This is a unique book in that it brings together the two key investigative techniques in Gynaecology and Obstetrics, namely ultrasound and endoscopy. So often in the past they were regarded by their exponents as rival techniques but it is now recognised that they are complementary to each other. Consequently future trainees in endoscopy should become efficient in transvaginal sonography and vice versa. Ultrasound can be used to study the morphology of the pelvic organs such as the endometrium, myometrium and ovaries, and being non-invasive, safe and convenient can be repeated as often as is deemed necessary to monitor changes over time; for example in the investigation of the infertile woman the development of the dominant follicle, the maturation of the endometrium and the formation of the corpus luteum can be documented throughout the menstrual cycle while growth of ovarian cysts can be precisely measured to determine the need for surgery. A seldom-mentioned strength of the ultrasound examination is its interactive quality, for example by performing abdominal palpation during the scan, the mobility of the uterus and ovaries can be assessed. Also the images as they appear can be shown to the patient to aid understanding. Ultrasound can also determine function and the use of Doppler has been used for example to access endometrial receptivity, follicular maturity and the likelihood of malignancy in the endometrium or ovary.
TIME TO GET OUT THERE. A short pause in your daily routine. A day trip. A weekend getaway. Your annual summer holiday or Christmas break. An undefined time, some place, somewhere. There is always something to experience in Europe’s oldest country. On wheels, on foot or in the air. Or maybe by sea? Something adventurous, aquatic or urban, traditional, gastronomic or cultural. A unique event in the course of a year or the most common of experiences that makes the ordinary extraordinary. By night or by day, at dawn or at dusk. Alone, with strangers or loved ones. Wrapped in history, in contemporary innovation or innovative contemporaneity. In the end, you choose. When, what, who, why, where. Time to get out there. This is not a travel guide, nor does it intend to be one. This is about stories and histories, people and other living creatures, scents and sounds. There is no chronological order to the one hundred experiences suggested you live in this marvellous country. Geography takes the lead, from the mountainous north to the sun-drenched south. Inland and coast. City and countryside. At the end of each regional chapter, you will find complementary practical information. No sponsored content, just genuine suggestions. Because it is time to get out there. The idea behind the «The Road Less Travelled» guide collection came to Dirk Timmerman and Joke Langens during 2020 when travelling abroad became difficult. And nothing like transforming a limitation into an opportunity to discover or rediscover what we have within our own country. These guides are destined not only for those who come from abroad and wish to have different experiences to those provided by mass tourism, but also for the Portuguese, the very same people who have already trodden countless kilometres in Lusitanian lands. The country that has seen us be born and grow still has countless secrets to share. To embark on this adventure will mean nothing less than an unforgettable experience.
CITIES ARE ENDLESS SOURCES OF STORIES. And Lisbon, lady and lass (menina e moça), is an infinite city: a safe haven for various peoples, home to several dynasties and a starting point of voyages to all corners of the globe. As one of the oldest capital cities in Europe, in one of the continent’s oldest countries, Lisbon has been witness to centuries of history. The city of seven hills has a thousand different faces, all carved into its cobblestone pavements and tile-covered walls and hidden in the ruins of past civilisations beneath the monuments still standing to this day. There is no corner, street or nook in this Atlantic city that is not filled with stories to tell, whether forgotten, still very much alive or sui generis. And even for born and raised alfacinhas (Lisboners), the obvious can serve as a disguise for the not so obvious. If you wish to discover or rediscover its history, here are ten stories to do so: from the ancient to the old and the modern to the futuristic.
There is no one perspective of Valletta. Like its emblematic Fort St Elmo, with its star-shape, Valletta has many sides to it, sides that we very often take for granted in our everyday lives. The many facets that this city vaunts, and not merely its physical ones, have been dealt in this book. This publication is not a guidebook, far from it. It showcases a Valletta which lies beyond the usual tourist trails, and rush hour commuting. This is a personal account of seven guides who encounter Valletta on a daily basis and have become enchanted with it.
