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Vous avez lu des histoires de Gagnebin, Vallotton, Reichel, Dupré, Segond, Marie Dufour, dans la vie ordinaire de ces grands musiciens, ces professeurs généreux, mais aussi a travers des époques tourmentées comme la Résistance durant la seconde guerre : beaucoup de femmes comme les sœurs Vallotton, la fille de Léon Boěllmann adoptée par Eugene Gigout, et combien d'autres qui ont combattu pour que la musique continue et que parmi tous les gens menacés, les musiciens et la musique soient protégés ! Widor, ou rencontrer celle de Charles Tournemire, alors que nous sommes déja dans une époque ou il y a des étudiants organistes qui ne savent meme plus qui était L.F. Tagliavini ou Anton Heiller, et ou Marie-Claire Alain fait partie du passé... Ce remarquable fascicule relate avec soin, profondeur, et au gré de plusieurs plumes (Christian Lutz et Anne-Isabelle de Parcevaux), ce qui est toujours passionnant, la situation de l'orgue entre la France et l'Allemagne, les acteurs de ce mouvement des deux côtés de la frontiere, les instruments anciens et modernes et la maniere de penser a leur sujet, qu'il s'agisse de construction ou de restauration et de conservation des instruments historiques.

An interview with Dr Michael Schweitzer is presented. Schweitzer said that in medicine, you learn about balancing priorities. I always wanted to write a bigger story, but I never had the time with all the schooling. My practice has always been my priority. My head needs to be in the game, for my patients' sake. When it came to free time, if I had a choice about how to spend an afternoon, then sitting down and writing was something I was happy to do. There's some kind of humanizing effect behind storytelling that you learn as you write. It teaches you about other people and how to empathize with another person in other situations. In practice, I'm hearing the patient's voice, when they're telling the story. The dirty truth of writing fiction is that there are only so many stories to tell. Most stories have similar plots.

In 1893, after obtaining his \"Abitur\" certificate from the Mulhouse Gymnasium (secondary school), Schweitzer began to study Protestant theology at the Kaiser Wilhelm University in Strasbourg, while he also continued piano and organ lessons. Schweitzer applied, but was turned down because of his Lutheran theology and inexperience in medicine. [...]in 1905, at the age 30, Schweitzer began to study medicine at the University of Strasbourg, much to the surprise of his family and friends. In 1913, now with formal medical qualifications, he finally convinced the Paris Missionary Society to support him, and with his wife traveled to the French Equatorial Africa colony to the Missionary Society's outpost in the village of Lambaréné, 200 miles upstream from the Atlantic on the Ogooué River in presentday Gabon.

IntroductionThis case study examines the implementation and impact of a multidisciplinary initiative to address transgressive behaviour within the surgical department of Albert Schweitzer Hospital, The Netherlands. In response to increasing awareness of social safety issues and the detrimental effects of workplace misconduct, this initiative sought to foster a culture of psychological safety and accountability.1 2 The intervention incorporated ethical leadership principles, structured policy development, and practical tools to enhance workplace safety and collaboration.3–5Research QuestionHow can a structured intervention incorporating ethical leadership, policy implementation, and accountability measures reduce transgressive behaviour and improve workplace culture in a hospital setting?MethodsA multi-faceted approach was employed, combining:An anonymous survey among nursing and operating theatre staff to assess the prevalence and impact of transgressive behaviour.Development and implementation of a formal code of conduct.Deployment of the #zouikwatzeggen app, enabling anonymous reporting and providing resources for addressing misconduct.A series of multidisciplinary workshops and training sessions.Dialogue tables to facilitate open discussions among healthcare professionals.Tailored interventions for teams experiencing acute challenges. The initiative was guided by key theoretical frameworks, including the Parker and Hudson Safety Culture Ladder, the Toxic Triangle model by van der Loo and Koetsenruijter, and the ABCD model from the Dutch Safe Public Task Programme.1–6ResultsThe initiative led to a cultural shift towards greater openness, inclusivity, and safety. Improvements were evident within the surgical department, where increased awareness and formalised structures contributed to a more respectful working environment. Organisationally, the initiative prompted hospital-wide engagement, with leadership bodies—including the Board of Directors, the Medical Specialists Board, and the Works Council—committing to enhanced policies and actions to combat transgressive behaviour. Nationally, the approach has gained traction, with multiple surgical departments adopting similar frameworks and preparations underway for a nationwide training programme by the Dutch Board of Surgeons. The initiative is further supported through national symposia, podcasts, and dialogue sessions.ConclusionThis structured, multi-faceted approach demonstrated a significant positive impact on workplace culture at the surgical department of the Albert Schweitzer hospital, Dordrecth, the Netherlands, improving psychological safety and reducing instances of transgressive behaviour. By integrating ethical leadership, clear policies, and interactive dialogue, the initiative might offer a replicable model for other healthcare institutions. Our findings underscore the importance of a proactive and multi-faceted approach in fostering a safe and respectful work environment, ultimately benefiting both healthcare professionals and patient care outcomes.ReferencesJagsi R. Sexual Harassment in Medicine — #metoo. N Engl J Med. 2018;378(3):209–11.Gianakos AL, et al. Bullying, discrimination, harassment, sexual harassment, and the fear of retaliation during surgical residency training: a systematic review. World J Surg. 2022;46(7):1587–99.RCS England. Managing disruptive behaviours [Internet]. 2021 Apr. Available from: https://www.rcseng.ac.uk/standards-and-research/standards-and-guidance/good-practice-guides/managing-disruptive-behaviours/Edmondson AC. Learning from failure in health care: frequent opportunities, pervasive barriers. Qual Saf Health Care 2004;13(suppl 2):ii3.Amoadu M, et al. Preventing workplace mistreatment and improving workers’ mental health: a scoping review of the impact of psychosocial safety climate. BMC Psychol. 2024;12(1):195.Van der Loo H, Koetsenruijter C. Giftig gedoe op de werkplek. ISBN 9789024449842. 2023; April.

