Palestrina and the German romantic imagination Interpreting historicism in nineteenth-century music

SIGLEAvailable from British Library Document Supply Centre-DSC:DX203478 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

The effects of mean sea level rise and strengthened winds on extreme sea levels in the Baltic Sea

ABSTRACT: Mean sea level rise and climatological wind speed changes occur as part of the ongoing climate change and future projections of both variables are still highly uncertain. Here the Baltic Sea's response in extreme sea levels to perturbations in mean sea level and wind speeds is investigated in a series of simulations with a newly developed storm surge model based on the nucleus for European modeling of the ocean (NEMO)-Nordic. A simple linear model with only two tunable parameters is found to capture the changes in the return levels extremely well. The response to mean sea level rise is linear and nearly spatially uniform, meaning that a mean sea level rise of 1 m increases the return levels by a equal amount everywhere. The response to wind speed perturbations is more complicated and return levels are found to increase more where they are already high. This behaviour is alarming as it suggests that already flooding prone regions like the Gulf of Finland will be disproportionally adversely affected in a future windier climate. Keywords: Extreme sea levels, Sea level rise, Wind speeds, Baltic Se

Hysterectomy improves quality of life and decreases psychiatric symptoms: a prospective and randomized comparison of total versus subtotal hysterectomy

Objective To conduct a prospective and concurrent evaluation of changes in health status and quality of life and psychological outcome measures over one year in women randomised to total or subtotal abdominal hysterectomy. The concurrent evaluation was the impact of total versus subtotal hysterectomy on bladder, bowel and sexual function. Design Prospective, randomised, double-blind study. Setting A large UK Teaching Hospital (St George's Hospital, London) and a large District General Hospital (Mayday University Hospital, Croydon). Methods Sample Two hundred and seventy-nine women undergoing hysterectomy for benign disease were randomly allocated to total hysterectomy (n= 146) or subtotal hysterectomy (n= 133). Main outcome measures Quality of life assessment using the Short-Form-36 health survey (SF-36) and psychological outcome measures using the General Health Questionnaire-28 (GHQ-28) before the operation and 6 and 12 months after. Results Quality of life and psychological symptoms were similar in the two groups at baseline. Following surgery, quality of life improved in six of the eight domains, with no significant difference between the groups, with the exception of emotions which showed a greater improvement in subtotal hysterectomy women between baseline and 12 months. When this difference was examined further by looking at change in the GHQ subscales, there were no significant differences between total and subtotal hysterectomy women in the amount of change in anxiety, depression, somatic symptoms or social dysfunction, between baseline and post-operative measurements. All women showed an improvement in psychological symptoms following both operations. Conclusion Hysterectomy, whether total or subtotal, may improve quality of life and psychological outcome