975 resultados para John Paul Stevens


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Concert Program for Guitar Ensemble February 15 2001

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Comment on: Heinrich H, Goetze O, Menne D, Iten PX, Fruehauf H, Vavricka SR, Schwizer W, Fried M, Fox M. Effect on gastric function and symptoms of drinking wine, black tea, or schnapps with a Swiss cheese fondue: randomised controlled crossover trial. BMJ. 2010 Dec 14;341:c6731. doi: 10.1136/bmj.c6731. PMID 21156747

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PRINCIPLES: Respiratory care is universally recognised as useful, but its indications and practice vary markedly. In order to improve the appropriateness of respiratory care in our hospital, we developed evidence-based local guidelines in a collaborative effort involving physiotherapists, physicians and health service researchers. METHODS: Recommendations were developed using the standardised RAND appropriateness method. A literature search was conducted based on terms associated with guidelines and with respiratory care. A working group prepared proposals for recommendations which were then independently rated by a multidisciplinary expert panel. All recommendations were then discussed in common and indications for procedures were rated confidentially a second time by the experts. The recommendations were then formulated on the basis of the level of evidence in the literature and on the consensus among these experts. RESULTS: Recommendations were formulated for the following procedures: non-invasive ventilation, continuous positive airway pressure, intermittent positive pressure breathing, intrapulmonary percussive ventilation, mechanical insufflation-exsufflation, incentive spirometry, positive expiratory pressure, nasotracheal suctioning and non-instrumental airway clearance techniques. Each recommendation referred to a particular medical condition and was assigned to a hierarchical category based on the quality of the evidence from the literature supporting the recommendation and on the consensus among the experts. CONCLUSION: Despite a marked heterogeneity of scientific evidence, the method used allowed us to develop commonly agreed local guidelines for respiratory care. In addition, this work fostered a closer relationship between physiotherapists and physicians in our institution.

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Nationwide surveys on radiation dose to the population from medical radiology are recommended in order to follow the trends in population exposure and ensure radiation protection. The last survey in Switzerland was conducted in 1998, and the annual effective dose from medical radiology was estimated to be 1 mSv y(-1) per capita. The purpose of this work was to follow the trends in diagnostic radiology between 1998 and 2008 in Switzerland and determine the contribution of different modalities and types of examinations to the collective effective dose from medical x-rays. For this reason, an online database (www.raddose.ch) was developed. All healthcare providers who hold a license to run an x-ray unit in the country were invited to participate in the survey. More than 225 examinations, covering eight radiological modalities, were included in the survey. The average effective dose for each examination was reassessed. Data from about 3,500 users were collected (42% response rate). The survey showed that the annual effective dose was 1.2 mSv/capita in 2008. The most frequent examinations are conventional and dental radiographies (88%). The contribution of computed tomography was only 6% in terms of examination frequency but 68% in terms of effective dose. The comparison with other countries showed that the effective dose per capita in Switzerland was in the same range as in other countries with similar healthcare systems, although the annual number of examinations performed in Switzerland was higher.

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Le document contient la "Réponse à la lettre ouverte d'Olivier Bauer" par le cardinal Joseph Ratzinger (traduction de Pierre Bühler)

