HISTORY OF THE RELATIONSHIP 4 CLIENTS’ REASONS FOR CONSULTING YOU 5 ADVICE GIVEN 6 COURSE OF ACTION AGREED: IMMEDIATE, LONG TERM

2000 ◽  
pp. 209-209
Author(s):  
Manjil Hazarika

Northeast India is situated at the nexus of the South Asian, Southeast Asian, and East Asian biogeographical realms and harbours diverse biota, providing a unique opportunity to archaeologists and anthropologists for the study of the relationship between humans and their environment over the ages. Moreover, this region, the abode of diverse ethnic groups with diverse cultures and customs, hints at a long history of continuous and close association between humans and nature, which is important in the understanding of plant and animal domestication. Genetic analysis of present-day domesticates with their wild counterparts provides valuable insights into their differentiation, time of domestication, and changes in their morphological traits through control by humans. The chapter also elucidates the role played by rice in Northeast Indian culture and highlights the long-term history of rice agriculture in the region.


Author(s):  
Madhangi V. B. ◽  
Ramany C.

Background: Caesarean scar defect (CSD), also called isthmocele or niche is a long-term complication, which can be asymptomatic or can give rise to chronic pelvic pain, dyspareunia and postmenstrual spotting. The objective of this study was to assess the association of CSD with clinical symptoms, position of the uterus and the number of caesarean sections.Methods: This was a prospective observational study done at a tertiary care teaching hospital from January 2019 to December 2019. The study included women with history of previous one or more caesarean sections with demonstrable CSD on transvaginal ultrasound. Various scar dimensions noted were width and depth of the scar. A deficiency ratio was calculated as a ratio of residual myometrium at the scar to the adjacent myometrium.Univariate analysis was done to assess the relationship of clinical symptoms with the defect parameters and number of previous caesarean sections. Multiple logistic regression analysis was done to find out the association between symptoms and number of previous caesarean sections with the scar defect dimensions.Results: The width, depth and deficiency ratio of the CSD were significantly higher in study subjects with a greater number of caesarean sections. Retroflexed uteri had larger CSD. There was no association of clinical features with the defect dimensions and the position of the uterus.Conclusions: CSD dimensions and deficiency ratio correlate with the number of previous caesarean sections and the position of the uterus. There was no association of clinical symptoms with the defect parameters.


2020 ◽  
pp. 1-13 ◽  
Author(s):  
Kornelia Kończal

In early 2018, the Polish parliament adopted controversial legislation criminalising assertions regarding the complicity of the ‘Polish Nation’ and the ‘Polish State’ in the Holocaust. The so-called Polish Holocaust Law provoked not only a heated debate in Poland, but also serious international tensions. As a result, it was amended only five months after its adoption. The reason why it is worth taking a closer look at the socio-cultural foundations and political functions of the short-lived legislation is twofold. Empirically, the short history of the Law reveals a great deal about the long-term role of Jews in the Polish collective memory as an unmatched Significant Other. Conceptually, the short life of the Law, along with its afterlife, helps capture poll-driven, manifestly moralistic and anti-pluralist imaginings of the past, which I refer to as ‘mnemonic populism’. By exploring the relationship between popular and political images of the past in contemporary Poland, this article argues for joining memory and populism studies in order to better understand what can happen to history in illiberal surroundings.


