The management of extra-abdominal desmoid tumours

We performed a retrospective analysis of 35 cases of desmoid tumours (aggressive fibromatoses) that underwent treatment at our institutions between 1987 and 2002. The purpose was to evaluate the rate of local recurrence of desmoid tumours treated with surgical excision, to assess the impact of surgical margins on local recurrence and to define the role of radiotherapy in the treatment. Nine patients experienced a recurrence at an average of 16 months after initial treatment. Seven of the 15 patients with a less-than-wide margin had a local recurrence. Comparatively, only two of the 20 patients with a wide margin had a local recurrence. Thirty-three of the 35 patients were disease free at the last follow-up. We recommend wide excision with clear margins whenever possible. Marginal resections are appropriate when wide excision would severely compromise the function of the limb. Surgical resections and selective supplementation of adjuvant radiotherapy give excellent control rates.

Adam, pro-Adamites, and extra-terrestrial beings in early-modern Europe

This article examines the question of the existence of non-Adamic persons-both terrestrial and extra-terrestrial-in early modern Europe. More particularly it looks at how the existence of non-Adamites seriously called into question the credibility of the central themes of the Christian story of the creation, fall and redemption in Jesus Christ in early modern Europe. It analyses the impact on the Christian view of history caused by the discovery of the inhabitants of the New World, speculations about the polygenetic origins of the human race, and discussions about the plurality of worlds. It concludes with some reflections on the monogenetic and polygenetic accounts of the origin of humans in a post-Darwinian context.

The relationship between extra-role behaviours and job burnout for primary school teachers: A preliminary model and development of an organisational citizenship behaviour scale

Recent research on teacher stress in primary schools (e.g. Leonard, Bourke & Schofield, 1999) has shown that higher levels of teacher exhaustion are associated with higher levels of student satisfaction. This paper seeks to explain this surprising finding by considering a construct discussed widely in the organisational literature known as extra-role or organisational citizenship behaviour (OCB). Teacher OCB may include extra efforts to make lessons enjoyable and interesting, organising extra-curricular activities and spending personal time talking with students. The proposed model of analysis also draws on literature relating to job burnout (Maslach, 1982), which generally suggests that the three components of chronic occupational stress - exhaustion, depersonalisation and reduced accomplishment - occur together. However, this paper proposes that although teachers who engage in more OCB experience more exhaustion, they may simultaneously increase their feelings of personal accomplishment and work identification, which may in turn help to avert burnout. It is argued that only with this particular set of job attitudes are the effects of exhaustion caused by high levels of OCB sufficiently buffered to avoid job burnout, and thus positively affect students' quality of school life. The development and piloting of an instrument to measure teachers' OCB will be discussed. The preliminary findings reported herein are part of a larger ongoing study investigating the consequences of stress and OCB in primary school teachers.

O relacionamento entre Fé e Medicina no tratamento do câncer Uma análise sobre a influência da fé religiosa no processo de tratamento junto a pessoas com câncer

A presente pesquisa tem como objetivo analisar a influência da fé religiosa no tratamento junto a pessoas com câncer, de maneira mais específica com câncer de cólonretal, a fim de coletar dados de um grupo mais homogêneo. A pesquisa de campo foi realizada no Ambulatório de Oncologia do Hospital de Clínicas da UNICAMP (Universidade Estadual de Campinas). A motivação para o aprofundamento deste estudo surgiu a partir de nossa atuação pastoral, quando confrontados com as diferentes reações dos pacientes em relação ao câncer, ao observar que a fé desempenhava um papel fundamental no tratamento e na luta contra a doença. Para a elaboração de nossa pesquisa recorreu-se aos estudos em relação ao câncer pelos médicos e psicanalistas Carl Simonton e Stefanie M. Simonton, Com a vida de Novo; Bernie S. Siegel, Amor, Medicina e Milagres. Para a análise e compreensão da fé buscamos como referencial o pensamento de Paul Tillich, em A Dinâmica da Fé e James Fowler, Estágios da fé. Procuramos ainda verificar as hipóteses levantadas de acordo com a compreensão da Psicanálise e Religião segundo Erich Fromm, Psicologia e Religião desenvolvida por Carl Gustav Jung e Psicoterapia e sentido da vida segundo Victor Frankl. O desenvolvimento deste projeto se dá em três momentos. No primeiro é realizada uma análise entre medicina e fé, a partir dos autores mencionados acima. No segundo são apresentados o resultado da pesquisa de campo. No terceiro reflete-se sobre os resultados da pesquisa de campo à luz dos referenciais teóricos em questão.(AU)

