Review of: Social Trust and the Management of Risk (George Cvetkovich & Ragnar E. Loftstedt, eds.)

Review of the book: Social Trust and the Management of Risk (George Cvetkovich & Ragnar E. Löfstedt, eds., Earthscan Publications Ltd. 1999). Tables, Figures, and Boxes, Acronyms and Abbreviations, Forward, Preface, Introduction, References, Index. ISBN 1-85383-604-4 [196 pp. $25.00. Paperback, 120 Pentonville Road, London, NI 9JN UK]

Impacting governance and reaching rural women through experience capitalization

The adoption of experience capitalization by the Bihar Rural Livelihoods Promotion Society (JEEViKA) in India has helped us disseminate the organisation's learnings and reach a wider, more diverse audience. This has resulted in the widespread adoption of the practices JEEViKA promotes for the development of agriculture, livestock rearing and health and nutrition

Financial mainstreaming for the rural poor: The JEEViKA experience

In the state of Bihar, India, the mobilisation of rural women into community self-help groups has emerged as an effective means of linking the poorest members of society with the formal banking system. The results seen in a relatively short time have been impressive

MONOSODIUM GLUTAMATE POTENTIATES THE CONTRACTION OF THE VISCERAL SMOOTH MUSCLE OF DUODENUM BY AUGMENTING THE ACTIVITY OF INTRINSIC CHOLINERGIC EFFERENTS, INDUCING OXIDATIVE STRESS AND PROLIFERATING SMOOTH MUSCLE CELLS

Objective: The objective of the present study was to examine the effects of monosodium glutamate (MSG) on the contraction of visceral smooth muscle (VSM) of the duodenum in a rat model to understand the MSG-induced impairment of the function of the small intestine. Methods: Male albino rats of Charles Foster strain were exposed with MSG at three different dosages (632, 1264, and 2528 mg/kg BW/day) for 30-day duration. The records of the contraction of the duodenum were achieved with isotonic transducer (IT-2245) coupled with RMS-Polyrite D by our standard laboratory protocol. Results: We have observed potentiation of contraction of duodenum ex vivo dose-dependently in MSG exposed groups of rats compared to control. Furthermore, the enzymatic activity of acetylcholinesterase (AChE) in VSM tissue homogenate and expression of AChE protein in fixed duodenal muscle cell layers have been decreased in a dosage response manner comparing to control rats. We have found a significant decrease in the activities of some antioxidant enzymes such as Cu-Zn superoxide dismutase, catalase, glutathione peroxidase, glutathione reductase, glutathione-s-transferase, and increase in the level of malondialdehyde in MSG exposed VSM tissue homogenate of the duodenum. We have also observed thickening of muscularis externa layer and increase in the number of muscle cells in circular and longitudinal muscle layers of the duodenal wall in transverse duodenal wall sections stained with eosin-hematoxylin. Conclusion: MSG potentiates the contraction of VSM of duodenum by augmenting the activity of intrinsic cholinergic efferents predominantly, and inducing oxidative stress and proliferating smooth muscle cells

Global typologies of coastal wetland status to inform conservation and management

Global-scale conservation initiatives and policy instruments rely on ecosystem indicators to track progress towards targets and objectives. A deeper understanding of indicator interrelationships would benefit these efforts and help characterize ecosystem status. We study interrelationships among 34 indicators for mangroves, saltmarsh, and seagrass ecosystems, and develop data-driven, spatially explicit typologies of coastal wetland status at a global scale. After accounting for environmental covariates and gap-filling missing data, we obtained two levels of clustering at 5 and 18 typologies, providing outputs at different scales for different end users. We generated 2,845 cells (1° (lat) × 1° (long)) globally, of which 29.7% were characterized by high land- and marine-based impacts and a high proportion of threatened species, 13.5% by high climate-based impacts, and 9.6% were refuges with lower impacts, high fish density and a low proportion of threatened species. We identify instances where specific actions could have positive outcomes for coastal wetlands across regions facing similar issues. For example, land- and marine-based threats to coastal wetlands were associated with ecological structure and function indicators, suggesting that reducing these threats may reduce habitat degradation and threats to species persistence. However, several interdimensional relationships might be affected by temporal or spatial mismatches in data. Weak relationships mean that global biodiversity maps that categorize areas by single indicators (such as threats or trends in habitat size) may not be representative of changes in other indicators (e.g., ecosystem function). By simplifying the complex global mosaic of coastal wetland status and identifying regions with similar issues that could benefit from knowledge exchange across national boundaries, we help set the scene for globally and regionally coordinated conservation

