975 resultados para Miastenia grave


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At Hollow Banks Quarry, Scorton, located just north of Catterick (N Yorks.), a highly unusual group of 15 late Roman burials was excavated between 1998 and 2000. The small cemetery consists of almost exclusively male burials, dated to the fourth century. An unusually large proportion of these individuals was buried with crossbow brooches and belt fittings, suggesting that they may have been serving in the late Roman army or administration and may have come to Scorton from the Continent. Multi-isotope analyses (carbon, nitrogen, oxygen and strontium) of nine sufficiently well-preserved individuals indicate that seven males, all equipped with crossbow brooches and/or belt fittings, were not local to the Catterick area and that at least six of them probably came from the European mainland. Dietary (carbon and nitrogen isotope) analysis only of a tenth individual also suggests a non-local origin. At Scorton it appears that the presence of crossbow brooches and belts in the grave was more important for suggesting non-British origins than whether or not they were worn. This paper argues that cultural and social factors played a crucial part in the creation of funerary identities and highlights the need for both multi-proxy analyses and the careful contextual study of artefacts.

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Applying geophysical techniques to detect and map the physical extent of individual unmarked graves proves difficult in many cases. The success of individual geophysical techniques for detecting unmarked graves may be due to a poor understanding of the nature of the graves themselves, the context in which they lie in, and temporal changes to the burial state. Given the unpredictability of these variables, it is surprising that grave prospection is often undertaken using only a single method. This paper presents a multi-methodological survey strategy for detecting unmarked burials and utilises an analytical approach for visualising and evaluating survey results.

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Choisir est consubstantiel à l’existence humaine, mais dans le cadre de biens collectifs comme les soins de santé, dans le cadre de budgets forcément limités et objet de réduction, choisir devient un devoir éthique. Nous proposons une approche susceptible d’être féconde dans la détermination du « paquet de soins ». Cette approche est fondée sur le concept de « besoin vital » qui doit être rencontré afin d’éviter un « endommagement grave » qui altère la capacité d’agent de la personne. Nous formulons ensuite une critique de la plupart des variables focales, qui déterminent chacune une forme d’égalitarisme, avant de considérer quelques questions éthiques liées à la fixation de priorités en santé. La prise en considération des préférences de la population apparaît comme un élément incontournable à la légitimation des décisions. Elle peut s’avérer féconde si elle bénéficie d’une forme de care que nous qualifions d’informationnel.

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Forensic archaeologists and criminal investigators employ many different techniques for the location, recovery, and analysis of clandestine graves. Many of these techniques are based upon the premise that a grave is an anomaly and therefore differs physically, biologically, or chemically from its surroundings. The work reviewed in this communication demonstrates how and why field mycology might provide a further tool towards the investigation of scenes of crime concealed in forest ecosystems. The fruiting structures of certain fungi, the ammonia and the postputrefaction fungi, have been recorded repeatedly in association with decomposed mammalian cadavers in disparate regions of the world. The ecology and physiology of these fungi are reviewed briefly with a view to their potential as a forensic tool. This application of mycology is at an interface with forensic archaeology and forensic taphonomy and may provide a means to detect graves and has the potential to estimate postburial interval.

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Searching for and mapping the physical extent of unmarked graves using geophysical techniques has proven difficult in many cases. The success of individual geophysical techniques for detecting graves depends on a site-by-site basis. Significantly, detection of graves often results from measured contrasts that are linked to the background soils rather than the type of archaeological feature associated with the grave. It is evident that investigation of buried remains should be considered within a 3D space as the variation in burial environment can be extremely varied through the grave. Within this paper, we demonstrate the need for a multi-method survey strategy to investigate unmarked graves, as applied at a “planned” but unmarked pauper’s cemetery. The outcome from this case study provides new insights into the strategy that is required at such sites. Perhaps the most significant conclusion is that unmarked graves are best understood in terms of characterization rather than identification. In this paper, we argue for a methodological approach that, while following the current trends to use multiple techniques, is fundamentally dependent on a structured approach to the analysis of the data. The ramifications of this case study illustrate the necessity of an integrated strategy to provide a more holistic understanding of unmarked graves that may help aid in management of these unseen but important aspects of our heritage. It is concluded that the search for graves is still a current debate and one that will be solved by methodological rather than technique-based arguments.

