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15. Investment in resilient food systems in the most vulnerable and fragile regions is critical

Author

Queiroz, Cibele, Norström, Albert V., Downing, Andrea, Harmáčková, Zuzana V., De Coning, Cedric, Adams, Vanessa, Bakarr, Mohamed, Baedeker, Tobias, Chitate, Ange, Gaffney, Owen, Gordon, Line, Hainzelin, Étienne, Howlett, David, Krampe, Florian, Loboguerrero, Ana Maria, Nel, Deon, Okollet, Constance, Rebermark, Maya, Rockström, Johan, Smith, Mark, Wabbes-Candotti, Sylvie, and Matthews, Nathanial

Published
2021
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16. New possibilities: When Mormon women are called to ordained ministry

Author

Howlett, David and Ross, Nancy

Subjects
Theological seminaries -- Social aspects, Mormons -- Social aspects -- Demographic aspects -- Beliefs, opinions and attitudes, Ordination of women -- Social aspects, Philosophy and religion
Abstract

'I CAME TO DIV SCHOOL as a Mormon ready to reconcile with a God that would give me some relief,' recalled Zora, a Black woman in her early 40s, about [...]

Published
2022

18. The use of high-resolution ultrasound and ultrasound-guided needle core biopsy in the diagnosis of major salivary gland lesions

Author

Howlett, David Crispin

Subjects
610
Abstract

Over recent years there have been significant changes in both the diagnosis and management of palpable swellings of the parotid and submandibular major salivary glands. There is a requirement and an expectation from both clinicians and patients that a pre-operative diagnosis is available and that it is accurate and obtained in a manner which is safe and timely, this is of particular importance with the advent of minimally invasive surgical techniques. There is also increasing recognition that the principal current salivary gland biopsy technique, fine needle aspiration cytology (FNAC), is associated with significant drawbacks and is not performing reliably across a network of institutions.

Published
2015

20. A rare cause of malignant otitis externa and skull base osteomyelitis.

Author

Harding, Freya, Howlett, David, and Al-Hashim, Muhannad

Abstract

An elderly male with type 2 diabetes presented with a 2-month history of otalgia and severe headaches. He was diagnosed with malignant otitis externa (MOE) and was commenced on empirical treatment with oral ciprofloxacin. Pseudomonas is the most common cause of MOE. A baseline CT scan was undertaken that demonstrated skull base osteomyelitis (SBO) due to findings of bone erosion at the mastoid tip and an infiltrating soft tissue mass eroding the clivus. Eight weeks later, he returned with worsening and bilateral symptoms of otitis externa, hearing loss, temporomandibular pain and dysfunction. Worsening and now bilateral malignant otitis externa were confirmed with an MRI scan that also demonstrated a small fluid collection in his left temporal region. The collection was aspirated and grew scedosporium apiospermum. He was diagnosed with fungal SBO and was commenced on treatment with the antifungal voriconazole, with significant improvement in symptoms and radiological findings. Fungal osteomyelitis is more likely in immunosuppressed patients, particularly those with type 2 diabetes. Fungal aetiology should be suspected in patients with progressive symptoms, despite treatment. A microbiology diagnosis of fungal SBO or MOE can be challenging to obtain and can lead to diagnostic delay. A sampling of the external auditory canal can aid in diagnosing MOE; however, scedosporium may also be isolated as a commensal organism. Aspirations from accessible fluid collections, infratemporal fossa needle sample and bone biopsy can provide material for diagnosis. Scedosporium is a rare cause of disease in humans, however, fungal infections are increasing in humans, due to an increase in susceptible populations. Scedosporium apiospermum is a rare cause of SBO and should be considered in patients not responding to standard treatment. [ABSTRACT FROM AUTHOR]

Published
2024
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