scholarly journals Clinical and genomic signatures of rising SARS-CoV-2 Delta breakthrough infections in New York

Author(s):  
Ralf Duerr ◽  
Dacia Dimartino ◽  
Christian Marier ◽  
Paul Zappile ◽  
Samuel Levine ◽  
...  

AbstractIn 2021, Delta has become the predominant SARS-CoV-2 variant worldwide. While vaccines effectively prevent COVID-19 hospitalization and death, vaccine breakthrough infections increasingly occur. The precise role of clinical and genomic determinants in Delta infections is not known, and whether they contribute to increased rates of breakthrough infections compared to unvaccinated controls. Here, we show a steep and near complete replacement of circulating variants with Delta between May and August 2021 in metropolitan New York. We observed an increase of the Delta sublineage AY.25, its spike mutation S112L, and nsp12 mutation F192V in breakthroughs. Delta infections were associated with younger age and lower hospitalization rates than Alpha. Delta breakthroughs increased significantly with time since vaccination, and, after adjusting for confounders, they rose at similar rates as in unvaccinated individuals. Our data indicate a limited impact of vaccine escape in favor of Delta’s increased epidemic growth in times of waning vaccine protection.

2007 ◽  
Vol 30 (4) ◽  
pp. 47
Author(s):  
P. Pace-Asciak ◽  
T. Gelfand

Medical students depend on illustration to learn anatomical facts and details that may be too subtle for the written or spoken word. For surgical disciplines, learners rely on tools such as language, 2-dimensional illustrations, and 3-dimensional models to pass on important concepts. Although a photograph can convey factual information, illustration can highlight and educate the pertinent details for understanding surgical procedures, neurovascular structures, and the pathological disease processes. In order to understand the current role of medical illustration in education, one needs to look to the past to see how art has helped solve communication dilemmas when learning medicine. This paper focuses on Max Brodel (1870-1941), a German-trained artist who eventually immigrated to the United States to pursue his career as a medical illustrator. Shortly after his arrival in Baltimore, Brodel made significant contributions to medical illustration in Gynecology at John Hopkins University, and eventually in other fields of medicine such as Urology and Otolaryngology. Brodel is recognized as one of America’s most distinguished medical illustrators for creating innovative artistic techniques and founding the profession of medical illustration. Today, animated computer based art is synergistically used with medical illustration to educate students about anatomy. Some of the changes that have occurred with the advancement of computer technology will be highlighted and compared to a century ago, when illustrations were used for teaching anatomy due to the scarcity of cadavers. Schultheiss D, Udo J. Max Brodel (1870-1941) and Howard A.Kelly (1858-1943) – Urogynecology and the birth of modern medical illustration. European Journal of Obstetrics & gynecology and Reproductive Biology 1999; 86:113-115. Crosby C. Max Brodel: the man who put art into medicine. New York: Springer-Verlag, 1991. Papel ID. Max Brodel’s contributions to otolaryngology – Head and Neck surgery. The American Journal of Otology 1986; 7(6):460-469.


Author(s):  
Ravi Malhotra

Honor Brabazon, ed. Neoliberal Legality: Understanding the Role of law in the neoliberal project (New York: Routledge, 2017). 214pp. Paperback.$49.95 Katharina Pistor. The Code of Capital: How the Law Creates Wealth and Inequality (Princeton: Princeton University Press, 2019). 297 pp. Hardcover.$29.95 Astra Taylor. Democracy May Not Exist, but We'll Miss It When It's Gone (New York: Metropolitan Books--Macmillan, 2019). Hardcover$27.00


1988 ◽  
Vol 27 (1) ◽  
pp. 81-83
Author(s):  
Nadeem A. Burney

Its been long recognized that various economies of the world are interlinked through international trade. The experience of the past several years, however, has demonstrated that this economic interdependence is far greater than was previously realized. In this context, the importance of international economic theory as an area distinct from general economics hardly needs any mentioning. What gives international economic theory this distinction is international markets for some goods and effects of national sovereignty on the character of economic activity. Wilfred Ethier's book, which incorporates recent developments in the field, is an excellent addition to textbooks on international economics for one- or twosemester undergraduate courses. The book mostly covers standard topics. A distinguishing feature of this book is its detailed analysis of the flexible exchange rates and a discussion of the various approaches used for their determination. Within each chapter, the author has extensively used facts, figures and major events to clarify the concepts in the light of the theoretical framework. The book also discusses, in a fair amount of detail, the existing international monetary system and the role of various international organizations.