This is a unique book in that it brings together the two key investigative techniques in Gynaecology and Obstetrics, namely ultrasound and endoscopy. So often in the past they were regarded by their exponents as rival techniques but it is now recognised that they are complementary to each other. Consequently future trainees in endoscopy should become efficient in transvaginal sonography and vice versa. Ultrasound can be used to study the morphology of the pelvic organs such as the endometrium, myometrium and ovaries, and being non-invasive, safe and convenient can be repeated as often as is deemed necessary to monitor changes over time; for example in the investigation of the infertile woman the development of the dominant follicle, the maturation of the endometrium and the formation of the corpus luteum can be documented throughout the menstrual cycle while growth of ovarian cysts can be precisely measured to determine the need for surgery. A seldom-mentioned strength of the ultrasound examination is its interactive quality, for example by performing abdominal palpation during the scan, the mobility of the uterus and ovaries can be assessed. Also the images as they appear can be shown to the patient to aid understanding. Ultrasound can also determine function and the use of Doppler has been used for example to access endometrial receptivity, follicular maturity and the likelihood of malignancy in the endometrium or ovary.
The pun is as old as Babel, and inveterate punsters like Shakespeare clearly never lacked translators. This book critically examines the evergreen cliché that wordplay defies translation, replacing it by a theory and a case study that aim to come to grips with the reality of wordplay and its translation. What are the possible modes of wordplay translation? What are the various, sometimes conflicting constraints prompting translators in certain situations to go for one strategy rather than another? Ample illustration is provided from Hamlet and other Shakespearean texts and several Dutch, French, and German renderings. The study exemplifies how theory can usefully be integrated into a description-oriented approach to translation. Much of the argument also rests on the definition of wordplay as an open-ended and historically variable category. The book's concerns range from the linguistic and textual properties of Shakespeare's punning and its translation to matters of historical poetics and ideology. Its straightforward approach shows that discourse about wordplay doesn't need to rely on stylistic bravura or abstract speculation. The book is concluded by an anthology of the puns in Hamlet, including a brief semantic analysis of each and a generous selection of diverse translations.
From hospitals and prisons to schools and corporations: no matter how large or seemingly abstract, all institutions are ultimately the result of the actions and interactions of people. In this original and innovative text, Gibson and Vom Lehn show the different ways in which studying people's own meaning-making practices can help us understand the role of institutions in contemporary society. Institutions, Interaction and Social Theory takes the reader through the core conceptual foundations of Symbolic Interactionism, Ethnomethodology and Conversation Analysis. Engaging with a rich tradition in sociological thought, it suggests that interactionist perspectives have remained largely absent in the study of institutions, and how they contrast with and contribute to the broader field of research in institutional contexts. With chapters on healthcare, education, markets, and art and culture, this text will be of interest to those studying institutions, organisations and work in sociology and in business schools. It will also be valuable for students of social theory interested in interactionism, and in the challenges and opportunities of connecting complex theoretical discussions to real world examples.
14 Pen Drawings by D. Lam Foreword by George G. Harper Preface by Frederick Ten Hoor Vocabulary by Anna Nieland-De Boer This work is a celebration of Yankee Dutch, the colorful language adopted by thousands of Hollanders after immigrating to America. Written in a peculiar English with Dutch spellings, Dirk Nieland's 'n Fonnie Bisnis recounts the humorous adventures of Loe Verlak, the prototypical Dutch immigrant, as he gets into all sorts of "funny business" around his community. Nieland's fourteen vignettes touch on a wide variety of Dutch life, from Sunday school picnics to everyday jobs to the joys and trials of marriage. Including a foreword (in plain English) by George G. Harper and an extensive vocabulary chart, 'n Fonnie Bisnis gives a picturesque glimpse into an ethnic enclave that has since been forever transformed by the passage of time. In this new edition the book will continue to delight anyone interested in Dutch American people, language, and culture.
Plants depend on physiological mechanisms to combat adverse environmental conditions, such as pathogen attack, wounding, drought, cold, freezing, salt, UV, intense light, heavy metals and SO2. Many of these cause excess production of active oxygen species in plant cells. Plants have evolved complex defense systems against such oxidative stress. The
Aware of the act of writing as a temporal process, many modernist authors preserved numerous manuscripts of their works, which themselves thematized time. Textual Awareness analyzes the writing processes in James Joyce's Finnegans Wake, Marcel Proust's À la recherche du temps perdu, and Thomas Mann's Doktor Faustus and relates these to Anglo-American, French, and German theories of text. By relating theory to practice, this comparative study reveals the links between literary and textual criticism. A key issue in both textual criticism and the so-called crisis of the novel is the tension between the finished and the unfinished. After a theoretical examination of the relationship between genetic and textual criticism, Dirk Van Hulle uses the three case studies to show how?at each stage in the writing process?the text still had the potential of becoming something entirely different; how and why these geneses proceeded the way they did; how Joyce, Proust, and Mann allowed contingencies to shape their work; how these authors recycled the words of their critics in order to inoculate their works against them; how they shaped an intertextual dimension through the processing of source texts and reading notes; and how text continually generated more text. Van Hulle's exploration of process sheds new light on the remarkable fact that so many modernist authors protected their manuscripts, implying both the authors' urge to grasp everything and their awareness of the dangers of their encyclopedic projects. Textual Awareness offers new insights into the artificiality of the artifact?the novel?that are relevant to the study of literary modernism in general and the study of James Joyce, Marcel Proust, and Thomas Mann in particular. Dirk Van Hulle is Assistant Professor of English and German Literature, University of Antwerp.
