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Zufallsbefunde in der Skelettradiologi - Original PDF
Zufallsbefunde in der Skelettradiologi - Original PDF
نویسندگان: Jürgen Freyschmidt خلاصه: Vorwort Die sich in der Radiologie schon längst etablierte und ständig weiter zunehmende Bilderflut sowie die Modalitäten und Erfolge der Krebstherapien mit ausgedehnten prätherapeutischen und langfristigen Nachsorgeuntersuchungen führen zwangsläufig zur Aufdeckung von immer mehr Zufalls- und Nebenbefunden, die vor allem dem Nichtspezialisten in der Skelettradiologie erhebli- che interpretatorische Probleme bereiten können. Doch wie geht man damit um? Sicherlich nicht, indem man die Bilderflut durch mehr oder weniger ungezielte zusätzliche Unter- suchungsverfahren ausweitet und damit unter Umständen neue Zufallsbefunde kreiert. Das gilt besonders für hoch sensitive aber weniger spezifische Modalitäten. Der anspruchsvolle und präzise Radiologe wird vielmehr ein ergänzendes Verfahren einsetzen, das – an der anatomischen Struktur des Zufallsbefunds orientiert – eine höhere Spezifität besitzt und zu einer begründeten und klinisch brauchbaren Diagnose führt. Der häufig angewendete Trick, sich der Verantwortung zu entziehen und eine histologi- sche Abklärung zu empfehlen, sollte gemieden werden. Denn die histologische Interpretation des Pathologen kann in der Skelett- radiologie nur so gut sein, wie der radiologische Befund klar und richtungsweisend ist. Ich betätige mich seit vielen Jahren als Konsiliarius in der Ske- lettradiologie. Das eingesandte Krankengut besteht zu etwa 50 % aus klinisch asymptomatischen Zufallsbefunden, hinter denen benigne Knochentumoren und tumorähnliche Läsionen, Erkran- kungen im Frühstadium, Teile einer systemischen Erkrankung, ungewöhnliche Normvarianten und vieles mehr stecken können. Es wird an mehr als 160 Fällen und fast 100 differenzialdiag- nostisch passenden Kasuistiken aufgezeigt, wie man professionell an solche Befunde unter Einbeziehung der individuellen Situation des Patienten herangeht, welche Relevanz sie haben und welche sinnvollen Empfehlungen man zum weiteren Prozedere geben kann. Mein Dank für die Überlassung der besonderen Fälle gilt den Kollegen CA Dr. med. Jürgen Wiens, Wolfsburg (Fall 22), Dr. med. Thomas Grieser, Augsburg (Fall 30), Professor Dr. med. Michael Laniado, Dresden (Fälle 34, 61), Privt.-Doz. Dr. Sönke Langner, Greifswald (Fall 45) und CA Dr. med. Nils H. Goecke, Wildes- hausen (Fall 131).
Merrell’s Strong Kids—Grades 3–5 Second Edition - PDF
Merrell’s Strong Kids—Grades 3–5 Second Edition - PDF
نویسندگان: Dianna Carrizales-Engelmann, Ph.D., Laura L. Feuerborn, Ph.D., Barbara A. Gueldner, Ph.D., Oanh K. Tran, Ph.D. خلاصه: Teach social-emotional competence—the foundation of school and social success—with the NEW editions of the Strong Kids™—Grades 3–5 curriculum! Strong Kids is the fun and easy way to help your students develop the social-emotional skills they need to manage their challenges and succeed in school and life.
