JOURNAL OF ROMAN STUDIES最新文献

{"title":"Multifaceted Strategy Improves Outcomes of Patients Hospitalized with a Diabetic Foot Infection.","authors":"Elad Keren, Abraham Borer, Tali Shafat, Lior Nesher, Yaniv Faingelernt, Orli Sagi, Orly Shimoni, Lisa Saidel-Odes","doi":"10.1177/15347346221093463","DOIUrl":"10.1177/15347346221093463","url":null,"abstract":"<p><p>Diabetic foot infections (DFIs) are associated with major morbidity, reduced quality of life and increased mortality. Osteomyelitis is a leading cause of lower-extremity amputation in diabetic patients. We aimed to examine whether a multifaceted strategy for treating hospitalized patients with a DFI effectively influenced microbiological culture results and outcomes. A retrospective cohort-study in a 1100-bed, tertiary-care university hospital was conducted. Adult patients with a DFI admitted to the orthopedics department between 2015 and 2019 were included. During the pre-intervention period (2015-2016), one general orthopedic department was in operation. In the post-intervention period (2017-2019), a second department was created with a designated \"complicated wound unit\". The multifaceted strategy included revising local guidelines for DFI culturing emphasizing bone cultures, correct sample handling, and adjusting antibiotic treatment to culture results. Additionally, a weekly multidisciplinary-team grand round was instigated and post-discharge outpatient follow-up was scheduled. 652 patients with DFIs were included; 101 during the pre-intervention period and 551 during the post-intervention period. Compared to the pre-intervention, during the post-intervention period mainly bone or deep-tissue cultures were performed (9.7% vs. 98.2%, P < 0.001). Bacteriology cultures in the pre-intervention versus post-intervention period revealed: among staphylococcus isolates, fewer methicillin-resistant <i>Staphylococcus aureus</i> detected (20.4% vs. 9.8%, P = 0.010); within Enterobacteriaceae isolates, fewer extended-spectrum β-lactamase producing bacteria detected (51.6% vs. 23.6%, P < 0.001); a decrease in <i>Pseudomonas aeruginosa</i> isolates (28% vs. 10.6%, P < 0.001) and an increase in anaerobic bacterial isolates (0 vs. 11.1%, P < 0.001). On multivariate regression, the post-intervention period (ie multifaceted strategy) was a protective measure against readmissions (P = 0.007 OR 0.50 95% CI 0.30-0.82). We conclude that our interventive multifaceted strategy led to accurate bacterial diagnosis, de-escalation of antibiotic treatment and readmission reduction.</p>","PeriodicalId":51654,"journal":{"name":"JOURNAL OF ROMAN STUDIES","volume":"79 1","pages":"342-348"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90473230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Etched into the Soul’: The Education of Shorthand-Writers in Late Antiquity","authors":"Ella Kirsh","doi":"10.1017/s0075435824000261","DOIUrl":"https://doi.org/10.1017/s0075435824000261","url":null,"abstract":"Surviving in excellent condition on papyri and wax tablets, the <jats:italic>Commentary</jats:italic> and other late antique shorthand manuals offer a new way to investigate the complexity and diversity of non-elite intellectual culture in the later Roman Empire. Stenographical skill and obedience were hymned by elite authors, but the methods used to inculcate that skill and extract that compliance have rarely been examined. This article, the first to subject shorthand pedagogy to social historical analysis, argues that the difficulty of the shorthand system increased the potency of the ideological lessons it delivered to its (predominantly non-elite, often enslaved) students. It finds that, in addition to technical instruction, the <jats:italic>Commentary</jats:italic> communicated a coherent, if troubling, vision of late ancient society and of the proper dispensation of power within it. Student-authored marginalia point to the successes and limits of the <jats:italic>Commentary</jats:italic>'s moral pedagogy and raise fresh questions about how non-elite communities developed their own intellectual identities and traditions.","PeriodicalId":51654,"journal":{"name":"JOURNAL OF ROMAN STUDIES","volume":"9 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142192900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are Altered Expression of Vascular Endothelial Growth Factor and Placental Growth Factor Associated with Placental Angiogenesis in Recurrent Pregnancy Loss?","authors":"Shehnaz Sultana, M R Renjini Devi, Mahesh Kumar Rathod, Penagaluru Pardhanandana Reddy, Venkateshwari Ananthapur","doi":"10.1007/s12291-023-01117-4","DOIUrl":"10.1007/s12291-023-01117-4","url":null,"abstract":"<p><p>Angiogenesis is one of the most important steps during pregnancy for placental and fetal development. Based on the hypothesis that vascular insufficiency and altered angiogenesis may lead to early pregnancy loss, the present study was aimed to understand the role of Vascular endothelial growth factor (VEGFA) and Placental growth factor (PLGF) gene expression in placental angiogenesis in the pathogenesis of Recurrent pregnancy loss (RPL). Gene expression analysis of VEGFA and PLGF was carried out in the placental tissue collected from 30 women with recurrent pregnancy loss and compared with the placenta obtained from 16 women with medically terminated pregnancy. The mRNA expression of both VEGFA and PLGF genes were significantly downregulated in the placenta of recurrent pregnancy loss in comparison to the placenta of medically terminated pregnancies. In conclusion the results of the present study suggest that altered expression of VEGFA and PLGF genes in placenta disturb the angiogenesis and contribute to the pathogenesis of recurrent pregnancy loss.