Gastric cancer with radiographically occult metastatic disease: Biology, challenges, and diagnostic approaches

Gastric adenocarcinoma is an aggressive cancer that demonstrates heterogeneous biology depending on patient ethnicity, tumor location, tumor type, and genetic profile. It remains the third leading cause of cancer deaths worldwide and was estimated to result in 782,000 deaths in 2018. Challenges exist in accurately assessing the disease burden, as available radiological staging often underestimates metastatic disease. This diagnostic handicap, along with the poor understanding of the heterogeneous biology of gastric cancer, has hindered the development of effective therapeutic solutions and thus halted improvement in patient outcomes over the last few decades. The management of occult peritoneal disease is complicated, as most patients are understaged by standard imaging studies and therefore thought to have local diseases. In this article, we systematically review recent literature on the limitations that are associated with standard radiographic staging, discuss recent molecular biology advances to better identify and diagnose occult peritoneal disease, and propose possible management strategies to approach this complicated clinical problem

The memoirs of Ivan Doig: Donning new roles and revising old myths

“If, somewhere beneath the blood, the past must beat in me to make a rhythm of survival for itself—to go on as this half-life which echoes as a second pulse inside the ticking moments of my existence—if this is what must be, why is the pattern of remembered instant so uneven, so gapped and rugged and plunging and soaring? I can only believe it is because memory takes its pattern from the earliest moments in the mind, from childhood. In childhood is a most queer flame-lit and shadow-chilled time” (Sky 10). In his memoirs, Heart Earth and This House of Sky: Landscapes of a Western Mind, Ivan Doig remembers with respect and fondness the lives of his mother, father, and Grandfather and the role in his coming of age. Doig’s recollections show that he owes his maturation—from a boy bent on dream to a man sure of reality, yet still fond of dreaming—to his mother, his grandmother, and his father. Maternal grace, or “heart,” is the foundation for Ivan\u27s sensibility of the values of pity and endurance—values associated with myth in western literature—and the paternal extension of these values, namely Charlie\u27s hard work and persistence, are the chief reasons why Ivan is able to cope with loss in a world rough to the touch of youth. With concern for how the past and its people shaped us in the present, Doig makes revelations about his family that are simultaneously revelations about himself. The beauty of these memoirs is that Doig can synthesize with retrospective maturity the events in words of his parents that impressed him most

Made Entirely of Vapor: A Poetic Unwriting

Senior Project submitted to The Division of Languages and Literature of Bard Colleg

A descriptive study of nonverbal communication between and within the professions of nursing and medicine

Due to the feminist movement, male-female communication has become a topic of increased interest, especially in the area of nonverbal communication. Julius Fast (1970) made 51 body language” a household phrase, for better or for worse. But the study of nonverbal behavior has.only recently become a serious subject of research. As Randall Harrison (l97l) put it, We have important problems to solve. In short, I see us on the threshold of an exciting era of research in nonverbal communication (p. 2).

Religions in Asia - Exploring Hinduism

There are many Asian religious sites and communities in the Chicago land area. A beautiful Hindu Temple stands down the road from the Loyola University of Chicago. On February 10, 2023, Lydia Hamilton and Katherine Fangman had the opportunity to visit the Shree Ganesh Temple of Chicago (Hindu Temple, 2545 Devon Ave, Chicago). The community that surrounds the temple is known as “Little India” and is home to many people with an Indian descent. While at Shree Ganesh Temple of Chicago, we had the opportunity to interview Dave, the Hindu Pandit of this temple. He is 31 years of age. Dave has been practicing Hinduism for his whole life. This experience has allowed us to see the world with greater depth and a great amount of knowledge was obtained through this experience

Hoop structures for Missouri swine finishing facilities (1999)

Many Missouri pork producers are looking for lower-cost structures in which to raise pigs. The search for low-cost animal housing has created a great interest in so-called hoop structures, or hoop shelters, as facilities in which to grow pigs from about 60 pounds to market weight. Hoop structures can be used successfully in such grow-finish operations, but producers need to be aware of the advantages and disadvantages of this type of housing.New 3/99/5M

Swine antibiotics and feed additives : food safety considerations

AGRICULTURALMU GuidePUBLISHED BY MU EXTENSION, UNIVERSITY OF MISSOURI-COLUMBIASwine feeding"In many instances, antibiotics are used to promote growth, or weight. It is generally accepted that antibiotics aid in the promotion of quality pork growth through a direct metabolic effect, by sparing use of nutrients or by controlling low levels of endemic pathogens." -- page 2Marcia S. Carlson and Thomas J. Fangman (Department of Animal Sciences)Reviewed November 2018 -- websit

Experimental Study on Friction Properties of Rubber Material: Influence of Surface Roughness on Sliding Friction

AbstractThis study investigated the influence of the surface roughness of rubber on sliding friction. The friction was measured by using textured specimens and plain (non-textured) specimens. Under a dry condition, the textured specimens, whose contact area was smaller than that of the plain ones, showed low coefficients of friction. Under a lubricated condition, the coefficients of friction of the textured specimens were higher in a low speed region, but those were lower in a higher speed region. Therefore, the lubrication conditions should be considered in the application of the texturing on rubber surface

Interactive Video Tutorials from Scratch: Experiences and Lessons Learned Six Years On

In 2014, Austin Peay State University’s (APSU) Woodward Library developed an online, interactive video tutorial for the American Psychological Association (APA) Style Guide. APSU’s College of Education (CoE) approached the library about creating a tutorial similar to an existing video, Plagiarism: Making the Right Choices, for use in their upper division and graduate level courses. Through a collaborative process using content previously in the form of a PowerPoint presentation, the library generated a script, storyboards, and eventually a full video. Now, how best to engage the students with the assessment? The existing Plagiarism tutorial did not quite live up to the expectations of the CoE. The old tutorial simply presented a video, then followed the video with a ten-question quiz. Instead, they wanted the quiz to be more interactive and present each question immediately following the material being presented in the video itself. The library’s IT Analyst developed a system utilizing YouTube’s Player API to pause the video, present the question, and then resume the video after the question was answered. This resulted in a truly interactive experience that showed an improvement over the PowerPoint presentation previously given to students. In the intervening years, we have learned many lessons about how to best reach students, meet usability needs, serve professors, and combat technological issues. We will provide insights into hardships, shortcuts, and the excellent adoption and results we have seen from the use of this style of interactive video tutorial, regardless of topic