ASSESSORIA DE IMPRENSA COMO GESTÃO DE RELACIONAMENTO COM A MÍDIA EM UNIVERSIDADES PRIVADAS: UM CAMINHO PARA A VALORIZAÇÃO E DIFERENCIAÇÃO DAS IES

Este estudo sobre a Gestão de Relacionamento com a Mídia em universidades privadas pretende avaliar como esta área da Comunicação Empresarial tem sido conduzida pelas seguintes Instituições de Ensino Superior de São Paulo: a Univ. Ibirapuera, a Univ. de Santo Amaro, a Univ. Cidade de São Paulo e a Universidade Paulista, corpus definido com base em pesquisa exploratória prévia. Buscamos demonstrar neste estudo, o papel fundamental da GRM, sendo considerada como parte da inteligência estratégica das IES. Sendo assim, entendemos que esta área da Comunicação Empresarial pode contribuir, por meio das relações de poder simbólico que se estabelecem na mídia, para o reconhecimento e a valorização dessas instituições no cenário educacional brasileiro atual. Este estudo tem como objetivos, verificar as contribuições da GRM na construção de uma imagem e reputação de credibilidade das IES; Buscamos também refletir sobre a teoria e prática Comunicação Empresarial no setor por meio de pesquisa empírica, observando sua estrutura de comunicação e ações realizadas e relacionando as análises aos conceitos encontrados nas referências bibliográficas sobre o tema. Técnicas e instrumentos metodológicos diversos foram utilizados para alcançar os objetivos propostos neste estudo, entre eles, a análise documental, a pesquisa bibliográfica, entrevistas semiestruturadas e a análise de conteúdo. Observamos por meio deste estudo que a prática da GRM se mantém insipiente nessas instituições, onde o foco principal do pensamento e planejamento estratégico de comunicação está nas ações publicitárias mercadológicas, em políticas de comunicação interna e ações básicas, quando não pontuais de assessoria de imprensa.

Agência e Cliente: ética e relacionamento na perspectiva do atendimento publicitário

O estudo investiga a relação entre a agência de publicidade e o cliente do setor de varejo, aqui representado pelo segmento de cerveja. É uma análise da compreensão do profissional de atendimento da agência sobre sua rotina de trabalho com o cliente, na qual é responsável pela troca de informação entre a agência e o cliente e por em gerenciar a equipe da agência e de fornecedores de serviços para a produção da campanha. A partir da percepção da função, esta pesquisa procurar identificar a ocorrência de dilemas éticos na relação desse profissional com o cliente e os encaminhamentos escolhidos para orientar a sua conduta. Para isso, foram entrevistados profissionais de atendimentos publicitários de agências de São Paulo das marcas de cerveja, no período de 2000 a 2004. Foi utilizada a técnica de entrevista de profundidade para captar as opiniões dos entrevistados sobre o assunto. Pode-se concluir que este profissional diz optar por assumir suas atitudes mais próximas da verdade com o seu cliente e equipe da agência. Há indícios de que o comportamento verificado junto ao profissional de atendimento publicitário em relação à ética no relacionamento com seu cliente espelha-se no comportamento de seus superiores.

