Unveiling the Mysteries of Aceh, Indonesia: Local and Global Intersections of Women\u27s Agency

Forces of globalization, local culture, and Islam continuously inform one another and dynamically manifest in cultures across the world. Scholars often assume that these influences may have distinct and independent effects. However, we argue that these global forces occur simultaneously and they may contradict or complement each other along a spectrum within Aceh, Indonesia. The manifestations and responses vary depending on the nature of the interactions of global and local factors. This spectrum represents various ways in which women negotiate identity and agency, specifically within the context of the implementation of Shari’ah Law. This research investigates the specific ways in which women’s identities influence and are influenced by the globalization of feminism, matrifocal traditions, and Islamic veiling practices in Aceh. In the summer of 2012, the authors conducted field research in Aceh, Indonesia through interviews and observations. These included over 70 participants and 20 organizations which varied in formality and size. The interview participants include: activists, academicians, spiritual leaders, government officials, law enforcement agents, university students, and other community members from both rural and urban areas

Does the melatonin receptor 1B gene polymorphism have a role in postoperative delirium?

INTRODUCTION:Patients undergoing cardiac surgery are at high risk for postoperative delirium, which is associated with longer hospital and intensive care lengths of stays, increased morbidity and mortality. Because sleep disturbances are common in delirium, melatonin has been an area of interest in the treatment of delirium. The rs10830963 single nucleotide polymorphism of the melatonin receptor 1B gene can cause pathological dysfunction of this receptor and is associated with delayed morning offset of melatonin. We hypothesized patients undergoing aortic cardiac surgery who have the risk genotype of a melatonin receptor 1B polymorphism would have a higher incidence of postoperative delirium. METHODS:Ninety-eight patients undergoing aortic root or valve surgery underwent analysis for melatonin receptor 1B single nucleotide polymorphism, rs10830963. Using a validated method, CHART-DEL, all charts were retrospectively reviewed and scored for the presence of delirium while blinded to the results of the melatonin receptor 1B gene polymorphism. RESULTS:Genotyping for melatonin receptor 1B polymorphism was acceptable in 76 subjects of European descent of which 18 (23.7%) had delirium. Four of seven subjects with the risk genotype had delirium versus only 20.3% of subjects without the risk genotype. This carried an odds ratio of 5.2 (1.0, 26.1), p = 0.050. CONCLUSION:This observation suggests a role of the risk genotype of a melatonin receptor 1B polymorphism in the development of postoperative delirium. These hypotheses generating results warrant further prospective studies in a larger cohort group with delirium, circadian rhythm and melatonin assessments