Haemodynamic assessment following inferior vena cava resection without replacement

Background: Treatment of bulky retroperitoneal malignancy may require en bloc resection of the infrarenal inferior vena cava. A number of reconstructive options are available to the surgeon but objective haemodynamic assessment of the peripheral venous system following resection without replacement is lacking. The aim of the present paper was thus to determine the symptomatic and haemodynamic effects of not reconstructing the resected infrarenal inferior vena cava. Methods: A retrospective descriptive study was carried out at Princess Alexandra Hospital in Queensland. Five patients underwent resection of the thrombosed infrarenal inferior vena cava as part of retroperitoneal lymph node dissection for testicular cancer (n = 3), radical nephrectomy for renal cell carcinoma (n = 1) and thrombosed inferior vena cava aneurysm (n = 1). Clinical effects were determined via the modified venous clinical severity score and venous disability score. Haemodynamic data were obtained postoperatively using venous duplex ultrasound and air plethysmography. Results: None of the present patients scored >2 (out of 30) on the modified venous clinical severity score or >1 (out of 3) on the venous disability score. Haemodynamic studies showed only minor abnormalities. Conclusions: Not reconstructing the resected thrombosed infrarenal inferior vena cava results in minor signs and symptoms of peripheral venous hypertension and only minor abnormalities on haemodynamic assessment.

Extensive En block resection and adjunctive chemotherapy of a canine primary rib osteosarcoma

The management of a large rib osteosarcoma in a two-year-old neutered male Golden Retriever is reported. The tumour was initially misdiagnosed as a chondrosarcoma following incisional biopsy. Extensive en bloc resection and chest wall reconstruction with propylene mesh was performed, and carboplatin was administered postoperatively. Approximately 270 days after surgery there was no evidence of tumour recurrence and the patient was disease free.

Clinical features and management of tumors affecting the lacrimal drainage apparatus

Purpose: To report the clinical features of a series of patients with lacrimal drainage apparatus tumors and present guidelines for management based on histopathology. Methods: A noncomparative retrospective chart review of the clinical, imaging, and pathologic findings of 37 patients presenting to four regional orbital Surgery departments with tumors affecting the lacrimal drainage apparatus between 1990 and 2004. Results: There were 37 patients, of whom 62% were male. The mean age at referral was 54 years. Epiphora, a palpable mass, and dacryocystitis were the most common presentations. Two thirds of the tumors were epithelial. with carcinomas being the most frequent (38%). followed by papillomas (27%). Lymphomas were the most common nonepithelial malignancy (30%). Epithelial tumors were more common in men (87%), whereas lymphomas were more common in women (57%). Treatment modalities included surgery, in addition to radiotherapy and/or chemotherapy and immunotherapy. Mean follow-up was 38 months. Thirty-three patients (89%) remain alive without evidence of disease and 4 patients died of recurrence and/or metastases. Conclusions: Lacrimal drainage apparatus tumors require careful initial management to ensure adequate local and systemic disease control. Atypical mucosa encountered during dacryocystorhinostomy should be biopsied and small papillomas or pedunculated tumors excised and analyzed with frozen sections. If a diffuse or infiltrative mass is encountered, it should be biopsied and managed on the basis of histopathology and extent of disease. Lymphomas should be treated according to protocols. whereas noninvasive carcinoma and extensive papillomas require complete excision of the system. Invasive disease requires en bloc excision. Long-term follow-up is essential for early detection of recurrence.

Conceiving of Europe:diversity in unity

At the end of the 20th century, the development towards a united European Community or European Union and the movement towards a post-bloc Europe are having to be combined. This study explores such subjects as the agendas of European integration and linguistic aspects of the European debate. At the end of the 20th century, the development towards a united European Community or European Union and the movement towards a post-bloc Europe are having to be combined. This study explores such subjects as the agendas of European integration and linguistic aspects of the European debate.

Transforming the eastern neighbourhood: the security implications of European Union Activity in Ukraine 2000-2006

This thesis examines the external activities of the European Union conducted in the wider Europe against the backdrop of eastern enlargement. It focuses on the technical aspects of EU diplomacy, using qualitative research methodology to study the programmes and initiatives launched since the year 2000 in the countries lying along the Union’s new border to the east. Drawing on evidence from Ukraine, it hypothesises that the EU is an agent of transformation in the eastern neighbourhood and that this transformation has important implications for the regional order in the post-Soviet space. The thesis constitutes an investigation into the transformational activities engaged by the EU in Ukraine conducted with an eye to their strategic implications. It documents and analyses three instances of EU intervention in Ukraine’s internal processes that relate to management of cross-border traffic in the Ukrainian-Russian borderland, restructuring of the country’s energy sector, and conduct of its contentious presidential election in 2004. It is argued that while these interventions have explicitly sought to advance the Union’s security with respect to certain twenty-first century transnational threats, they have at the same time served to confer important strategic advantages on the EU that include giving the bloc greater knowledge and control over developments in Ukraine and that contribute to the dismantling of infrastructural, institutional and other ties between Kiev and the other Soviet successor states, notably Russia. The effect of the European Union’s actions in the region, whether intended or not, has thus been to undermine any competing regional initiatives that cut across its own functions, and thereby to assert itself as the primary integration project in Europe. By showing how technical interventions in the politics, economics and administration of Ukraine can yield important geopolitical dividends, this thesis demonstrates that, in the context of EU external relations, high and low politics are interlinked.