MARKETING DE RELACIONAMENTO NAS INSTITUIÇÕES DE ENSINO SUPERIOR: Estudo de caso da Universidade Metodista de São Paulo e da Universidade Metodista de Piracicaba

O marketing de relacionamento como ferramenta para atrair e fidelizar os alunos do ensino superior privado é o tema desta pesquisa. Trata-se de um estudo de caso múltiplo incorporado enfocando a Universidade Metodista de São Paulo (UMESP) e a Universidade Metodista de Piracicaba (UNIMEP) e que tem como objetivos principais apontar fatores que motivam os estudantes a escolher determinadas instituições de ensino superior, identificar a maneira como elas atuam na tarefa de atraí-los com vistas a estabelecer um relacionamento e uma comunicação eficientes com esses públicos de interesse e fidelizálos, bem como analisar a real efetividade das ações desenvolvidas pelas IESs. Propõe-se uma incursão teórica para abordar motivações psicológicas, culturais, econômicas e sociais relacionadas ao ato de consumir e estabelecer uma correlação com o consumidor-aluno . Discutem-se também características do marketing de relacionamento associadas ao contexto educacional e apontam-se dificuldades/desafios vivenciados pelas instituições nos esforços de criar e estreitar os laços com os estudantes com vistas a tornar tais laços duradouros. Foram aplicados 1.400 questionários em ambas as universidades a fim de identificar, entre outros aspectos, atributos desejáveis de uma IES, fatores influenciadores para o abandono dela e características associadas a processos comunicacionais que representam diferenciais. O estudo apontou que, apesar de as dificuldades financeiras serem um componente que interfere na atração e na fidelização dos alunos, outros também são determinantes, como o nível de excelência de ensino, o corpo docente e a qualidade do relacionamento que as instituições de ensino estabelecem com tais públicos. Tal qualidade passa, obrigatoriamente, por atributos como liberdade para expressar ideias, espaço de diálogo e transparência na comunicação, elementos desafiadores ao modelo vigente e estimuladores a um novo fazer educacional.

Distinct contrast response functions in striate and extra-striate regions of visual cortex revealed with magnetoencephalography (MEG)

Objective: To spatially and temporally characterise the cortical contrast response function to pattern onset stimuli in humans. Methods: Magnetoencephalography (MEG) was used to investigate the human cortical contrast response function to pattern onset stimuli with high temporal and spatial resolution. A beamformer source reconstruction approach was used to spatially localise and identify the time courses of activity at various visual cortical loci. Results: Consistent with the findings of previous studies, MEG beamformer analysis revealed two simultaneous generators of the pattern onset evoked response. These generators arose from anatomically discrete locations in striate and extra-striate visual cortex. Furthermore, these loci demonstrated notably distinct contrast response functions, with striate cortex increasing approximately linearly with contrast, whilst extra-striate visual cortex followed a saturating function. Conclusions: The generators that underlie the pattern onset visual evoked response arise from two distinct regions in striate and extra-striate visual cortex. Significance: The spatially, temporally and functionally distinct mechanisms of contrast processing within the visual cortex may account for the disparate results observed across earlier studies and assist in elucidating causal mechanisms of aberrant contrast processing in neurological disorders. © 2005 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

Extra compensation for inventive employees:is our system equitable, unbiased and motivating?

There is a presumption that invention is good. It provides us with innovative goods, services and ways of doing things leading to greater employment, wealth and health. This article looks at the two recent UK cases regarding statutory extra compensation that may be awarded to employee inventors under the Patents Act 1977. Most universities worldwide and many companies have individual inventor reward schemes. Researchers now work in teams made up of both industry and academic researchers who are often based in different countries where different legal regimes apply. Is leaving the decision to award employees extra financial compensation up to individual companies unfair, unequal and de-motivating? Is having differing legislative systems in different European countries counter productive and a barrier to economic growth? There must be a balance between the inventor and the innovator. Do we have it right and if not what should it be? Legislation: Patents Act 1977 s.39 , s.40 , s.41 Cases: Kelly v GE Healthcare Ltd [2009] EWHC 181 (Pat); [2009] R.P.C. 12 (Ch D (Patents Ct)) Shanks v Unilever Plc [2010] EWCA Civ 1283; [2011] R.P.C. 12 (CA (Civ Div))

Extra-nuclear telomerase reverse transcriptase (TERT) regulates glucose transport in skeletal muscle cells

