200 research outputs found

    The Convergence of Discourse Analysis and Rhetorical Criticism in Luke 3-5

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    Among many recent methods within New Testament studies, two approaches, rhetorical criticism and discourse analysis, offer distinct interpretive methods. Both approaches are predicated on a close analysis of the Greek text, each one claiming to make a significant, even essential, contribution to elucidating the writer’s intended meaning. However, both approaches differ in orientation and may be perceived as offering differing interpretive outcomes, thereby encouraging the notion that they are theoretically and practically incongruent. Such a posture is assisted by the notion that these two approaches are exclusively focused upon isolated elements in communicative meaning, with discourse analysis grounded in text-linguistics, and rhetorical criticism directed toward persuasive intent through shared literary conventions. Few attempts have been made to appropriate select components of both methods to combine them for practical exegesis. Therefore, this project seeks to address these deficiencies by considering the extent to which discourse analysis and rhetorical criticism may converge in identifying textual meaning of select narratives of the New Testament. To assess the feasibility of such congruence, this project explores mutual relationships in a portion of New Testament Greek texts—a continuous passage in Luke’s Gospel. Chapter I investigates general approaches within each method and presents shared communicative features that may display congruence. Chapter II expands upon the relevance of systemic functional linguistics as an approach within discourse analysis while Chapter III provides specific details related to rhetorical criticism, involving classical rhetoric as found in Aelius Theon’s Progymnasmata. Chapters IV and V offers practical exegesis of twelve consecutive scenes within Luke’s Gospel to determine to what extent congruence of discourse analysis and rhetorical criticism may be possible. Finally, Chapter VI compares the results of this exegesis alongside three representative commentaries, elucidating potential and practical outcomes of this project for New Testament Gospel studies

    The Development and Validation of the Adolescent Sport Drug Inventory (ASDI) among Athletes from Four Continents

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    A significant barrier to understanding the psychosocial antecedents of doping use among adolescent athletes is the lack of valid measures. In order to address this issue, the first aim of this paper was to develop and validate the Adolescent Sport Drug Inventory (ASDI) among adolescent athletes from Asia, Europe, North America, and Oceania. The second aim was to assess the construct validity of the ASDI. As such, this paper is divided into two parts. Part 1 relates to the development of the ASDI and contains two studies: item development (Study 1) and factorial validity (Study 2). Part 2 contains information on how the psychosocial variables measured in the ASDI are associated with situational temptation, and honesty (Study 3), maturation (Study 4), stress and coping (Study 5), and coaching (Study 6). In devising the ASDI, 19 different models were examined, which culminated in a 9-factor, 43-item ASDI. Coping, mastery-approach goals, and cognitive-social maturity were associated with doping attitudes. Caring motivational climates, strong coach-athlete relationships, and positive coach behaviors were associated with athletes being less susceptible toward doping, which provides construct validity for the ASDI. The ASDI is a valid tool to assess the psychosocial factors associated with doping among adolescent athletes. This questionnaire can be used to identify athletes who are the most at risk of doping, assess how the psychosocial factors associated with doping change over time, and to monitor the impact of antidoping interventions for adolescent athletes

    Clinical outcomes in high-hypoglycaemia-risk patients with type 2 diabetes switching to insulin glargine 300 U/mL versus a first-generation basal insulin analogue in the United States: Results from the DELIVER High Risk real-world study

