5 research outputs found

    Sylvia Beach and women's scholarly communities under occupation : the diary of Madeleine Blaess

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    In 1939 Madeleine Blaess, a languages graduate, left her home in England for Paris to begin doctoral research at the Sorbonne. Unable to escape Paris before the German invasion in spring 1940, she was trapped in France for the duration of the war. The letters she wrote to her parents during the Phoney War, and the diary she began in October 1940 and continued until after the Liberation, are a fascinating account of her life as a postgraduate scholar in wartime. Through these written traces we glimpse women-run social and intellectual communities and businesses to which many women students turned for scholarly and moral support and, occasionally, practical and financial succour. This article draws on Madeleine’s letters and diary to describe and evaluate the importance of these extra-curricular networks in supporting women students during wartime with a particular focus on the bookshop and library Shakespeare and Company, run by Sylvia Beach

    Peritoneal dialysis prescription in children: bedside principles for optimal practice

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    There is no unique optimal peritoneal dialysis prescription for all children, although the goals of ultrafiltration and blood purification are universal. In turn, a better understanding of the physiology of the peritoneal membrane, as a dynamic dialysis membrane with an exchange surface area recruitment capacity and unique permeability characteristics, results in the transition from an empirical prescription process based on clinical experience alone to the potential for a personalized prescription with individually adapted fill volumes and dwell times. In all cases, the prescribed exchange fill volume should be scaled for body surface area (ml/m2), and volume enhancement should be conducted based on clinical tolerance and intraperitoneal pressure measurements (IPP; cmH2O). The exchange dwell times should be determined individually and adapted to the needs of the patient, with particular attention to phosphate clearance and ultrafiltration capacity. The evolution of residual kidney function and the availability of new, more physiologic, peritoneal dialysis fluids (PDFs) also influence the prescription process. An understanding of all of these principles is integral to the provision of clinically optimal PD
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