172 research outputs found

    Erectile function recovery after laparoscopic decompression of pudendal artery and nerve: a documented case report

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    The aim of this article is to report the effectiveness of laparoscopic decompression of pudendal artery (PA) and nerve for erectile dysfunction (ED) restoration. A 32-year-old man consulted for a long-term complaint of ED not responsive to medical therapy. Endocrine screening and neurological evaluation did not show any abnormalities. Color Doppler ultrasound revealed the absence of blood flow in the right PA. After failure of conservative treatments and in accordance to the patient’s desire, laparoscopic pudendal artery decompression was performed. The patient reported significant amelioration of ED one month after surgery. At 8-months follow-up, Doppler ultrasound showed complete revascularization of the right PA

    Managing contested spaces: Public managers, obscured mechanisms and the legacy of the past in Northern Ireland

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    Societies emerging from ethno-political and inter-communal conflict face a range of complex problems that stem directly from the recent lived experience of bloodshed and injury, militarisation, securitisation and segregation. As institutional agents in such an environment, public managers perform the dual role of both interpreting public policy and implementing it within a politically contested space and place. In this article we address how managers cope with the outworking of ethno-nationalist conflict and peace building within government processes and policy implementation and contend this is a subject of emerging concern within the wider public administration, urban studies and conflict literature. Using data from a witness seminar initiative on the Northern Ireland conflict transformation experience, we explain how public sector managers make sense of their role in post-agreement public management and highlight the importance of three identified mechanisms; ‘bricolage’, ‘diffusion’ and ‘translation’ in the management of public sector organisations and urban spaces in a context of entrenched conflict and an uncertain path to peace

    Learning from Jerusalem: Rethinking urban conflicts in the 21st century Introduction

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    Jerusalem - its past, present and future - will serve as the foundation of our understanding of the geographies of cities within contemporary urban theory and practice in the 21st century. The underlying theoretical supposition in this special feature1 is that what have been labelled con- tested cities have growing similarities to less polarized cities similarities found in the expansion of ethnic, racial and class conflicts that revolve around issues of housing, infrastructure, participation and identity. In this sense, Jerusalem represents a rather exceptional case study and demonstrates a powerful spatio-political urban pattern in the field of urban studies. The examination of Jerusalem can advance our understanding of the relationship between planning conflicts and urban geopolitics in a growing number of cities worldwide

    Beyond incommensurability: Jerusalem and Stockholm from an ordinary cities perspective

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    This paper’s core argument is that we should start creating theories that encompass different cities and include them in a more flexible and relational comparative framework. This must include a new urban terminology which does not continue the all-too-fashionable labelling of cities on a continuum between first world and third world, global North-West and South-East or as I emphasize below, including what have been labelled extremely contested cities in a more flexible and relational ordinary cities framework. To introduce such a comparative approach, I will examine Jerusalem and Stockholm via three contrastive and relational patterns: institutional segregation; urban violence; and non-governmental organization involvement in planning. In so doing, I point towards the necessity to open up research on extreme urban conflicts, suggesting that when assessing specific contextual patterns, those labelled as extremely contested cities (such as Jerusalem) share more similarities with other more ordinary cities (represented by Stockholm) than was previously perceived, often stemming from ethnic, racial and class conflicts revolving around issues of politics, culture and identity, among others

    Towards Urban Geopolitics of Encounter: Spatial Mixing in Contested Jerusalem

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    The extent to which 'geographies of encounter' facilitate tolerance of diversity and difference has long been a source of debate in urban studies and human geography scholarship. However, to date this contestation has focused primarily on hyper-diverse cities in the global north-west. Adapting this debate to the volatile conditions of the nationally-contested city, this paper explores intergroup encounters between Israelis and Palestinians in Jerusalem. The paper suggests that in the context of hyper-polarisation of the nationally-contested urban space, the study of encounter should focus on macro-scale structural forces. In Jerusalem, we stress the role of ethnonationality and neoliberalism as key producers of its asymmetric and volatile yet highly resilient geography of intergroup encounters. In broader sense, as many cities worldwide experience a resurgence of ethnonationalism, illuminating the structural production of encounter may demarcate a broader function for reading contemporary urban geopolitics

    Temperature, recreational fishing and diapause egg connections : dispersal of spiny water fleas (Bythotrephes longimanus)

