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cosmética maria Gruppe

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Search Results For Unity (129)



Main results: Our systematic search included 26 eligible studies encompassing 1199 LGBTQ2S+ childbearing participants. Using the JBI SUMARI approach, we reported 65 results, which we synthesised as six key findings. The studies described unique considerations for LGBTQ2S+ individuals' perinatal mental health, including heteronormativity, cisnormativity, isolation, exclusion from traditional pregnancy care, stigma, and distressing situations from the gendered nature of pregnancy. Many participants described a lack of knowledge from healthcare providers related to care for LGBTQ2S+ individuals. In addition, LGBTQ2S+ individuals described barriers to accessing mental healthcare and gaps in health systems. Strategies to improve care include provider education, avoidance of gendered language, documentation of correct pronouns, trauma-informed practices, cultural humility training and tailored care for LGBTQ2S+ people.




Search results for unity (129)



107. Many places are experiencing a dearth of vocations to the priesthood and consecrated life. This is often due to a lack of contagious apostolic fervour in communities which results in a cooling of enthusiasm and attractiveness. Wherever there is life, fervour and a desire to bring Christ to others, genuine vocations will arise. Even in parishes where priests are not particularly committed or joyful, the fraternal life and fervour of the community can awaken in the young a desire to consecrate themselves completely to God and to the preaching of the Gospel. This is particularly true if such a living community prays insistently for vocations and courageously proposes to its young people the path of special consecration. On the other hand, despite the scarcity of vocations, today we are increasingly aware of the need for a better process of selecting candidates to the priesthood. Seminaries cannot accept candidates on the basis of any motivation whatsoever, especially if those motivations have to do with affective insecurity or the pursuit of power, human glory or economic well-being.


246. Given the seriousness of the counter-witness of division among Christians, particularly in Asia and Africa, the search for paths to unity becomes all the more urgent. Missionaries on those continents often mention the criticisms, complaints and ridicule to which the scandal of divided Christians gives rise. If we concentrate on the convictions we share, and if we keep in mind the principle of the hierarchy of truths, we will be able to progress decidedly towards common expressions of proclamation, service and witness. The immense numbers of people who have not received the Gospel of Jesus Christ cannot leave us indifferent. Consequently, commitment to a unity which helps them to accept Jesus Christ can no longer be a matter of mere diplomacy or forced compliance, but rather an indispensable path to evangelization. Signs of division between Christians in countries ravaged by violence add further causes of conflict on the part of those who should instead be a leaven of peace. How many important things unite us! If we really believe in the abundantly free working of the Holy Spirit, we can learn so much from one another! It is not just about being better informed about others, but rather about reaping what the Spirit has sown in them, which is also meant to be a gift for us. To give but one example, in the dialogue with our Orthodox brothers and sisters, we Catholics have the opportunity to learn more about the meaning of episcopal collegiality and their experience of synodality. Through an exchange of gifts, the Spirit can lead us ever more fully into truth and goodness.


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The targeting accuracy of proton therapy (PT) for moving soft-tissue tumours is expected to greatly improve by real-time magnetic resonance imaging (MRI) guidance. The integration of MRI and PT at the treatment isocenter would offer the opportunity of combining the unparalleled soft-tissue contrast and real-time imaging capabilities of MRI with the most conformal dose distribution and best dose steering capability provided by modern PT. However, hybrid systems for MR-integrated PT (MRiPT) have not been realized so far due to a number of hitherto open technological challenges. In recent years, various research groups have started addressing these challenges and exploring the technical feasibility and clinical potential of MRiPT. The aim of this contribution is to review the different aspects of MRiPT, to report on the status quo and to identify important future research topics.


In summary, although none of the presented approaches was yet translated into the clinic in the scope of MR-only based PT, they generally showed promising results for various tumour sites, with clinically acceptable deviations from reference CT images. While initial studies focused on the use of dedicated MRI sequences for air and bone separation (e.g., UTE), more recent approaches aimed at utilizing standard MRI sequences (e.g., T1w) to facilitate clinical adoption. This trend could also enable usage of sequences less prone to geometric distortions (e.g., at the patient outline), which is important for accurate proton dose estimation. In terms of conversion technique, the research focus is shifting more to the application of deep learning techniques, which can theoretically handle arbitrary MRI sequences as input and provide accurate sCTs with continuous HU values in very short (seconds) times, thus fulfilling the time requirements of MR-only workflows for online adaptive MRiPT.


There are limitations to this clinical trial. First, the application of the two devices was not randomized to the dominant and nondominant arms. However, a clinical trial by Claudius et al. concluded that significant differences in neuromuscular responses were not observed between the two arms.30 Second, raw control train-of-four values measured with the TOFscan in the investigation were 1.0 (in contrast to 1.10 with the TOF-Watch SX). There are a few explanations for why the train-of-four values were closer to unity with the TOFscan. According to the manufacturer, the thumb splint was designed (shape and the hardness of the splint) to minimize the risk of control train-of-four values exceeding 1.0 (personal written communication, December 2017, Thierry Bagnol, IDMED, Marseille, France). It is also possible that the new three-dimensional transducer technology limits raw values greater than 1.0 by more accurately assessing thumb position at rest and with movement. In addition, as with the TOF-Watch and TOF-Watch SX, the displayed train-of-four ratio is limited to 1.0 (although the train-of-four bar graph presents the absolute amplitude response). If the second twitch (T2) is greater than the first twitch (T1), then the train-of-four value shown is calculated using the fourth twitch/second twitch (T4/T2) ratio, not the fourth twitch/first twitch (T4/T1) ratio. It is interesting to note that 25% of the displayed baseline values exceeded 1.0 with the TOFscan. Since most clinicians would be unlikely to use the REF mode of the TOFscan to measure raw baseline train-of-four values and perform normalization, the current study was conducted to reflect standard practices. Third, the stimulating current intensity delivered by the TOF-Watch SX after calibration was not recorded; therefore, it is uncertain whether a stimulation intensity of more than 50 mA was used. Finally, studies have demonstrated that electromyography has the closest correlation with mechanomyography during onset and recovery of neuromuscular blockade, and investigators have stated that electromyography should be considered the standard for the objective assessment of neuromuscular function and for the evaluation of new quantitative monitoring technology.7,31 At this time, however, no stand-alone electromyography devices are available for clinical or research applications. 041b061a72


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