Speculative conclusions could be drawn based on the relationship of Walter Holtkamp and Albert Schweitzer (whom he would not meet at the Museum until near the end of his career) or correspondence with organ enthusiast Rudolph Barków,3 as well as other influential organ people, events, and instruments that preceded the construction of the museum's Rückpositiv.4 At least partial credit can be given to the programming of Arthur W. Quimby, curator of music and organist of the Cleveland Museum of Art, as having some influence on Holtkamp's earliest work. The gap that exists in Weismann's construct from Holtkamp's 1930s work to the installation of the three-manual 1956 Rudolf von Beckerath organ at Trinity Evangelical Lutheran Church, Cleveland, is only partly addressed. Weismann disregards the vast number of Votteler-HoltkampSparling organs completed after 1933, and despite the war, Holtkamp continued to experiment with organbuilding technology, albeit without a return to simultaneous implementation of all the core mechanical-action organbuilding principles. An argument can even be made that slider-chest construction was never completely abandoned, since the 1913 two-manual Votteler-Hettche organ at Saint Procop Church in Cleveland and the 1916 two-manual Votteler-Holtkamp-Sparling at Lakewood Masonic Temple are just two of several extant organs built by the same firm (though under different names) to have \"Celestial\" stops, a note-to-note \"tunable\" mechanism that when selected, engages traditional sliders under secondary toe boards in order to \"starve\" the wind of unison stops to create a celeste.

Beatrice Erskine Lane Suzuki (1878–1939) is mainly known for being the wife of D.T. Suzuki鈴木大拙 (1870–1966), the Japanese religious studies scholar and intellectual who promoted the popularization of Buddhism in the Western world. However, she was also an active researcher and prolific writer in the same field, boasting deep theoretical and practical knowledge of the subject and an original, brilliant interpretative style. Her research led her to appreciate and assimilate cultural values quite different from those of her Scottish and American background influenced by Catholicism. The fact that she left her homeland to research an entirely different culture was what she had in common with Albert Schweitzer (1875–1965), her contemporary and eclectic intellectual and philosopher who left Alsace to engage in religious and anthropological studies in Africa. Although she dedicated numerous enthusiastic reflections to Schweitzer in her writings, those refuting Schweitzer's theories assume great relevance. In his comparison between Western and Eastern spirituality, Schweitzer fiercely attacked the latter, expressing the absolute superiority of the Christian doctrine, which he fervently supported. Lane, on the contrary, was strongly fascinated by Buddhism, and found in it a source of faith and a creed to live by. This article aims to retrace the analysis made by both authors to outline their different perspectives, despite their shared cultural background.