NONVIOLENCE AND EDUCATION Cross-Cultural Pathways - Original PDF
NONVIOLENCE AND EDUCATION Cross-Cultural Pathways - Original PDF
نویسندگان: Hongyu Wang خلاصه: This book is based on a life history, qualitative study of four university professors’ cross-cultural pathways. When I started this research during my sabbatical leave in China in September, 2009, I had no idea what it would lead me to. To my aston- ishment, it turned out to be one of the most spiritual experiences in my life. As a result, I became fully committed to nonviolence education, inspired by the life stories of the four professors in their cross-cultural engagements situated in history, culture, and educational contexts. Two Chinese professors, one male and one female, and two American pro- fessors, one male and one female, from different generations participated in this study. This book tells these professors’ extraordinary stories of encountering a culture different from their own and how such engagements influenced their edu- cational work. Specifically, the Chinese professors’ engagement with American/ Western thought and culture and the American professors’ engagement with Chi- nese thought and culture are narrated. Their stories are also situated in the context of the intellectual and cultural history of China–US engagement, with my auto- biographical voice woven in when applicable. While Chinese immigrants’ stories are more often heard in the North American educational field, Americans’ lived experiences in China must also be heard to achieve the mutuality that is necessary for forming constructive relationships between the self and the other globally (Aoki, 2005). It is at the site of mutuality that non-dualistic engagement with dif- ference becomes possible in cross-cultural and intercultural education. Nonviolence has emerged as a central thread of cross-cultural pathways and pedagogy. Here nonviolence is defined as unity between the body and the mind within the self and compassionate relationships between the self and the other that can be extended to the group, the nation, and the global (and further to the ecological relationship between humanity and nonhuman being
Radiologische Diagnostik Abdomen und Thorax - Original PDF
Radiologische Diagnostik Abdomen und Thorax - Original PDF
نویسندگان: Gabriele A. Krombach Andreas H. Mahnken خلاصه: Ultraschall, CT (Computertomografie) und MRT (Magnetreso- nanztomografie) sind die wichtigsten Modalitäten zur Unter- suchung der Kopf-Hals-Region. Gemäß den Leitlinien der Deut- schen Röntgengesellschaft (AG Kopf-Hals-Diagnostik) wird die MRT bei Verdacht auf suprahyoidale Tumoren aufgrund ihres gu- ten Weichteilkontrasts eingesetzt. Die CT kommt bei infrahyoidal gelegenen Tumoren zur Anwendung, da sie aufgrund der gerin- gen Untersuchungszeit im Vergleich zur MRT deutlich weniger artefaktanfällig ist. ●HMerke Bei der CT führt ein langes Zeitintervall nach Kontrastmittelinjek- tion (60–80 s) zur besseren Darstellung von Tumoren. Für die MRT ist gemäß den Empfehlungen der AG Kopf-Hals- Diagnostik der Deutschen Röntgengesellschaft die Durchführung mindestens folgender Sequenzen erforderlich: ● koronare fettunterdrückte T2w (T2-gewichtete) Sequenz (STIR [Short-Tau Inversion-Recovery]) mit einer Schichtdicke von 3–5 mm ● axiale T2w Sequenz mit Fettunterdrückung mit einer Schicht- dicke von 3–4 mm ● axiale und koronare native T1w (T1-gewichtete) SE-Sequenz (Spin-Echo-Sequenz) ohne Fettsättigung mit einer Schichtdicke von 3–4 mm ● axiale und koronare fettunterdrückte T1w SE-Sequenz nach i. v. (intravenöser) Kontrastmittelinjektion
MEDIA STUDIES THE BASICS SECOND EDITION - Original PDF
MEDIA STUDIES THE BASICS SECOND EDITION - Original PDF
نویسندگان: Julian McDougall and Claire Pollard خلاصه: INTRODUCTION TO THE SECOND EDITION Eight years on from the first edition of this book, any notion that updating it for a second edition would be quick or straightforward was dispensed with at the start of the process. We imagine that updating other books in this series might involve replacing some examples, refreshing the core concepts with new theories, perhaps reviewing the ‘shelf-life’ of some case studies. But for Media Studies, the subject never stands still, so this is more like a total system upgrade than a software update. For this reason, the second edition is a collaboration, to converge the perspective of the author of the original book with the experience and insight of the editor of MediaMagazine, also a teacher trainer in the subject. Maybe you have picked up this book because you’re starting a course in Media Studies (given the title, it’s a fair guess). Perhaps you are an English teacher diversifying into Media Studies. Or you could be a parent, wondering what Media Studies is really all about and whether your child should spend their time engaging with it. We will argue that in the era of social media platform capitalism and ‘fake news’, it’s more important than ever. If you are a Media student, the assumption will be that you’ve never studied it before – this is, after all, ‘The Basics’, although it might be a useful ‘refresher’ even if you have. All the way through, the emphasis will be on distinguishing between everyday media engagement and critical media literacy. Just by being alive in the contemporary ‘mediated’ world, we all respond actively to media – we never just ‘take it in’ without any thought or interpretation and more and more, we create it. Equally, the distinction between ou
The Life of Alfred Russel Wallace - Original PDF
The Life of Alfred Russel Wallace - Original PDF
