bluuebunny/crossref_metadata_2025 huggingface dataset:
A Method of Cleft Earlobe Repair with an Intact Inferior Margin
Authors: Herron Joel Bain , Patterson Cynthia , Bisaccia Emil , Scarborough Dwight A.
Published: June 2017

Introduction:

Body art has become an increasingly popular and mainstream trend. Often, patients who chose to modify their bodies at an early age discover later that their ideas and perceptions have changed. Piercing of the earlobe is a common practive that can develop into a partial or complete tear of the earlobe. A challenge presented to cosmetic surgeons is to repair or revise a body modification and to restore a cosmetically acceptable physical appearance.

Case Report:

We present the case of a 23-year-old patient who pierced his earlobe. Over the course of several years, he increasingly stretched the pierced hole. The resultant dilated incomplete cleft produced a redundant drooped and lax free-hanging lobe. He presented seeking cosmetic repair of the altered lobe. The incomplete cleft was converted to a complete cleft by excision of redundant tissue near the medial attachment of the free-hanging lobe. A small ellipse was used to excise the expanded cleft and scar to de-epithelialize the margins. A Burrow's triangle was excised from the lateral base of the defect to facilitate a rotational flap created with the inferior border of the free-hanging lobe. With the method, the balance between the 2 sides was restored, and an intact inferior rim was produced with the incision line discretely concealed at the medial margin of the free-hanging lobe.

Results:

Postoperative follow up revealed a well-healed reconstructed earlobe closely approximating the natural lobe of the opposite ear. In addition to the symmetry produced, there is the advantage of an intact, uninterrupted inferior rim.

Conclusions:

Cosmetic surgeons are presented with increasingly complicated revisions of body alterations that are not fully addressed in the present surgical literature. With this case, we describe a unique approach that resulted in a positive cosmetic outcome with the advantage of avoiding any notching along the inferior rim of the earlobe. The rotational flap used in this case adds to the repertoire of repairs indicated when approaching repair of a similar earlobe defect.
Full-Crown Castings Made with Water-Saturated and Dry Casting Ring Liners
Authors: Keyf Filiz , Erman Gökhan
Published: June 2017

The carcinogenic potential of asbestos has led to the development of non-asbestos materials for use as casting ring liners. Cellulose paper are replacing asbestos paper.

The brass die and crown were made to produce full crowns. The standardized wax pattern was replicated twenty-nine times. Two grooves were marked on the die and wax patterns. The marginal gaps between wax pattern and die shoulder were measured. Then, the wax specimens were divided into three groups. The dry ring liner and the water-saturated ring liner were used, in the third group, any liner was used. The castings were fabricated and were fitted on the die. Measurements were made of the distance separating the gingival margin of the castings from the shoulder on the die. Measurement points (X and Y) were the same points used for wax pattern measurement.

The difference between wax pattern and casting was found to be statistically significant in all the groups ( p = 0.0051). There was no statistically significant difference between groups on the comparative fit of the castings. The mean marginal space in the water-saturated liner group was 0.51 ± 0.12 mm (X), 0.51 ± 0.11 mm (Y), and in the dry liner group, the mean marginal space was 0.47 ± 0.09 mm (X), 0.49 ± 0.08 mm (Y). In the unlined group, they were 0.52 ± 0.18 mm (X), 0.55 ± 0.17 mm (Y).

Use of dry ring lining material resulted in smaller marginal spaces between castings and the die than use of water-saturated cellulose ring lining material. The results demonstrated that the use of dry liners may improve the fit of castings to dies.
Development of Silastic Polyurethane (Angioflex) Materials with Antibacterial Agent
Authors: Rathinam K. , Hari P. R. , Sharma Chandra P. , Shanmugam J.
Published: June 2017

Bioimplants incorporated with antimicrobial agents are needed to control Foreign Body Associated Infection (FBAI) in clinical settings. Attempts are made here to develop five different types of polyurethane (Angioflex), viz., (1) bare polymer, (2) bare polymer glow discharged, (3) bare polymer coated with chlorhexidine, (4) chlorhexidine coated polymer glow discharged, and (5) material (4) recoated with another layer of chlorhexidine digluconate. These materials are tested for their in vitro antibacterial effects using disc diffusion technique against five different standard clinical staphylococcus strains, viz., Wood 46 (Staph. aureus), A 182 (Staph. epidermidis), A 313 (Staph. epidermidis), A 61 (Staph. epidermidis), and A 72 (Staph. epidermidis). Maximum antibacterial effects (zone of inhibition) are observed with polyurethanes incorporated with chlorhexidine digluconate (3) and chlorhexidine incorporated and glow discharged (4). Findings of this study indicate that glow discharge does not seem to produce either additive or synergistic antibacterial effects with chlorhexidine digluconate coated Angioflex material.
Proliposome-Based Transdermal Delivery of Levonorgestrel
Authors: Deo M. R. , Sant V. P. , Parekh S. R. , Khopade A. J. , Banakar U. V.
Published: June 2017

