Take the Time to Walk

In lieu of an abstract, below is the essay\u27s first paragraph. The busyness of life distracts me from the One I long to be with. Sometimes life just takes over, and I get busy writing this paper and reading that chapter, prioritizing what’s due first. Then I remember that God is always first and I stop to revaluate my priorities. I take the time to refocus and be with my Creator. The best times I have with God are when I’m taking a walk outside

Surviving the Death of God: Existentialism, God, and Man at Post-WWII Yale

“This is our world to build, adorn, or destroy, not God\u27s or anyone else\u27s.” These were the words of Hugh McClean, a Yale student both before and after the Second World War. When the war ended, McClean and thousands of his peers returned from duty in Europe and the Pacific to complete their education at colleges across the United States. They saw the world differently than they had before; they certainly viewed the world differently than their parents and grandparents. They had heard leaders of the world’s warring nations invoke destiny to validate their warfare. Some of these teenagers had even been behind the unprecedented killing machines that decided whose destiny would prevail. And now with the invention of the atom bomb, new questions about the future emerged, as humankind found itself on the brink of annihilation. Even if the fate of the American cause proved true in WWII, uneasiness came with the onset of the Cold War. The middle of the twentieth century was a time for questions. Where was God through it all? Could Nietzsche have been correct? And, if so, could man survive the Death of God? Many of the boys who had liberated Europe returned to the States asking these kinds of questions. “The war was a catastrophic event,” one of McClean’s classmates recounted. “When you have catastrophic events, people think about whether the philosophies they had heretofore believed were true. It seemed to be unending because of the contest of beliefs between American and Russian ideas. And God Is Dead was a part of that.”2 Even as they coped with the wartime deaths of friends and rejected the beliefs of their parents, most American youths nevertheless remained optimistic about their future. For those who had survived the war, there was beautiful opportunity in being able to question beliefs and seek novel solutions to contemporary problems. It was their world to build, adorn, or destroy

Junior Recital: Peter Lalka, Piano

Kemp Recital Hall Saturday Evening April 20, 1996 4:30p.m

Nutrition in children from 1 to 7 years of age: challenges and legislation

Healthy nutrition is important for the growth, health and development of children. The national policy regarding the healthy nutrition of young children and preschool children is implemented by two ordinances of the Ministry of Health: Ordinance № 2 of 7 March, 2013 on healthy nutrition of children aged 0 to 3 years in kindergartens and children's kitchens, which regulates the requirements for healthy nutrition of children aged 0 to 3 years, organized on the territory of children's institutions and children's kitchens and Ordinance № 6 of 10 August 2011 on healthy nutrition of children aged 3 up to 7 years in children's institutions, regulates the requirements for healthy nutrition of children aged 3 to 7 years, organized on the territory of municipal, state and private children's institutions. The basis of these two ordinances are the requirements for energy and nutrient intake or the norms for the specific age groups of children, which best characterize the nutrition and allow for optimal growth and development of children. The results from the annual monitoring of the nutrition of children aged 1 to 3 and  3 to 7 years is used for the purposes of the national food policy, as a key strategy in increasing the well-being of children in Bulgaria

Ampicillin Vs. Penicillin for In Utero Therapy

The pharmacokinetics of penicillin G and ampicillin are reviewed as they pertain to their potential use in in vitro therapy

Impact of risk factors on growth of children from families with atopy

Nutritional and non-nutritional factors might interfere with growth of children with atopy in the first years of life and complicate even further weight gain and development. The purpose of our study is to evaluate the impact of nutrition and several environmental factors on the growth of children from families with atopy in early childhood. During the period 2017–2020, a prospective cohort study, which included 120 children 13–31 months of age (24.0±3.9 months) with family medical history for allergy was conducted in Varna, Bulgaria. The sample was followed for around 2 years. Sociodemographic data, family and personal history for smoking, pet presence, atopy and common acute infections was collected at regular intervals. Anthropometric measurements were taken at birth, 2, 4, 6 month, 1 year and 2 years. The conducted study found that factors from the living environment and nutritional nature are related to the processes of growth and development in children from families with allergy. The presence of diseases such as atopic dermatitis, acute infections of the digestive and excretory system, hospitalizations in connection with urinary infections, smoking have relation to the growth and development of children with a family history of atopy. The data resulting from our study may serve as a basis for further research so the mechanisms of atopy to be investigated better and potential preventive measures during pregnancy and early childhood to be specified. The impact of risk factors on children‘s growth during the first 1000 days could be modified by targeted behavioral interventions of the whole family

An Evaluation of the Effectiveness of a Medical School Musculoskeletal Curriculum at an Academic Medical Center

Background: Musculoskeletal disorders are common medical problems encountered by physicians and affected 126.6 million Americans in 2012. Musculoskeletal education has inadequate in United States medical schools. Objective: To determine the musculoskeletal competency of third year medical students. Methods: A cross-sectional 25-question nationally validated musculoskeletal competency exam was given to the third year medical students. A survey was given to second and third year medical students to assess students’ level of interest in musculoskeletal medicine and their feedback regarding the curriculum. Results: The mean score of the competency exam was 69.0%. There was 48/107 (44.9%) students’ who reached the minimum passing score of 70%. Free-response feedback from both classes featured themes of more hands-on learning, a longer clinical block, and more small-group learning sessions. Conclusions: Third year medical students scored relatively well on the exam. Student feedback suggests the 2-week musculoskeletal block is useful and relevant to their future careers

The value of acetazolamide single photon emission computed tomography scans in the preoperative evaluation of asymptomatic critical carotid stenosis

AbstractPurpose: Acetazolamide (ACZ)-enhanced single photon emission computed tomography (SPECT) scans can assess both cerebral perfusion and vascular reactivity. Patients with asymptomatic critical carotid artery stenosis were evaluated for cerebral vascular reactivity to determine the effect of extracranial occlusive disease and the effect of carotid endarterectomy (CEA) on intracerebral reactivity. Methods: In 44 patients with asymptomatic critical carotid artery stenosis, cerebral perfusion and vascular reactivity were assessed before CEA with resting and ACZ-enhanced SPECT scans. All patients had a 70% or greater ipsilateral internal carotid artery stenosis. Preoperative ACZ-enhanced SPECT scans were obtained, usually 5 days before CEA. Postoperative ACZ-enhanced SPECT scans were obtained in 30 patients. Results: Preoperative SPECT scans were asymmetric, revealing focal (n = 19) or global (n = 15) decreased reactivity in 34 patients (77%). Ten patients had symmetric or normal reactivity. After CEA, 23 patients demonstrated an improvement in reactivity ipsilateral to the side of surgery. The remaining seven patients failed to improve after surgery. Conclusion: Although all patients had a high-grade internal carotid stenosis, nearly a quarter of the patients had excellent intracerebral collateral flow. Only 71% of patients demonstrated improved intracerebral vasoreactivity after CEA. The lack of improvement in the other patients may have resulted from intracerebral pathology or lack of improvement in the extracranial carotid hemodynamics. (J Vasc Surg 1999;30:599-605.