Present Request for an Adequate Program of Church Work Among the Youth, with Special Emphasis upon the Returning Service Personnel

We do not propose to give a complete outline, detailed in every respect, or what is to be done. The situation differs with every individual and community, not to say race and age. The purpose of this paper is to set forth the facts as seen in life, that we may all study them in their true light and consider them for what they are. There is nothing new and startling presented here, but the facts which have appeared time and time again do appear here

Comparative Analysis of the Impact of Additively Manufactured Polymer Tools on the Fiber Configuration of Injection Molded Long-Fiber-Reinforced Thermoplastics

Additive tooling (AT) utilizes the advantages of rapid tooling development while minimizing geometrical limitations of conventional tool manufacturing such as complex design of cooling channels. This investigation presents a comparative experimental analysis of long-fiber-reinforced thermoplastic parts (LFTs), which are produced through additively manufactured injection molding polymer tools. After giving a review on the state of the art of AT and LFTs, additive manufacturing (AM) plastic tools are compared to conventionally manufactured steel and aluminum tools toward their qualification for spare part and small series production as well as functional validation. The assessment of the polymer tools focuses on three quality criteria concerning the LFT parts: geometrical accuracy, mechanical properties, and fiber configuration. The analysis of the fiber configuration includes fiber length, fiber concentration, and fiber orientation. The results show that polymer tools are fully capable of manufacturing LFTs with a cycle number within hundreds before showing critical signs of deterioration or tool failure. The produced LFTs moldings provide sufficient quality in geometrical accuracy, mechanical properties, and fiber configuration. Further, specific anomalies of the fiber configuration can be detected for all tool types, which include the occurrence of characteristic zones dependent on the nominal fiber content and melt flow distance. Conclusions toward the improvement of additively manufactured polymer tool life cycles are drawn based on the detected deteriorations and failure modes

Genotype-Phenotype Analysis in Congenital Adrenal Hyperplasia due to P450 Oxidoreductase Deficiency

Context: P450 oxidoreductase deficiency (PORD) is a unique congenital adrenal hyperplasia variant that manifests with glucocorticoid deficiency, disordered sex development (DSD), and skeletal malformations. No comprehensive data on genotype-phenotype correlations in Caucasian patients are available. Objective: The objective of the study was to establish genotype-phenotype correlations in a large PORD cohort. Design: The design of the study was the clinical, biochemical, and genetic assessment including multiplex ligation-dependent probe amplification (MLPA) in 30 PORD patients from 11 countries. Results: We identified 23 P450 oxidoreductase (POR) mutations (14 novel) including an exonic deletion and a partial duplication detected by MLPA. Only 22% of unrelated patients carried homozygous POR mutations. p.A287P was the most common mutation (43% of unrelated alleles); no other hot spot was identified. Urinary steroid profiling showed characteristic PORD metabolomes with variable impairment of 17α-hydroxylase and 21-hydroxylase. Short cosyntropin testing revealed adrenal insufficiency in 89%. DSD was present in 15 of 18 46,XX and seven of 12 46,XY individuals. Homozygosity for p.A287P was invariably associated with 46,XX DSD but normal genitalia in 46,XY individuals. The majority of patients with mild to moderate skeletal malformations, assessed by a novel scoring system, were compound heterozygous for missense mutations, whereas nearly all patients with severe malformations carried a major loss-of-function defect on one of the affected alleles. Conclusions: We report clinical, biochemical, and genetic findings in a large PORD cohort and show that MLPA is a useful addition to POR mutation analysis. Homozygosity for the most frequent mutation in Caucasians, p.A287P, allows for prediction of genital phenotype and moderate malformations. Adrenal insufficiency is frequent, easily overlooked, but readily detected by cosyntropin testing