BHPR research: qualitative1. Complex reasoning determines patients' perception of outcome following foot surgery in rheumatoid arhtritis

Background: Foot surgery is common in patients with RA but research into surgical outcomes is limited and conceptually flawed as current outcome measures lack face validity: to date no one has asked patients what is important to them. This study aimed to determine which factors are important to patients when evaluating the success of foot surgery in RA Methods: Semi structured interviews of RA patients who had undergone foot surgery were conducted and transcribed verbatim. Thematic analysis of interviews was conducted to explore issues that were important to patients. Results: 11 RA patients (9 ♂, mean age 59, dis dur = 22yrs, mean of 3 yrs post op) with mixed experiences of foot surgery were interviewed. Patients interpreted outcome in respect to a multitude of factors, frequently positive change in one aspect contrasted with negative opinions about another. Overall, four major themes emerged. Function: Functional ability & participation in valued activities were very important to patients. Walking ability was a key concern but patients interpreted levels of activity in light of other aspects of their disease, reflecting on change in functional ability more than overall level. Positive feelings of improved mobility were often moderated by negative self perception ("I mean, I still walk like a waddling duck”). Appearance: Appearance was important to almost all patients but perhaps the most complex theme of all. Physical appearance, foot shape, and footwear were closely interlinked, yet patients saw these as distinct separate concepts. Patients need to legitimize these feelings was clear and they frequently entered into a defensive repertoire ("it's not cosmetic surgery; it's something that's more important than that, you know?”). Clinician opinion: Surgeons' post operative evaluation of the procedure was very influential. The impact of this appraisal continued to affect patients' lasting impression irrespective of how the outcome compared to their initial goals ("when he'd done it ... he said that hasn't worked as good as he'd wanted to ... but the pain has gone”). Pain: Whilst pain was important to almost all patients, it appeared to be less important than the other themes. Pain was predominately raised when it influenced other themes, such as function; many still felt the need to legitimize their foot pain in order for health professionals to take it seriously ("in the end I went to my GP because it had happened a few times and I went to an orthopaedic surgeon who was quite dismissive of it, it was like what are you complaining about”). Conclusions: Patients interpret the outcome of foot surgery using a multitude of interrelated factors, particularly functional ability, appearance and surgeons' appraisal of the procedure. While pain was often noted, this appeared less important than other factors in the overall outcome of the surgery. Future research into foot surgery should incorporate the complexity of how patients determine their outcome Disclosure statement: All authors have declared no conflicts of interes

New-onset headache after percutaneous atrial septal defect closure

Background : Percutaneous closure of atrial septal defect (ASD) is a well-established procedure both in children and adults with very good long-term outcomes. Migraine headache (MHA) can be precipitated after ASD device closure and the mechanism is not fully understood. Methods : We reviewed medical records of all patients undergoing ASD device closure from January 2015 to January 2021 for new onset headache after the procedure. Diagnosis of migraine was established by guidelines of the International Headache Society. Results : Out of 325 patients undergoing ASD device closure, five patients (1.5%) of various age groups (range 3.5–35 years) complained of severe migraine-like headaches within 2 weeks of the procedure. MHA was reported exclusively by females. All the patients were treated with oral paracetamol for the management of headaches. Three of 5 (60%) patients had a positive family history of migraine. Three patients reported complete disappearance of symptoms within 4-6 months. While two others (40%) had ongoing symptoms at 6 months follow-up. Conclusions : MHA can be precipitated after ASD device closure. The risk is specifically high in females with a family history of migraine. Dual antiplatelet drugs for the first 3 months after device closure may prevent such episodes. Prospective studies are needed to establish the universal role of dual antiplatelet drugs after ASD device closure