Mesophasic proliposomat system for levonorgestrel was developed and evaluated both in vitro and in vivo. The vesicles were mostly unilamellar, however, few vesicles were multilamellar which budded off spontaneously upon hydration. The release of drug from this system adhered to zero order kinetics. The effect of alcohols and volatile oils on transdermal flux was investigated. The flux was found to be the highest for alcohol, and followed by that for lemon oil. The in vivo studies indicate the requirement for a loading dose, since, a significant lag phase was observed before the therapeutic levels were reached. This system was, however, superior to the PEG-based ointment system which was employed as the control formulation. The results demonstrate the potential of proliposomal system for efficaceous transdermal delivery of hydrophobic drugs.
Assessment of Encrustation Behaviour on Urinary Tract Biomaterials
Authors: Gorman Sean P. , Tunney Michael M.
Published: June 2017

The effective clinical use of biomaterials within the urinary tract is often hindered by the associated problems of bacterial biofilm formation and encrustation which may cause obstruction or blockage of urethral catheters and ureteral stents. Methods for assessing encrustation formation on these devices are reviewed and novel urinary tract biomaterials which may be more effective at resisting encrustation are discussed.
Blood Compatible Phospholipid-Containing Polyurethanes: Synthesis, Characterization and Blood Compatibility Evaluation
Authors: Li Yu-Jun , Nakaya Tadao , Zhang Ze , Kodama Makoto
Published: June 2017

A new diol, bis[2-(2-hydroxyethyldimethylammonio)ethyl]butylenediphosphate, that contains two phosphatidylcholine analogous moieties in one diol molecule, was synthesized and characterized. The diol together with 1,4-butanediol as chain extender was further incorporated into the propolymer of poly(ethylene oxide) (Mn = 1000, 2000,6000) and 4,4'-methylenediphenyl diisocyanate. The resulting phospholipid poly(ether urethane)s show viscosity behavior of common polyelectrolytes. The bulk and surface characteristics of the new phospholipid poly(ether urethane)s were investigated by IR, GPC, ATR-FTIR, ESCA and contact angle measurements. The new polymers possessed relatively hydrophilic surface revealed by contact angle measurements. The blood compatibilities of the polyurethanes were evaluated by platelet rich plasma contacting studies and scanning electron microscopy observation using medical grade PVC as the reference. No platelet adhesion was observed for all new phospholipid polyurethane casting films. This new type of phospholipid polyurethane is expected to have potential biomedical applications.
In Vitro and in Vivo Biodurability of a Compliant Microporous Vascular Graft
Authors: Edwards A. , Carson R. J. , Szycher M. , Bowald S.
Published: June 2017

Polyurethanes have unique mechanical and biologic properties that make them ideal for many implantable devices. However, certain polyurethanes are affected by some in vivo degradation mechanisms. For example, poly(ester)urethanes are subject to hydrolytic degradation and are no longer used in long-term implanted devices. Poly(ether)urethanes while hydrolytically stable, are subject to oxidative degradation in several forms, including environmental stress cracking and metal ion oxidation.

We have developed a second-generation poly(carbonate)urethane with superior biostability. This material has been fabricated by our patented method into small diameter microporous vascular grafts. We evidenced the biodurability of our vascular graft by in vitro qualification tests which compared the poly(carbonate)urethane with a traditional poly(ether)urethane. This poly(carbonate)urethane graft has also proven to be biodurable in in vivo experimental implants up to twenty months duration with no evidence of hydrolysis or Environmental Stress Cracking (ESC).
Properties of Maxillofacial Silicone Elastomers Reinforced with Silica Powder
Authors: Andreopoulos A. G. , Evangelatou M. , Tarantili P. A.
Published: June 2017

Compounds of a silicone elastomer suitable for preparing maxillo-facial prostheses, reinforced with various amounts of silica powder, have been studied for their mechanical response and wetting properties in terms of contact angle. Tensile strength and elongation at break showed an increase with increasing silica volume fraction up to 35%, whereas the Young modulus displayed small dependence on the silica content and the resistance to tear increased continuously with filler volume fraction (Vf). The wetting properties assessed via the contact angle, seemed to degrade with increasing silica Vf, but a dependence on the elastomer network density has also been recorded.
Herpes Simplex Virus Infection in Pregnancy and Its Management
Authors: Shen R N , Thin R N
Published: June 2017

Neonatal herpes simplex virus (HSV) infection is considered to be rare in the UK, affecting < 3 per 100 000 live births1, but the true incidence is probably higher due to under-reporting. In contrast, neonatal HSV infection is more common in the USA affecting 1 per 7500 live births overall2. Infection in neonates is frequently serious and may be fatal.
Cytomegalovirus Disease in AIDS: The Edinburgh Experience
Authors: Cheong I , Flegg P J , Brettle R P , Welsby P D , Burns S M , Dhillon B , Leen C L S , Gray J A
Published: June 2017

Retrospective analysis of medical records of 557 HIV positive patients (including 113 with AIDS) revealed 17 patients with an antemortem clinical diagnosis of cytomegalovirus (CMV) disease. This group comprised 7 injection drug users (2 male and 5 female) and 10 homosexual men. Males were significantly older than females, and homosexual men were significantly older than drug users at the time of diagnosis of CMV. All 17 patients had evidence of retinitis, and 6 also had evidence of extraocular disease. CMV retinitis was the AIDS defining diagnosis in two patients, and the attack rate of CMV in all AIDS patients progressively increased with time, with a 3-year CMV-free survival of 57%.

