Arthroscopy in rheumatology: where have we been? Where might we go?

Rheumatology ◽  
2020 ◽  
Author(s):  
Robert W Ike ◽  
William J Arnold ◽  
Kenneth C Kalunian

Abstract The aim of our manuscript is to illustrate the past, present and future role of rheumatologists performing arthroscopy. Doctors first began adapting endoscopes to inspect joints to assess synovial conditions that concern rheumatologists. Rheumatologists were among the pioneers developing arthroscopy. Students of the father of modern arthroscopy, Watanabe, included rheumatologists, who taught others once home. Rheumatologists assessed the intra-articular features of their common diseases in the 60s and 70s. Improvements in instrumentation and efforts by a few orthopaedists adapted a number of common joint surgical procedures for arthroscopy. Interest from rheumatologists in arthroscopy grew in the 90s with ‘needle scopes’ used in an office setting. Rheumatologists conducting the first prospective questioning arthroscopic debridement in OA and developing biological compounds reduced the call for arthroscopic interventions. The arthroscope has proven an excellent tool for viewing and sampling synovium, which continues to at several international centres. Some OA features—such as calcinosis—beg further arthroscopic investigation. A new generation of ‘needle scopes’ with far superior optics awaits future investigators.

Author(s):  
Paul I Palmer

We have been observing the Earth's upper atmosphere from space for several decades, but only over the past decade has the necessary technology begun to match our desire to observe surface air pollutants and climate-relevant trace gases in the lower troposphere, where we live and breathe. A new generation of Earth-observing satellites, capable of probing the lower troposphere, are already orbiting hundreds of kilometres above the Earth's surface with several more ready for launch or in the planning stages. Consequently, this is one of the most exciting times for the Earth system scientists who study the countless current-day physical, chemical and biological interactions between the Earth's land, ocean and atmosphere. First, I briefly review the theory behind measuring the atmosphere from space, and how these data can be used to infer surface sources and sinks of trace gases. I then present some of the science highlights associated with these data and how they can be used to improve fundamental understanding of the Earth's climate system. I conclude the paper by discussing the future role of satellite measurements of tropospheric trace gases in mitigating surface air pollution and carbon trading.


2017 ◽  
Vol 12 (1) ◽  
pp. 39-57
Author(s):  
Jamie McKeown

This article reports the findings from a study of discursive representations of the future role of technology in the work of the US National Intelligence Council (NIC). Specifically, it investigates the interplay of ‘techno-optimism’ (a form of ideological bias) and propositional certainty in the NIC’s ‘Future Global Trends Reports’. In doing so, it answers the following questions: To what extent was techno-optimism present in the discourse? What level of propositional certainty was expressed in the discourse? How did the discourse deal with the inherent uncertainty of the future? Overall, the discourse was pronouncedly techno-optimist in its stance towards the future role of technology: high-technological solutions were portrayed as solving a host of problems, despite the readily available presence of low-technology or no-technology solutions. In all, 75.1% of the representations were presented as future categorical certainties, meaning the future was predominantly presented as a known and closed inevitability. The discourse dealt with the inherent uncertainty of the subject matter, that is, the future, by projecting the past and present into the future. This was particularly the case in relation to the idea of technological military dominance as a guarantee of global peace, and the role of technology as an inevitable force free from societal censorship.


2019 ◽  
Vol 13 (3) ◽  
pp. 339-356
Author(s):  
Grace McGowan

Abstract “A central figure in transnational intellectual history” (Roynon, 2013), Toni Morrison’s oeuvre has helped deconstruct the triangulated relationship between a European Graeco-Roman classical tradition, Africa, and America. Morrison’s deconstruction of the classical past and its aesthetics have laid the foundation for the reconstructive work of a new generation of writers, including Robin Coste Lewis. Both writers renegotiate and reclaim a classical aesthetic by recovering its African roots and situating it in an African American context. In addition, the article (1) examines the role of a classical aesthetic in beauty discourse and Robin Coste Lewis’s re-vision of the black female body and (2) addresses what this means for canonicity, linking Lewis’s ambivalence about reclaiming a classical aesthetic to Morrison’s ambivalence in “Unspeakable Things Unspoken” (1987).


2020 ◽  
Vol 13 (4) ◽  
Author(s):  
David R Williams ◽  
Andrew Balmford ◽  
David S Wilcove

1973 ◽  
Vol 37 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Seymour Banks

The past, present, and future role of advertising and promotion as seen by many of today's top business executives is described by the author. The article also reports some of the organizational and functional changes in advertising and promotion personnel made during the past 15 years.


2010 ◽  
Vol 20 (1) ◽  
pp. 106-123 ◽  
Author(s):  
Natasha Azarian-Ceccato

Narrative research has not traditionally examined the intergenerational transmission and reverberation of narratives within ethnic communities, and yet it is through the chain of generations that voices of the past reverberate and testimonies endure which fuel and form present day notions of the past. This article is a call for and an example of the importance ethnographic investigation into communities of memories, for it is through community storytelling that records are set straight as a memorial for victims and survivors. This line of inquiry is pertinent to various communities throughout the world, as we come to see the role of language, and in particular, narrative in the formation of ideas and conflicts, as scholars such as Slyomovics, (1998) have pointed out. This research takes as its point of departure narrative renditions of the Armenian genocide recounted in both public and private venues by the great-grandchildren of genocide survivors in an ethnic enclave in Central California. In this diasporic community we see how communities of memory are formed in a space of mediation which links the new generation with the old, the present with its past as well as with its imagined communities (Anderson, 1983). Through examination of the linguistic reverberations of this historical and familial narrative, I ask what becomes of authorship when collected stories are salient enough to be included in one’s own personal history, and how these narrativizations contribute to one’s sense of self? These questions are answered both by linguistic analysis of pronouns and deixis, as well as through analysis of prevalent themes. The results of this research lend into the historical progression of memory through time by those who did not experience the trauma, but rather were witnesses by listening to the trauma of others.


2007 ◽  
Vol 52 (3) ◽  
pp. 36-44
Author(s):  
John Lwanda

In this personal short historical perspective I reflect on aspects of the medical history of Malawi, formerly Nyasaland, highlighting the role of Scotland and its people in the development of the Malawi medical services in both the colonial as well as the postcolonial period which began in 1964. The paper, after discussing the history of medical training in Malawi and current constraints and challenges, goes on to make some suggestions - based on historical lessons - about future role of Scottish involvement in Malawi's medical development. It would be unfortunate if, in a rush to ‘help or do something’ the mistakes of the past are repeated.


Authorea ◽  
2019 ◽  
Author(s):  
Isabelle Marechaux ◽  
Fanny Langerwisch ◽  
Andreas Huth ◽  
Harald Bugmann ◽  
Xavier Morin ◽  
...  

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