994 resultados para St. Thomas, Ontario


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Louise von Panhuys

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Includes bibliographical references and index.

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Vols. 34-36, 38 include the hospital's Medical School Prospectus, 1906/07-1923/24, 1925/26.

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A complete series of cross-sectional computed tomography (CT) scans were obtained of a mummy of an Egyptian priestess, Tjenmutengebtiu, (Jeni), who lived in the twenty-second Dynasty (c. 945-715 BC). The purpose of this joint British Museum and St. Thomas’ Hospital project was effectively to ‘unwrap’ a mummy using cross-sectional X-rays. Jeni is encased in a beautifully decorated anthropomorphic cartonnage coffin. The head and neck were scanned with 2mm slices, the teeth with 1mm slices and the rest of the body with 4 mm slices, a 512 x 512 matrix was used. The 2D CT images, and 3D surface reconstruction’s, demonstrate many features of the embalming techniques and funerary customs of the XXII Dynasty. The presence of cloth protruding from the nasal cavities into the otherwise empty cranial cavity indicates that the brain was extracted via the nose. The remains of the heart can be seen as well as four organ packs corresponding to the mummified and repackaged lungs, intestines, stomach and liver. Each of the organ packs encloses a wax figurine representing one of the four sons of Horus. The teeth are in very good condition with little signs of wear, which, considering the gritty diet of the Egyptians, indicates that Jeni must have been very young when she died. A young age of death is also suggested by analysis of the shape of the molar teeth. The body is generally in very good condition demonstrating the consummate skill of the twenty-second Dynasty embalmers.

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This article describes a project to unwrap an ancient Egyptian mummy using X-ray computed tomography (CT). About 600 X-ray CT images were obtained through the mummified body of a female named Tjetmutjengebtiu (or Jeni for short), who was a singer in the great temple of Karnak in Egypt during the 22nd dynasty (c. 945-715 BC). The X-ray CT images reveal details of the remains of body organs, wrappings and jewellery. 3D reconstructions of Jeni’s teeth suggest that she was probably only around 20 years old when she died, although the cause of death cannot be ascertained from the CT scans. The CT images were used to build a 3D model of Jeni’s head which enabled an artist to paint a picture of what Jeni may have looked like during life. A PowerPoint presentation and movie clips are provided as supplementary material that may be useful for teaching.

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At St Thomas' Hospital, we have developed a computer program on a Titan graphics supercomputer to plan the stereotactic implantation of iodine-125 seeds for the palliative treatment of recurrent malignant gliomas. Use of the Gill-Thomas-Cosman relocatable frame allows planning and surgery to be carried out at different hospitals on different days. Stereotactic computed tomography (CT) and positron emission tomography (PET) scans are performed and the images transferred to the planning computer. The head, tumour and frame fiducials are outlined on the relevant images, and a three-dimensional model generated. Structures which could interfere with the surgery or radiotherapy, such as major vessels, shunt tubing etc., can also be outlined and included in the display. Catheter target and entry points are set using a three-dimensional cursor controlled by a set of dials attached to the computer. The program calculates and displays the radiation dose distribution within the target volume for various catheter and seed arrangements. The CT co-ordinates of the fiducial rods are used to convert catheter co-ordinates from CT space to frame space and to calculate the catheter insertion angles and depths. The surgically implanted catheters are after-loaded the next day and the seeds left in place for between 4 and 6 days, giving a nominal dose of 50 Gy to the edge of the target volume. 25 patients have been treated so far.

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Background The effects of extra-pleural pneumonectomy (EPP) on survival and quality of life in patients with malignant pleural mesothelioma have, to our knowledge, not been assessed in a randomised trial. We aimed to assess the clinical outcomes of patients who were randomly assigned to EPP or no EPP in the context of trimodal therapy in the Mesothelioma and Radical Surgery (MARS) feasibility study. Methods MARS was a multicentre randomised controlled trial in 12 UK hospitals. Patients aged 18 years or older who had pathologically confirmed mesothelioma and were deemed fit enough to undergo trimodal therapy were included. In a prerandomisation registration phase, all patients underwent induction platinum-based chemotherapy followed by clinical review. After further consent, patients were randomly assigned (1:1) to EPP followed by postoperative hemithorax irradiation or to no EPP. Randomisation was done centrally with computer-generated permuted blocks stratified by surgical centre. The main endpoints were feasibility of randomly assigning 50 patients in 1 year (results detailed in another report), proportion randomised who received treatment, proportion eligible (registered) who proceeded to randomisation, perioperative mortality, and quality of life. Patients and investigators were not masked to treatment allocation. This is the principal report of the MARS study; all patients have been recruited. Analyses were by intention to treat. This trial is registered, number ISRCTN95583524. Findings Between Oct 1, 2005, and Nov 3, 2008, 112 patients were registered and 50 were subsequently randomly assigned: 24 to EPP and 26 to no EPP. The main reasons for not proceeding to randomisation were disease progression (33 patients), inoperability (five patients), and patient choice (19 patients). EPP was completed satisfactorily in 16 of 24 patients assigned to EPP; in five patients EPP was not started and in three patients it was abandoned. Two patients in the EPP group died within 30 days and a further patient died without leaving hospital. One patient in the no EPP group died perioperatively after receiving EPP off trial in a non-MARS centre. The hazard ratio [HR] for overall survival between the EPP and no EPP groups was 1·90 (95% CI 0·92-3·93; exact p=0·082), and after adjustment for sex, histological subtype, stage, and age at randomisation the HR was 2·75 (1·21-6·26; p=0·016). Median survival was 14·4 months (5·3-18·7) for the EPP group and 19·5 months (13·4 to time not yet reached) for the no EPP group. Of the 49 randomly assigned patients who consented to quality of life assessment (EPP n=23; no EPP n=26), 12 patients in the EPP group and 19 in the no EPP group completed the quality of life questionnaires. Although median quality of life scores were lower in the EPP group than the no EPP group, no significant differences between groups were reported in the quality of life analyses. There were ten serious adverse events reported in the EPP group and two in the no EPP group. Interpretation In view of the high morbidity associated with EPP in this trial and in other non-randomised studies a larger study is not feasible. These data, although limited, suggest that radical surgery in the form of EPP within trimodal therapy offers no benefit and possibly harms patients. Funding Cancer Research UK (CRUK/04/003), the June Hancock Mesothelioma Research Fund, and Guy's and St Thomas' NHS Foundation Trust. © 2011 Elsevier Ltd.

