The Social Outlook of the Lutheran Church

I am not writing with the thought of instituting a church-wide swing toward the social Gospel , or even with the hope of a sudden plunge of the church into the sphere of sociology. Our church is definitely Scriptural, so it is my purpose to bring out on the basis of the biblical background for social work, the extent into which our church has delved into social service, and a few humble suggestions for greater service to man and thus to God. It is the hope that such specific emphasis upon our present labors in this field will make us more social-minded. The Lutheran Church has made definite steps in that direction--so many that a paper of this sort can do no more than survey the entire problem from a distance that the perspective of the whole might be complete. If the doctrine of Justification is not referred to, it is not because of a desire to slight or underestimate the importance of this basic truth but rather because or the desire to bring out the importance of the fruits of such a doctrine, i.e. the living faith

MRI of the Acute Injured Knee

Magnetic Resonance Imaging (MRI) has become a mainstay in the assessment of internal derangement of the knee. MRI prior to surgery increases diagnostic confidence. It also influences clinical practice by identifying alternative diagnoses, e.g., for an osteochondral injury that clinically may mimic meniscal tears, different surgical approaches exist for many cases. This unit presents the standard protocol for imaging injured knees in a clinical setting. The parameters given in this unit are derived from a 1.5 T machine and may need to be altered slightly depending on the main magnetic field strength and the equipment manufacturer.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145407/1/cpmia2301.pd

The Parmesan Cheese Model System: Alleviation of Browning Defect in Parmesan Cheese

In cold temperature storage, Parmesan cheese can develop an undesirable browning defect. Certain pyrazine compounds converted from methylglyoxal have been identified and associated with the brown pigmentations in Parmesan cheese samples. This study focused on creating a cheese model system to study variables that caused browning and variables that helped reduce or alleviate browning. The cheese making steps for the cheese model system were monitored by measuring pH and TA and the final composition for % fat, % moisture, % salt and pH. Additionally, the cooling curve was studied to ensure all wheels of cheese made were cooled similarly. Cheese made in the experiment were then used in a slurry as part of the cheese model system to test variables such as aging temperature, heat abuse, addition of NSLAB, addition of adjuncts, addition of galactose, addition of methylglyoxal and modified %salt and pH. This study identified variables that contributed to browning which included: aging temperature (55°F), addition of methylglyoxal, NSLAB addition, heat abuse and time. Increased browning was observed over time, the most after 3 months, at 55°F in the presence of methylglyoxal and heat abuse. These findings were verified by testing these variables at different ages using a colorimeter. The variables studied to understand how to reduce browning included addition of NSLAB (Lb. helveticus), addition of adjuncts (lb. plantarum and Lc. lactis diacetylactis) and modified environment of high %salt and low pH. The cheese model system had a % salt of 2.19 and a pH of 5.60 which was modified to 3.00% for high salt and 5.20 pH, all samples were aged at 55°F. Reduction of browning was achieved using both adjuncts and modified environments of high salt and low pH. The greatest reduction in browning was observed when Lb. helveticus and Lb. plantarum were added together as a treatment and had a small Delta E (color change) of 0.92. The adjunct, Lc. lactis diacetylactis also reduced browning, average Delta E of 1.89 in the presence of Lb. helveticus, high %salt and low pH. The most effective way to reduce browning was achieved using adjuncts and modified environments of high salt and low pH

The Loehe Colonies in Saginaw County, Michigan

The Loehe Colonies in Saginaw County, Michiga

Does voluntary cooperation in member state implementation require top-down steering? The case of regional policy in Switzerland

This article studies the institutional conditions that facilitate voluntary member state cooperation in the implementation of regional development policy in Switzerland. Cooperation is crucial for the implementation of regional development policies given that functional perimeters do generally not coincide with institutional borders. Research on the governance of horizontal interorganizational cooperation often focuses on local entities and institutionalized networks, we examine the voluntary cooperation of higher-tier subnational entities. We apply the institutional collective action framework to the implementation of a regional policy in highly federalist Switzerland where subnational entities have considerable discretionary power. The empirical analysis of comprehensive data on implemented development projects and a survey of all responsible subnational actors show that cooperation between higher-tier subnational entities faces strong institutional constraints. We conclude that more top-down guidance is necessary when horizontal cooperation is a condition for policy success