Fifteen patients with CMV disease had evidence of previous CMV infection (CMV IgG positive), with 7 also having a positive CMV IgM and 10 a positive viral culture. The mean CD4+ lymphocyte count at diagnosis of CMV was 17 cells/mm3, compared with 68 cells/mm3 at diagnosis of AIDS.

Therapy was unsatisfactory, often being complicated by marrow suppression. Relapse occurred in 11 patients after initial improvement but despite this only 3 patients died with severe visual impairment. The mean survival after a diagnosis of CMV was 10.5 months.

This study confirms that disease caused by CMV is usually a late manifestation of AIDS, and the increasing prevalence among patients with AIDS implies that, the longer the survival, the greater the risk of disease. Frequent fundoscopy in HIV positive patients is of paramount importance particularly in patients who have a CD4+ lymphocyte count of less than 100 cells/mm3.
Current Smoking Habits and Genital Infections in Women
Authors: Willmott F E
Published: June 2017

A study was undertaken to assess the relationship between current cigarette smoking and genital infections. Four hundred women attending a sexually transmitted diseases clinic were the subjects of the study; of these 212 (53%) were cigarette smokers. In women under 20 years of age 70% were smokers. Women who smoked were more likely to have multiple partners and be in a lower socio-economic class or unemployed. The presence of genital warts was commoner in smokers. No association was shown between smoking and cervical inflammation or dysplasia. The findings suggest that cigarette smoking is a behavioural factor which should routinely be identified in the demographic details of women attending sexually transmitted disease clinics.
IgM-Antibodies against T. Pallidum Detected in Sera from Mothers of Stillborn Babies in Mozambique by the Solid-Phase Haemadsorption Assay (SPHA)
Authors: Hederstedt B , Liljestrand J , Bergström S , Axemo P , Nieuwenhuis F
Published: June 2017

Serum samples taken at the delivery from 27 syphilitic mothers in Mozambique, 16 with stillborn babies and 11 with healthy babies were tested upon presence of IgM antibodies against T. pallidum by the solid-phase haemadsorption assay (SPHA). Fourteen out of the 16 serum samples from mothers with stillborn babies but only one out of the 11 samples from mothers with healthy babies were found positive by the SPHA test. Clinical signs indicative of syphilis are difficult to find in the Maputo area as there were more than 40 000 annual births and only five obstetricians when the study was carried out. It is believed that the findings may indicate those mothers who were serologically positive with the SPHA test had clinically active syphilis and that syphilis might be the cause or a contributory cause of death in 14 of the stillborn babies. The SPHA test was easy to perform and we recommend its adoption by laboratories with facilities to perform the TPHA test.
Spinal Cord Toxoplasmosis in a Patient with Human Immunodeficiency Virus Infection
Authors: Fairley Christopher K , Wodak Jack , Benson Elizabeth
Published: June 2017

Spinal cord toxoplasmosis occurs rarely in the acquired immunodeficiency syndrome (AIDS). It usually presents as a space occupying lesion which makes differentiation from a neoplasm difficult. As a result, only 2 of the 5 previously reported cases have been diagnosed antemortem. We have incorporated the clinical details from one further case to describe the clinical features of this condition. The clarification of this clinical entity may allow earlier diagnosis of this rare condition in the future.
Ecology and the Holy Spirit: The “Already” and the “Not Yet” of the Spirit in Creation
Authors: Edwards Denis
Published: June 2017

Is the Spirit present or absent in creation? An ecological theology of the Spirit will need to embrace both the “sacramental” and the “prophetic-eschatological” approaches to the work of the Spirit in creation. The Spirit can rightly be understood as the ever-present life-giving Creator. But this presence of the Spirit has the elements of “not-yet” as the Spirit suffers with groaning creation, and of “already” in the Spirit's communion in love with each creature.
“The Jews” in the Fourth Gospel: Another Perspective
Authors: Moloney Francis J.
Published: June 2017

The discussion of the use of the expression “the Jews” in the Fourth Gospel continues to draw the attention of many scholars. Publications abound, and this scholarly activity is justified, given the overall hostility of the Johannine Jesus to “the Jews”. Most scholarship, understandably, starts from the 71 uses of the expression in the Gospel, and attempts to formulate some historical, literary or theological explanation for the hostility between the Johannine Jesus, Johannine Christians, and “the Jews”. The present study focuses initially on other related, but less used, expressions: “Israel”, “the nation”, and “the people”. Only after this analysis are some questions asked of the use of “the Jews” in the Fourth Gospel, suggesting that the fundamental argument of the Fourth Gospel is that people from all ethnic backgrounds, Jew and Gentile, have been called to form “Israel”, the people of God.
Jacques Dupuis' Christian Theology of Religious Pluralism
Authors: Hall Gerard
Published: June 2017