Telomerase reverse transcriptase (TERT) is a key component of the telomerase complex. By lengthening telomeres in DNA strands, TERT increases senescent cell lifespan. Mice that lack TERT age much faster and exhibit age-related conditions such as osteoporosis, diabetes and neurodegeneration. Accelerated telomere shortening in both human and animal models has been documented in conditions associated with insulin resistance, including T2DM. We investigated the role of TERT, in regulating cellular glucose utilisation by using the myoblastoma cell line C2C12, as well as primary mouse and human skeletal muscle cells. Inhibition of TERT expression or activity by using siRNA (100. nM) or specific inhibitors (100. nM) reduced basal 2-deoxyglucose uptake by ~. 50%, in all cell types, without altering insulin responsiveness. In contrast, TERT over-expression increased glucose uptake by 3.25-fold. In C2C12 cells TERT protein was mostly localised intracellularly and stimulation of cells with insulin induced translocation to the plasma membrane. Furthermore, co-immunoprecipitation experiments in C2C12 cells showed that TERT was constitutively associated with glucose transporters (GLUTs) 1, 4 and 12 via an insulin insensitive interaction that also did not require intact PI3-K and mTOR pathways. Collectively, these findings identified a novel extra-nuclear function of TERT that regulates an insulin-insensitive pathway involved in glucose uptake in human and mouse skeletal muscle cells. © 2014 Elsevier B.V.

Within-role, extra-role and anti-role behaviours in retail banking

Purpose: This paper aims to explore front line employee performance in retail banking and presents distinct components of employee performance, including extra-role and sabotage behaviours. Design/methodology/approach: Data was collected from Irish bank employees. Usable responses were received from 404 respondents and subjected to exploratory factor analysis. Structural Equation Modeling (SEM) was used to undertake a confirmatory factor analysis of the emergent five-factor model. Findings: Results indicate front line employee performance is multi-faceted and comprised of civility, assurance and reliability, customer orientation, as well as extra-role behaviour and anti-role behaviour, or sabotage. Research limitations/implications: This exploratory study focuses on the Irish banking sector. To explore the generalisabilty of results, replication studies among other samples of branch banking employees in other countries are in order. Moreover, our survey is limited to the views of branch employees. We advocate research among bank managers and customers to triangulate potentially divergent views about performance. Practical implications: Findings have implications for recruitment, training and rewards. To ensure new hires are service minded, managers must consider their potential for extra-role or sabotage behaviour. Employees who demonstrate extra-role behaviours must be rewarded to encourage the adoption of such behaviours. Managers must also seek to minimise job stress in order to curtail anti-role behaviours. Originality/value: This paper offers insights into employees' views about their own performance at the front line. It extends the conceptualisation of service quality, by considering extra-role behaviour and sabotage as components of employee performance. © Emerald Group Publishing Limited.

Living well to the end:a phenomenological analysis of life in extra care housing

OBJECTIVES: To understand older adults' experiences of moving into extra care housing which offers enrichment activities alongside social and healthcare support. DESIGN: A longitudinal study was conducted which adopted a phenomenological approach to data generation and analysis. METHODS: Semi-structured interviews were conducted in the first 18 months of living in extra care housing. Interpretative phenomenological analysis was used because its commitment to idiography enabled an in-depth analysis of the subjective lived experience of moving into extra care housing. Themes generated inductively were examined against an existential-phenomenological theory of well-being. RESULTS: Learning to live in an extra care community showed negotiating new relationships was not straightforward; maintaining friendships outside the community became more difficult as capacity declined. In springboard for opportunity/confinement, living in extra care provided new opportunities for social engagement and a restored sense of self. Over time horizons began to shrink as incapacities grew. Seeking care illustrated reticence to seek care, due to embarrassment and a sense of duty to one's partner. Becoming aged presented an ontological challenge. Nevertheless, some showed a readiness for death, a sense of homecoming. CONCLUSIONS: An authentic later life was possible but residents required emotional and social support to live through the transition and challenges of becoming aged. Enhancement activities boosted residents' quality of life but the range of activities could be extended to cater better for quieter, smaller scale events within the community; volunteer activity facilitators could be used here. Peer mentoring may help build new relationships and opportunities for interactive stimulation. Acknowledging the importance of feeling-empathic imagination-in caregiving may help staff and residents relate better to each other, thus helping individuals to become ontologically secure and live well to the end.