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This chapter examines the process of “transformative learning” for the 2008 cohort of the St. Thomas More College–Intercordia Canada (STM/IC) international community service-learning program. My primary data comes from the eight students who were part of that cohort, when I was their program coordinator. That data later became the heart of my Master’s thesis and was approved by the Research Ethics Office of the University of Saskatchewan. In this chapter I focus on three of those eight participants, outlining the critical elements of their experiences that were conducive to their transformative learning. To be sure, my sample size is too small to draw generalizable conclusions, but the quality of information I received from these students and their colleagues, coupled with the follow-up conversations I had with other educators and with the accompanying literature, supports the value of reflecting at length here about these students’ comments. I have chosen to highlight the experiences of these three participants because together they provide a range of experiences that best enables an analysis of the conditions that both did and did not lead to transformative learning. This case study suggests that transformative learning occurs through: the dynamics of vulnerability, a discovery of persisting differences within inter-personal relationships, and an experience of welcome and hospitality in the host environment. In contrast to other studies that focus on the enhanced capacities, skills and subsequent employability of participants through international education, transformative learning for these students required a relinquishing of securities, a disorientation and critical interrogation of the self, and enhanced receptivity to the newly recognized Other. Moreover, consistent with the critical-humanistic educational philosophy shared in different ways by the participants of the STM/IC program, this study suggests that international community service-learning can most responsibly contribute to good global citizenship through the construction of relationships of solidarity across difference.

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This study is a systematic analysis of mediated immediacy in the production of the Brazilian professor of theology João Batista Libanio. He stresses both ethical mediation and the immediate character of the faith. Libanio has sought an answer to the problem of science and faith. He makes use of the neo-scholastic distinction between matter and form. According to St. Thomas Aquinas, God cannot be known as a scientific object, but it is possible to predicate a formal theological content of other subject matter with the help of revelation. This viewpoint was emphasized in neo-Thomism and supported by the liberation theologians. For them, the material starting point was social science. It becomes a theologizable or revealable (revelabile) reality. This social science has its roots in Latin American Marxism which was influenced by the school of Louis Althusser and considered Marxism a science of history . The synthesis of Thomism and Marxism is a challenge Libanio faced, especially in his Teologia da libertação from 1987. He emphasized the need for a genuinely spiritual and ethical discernment, and was particularly critical of the ethical implications of class struggle. Libanio s thinking has a strong hermeneutic flavor. It is more important to understand than to explain. He does not deny the need for social scientific data, but that they cannot be the exclusive starting point of theology. There are different readings of the world, both scientific and theological. A holistic understanding of the nature of religious experience is needed. Libanio follows the interpretation given by H. C. de Lima Vaz, according to whom the Hegelian dialectic is a rational circulation between the totality and its parts. He also recalls Oscar Cullmann s idea of God s Kingdom that is already and not yet . In other words, there is a continuous mediation of grace into the natural world. This dialectic is reflected in ethics. Faith must be verified in good works. Libanio uses the Thomist fides caritate formata principle and the modern orthopraxis thinking represented by Edward Schillebeeckx. One needs both the ortho of good faith and the praxis of the right action. The mediation of praxis is the mediation of human and divine love. Libanio s theology has strong roots in the Jesuit spirituality that places the emphasis on contemplation in action.

