The Ultimate Poker Face: A Case Report of Facial Diplegia, a Guillain-Barré Variant

Introduction: Facial diplegia, a rare variant of Guillain-Barré syndrome (GBS), is a challenging diagnosis to make in the emergency department due to its resemblance to neurologic Lyme disease.Case report: We present a case of a 27-year-old previously healthy man who presented with bilateral facial paralysis.Discussion: Despite the variance in presentation, the recommended standard of practice for diagnostics (cerebrospinal fluid albumin-cytological dissociation) and disposition (admission for observation, intravenous immunoglobulin, and serial negative inspiratory force) of facial diplegia are the same as for other presentations of GBS.Conclusion: When presented with bilateral facial palsy emergency providers should consider autoimmune, infectious, idiopathic, metabolic, neoplastic, neurologic, and traumatic etiologies in addition to the much more common neurologic Lyme disease

Pretrial Detention and the Eighth and Fourteenth Amendments

It is in the intent of the writer of this paper to examine the conditions endured by indigent defendants through their pretrial detention in Cuyahoga County Jail with respect to the Constitutional prohibitions of cruel and unusual punishment and a denial of equal protection of the laws. Cuyahoga County is better known as Cleveland, Ohio. Expediency requires that the important concept of the rights of indigent inmates as they relate to civil rights statutes, and particularly Title 42 U.S.C. Section 1983, not be considered here. It may be hoped, however, that the propositions and legal considerations put forth in this paper will lead logically to an in-depth consideration of this area as well as in some future article

Pretrial Detention and the Eighth and Fourteenth Amendments

It is in the intent of the writer of this paper to examine the conditions endured by indigent defendants through their pretrial detention in Cuyahoga County Jail with respect to the Constitutional prohibitions of cruel and unusual punishment and a denial of equal protection of the laws. Cuyahoga County is better known as Cleveland, Ohio. Expediency requires that the important concept of the rights of indigent inmates as they relate to civil rights statutes, and particularly Title 42 U.S.C. Section 1983, not be considered here. It may be hoped, however, that the propositions and legal considerations put forth in this paper will lead logically to an in-depth consideration of this area as well as in some future article

Civil Rights—Homosexual Teacher Dismissal: A Deviant Decision—Gaylord v. Tacoma School District No. 10, 88 Wn. 2d 286, 559 P.2d 1340, cert. denied, 98 S. Ct. 234 (1977)

The facts culminating in James Gaylord\u27s dismissal were undisputed. Gaylord had been a highly regarded public high school teacher for nearly twelve years when a student sought his counsel on several topics, including homosexuality. During their conversation the student formed the belief, not predicated upon any admission by Gaylord, that the teacher was homosexual. A year later he reported this belief to the vice-principal, who elicited Gaylord\u27s confirmation of its accuracy. The school board promptly dismissed Gaylord on the ground of immorality, \u27 because he had become a publicly known homosexual. There was no criticism of Gaylord\u27s conduct toward any student or of his academic proficiency. No specific sexual conduct was alleged, nor had students, colleagues, or administrators been aware of his sexual orientation prior to his dismissal. Nevertheless, in Gaylord v. Tacoma School District No. 10, a divided Washington Supreme Court held that public knowledge of his homosexuality impaired his academic efficiency and thus constituted sufficient cause for discharge under state law

