Professionalization: A factor in parish structure

The problem to be examined in this study is the relationship between a pastor’s leadership style and the organizational structure of the parish. It will focus attention especially on the pastor as a professional in a complex organization called the Roman Catholic Church. The parish, as a unit in this organization, has a variety of organizational structures. It is the position of this writer that these differences can, in part, be explained in terms of sociological variables

On the cyclic stress-strain behavior and low cycle fatigue of aerospace materials

The elastic-plastic deformation behavior under cyclic stress of a number of different engineering materials was experimentally investigated with the aid of high-precision methods of measuring, some of which had been newly developed. Experiments made with a variety of steels, the titanium alloy Ti-A16-V4, a cobalt (tungsten) alloy, the high-temperature material Nimonic 90 and Dural (A1-Cu) are reported. The theory given in an attempt to explain these experiments is aimed at finding general formulas for the cyclic stress-strain behavior materials

Clinical bias toward families with schizophrenic relatives: Implications for the long-term care of the chronic schizophrenic patient

Thesis (B.S.) in Psychology--University of Illinois at Urbana-Champaign, 1982.Bibliography: leaves 58-64.Microfiche of typescript. [Urbana, Ill.] : Photographic Services, University of Illinois, U of I Library, [1982]. 3 microfiches (119 frames) : negative ; 11 x 15 cm

Risk factors for non-closure of an intended temporary defunctioning stoma after emergency resection of left-sided obstructive colon cancer

Purpose: A substantial part (21–35%) of defunctioning stomas created during resection for colorectal cancer will never be reversed. Known risk factors for non-closure are age, peri- or postoperative complications, comorbidity, and tumor stage. However, studies performed to identify these risk factors mostly focus on rectal cancer and include both preoperative and postoperative factors. This study aims to identify preoperative risk factors for non-reversal of intended temporary stomas created during acute resection of left-sided obstructive colon cancer (LSOCC) with primary anastomosis. Methods: All patients who underwent emergency resection for LSOCC with primary anastomosis and a defunctioning stoma between 2009 and 2016 were selected from the Dutch ColoRectal Audit, and additional data were collected in the local centers. Multivariable analysis was performed to identify independent preoperative factors for non-closure of the stoma. Results: A total of 155 patients underwent acute resection for LSOCC with primary anastomosis and a defunctioning stoma. Of these, 51 patients (32.9%) did not have their stoma reversed after a median of 53 (range 7–104) months of follow-up. In multivariable analysis, hemoglobin &lt; 7.5 mmol/L (odds ratio (OR) 4.79, 95% confidence interval (95% CI) 1.60–14.38, p = 0.005), estimated glomerular filtration rate (eGFR) ≤ 45 mL/min/1.73 m2 (OR 4.64, 95% CI 1.41–15.10, p = 0.011), and metastatic disease (OR 6.12, 95% CI 2.35–15.94, p &lt; 0.001) revealed to be independent predictors of non-closure. Conclusions: Anemia, impaired renal function, and metastatic disease at presentation were found to be independent predictors for non-reversal of intended temporary stomas in patients who underwent acute resection for LSOCC. In patients who have an increased risk of non-reversal, the surgeon should consider a Hartmann’s procedure.</p