Using the Tools We Have: An Integrated Approach to Protect the Sea of Okhotsk

This article discusses the environmental impacts of oil and gas exploration on the Sea of Okhotsk and proposes a multi-faceted approach to protecting and preserving this large marine ecosystem. The article begins with an overview of the Sea of Okhotsk and Sakhalin Island and one of its most endangered residents, the Western North Pacific gray whale. The article goes on to discuss the oil and gas industry in Russia, describing the effects of oil and gas exploration and production on marine ecosystems. The author then suggests that the other proposed approaches to protecting the marine environment or lessening the environmental impacts of oil and gas production in the area, do not adequately address the immediate threat faced by this ecosystem. Against this background, the author discusses her proposal for protecting the Sea of Okhotsk using existing legal mechanisms. Finally, the article concludes with evidence supporting the author\u27s proposal in both Russian domestic law and international law

Recent Decisions

Comments on recent decisions by John A. Vuono, Robert D. LeMense, Louis G. Basso, Harry D. Snyder, Jr., Wilbur L. Pollard, and Paul R. Jackiwicz

Fiducial marker placement with electromagnetic navigation bronchoscopy: a subgroup analysis of the prospective, multicenter NAVIGATE study

Fiducial markers (FMs) help direct stereotactic body radiation therapy (SBRT) and localization for surgical resection in lung cancer management. We report the safety, accuracy, and practice patterns of FM placement utilizing electromagnetic navigation bronchoscopy (ENB). Methods: NAVIGATE is a global, prospective, multicenter, observational cohort study of ENB using the superDimension™ navigation system. This prospectively collected subgroup analysis presents the patient demographics, procedural characteristics, and 1-month outcomes in patients undergoing ENB-guided FM placement. Follow up through 24 months is ongoing. Results: Two-hundred fifty-eight patients from 21 centers in the United States were included. General anesthesia was used in 68.2%. Lesion location was confirmed by radial endobronchial ultrasound in 34.5% of procedures. The median ENB procedure time was 31.0 min. Concurrent lung lesion biopsy was conducted in 82.6% (213/258) of patients. A mean of 2.2 ± 1.7 FMs (median 1.0 FMs) were placed per patient and 99.2% were accurately positioned based on subjective operator assessment. Follow-up imaging showed that 94.1% (239/254) of markers remained in place. The procedure-related pneumothorax rate was 5.4% (14/258) overall and 3.1% (8/258) grade ⩾ 2 based on the Common Terminology Criteria for Adverse Events scale. The procedure-related grade ⩾ 4 respiratory failure rate was 1.6% (4/258). There were no bronchopulmonary hemorrhages. Conclusion: ENB is an accurate and versatile tool to place FMs for SBRT and localization for surgical resection with low complication rates. The ability to perform a biopsy safely in the same procedure can also increase efficiency. The impact of practice pattern variations on therapeutic effectiveness requires further study

"Psssst, hé... hé... Mademoiselle." Les diverses attitudes des femmes face au harcèlement de rue.

Se faire interpeller, insulter ou aborder constamment dans la rue est parfois quotidien pour certaines femmes. Cela peut engendrer des conséquences sur leur vie et toutes réagissent différemment face à ce phénomène. Le harcèlement de rue est monnaie courante de nos jours et est devenu pour de nombreuses victimes, une chose banale à laquelle il faut essayer de s’adapter. C’est pour cette raison que les femmes adoptent diverses attitudes comme une attitude « d’indifférence », « défensive » face à ces comportements ou encore une attitude « d’évitement » ou « auto-protectrice » afin de tout simplement limiter au maximum les risques d’être confrontées à cette problématique. La manière grossière d’aborder les femmes et la récurrence de ces faits posent un réel problème. La prévention et la conscientisation de la population, en particulier des hommes, ressortent comme étant des moyens intéressants afin de lutter contre le harcèlement de rue.Master [120] en criminologie, Université catholique de Louvain, 2017La diffusion de ce mémoire n'est pas autorisée par l'institutio