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Children are uniquely vulnerable to chemical, biological, radiological, and nuclear (CBRN) events due to anatomical, physiological, and psychological differences. Current decontamination practices are adapted from adult protocols.
Objective
To evaluate current practices, challenges, and special considerations in pediatric decontamination during CBRN events.
Method
A scoping review was conducted using six databases in accordance with PRISMA-ScR framework. Studies were eligible if they evaluated decontamination methods involving children (0-18 years) in real or simulated CBRN scenarios. Fourteen studies met the inclusion criteria, and data were thematically analyzed into four domains.
Results
Disrobing is widely recognized as a critical first step in the decontamination process, and 43% of the studies reviewed identified it as such. When done immediately and appropriately, it can remove a significant amount of contaminants. Although its effectiveness varies based on how much of the body is covered and the nature of the exposure. Dry decontamination was discussed in 21% of studies, and wet decontamination was the most commonly reported approach, appearing in 93%. Key pediatric challenges included hypothermia, psychological distress, separation from caregivers, and difficulties managing non-ambulatory or special needs populations. Few studies addressed age-specific protocols or long-term psychological impacts. The results are presented in procedural order to reflect the typical sequence of decontamination in CBRN response.
Conclusions
Current decontamination guidelines inadequately address pediatric-specific needs. There is a critical need for standardized, age-appropriate guidelines that integrate caregiver support and psychosocial considerations. A pediatric decontamination algorithm was developed to consolidate current evidence into a practical framework for CBRN mass casualty incidents.
The aim of this research is to examine student motivation to participate in general music classes. The research involves students aged 10–14 from a general education primary school in Croatia (N = 186). The results indicate that these students were motivated to engage in general music classes; however, a nonlinear decline in motivation was evident as students progressed through the school years. Girls were more motivated to participate in general music classes compared to boys, and students involved in additional musical activities reported higher levels of motivation. Furthermore, listening to music influenced students’ perceptions of general music lessons and was associated with their motivation.
Many theologians and philosophers have ignored or dismissed the crucial distinction between theodicies and defenses. The distinction was and is of theological and philosophical importance not only to avoid conflating crucial issues in accounts dealing with the goodness and power of God and the reality of evil, but also to getting the challenges of evil to belief in God rightly located. This article revisits the distinction I discussed more than forty years ago in “The Use and Abuse of Theodicy.” The present article analyzes problems in the rhetoric and logic of recent works and their concerns with structural and cultural (social) evil. It focuses on major titles in philosophical theology: Marilyn McCord Adams, Christ and Horrors; Ross McCullough, Freedom and Sin; and Karen Kilby, God, Evil and the Limits of Theology. Along the way, it seeks to clarify some issues I have taken up, especially in The Evils of Theodicy.
Étude n°1 is a solo for feedback and effects pedals by David Caulet. Originally designed to enrich the electric guitar’s timbre, effects pedals have been widely repurposed by experimental and improvising musicians. Although their use is now common, notation practices associated with these devices remain underdeveloped. This work explores the development of a graphic system dedicated to representing instrumental gestures and opens perspectives for a notation framework adapted to contemporary musical practices incorporating electronic technologies.
After Dobbs v. Jackson Women’s Health Organization, the United States Supreme Court decision that overturned Roe v. Wade in 2022, OB/GYN residents’ access to abortion training, which is required in all accredited programs, has come under pressure. To receive the foundational training doctors in the field need, many residents in ban states travel to out-of-state programs where abortion is legal. But demand is high, travel for multiple weeks is expensive, and the capacity to train at host sites is limited.
Training by travel could have ripple effects for the quality of patient care. As the number of OB/GYNs continues to decrease, newly-trained providers will have different, and arguably diminished, skills in delivering not just elective but also medically necessary abortion care. And as exceptions for life and health become how legal, procedural terminations take place in one-third of the United States, there is no guarantee that the doctors in those states will feel comfortable providing that care.