Given the politics and publicity surrounding Jacques Dupuis' Toward a Christian Theology of Religious Pluralism, his contribution to the developing theology of religious pluralism deserves closer scrutiny. The general question guiding this discussion is the following: does Jacques Dupuis provide adequate resources for claiming both the authenticity of Christian revelation and a genuinely positive acceptance of religious pluralism? This article outlines Dupuis' interreligious hermeneutical methodology, enquires into his understanding of the uniqueness of Jesus Christ, and examines the implications of his Trinitarian Christology for a theology of religious pluralism. Dupuis' contribution is then assessed from the dual perspectives of Christian theology and theological rhetoric. Finally, the issue of Christian universalism is brought to hermeneutical attention.
Private Property, the Environment and Christianity
Authors: Babie Paul
Published: June 2017

This article argues that private property is a main cause of the current ecological crisis. The article offers a means of re-conceiving the ‘orthodox’ view of private property so that it is seen to embrace a moral element as part of its normative content. David Lametti, a Canadian property theorist, calls this moral element the deon-telos of private property. This article suggests that the content of the deon-telos ought to include a Christian ecological theology and morality. It draws upon the collection of essays found in Elizabeth Breuilly and Martin Palmer's Christianity and Ecology in order to identify the main elements of Christian ecological theology and morality necessary to fill the content of the deon-telos. By re-conceiving private property as embracing the deon-telos with Christian ecological theology and morality as a part of its content, private property may offer but one solution to the ecological crisis.
Trinity and Church: Contributions from the Free Church Tradition
Authors: Rees Frank
Published: June 2017

This essay offers a critical appraisal of several recent contributions to ecclesiology by theologians from the “Free Church” tradition, addressing the claim that the church can be understood by analogy with the Trinity. Three central issues are discussed, beginning with the argument of Miroslav Volf that the church can be understood as a community of persons, called into faithful response to God and gathering as a charismatic community. Critical discussion of this idea leads to consideration of the ecclesial character of salvation, drawing upon the ideas of Volf and of Stanley Grenz. Finally, the paper considers Paul Fiddes' argument that it is inadequate to speak of the church corresponding to the triune life. Fiddes sees the divine persons not as subjects but as movements in relationships, and the community of the church as participating in the divine movements of relationship.
The Holy Spirit as the “Ecstatic” God
Authors: Bergin Helen
Published: June 2017

This article explores the term “ecstatic” in particular relationship to the Holy Spirit. Aware that “ecstatic” may apply generally to the triune God, the author argues for a special fittingness of this term to the Holy Spirit, especially in regard to the Holy Spirit's relation with creation. Recurring theological voices within the Christian tradition support the argument. Three aspects of the Holy Spirit's nature as “ecstatic” are highlighted — God as self-giving, God as relating in freedom and God as leading creation into God. Finally, the article suggests two sets of implications that may arise from an understanding of the Holy Spirit as the “ecstatic” God.
Experience of Place in Australian Identity and Theology
Authors: Hannah Digby
Published: June 2017

Arguing that the experience of place is an important element in the development of an Australian identity, spirituality and theology, this essay reviews some Australian voices, both indigenous and non-indigenous, which have highlighted the significance of land and place. It maintains that the “Australian soul” will remain underdeveloped and diminutive until the shadows in the nation's history are fully acknowledged and the reconciliation process embraced unreservedly. A robust Australian theology will involve a grafting of the new and more recently arrived upon the old. It will involve the convergence of that ancient and abiding sense of sacred place with a vibrant, contemporary experience of land and place. The experience of land and place is one important pathway towards a maturing sense both of Australian theology and, indeed, of Australian identity as a whole.
Contemporary Christian Spirituality: Insights from the Eastern Orthodox Medieval Mystical Tradition
Authors: Kariatlis Philip
Published: June 2017

This article aims to establish a credible contemporary spirituality through insights gained from the medieval Eastern Orthodox tradition. It argues that such a spirituality is based upon three foundational presuppositions: (a) the creation of the human person in the image and according to the likeness of a Trinitarian God; (b) the renewal of human persons in Christ and the deification of their nature and (c) the possibility for human persons to become participants in the gift of Christ by the grace of the Holy Spirit. In a challenge to both East and West, it proposes that contemporary spirituality should be understood not only in monastic or private terms, that is as an individual's “ascent to heaven” but also as action in the world, as a “descent into the world”.
Jesus in the Land of Spirits and Utu
Authors: Creegan Nicola Hoggard
Published: June 2017

Both a Maori spiritual and cultural renaissance, and a growth of neopaganism increasingly influence the New Zealand spiritual landscape. Both are relatively unconcerned with “salvation” and with promises of heaven, but are nevertheless committed to a world in which the natural and supernatural are interpenetrating. Thus Christian theology frequently does not speak to the vital concerns of the pagan world. This article examines whether there are contemporary understandings of the work and person of Christ that do make sense within these allied contexts, and which encounter the deep longings of that world. Two approaches to Christ and the gospels now emerging may be effective in this context, and may help to critique the contemporary meshing of Christianity and violence. First is the Christ of Colossians - the one in whom all things hang together - and second is to be found in intrinsic atonement theories.
Believing in Colin: “A Question of Faith” from “Celestial Lavatory Graffiti” to “Derridean Religious Addict”
Authors: Grimshaw Mike
Published: June 2017

