1,943 research outputs found
The Importance of the Synoptic Problem for Interpreting the Gospels
This essay examines the issue of the order of writing of the four Gospels in the
New Testament canon. Procedurally, it discusses the emergence of the fourfold
Gospel tradition, the Synoptic Problem and how it has been approached in
history. The essay argues in favor of the Clementine or Two-Gospel Hypothesis
position. An analysis of Matthew 10:5-23 functions as an illustration of the
value of this Hypothesis for understanding the text and seeing its value for the
life of faith
Search for resonances in the mass distribution of jet pairs with one or two jets identified as b -jets in proton-proton collisions at s=13 TeV with the ATLAS detector
Važnost sinoptiÄkog problema za tumaÄenje EvanÄelja
Ovaj esej razmatra pitanje o redoslijedu pisanja Äetiri evanÄelja u kanonu
Novoga zavjeta. U njemu se proceduralno raspravlja o pojavi tradicije Äetverostrukog
EvanÄelja, o sinoptiÄkom problemu i kako mu se pristupalo kroz
povijest. Esej podupire stajaliÅ”te Klementove hipoteze ili hipoteze o dva evanÄelja.
Analiza Mateja 10,5-23 služi kao ilustracija vrijednosti te hipoteze za
razumijevanje teksta i za spoznaju njezine vrijednosti za život vjere
The Importance of the Synoptic Problem for Interpreting the Gospels
This essay examines the issue of the order of writing of the four Gospels in the
New Testament canon. Procedurally, it discusses the emergence of the fourfold
Gospel tradition, the Synoptic Problem and how it has been approached in
history. The essay argues in favor of the Clementine or Two-Gospel Hypothesis
position. An analysis of Matthew 10:5-23 functions as an illustration of the
value of this Hypothesis for understanding the text and seeing its value for the
life of faith
Post-operative bilateral adrenal haemorrhage: A case report
AbstractINTRODUCTIONBilateral adrenal haemorrhage is a rare, but serious, illness carrying an estimated 15% mortality.1,2 The majority of cases occur in patients with acute, stressful illness, however the exact mechanism underlying adrenal haemorrhage remains unclear. This medical emergency carries significant diagnostic difficulty4 with non-specific clinical symptoms and variations in electrolyte abnormalities. Timely treatment is important as it prevents both the acute and long-term sequelae of adrenal failure.PRESENTATION OF CASEThis report describes a medical emergency in a surgical patient following emergency surgery for intra-abdominal sepsis. The patient reported non-specific symptoms of confusion, mild pyrexia and vague abdominal pain during the post-operative phase, with subtle electrolyte abnormalities and a low serum cortisol suggestive of adrenal crisis. Timely medical treatment, with intravenous hydrocortisone and intensive monitoring, and appropriate medical follow-up with addition of long-term fludrocortisone resulted in a satisfactory outcome.DISCUSSIONThis report describes a potentially life-threatening complication of intra-abdominal sepsis with adrenal crisis secondary to bilateral adrenal haemorrhage. In particular, this case highlights the diagnostic difficulty in such surgical patients due to vague symptoms and, in this case, the presence of a presentation variant with acute hyponatraemia and normal potassium.CONCLUSIONThis case highlights the importance of awareness of both the symptoms and signs and variation in electrolyte profile when assessing surgical patients post-operatively. In addition, this case highlights the benefit of early recognition and initiation of treatment and the importance of follow-up as long-term medical management is often required to prevent further relapse
Adoption of precision livestock farming technologies has the potential to mitigate greenhouse gas emissions from beef production
To meet the objectives of the Paris Agreement, which aims to limit the increase in global temperature to 1.5Ā°C, significant greenhouse gas (GHG) emission reductions will be needed across all sectors. This includes agriculture which accounts for a significant proportion of global GHG emissions. There is therefore a pressing need for the uptake of new technologies on farms to reduce GHG emissions and move towards current policy targets. Recently, precision livestock farming (PLF) technologies have been highlighted as a promising GHG mitigation strategy to indirectly reduce GHG emissions through increasing production efficiencies. Using Scotland as a case study, average data from the Scottish Cattle Tracing System (CTS) was used to create two baseline beef production scenarios (one grazing and one housed system) and emission estimates were calculated using the Agrecalc carbon footprinting tool. The effects of adopting various PLF technologies on whole farm and product emissions were then modelled. Scenarios included adoption of automatic weigh platforms, accelerometer based sensors for oestrus detection (fertility sensors) and accelerometer-based sensors for early disease detection (health sensors). Model assumptions were based on validated technologies, direct experience from farms and expert opinion. Adoption of all three PLF technologies reduced total emissions (kgCO2e) and product emissions (kg CO2e/kg deadweight) in both the grazing and housed systems. In general, adoption of PLF technologies had a larger impact in the housed system than in the grazing system. For example, while health sensors reduced total emissions by 6.1% in the housed system, their impact was slightly lower in the grazing system at 4.4%. The largest reduction in total emissions was seen following the adoption of an automatic weight platform which reduced the age at slaughter by 3ā months in the grazing system (6.8%) and sensors for health monitoring in the housed system (6.1%). Health sensors also resulted in the largest reduction in product emissions for both the housed (12.0%) and grazing systems (10.5%). These findings suggest PLF could be an effective GHG mitigation strategy for beef systems in Scotland. Although this study utilised data from beef farms in Scotland, comparable emission reductions are likely attainable in other European countries with similar farming systems
