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- Baldaque-Silva, Francisco, et al.
(författare)
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Endoscopic assessment and grading of Barrett's esophagus using magnification endoscopy and narrow band imaging: Impact of structured learning and experience on the accuracy of the Amsterdam classification system
- 2013
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Ingår i: Scandinavian Journal of Gastroenterology. - : Informa UK Limited. - 1502-7708 .- 0036-5521. ; 48:2, s. 160-167
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Tidskriftsartikel (refereegranskat)abstract
- Objective. Several classification systems have been launched to characterize Barrett's esophagus (BE) mucosa using magnification endoscopy with narrow band imaging (ME-NBI). The good accuracy and interobserver agreement described in the early reports were not reproduced subsequently. Recently, we reported somewhat higher accuracy of the classification developed by the Amsterdam group. The critical question then formulated was whether a structured learning program and the level of experience would affect the clinical usefulness of this classification. Material & methods: Two hundred and nine videos were prospectively captured from patients with BE using ME-NBI. From these, 70 were randomly selected and evaluated by six endoscopists with different levels of expertise, using a dedicated software application. First, an educational set was studied. Thereafter, the 70 test videos were evaluated. After classification of each video, the respective histological feedback was automatically given. Results. Within the learning process, there was a decrease in the time needed for evaluation and an increase in the certainty of prediction. The accuracy did not increase with the learning process. The sensitivity for detection of intestinal metaplasia ranged between 39% and 57%, and for neoplasia between 62% and 90%, irrespective of assessor's expertise. The kappa coefficient for the interobserver agreement ranged from 0.25 to 0.30 for intestinal metaplasia, and from 0.39 to 0.48 for neoplasia. Conclusion: Using a dedicated learning program, the ME-NBI Amsterdam classification system is suboptimal in terms of accuracy and inter- and intraobserver agreements. These results reiterate the questionable utility of corresponding classification system in clinical routine practice.
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| 2. |
- Humer, Alois, et al.
(författare)
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European Types of Political and Territorial Organisation of Social Services of General Interest
- 2013
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Ingår i: Romanian Journal of Regional Science. - 1843-8520. ; 7:special issue, s. 142-164
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Tidskriftsartikel (refereegranskat)abstract
- It is commonly understood across Europe that the provision of Social Services of General Interest (SSGI) is important. Several official documents guarantee every EU citizen access to, and the availability of, SSGI. Nevertheless, when it comes to producing, financing, administrating and territorially organising SSGI, the approaches and practices used across the various European states differ significantly while often mirroring the functioning of the social welfare and national administrative planning systems that prevail on the ground. The purpose of this paper is to present a systematic analysis of how European states (the EU 27 plus Croatia and the EFTA countries of Iceland, Norway and Switzerland) cope with the organisation of SSGI in the fields of education, care, labour market, social housing and insurance schemes. Outlining the similarities and differences of the various national approaches leads to the creation of a European typology of SSGI organisation. This typology will then be compared to existing typologies and classifications of social welfare and spatial planning systems.
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| 5. |
- Marques, Nuno, 1980-
(författare)
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A Máquina Mole : William Burroughs
- 2012
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Ingår i: (In)seguranças no Espaço Urbano. - Húmus : V.N. Famalicão. - 9789898549525 ; , s. 183-189
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Bokkapitel (refereegranskat)
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| 6. |
- Marques, Nuno, 1980-
(författare)
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A Máquina Mole : William Burroughs
- 2013
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Ingår i: (In)seguranças no Espaço Urbano : Perspectivas Culturais. - Húmus : V.N. Famalicão. - 9789898549525 - 9898549521 ; , s. 185-189, s. 185-189
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 7. |
- Marques, Nuno, 1980-
(författare)
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A Nova Poética da natureza de Gary Snyder : budismo e ecocrítica na sua obra
- 2013
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis presents the work of the poet Gary Snyder (1930) to the Portuguese academia in order to clearly state its original and unique place among North-American poetry. It is divided in three chapters that determine the three different grounds of the author’s syncretism. The first chapter contextualizes Snyder’s work in the history of literary representations of nature. In rupture with the Pastoral literary mode it crystallizes a moment of passing between nature writing and environmental writing. The second chapter discusses the Buddhist elements present in Snyder’s work and stresses the importance of the interrelation between mind and nature. By stating the equivalence between the Buddhist concept of interdependence and ecosystems processes, the poems assume certain formal characteristics that are presented. Finally, the third chapter defines the relation between geographical places and Snyder’s poems. The formal aspects of the author’s poetry reflect Snyder’s notion of the poet as a shaman and its clarification allows for the discussion of the author’s statement of language as a wild ecosystem. Snyder’s syncretism is his most profound, original and long lasting influence in North-American poetry. It extends its influence to environmental ethics, the presence of Buddhism in North-America and the recovery of Native American Myths and lore. It does so in the context of a social, political, poetic, religious and environmental revolution that intends to create a new (and old) place for humans with nature.
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| 8. |
- Marques, Nuno, 1980-, et al.
(författare)
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Editors’ Introduction : "To Penetrate every Wall and Home": Insecurity and Global Terror(s)
- 2014
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Ingår i: estrema: Interdisciplinary Review for the Humanities. - 2182-8040. ; 5, s. 1-8
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Tidskriftsartikel (refereegranskat)abstract
- In December 2001, three months after the attacks on the World Trade Centre (WTC) on 11th September, Don DeLillo wrote that the real target of the terrorists was “the high gloss of [US] modernity … technology … foreign policy … It was the power of American culture to penetrate every wall, home, life, and mind” (DeLillo 2001, 34). Let us begin this introduction by focusing on the words “wall[s] and home[s]” used by DeLillo. In light of US hegemony, how should we re-think and revisit notions of home and its (linguistic and physical) boundaries? How can we measure the extent of a movement that reaches “every wall, home, life, and mind”?
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