This essay critically evaluates responses to Colin McCahon's religious paintings over the past fifty years, from A. R. D. Fairburn's dismissal to Laurence Simmons' deconstruction, and beyond to the reception of “A Question of Faith”. McCahon's religious paintings have evoked an ever-changing response that, it is argued, reflects the debate on the role and position of religion and Christianity in both New Zealand society and the wider modern-postmodern world. McCahon's religious paintings of the 1940s were attempts to locate in New Zealand the postwar Christian reconstruction of society, and yet they were rejected by a society not ready for the articulation of a modernist contextual theology. In the 1970s McCahon's return to contextual theology again provoked polarised responses, in part because of his appropriation of Maori spirituality. Likewise, his use of text, as the location of revelation in public space, proved discomforting to a culture more comfortable with a view of itself as secular and of religion as marginalised, privatised and sectarian. More recently the embracing of McCahon by overseas critics and galleries as a major modernist religious artist has forced a reappraisal whereby he has been relocated as a Pakeha prophet While the paintings themselves have often been critiqued, little if any work has been done that reads the critics as articulating wider cultural and societal responses to God, religion and Christianity. This essay discusses the various “McCahon's” that have been articulated by critics and argues that in both McCahon's art and the various critical responses, there is the groundwork for an emergent Antipodean contextual secular theology.
Who is God for Us? Images of God in a Group of Catholic Women in Aotearoa New Zealand
Authors: Betz Mary
Published: June 2017

Our understandings of God change and grow with us as we move through life. This study of a group of New Zealand Catholic women finds that childhood God images were shaped more by who our parents were to us than the catechism we memorised. By middle adulthood our images of God reflect not only some lasting childhood images but the experiences of friendship, role modelling, groups we belong to, study, parenting, solitude, nature and the pain of suffering. Our adulthood God images, especially in terms of gender and power, are also linked with 198nd suffering, and how we envision church.
The Church and the Other: Mediation and Friendship in Post-Vatican II Roman Catholic Ecclesiology
Authors: Dadosky John
Published: June 2017

This essay proposes a development in Roman Catholic ecclesiology following the paradigmatic shift in its self-understanding that occurred at the Second Vatican Council (1962–1965). The Council represented a major shift in the Roman Catholic Church's attitudes towards other religions, Christian traditions, and cultures (including secular culture) from a previous defensive stance to a more positive one. In an unprecedented manner, the Council officials acknowledged that its Church's own self-understanding is enriched by its interactions with these various faith traditions and cultures. Forty years after the Council, however, there remains a need to account for this shift theologically in terms of what was going forward in the Roman Catholic Church's self-understanding.
Apology without Compensation, Compensation without Apology
Authors: Szablowinski Zenon
Published: June 2017

Reconciliation is a powerful concept of great importance for both theology and social life. This essay focuses on two significant notions, both of which are parts of a broader idea called reparation: apology and compensation. Reparation is one of the constituent elements of a process of reconciliation. Due to the fact that apology and compensation do not necessarily appear together in the same process of reconciliation, they are explored and discussed separately to indicate their specific roles in reconciliation. The Catholic Church's public apology in 2000 and 2001 serves as an example of apology without compensation, and the Swiss banks' compensation is an example of compensation without apology.
Exclusivism and Exclusivity: A Contemporary Theological Challenge
Authors: Pratt Douglas
Published: June 2017

The phenomenon of religious exclusivism increasingly confronts peoples of faith and goodwill who wish only for peaceful co-existence in equality and freedom with their religious neighbour. But there is more than one variety of religious exclusivism. This study will show that there are at least three variants of religious exclusivism, namely open, closed and extreme. Further, inasmuch as exclusivism indicates a positing of religious identity over against any “other”, then it will be argued that the variant exclusivisms themselves reflect a continuum of ideological and theological stance that is taken toward the concept of variety as represented by the religious “other” per se. This ranges through antithetical acknowledgement, enactive ignorance, and the intentional invalidation of variety. It is the issue of the invalidation of otherness which, I contend, constitutes the severe theological problem of religious exclusivism in extremis. It is here, in the modality of religious fundamentalism and extremism that theological ideology impinges most dramatically upon the public domain. Might it be possible to speak of a proper religious exclusivity without falling necessarily into the pit of exclusivist extremism? In addressing this question I shall briefly examine the views of Alvin Plantinga, Gavin D'Costa, and the declaration Nostra Aetate of Vatican II.
Can There Be a Forgiveness That Makes a Difference Ecologically?
Authors: Elvey Anne
Published: June 2017

