Two hundred fifty-one consecutive patients were treated between 1964 and 1982 with mammographic calcifications as the only reason for breast biopsy. Patients with either clinical or x-ray findings other than calcifications were excluded. A correlation of the x-ray, pathology, and clinical experience is the basis of this report. Specimen radiography with paraffin section histology (i.e., no frozen section) was performed on all biopsy material. The procedure of specimen radiography that was utilized is described. A team approach involving radiologists, pathologists, and surgeons has been essential both to confirm excision of the calcifications and localize them for pathology study. Carcinoma was found in 45 patients (17%). A retrospective study of the calcifications was also undertaken to determine characteristics that would permit definitive radiographic diagnosis of benign or malignant disease.
Exposure of antibody to relatively high concentrations of uranium yielded an electron-dense specific localizing reagent. Destruction of antibody activity during labelling was prevented by protection of the antibody-antigen combining sites: Anti- Bordetella bronchiseptica antibody was removed from serum by absorption with B. bronchiseptica. The washed agglutinate was exposed to uranium. The antibody recovered from this agglutinate by brief alkali treatment in the cold was 80 to 100% pure and contained 28 to 312 atoms of uranium per unit of 156,000 molecular weight. The material stained the walls of living or formalin killed, and the cytoplasm of living B. bronchiseptica. E. coli and mouse spleen cells were not stained. Contrast was diminished when B. bronchiseptica was exposed to unlabelled anti- B. bronchiseptica antiserum prior to uranium-antibody conjugate. Absorption with B. bronchiseptica, but not with E. coli, abolished the staining capacity of purified uraniumn-antibody conjugate. Whole antiserum labelled with uranium without specific protection, even though retaining some antibody activity, was not suitable as a stain since it deposited a large amount of debris and apparently stained both E. coli and B. bronchiseptica.
This article maintains that local government and nonprofit organizations are key collaborative agents in the delivery of language access services in the City of Philadelphia. Based on research conducted from February 2009 through September 2010, this article utilizes personal interviews, document analyses, and other data to situate the shared responsibility forged between the public and nonprofit sectors in the realm of language access. Local government relies on a range of nonprofit networks for both public support and community outreach in immigrant neighborhoods. Nonprofits, on the other hand, rely on the welcoming political climate that protocols and municipal directives provide for immigrants at the local level. As Philadelphia touts itself as a reemerging destination for immigrants, this article highlights the prominent role that nonprofit organizations play in the work of immigrant accompaniment by ensuring equal access to city services, regardless of linguistic ability.
This article describes the process of unionization for a group of public-sector psychologists. After administrative changes in the Circuit Court of Cook County's Forensic Clinical Services increased interest in unionization, the psychologists chose a union to represent them, identified contract goals and a negotiation strategy, and organized a contract campaign to pressure management for concessions. Since unionization, the psychologists have made significant movement toward achieving some of the contract goals, especially with the initiation of the contract campaign. The psychologists also faced and addressed problems related to the size of the bargaining unit, some fears and anxieties among the members, and the slow pace of negotiations. Their experience illustrates how collective effort, such as involvement in organized labor, can lead to more professional working conditions for psychologists and to better quality care for the public.Psychologists employed by the Circuit Court of Cook County's Forensic Clinical Services are currently involved in negotiating their first union contract. This article discusses what the experience of unionizing has been like for these psychologists and the early gains that have resulted.The bargaining unit currently consists of a total of 12 members who perform court-ordered psychological evaluations. Many different topics are addressed in the evaluations, including fitness to stand trial, insanity, child custody in divorce cases, transfer of juveniles to the adult jurisdiction, and treatment recommendations for adults and juveniles involved in the court system. Some evaluations consist of interviews along with a review of background records, whereas others require extensive psychological testing. Beginnings of the Union DriveAlthough one of the senior staff psychologists, Paul Fauteck, undertook informal efforts to interest psychologists in unionizing as early as 1988, it was recent events in the department that created a serious interest in the benefits of union membership among the staff, some of whom had worked for the department for over 20 years without attempting to organize. In late 1993, the chief judge's office opted to administratively merge the Clinical Services Department at juvenile court with the Psychiatric CATHERINE E. WILSON is a member of the psychologists' contract bargaining committee of Teamsters Local 743 and is a clinical psychologist at Forensic Clinical Services, Circuit Court of Cook County, in Chicago, IL. She is a graduate of the Chicago School of Professional Psychology. I THANK Paul K. Fauteck and Michael C. Rabin for their support of this article. Special appreciation is extended to Gordon Schulz for his helpful comments. Views expressed in the article are those of the author and not those of Cook County or the Circuit Court of Cook County.
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