82 research outputs found

    Old Slow Town : Detroit During the Civil War

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    Dissent, Opportunity, and Transformation in Civil War Detroit Over the past quarter-century, Civil War historians have turned away from simply focusing on the fighting on the battlefield and politics and strategy in Washington, Richmond, and various state capitals, giving substantial atten...

    Investigation of Phosphate Pro-Drug Led Inhibition of ENO2 in ENO1-Deleted Cells

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    https://openworks.mdanderson.org/sumexp22/1075/thumbnail.jp

    Incomplete oedipism and chronic suicidality in psychotic depression with paranoid delusions related to eyes

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    Self-enucleation or oedipism is a term used to describe self-inflicted enucleation. It is a rare form of self-mutilation, found mainly in acutely psychotic patients. We propose the term incomplete oedipism to describe patients who deliberately and severely mutilate their eyes without proper enucleation. We report the case of a 32-year-old male patient with a five-year history of psychotic depression accompanied by paranoid delusions centered around his belief that his neighbors criticized him and stared at him. A central feature of his clinical picture was an eye injury that the patient had caused by pouring molten lead into his right eye during a period of deep hopelessness and suicidality when the patient could not resolve his anhedonia and social isolation. Pharmacotherapy and psychotherapy dramatically improved his disorder

    Screening Adolescents in the Emergency Department for Weapon Carriage

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    The objective was to describe the prevalence and correlates of past-year weapon involvement among adolescents seeking care in an inner-city emergency department (ED).This cross-sectional study administered a computerized survey to all eligible adolescents (age 14–18 years), 7 days a week, who were seeking care over an 18-month period at an inner-city Level 1 ED. Validated measures were administered, including measures of demographics, sexual activity, substance use, injury, violent behavior, weapon carriage, and/or weapon use. Zero-inflated Poisson (ZIP) regression models were used to identify correlates of the occurrence and past-year frequency of these weapons variables.Adolescents ( n =  2069, 86% response rate) completed the computerized survey. Fifty-five percent were female; 56.5% were African American. In the past year, 20% of adolescents reported knife or razor carriage, 7% reported gun carriage, and 6% pulled a knife or gun on someone. Although gun carriage was more frequent among males, females were as likely to carry a knife or pull a weapon in the past year.One-fifth of all adolescents seeking care in this inner-city ED have carried a weapon. Understanding weapon carriage among teens seeking ED care is a critical first step to future ED-based injury prevention initiatives.ACADEMIC EMERGENCY MEDICINE 2010; 17:168–176 © 2010 by the Society for Academic Emergency MedicinePeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/78627/1/j.1553-2712.2009.00639.x.pd

    The impact of urbanization on stream habitat in Lower Mainland British Columbia

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    Low-order streams in Lower Mainland British Columbia have been surveyed in order to determine their response to urbanization, and to attempt to define limit levels of watershed development. The study watersheds span a gradient of percent total impervious area (%TIA). It was hypothesized that the quality of the following physical elements of fish habitat would be dependent on the %TIA: base flow, cross-sectional geometry, bed particle composition, intragravel dissolved oxygen, riparian integrity, instream cover (large woody debris and rooted cutbanks), bank stability, and temperature. Some of the fish habitat conditions studied were found to improve with increasing urbanization. The urban streams had less fine material and larger coarse material in their beds. Bed coarsening was accompanied with a slight increase in the levels of intragravel dissolved oxygen. The absence of fine material indicates that the study streams, developed approximately 20 years ago, have recovered from the construction and channel adjustment phases of urbanization. The degradation of other elements of fish habitat indicates that the most severe damage is done to streams at low levels of urbanization. Base flow became uniformly low between 20-40% TIA, and caused a decrease in velocity, rather than in wetted depth. The high-gradient study streams widened when the TIA increased to 10-15%. Large woody debris abundance was low in all streams with > 20% TIA. The loss of riparian integrity and large woody debris with increasing urbanization also played a role - stream erosion increased when the buffer strip was less than 30 m wide, and when there were fewer than 5-10 pieces of LWD per 100 m. Since stream degradation takes place at low levels of imperviousness, it is recommended that the Land Development Guidelines increase the required buffer strip width to 30 m, even for low-density development. As well, stormwater detention ponds should be constructed before urbanization is begun, with the aim of keeping cumulative excess shear stress to a minimum.Applied Science, Faculty ofCivil Engineering, Department ofGraduat

    Prednisone interaction

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    Clarithromycin induced mania

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