Bioethical Issues in the Management of Gender Dysphoria

The term gender dysphoria ( I) describes a heterogeneous group of individuals who express varying degrees of dissatisfaction with their anatomic gender (hence gender dysphoria ), and the desire to possess the secondary sexual characteristics of the opposite sex. Only a minority o f these patients can be considered on the extreme end of a spectrum of subjective dissatisfaction with assigned anatomy and societally sanctioned gender role (i.e., transsexual ). The number of such patients presenting to psychiatric clinics has greatly increased subsequent to the 1966 publication of Harry Benjamin\u27s seminal work, The Transsexual Phenomenon (2), and extensive media coverage of individual cases, e.g., Christine Jorgensen, J an Morris, and Renee Richards, MD

The Consequences of Obesity on Trauma, Emergency Surgery, and Surgical Critical Care

The era of the acute care surgeon has arrived and this "new" specialty will be expected to provide trauma care, emergency surgery, and surgical critical care to a variety of patients arriving at their institution. With the exception of practicing bariatric surgeons, many general surgeons have limited experience caring for obese patients. Obese patients manifest unique physiology and pathophysiology, which can influence a surgeon's decision-making process. Following trauma, obese patients sustain different injuries than lean patients and have worse outcomes. Emergency surgery diseases may be difficult to diagnose in the obese patient and obesity is associated with increased complications in the postoperative patient. Caring for an obese patient in the surgical ICU presents a distinctive challenge and may require alterations in care. The following review should act as an overview of the pathophysiology of obesity and how obesity modifies the care of trauma, emergency surgery, and surgical critical care patients

Nitrate and water (1980)

Nitrates in water can affect livestock production and human health. "Blue baby syndrome" can be caused by high nitrate in the drinking water of infants under six months of age. Sudden deaths, lowered reproductive performance, and loss of milk production in warm animals have been associated with water supplies containing a high content of nitrate.Reviewed and Reprinted 12/80/5M

Accuracy of 3-Dimensional Transoesophageal Echocardiography in Assessment of Prosthetic Mitral Valve Dehiscence with Comparison to Anatomical Specimens

The evolution of echocardiography from 2-Dimensional Transthoracic Echo through to real time 3-Dimensional Transoesophageal Echo has enabled more accurate visualisation and quantification of valvular disorders especially prosthetic mitral valve paravalvular regurgitation. However, validation of accuracy is rarely confirmed by surgical or post-mortem specimens. We present a case directly comparing different echocardiographic modality images to post mortem specimens in a patient with prosthetic mitral valve paravalvular regurgitation

Pt/SnO2-based CO-oxidation catalysts for long-life closed-cycle CO2 lasers

Noble-metal/tin-oxide based catalysts such as Pt/SnO2 have been shown to be good catalysts for the efficient oxidation of CO at or near room temperature. These catalysts require a reductive pretreatment and traces of hydrogen or water to exhibit their full activity. Addition of Palladium enhances the activity of these catalysts with about 15 to 20 percent Pt, 4 percent Pd, and the balance SnO2 being an optimum composition. Unfortunately, these catalysts presently exhibit significant decay due in part to CO2 retention, probably as a bicarbonate. Research on minimizing the decay in activity of these catalysts is currently in progress. A proposed mechanism of CO oxidation on Pt/SnO2-based catalysts has been developed and is discussed

Plasma Physics

Contains reports on two research projects.United States Atomic Energy Commission (Contract AT(30-1)-1842)United States Air Force, Electronic Systems Division (Contract AF19(604)-5992)National Science Foundation (Grant G-24073

Dark cloud cores and gravitational decoupling from turbulent flows

We test the hypothesis that the starless cores may be gravitationally bound clouds supported largely by thermal pressure by comparing observed molecular line spectra to theoretical spectra produced by a simulation that includes hydrodynamics, radiative cooling, variable molecular abundance, and radiative transfer in a simple one-dimensional model. The results suggest that the starless cores can be divided into two categories: stable starless cores that are in approximate equilibrium and will not evolve to form protostars, and unstable pre-stellar cores that are proceeding toward gravitational collapse and the formation of protostars. The starless cores might be formed from the interstellar medium as objects at the lower end of the inertial cascade of interstellar turbulence. Additionally, we identify a thermal instability in the starless cores. Under par ticular conditions of density and mass, a core may be unstable to expansion if the density is just above the critical density for the collisional coupling of the gas and dust so that as the core expands the gas-dust coupling that cools the gas is reduced and the gas warms, further driving the expansion.Comment: Submitted to Ap

Plasma Physics

Contains research objectives and reports on two research projects.U.S. Atomic Energy Commission (Contract AT(30-1)-1842)U.S. Air Force (Electronic Systems Division) under Contract AF19(604)-5992National Science Foundation (Grant G-24073