Background Current clinical guidelines recommend gene expression profiling to guide treatment in early-stage breast cancer. PreciseBreast (PDxBR) is a digital prognostic tool that integrates artificial intelligence (AI)-derived features from hematoxylin and eosin (H&E) slides with clinicopathologic data to predict recurrence risk. This study externally validated PDxBR in an independent cohort and compared its performance to other risk models. Methods We retrospectively analyzed PDxBR in a cohort of 739 patients with early-stage hormone receptor-positive, HER2-negative breast cancer (median follow-up of 8.8 years). For each case, one H&E-stained slide was digitized and analyzed to generate recurrence risk scores using the full PDxBR model, as well as image-only and clinical-only variants. A subset of patients who underwent MammaPrint testing was also evaluated. Model performance was assessed by AUC/C-index, hazard ratios, sensitivity, specificity, and negative and positive predictive values (NPV and PPV, respectively). Results PDxBR showed prognostic accuracy in this external cohort (AUC/C-index 0.71, 95% CI: 0.66–0.75). Applying the PDxBR threshold (≥ 58 versus < 58) yielded a hazard ratio of 3.05 (95% CI: 2.1–4.4, p  < 0.001), sensitivity 0.70, specificity 0.59, NPV 0.90, and PPV 0.27. PDxBR outperformed the modified Adjuvant! Online clinical model (MINDACT model, p  < 0.00001) and effectively reclassified grade 2 tumors into distinct risk groups. Conclusions PDxBR demonstrated robust prognostic performance in an independent cohort, supporting its potential as a scalable, reproducible alternative to genomic assays for individualized risk stratification in early-stage breast cancer.

IntroductionThe quality policy of the Albert Schweitzer Hospital’s radiology department is geared towards continuous improvement and is based on quality measurement results. The number of improvements of the radiology department is currently low compared to the number of quality measurements, and the throughput time of the improvements is long. The purpose of this quality improvement project was to investigate whether the 24- hour scrum sprint method is an effective method to increase the number of completed improvements, and decrease throughput time in the radiology department.MethodsThe 24-hour scrum sprint method is being implemented and evaluated in Albert Schweitzer Hospital’s radiology department (intervention group). The chosen study design is an interrupted time series with a control group. Two outcomes are measured for the effect evaluation. The first outcome measure is the absolute number of completed improvements per quarter. The second outcome measure is the percentage of improvement action completed in 90 days. The ratio is calculated using a negative binomial regression analysis and a logical regression analysis. A process evaluation was also conducted engaging a focus group to evaluate the implementation trajectory and the intervention.ResultsHaving implemented the 24-hour scrum sprint, 2.5 times as many improvements were completed in the radiology department than before implementation.With a rate ratio of 2.47 (p<0.001) there is a significant difference. In the control group there was a reduction in the number of improvement actions. This difference is not significant (rate ratio of 0.87; p= 0.82). The percentage of actions completed within 90 days on radiology is 18% before implementation and 65% after implementation. This difference is significant (odds ratio = 8.30 and p<0.001). In the control group there is no significant difference in the post-intervention period compared to the pre-intervention period (odds ratio 0.99; p=0.98).The process evaluation reveals that improvement using the 24-hours scrum sprint method was experienced positively by the participants.The effect evaluation shows a significant difference in the number of improvement actions and throughput time in the intervention group. The 24-hour scrum sprint method could be an effective method to improve on the radiology department. In order to determine subsequent research is required with a longer follow-up, additional post-intervention measurement moments and a rating of the content and scope of the improvements.ReferencesTakeuchi H, Nonaka I. The new new product development game. Harvard Business Review. 1986.Sutherland J, Schwaber K. The scrum papers. Cambrigde: Scum, Inc. 2011.

When only 16 she derived a mathematical equation for predicting cancer cell growth.1 Bath gained a degree in chemistry at Hunter College in New York in 1964 and her medical degree from Howard University College of Medicine in Washington in 1968. At Hunter College she met Martin Luther King, Jnr, and became a disciple.2 An internship at Harlem Hospital Center offered her dream job, to serve the community where she was raised. “Patricia Bath was a determined leader in optics, despite the discrimination she overcame,” said Elizabeth A Rogan, chief executive officer of the Optical Society.6 “She positively changed the view on what a woman in science can accomplish, and she invented a life enhancing procedure.”