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    © The Author(s), 2011. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License. The definitive version was published in Biological Invasions 13 (2011): 2513-2531, doi:10.1007/s10530-011-0078-8.The spiny water flea (Bythotrephes longimanus) is spreading from Great Lakes coastal waters into northern inland lakes within a northern temperature-defined latitudinal band. Colonization of Great Lakes coastal embayments is assisted by winds and seiche surges, yet rapid inland expansion across the northern states comes through an overland process. The lack of invasions at Isle Royale National Park contrasts with rapid expansion on the nearby Keweenaw Peninsula. Both regions have comparable geology, lake density, and fauna, but differ in recreational fishing boat access, visitation, and containment measures. Tail spines protect Bythotrephes against young of the year, but not larger fish, yet the unusual thick-shelled diapausing eggs can pass through fish guts in viable condition. Sediment traps illustrate how fish spread diapausing eggs across lakes in fecal pellets. Trillions of diapausing eggs are produced per year in Lake Michigan and billions per year in Lake Michigamme, a large inland lake. Dispersal by recreational fishing is linked to use of baitfish, diapausing eggs defecated into live wells and bait buckets, and Bythothephes snagged on fishing line, anchor ropes, and minnow seines. Relatively simple measures, such as on-site rinsing of live wells, restricting transfer of certain baitfish species, or holding baitfish for 24 h (defecation period), should greatly reduce dispersal.Study of Lakes Superior and Michigan was funded from NSF OCE-9726680 and OCE-9712872 to W.C.K., OCE-9712889 to J. Churchill. Geographic survey sampling and Park studies in the national parks during 2008-2010 were funded by a grant from the National Park Service Natural Resource Preservation Program GLNF CESU Task Agreement No. J6067080012

    Catalonia rescaling Spain : is it feasible to accommodate its "stateless citizenship"?

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    The Spanish nation-state is gradually being rescaled by Catalonia's “secession crisis.” Recently and dramatically, in the aftermath of the “illegal” and “constitutive referendum” that took place on 1 October 2017, 2,286,217 Catalan citizens attempted to exercise the “right to decide” to ultimately become “stateless citizens.” This paper examines this rescaling process that has been forming in Barcelona since 10 July 2010 when 1 million Catalan citizens marched to claim their “right to decide” on secession. This paper concludes that, at present, it is not feasible for the Spanish nation-state to accommodate Catalonia's “stateless citizenship.”

    Community planning and urban design in contested places. Some insights from Belfast

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    Although social conflict due to the presence of different groups divided by cultural, religious or ethnic issues plagues many contemporary cities, community and participatory planning methods still pay little attention to segregation in contested spaces as a specific matter of concern. This paper aims to contribute to filling this gap through the development of a novel tool to be implemented during community planning processes in contested cities, particularly in (visual) mapping processes. The pilot area for developing the lexicon has been selected within the city of Belfast, which has been struggling for years with problems related to inter-religious sectarian conflicts. The material effects on the urban structure of the long process of defensive planning during the socalled Troubles and within the post-conflicts peace programmes have been investigated by analysing urban artefacts including edges, borders, barriers, doors, visual control points. The paper suggests that a simple, recognizable lexicon may contribute to honing community planning methods in contested places by integrating the traditional methodology of visual mapping with a tailored taxonomy of elements of urban conflict, which may be used at many stages of the planning process, including developing a visual map, design and planning, and developing and implementing an action plan

    Turbulence drives microscale patches of motile phytoplankton

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    Patchiness plays a fundamental role in phytoplankton ecology by dictating the rate at which individual cells encounter each other and their predators. The distribution of motile phytoplankton species is often considerably more patchy than that of non-motile species at submetre length scales, yet the mechanism generating this patchiness has remained unknown. Here we show that strong patchiness at small scales occurs when motile phytoplankton are exposed to turbulent flow. We demonstrate experimentally that Heterosigma akashiwo forms striking patches within individual vortices and prove with a mathematical model that this patchiness results from the coupling between motility and shear. When implemented within a direct numerical simulation of turbulence, the model reveals that cell motility can prevail over turbulent dispersion to create strong fractal patchiness, where local phytoplankton concentrations are increased more than 10-fold. This "unmixing" mechanism likely enhances ecological interactions in the plankton and offers mechanistic insights into how turbulence intensity impacts ecosystem productivity
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