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This paper will discuss the emergence of Shiʿite mourning rituals around the grave of Husayn b. ʿAli. After the killing of Husayn at Karbala’ in 61/680, a number of men in Kufa feel deep regret for their neglect to come to the help of the grand­son of the Prophet. They gather and discuss how they can best make penitence for this crime. Eventually, they decide to take to arms and go against the Umayyad army – to kill those that killed Husayn, or be killed them­selves in the attempt to find revenge for him. Thus, they are called the Penitents (Ar. Tawwābūn). On their way to the battlefield they stop at Husayn’s tomb at Karbala’, dedicat­ing themselves to remorseful prayer, crying and wailing over the fate of Husayn and their own sin. When the Penitents perform certain ritual acts, such as weeping and wailing over the death of Husayn, visiting his grave, asking for God’s mercy upon him on the Day of Judgment, demand blood revenge for him etc., they enter into already existing rituals in the pre-Islamic Arab and early Muslim context. That is, they enter into rituals that were traditionally performed at the death of a person. What is new is that the rituals that the Penitents perform have partially received a new content. As described, the rituals are performed out of loyalty towards Husayn and the family of the Prophet. The lack of loyalty in connection with the death of Husayn is conceived of as a sin that has to be atoned. Blood revenge thus be­comes not only a pure action of revenge to restore honor, but equally an expression for true religious conversion and penitence. Humphrey and Laidlaw argue that ritual actions in themselves are not bearers of meaning, but that they are filled with mean­ing by the performer. Accord­ing to them, ritual actions are apprehensible, i.e. they can be, and should be filled with meaning, and the people who perform them try to do so within the context where the ritual is performed. The story of the Penitents is a clear example of mourning rituals as actions that survive from earlier times, but that are now filled with new meaning when they are performed in a new and developing move­ment with a different ideology. In later Shiʿism, these rituals are elaborated and become a main tenet of this form of Islam.

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Starting with the literal and physical role of the "ground," this article attempts to bring this "ground" into a discursive arena. In particular, the author is thinking about the period at the end of a war, the period in between destruction and reconstruction, exemplified in some classic postwar films in which the architecture of the city is in a state of ruin—deformed, eroded, and dark—but there is no further destruction. The article calls this period "a gap of history" and its investigation is set against a claim that architecture is a reconstructive practice, that it is enlightening and aspiring. History, on the other hand, is captured by scenes of the battlefield and dominated by a narrative of war and destruction. The article makes reference to the real and fantasy desire for destruction (war and history) and reconstruction (architecture), and how through the connecting plane of the ground architecture is entangled in war and history of destruction as it figures in reconstruction. Architecture is contingent on history as discursive—history that is not unified, fixed, or evolutionary but rather contested and rewritten within a conflictual battlefield.

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The unemployment crisis of 1926-7 focused attention onto the question of immigration. Historians of this period have generally focused on the crisis of public policy and popular antipathies towards foreigners; more recently historians have become attuned to voices of racism. Less attention has been paid to attempts to redress the policy weaknesses through a new legislative regime on immigration. This paper reviews one such proposal, made by Charles Lambert, a deputy from the Rhone, in 1931. Instrumental in a revision of the naturalization law in 1927 to encourage the assimilation of foreigners through the acquisition of French citizenship, Lambert proposed a comprehensive statute on immigration to select “desirable” foreigners and exclude the “undesirables” to promote the assimilation of the “better” elements. The paper argues that his rationale betrays a profound fear of mounting French weakness in the face of economic and demographic decline, and grave anxieties for the future health of the French nation.


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In today's academic society, the likelihood of researchers succumbing to fundamentalism is a grave threat. In this paper, my main argument is that academics are often tempted to put their personal needs (i.e. recognition and opportunities for more money) ahead of their value for research. Consequently, it becomes easier for them to stray into a space where they are no longer being driven by scientific rigor and debate. Despite the internal and external pressures that we face, there is a need for vigilance to avoid this from occurring to ensure that the true notion of researching a science and our academic responsibility are fulfilled.

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Frequent advances in medical technologies have brought fonh many innovative treatments that allow medical teams to treal many patients with grave illness and serious trauma who would have died only a few years earlier. These changes have given some patients a second chance at life, but for others. these new treatments have merely prolonged their dying. Instead of dying relatively painlessly, these unfortunate patients often suffer from painful tenninal illnesses or exist in a comatose state that robs them of their dignity, since they cannot survive without advanced and often dehumanizing forms of treatment. Due to many of these concerns, euthanasia has become a central issue in medical ethics. Additionally, the debate is impacted by those who believe that patients have the right make choices about the method and timing of their deaths. Euthanasia is defined as a deliberate act by a physician to hasten the death of a patient, whether through active methods such as an injection of morphine, or through the withdrawal of advanced forms of medical care, for reasons of mercy because of a medical condition that they have. This study explores the question of whether euthanasia is an ethical practice and, as determined by ethical theories and professional codes of ethics, whether the physician is allowed to provide the means to give the patient a path to a "good death," rather than one filled with physical and mental suffering. The paper also asks if there is a relevant moral difference between the active and passive forms of euthanasia and seeks to define requirements to ensure fully voluntary decision making through an evaluation of the factors necessary to produce fully informed consent. Additionally, the proper treatments for patients who suffer from painful terminal illnesses, those who exist in persistent vegetative states and infants born with many diverse medical problems are examined. The ultimate conclusions that are reached in the paper are that euthanasia is an ethical practice in certain specific circumstances for patients who have a very low quality of life due to pain, illness or serious mental deficits as a result of irreversible coma, persistent vegetative state or end-stage clinical dementia. This is defended by the fact that the rights of the patient to determine his or her own fate and to autonomously decide the way that he or she dies are paramount to all other factors in decisions of life and death. There are also circumstances where decisions can be made by health care teams in conjunction with the family to hasten the deaths of incompetent patients when continued existence is clearly not in their best interest, as is the case of infants who are born with serious physical anomalies, who are either 'born dying' or have no prospect for a life that is of a reasonable quality. I have rejected the distinction between active and passive methods of euthanasia and have instead chosen to focus on the intentions of the treating physician and the voluntary nature of the patient's request. When applied in equivalent circumstances, active and passive methods of euthanasia produce the same effects, and if the choice to hasten the death of the patient is ethical, then the use of either method can be accepted. The use of active methods of euthanasia and active forms of withdrawal of life support, such as the removal of a respirator are both conscious decisions to end the life of the patient and both bring death within a short period of time. It is false to maintain a distinction that believes that one is active killing. whereas the other form only allows nature to take it's course. Both are conscious choices to hasten the patient's death and should be evaluated as such. Additionally, through an examination of the Hippocratic Oath, and statements made by the American Medical Association and the American College of physicians, it can be shown that the ideals that the medical profession maintains and the respect for the interests of the patient that it holds allows the physician to give aid to patients who wish to choose death as an alternative to continued suffering. The physician is also allowed to and in some circumstances, is morally required, to help dying patients whether through active or passive forms of euthanasia or through assisted suicide. Euthanasia is a difficult topic to think about, but in the end, we should support the choice that respects the patient's autonomous choice or clear best interest and the respect that we have for their dignity and personal worth.