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Resumen: En este artículo queremos explicar un aspecto de la concepción tomista de la caridad. Verla como amor de amistad. Para ello, primero vamos a investigar la teoría aristotélica de la amistad, como la expone en la Ética a Eudemo y la Ética a Nicómaco. Recurrimos a Aristteles, ya que es la culminación griega acerca de la reflexión sobre la amistad. Santo Tomás se servirá de la noción aristotélica de la amistad, para explicar la caridad como amor de amistad. Explica que la caridad permite vivir una amistad intensa con Dios y con el prójimo. El acto propio de la caridad, así como sus efectos interiores y exteriores, se entienden más plenamente al captarlos como otros tantos actos de amistad

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Contenido: La encíclica Fides et ratio de Juan Pablo II / La Dirección – Die Gegenwart del Themis bei Parmenides un der entzug der bestimmung im Heideggers Lichtung / Stefan Winter – El tiempo como medida de la primera esfera en la Física de Aristteles / Marcelo L. Imperiale – St. Albert the Great and St. Thomas Aquinas on the presence of elements in compounds / Steven Baldner – Santo Tomás de Aquino, psicólogo / Ignacio Andereggen – Aquinas on creation and the metaphysical foundation of science / William E. Carroll – Las fuentes jurídicas romanas en Santo Tomás de Aquino / Alfredo Gustavo Di Pietro – La causalidad humana en la filosofía de la historia de Giambattista Vico / Juan Francisco Franck – Questions disputées de la politique chrétienne de Jacques Maritain / Yves Floucat – Die tektonik des submodernen Denkens im Schein ihrer Kunst / Heribert Boeder – El concepto de tolerancia / Alejandro G. Vigo – Modern science and time: an evaluation / Leo J. Elders – Tecnociencia y crisis ambiental / Héctor J. Padrón – The importante of order in theological discusión / Timothy L. Smith – La metafísica a pesar de Heidegger / Mario Enrique Sacchi – Notas y comentarios – Bibliografía

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Resumen: En el mundo educativo actual las corrientes pedagógicas se han visto sumidas en lo que podríamos denominar «el olvido del maestro», pues este se torna ininteligible cuando no hay una verdad que comunicar. La educación se convierte entonces en una construcción por parte del alumno de un mundo de significados subjetivos y cambiantes, que el maestro solo estimula. Frente a esto encontramos la enseñanza de santo Tomás de Aquino, Doctor Humanitatis, quien nos recuerda que las palabras del maestro, verba doctoris, son comunicativas de la verdad ya conocida. Solo fundados en este principio es posible devolver a la palabra educativa la fecundidad que le corresponde, tan necesaria para el perfeccionamiento del hombre y de la sociedad. En este artículo se presenta una reflexión acerca del lugar que ocupa la palabra verdadera en la educación de los hombres, mostrando cómo la vida humana no tiende solo a expresarse en la palabra, sino a ser fecunda en la palabra educativa.

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Resumen: Durante los últimos años se ha podido notar de parte de los especialistas del pensamiento de Santo Tomás un interés creciente en sus comentarios bíblicos. Este ensayo se inscribe en este movimiento. El autor intenta llamar la atención a la teología del Espíritu Santo tal como esta se presenta no solo en la Suma de Teología sino también en otros escritos del Doctor Común. Después de presentar un resumen de las cuestiones 27 - 36, 37 y 38 de la primera parte de la ST, muestra la sorprendente riqueza de los tratados sobre el Espíritu Santo en la Suma contra los Gentiles, IV. cc. 15 a 26. El rol central e importantísimo del Espíritu Santo en la vida de la Iglesia es estudiado en un análisis del comentario de Tomás a las Cartas de san Pablo, en particular a la Carta a los Romanos y del Evangelio según San Juan. Para subrayar la dignidad de la devoción al Espíritu Santo, el autor ha añadido una sección sobre los Dones del Espíritu Santo, en particular en su relación con las virtudes teologales y morales, y con los Carismas. Unas páginas sobre la Ley Nueva como la gracia del Espíritu Santo concluyen este estudio.

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Resumen: En ocasión de la autobiografía de Robert Spaemann aparecida en 2012, este trabajo examina la lectura que Spaemann hace de la teleología en la doctrina de Santo Tomás de Aquino, especialmente en su obra Natürliche Ziele (2005) que prosigue la versión de 1981. En la primera parte, se estudia la historia de la teleología en el pensamiento filosófico y científico expuesta en «Fines naturales». La finalidad intrínseca en la naturaleza de los seres es conocida con profundidad creciente gracias a Platón, Aristteles, al estoicismo y a la tradición cristiana. Estos aportes se integran en una estructura teleológica unitaria en el Aquinate. Después acontece una «inversión» de la teleología centrada en la conservación del propio ser y una consideración de los fines como algo externo a la realidad. Con la teoría evolucionista surge la teleonomía que se limita a las reglas del dinamismo, suprimiendo el fin. Con todo, los científicos no logran eliminar los términos «con el fin de» o «para» en su lenguaje. Eso permite proceder a un redescubrimiento de los fines naturales. En la segunda parte, se ve cómo Tomás de Aquino lleva el conocimiento de la finalidad más allá de Aristteles, porque ella remite a una inteligencia creadora. La teleología implica una teología, aunque no queda del todo claro si es la teología filosófica o la cristiana. Spaemann tiene un planteo ontológico de tipo persuasivo, pero en algunos momentos siente dificultad para superar en el plano teorético a quien se limita a una teleonomía.