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    Aims: To compare 12-month clinical effectiveness of insulin glargine 300 units/mL (Gla-300) versus first-generation basal insulin analogues (BIAs) (insulin glargine 100 units/mL [Gla-100] or insulin detemir [IDet]) in patients with type 2 diabetes (T2D) who were at high risk of hypoglycaemia and switched from one BIA to a different one (Gla-300 or Gla-100/IDet) in a real-world setting. // Methods: DELIVER High Risk was a retrospective observational cohort study of 2550 patients with T2D who switched BIA to Gla-300 (Gla-300 switchers) and were propensity score-matched (1:1) to patients who switched to Gla-100 or IDet (Gla-100/IDet switchers). Outcomes were change in glycated haemoglobin A1c (HbA1c), attainment of HbA1c goals (<7% and <8%), and incidence and event rates of hypoglycaemia (all-hypoglycaemia and hypoglycaemia associated with an inpatient/emergency department [ED] contact). // Results: HbA1c reductions were similar following switching to Gla-300 or Gla-100/IDet (−0.51% vs. −0.53%; p = .67), and patients showed similar attainment of HbA1c goals. Patients in both cohorts had comparable all-hypoglycaemia incidence and event rates. However, the Gla-300 switcher cohort had a significantly lower risk of inpatient/ED-associated hypoglycaemia (adjusted odds ratio: 0.73, 95% confidence interval: 0.60–0.89; p = .002) and experienced significantly fewer inpatient/ED-associated hypoglycaemic events (0.21 vs. 0.33 events per patient per year; p < .001). // Conclusion: In patients with T2D at high risk of hypoglycaemia, switching to Gla-300 or Gla-100/IDet achieved similar HbA1c reductions and glycaemic goal attainment, but Gla-300 switchers had a significantly lower risk of hypoglycaemia associated with an inpatient/ED contact during 12 months after switching

    An Intensive Observation of Calving at Helheim Glacier, East Greenland

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    Calving of glacial ice into the ocean from the Greenland Ice Sheet is an important component of global sea level rise. The calving process itself is relatively poorly observed, understood, and modeled; as such, it represents a bottleneck in improving future global sea level estimates in climate models. We organized a pilot project to observe the calving process at Helheim Glacier in East Greenland in an effort to better understand it. During an intensive one-week survey, we deployed a suite of instrumentation including a terrestrial radar interferometer, GPS receivers, seismometers, tsunameters, and an automated weather station. This effort captured a calving process and measured various glaciological, oceanographic, and atmospheric parameters before, during, and after the event. One outcome of our observations is evidence that the calving process actually consists of a number of discrete events, spread out over time, in this instance over at least two days. This time span has implications for models of the process. Realistic projections of future global sea level will depend on accurate parametrization of calving, which will require more sustained observations

    Antecedent hypertension and heart failure after myocardial infarction

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    AbstractObjectivesWe sought to assess the relationship of antecedent hypertension to neurohormones, ventricular remodeling and clinical heart failure (HF) after myocardial infarction (MI).BackgroundHeart failure is a probable contributor to the increased mortality observed after MI in those with antecedent hypertension. Hence, neurohormonal activation, adverse ventricular remodeling and a higher incidence of clinical HF may be expected in this group. However, no previous report has documented serial postinfarction neurohumoral status, serial left ventricular imaging and clinical outcomes over prolonged follow-up in a broad spectrum of patients with and without antecedent hypertension.MethodsInpatient events were documented in 1,093 consecutive patients (436 hypertensive and 657 normotensive) with acute MI. In 68% (282 hypertensive, 465 normotensive) serial neurohormonal sampling and radionuclide ventriculography were performed one to four days and three to five months after infarction. Clinical outcomes were recorded over a mean follow-up of two years.ResultsPlasma neurohormones were significantly higher in hypertensives than in normotensives one to four days and three to five months after infarction. From similar initial values, left ventricular volumes increased significantly in hypertensives, compared with normotensives. Left ventricular ejection fraction rose significantly in normotensive but not hypertensive patients. Together with higher inpatient (8.1% vs. 4.4%, p < 0.002) and post-discharge mortality (9.5% vs. 5.5%, p = 0.043), hypertensive patients incurred more inpatient HF (33% vs. 24%, p < 0.001) and more late HF requiring readmission to hospital (12.4% vs. 5.5%, p < 0.001). Antecedent hypertension predicted late HF in patients >64 years of age with neurohormonal activation and early left ventricular dilation.ConclusionsAntecedent hypertension interacts with age, neurohumoral activation and early ventricular remodeling to confer greater risk of HF after MI
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