Free Will\u27s Enormous Cost: Why Retribution, Grounded in Free Will, is an Invalid and Impractical Penal Goal

The lack of free will in human experience causes clear problems for criminal punishment. Free will is a central assumption of retribution; without the free choice to tear the moral fabric of society, one’s actions cannot warrant that she receives punishment. For its invalidity and cost, retribution should not be used as a penological goal in the creation of laws or sentencing. Utilitarian goals, aimed at the social good, should be used in retribution’s place

EUS-Guided Pancreatic Cyst Ablation: a Clinical and Technical Review

Purpose of Review Pancreatic cystic lesions represent a growing public health dilemma, particularly as our population ages and cross-sectional imaging becomes more sensitive. Mucinous cysts carry a clinically significant risk of developing pancreatic cancer, which carries an extremely poor prognosis. Determining which cysts will develop cancer may be challenging, and surgical resection of the pancreas carries significant morbidity. The goal of this paper is to review the rationale for cyst ablation and discuss prior and current research on cyst ablation techniques and efficacy. Indications, contraindications, and factors related to optimal patient selection are outlined. Recent Findings Endoscopic ultrasound-guided chemoablation of pancreatic cysts has been performed in neoplastic cysts, with varying levels of efficacy. Safety concerns arose due to the risk of pancreatitis in alcohol-based treatments; however, the most recent data using a non-alcohol chemoablation cocktail suggests that ablation is effective without the need for alcohol, resulting in a significantly more favorable adverse event profile. Summary Endoscopic ultrasound-guided chemoablation of neoplastic pancreatic cysts is a promising, minimally invasive approach for treatment of cysts, with recent significant advances in safety and efficacy, suggesting that it should play a role in the treatment algorithm

Monuments to water and air systems

The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file.Title from PDF of title page (University of Missouri--Columbia, viewed on November 19, 2009).Thesis advisor: Bede Clarke.Vita.M.F.A. University of Missouri--Columbia 2009.Water and air are essential to life. Clean water and air, as well as the systems that deliver them, are undeniable necessities and conveniences within our lives. Conceptually, my work focuses on water and air distribution systems (both real and imaginary) and the ingenuity and dedication needed to design and maintain them. By combining seemingly contradictory and disparate materials, such as fired ceramics, air filters, found industrial objects and steel pipes, I present a whimsical and often simplified representation of these systems. Using the visual language that is created through this process, I encourage viewers to embrace the glory of mechanization and contemplate the expressive human qualities of efficiency, agency and ingenuity that are captured in mechanical systems.Includes bibliographical references

Splenic Injury and ERCP: A Possible Risk for Patients with Advanced Chronic Pancreatitis

Splenic injury is a rare but potentially life-threatening complication of endoscopy, with very few cases of endoscopic retrograde cholangiopancreatography (ERCP)-induced injury reported in the literature. Here we report a patient with chronic alcoholic pancreatitis who was diagnosed with a sub-capsular splenic laceration nearly 6 days after an ERCP. Clinicians should be alerted to the potential post-procedure complications associated with ERCP, particularly as this procedure is being utilized more frequently for the management of patients with complex hepatobiliary and pancreatic conditions

Use of an Interactive Web-based Platform, Founded on Constructs from the Social Cognitive Theory, to Benefit Eating Competence

Since Web-based interventions have a significantly high rate of attrition ranging from 99.5% to 77.5%, the researcher employed an instrumental case study approach to understand compliance in a Web-portal. The specific issue for this study was attrition rates and how SCT constructs affected eating competence. Qualitative data provided ground zero insight to a complex issue that was further understood. To better understand the phenomenon, participants that registered for the 30-day study and the software developer were interviewed. All interviews (n=6) were transcribed and data from the transcriptions were transformed from dialogues, into categories, then themes, and finally into concepts. Five guidelines to keep attrition rates low was the outcome of the data analysis. Having a nation interested in the Internet and at the same time faced with an obesity epidemic seemed to be a good fit for researching a method to promote eating competence with interactive technology. Eating competence intertwines four components: (1) attitudes about eating and the enjoyment of food (2) accepting new food to add variety to your diet (3) being able to eat the right amount of food and (4) being able to manage food through proper planning, storing, preparing, and offering. With the above information extracted from the literature, it was determined, a serious enough problem existed to justify spending time, money and other resources to develop and implement an intervention. The theoretical framework supporting the development of the web portal is the social cognitive theory (SCT). In health promotion, the purpose of the SCT is to help people stay healthy through good self-management of health habits. This dissertation focused on four constructs: self-efficacy, behavioral capabilities, observational learning, and reinforcement to better understand how eating competence skills were enhanced and attrition rates lowered

Deterring Russia in the Gray Zone

The United States lacks a cohesive strategy to deter Russian aggression. Despite being militarily and economically inferior, Russia has undermined the United States and its allies by exploiting the “gray zone,” or the conceptual space between war and peace where nations compete to advance their national interests. In dealing with Russia, the United States must shift its strategic framework from a predominantly military-centric model to one that comprises a whole-of-government approach. The holistic approach must leverage a combination of diplomacy, information, military, and economic (DIME) measures. In this timely and prescient monograph, three active duty military officers and national security fellows from the Harvard Kennedy School look to address this contemporary and complex problem. Through extensive research and consultation with some of the nation’s and academia’s foremost experts, the authors offer policymakers a menu of strategic options to deter Russia in the gray zone and protect vital U.S. national security interests.https://press.armywarcollege.edu/monographs/1378/thumbnail.jp

Countdown to the Future

At the NASA Ames Research Center in California, the next generation of space biologists are working to understand the effects of long duration space flight on model organisms, and are developing ways to protect the health of future astronauts

Prosthetic Knee

Amputations, specifically lower limb amputations, are common in Sub Saharan Africa and across the broader global community largely due to infection and disease. Our project, The Prosthetic Knee Team, partners with the orthopedic workshop at the CURE International Hospital in Kijabe, Kenya to create a prosthetic knee design for a specific type of amputation known as a Knee Disarticulation (also called through-knee). Currently, the orthopedic workshop is only able to provide one very expensive prosthetic knee option for these patients, and they often elect to undergo a second surgery, a trans-femoral amputation, because the cost of the second surgery and trans-femoral prosthesis combined is less than the currently available through-knee prosthetic. The goal of our project is to provide the orthopedic workshop with a manufacturable prosthetic knee design that provides through-knee amputees with a cheaper prosthetic option and removes the need to have a second amputation above the knee. Throughout the past two semesters, our focus was on organizing collected data, researching knee-disarticulations, and communicating with our client to more fully understand the scope of our project. After determining that moving forward our project will be manufacturing the prosthetic knees at Messiah College’s machine shop and shipping them to CURE Kenya to be fit on patients, we began to brainstorm potential design ideas. We are presently working on modifying and improving our chosen design to best meet all of the specifications laid out by our partner. Those specifications include minimized thigh-lengthening, low weight, maximized stability and durability, and aesthetically pleasing.https://mosaic.messiah.edu/engr2020/1017/thumbnail.jp