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"Gilman, David"
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The devil's breath
When fifteen-year-old Max Gordon's environmentalist-adventurer father goes missing while working in Namibia and Max becomes the target of a would-be assassin at his school in England, he decides he must follow his father to Africa and find him before they both are killed.
Book
Exposure to Low Amounts of Ultrasound Energy Does Not Improve Soft Tissue Shoulder Pathology: A Systematic Review
Although therapeutic ultrasound is commonly used to treat shoulder injuries, research to date on the ability of ultrasound to improve outcomes for shoulder pathologies is conflicting.
This study aimed to systematically and critically review available literature to ascertain whether beneficial effects of ultrasound were associated with certain shoulder pathologies or particular ultrasound treatment protocols.
Five electronic databases were searched, and the included studies, identified through pair consensus, were randomized controlled trials (RCTs) that utilized ultrasound for soft tissue shoulder injury or pain.
Eight studies included in this review (n=586 patients, median PEDro score=8.0/10) evaluated various parameters, including the duration of patients' symptoms (0-12 months), duty cycle (20% and 100%), intensity (0.1-2.0 W/cm2), treatment time per session (4.5-15.8 minutes), number of treatments (6-39), and total energy applied per treatment (181-8,152 J).
Inconsistent outcome measures among studies precluded meta-analysis; however, 3 RCTs showed statistically significant benefits of ultrasound, 2 of which examined calcific tendinitis. Studies that showed beneficial effects of ultrasound typically had 4 times longer total exposure times and applied much greater ultrasound energy per session (average of 4,228 J) compared with studies that showed no benefit of ultrasound (average of 2,019 J). No studies that delivered < or = 720 J per session showed improvement in treatment groups.
Current research involving ultrasound treatment protocols that delivered low levels of ultrasound energy do not adequately address whether ultrasound can improve outcomes for shoulder disorders.
Determining whether therapeutic ultrasound can affect soft tissue shoulder pathologies will require further research and systematic reviews that involve appropriate ultrasound treatment protocols.
Journal Article
Viper's blood
Edward III has invaded France at the head of the greatest host England has ever assembled. But his attempt to win the French crown is futile. The Dauphin will no longer meet the English in the field and the great army is mired in costly sieges, scavenging supplies from a land ruined by decades of conflict. Facing a stalemate--or worse--the English are forced to agree a treaty. But peace comes at a price.
Book
Effects of Text, Audio, and Graphic Aids in Multimedia Instruction for Vocabulary Learning
This study is an investigation of the use of multimedia components such as visual text, spoken text, and graphics in a Web-based self-instruction program to increase learners' English vocabulary learning at Myungin Middle School in Seoul, South Korea. A total of 172 middle school students (14 years of age) in five classes participated in the study. Each individual was required to complete several testing instruments such as a pretest, posttest, retention test, and attitude inventory. Participants learned better when they received “visual text and added graphics” or “visual text, added spoken text, and added graphics” instruction. Although the added multimedia components required learners to spend more time on the instruction, the extra time was not significant. The results lead one to conclude that an effective way to improve learning of English vocabulary is to offer graphics that illustrate what the vocabulary means.
Journal Article
Mt. Lykaion Excavation and Survey Project, Part 1: The Upper Sanctuary
This is the first report on the excavation and survey project at the Peloponnesian Sanctuary of Zeus on Mt. Lykaion, Arcadia. During 2004 and 2005, topographical, architectural, geological, geophysical, and historical surveys were conducted. From 2006 to 2010, survey work continued, along with the excavation of the upper and lower levels of the sanctuary. This report focuses on the altar andtemenosareas in the upper level of the site. Excavation of the ash altar revealed evidence of a Mycenaean mountaintop shrine, and yielded the largest assemblage of Mycenaean ceramics yet known from Arcadia. There are also signs of activity at the altar from the Final Neolithic, Early Helladic, and Middle Helladic periods. The votives and burned animal bones suggest continuity of cult from the Late Helladic through to the Late Classical period.