Regional benchmarking in a global context:knowledge, competitiveness, and economic development

Benchmarking exercises have become increasingly popular within the sphere of regional policy making. However, most exercises are restricted to comparing regions within a particular continental bloc or nation.This article introduces the World Knowledge Competitiveness Index (WKCI), which is one of the very few benchmarking exercises established to compare regions across continents.The article discusses the formulation of the WKCI and analyzes the results of the most recent editions.The results suggest that there are significant variations in the knowledge-based regional economic development models at work across the globe. Further analysis also indicates that Silicon Valley, as the highest ranked WKCI region, holds a unique economic position among the globe’s leading regions. However, significant changes in the sources of regional competitiveness are evolving as a result of the emergence of new regional hot spots in Asia. It is concluded that benchmarking is imperative to the learning process of regional policy making.

Regional competitiveness:theories and methodologies for empirical analysis

A significant forum of scholarly and practitioner-based research has developed in recent years that has sought both to theorize upon and empirically measure the competitiveness of regions. However, the disparate and fragmented nature of this work has led to the lack of a substantive theoretical foundation underpinning the various analyses and measurement methodologies employed. The aim of this paper is to place the regional competitiveness discourse within the context of theories of economic growth, and more particularly, those concerning regional economic growth. It is argued that regional competitiveness models are usually implicitly constructed in the lineage of endogenous growth frameworks, whereby deliberate investments in factors such as human capital and knowledge are considered to be key drivers of growth differentials. This leads to the suggestion that regional competitiveness can be usefully defined as the capacity and capability of regions to achieve economic growth relative to other regions at a similar overall stage of economic development, which will usually be within their own nation or continental bloc. The paper further assesses future avenues for theoretical and methodological exploration, highlighting the role of institutions, resilience and, well-being in understanding how the competitiveness of regions influences their long-term evolution.

La référence temporelle au futur dans les bulletins météo en France et au Québec:regard variationniste sur l’oral préparé

The distribution of variants used to express future temporal reference has been the object of many studies, focused on conversational speech or on written data. This article sheds new light on the issue by studying future markers in a communicative setting which consists of prepared speech (the televised weather forecast) from a diatopic perspective (comparison of French and Québécois corpora). The distributional analysis points to a distribution of variants specific to this discursive setting. Furthermore, the Goldvarb X multivariate analysis reveals diatopic variation and the influence of some linguistic factors, most notably the type of verb, as well as the effect of constraints specific to the two speech communities under study.

Transnational Capital and the Politics of Global Supply Chains

In the latest phase of globalization, transnational corporations based in the U.S. have worked closely with U.S. foreign policymakers to secure favorable foreign direct investment provisions within U.S. domestic legislation and within U.S. trade agreements. These interactions between transnational firms and the U.S. state have provided many of the preconditions for an expansion of foreign direct investment connected to capital liberalization and the growth of global supply chains from the 1980s to the present. This relationship is best conceptualized as representing a “transnational interest bloc,” whose policy objectives are incorporated within investment provisions in US-backed trade and investment agreements.

La québécité comme élément fondateur d'une pensée musicale électroacoustique

Le projet de recherche-création proposé survole la québécité à travers un pan majeur de l’étude des Amériques : le territoire. L’adoption du territoire québécois, de son espace, et de sa densité – effectué à la fois sous un axe méridional (le Saint-Laurent) et septentrional (le Nord) –, s’effectue dans mon corpus acousmatique à travers l’utilisation de concepts théoriques établis par plusieurs figures québécoises et internationales. La description des sources d'inspiration du cycle d’œuvres acousmatique proposé, étant principalement issues de sphères extramusicales — la démarche de divers artistes et chercheurs québécois ayant contribué à l’émergence poétique de mon corpus tels que Pierre Perrault, René Derouin, Daniel Chartier, et Louis-Edmond Hamelin — y tient une place importante. La portion musicale est effectuée de façon analytique à l’aide de deux méthodes propres au genre électroacoustique – analyse typologique de Pierre Schaeffer, et fonctionnelle de Stéphane Roy –, qui, à travers l’œuvre de certains compositeurs de musiques électroniques internationaux permettent de souligner la pluralité des conceptions territoriales et le réseau sémantique universel sous-jacent, laissant place à une lecture plus large de cette thématique. La méthodologie proposée permet donc à la fois de cerner l’universel – modèles naturels, références psychoacoustiques –, le local – utilisation de poèmes québécois, référents animaux ou anecdotiques précis tels que des cris d’oiseaux et des prises sonores du Saint-Laurent –, et la relation dichotomique entre la nature et la culture dans mon corpus, afin qu’émerge un discours musical cohérent basé sur le territoire québécois.

Resistance and symbiosis : Québec discourses of resistance in the context of postcolonial theory

Thèse numérisée par la Direction des bibliothèques de l'Université de Montréal.

Plurilinguisme, polyphonie et hybridation langagière dans Le ciel de Québec, Le salut de l'Irlande et Les roses sauvages de Jacques Ferron

Thèse numérisée par la Direction des bibliothèques de l'Université de Montréal.

La quête de sens par le corps chez Michel Beaulieu et Juan Garcia

Thèse numérisée par la Direction des bibliothèques de l'Université de Montréal.