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L'objectif principal de ce travail est d’étudier en profondeur certaines techniques biostatistiques avancées en recherche évaluative en chirurgie cardiaque adulte. Les études ont été conçues pour intégrer les concepts d'analyse de survie, analyse de régression avec “propensity score”, et analyse de coûts. Le premier manuscrit évalue la survie après la réparation chirurgicale de la dissection aigüe de l’aorte ascendante. Les analyses statistiques utilisées comprennent : analyses de survie avec régression paramétrique des phases de risque et d'autres méthodes paramétriques (exponentielle, Weibull), semi-paramétriques (Cox) ou non-paramétriques (Kaplan-Meier) ; survie comparée à une cohorte appariée pour l’âge, le sexe et la race utilisant des tables de statistiques de survie gouvernementales ; modèles de régression avec “bootstrapping” et “multinomial logit model”. L'étude a démontrée que la survie s'est améliorée sur 25 ans en lien avec des changements dans les techniques chirurgicales et d’imagerie diagnostique. Le second manuscrit est axé sur les résultats des pontages coronariens isolés chez des patients ayant des antécédents d'intervention coronarienne percutanée. Les analyses statistiques utilisées comprennent : modèles de régression avec “propensity score” ; algorithme complexe d'appariement (1:3) ; analyses statistiques appropriées pour les groupes appariés (différences standardisées, “generalized estimating equations”, modèle de Cox stratifié). L'étude a démontrée que l’intervention coronarienne percutanée subie 14 jours ou plus avant la chirurgie de pontages coronariens n'est pas associée à des résultats négatifs à court ou long terme. Le troisième manuscrit évalue les conséquences financières et les changements démographiques survenant pour un centre hospitalier universitaire suite à la mise en place d'un programme de chirurgie cardiaque satellite. Les analyses statistiques utilisées comprennent : modèles de régression multivariée “two-way” ANOVA (logistique, linéaire ou ordinale) ; “propensity score” ; analyses de coûts avec modèles paramétriques Log-Normal. Des modèles d’analyse de « survie » ont également été explorés, utilisant les «coûts» au lieu du « temps » comme variable dépendante, et ont menés à des conclusions similaires. L'étude a démontrée que, après la mise en place du programme satellite, moins de patients de faible complexité étaient référés de la région du programme satellite au centre hospitalier universitaire, avec une augmentation de la charge de travail infirmier et des coûts.

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En 1986, à Assise, le pape Jean-Paul II a innové en rassemblant des chefs religieux du monde entier pour une prière pour la paix dans le monde. Ce mémoire s'attarde sur cette pratique particulière de dialogue interreligieux à Assise. L'analyse praxéologique de la rencontre d'Assise a permis, dans une première partie appelée observation, après une contextualisation de la rencontre, d'en suivre pas à pas les préparatifs et le déroulement pour terminer sur les suites d'Assise dans le monde. Cette observation nous a permis de soulever une problématique fondamentale à savoir comment l'Eglise peut-elle contribuer pleinement au dialogue interreligieux tout en conservant intactes son identité et sa mission? En d'autres termes, la rencontre d'Assise a-t-elle été une pratique de dialogue interreligieux en conformité avec les convictions de la foi chrétienne? Sur la base de notre problématique et dans une deuxième partie appelée interprétation, nous avons procédé à une analyse théologique de la rencontre d'Assise en regard de thèmes majeurs de la Christologie que sont la Révélation, le Salut, la Vérité et la missiologie. De cette interprétation découle, qu'à Assise, la Christologie catholique a été repensée dans un sens plus pneumatique et plus inclusif. A la lumière de notre interprétation théologique, et dans une troisième partie appelée intervention, nous sommes revenu sur ce qui nous semble être les points forts et les points faibles de la rencontre, avant d'élargir l'horizon sur des initiatives similaires au Québec en s'inspirant d'Assise. A cet effet, nous avons proposé que l'Oratoire Saint-Joseph qui, de par sa fréquentation multireligieuse et de par la fraternité qui s'y vit quotidiennement pourrait être le théâtre d'une rencontre interreligieuse inspirée d'Assise.

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This is a preliminary paper. Please do not quote without the permission of the author. The research on which this paper is based has been conducted with the collaboration of John Paul MacDuffie, MIT. The researchers owe much to the warm cooperation of managers, employees, and union officials of Japanese auto companies and joint venture companies in the U.S. as well as American auto companies and the UAW. We would like to express our sincere appreciation for their assistance.

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El interés de este estudio de caso es realizar un análisis de los desafíos más relevantes que tuvo que enfrentar el Papa Benedicto XVI durante su pontificado. Con la llegada del Joseph Ratzinger al Vaticano se genera un cambio en la percepción de la comunidad internacional hacia la sede pontificia y esa percepción va obteniendo otros matices a medida que se va desarrollando el pontificado, con la respuesta de Benedicto XVI hacia los desafíos que va enfrentando como el diálogo interreligioso, que previamente había venido trabajando su antecesor Juan Pablo II y el tema de la pedofilia, el cual se encargó de destapar luego de haber sido por años un tabú inconcebible de destapar para la iglesia católica.

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En el profundo mar azul, vive Swam un pez que quería un deseo y cada deseo se hace realidad. Desea un castillo, un coche, un caballo, desea volar, esquiar. Pero un día, quiere ser igual que los otros peces.