Conflict can occur when a body of law regulating one aspect of international activity does not correspond with the rules of another. This book uses trade in cultural products to illustrate that, rather than being a question of accidental overlap, such conflicts stem from different regimes having fundamentally different goals.
Applied Survival Analysis Using R covers the main principles of survival analysis, gives examples of how it is applied, and teaches how to put those principles to use to analyze data using R as a vehicle. Survival data, where the primary outcome is time to a specific event, arise in many areas of biomedical research, including clinical trials, epidemiological studies, and studies of animals. Many survival methods are extensions of techniques used in linear regression and categorical data, while other aspects of this field are unique to survival data. This text employs numerous actual examples to illustrate survival curve estimation, comparison of survivals of different groups, proper accounting for censoring and truncation, model variable selection, and residual analysis. Because explaining survival analysis requires more advanced mathematics than many other statistical topics, this book is organized with basic concepts and most frequently used procedures covered in earlier chapters, with more advanced topics near the end and in the appendices. A background in basic linear regression and categorical data analysis, as well as a basic knowledge of calculus and the R system, will help the reader to fully appreciate the information presented. Examples are simple and straightforward while still illustrating key points, shedding light on the application of survival analysis in a way that is useful for graduate students, researchers, and practitioners in biostatistics.
This book offers practical advice and guidance to German-speaking undergraduates and academics who aspire to write in English. It also provides valuable assistance to editors, examiners and teachers who conduct English courses for intermediate or advanced students. It consists of four modules and is rounded off with a subject index and a glossary. Making extensive use of authentic texts, the authors adopt a contrastive approach and focus on the major problems encountered by Germans writing in English. This third edition has been thoroughly revised, updated and expanded to include, among other things, advice on how to use new Internet technology.
Since the German edition of this book, the topic of risk has experienced even greater attention, not only in the world of science but also in other fields, such as economics and politics. Therefore, many new publications have evolved. To keep with the idea of an encyclopedia for the topic of risk, this book has been completely reworked. Not only are many updated examples included in chapter “Risks and disasters” but also new chapters have been introduced, such as the chapter “Indetermination and risk”. This new chapter was developed since the question “Is it possible for risks to be completely eliminated, and if not why?” has become a major point of c- cern. Therefore, especially in this chapter, the focus of the book has - tended from a simple mathematical or engineering point of view to include much broader concepts. Here, not only aspects of system theory have to be considered, but also some general philosophical questions start to inf- ence the considerations of the topic of risk. The main goal of this edition, however, is not only the extension and revision of the book, but also the translation into the English language to allow more readers access to the ideas of the book. The author deeply hopes that the success the book made in the German edition continues and that readers experience a major gain from reading the book.
De voordelen van de euro, de Hoge Snelheidslijn, de Betuwe Lijn, de JSF, de Fyra, etc. het zijn allemaal voorbeelden van zaken waarbij onze overheid de zaken veel rooskleuriger voorstelde dan in werkelijkheid het geval was. Waarom goochelen ze met cijfers en liegt men ons iedere keer voor? Weet men niet beter of doet men dit met opzet? Het is een grote puinhoop. Er is iets fundamenteel mis met de manier waarop onze overheid te werk gaat. We zitten nu al op een percentage allochtonen in onze bevolking dat hoger is dan toen de Vlamingen in 1600 en masse naar de Noordelijke Nederlanden vluchtten. Wie gaat dat allemaal betalen? Dan is er het failliete Amerika, daar kan niemand meer onderuit. Als Europa er niet in slaagt om de miljoenen stroom 'vluchtelingen' te keren dan wacht ons hetzelfde lot als de Romeinen in het jaar 469. Ons bestaan staat serieus ter discussie, dat is geen grap. Houdt onze overheid ons voor de gek?
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