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Plagiarism is of grave concern for academic institutions in the twenty-first
century. Institutions utilise plagiarism policies, honour codes and regulations to ensure students develop a sense of educational integrity. Technology has recently afforded new methods for staff to detect plagiarism – through antiplagiarism software. This paper explores perspectives of seven teachers across five faculties to Turnitin.com (an anti-plagiarism software package) at a large Australian university. The findings indicate that software such as Turnitin.com may assist in the quest to detect text-matching, and perhaps reduce plagiarism. It should not, however, be considered the panacea for plagiarism. Plagiarism policies should also reflect cognisance of the existence of a 'plagiarism continuum' (Sutherland-Smith, 2003) through the use of technology. This research highlights the broader need for institutions to reformulate plagiarism policies in light of cross-cultural perspectives of authorship and attribution of text.

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Denpasar City is one of cities in Bali Province which faces the problem of landscape change. Most land use is for rice fields, dry lands, crops, housing, grave yards, fish ponds, forests and other functions. Based on Agriculture Office, in 2010 Denpasar City has 20% rice fields of the city’s total area, compared to 41% rice fields of the city’s area in 1992. This shows that Denpasar landscape has changed from agriculture field to commerce, housing, industry etc. and that changing landscape also happened in several green belt areas. This fact is supported by the Agriculture Office report that Denpasar City lose rice field about 25 hectares every year. In contrast, Denpasar City must provide at least 30% of land for open spaces. Furthermore, Denpasar City should keep city based on traditional philosophy such as Tri Hita Karana concept, Rwa Bhineda concept, etc. This paper examines the causes of landscape changes due to growing of population, tourism facilities, economic, and lack of government policy. There are the negative impacts of landscape changes which are associated with social economics and environmental issues. This study seeks to offer guidance for the legitimate use of landscape planning for sustainability development in Denpasar City. Some recommendations could be applied such as prevention of population growth, tourism development base, strict building regulation and increase tax property, and provide the policy and institutional options in land use planning.

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This chapter provides a reading of Lacan's important reading of Shakespeare's Hamlet in Seminar VI, in the context of his developing thought on the neuroses, and obsessional neurosis in particular.  The article draws atttention to the way Lacan's focus shifts from Hamlet's 'Oedipal' relation towards his uncle towards his inability to fathom teh desire of his mother, Gertrude.  This interpretive optic opens up many scenes of the play, and strange transformations in the heor's conduct: his terrible hostility to Ophelia, and his 'rebound' at the moment that he leaps into her open grave, able at last to say 'It is I, Hamlet the Dane!" and undertake to do the task his father's ghost had implored of him.

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Twelve peer-reviewed published papers arising from the Victorian Adolescent Health Cohort Study are presented. These have contributed to the international understanding of the causes and consequences of adolescent cannabis use. The overall conclusion must be that adolescent cannabis is not harmless and, for some, has quite grave consequences in adulthood.

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This chapter begins with a discussion of the impact of the Iraq War and subsequent occupation (2003-–2011) on Iraq’s heritage, documenting the most significant and devastating instances of heritage damage and destruction that occurred. Moving forward, this chapter continues with a discussion of the grave challenges facing Iraqi heritage beyond the withdrawal of US military forces in the forms of development, neglect, continued hostilities, and inexpert and haphazard excavation, preservation, protection, and restoration. Despite this troubling scenario, this chapter also examines the extent to which the Iraq conflict was a turning point for major Western military operations and the development of CPP programs which aim to better prepare military personnel for protecting cultural property in future conflicts.