Adoption of precision livestock farming technologies has the potential to mitigate greenhouse gas emissions from beef production
To meet the objectives of the Paris Agreement, which aims to limit the increase in global temperature to 1.5Ā°C, significant greenhouse gas (GHG) emission reductions will be needed across all sectors. This includes agriculture which accounts for a significant proportion of global GHG emissions. There is therefore a pressing need for the uptake of new technologies on farms to reduce GHG emissions and move towards current policy targets. Recently, precision livestock farming (PLF) technologies have been highlighted as a promising GHG mitigation strategy to indirectly reduce GHG emissions through increasing production efficiencies. Using Scotland as a case study, average data from the Scottish Cattle Tracing System (CTS) was used to create two baseline beef production scenarios (one grazing and one housed system) and emission estimates were calculated using the Agrecalc carbon footprinting tool. The effects of adopting various PLF technologies on whole farm and product emissions were then modelled. Scenarios included adoption of automatic weigh platforms, accelerometer based sensors for oestrus detection (fertility sensors) and accelerometer-based sensors for early disease detection (health sensors). Model assumptions were based on validated technologies, direct experience from farms and expert opinion. Adoption of all three PLF technologies reduced total emissions (kgCO2e) and product emissions (kg CO2e/kg deadweight) in both the grazing and housed systems. In general, adoption of PLF technologies had a larger impact in the housed system than in the grazing system. For example, while health sensors reduced total emissions by 6.1% in the housed system, their impact was slightly lower in the grazing system at 4.4%. The largest reduction in total emissions was seen following the adoption of an automatic weight platform which reduced the age at slaughter by 3ā months in the grazing system (6.8%) and sensors for health monitoring in the housed system (6.1%). Health sensors also resulted in the largest reduction in product emissions for both the housed (12.0%) and grazing systems (10.5%). These findings suggest PLF could be an effective GHG mitigation strategy for beef systems in Scotland. Although this study utilised data from beef farms in Scotland, comparable emission reductions are likely attainable in other European countries with similar farming systems
The impacts of precision livestock farming tools on the greenhouse gas emissions of an average Scottish dairy farm
Precision livestock farming (PLF) tools are increasingly used in daily herd management to improve health, welfare, and overall production. While not intended to reduce greenhouse gas (GHG) emissions on farm, PLF tools can do so indirectly by improving overall efficiency, thereby reducing the emissions per unit of product. This work modelled the potential effects of commercially available PLF tools on whole enterprise and product emissions of two average Scottish dairy farm systems (an 8,000ā L and 10,000ā L herd) using the Agrecalc carbon foot printing tool. Scenarios modelled included an improvement infertility and an improvement in fertility and yield from the introduction of an accelerometer-based sensor, and an improvement in health from introduction of an accelerometer-based sensor, with and without the use of management interventions. Use of a sensor intended to improve fertility had the large streduction in total emissions (kg CO2e) of ā1.42% for a 10,000ā L farm, with management changes applied. The largest reduction in emissions from milk production (kg CO2e) of ā2.31% was observed via fertility technology application in an 8,000ā L farm, without management changes. The largest reduction in kg CO2e per kg fat and protein corrected milk of ā6.72% was observed from an improvement in fertility and yield in a 10,000ā L herd, with management changes. This study has highlighted the realistic opportunities available to dairy farmers in low and high input dairy systems to reduce their emissions through adoption of animal mounted PLF technologies
Pharmacist Empathy in Smoking Cessation Counseling
Cigarette smoking and nicotine addiction are prevalent in todayās society. Approximately 19% of American adults (43.8 million people) smoke cigarettes. Smoking is associated with health risks such as Chronic Obstructive Pulmonary Disease (COPD), infertility, low birth weight, respiratory symptoms, heart disease, and lung cancer and is responsible for roughly $96 billion in health care costs. Provider empathy has been proven effective in other treatments like cold and cancer; however, its effectiveness in smoking cessation has not yet been studied. Empathy is defined in two realms: cognitive and affective. In the cognitive domain, individuals have the ability to understand and view the world from anotherās perspective, and in the affective domain, they can connect to the experiences or feelings of others. The twofold objective of this study is (1) to validate a modified Kiersma-Chen Empathy Scale to measure patient perceptions of provider empathy and (2) to determine if patients who view their pharmacists as empathetic achieve a higher quit rate in smoking cessation. The original Kiersma-Chen Empathy Scale is a previously-validated measure of provider empathy. Patients who are utilizing smoking cessation clinical services and meet inclusion criteria and whose quit date was at least 6 months prior, will complete three surveys 6 months after their quit date. The surveys conducted will measure patient demographics, quit status, and the patientās perceptions of their pharmacistās empathy (modified KCES). The collected data will be analyzed via a psychometric test to show the validity of the modified empathy scale and via a Spearman correlation to demonstrate the association between provider empathy and smoking cessation rates. The results of this study will provide beneficial information about how pharmacistās can best assist their patients in smoking cessation, specifically regarding the empathy shown to the patient
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