A rare case of urethral triplication in association with tethered cord and vertebral anomalies

In this manuscript, we describe the case of a 5-year-old boy with Y triplication of the urethra in association with fatty filum terminale, tethered cord and vertebral anomalies. Unlike a Y duplication in which the penile meatus is hypoplastic, a Y triplication can have a penile meatus of adequate calibre, which can be used as a functional conduit. Most patients with urethral triplication have been found to have associated malformations. To our knowledge, this is the first reported case of urethral triplication seen in association with fatty filum terminale, tethered cord and vertebral anomalies.Keywords: rectus flap, tethered cord, urethral triplication, vertebral anomal

Will the Sustainable Development Goals be fulfilled? Assessing present and future global poverty

Monitoring progress towards the fulfillment of the Sustainable Development Goals (SDGs) requires the assessment of potential future trends in poverty. This paper presents an econometric tool that provides a methodological framework to carry out projections of poverty rates worldwide and aims at assessing absolute poverty changes at the global level under different scenarios. The model combines country-specific historical estimates of the distribution of income, using Beta–Lorenz curves, with projections of population changes by age and education attainment level, as well as GDP projections to provide the first set of internally consistent poverty projections for all countries of the world. Making use of demographic and economic projections developed in the context of the Intergovernmental Panel on Climate Change’s Shared Socioeconomic Pathways, we create poverty paths by country up to the year 2030. The differences implied by different global scenarios span worldwide poverty rates ranging from 4.5% (around 375 million persons) to almost 6% (over 500 million persons) by the end of our projection period. The largest differences in poverty headcount and poverty rates across scenarios appear for Sub-Saharan Africa, where the projections for the most optimistic scenario imply over 300 million individuals living in extreme poverty in 2030. The results of the comparison of poverty scenarios point towards the difficulty of fulfilling the first goal of the SDGs unless further development policy efforts are enacted

LDC savings rates and debt crises

Conventional wisdom holds that LDC debt problems reflect, in part, the switch of foreign financing towards commercial loans. With no adequate supervision over the use of these funds, international finance may not have improved the capacity to repay external debt. This paper tests two aspects of this proposition. First, have commercial loans been directed more towards consumption and less to investment than official loans? We find no evidence to suggest this has been true. Second, does an increase in the marginal propensity to invest out of foreign loans improve creditworthiness? Again, we find no supporting evidence. We do find, however, that raising the marginal rate of domestic saving out of income does improve creditworthiness. This provides justification for policy conditionality associated with foreign borrowing that goes beyond concern with the uses of individual loans.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/27256/1/0000265.pd

Review Article: Anthropology and the Biblical Exile

Over the past three decades there have been a few attempts to use social anthropology to explore the Old Testament (OT) and interdisciplinary studies of this sort are now becoming more mainstream. Historical and archaeological data concerning ancient societies are necessarily limited in scope, and anthropological comparisons may offer insights into historical peoples who cannot be observed. This article discusses recent trends in post-exilic studies, in particular those appealing to anthropology

Necessary fictions: indigenous claims and the humanity of rights

Indigenous right insistently challenges the surpassing arrogations of sovereign right. In so doing, it affirms dimensions of being-together denied or stunted in sovereign modes of political formation. This force of Indigenous right is amplified here through legal and literary instantiations. These, in turn, uncover the continuously created and fictional quality of rights, revealing them to be necessary fictions

Lymphovascular Invasion at the Time of Radical Prostatectomy Adversely Impacts Oncological Outcomes.

Lymphovascular invasion, whereby tumour cells or cell clusters are identified in the lumen of lymphatic or blood vessels, is thought to be an essential step in disease dissemination. It has been established as an independent negative prognostic indicator in a range of cancers. We therefore aimed to assess the impact of lymphovascular invasion at the time of prostatectomy on oncological outcomes. We performed a multicentre, retrospective cohort study of 3495 men who underwent radical prostatectomy for localised prostate cancer. Only men with negative preoperative staging were included. We assessed the relationship between lymphovascular invasion and adverse pathological features using multivariable logistic regression models. Kaplan-Meier curves and Cox proportional hazard models were created to evaluate the impact of lymphovascular invasion on oncological outcomes. Lymphovascular invasion was identified in 19% (n = 653) of men undergoing prostatectomy. There was an increased incidence of lymphovascular invasion-positive disease in men with high International Society of Urological Pathology (ISUP) grade and non-organ-confined disease (p < 0.01). The presence of lymphovascular invasion significantly increased the likelihood of pathological node-positive disease on multivariable logistic regression analysis (OR 15, 95%CI 9.7-23.6). The presence of lymphovascular invasion at radical prostatectomy significantly increased the risk of biochemical recurrence (HR 2.0, 95%CI 1.6-2.4). Furthermore, lymphovascular invasion significantly increased the risk of metastasis in the whole cohort (HR 2.2, 95%CI 1.6-3.0). The same relationship was seen across D'Amico risk groups. The presence of lymphovascular invasion at the time of radical prostatectomy is associated with aggressive prostate cancer disease features and is an indicator of poor oncological prognosis

Shopping, sex, and lies: Mimong/Sweet Dreams (1936) and the disruptive process of colonial girlhood

In the early Korean film we follow the melodramatic life of an unfaithful housewife. Sweet Dreams situates itself at the heart of the Korean colonial experience with urban Seoul as the backdrop to a narrative of deceit, adultery and consumerism. This article will explore how Sweet Dreams functions both as a warning about the perils of modern womanhood and, simultaneous to this, a vision of consumerist pleasure and delight. This article examines how the actions of lead character Ae-soon constitute a process by which the adult women is rendered girl via her positioning at the locus of female visual pleasure. I use the term girl as a process rather than a static category since, as will be explored, the attributes of girlhood with relation to Sweet Dreams are both expansive and fluid. In this way girlhood can be appropriated for transgressive purposes, not only in terms of a visualization of a desiring femininity, but also as a marker of colonial dissent. I argue that Sweet Dreams uses the interplay between the categories of woman and girl to disrupt the colonial drive towards a productive body in favour of the delights of consumption