Mineralisation patterns in the subchondral bone plate of the humeral head

Purpose: Pathologic changes of the glenohumeral joint, like a long-standing overloading or an accident often lead to severe glenohumeral osteoarthritis, and a glenohumeral joint replacement could be necessary. Joint instability and glenoid loosening are the most common post-operative complications, which can be caused by eccentric loading of the glenoid, if the humeral head is malcentered. If these malcentered cases could be identified pre-operatively, the pathologic position of the humeral head could be fixed intra-operatively and complication may be prevented. Computed tomography osteoabsorptiometry (CT-OAM) is a useful method to determine the distribution of mineralisation in the subchondral bone as a marker for the long-term loading history of a joint. The objective of this study was to gain information about the mineralisation distribution in the subchondral bone plate of the humeral head. Methods: By the use of CT-OAM, the distribution of the subchondral mineralisation of 69 humeral heads was investigated and groups of mineralisation patterns were built. To evaluate if differences in age exist, the mean values of the two groups were compared using t test. Results: 49 humeral heads (71% of 69 specimens) showed bicentric subchondral mineralisation patterns with ventral and dorsal maxima, 20 humeral heads (29% of 69 specimens) could be classified as monocentric with a centro-dorsal maximum. We found no statistical significant difference between the age of the monocentric and the bicentric group on a significance level of 95%. Conclusion: We could show that stress distribution at the humeral head is typically bicentric with a ventral and dorsal maximum. However, other mineralisation patterns may occur under pathologic circumstances. The pre-operative identification of such cases by the use of CT-OAM could help to improve the post-operative results in shoulder surger

MR-guided endovascular interventions: a comprehensive review on techniques and applications

The magnetic resonance (MR) guidance of endovascular interventions is probably one of the greatest challenges of clinical MR research. MR angiography is not only an imaging tool for the vasculature but can also simultaneously depict high tissue contrast, including the differentiation of the vascular wall and perivascular tissues, as well as vascular function. Several hurdles had to be overcome to allow MR guidance for endovascular interventions. MR hardware and sequence design had to be developed to achieve acceptable patient access and to allow real-time or near real-time imaging. The development of interventional devices, both applicable and safe for MR imaging (MRI), was also mandatory. The subject of this review is to summarize the latest developments in real-time MRI hardware, MRI, visualization tools, interventional devices, endovascular tracking techniques, actual applications and safety issue

Opening Service 9-15-68

Dr. Huegli preaches on Romans 10:8-17.https://scholar.csl.edu/opening_services/1016/thumbnail.jp

Percutaneous Cervical Vertebroplasty in a MultifunctionalImage-Guided Therapy Suite: Hybrid Lateral Approach to C1 andC4 Under CT and Fluoroscopic Guidance

A 76-year-old patient suffering from two painful osteolytic metastases in C1 and C4 underwent percutaneous vertebroplasty by a hybrid technique in a multi-functional image-guided therapy suite (MIGTS). Two trocars were first placed into the respective bodies of C1 and C4 under fluoroscopic computed tomography guidance using a lateral approach. Thereafter, the patient was transferred on a moving table to the digital subtraction angiography unit in the same room for implant injection. Good pain relief was achieved by this minimally invasive procedure without complications. A hybrid approach for vertebroplasty in a MIGTS appears to be safe and feasible and might be indicated in selected cases for difficult accessible lesion

Extensive Iatrogenic Aortic Dissection During Renal Angioplasty: Successful Treatment with a Covered Stent-Graft

An extensive iatrogenic aortic type B dissection during percutaneous transluminal renal angioplasty (PTRA) for bilateral renal artery stenosis was treated with a covered stent placed in the right renal artery. Control angiography confirmed closure of the entry. Postprocedural CT demonstrated a thick intramural hematoma (IMH) up to the left subclavian artery. CT follow-up at 8 months showed an almost complete resorption of the IMH. While medical treatment is the standard therapy for type B dissections, closure of the intimal tear with a covered stent may be an additional option in extensive cases during PTR