Author(s):  
A. J. Southward

The inshore fishery for the pilchard in Cornish waters has existed for several hundred years, and such records as are available concerning fluctuation in catches and market conditions have been reviewed by Couch (1865), Cushing (1957) and Culley (1971). Although pilchard have been landed from Lyme Bay, from the eastern half of the Channel, and from the southern North Sea (Couch, 1865; Furnestin, 1945; Cushing, 1957; personal communications G. T. Boalch) the catches have usually been incidental to other fisheries and more sporadic than in Cornish waters. Traditionally there are three areas fished for the Cornish pilchard: on the north-west coast around St Ives; in Mounts Bay and towards the Scillies; and between the Lizard Pt and Bolt Tail in Devon (Couch, 1865; Culley, 1971). The latter region, constituting the inshore waters of south-east Cornwall and south Devon, effectively forms the eastern limits of the regular occurrence of commercial shoals. Knowledge of the breeding and life-history of the fish in this region has always been scarce and subject to much hearsay evidence (reviewed in Southward, 1963). Up to quite recently it was thought that the main spawning area lay well to the west of the entrance to the Channel, and it was not until the investigations reported by Corbin (1947,195°) a nd Cushing (1957)tnat it was conclusively shown that extensive spawning can occur within the English Channel from May to October. The relationship of the spawning in the western Channel to the other areas of spawning off the entrance to the Channel and in the northern Bay of Biscay is illustrated in a recent series of reports (Arbault & Boutin, 1968; Arbault & Lacroix-Boutin, 1969; Arbault & Lacroix, 1971; Wallace, P. D. & Pleasants, C. A., duplicated ICES meeting paper CM 1972/J: 8), and is further demonstrated by Demir & Southward (1974) in discussing the results of a study of small scale seasonal changes in spawning intensity in inshore waters.


2016 ◽  
Vol 29 (3) ◽  
pp. 253-256 ◽  
Author(s):  
Yoonsun Mo ◽  
Fletcher Nehring ◽  
Andrew H. Jung ◽  
Seth T. Housman

Purpose To report a case of isolated daptomycin-induced acute liver injury without elevations in creatine kinase (CK) levels or kidney dysfunction. Summary A 49-year-old female with a history of pancreatitis, lupus, diabetes, congestive heart failure, hypertension, and chronic pain syndrome presented to the emergency department with alteration in mental status and acute liver failure. The patient had been treated with daptomycin for methicillin-resistant Staphylococcus aureus (MRSA) endocarditis for 3 weeks. After ruling out other possible etiologies, daptomycin was suspected as a cause of acute liver failure. Her liver failure resolved gradually following withdrawal of daptomycin. Conclusion Although hepatic abnormalities caused by daptomycin are rare, a handful of cases with daptomycin-induced liver injury have been reported in the literature. Of note, in most cases, patients on daptomycin therapy developed liver damage with elevations in CK levels. Our case report suggests possible severe liver injury associated with high-dose and long-term daptomycin treatment in the absence of rhabdomyolysis. Future research is warranted to further investigate the relationship between daptomycin use and liver injury, yet it is reasonable to monitor liver function tests at baseline and weekly thereafter along with CK levels, especially in patients requiring long-term daptomycin therapy.


1996 ◽  
Vol 39 (1) ◽  
pp. 43-54 ◽  
Author(s):  
Paul Groenen ◽  
Thom Crul ◽  
Ben Maassen ◽  
Wim van Bon

Research on the relationship between early otitis media with effusion (OME), language impairment, and central auditory processing has been equivocal. Identification and discrimination tasks provide us with a sensitive method of assessing speech perception on both an auditory and a phonetic level. The present study examined identification and discrimination of initial bilabial stop consonants differing in voicing by 9-year-old children with a history of severe OME. The groups studied were controlled for language impairment. The ability of these children to perceive major and minor voicing cues was examined using multiple voicing cues. Long-term effects of OME were found for both identification and discrimination performance. Children with OME produced an overall inconsistency in categorization, which suggests poorer phonetic processing. Discrimination was measured by means of “just noticeable differences” (JND). Children with early OME experience demonstrated a greater mean JND than children without early OME experience. Finally, in cases of language impairment with early OME, there was no additional deterioration of auditory or phonetic processing. It appears that either early OME or language impairment can lead to poorer perception.


Author(s):  
Cathy Whitlock

The primary research objective has been to study the vegetational history of Yellowstone and its sensitivity to changes in climate and fire frequency. To establish a sequence of vegetational changes, a network of pollen records spanning the last 14,000 years has been studied from different types of vegetation within the Park. The relationship between modern pollen rain, modern vegetation and present­day climate in the northern Rocky Mountains has been the basis for interpreting past vegetation and climate from the fossil records. Changes in fire regime during the past 14,000 years have been inferred from sedimentary charcoal and other fire proxy in lake sediments. Calibration of the fire signal is based on a study that measures the input of charcoal into lakes following the 1988 fires in Yellowstone.