The article considers master/slave relations in the Gospel of Luke as a background for understanding forgiveness (as ἄϕεσις) ecologically. I draw on the work of ecophilosopher Val Plumwood, who identifies a master/slave dynamic operating in a logic of colonisation An important aspect of the master/slave dynamic is the ascription of agency to the master and no, or limited, agency to the slave. I re-situate agency within a more-than-human sociality that includes both human and other than human members of the Earth community. I interpret forgiveness in Luke as a gracious interruption (or gift) that occurs within the materiality of this community. Through a life-giving shift toward freedom, this gift of forgiveness enables in turn a life-giving agency, enacted in a more-than-human community.
The Self Found Elsewhere: Phenomenological Faith Meets Deconstructive Doubt
Authors: Martis John
Published: June 2017

The phenomenological approach taken in our lifetime by Emmanuel Levinas — and, in broad continuity, by Jean-Luc-Marion — envisages an original disruption of the self by an “other”, thereby opening the phenomenological insights of Edmund Husserl to consonance with religious faith. But this description of an “other-oriented” self, and implicitly a God nameable as wholly Other, does not obviously escape assimilation to the futile essentialism by which, in the light of deconstructive critique, any self-oriented-to-other remains oriented to “the same”, or to itself. On the other hand, the deconstructive insight itself seems unavailable for proposing a self which, under disruption by the other, retains those minimal attributes of identity and self-present subjectivity consonant with moral accountability for the human self, and in the case the divine, a self-identity as Other. Is a harmonisation of both approaches possible, mediating, despite everything, between their founding assumptions? Focussing on Levinas (for phenomenology) and Philippe Lacoue-Labarthe (for deconstruction), this article proposes that a particular meta-representational framing — en abyme representation — can accommodate equally the radically differing perspectives from which the two approaches offer the description of “the subject as another” (or, “self as other”). The approaches thus come to be seen as bridged, in a mode preservative of the essentialist and deconstructive resources in both, and thereby of the complex thread linking phenomenological faith and deconstructive doubt.
Luke-Acts: Good News for Slaves?
Authors: Dowling Elizabeth V.
Published: June 2017

The ongoing reality of slavery in our world provides the impetus and context for looking at Lukan slaves with fresh eyes. Two prominent features of the Gospel of Luke are the proclamation of good news to the poor by the Lukan Jesus and the frequent appearance of slaves in both the gospel's narrative and teaching. Whether slaves are included in the poor who receive and benefit from the good news, however, is questionable. This study addresses this question through an exploration of the characterisations and circumstances of slaves as depicted in Luke-Acts.
A Sacramental Universe: Some Anglican Thinking
Authors: Douglas Brian , Lovat Terence
Published: June 2017

This article examines the notion of a sacramental universe from the perspective of some Anglican thinking based on the philosophical concept of moderate realism. Whereas traditional Anglican thinking on a sacramental universe emphasised the concept of a sacred thing, Rowan Williams broadens the debate by putting a case for sacramentality as the paradox of difference where the Divine is seen in ‘not-God-ness’ given into inanimate form in the sacraments. Sue Patterson helps to clarify the relationship between theology and realism and advances the case for moderate realism as the foundational philosophical concept of a sacramental universe within the Anglican tradition.
The Relationship between the Risen Christ and the Material Universe
Authors: Edwards Denis
Published: June 2017

How are we to understand the relationship between the risen Christ and the cosmos? In attempting some theological response to this question it will be helpful to outline a brief synopsis of what contemporary science tells us about the universe, and then to offer a comment on what theology can say about the promise of a “new Earth”.
A New Ontology: Incarnation, Eucharist, Resurrection, and Physics
Authors: Honner John
Published: June 2017

The classical Christian theologies of incarnation and eucharist evolved from an ancient metaphysics and a view of the natural world which is of no relevance to the empiricism of Newtonian science. Modern quantum mechanics suggests a metaphysics which may be helpful in imagining God's presence in the world. This study has four parts: first, a discussion of the connections between doctrinal formulations and physical worldview; then a survey of classical theological accounts of incarnation and eucharist and resurrection; thirdly, some comments on quantum theory and metaphysics; and, finally, suggestions about the deployment of quantum metaphysics in giving an account of God's presence in the world.
Once More Paul among Jews and Gentiles
Authors: Dalton William
Published: June 2017

Krister Stendahl was one of the pioneers in a more adequate understanding of Paul's mission, which had been distorted in the acrimony of Reformation controversies. Reflections on the implications for Christian theology of the Jewish holocaust make it even more imperative to see Paul in his historical setting as Apostle of the Gentiles. It is a matter of major ecumenical concern to situate Paul and Israel correctly in the world of their time and thus gain a better understanding of the relationship between Paul and his people.
Catholics and Jews: Face to Face
Authors: Fisher Eugene J.
Published: June 2017

This article offers a discussion of the nature of interreligious dialogue, a survey of recent official statements of the Roman Catholic Church on Catholic-Jewish dialogue, and some reflections on the future steps that must be taken to further such dialogue. In particular, there is need for acknowledgement of sins committed in the past, a correction of past misrepresentations of Judaism, and a shared anticipation of the future promised by God.
Renewing the Earth - Renewing Theology
Authors: Ormerod Neil
Published: June 2017

