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Introduction

Rapid on-site cytopathological examination (ROSE) performed by endosonagraphers and its improvement in the diagnosis of. We could argue whether the pathologists of their group are better acquainted with pancreatic cytology or that technically the endosonographer of our study is less experienced. The rose free download - Valentine Rose Theme, ROSE Online Evolution Client, Red Rose, and many more programs.

Pancreatic cancer is still one of the most lethal diseases and fourth leading cause of cancer related deaths [1,2]. Attributed to the aggressive biology, pancreatic cancer is diagnosed at an unresectable stage in most cases. Around 15–20% of patients have resectable disease, but less than 20% survival to 5 years[1]. Differential diagnosis of pancreatic cancer is considered to be a frequent clinical challenge. Retroperitoneal location of the pancreas also obscures the diagnosis of early pancreatic cancer. Therapeutic strategy in this context mainly relied on the determination or exclusion of malignancy. Therefore, a pathological diagnosis is the most valuable reference to make an optimal therapeutic decision.

Endoscopic ultrasound (EUS) is a well-established modality to diagnose and stage a variety of gastrointestinal and nongastrointestinal disorders, including pancreatic cancer[3]. EUS-guided fine needle aspiration (EUS-FNA) emerged as a minimally invasive technique to obtain cytological specimens. Accuracy of EUS-FNA has been evaluated in several studies in pancreatic cancer patients ranging from 60% to 96% [3–6]. By enhancing diagnostic sensitivity, staging accuracy, and prognostic determination [4,7], EUS-FNA helps guide patient care and improve outcomes.

ROSE is performed by an assessor (cytopathologist, cytotechnologist) to give an immediate evaluation for adequacy of sampling, thereby increasing the accuracy for obtaining a definitive diagnosis and reducing the need for additional needle passes. Recently, rapid on-site evaluation (ROSE) has been reported to be associated with a 10–15% rise of diagnostic yield in the EUS performance. Good agreement with the final cytopathological diagnosis is provided by the implementation of ROSE [8–11]. Meta-analyses revealed that on-site cytopathology evaluation could improve diagnostic adequacy and accuracy for malignancy detection [12–14]. However, new and high quality studies published recently reported convertible conclusions [15,16]. Design inadequacies of previous meta-analysis limited their capacity in completely addressing this clinical question and left the benefits of ROSE remained controversial. No significant benefit would be brought with the presence of a cytopathologist. We therefore aim to conduct a systematic review and meta-analysis on the efficacy of ROSE for patients undergoing EUS–FNA of pancreatic masses.

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Many English-speaking readers of the Roman de la rose, the famous dream allegory of the thirteenth century, have come to rely on Charles Dahlberg's elegant and precise translation of the Old French text. His line-by-line rendering in contemporary English is available again, this time in a third edition with an updated critical apparatus. Readers at all levels can continue to deepen their understanding of this rich tale about the Lover and his quest--against the admonishments of Reason and the obstacles set by Jealousy and Resistance--to pluck the fair Rose in the Enchanted Garden. The original introduction by Dahlberg remains an excellent overview of the work, covering such topics as the iconographic significance of the imagery and the use of irony in developing the central theme of love. His new preface reviews selected scholarship through 1990, which examines, for example, the sources and influences of the work, the two authors, the nature of the allegorical narrative as a genre, the use of first person, and the poem's early reception. The new bibliographic material incorporates that of the earlier editions. The sixty-four miniature illustrations from thirteenth-and fifteenth-century manuscripts are retained, as are the notes keyed to the Langlois edition, on which the translation is based.

Debate Of The Romance Of The Rose

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The Rose Experience Rapidshare Download Manager

In 1401, Christine de Pizan (1365–1430?), one of the most renowned and prolific woman writers of the Middle Ages, wrote a letter to the provost of Lille criticizing the highly popular and widely read Romance of the Rose for its blatant and unwarranted misogynistic depictions of women. The debate that ensued, over not only the merits of the treatise but also of the place of women in society, started Europe on the long path to gender parity. Pizan’s criticism sparked a continent-wide discussion of issues that is still alive today in disputes about art and morality, especially the civic responsibility of a writer or artist for the works he or she produces. In Debate of the “Romance of the Rose,” David Hult collects, along with the debate documents themselves, letters, sermons, and excerpts from other works of Pizan, including one from City of Ladies—her major defense of women and their rights—that give context to this debate. Here, Pizan’s supporters and detractors are heard alongside her own formidable, protofeminist voice. The resulting volume affords a rare look at the way people read and thought about literature in the period immediately preceding the era of print.Download

The Romance Of The Rose

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The author of at least two noteworthy romances of the early thirteenth century, Le Roman de la Rose or Guillaume de Dole and L'Escoufle (The Kite), as well as Le Lai de l'Ombre, Jean Renart is today recognized as the most accomplished practitioner of the 'realistic romance' in Old French literature.

Debating The Roman De La Rose

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Around the year 1400, the poet Christine de Pizan initiated a public debate in France over the literary 'truth' and merit of the Roman of the Rose, perhaps the most renowned work of the French Middle Ages. She argued against what she considered to be misrepresentations of female virtue and vice in the Rose. Her bold objections aroused the support and opposition of some of the period's most famous intellectuals, notable Jean Gerson, whose sermons on the subject are important literary documents. 'The Quarrel of the Rose' is the name given by modern scholars to the collection of these and other documents, including both poetry and letters, that offer a vivid account of this important controversy. As the first dual-language version of the 'Quarrel' documents, this volume will be of great interest to medievalists and an ideal addition to the Routledge Medieval Texts series. Along with translations of the actual debate epistles, the volume includes several relevant passages from the Romance of the Rose, as well as a chronology of events and ample biography of source materials.Download
First published in 1995. Routledge is an imprint of Taylor & Francis, an informa company.

The Romance Of Nature Or The Flower Seasons Illustrated

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This book is part of the TREDITION CLASSICS series. The creators of this series are united by passion for literature and driven by the intention of making all public domain books available in printed format again - worldwide. At tredition we believe that a great book never goes out of style. Several mostly non-profit literature projects provide content to tredition. To support their good work, tredition donates a portion of the proceeds from each sold copy. As a reader of a TREDITION CLASSICS book, you support our mission to save many of the amazing works of world literature from oblivion.

The Romance Of The Forest

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