نویسندگان: ross a. slotten خلاصه: he anthrop olo g ist Loren Eiseley, popularizer of the history of evolutionary thought, famously referred to the nineteenth century as “Dar- win’s Century.” Although his book of that name is concerned with a good deal more than Darwin, the phrase has contributed to the myth of a lone sci- entist ultimately triumphing over universal opposition. Darwin was not alone, however. Another man also discovered the theory of natural selection, and he championed the theory as vigorously as did Darwin. His name was Alfred Russel Wallace. Although he was the century’s greatest explorer- naturalist, few besides scholars know very much about him. For a time, Wal- lace shared the limelight with Darwin. It was Wallace who forced Darwin to publish The Origin of Species; indeed, were it not for Darwin, the nineteenth century probably would be known as “Wallace’s Century.” Darwin, cautious to a fault, had been laboring for some twenty years on his theory, amassing what he hoped would be enough data to change the minds of the majority of his fellow scientists. At the time, most people be- lieved that species had been separately (and divinely) created. Only two men knew the true nature and import of Darwin’s work: his friends the botanist Joseph Hooker and the geologist Sir Charles Lyell. Darwin had begun to or- ganize his material into a multivolume book to be entitled “Natural Selec- tion.” But an extraordinary thing happened. Sometime in June 1858, Darwin received a packet postmarked from the island of Ternate in the Dutch East Indies. The packet contained an essay by Alfred Russel Wallace, a thirty-five- year-old English naturalist with whom Darwin had struck up a correspon- dence three years earlier. The essay, “On the Tendency of Varieties to Depart Indefinitely from the Original Type,” shocked Darwin. Wallace wrote: We believe that there is a tendency in nature to the continue
The Lost World of Genesis One: Ancient Cosmology and the Origins Debate (The Lost World Series, Volume 2) - Original PDF
The Lost World of Genesis One: Ancient Cosmology and the Origins Debate (The Lost World Series, Volume 2) - Original PDF
نویسندگان: John H. Walton خلاصه: In this astute mix of cultural critique and biblical studies, John H. Walton presents and defends twenty propositions supporting a literary and theological understanding of Genesis 1 within the context of the ancient Near Eastern world and unpacks its implications for our modern scientific understanding of origins. Ideal for students, professors, pastors and lay readers with an interest in the intelligent design controversy and creation-evolution debates, Walton's thoughtful analysis unpacks seldom appreciated aspects of the biblical text and sets Bible-believing scientists free to investigate the question of origins. The books in the Lost World Series follow the pattern set by Bible scholar John H. Walton, bringing a fresh, close reading of the Hebrew text and knowledge of ancient Near Eastern literature to an accessible discussion of the biblical topic at hand using a series of logic-based propositions.
Neoliberal Urban Governance - Original PDF
Neoliberal Urban Governance - Original PDF
نویسندگان: Carolina Sternberg خلاصه: Preface As a social scientist, I am interested in understanding how space, govern- ment, and state structure and policy affect urban marginality. My perspec- tive has been shaped by growing up in Buenos Aires and receiving my bachelor’s degree in geography and my master’s degree in public policy. In 2006, I arrived at the University of Illinois Urbana-Champaign to pursue a Ph.D. in urban geography, hoping to expand the focus and geographical context of my research. Aware of my roots and training in the Global South, my academic advisor, David Wilson, encouraged me to embark on a comparative study of neoliberal governance in Buenos Aires and Chicago. The project drew me not just because it allowed me to make sense of these two different parts of the world, but because it offered a way to bridge gaps between the academic traditions in urban studies between the Global North and the Global South. This book is part of that journey, one that began after I was transplanted in the Midwest, one that flourished while I was in graduate school, and one that to this day has me dissecting differences and similarities between neoliberal urban governance in Buenos Aires and Chicago.
The Coronavirus Pandemic and Inequality - Original PDF
The Coronavirus Pandemic and Inequality - Original PDF
نویسندگان: Shirley Johnson-Lans خلاصه: his book has been a long time in the making. It was first conceived in the summer of 2020 at which time few people expected a pandemic of the length we have experienced, dealing with a virus that is so efficient in morphing into ever more transmissible variants. Much of the world, including Europe, the United States, and Australia, now seems to have reached a point where COVID-19 is beginning to be regarded as endemic with occasional upticks, much like the annual influenza epidemics with which we have all learned to live. However, since we are not really out of the woods yet with respect to the COVID-19 pandemic, especially as vaccination rates in many parts of the world are well below where they need to be, this book can only be a provisional assessment of the effects and response to the coronavirus pandemic. It is an attempt to summarize and take stock of where many countries in the world stand as of October 2022
Finance Capitalism and Income Inequality in the Contemporary Global Economy - Original PDF
Finance Capitalism and Income Inequality in the Contemporary Global Economy - Original PDF
نویسندگان: Kuat B. Akizhanov خلاصه: Rising inequality in income distribution is one of the most persistent global challenges, widespread not only in low- and middle-income coun- tries but also in industrialised ones. There is an increasingly alarming sta- tistics on wealth and income disparity as, for instance, four consecutive Oxfam reports have witnessed. Thus, in 2015 the wealthiest 62 individuals owned as much wealth as 3.6 billion people compared with 388 individu- als in 2010. Their wealth had increased from 2010 by 44% or $542 billion, while the wealth of the bottom 50% of the world’s population dropped by 41%, or over one trillion dollars (Oxfam, 2016). By 2016, just eight mostly white men possessed the same amount of wealth as the poorest half of the global population and the richest 1% controlled more wealth than the rest of the globe. Between 1988 and 2011 the incomes of the poorest decile rose by less than $3 a year compared with a 182-fold increase of the richest 1% (Oxfam, 2017). In 12 months of 2017 the incomes of the world’s elite increased by $762 billion which was enough to eradicate extreme poverty seven times over. Between 2006 and 2015 worker income rose by an aver- age of just 2% a year compared with a 13% increase for billionaires per year. In 2017, top 1% earners received 82% of all growth in global wealth, whereas the poorest half of the world population did not benefit at al

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