This article examines three metaphors for world process - the organic, the mechanistic, and the artistic - drawn from the work of Gibson Winter in his book, Liberating Grace. The significance of these three metaphors for ecology and theological method are examined in turn. In so doing a correlation is also offered between cultural types (Voegelin), theological styles, stages of meaning (Lonergan), and stages of faith (Fowler).
Universal Need of Salvation and Universal Salvation by Faith in the Letter to the Romans
Authors: Byrne Brendan
Published: June 2017

Paul asserts the universal need of the entire human race for the saving work of Jesus Christ as a counter to the universal ravages of sin upon the entire race, summed up in the figure of Adam. For Paul, human salvation is to take place in the wider context of a renewed and transformed world. In Romans, Paul claims the wide-ranging, boundary-breaking scope of the grace of God that comes in Christ. What God has done has - contrary to all expectation - broken the bounds of the community defined by the law of Moses. The “Gentile” stance of receptivity has become the norm - even if the original “insiders”, Israel, are still, as such, held within the plan of God. A special discussion of Rom 11:26, the salvation of “All Israel”, is included.
On the Way to Fuller Koinonia: The Fifth World Conference on Faith and Order
Authors: Kelly Gerard
Published: June 2017

The Fifth World Conference on Faith and Order took place in August 1993 at Santiago de Compostela, Spain, against the background of growing disillusionment within the ecumenical movement and disagreement about its direction for the future. Many in the churches believed that unity was unattainable and that we should be content to do together whatever we could to promote the gospel. By exploring the notion of koinonia the church delegates to the Conference have paved a new direction for ecumenical study and action. The notion of koinonia highlights the close link between the unity of the church and the proclamation of the gospel.
The Church as Sacrament of Relationships
Authors: Edwards Denis
Published: June 2017

In this article the author argues that, by its very nature, the church is called to be the sign and the agent of interpersonal relations. The argument begins with a reflection on the modern view of the person as individualistic at the expense of relationships. The tradition of a relational theology of God is then explored. Finally, an outline is given of six implications of this relational view of God for life in the church.
Luce Irigaray and the Advent of the Divine: From the Metaphysical to the Symbolic to the Eschatological
Authors: Casey Damien
Published: June 2017

This article attempts to provide a theoretical context conducive to a fruitful encounter between Irigaray and Christian theology. It does so through the critique of metaphysics and the turn to the symbolic, leading finally to a recovery of the eschatological. Irigaray makes this transition through two related gestures. Through her concept of the sensible transcendental Irigaray seeks a re-enchantment of the world that is grounded in the symbolic. Through her notion of the double syntax, grounded in the incommensurability of women and men, Irigaray establishes the priority of both dialogue and the ‘other’ for the constitution of subjectivity. Finally, this leads Irigaray to challenge theology to rethink the importance of the eschatological dimension of the Christian kerygma.
Serial Murder Investigation: Prospects for Police Networking
Authors: O'Reilly-Fleming Thomas
Published: June 2017

The intention of this article is to explore current impediments to networking which have impeded investigation and apprehension efforts in serial murder cases and to present alternatives for the future which could significantly impact upon arrests. The analysis first focuses upon a case history of the investigation in one serial murder case with a secondary discussion of corresponding networking problems which have hampered other investigations.
Forced Sexual Intercourse on Campus: Crime or Offensive Behavior?
Authors: Johnson Ida M. , Sigler Robert T.
Published: June 2017

A study conducted on a southern campus investigated victim labeling of forced sexual intercourse as rape. The findings indicated that victims tended to reject the label of rape even when they believed that their offenders labeled the acts as rape, that many continued to date their offenders, and that victims tended to label their offenders in positive rather than in negative terms.
An Analysis of Selected Aspects of Police Training
Authors: Wright Benjamin S. , Senese Jeffrey D.
Published: June 2017

The present study attempts to determine if the retention of police in-service training information is affected by the type of content presented in the training session. A group of mid-level police managers (e.g., mostly lieutenants) attended two in-service training sessions on the same day that were devoted to Personnel Management and Multicultural Police Strategies. The police managers were given three objective tests related to the content of the two training sessions. Through the use of an experimental design the police managers were administered a pre-test immediately before each training session; a posttest immediately following each training session; and a second posttest three months after the completion of the training sessions. These objective tests focused on both perceptions of information retained as well as the ability to demonstrate actual knowledge in the two training areas. The results show that there were significant differences in the perceptions of police information retention across the two contents, but there were no differences in demonstrated knowledge. Recommendations for future research on police training involve improving the panel design and broadening the training content focus.
Training Police in Professional Ethics
Authors: Hooke Alexander E.
Published: June 2017

Throughout the twentieth century, efforts have been made by police agencies to achieve professional status. However, it remains problematic if police work can be conceptualized as being that of professionals. This paper argues that while the objections to calling the police a profession as well as the disjunctives between public perceptions and those of the police themselves are sometimes great, claims to professional status can be legitimate. Tables are developed to show how training can both identify tensions and provide ethical resolutions. Such training in ethics is viewed as a way to help police become professionals and minimize many of the serious errors that law enforcement agencies are currently under attack for allegedly committing and/or condoning.
Clinical Pharmacy and Unit Dose for the Small Hospital
Authors: Wilson Clifford
Published: June 2017

Nursing service wanted a system that would reduce the work load of nursing personnel and place the medication responsibilities on the pharmacist. After a study was completed, we found that the nurse was spending the majority of her time preparing medications to be given.