Author(s):  
Замира Сейткожоева

Аннотация: В статье обращено внимание на исключительную роль книги в жизни человека, воспитание молодежи. Книга сопровождает человека всю жизнь. Однако в последние годы замечается снижение интереса к чтению книг. Отдается предпочтение компьютеру, играм, телевизору, слушанию музыки через наушники. Во избежание деградации личности, в воспитании грамотной, гуманной, толерантной личности необходимо приучать подрастающее поколение к вдумчивому чтению книг. Значительное место в развитии личности занимает внеклассное чтение, к которому нужно прививать интерес еще во время учебы в младшем возрасте. В мире особая роль принадлежит межличностным отношениям, формированию такой личности, которая могла бы жить в согласии с носителями разных культур. Для формирования поликультурной личности важная роль принадлежит культурному наследию, основу которого составляют книги. Ключевые слова: роль книги, гуманная личность, толерантная личность, библиографические материалы, указатели библиографических данных, справочная литература, поликультурная личность, внеклассное чтение, информатизация, интерес к чтению. Аннотация: Макалада адамдын жашоосундагы жаштарды тарбиялоодогу китептин өзгөчө мааниси, ролуна өзгөчө көңүл бурулган. Бир эле мезгилде, соңку жылдарда китептерибизге болгон адамдардын кызыгууларды төмөндөп бараткандыгы байкалган.Учурда поли- же ар кандай оюндарга, телевизор көрүүгө, кулакчын аркылуу модалуу музыка угууга, артыкчылык берилип жатат. Билимдүү, гумандуу толеранттуу инсанды тарбиялап чыгууга да, анын деградацияга кабылышынан сактап калыш үчүн, өсүп келе жаткан муундарды өзүнүн айкалыштыра алуусу менен китептерди берилип жана ой жүгүртүп алууга үйрөтүү- өтө зарыл талап болуп эсептелет. Инсандын онүгүндө окуудан тышкаркы окуунун маанилүү орду бар. Мындай окууга буга кызыгуусун өркүндөтүүнун башталгыч каласстардан тарта үйрөтүү абзел. Инсандар аралык байланыштар дүйнөдө өзгөчө орун ээлейт, алар башка маданий өкүлдөрү менен макулдуктулукта жашоого даяр. Полимаданиятту инсандын калыптанышына ар маданияттын мурасы өтө чоң ролду ойнойт, анын негизин китептер түзөт. Түйүндүү сөздөр: китептин мааниси жана ролу, гумандуу инсан, толеранттуу инсан, библиографиялык материалдар, библиографиялык маалыматтарды көрсөтүү сурантыла билүү адабияты, полимаданиятуу инсан, окуудан тышкаркы окуу,маалымдуулук, окууга кызыгуу The article draws attention to the exceptional role of the book in human life, education of young people. The book accompanies a person all his life. However, in recent years, there has been a decline in interest in reading books. Preference is given to a computer, games, TV, listening to music through headphones. In order to avoid degradation of the personality, it is necessary to accustom the younger generation to thoughtful reading of books. a significant place in the development of personality takes extracurricular reading, to which you need to instill interest even while studying at a younger age. In the world a special role belongs to interpersonal relationship, the formation of such a personality, who could live in harmony with speakers of different cultures. To form a multicultural personality an important role belongs to cultural heritage, the basis of which are books Keywords: the role of the book, humane personality, tolerant personality, bibliographic materials, indexes of bibliographic data, reference literature, multicultural personality, extracurricular reading, informatization, interest in reading.


Author(s):  
Andrea Harris

The Conclusion briefly examines the current state of the New York City Ballet under the auspices of industrial billionaire David H. Koch at Lincoln Center. In so doing, it to introduces a series of questions, warranting still more exploration, about the rapid and profound evolution of the structure, funding, and role of the arts in America through the course of the twentieth century. It revisits the historiographical problem that drives Making Ballet American: the narrative that George Balanchine was the sole creative genius who finally created an “American” ballet. In contrast to that hagiography, the Conclusion reiterates the book’s major contribution: illuminating the historical construction of our received idea of American neoclassical ballet within a specific set of social, political, and cultural circumstances. The Conclusion stresses that the history of American neoclassicism must be seen as a complex narrative involving several authors and discourses and crossing national and disciplinary borders: a history in which Balanchine was not the driving force, but rather the outcome.


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