Author(s):  
Naomi Adelson ◽  
Samuel Mickelson ◽  
Joshua J. Kawapit

The Miiyupimatisiiun Research Data Archives Project (MRDAP) is a digitization and data transfer initiative between medical anthropologist Naomi Adelson and the Whapmagoostui First Nation (FN) in the territory of Eeyou Istchee (in northern Quebec). This report provides an overview of phase one of the MRDAP from three distinct perspectives: the researcher, the archivist, and the community. The authors discuss the history of the relationship between Adelson and the Whapmagoostui FN, the digitization process, and the work that is required to transfer the digitized materials to the community for access and safekeeping. The report also foregrounds how the project team is working to ensure that the community has full control over how the data is managed, stored, accessed, and preserved over the long term. The report provides a case study on how Indigenous data sovereignty is being negotiated in the context of one community.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Penny L. Brennan ◽  
Charles J. Holahan ◽  
Rudolf H. Moos ◽  
Kathleen K. Schutte

Abstract Objective To examine the moderating effect of older adults’ history of drinking problems on the relationship between their baseline alcohol consumption and risk of dementia and cognitive impairment, no dementia (CIND) 18 years later. Method A longitudinal Health and Retirement Study cohort (n = 4421) was analyzed to demonstrate how older adults’ baseline membership in one of six drinking categories (non-drinker, within-guideline drinker, and outside-guideline drinker groups, divided to reflect absence or presence of a history of drinking problems) predicts dementia and CIND 18 years later. Results Among participants with no history of drinking problems, 13% of non-drinkers, 5% of within-guideline drinkers, and 9% of outside-guideline drinkers were classified as having dementia 18-years later. Among those with a history of drinking problems, 14% of non-drinkers, 9% of within-guideline drinkers, and 7% of outside-guideline drinkers were classified with dementia. With Non-Drinker, No HDP as reference category, being a baseline within-guideline drinker with no history of drinking problems reduced the likelihood of dementia 18 years later by 45%, independent of baseline demographic and health characteristics; being a baseline within-guideline drinker with a history of drinking problems reduced the likelihood by only 13% (n.s.). Similar patterns obtained for the prediction of CIND. Conclusions For older adults, consuming alcohol at levels within validated guidelines for low-risk drinking may offer moderate long-term protection from dementia and CIND, but this effect is diminished by having a history of drinking problems. Efforts to predict and prevent dementia and CIND should focus on older adults’ history of drinking problems in addition to how much alcohol they consume.


Author(s):  
David R. Como

This book charts the way the English Civil War of the 1640s mutated into a revolution (paving the way for the later execution of King Charles I and the abolition of the monarchy). Focusing on parliament’s most militant supporters, the book reconstructs the origins and nature of the most radical forms of political and religious agitation that erupted during the war, tracing the process by which these forms gradually spread and gained broader acceptance. Drawing on a wide range of manuscript and print sources, the study situates these developments within a revised narrative of the period, revealing the emergence of new practices and structures for the conduct of politics. In the process, the book illuminates the appearance of many of the period’s strikingly novel intellectual currents, including ideas and practices we today associate with western representative democracy—notions of retained natural rights, religious toleration, freedom of the press, and freedom from arbitrary imprisonment. The book also chronicles the way the civil war shattered English Protestantism—leaving behind myriad competing groupings, including congregationalists, baptists, antinomians, and others—while examining the relationship between this religious fragmentation and political change. Finally, the book traces the gradual appearance of openly anti-monarchical, republican sentiment among parliament’s supporters. Radical Parliamentarians provides a new history of the English Civil War, enhancing our understanding of the dramatic events of the 1640s, and shedding light on the long-term political and religious consequences of the conflict.


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