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The Radiation Emergency Assistance Center/Training Site (REAC/TS) is one of the US Department of Energy (DOE)/National Nuclear Security Administration (NNSA) Nuclear Emergency Response Team (NEST) assets and has been responding to radiological incidents since 1976. REAC/TS is in the Oak Ridge Institute for Science and Education (ORISE). A critical part of the REAC/TS mission is to provide emergency response, advice, and consultation on injuries and illnesses caused from ionizing radiation. Fortunately, radiation injuries are not frequent, but when they occur, they are more likely to be cutaneous radiation injuries (CRI) or internal contamination. In this paper, we will review selected cases from the REAC/TS experience in order to illustrate cutaneous patterns of injury and treatment options.
Edited by
Dennis S. Chi, Memorial Sloan-Kettering Cancer Center, New York,Nisha Lakhi, Richmond University Medical Center, Staten Island,Nicoletta Colombo, University of Milan-Bicocca
Uterine papillary serous cancer (UPSC) is commonly more aggressive than the endometrioid subtype and accounts for more than 50% of endometrial cancer deaths annually. Despite the known increased aggressiveness and risk of relapse in USPC, a standardized treatment paradigm for early-stage disease confined to the endometrium remains lacking. Literature is currently limited to small series and retrospective reviews. Various studies have demonstrated no difference in recurrence rates in patients with stage IA UPSC without myometrial invasion who received adjuvant therapy versus those observed. These studies also found that observation alone renders a favorable prognosis in patients with stage IA USPC without myometrial invasion and therefore, these patients may not routinely need to receive adjuvant therapy. Additional answers likely lie within an improved molecular understanding of this disease which can shed light on future directions and individualized treatment strategies.
This chapter investigates potential conflicts arising in the Italian legal framework between collective labour rights and the application of competition law to the constellation of personal labour relations that escape binary taxonomies. Its overarching goal is to understand whether and to what extent concerted wage-fixing practices are granted a special immunity. Historical evidence suggests that collective agreements covering the kaleidoscopic group of non-standard workers have never been targeted by the Italian competition authority. We situate the examination of labour antitrust exemption in the broader picture of the adequacy of the current mechanisms of “collective self-regulation” for self-employed workers. This chapter illustrates the Constitutional framework and case law developments on whether self-employed workers fall within the personal scope of collective rights. It also argues that several provisions corroborate that the Italian lawmaker often entrusts social partners in regulating specific aspects of the relationship of certain categories of self-employed workers. The chapter also presents a selection of collective agreements for non-standard workers, and then discusses how long-established trade unions have included non-standard workers in their membership through multiple, not necessarily successful, attempts. Finally, it presents practical hurdles that make it difficult to build impactful solidarity amongst non-standard workers.
About 6 million years ago, the Mediterranean basin was the location of one of the most extraordinary events in the recent geological history of the Earth: the Messinian Salinity Crisis. Restriction of the seawater exchange between the Atlantic and the Mediterranean led to excess evaporation and deposition on the bottom of the deep Mediterranean basins of a 1.5 km-thick salt layer. Research on this event initiated a long-term scientific controversy. COST (European Cooperation in Science and Technology) and Marie Skłodowska-Curie European Training Networks were identified as the most appropriate tools to address and solve the controversy using a highly cross-disciplinary approach.
The Coma Recovery Scale-Revised (CRS-R) is the gold standard of responsiveness assessment in patients with disorder of consciousness. The purpose of this study is to search for the efficacy of the caregivers’ involvement in the evaluation of responsiveness in these patients. Responsiveness assessment was performed in 15 patients with CRS-R. The CRS-R was administered with and without the emotional stimulation of the primary caregiver at different times. Our preliminary findings seem to suggest that, including also the caregivers during CRS-R assessment, may obtain better responsiveness scoring than that obtained by professionals and might reduce the misdiagnosis rate.
We present here the results obtained from studying the resolved stellar populations of two dwarf irregular galaxies in the nearby Universe. These galaxies, DDO 68 and NGC 4449, were studied within the Legacy ExtraGalactic UV Survey, an HST program aimed to uncover the many ways in which the star formation (SF) process occurs at different scales. Thanks to the deep photometry obtained in different bands (from λ2704 Å to λ8057 Å), we were able to connect the location and timescales of the star forming regions within the galaxies to merging and interaction with gas clouds and satellites, a crucial aspect of galaxy evolution, even in such small systems. From the color-magnitude diagrams of the analyzed galaxies we were able to recover their star formation history (up to ∼ 2 − 3 Gyr ago since we do not observe the oldest main sequence turn-off or horizontal branch, due to the systems’ distance), finding that the SF never really stopped, but proceeded continuously even with the succession of high and low activity. The time intervals where we find higher SF rates in the two galaxies well agree with the dynamical timescales of previous interactions events, which might represent a major channel for triggering the SF in relatively isolated galaxies.
Two sediment cores retrieved at the northern slope of Sakhalin Island, Sea of Okhotsk, were analysed for biogenic opal, organic carbon, carbonate, sulphur, major element concentrations, mineral contents and dissolved substances including nutrients, sulphate, methane, major cations, humic substances and total alkalinity. Down-core trends in mineral abundance suggest that plagioclase feldspars and other reactive silicate phases (olivine, pyroxene, volcanic ash) are transformed into smectite in the methanogenic sediment sections. The element ratios Na/Al, Mg/Al and Ca/Al in the solid phase decrease with sediment depth indicating a loss of mobile cations with depth and producing a significant down-core increase in the chemical index of alteration.
This book demonstrates how, after many years of inactivity after the World War II tribunals, judges at the Yugoslav, Rwanda and Sierra Leone tribunals, and to a lesser extent the International Criminal Court, have seized the opportunity to develop international law on war crimes, crimes against humanity and genocide. Meernik and Aloisi argue that judges are motivated by a concern for human rights protection and the legacy of international criminal justice. They have progressively expanded the reach of international law to protect human rights and have used the power of their own words to condemn human rights atrocities. Judges have sentenced the guilty to lengthy and predictable terms in prison to provide justice, deterrence of future violations and even to advance peace and reconciliation. On judgment day, we show that judges have sought to enhance the power of international justice.