Nadzab (1943): the first successful airborne operation

The U.S. Army in 1940 was in the early stages of developing an airborne capability to exploit the vertical envelopment concept. That concept became reality in 1942 with the first airborne operation in North Africa. Although the first parachute drop contributed virtually nothing to the overall success of the mission, it was the beginning of an important capability. In 1943, the War Department authorized five airborne divisions despite a lack of experience and doctrine to direct the new organizational structure. The airborne initiative expanded much more quickly than did the doctrine, training, or employment principles. The first attempts of conducting large-scale airborne operations in combat during the Sicilian Campaign that year proved to be disastrous. Because of these failures, the airborne division, as well as the vertical envelopment concept itself, were in jeopardy. Army Chief of Staff George C. Marshall appointed a special board to investigate the causes of the disasters and make recommendations as to the soundness of the airborne division. While the board was meeting, half-way around the world in the South West Pacific Area, a successful airborne operation occurred when the 503d Parachute Infantry Regiment executed a drop at the Nadzab Emergency Landing Strip that allowed the capture of the essential port of Lae, New Guinea. This operation had a broader impact than just the tactical objectives that it achieved. This was the first unqualified successful American airborne operation of World War II and it allowed the airborne advocates to make a case for the soundness of the vertical envelopment concept, as well as that of the airborne division. Had it not been for this parachute drop, the U.S. Army might have abandoned the whole initiative just when it was planning to employ two airborne divisions during Operation NEPTUNE, the airborne portion of Operation OVERLORD

Christian Romanticism: T. S. Eliot's response to Percy Bysshe Shelley

This thesis presents a reading of T. S. Eliot's response to the work of Percy Bysshe Shelley, focusing on Eliot's Christian faith and the role it played in this response. Chapter One shows how Shelley was a great influence on Eliot's early work and how, after his Christian conversion, Eliot repudiated his influence. The chapter will show how previous readings of Eliot's relations with Romanticism have tended to centre on a Bloomian poetic 'anxiety of influence'. 1 will then offer my religious reading of Eliot's thought, and show how the period of initial repudiation gives way to a rapprochement with past poetic influences, as Eliot eventually accommodates past influences into his Christian scheme. Chapter Two examines the ways in which Shelley and Eliot address the issue of self-consciousness and our inherent sense of isolation. Chapter Three looks at the treatment of human love m the work of both poets. In both cases, Shelley desires, unsuccessfully, some release from selfhood, either in social communion or with an ideal lover. It is only with the adoption of a divine perspective that human relations can be set in context - something that Eliot came to realise in his later work. Chapter Four looks at the way the two poets reacted to the work of Dante, stressing that Eliot's Christian faith enabled him to relate to Dante's work in a way that Shelley, although appropriating Dantean motifs in his own work, could never fully attain. Chapter Five looks at the way both Eliot and Shelley address the fundamental shortcomings of language, showing how Eliot, in the years after his conversion, could be reconciled to linguistic shortfall because he could relate it to a higher, divine reality. Shelley, like Eliot in his early years, was vexed by this problem because he did not have the faith that offered a transcendent view of it. A concluding section draws together these chapters and sums up my reading of Eliot’s faith, and the extent to which it affected his response to the work of Shelley

The trade and production of Garum and its role in the provincial economy of Hispania Tarraconensis

Fish has formed an important component of mans' diet since the Neolithic and considerable emphasis was placed upon the acquis¬ ition of fresh fish by the Roman aristocracy. However the increased demands created by the establishment of urbanism in the Phoenician colonies of S. Spain in the Eighth Century BC necessitated the adoption of preservative methods, namely the use of salt.Salted fish and fish sauces seem to have been a ubiquituous feature of the ancient diet being traded by the Phoenicians but becoming particularly important following the Greek penetration of the Peninsula in the Sixth Century BC. Production centred in Andalucia and seems to have survived the Roman conquest.Increased investment by Italian aristocrats led to the creation of Romanised villae in Cataluna which by the mid First Century BC engaged in the production of wine. By the Augustan period, however, Tarraconensian exports increased with the openning up of the annona militaris and the city of Rome. Although wine was the principal recipient, fish sauce seems to have been carried as a secondary commodity.The interrelationship between fish sauce and other produce is seen also in its inclusion within the villa economy. Production seems to have occurred on a sufficient scale to be termed 'industrial' and to judge by the names of producers and merchants attested on amphorae attracted considerable wealth, many of those involved also producing wine.The breakdown of the relationship between town and country and the gradual movement of wealth away from the region meant that the province's commercial interests contracted and although the production of fish sauce continued until the Seventh Century AD it served only to satisfy local demand