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O aspecto fulcral desta dissertação centra-se-à volta do desafio de procurar facilitar o acesso à informação contida na base de dados bibliográfica da Biblioteca Universitária João Paulo II (BUJPII) da Universidade Católica Portuguesa (UCP) cujo conteúdo temático tem sido até agora representado pela Classificação Decimal Universal (CDU), linguagem documental pouco acessível a grande parte dos nossos utilizadores, na sua maioria estudantes universitários que a consideram um instrumento de pesquisa pouco amigável porque estão muito pouco ou nada familiarizados com este tipo de classificação numérica preferindo o uso de palavras-chave no acesso ao conteúdo temático das obras. Com este objectivo em vista, propusemo-nos levar a cabo este trabalho de investigação fazendo a harmonização (correspondência) entre as notações da CDU, usada na classificação da colecção de fundos da BUJPII e uma lista simplificada de Cabeçalhos de Assunto da Biblioteca do Congresso, com o propósito de iniciar um processo de atribuição de cabeçalhos de assunto, mapeados a partir das notações da CDU, a parte dos referidos fundos, cuja recuperação de conteúdo tem sido feita até agora através da Classificação Decimal Universal. O estudo incidiu experimentalmente numa amostragem de monografias de áreas não indexadas mas já classificadas, cujos registos bibliográficos se encontram na base de dados da Biblioteca Universitária João Paulo II. O projecto consistiu na atribuição de cabeçalhos de assunto, traduzidos manualmente para português a partir da lista em inglês dos Cabeçalhos de Assunto da Biblioteca do Congresso (LCSH). Procurou-se que estivessem semanticamente tão próximos quanto possível dos assuntos que correspondiam às notações da Classificação Decimal Universal (CDU) com as quais as monografias tinham sido anteriormente classificadas. O trabalho foi primeiro elaborado de forma manual e depois “carregado” no software Horizon, dado ser este o sistema informático de gestão integrada em uso na Biblioteca Universitária João Paulo II, sendo o objectivo futuro a indexação de todas as áreas do seu acervo bibliográfico, como forma complementar privilegiada no acesso à informação.

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This paper is concerned with the use of the choice experiment method for modeling the demand for snowmobiling . The Choice Experiment includes five attributes, standard, composition, length, price day card and experience along trail. The paper estimates the snowmobile owners’ preferences and the most preferred attributes, including their will-ingness to pay for a daytrip on groomed snowmobile trail. The data consists of the an-swers from 479 registered snowmobile owners, who answered two hypothetical choice questions each. Estimating using the multinominal logit model, it is found that snow-mobilers on average are willing to pay 22.5 SEK for one day of snowmobiling on a trail with quality described as skidded every 14th day. Furthermore, it is found that the WTP increases with the quality of trail grooming. The result of this paper can be used as a yardstick for snowmobile clubs wanting to develop their trail net worth, organizations and companies developing snowmobiling as a recreational activities and marketers in-terested in marketing snowmobiling as recreational activities.

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Deus caritas est: et qui manet in caritate, in Deo manet, et Deus in eo.

God is love, and he who abides in love abides in God, and God abides in him (1John 4:16b).

Many believe in or claim that they believe and hold fast to Catholic doctrine on such questions as social authority... on the relations between Church and State, religion and country ... on the rights of the Holy See and the prerogatives of the Roman Pontiff and the Episcopate, on the social rights of Jesus Christ, Who is the Creator, Redeemer, and Lord not only of individuals but of nations. In spite of these protestations, they speak, write, and, what is more, act as if it were not necessary any longer to follow, or that they did not remain still in full force, the teachings and solemn pronouncements which may be found in so many documents of the Holy See ... (Pope Pius XI, 1922). It is a mistake to state that political, economic, and social liberation coincide with salvation in Jesus Christ; that the regnum Dei is identified with the regnum hominis (Pope John Paul I, 1978).

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With the Twentieth World Youth Day in Cologne on 16-21 August, this year, scheduled to be the first overseas visit of Pope Benedict XVI, it is timely to consider the latest book from George Weigel, (perhaps best known for his Witness to Hope: The Biography of John Paul II) in which he composes 14 letters specifically aimed at young Catholics, who, like many of their older counterparts, may well be wondering what it means to be a Catholic today.