This article explores the residency training provided today, providers’ and institutions’ navigation of abortion bans, and what changes in residency programs might mean for patient care in the coming years. Part I surveys the landscape of abortion law after Dobbs; even the strictest bans contemplate instances when abortion is medically required and legally permitted. Part II summarizes the pre- and post-Dobbs expectations for abortion training for OB/GYN residents, describing how graduate medical education has changed for residents in ban states. Part III assesses shorter and longer-term effects of a system that relies on travel and simulation (the use of models) or is out of compliance with national accreditation standards. Part IV concludes with potential paths forward that depend on state and national organizations supporting and funding the networks of health care professionals that facilitate training across the country.
This paper investigates the chronological and geographical evolution of the practice of recarving sculpture in the first three centuries CE, assessing the impact it had on ancient viewers, as well as the agency of sculptors and patrons. After considering the reasons for the higher or lower frequency of reworking during specific periods, the paper presents an overview of the geographical distribution of recarved portraits of Roman emperors throughout the Empire, showing that the practice was not connected with the location of main sculptural centers, but rather followed its own logic, connected with local preferences and resources. Lastly, the paper considers how thoroughly imperial portraits were reworked, to investigate the agency and technical choices made by ancient makers.
In her Time and History in Hegelian Thought and Spirit, Sally Sedgwick sets out to:
specify the extent to which we can accurately attribute to Hegel the view that human reason and the freedom it affords us are indebted for their nature to this temporal order of nature and history. Hegel’s concern with our reason’s development conveys not just his fascination with the past but his interest in how reason responds to and is anchored in and shaped by the past. (TH: 4)
In the first part of the book Sedgwick is concerned with freedom being temporally conditioned. The second part consists of the last two chapters and is concerned with the claim that ‘all our thought is indebted to this actual realm as well’ (TH: 8). Hegel repeatedly asserts, Sedgwick notes, ‘that none of us can escape our time in thought’ (TH: 143).
I am grateful to the Reviews Editor for the Hegel Bulletin, Susanne Herrmann-Sinai, for arranging this discussion of my book, Time and History in Hegelian Thought and Spirit (2023). I appreciate this opportunity to clarify and expand on some of the main ideas of the book, including those that are the most challenging to defend. I also owe thanks, of course, to each of my four critics for giving their valuable time to this project. In the context of so few pages, it is not possible to respond to every criticism; I have had to pick and choose. In the process, I may have failed to do full justice to my critics’ concerns.
This study examines the emergence of 35 agricultural gardens that were newly created or expanded in Pompeii after the earthquake of 62 CE, focusing on 24 of these gardens in Regions I and II alone. Building on Wilhelmina Jashemski’s (1990) estimate that 9.7 percent of Pompeii’s urban area was dedicated to agriculture, this research reveals an elite-driven, opportunistic response to crisis and increasing commercialization in the mid-1st c. CE. Through a novel methodological approach, this study demonstrates how landowners adapted urban spaces for cash crops, balancing economic opportunity with local food security. These gardens were not developed through state intervention but were rather the result of private enterprise, playing a key role in urban resilience and socio-economic adaptability. Beyond profit, they contributed to improved nutrition and infrastructure. By reconstructing Pompeii’s final years through its green spaces, this research reframes agriculture as integral to the city’s economy, crisis response, and urban transformation in the lead-up to 79 CE.
La constitution, la préservation et l’exploitation de sources nativement numériques impliquent, au-delà de leur documentation, une « redocumentarisation », qui consiste par exemple à produire des métadonnées supplémentaires conditionnant leur archivage et leur accessibilité ou à garder une trace des opérations nécessaires à la reconstruction des documents, au prix, parfois, de transformations. Ce patrimoine redocumentarisé requiert une très grande diversité d’opérations techniques, mises en œuvre par de nombreuses institutions et acteurs (bibliothèques et archives, initiatives militantes et participatives, acteurs privés et internationaux). Il soulève des enjeux d’accessibilité, de partage, de contextualisation et d’ouverture, qui influencent l’exploitation scientifique des archives nativement numériques. En s’appuyant principalement sur l’archivage du web et des réseaux sociaux numériques, mais aussi sur celui du code source, des CD-ROM et des courriers électroniques, l’article explore les logiques de documentation et de redocumentarisation ainsi que les pratiques et tensions qui y sont à l’œuvre. Celles-ci peuvent en effet être déterminantes pour les recherches en histoire et plus largement en sciences humaines et sociales, puisqu’elles les accompagnent et leur permettent davantage de contextualisation.