincent Y. Wang ◽  
Nicholas M. Barbaro ◽  
Michael T. Lawton ◽  
Lawrence Pitts ◽  
Sandeep Kunwar ◽  
...  

Abstract OBJECTIVE Placement of a lumboperitoneal (LP) shunt is a method for treating communicating hydrocephalus. These shunts can be placed with or without valves. We sought to review the complications associated with the use of LP shunts with the increasing use of horizontal-vertical (HV) valve systems. PATIENTS AND METHODS A retrospective chart review of all patients who received LP shunts at University of California, San Francisco from 1998 to 2005 was performed. RESULTS Of the 74 patients identified in this study, 67 underwent LP shunt placement for the first time, and seven patients had revisions of LP shunts that were originally placed at another hospital. There were a total of 44 revisions for the entire group: 27 patients had one revision, 10 patients had two or three revisions, and one patient had five revisions. Obstruction or migration of the peritoneal catheter was the most common reason for revision. The HV valve was responsible for shunt malfunction in nine patients and was the second-most common site of system problems. Overdrainage symptoms were observed in 11 patients, most of whom had LP shunts without any valve. No patients with an HV valve system developed an acquired Chiari malformation. There were three cases of infection, two of which required removal of the LP shunt. CONCLUSION Overall, the placement of LP shunts for the treatment of communicating hydrocephalus seems to be a safe procedure. Serious complications such as subdural hematoma were not observed. The HV valve was associated with minor complications, but it was effective in reducing the incidence of overdrainage.


2019 ◽  
Vol 131 (4) ◽  
pp. 1207-1215 ◽  
Author(s):  
Kunal P. Raygor ◽  
Doris D. Wang ◽  
Mariann M. Ward ◽  
Nicholas M. Barbaro ◽  
Edward F. Chang

OBJECTIVEMicrovascular decompression (MVD) and stereotactic radiosurgery (SRS) are common surgical treatments for trigeminal neuralgia (TN). Many patients who receive SRS have pain recurrence; the ideal second intervention is unknown. The authors directly compared pain outcomes after MVD and repeat SRS in a population of patients in whom SRS failed as their first-line procedure for TN, and they identified predictors of pain control.METHODSThe authors reviewed a prospectively collected database of patients undergoing surgery for TN between 1997 and 2014 at the University of California, San Francisco (UCSF). Standardized data collection focused on preoperative clinical characteristics, surgical characteristics, and postoperative outcomes. Patients with typical type 1, idiopathic TN with ≥ 1 year of follow-up were included.RESULTSIn total, 168 patients underwent SRS as their first procedure. Of these patients, 90 had residual or recurrent pain. Thirty of these patients underwent a second procedure at UCSF and had ≥ 1 year of follow-up; 15 underwent first-time MVD and 15 underwent repeat SRS. Patients undergoing MVD were younger than those receiving repeat SRS and were more likely to receive ≥ 80 Gy during the initial SRS. The average follow-up was 44.9 ± 33.6 months for MVD and 48.3 ± 45.3 months for SRS. All patients achieved complete pain freedom without medication at some point during their follow-up. At last follow-up, 80% of MVD-treated patients and 33.3% of SRS-treated patients had a favorable outcome, defined as Barrow Neurological Institute Pain Intensity scores of I–IIIa (p < 0.05). Percentages of patients with favorable outcome at 1 and 5 years were 86% and 75% for the MVD cohort and 73% and 27% for the SRS cohort, respectively (p < 0.05). Multivariate Cox proportional hazards analysis demonstrated that performing MVD was statistically significantly associated with favorable outcome (HR 0.12, 95% CI 0.02–0.60, p < 0.01). There were no statistically significant predictors of favorable outcome in the MVD cohort; however, the presence of sensory changes after repeat SRS was associated with pain relief (p < 0.01).CONCLUSIONSPatients who received MVD after failed SRS had a longer duration of favorable outcome compared to those who received repeat SRS; however, both modalities are safe and effective. The presence of post-SRS sensory changes was predictive of a favorable pain outcome in the SRS cohort.


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