</p>","PeriodicalId":51654,"journal":{"name":"JOURNAL OF ROMAN STUDIES","volume":"67 1","pages":"387-391"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11239627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90406985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The significance of biomarkers of inflammation in predicting the activity of Lupus nephritis.","authors":"Violeta Rabrenović, Milica Petrović, Milorad Rabrenović, Dejan Pilčević, Nemanja Rančić","doi":"10.5937/jomb0-43457","DOIUrl":"10.5937/jomb0-43457","url":null,"abstract":"<p><strong>Background: </strong>Lupus nephritis (LN) is one of the most severe manifestations of systemic lupus erythematosus (SLE). There are increased studies examining the role of different markers that would facilitate diagnosis, LN activity monitoring, relapse occurrence, and the right time to introduce maintenance therapy. We aimed to examine the importance of determining the neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), systemic immuneinflammatory index (SII) and systemic inflammatory response index (SIRI) in LN, comparing their significance with other standard parameters of active disease.</p><p><strong>Methods: </strong>The clinical examination included 66 patients (34 with active and 32 with LN in remission) and 23 healthy controls. The investigated parameters were CRP, CBC, creatinine, albumin, GFR, C3, C4, ANA, anti-ds DNA Ab, in urine: sediment analysis, SLEDAI/r, proteinuria 24h and Up/cre. We determined the derived markers: NLR, PLR, SIRI, and SII and their correlation with other parameters of active disease.</p>","PeriodicalId":51654,"journal":{"name":"JOURNAL OF ROMAN STUDIES","volume":"92 1","pages":"116-125"},"PeriodicalIF":2.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10943464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90995338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"JESSICA L. WRIGHT, THE CARE OF THE BRAIN IN EARLY CHRISTIANITY (Joan Palevsky Imprint in Classical Literature.) Berkeley: University of California Press, 2022. Pp. 310. isbn 9780520387676. £80.00/US$95.00.","authors":"Giacomo Savani","doi":"10.1017/s0075435823000916","DOIUrl":"https://doi.org/10.1017/s0075435823000916","url":null,"abstract":"","PeriodicalId":51654,"journal":{"name":"JOURNAL OF ROMAN STUDIES","volume":"100 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139174468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ESTHER EIDINOW, ARMIN W. GEERTZ and JOHN NORTH (EDS), COGNITIVE APPROACHES TO ANCIENT RELIGIOUS EXPERIENCE (Ancient Religion and Cognition). Cambridge and New York: Cambridge University Press, 2022. Pp. xiv + 299, illus. isbn 9781316515334. £75.00.","authors":"O. Panagiotidou","doi":"10.1017/s0075435823000886","DOIUrl":"https://doi.org/10.1017/s0075435823000886","url":null,"abstract":"","PeriodicalId":51654,"journal":{"name":"JOURNAL OF ROMAN STUDIES","volume":"271 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139002154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ANNE GANGLOFF and GILLES GORRE (EDS), LE CORPS DES SOUVERAINS DANS LES MONDES HELLÉNISTIQUE ET ROMAIN (Collection ‘Histoire’). Rennes: Presses universitaires de Rennes, 2021. Pp. 422, illus. isbn 9782753586482. €30.00.","authors":"Martijn Icks","doi":"10.1017/s0075435823000849","DOIUrl":"https://doi.org/10.1017/s0075435823000849","url":null,"abstract":"","PeriodicalId":51654,"journal":{"name":"JOURNAL OF ROMAN STUDIES","volume":"4 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138980996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OLIVERA ILIĆ, LATE ANTIQUITY AND EARLY CHRISTIANITY IN THE ROMAN PROVINCES OF MOESIA PRIMA AND DACIA RIPENSIS (BAR International series S3101). Oxford: BAR Publishing, 2022. Pp. xiii + 87, illus. isbn 9781407360331. £29.00.","authors":"Ulrike Roth","doi":"10.1017/s0075435823000898","DOIUrl":"https://doi.org/10.1017/s0075435823000898","url":null,"abstract":"","PeriodicalId":51654,"journal":{"name":"JOURNAL OF ROMAN STUDIES","volume":"51 6","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138982108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ELIZABETH D. CARNEY and SABINE MÜLLER (EDS), THE ROUTLEDGE COMPANION TO WOMEN AND MONARCHY IN THE ANCIENT MEDITERRANEAN WORLD (Routledge Companions). London and New York: Routledge, 2021. Pp. xviii + 537, illus. isbn 9781138358843 (hbk). £190.00.","authors":"Julia Hillner","doi":"10.1017/s0075435823000837","DOIUrl":"https://doi.org/10.1017/s0075435823000837","url":null,"abstract":"","PeriodicalId":51654,"journal":{"name":"JOURNAL OF ROMAN STUDIES","volume":"27 10","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DALIDA AGRI, READING FEAR IN FLAVIAN EPIC: EMOTION, POWER, AND STOICISM. Oxford: Oxford University Press, 2022. Pp. x+244. isbn 9780192859303. £65.00.","authors":"Chiara Graf","doi":"10.1017/s0075435823000825","DOIUrl":"https://doi.org/10.1017/s0075435823000825","url":null,"abstract":"","PeriodicalId":51654,"journal":{"name":"JOURNAL OF ROMAN STUDIES","volume":"29 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"历史学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}