30 research outputs found

    Spatial Inquiry

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    We have always found it difficult to practice architecture in the way it was handed down to us by the professional guild and still experience and create architecture the way we found it to be meaningful. It seems to us that space and structure created for no further reason than to be perceived and experienced is a wonderful pursuit which has little commercial use in this cultural economy

    Prescribing non-opioid drugs in end-stage kidney disease

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    Palliative care services are increasingly involved in the care of patients with chronic kidney disease, either alone or as a comorbid condition. Because renal impairment often changes the pharmacokinetic and/or pharmacodynamic effects of a drug, this presents a challenge for prescribers. This article provides guidance for prescribing non-opioid drugs commonly used for palliative care symptom relief in patients with end-stage kidney disease (ESKD; i.e. Chronic Kidney Disease Stage 5, eGFR <15mL/min/1.73m²) whether or not they are receiving dialysis. Opioids are not included, nor symptom relief in the last hours–days of life, because specific guidance is available elsewhere. Tables have been produced to highlight, when possible, the most, intermediate and least ‘renally safe’ drugs for chronic use. However, sometimes the cautious use of a familiar drug may be preferable to an unfamiliar (albeit ‘renally safer’) one. Similarly, we do not advocate the automatic switching of patients to a ‘renally safer’ drug when an alternative is proving satisfactory. Finally, this article aims to complement and not replace specialist renal unit guidance

    Androgen ablation mitigates tolerance to a prostate/prostate cancer-restricted antigen

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    SummaryTo understand the T cell response to prostate cancer, we created transgenic mice that express a model antigen in a prostate-restricted pattern and crossed these animals to TRAMP mice that develop spontaneous prostate cancer. Adoptive transfer of prostate-specific CD4 T cells shows that, in the absence of prostate cancer, the prostate gland is mostly ignored. Tumorigenesis allows T cell recognition of the prostate gland—but this recognition is tolerogenic, resulting in abortive proliferation and ultimately in hyporesponsiveness at the systemic level. Androgen ablation (the most common treatment for metastatic prostate cancer) was able to mitigate this tolerance—allowing prostate-specific T cells to expand and develop effector function after vaccination. These results suggest that immunotherapy for prostate cancer may be most efficacious when administered after androgen ablation

    The life and keyboard works of (Franz) Xaver Scharwenka (1850–1924).

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    (Franz) Xaver Scharwenka (1850–1924) was a highly acclaimed performer, teacher, editor, and composer of international fame during the late Romantic period. Overshadowed by the innovative styles of a number of contemporaneous composers including Ravel, Debussy, and Scriabin, Scharwenka\u27s works gradually disappeared from the teaching studio and the concert hall. Regrettably, his compositions, although critically acclaimed in his lifetime, are now for the most part out of print and rarely performed. This study explores Scharwenka\u27s works as a significant addition to the repertory of the late Romantic literature for study and performance. This research project, the result of a lengthy investigation of the piano works of Xaver Scharwenka, presents a biographical account of Scharwenka\u27s life and an examination of his repertory by genre including the Polish Dances, sonatas, concerti, and selected character pieces. A complete list of works, a discography, and a bibliography are found at the end of the document
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