Most Vulgar and Barbarous: A History of Tattoo Stigma

For thousands of years, tattoos have been used cross-culturally for purposes ranging from religious affiliation to ritual. Still, many societies today associate tattoos with deviance and criminality, making it difficult for tattooed people to find employment and acceptance within society. This negative stigma can be traced all the way back to Ancient Greece, when tattoos were used to mark slaves and prisoners of war. Other examples are given from Dynastic China, Japan, the American circus, and the Holocaust. This examination of tattoo stigma throughout history exposes larger patterns of racism, hegemony, and ostracism, and gives us an awareness of social norms and how they evolve

Exploring Periostracum as a Potential Environmental Proxy in Arctica islandica

Shells of the common marine bivalve, Arctica islandica, are being considered as a potential proxy for changes in food web and ecosystem dynamics in the Gulf of Maine, USA. A. islandica is considered a valuable proxy because of its extreme long life span (more than three centuries), and because it has prominent annual banding in the shell material. To explore this further we are exploring the stable isotopic values of carbon and nitrogen from shell periostracum along the axis of maximum growth and along the isochron (perpendicular to the maximum growth axis). The long term goal is to establish isotopic time series with dead-collected shells that have been radiocarbon dated and live-collected shells. Three hypotheses will be tested to examine the potential of A. islandica periostracum material to serve as an environmental proxy. (1) The periostracum will reflect the ambient conditions during the lifetime of A. islandica shells. (2) Because each isochron represents an identical time in the shell’s life, the values along the isochron should be similar. (3) A. islandica shells can be used to infer food web and ecosystem dynamics

Top Ten Reasons it\u27s Time to Update Your Ordinances

The seasoned Hoosier planners on this panel present the top ten indicators that your community’s land use codes may be due for an update and suggest various approaches for bringing these codes up to today’s standards. A few of the key points we will explore age, best practices, terminology, a new comprehensive plan, and legal vulnerability

Walnut Creek watershed restoration and water quality monitoring project : final report

https://ir.uiowa.edu/igs_tis/1048/thumbnail.jp

SEA LEVEL RISE AND ITS ECONOMIC EFFECTS ON NAVAL INSTALLATIONS

Global sea level is rising. Coastal lands are at risk from eventual inundation, property loss and economic devaluation. The threat is impending but not rapidly approaching. With sea level rise projections ranging from 0.1 meters to 2 meters by the year 2100, there are concerns but little action being taken to adapt and prepare. Given the potential economic impact of future flood events, it appears that many government agencies and municipalities are not taking enough action to prevent the threat of sea level rise. Due to its large footprint of real estate within the coastal zone worldwide, one of the largest organizations threatened directly by sea level rise is the U.S. Navy. Adapting to sea level rise will require strategic planning and policy changes in order to prevent the encroaching sea from limiting naval operations and threatening national security. This study provides a tool to aid Navy decision makers in Implementing Sea Level Adaptation (ISLA). The ISLA tool applies the methodology of decision trees and Expected Monetary Value (EMV), using probability to estimate the cost of potential flood damage and compare this cost to adaptation measures. The goal of this research is for ISLA to empower decision makers to evaluate various adaptation investments related to sea level rise. A case study is used to illustrate the practical application of ISLA. The case study focuses on when to implement a variety of adaptation measures to one asset at the naval base at Norfolk, Virginia. However, its method can be applied to any asset in any location. It is not limited to only military bases. ISLA incorporates a unique method for analyzing the implementation of adaptation measures to combat future coastal flooding which will be worsened by sea level rise. It is unique in its use of decision tree theory to combine the probability of future flood events with the estimated cost of flood damage. This economic valuation using Expected Monetary Value allows for comparison of a variety of adaptation measures over time. The projections of future flood damage costs linked to adaptation allows the decision maker to determine which adaptation measures are economically advantageous to implement and when to implement them

Reports on the Walnut Creek Watershed monitoring project, Jasper County, Iowa : water years 1995-2000

https://ir.uiowa.edu/igs_tis/1045/thumbnail.jp

Adult Intussusception Caused by an Appendiceal Mucocele and Reduced by Colonoscopy

Appendiceal intussusception is a very rare disease that is found in only 0.01% of patients who have undergone an appendectomy. Clinical symptoms vary but include acute appendicitis symptoms such as right lower quadrant abdominal pain or repetitive right lower quadrant crampy pain. Some patients are asymptomatic. Operative treatment is necessary to reduce an appendiceal intussusception in adults, but there is a debate about how to perform the reduction. Successful colonoscopic reductions have been recently reported for some cases. We report a case of appendiceal intussusception that was diagnosed, reduced by colonoscopy, and histologically confirmed as a mucinous cystadenoma after the operation

Perceived barriers for treatment of chronic heart failure in general practice; are they affecting performance?

BACKGROUND: The aim of this study is to determine to what extent barriers perceived by general practitioners (GPs) for prescribing angiotensin-converting enzyme inhibitors (ACE-I) in chronic heart failure (CHF) patients are related to underuse and underdosing of these drugs in actual practice. METHODS: Barriers were assessed with a semi-structured questionnaire. Prescribing data were extracted from GPs' computerised medical records for a random sample of their CHF patients. Relations between barriers and prescribing behaviour were assessed by means of Spearman rank correlation and multivariate regression modelling. RESULTS: GPs prescribed ACE-I to 45% of their patients and had previously initiated such treatment in an additional 3.5%, in an average standardised dose of 13.5 mg. They perceived a median of four barriers in prescribing ACE-I or optimising ACE-I dose. Many GPs found it difficult to change treatment initiated by a cardiologist. Furthermore, initiating ACE-I in patients already using a diuretic or stable on their current medication was perceived as barrier. Titrating the ACE-I dose was seen as difficult by more than half of the GPs. No significant relationships could be found between the barriers perceived and actual ACE-I prescribing. Regarding ACE-I dosing, the few GPs who did not agree that the ACE-I should be as high as possible prescribed higher ACE-I doses. CONCLUSION: Variation between GPs in prescribing ACE-I for CHF cannot be explained by differences in the barriers they perceive. Tailor-made interventions targeting only those doctors that perceive a specific barrier will therefore not be an efficient approach to improve quality of care

Acute appendicitis caused by endometriosis: a case report

<p>Abstract</p> <p>Introduction</p> <p>Endometriosis is a well-recognized gynecological condition in the reproductive age group. Surgical texts present the gynecological aspects of the disease in detail, but the published literature on unexpected manifestations, such as appendiceal disease, is inadequate. The presentation to general surgeons may be atypical and pose diagnostic difficulty. Thus, a definitive diagnosis is likely to be established only by the histological examination of a specimen.</p> <p>Case presentation</p> <p>We report a case of endometriosis of the appendix in a 25-year-old Caucasian woman who presented with symptoms of acute appendicitis and was treated by appendectomy, which resulted in a good outcome.</p> <p>Conclusions</p> <p>We discuss special aspects of acute appendicitis caused by endometriosis to elucidate the pathologic entity of this variant of acute appendicitis.</p