scholarly journals Introductory Chapter: ECMO - Growing Indications, Applications, and Understanding of a Complex Supportive Therapy

Author(s):  
Michael S. Firstenberg ◽  
Jennifer M. Hanna
Keyword(s):  
Author(s):  
John Marmysz

This introductory chapter examines the “problem” of nihilism, beginning with its philosophical origins in the ideas of Plato, Immanuel Kant, Friedrich Nietzsche and Martin Heidegger. It is argued that film is an inherently nihilistic medium involving the evocation of illusory worlds cut loose from objective reality. This nihilism of film is distinguished from nihilism in film; the nihilistic content also present in some (but not all) movies. Criticisms of media nihilism by authors such as Thomas Hibbs and Darren Ambrose are examined. It is then argued, contrary to such critics, that cinematic nihilism is not necessarily degrading or destructive. Because the nihilism of film encourages audiences to linger in the presence of nihilism in film, cinematic nihilism potentially trains audiences to learn the positive lessons of nihilism while remaining safely detached from the sorts of dangers depicted on screen.


Author(s):  
Pål Kolstø ◽  
Helge Blakkisrud

Russian societal nationalism comes in various guises, both ethnic and imperialist. Also Putin’s rhetoric is marked by the tensions between ethnic and state-focused, imperialist thinking. Noting the complex interplay of state nationalism and societal nationalism, this introductory chapter examines the mental framework within which Russian politicians were acting prior to the decision to annex Crimea. The chapter develops a typology of Russian nationalisms, surveys recent developments, and presents the three-part structure of this book: official nationalism, radical and other societal nationalisms, and identities/otherings. It concludes that after the annexation of Crimea, when the state took over the agenda of both ethnic and imperialist nationalists in Russia, societal nationalism finds itself at low ebb.


2020 ◽  
pp. 57-62
Author(s):  
L. S. Kruglova ◽  
N. V. Gryazeva

Acne is a chronic disease and even reliable therapies do not completely ensure absence of relapses. Acne relapses have a negative psychological impact on patients, as they feel unable to control the disease and achieve complete and long-lasting recovery. Supportive therapy is necessary to prolong the remission of acne achieved with initial successful treatment and to minimize the risk of relapse. According to the literature sources, the most justified as a maintenance therapy is the use of topical retinoids, which have been shown to be effective in the prevention of exacerbations of acne. In the present study 54 patients were involved who after the active therapy used a fixed combination of adapalene 0.1% / BPO 2.5% as maintenance treatment. Only 1 patient (2.9%) with moderate acne and 2 patients (5.8%) with severe acne had a relapse within 6 months of maintenance therapy. The absence of adverse events during the course of treatment was recorded, as well as high adherence of patients to the treatment. During the period of post-treatment observation (6 months after maintenance therapy), among the patients without exacerbations during maintenance therapy, a relapse occurred in 2 (7.1%) patients of group 1 (n = 28) and 2 (8.7%) patients of group 2 (n = 23). The obtained data indicates that maintenance therapy with Effezel® gel can extend the achieved effectiveness of the treatment and prevent the development of relapses.


Author(s):  
Nancy Woloch

This introductory chapter provides an overview of single-sex protective laws. The longevity of protective laws rests in part on reformers' bifocal defense. The goal of such laws, their proponents claimed, was to compensate for women's disadvantages in the labor market and to serve as the linchpin of a larger plan to achieve wage-and-hour standards for all employees. This double-planked rationale—though contradictory—proved versatile and enduring; it suited constituents with varied priorities. Protective laws' longevity also rested on effective social feminist organization and, after 1920, on the federal Women's Bureau. In retrospect, single-sex protective laws were an unwieldy means to achieve egalitarian ends—or what women reformers of the 1920s called “industrial equality.” However, critics charged that the laws failed to redress disadvantage and even compounded it. Protection's supporters also confronted developments they could not anticipate and shifts in attitude they could not foresee.


Author(s):  
Justin Farrell

This introductory chapter briefly presents the conflict in Yellowstone, elaborates on the book's theoretical argument, and specifies its substantive and theoretical contributions to the social scientific study of environment, culture, religion, and morality. The chapter argues that the environmental conflict in Yellowstone is not—as it would appear on the surface—ultimately all about scientific, economic, legal, or other technical evidence and arguments, but an underlying struggle over deeply held “faith” commitments, feelings, and desires that define what people find sacred, good, and meaningful in life at a most basic level. An overview of the subsequent chapters is also presented.


Author(s):  
Biancamaria Fontana

This introductory chapter provides an account of Germaine de Staël's approach to politics that brings out the independence and originality of her contribution. Its main focus is the evolution of her views in the years 1789 to 1800, when she had the opportunity to take part (albeit intermittently) in French political life, and to set forth projects and strategies connected with it. The chapter touches only on Staël's best-known—and more widely studied—fictional and literary works, though naturally these do also have some political relevance. It has been suggested that the protracted exile into which she was forced during the empire was at the origin of Staël's major literary achievements, as it provided her with both the opportunity and the incentive to develop her true potential as a writer.


Author(s):  
Alan L. Mittleman

This introductory chapter first considers the concept of human nature, raising questions such as how human nature and nature as such are related, and how are both related to person. It then turns to what the Jewish tradition says about human nature. It sets out the book's focus, namely a dialogue between contemporary perspectives and traditional Jewish thoughts on human nature. Both sides have something to gain from the dialogue; both have something to lose from shunning it. Judaism risks intellectual irrelevance by failing to engage with the challenges of contemporary thought. Contemporary thought risks attenuating its moral seriousness if it ignores one of the sources of Western civilization. An overview of the subsequent chapters is also presented.


2020 ◽  
Vol 51 (3) ◽  
pp. 172-178
Author(s):  
Natalia Bartoszewicz ◽  
Krzysztof Czyżewski ◽  
Robert Dębski ◽  
Anna Krenska ◽  
Ewa Demidowicz ◽  
...  

AbstractIntroductionOral mucositis is regarded by patients as one of the worst and debilitating complications of conditioning and hematopoietic cell transplantation (HCT). Prevention of mucositis is one of the priorities of supportive therapy during and after conditioning.ObjectivesThe primary objective of the study was the analysis of efficacy of keratinocyte growth factor (KGF, palifermin) used in prophylaxis of oral mucositis in patients undergoing allo-HCT. The secondary objectives of the study included the analysis of the influence of palifermin on clinical course of oral mucositis and early transplant outcomes, as well as analysis of the contraindications of palifermin in patients undergoing allo-HCT.Patients and methodsA total number of 253 allo-HCT performed between 2003 and 2018 in patients aged 0–19 years in a single center were analyzed. Overall, in 161 HCTs, palifermin was administered.ResultsPatients receiving KGF were transplanted earlier in the context of calendar year, and more often received ATG, mainly due to the higher rate of unrelated donor transplants. Allo-HCT patients who were administered palifermin had shorter time of mucositis (median: 9 vs. 13 days, p < 0.001), lower mucositis grade (median: 2° vs. 3°; p < 0.001), shorter period of total parenteral nutrition (median: 19 vs. 22 days; p = 0.018), and lower incidence of episodes of febrile neutropenia (median: 39.1% vs. 83.1%; p < 0.001).ConclusionsThe use of palifermin has decreased duration and severity of oral mucositis in children after allo-HCT. Palifermin is a safe and well-tolerated compound in children undergoing allo-HCT.


Sign in / Sign up

Export Citation Format

Share Document