Tubular Krukenberg Tumor with an Occult Primary

Tubular Krukenberg tumor with an occult primary can cause problems in histopathologic diagnosis, by mimicking primary ovarian tumors. We present one such occurrence in a 32year old female who underwent surgery for bilateral malignant ovarian tumor. Gross examination of both ovarian tumors revealed bosselated, smooth outer surface with a few cysts on the surface. Cut surface was grey-white to yellowish in colour with cysts filled with serous fluid at the periphery. Microscopic examination revealed mucin laden signet ring cells, predominantly showing tubular architecture within a cellular ovarian stroma. The cytoplasm of these cells varied from granular eosinophilic to pale vacuolated appearance and showed PAS and mucicarmine positive mucin. Differential diagnosis with other primary ovarian tumors is discussed

Health Inequities with Somali Women in Kuala Lumpur

Edited by Kirandeep Kau

A Multisensorial Affective Ecology of Sonic Worship: The Sikh Sacred Song Culture

In this paper, I investigate the ecology of multiple sensorial activities associated with a listening practice to analyze its affective and epistemic implications. Ethnographically drawing from Sikh sonic worship, I explore the role of the aural, ocular, tactile, gustatory, and olfactory, and propose that the resulting mutuality between bodies, human and non-human, invigorates and sustains this affective ecology and its epistemic potential. My ethnographic analysis contributes to the growing recognition in ethnomusicology of multisensorial integration in perception and its significance in meaning and knowledge making.Dans cet article, j’interroge l’écologie des multiples activités sensorielles associées à une pratique d’écoute afin d’analyser ses implications affectives et épistémiques. À partir d’une étude ethnographique de l’adoration sonore chez les Sikhs, j’explore le rôle de l’auditif, de l’oculaire, du tactile, du gustatif et de l’olfactif, et suggère que la réciprocité qui en résulte entre les corps, humains et non humains, vivifie et entretient cette écologie affective et son potentiel épistémique. Mon analyse ethnographique contribue à une plus grande reconnaissance de l’ethnomusicologie de l’intégration multi-sensorielle de la perception, et de sa signification dans la création de sens et de savoir

Reducing the risk of acrylamide and other processing contaminant formation in wheat products

Wheat is a staple crop, consumed worldwide as a major source of starch and protein. Global intake of wheat has increased in recent years and overall wheat is considered to be a healthy food, particularly when products are made from whole grains. However, wheat is almost invariably processed before it is consumed, usually via baking and/or toasting, and this can lead to the formation of toxic processing contaminants, including acrylamide, 5-hydroxymethylfurfural (HMF) and polycyclic aromatic hydrocarbons (PAHs). Acrylamide is principally formed from free (soluble, non-protein) asparagine and reducing sugars (glucose, fructose and maltose) within the Maillard reaction and is classified as a Group 2A carcinogen (probably carcinogenic to humans). It also has neurotoxic and developmental effects at high doses. HMF is also generated within the Maillard reaction but can also be formed via the dehydration of fructose or caramelisation. It is frequently found in bread, biscuits, cookies, and cakes. Its molecular structure points to genotoxicity and carcinogenic risks. PAHs are a large class of chemical compounds, many of which are genotoxic, mutagenic, teratogenic and carcinogenic. They are mostly formed during frying, baking and grilling due to incomplete combustion of organic matter. Production of these processing contaminants can be reduced with changes in recipe and processing parameters, along with effective quality control measures. However, in the case of acrylamide and HMF their formation is also highly dependent on the concentrations of precursors in the grain. Here we review the synthesis of these contaminants, factors impacting their production and the mitigation measures that can be taken to reduce their formation in wheat products, focussing on the role of genetics and agronomy. We also review the risk management measures adopted by food safety authorities around the world

Financial integration in East Asia: Past, present and possible futures

This paper reviews the East Asian experience with financial integration, how economies in the region have responded to shocks, and what they may do to continue to thrive in the future. It discusses openness to capital flows as a key aspect of financial integration, briefly considering the theoretical underpinnings and empirical evidence for the benefits of openness. It then examines the East Asian experience with the two financial crises that have affected the region, and how the two episodes have differed. It concludes by considering policy options for the future, including regulatory reform and coordination, and various possible risk management policies and institutions. The analysis illustrates differences in patterns of financial development for the three largest economies of the region (China, Japan and South Korea) and discusses implications for financial integration efforts

Monitoring of Blood Pressure using Invasive or Non-invasive Method in Critically Ill Patients: A Review

Blood pressure is a core vital sign used as a basis for diagnosis and management of patients in critical care setting. Blood pressure (BP) can be monitored by both invasive and non-invasive methods. Invasive blood measurement using arterial access is considered the “gold” standard in critically ill patients. However, invasive methods put patient at risk of bleeding and infection as compared to non-invasive methods. Non-invasive blood pressure monitoring can be obtained through oscillometric or manual auscultatory sphygmomanometer. The objective of this review is to provide a global perspective of health care providers towards use of invasive or non-invasive method of measuring blood pressure. Both theoretical and existing clinical studies have suggested that non-invasive measurements may differ from invasive intra-arterial estimates of blood pressure

Near-infrared counterparts of three transient very faint neutron star X-ray binaries

We present near-infrared (NIR) imaging observations of three transient neutron star X-ray binaries, SAX J1753.5-2349, SAX J1806.5-2215 and AX J1754.2-2754. All three sources are members of the class of `very faint' X-ray transients which exhibit X-ray luminosities $L_X\lesssim10^{36}$ erg s$^{-1}$. The nature of this class of sources is still poorly understood. We detect NIR counterparts for all three systems and perform multi-band photometry for both SAX J1753.5-2349 and SAX J1806.5-2215, including narrow-band Br$_{\gamma}$ photometry for SAX J1806.5-2215. We find that SAX J1753.5-2349 is significantly redder than the field population, indicating that there may be absorption intrinsic to the system, or perhaps a jet is contributing to the infrared emission. SAX J1806.5-2215 appears to exhibit absorption in Br$_{\gamma}$, providing evidence for hydrogen in the system. Our observations of AX J1754.2--2754 represent the first detection of a NIR counterpart for this system. We find that none of the measured magnitudes are consistent with the expected quiescent magnitudes of these systems. Assuming that the infrared radiation is dominated by either the disc or the companion star, the observed magnitudes argue against an ultracompact nature for all three systems.Comment: 10 pages, 10 figures, accepted for publication in MNRA