The unit dose system gives the medication responsibility to the pharmacist and gives the nurse more time for patient care. In the pharmacy, medications are prepared by technicians and checked by a pharmacist, then rechecked by a nurse before they are issued to the patient.

One nurse gives routine medications throughout the hospital. A nurse for each unit is assigned to give the PRN's and also to give patient care.

The patients have noticed a change in our distribution of medications. The patients get their PRN medications when they ask for them, not five or ten minutes later, and routine medications are given on schedule.

The business office has noticed a reduction in their work load, because the pharmacy charges are turned in every third day and credits are almost eliminated. The business office has fewer complaints on medication charges because patients are charged for medication they receive, not a three- to five-day supply of medications that are sent to the nursing station.
Isolation, Propagation, Freeze Preservation and Studies of Drug Sensitivity of Toxoplasma Gondii in Human Tissue Culture
Authors: McClain P. R. , Musallam N. A. , Bollinger R. O. , Stulberg Cyril
Published: June 2017

Toxoplasma gondii was isolated antemortum in human fibroblast cultures (Detroit-532) from buffy coat of peripheral blood, minced tissue, and ascitic fluid of both experimentally infected mice and human patient. Cytopathic changes were evident within 2–3 days in all cases. The subculture and passage of T. gondii in Det-532 cells were found consistently facile and reproducible. Infected cultures could be stored in the frozen state (liquid nitrogen) and reactivated. Using experimental infections of tissue cultured human cells, the effect of sulfadiazine at ranges from 250 mcg/cc-8,000 mcg/ml were evaluated with regards to parasite proliferation, host cell growth and survival. This study provides a new body of knowledge to which the effects of new therapeutic agents could be compared in the assay of their effectiveness. The hospital pharmacy has a deep responsibility to provide the leadership in the determination of the efficacy of new drugs. Studies such as ours are an integral part of this responsibility.
Antibiotic Use Control—An Institutional Model
Authors: Pierpaoli Paul G. , Coarse James F. , Tilton Richard C.
Published: June 2017

The development and implementation of a jointly sponsored Pharmacy-Therapeutics and Infection Control Committee institutional use control program in anti-infective therapy is presented. The program includes a retrospective and prospective utilization review process complimented by a formal educational program and in-house controls on the use of certain antibiotics. The development of a standard protocol and methodology for the utilization review aspect of the program is presented in the light of a study of 102 patients receiving cephalosporin antibiotics over a 12-month period. The entire program and data collection components were designed for adaptability to any institution, regardless of size or resources. The data base for the review process consists of five broad areas of clinical and laboratory findings that constitute 29 measurable parameters. Prospective review utilizing clinical pharmacy services augmented by clinical microbiological monitoring systems are discussed.
Erythromycin Estolate Induced Hepatotoxicity
Authors: Cacace Larry G. , Schweigert Byron F. , Gildon Andrew M.
Published: June 2017

A case of erythromycin estolate induced hepatotoxicity is presented and 65 previous cases reported are reviewed. In spite of numerous reports of liver toxicity from erythromycin estolate, this potentially serious adverse drug reaction is not always recognized by the clinician. The frequency of signs and symptoms and a summary of the laboratory test abnormalities has been prepared to assist the clinician in the differential diagnosis of erythromycin estolate-induced liver disease. The most common clinical manifestations of erythromycin estolate-induced liver disease were severe abdominal pain, nausea and fever which preceded the development of jaundice in most cases. Eosinophilia was frequently present. It is important to consider erythromycin estolate as a potential cause of acute abdomen to avoid unnecessary and potentially dangerous diagnostic tests or surgery. When considering the use of erythromycin, the risk of intrahepatic cholestasis and/or abdominal pain should be weighed against any theoretical benefit to be derived from using the estolate salt.
Accountability and Responsiveness — Use of Mini-Charts
Authors: Levine Richard J.
Published: June 2017

All health professionals must be responsive and accountable to the patients they serve. Pharmacists can be responsive and accountable. The use of MINI-CHARTS would eliminate some of the fragmentation that currently exists in our health service system and would insure accountability of the health professional to the patient. MINI-CHARTS also represent a mechanism to educate the patient, the consumer of services.
Physical Assessment of the Integumental System
Authors: Longe R. Leon , Calvert Jon C.
Published: June 2017

This article presents basic knowledge and methods related to assessing drug action on the integumental system. An example illustrating the application of the methods and knowledge is provided. A competency statement based post-test is provided for self-evaluation.
Dantrolene-Associated Hepatitis
Authors: Lundin Sharon R. , Uden Donald L. , Hanson Russell F.
Published: June 2017

A patient with dantrolene-associated hepatitis is reported. Clinical features, laboratory findings, and results of a liver biopsy are discussed and compared to other cases appearing in the literature.