The surgical sequelae of bilharzial disease

No Abstrac

Acute Neonatal Intestinal Obstruction

A CAJM article on Acute Neonatal Intestinal Obstruction.The newborn infant ejected from his comfortable isothermic habitat into a hostile world has many physiological adjustments to make in the first four weeks of life. If, as a result of intestinal obstruction, the newborn infant persistently vomits, fails to pass meconium stools and develops abdominal distension, then it is mortally ill. Three factors will militate against a successful surgical outcome in these infants

The zodiac army.

This thesis is the beginning of a book title The Zodiac Army. The book is the first in a trilogy and follows three different characters. The first, Ash, is a teenage boy who discovers he is a powerful magician who, along with another magician, can control the elements of nature. The two form a Twin pairing and will fight for each other and for the safety of the kingdom. Alora, the second character, is a young and faithful priestess in the Temple. Her faith, in both the gods and those in charge of the Temple, could bring the entire system to its knees. Finally there is Maze, a criminal-turned politician whose role on the Council of Thirteen, the advising arm to the throne, is not enough. He desires the throne and the kingdom, not for the sake of power, but for an idealistic view of what the world could be under his control

Situs inversus totalis: A report of a case presenting with an acute abdomen

No Abstract

Stabillity Ball Sitting Elevates Peak Arm Ergometry Oxygen Consumption and Heart Rate

International Journal of Exercise Science 5(4) : 360-366, 2012. This study compared sitting on a stability ball (B) to sitting on a chair (C) during arm ergometry to determine the impact on peak VO2, peak heart rate (HR), and exercise intensity prescription. Open-circuit spirometer, blood pressure, and HR were monitored during rest and continuous graded exercise test to exhaustion using an arm ergometer. Twenty-seven apparently healthy adults exercised twice, once at B and the other trial C (order randomized), with 60 minutes of rest between trials. ANOVA for repeated measures (a \u3c 0.05) and paired t testing using Holm\u27s-sequential Bonferroni were used to analyze results for 30 W, 45 W, Penultimate, and Peak stages of exercise. VO2 was significantly higher (8% to 12%, P \u3c 0.001) for all stages of exercise for B compared to C. HR was significantly higher (P \u3c 0.001) only at the Penultimate and Peak levels (3% and 2%, respectively) for B compared to C; all other sub-maximal HRs were not significantly different. There were no significant main effects or interactions (P\u3e 0.138) when VO2 and HR were expressed as percentage of maximum. Compared to chair sitting, the stability ball has a greater absolute metabolic response with little impact on HR. Prescribing exercise with absolute MET levels should consider this; however, intensity as a percentage of maximum may not be affected by the stability ball

Love\u27s Hesitation

https://digitalcommons.library.umaine.edu/mmb-vp/3648/thumbnail.jp

Stability Ball Sitting Versus Chair Sitting During Sub-maximal Arm Ergometry

Purpose: It was predicted that sitting on a stability ball during arm ergometry would elevate cardiovascular parameters when compared to sitting on a chair and that this would be associated with greater recruitment of trunk and leg skeletal muscles. Methods: Open-circuit spirometry, video taping, blood pressure, heart rate, and EMG were conducted during rest and four minute stages of 15 W, 30 W, and 45 W using a Monark arm ergometer. Twenty-six apparently healthy adults exercised twice, once sitting on a stability ball and the other sitting on a chair (order randomized), with 45 to 60 minutes of rest between. ANOVA for repeated measures and paired-t testing were used for analysis. Results: Oxygen consumption was significantly 10 to 16% higher during exercise while sitting on the stability ball. There were no significant differences between sitting modes for heart rate, SBP, and DBP. Also, resting and exercise rectus femoris and 45 W external oblique EMGs were significantly higher on the stability ball. Finally, the knee was significantly more extended with the feet farther apart and more forward on the stability ball. Conclusion: The stability ball significantly elevates oxygen consumption during sub-maximal arm cranking without significantly increasing heart rate or blood pressure and this is associated with increased thigh muscle activation and lower leg repositioning

Religion, Gender and Sexuality Workshop Report: 1–5 June 2015, Garden Court Hotel, Eastgate, Johannesburg

Religious doctrine shapes and informs decision-making at the individual and collective levels, and sexuality and gender rights advocates must therefore work with faith-based organisations and religious activists to challenge harmful and discriminatory sexuality and gender norms and practices. The Religion, Gender and Sexuality workshop provided a space for faith leaders and those engaging with faith institutions to discuss successes, challenges and learning around sexual diversity and gender justice. In sharing their knowledge and experience, and through a range of facilitated discussions on the themes discussed in this report, the participants were able to collectively build on their knowledge, skills and awareness linked to gender and sexuality. Given the rise of religious activism in civil society, the political arena and in law- and policymaking, it has become imperative to offer training to organisations and individuals who work in the religious/faith-based sector on issues of gender and human rights-based approaches. With the support of Institute of Development Studies (IDS) and the University of Witwatersrand’s Wits Centre for Diversity Studies (WiCDS) the workshop sought to provide members of faith communities across Africa with the knowledge to advocate for sexuality and gender equality and human rights. The workshop was hosted by: Sonke Gender Justice, MenEngage Africa, Institute of Development Studies and Wits Centre for Diversity Studies.UK Department for International Developmen

Bannayan Ruvalcaba Riley Syndrome

A 63-year-old male with history of prostate cancer treated with radiation presented for a colonoscopy for small volume hematochezia. The colonoscopy revealed numerous polyps, which were found to be ganglioneuromas on histological examination. He was referred to medical genetics with suspicion for hamartomatous polyposis syndrome and was found to have a mutation in the PTEN gene. Based on this and suggestive clinical findings, he was diagnosed with Bannayan Ruvalcaba Riley syndrome