Journal Article
Non-Diagnostic CT-Guided Percutaneous Needle Biopsy of the Lung: Predictive Factors and Final Diagnoses
Objective To investigate the predictive factors for a non-diagnostic result and the final diagnosis of pulmonary lesions with an initial non-diagnostic result on CT-guided percutaneous transthoracic needle biopsy. Materials and Methods All percutaneous transthoracic needle biopsies performed over a 4-year period were retrospectively reviewed. The initial pathological results were classified into three categories—malignant, benign, and non-diagnostic. A non-diagnostic result was defined when no malignant cells were seen and a specific benign diagnosis could not be made. The demographic data of patients, lesions' characteristics, technique, complications, initial pathological results, and final diagnosis were reviewed. Statistical analysis was performed using binary logistic regression. Results Of 894 biopsies in 861 patients (male:female, 398:463; mean age 67, range 18–92 years), 690 (77.2%) were positive for malignancy, 55 (6.2%) were specific benign, and 149 (16.7%) were non-diagnostic. Of the 149 non-diagnostic biopsies, excluding 27 cases in which the final diagnosis could not be confirmed, 36% revealed malignant lesions and 64% revealed benign lesions. Predictive factors for a non-diagnostic biopsy included the size ≤ 15 mm, needle tract traversing emphysematous lung parenchyma, introducer needle outside the lesion, procedure time > 60 minutes, and presence of alveolar hemorrhage. Non-diagnostic biopsies with a history of malignancy or atypical cells on pathology were more likely to be malignant (p = 0.043 and p = 0.001). Conclusion The predictive factors for a non-diagnostic biopsy were lesion size ≤ 15 mm, needle tract traversing emphysema, introducer needle outside the lesion, procedure time > 60 minutes, and presence of alveolar hemorrhage. Thirty-six percent of the non-diagnostic biopsies yielded a malignant diagnosis. In cases with a history of malignancy or the presence of atypical cells in the biopsy sample, a repeat biopsy or surgical intervention should be considered.
Journal Article
Mt. Lykaion Excavation and Survey Project, Part 2: The Lower Sanctuary
This article is the second report on the excavation and survey project at the Peloponnesian Sanctuary of Zeus on Mt. Lykaion, Arcadia. It focuses on the lower sanctuary, where we investigated the stoa, seats, fountain house, administrative building, corridor, hippodrome, stadium, and bath facility. The earliest remains date to the 7th centuryb.c. A major building program during the second quarter of the 4th centuryb.c. was followed by a period of continued activity of various kinds through the 1st centuryb.c. A large amount of moldmade Hellenistic pottery recovered in the corridor indicates intensive use during the 3rd–1st centuriesb.c. Parts of the lower sanctuary were also in use during the Early, Middle, and Late Byzantine periods.
Journal Article
A Roman Circus in Corinth
During the 1967-1968 excavations of the Gymnasium area in Corinth, a long and narrow structure (the \"Apsidal Building\") was discovered. It is argued here that the structure represents the eastern meta and a portion of the spina of a circus, where chariot races were held. The circus appears to have been planned as an integral component of the Caesarian design of the city, constructed during the Augustan period, renovated in the late 1st century A.D., and refurbished as late as the 6th century. Furthermore, the circus was often the site of the equestrian contests of the Corinthian Caesarea festival and at times of the Panhellenic Isthmian Games.
Journal Article
Sanctuaries of Zeus: Mt. Lykaion and Olympia in the Early Iron Age
Recent excavations at the Sanctuary of Zeus at Mt. Lykaion have revealed evidence
for ritual activity at the ash altar of Zeus from the Mycenaean through the
Hellenistic period. Indications of continuous activity at this cult place
beginning in the Late Bronze Age invite consideration of possible connections
between this site and others in the Peloponnese, including the Sanctuary of Zeus
at Olympia. Although altars composed of ash became fairly common in the Early
Iron Age, we propose that the Sanctuary of Zeus at Olympia and its impressive
ash altar may have been inspired by key aspects of the much older cult place at
Mt. Lykaion, which it ultimately overshadowed in subsequent centuries.
Journal Article
