Engendering Agency: The Differentiated Impact of Educational Initiatives in Zambia and India

Efforts to interrupt the reproduction of unequal gender relations in schools involve alternative practices and pedagogies intended to transform students’ notions of gender and gender relations. Beyond the protective environments where such educational initiatives take shape, however, students must rely on their own sense of agency to reenact newly developed gender roles, behaviors, and understandings. This article examines how human agency is differentially experienced and acted upon by boy and girl students responding to educational nongovernmental initiatives in Zambia and India. Two case studies are reviewed, offering evidence from participants in educational programs that seek to deliberately disrupt gender inequality, revealing distinct ways in which boys and girls respond to such efforts. It is argued that structural inequalities tend to privilege boys and enable them to experience more “transformative agency” and efficacy when asserting new understandings of gender and gender relations

Geo-statistical approach for prediction of groundwater quality in Chunnakam Aquifer, Jaffna Peninsula

Chunnakam aquifer is the main limestone aquifer of Jaffna Peninsula. The population of the Jaffna Peninsula depends entirely on groundwater resources to meet all of their water requirements. Thus for protecting groundwater quality in Chunnakam aquifer, data on spatial and temporal distribution are important. Geostatistics methods are one of the most advanced techniques for interpolation of groundwater quality. In this study, Ordinary Kriging and IDW methods were used for predicting spatial distribution of some groundwater characteristics such as: Electrical Conductivity (EC), pH, nitrate as nitrogen, chloride, calcium, carbonate, bicarbonate, sulfate and sodium concentration. Forty four wells were selected to represent the entire Chunnakam aquifer during January, March, April, July and October 2011 to represent wet and dry season within a year. After normalization of data, variogram was computed. Suitable model for fitness on experimental variogram was selected based on less Root Mean Square Error (RMSE) value. Then the best method for interpolation was selected, using cross validation and RMSE. Results showed that for all groundwater quality, Ordinary Kriging performed better than IDW method to simulate groundwater quality. Finally, using Ordinary Kriging method, maps of groundwater quality were prepared for studied groundwater quality in Chunnakam aquifer. The result of Ordinary Kriging interpolation showed that higher EC, chloride, sulphate and sodium concentrations are clearly shown to be more common closer to the coast, and decreasing inland due to intrusion of seawater into the Chunnakam aquifer. Also higher NO3 - - N are observed in intensified agricultural areas of Chunnakam aquifer in Jaffna Peninsula

Acute global testicular infarction post-EVAR from cholesterol embolisation can be mistaken for torsion.

: Introduction: Endovascular aneurysm repair (EVAR) is the most commonly used approach for treatment of abdominal aortic aneurysms (AAA). Testicular infarction is a rare complication of EVAR. A novel case of acute global testicular infarction post-EVAR from cholesterol embolisation mimicking torsion is presented. Report: A 75 year old man developed acute right testicular ischaemia requiring orchidectomy following EVAR of an infrarenal aortic aneurysm. The patient was initially diagnosed with testicular torsion as the aetiology of the infarction; however, on re-analysis of histopathology it was found to be secondary to cholesterol emboli. Discussion: In patients complaining of groin/scrotal pain following EVAR, it is worth considering testicular ischaemia whether secondary to cholesterol embolisation or gonadal occlusion. Clinicians should be aware that clinical and radiological findings can mimic torsion as this affects management and outcome. Keywords: Aorta, Cholesterol, Embolism, EVAR, Ischaemia, Testi

Five Decadal Trends in Averages and Extremes of Rainfall and Temperature in Sri Lanka

In this study, we used a comprehensive set of statistical metrics to investigate the historical trends in averages and extremes of rainfall and temperature in Sri Lanka. The data consist of 55 years (1961–2015) of daily rainfall, maximum temperature (Tmax), and minimum temperature (Tmin) records from 20 stations scattered throughout Sri Lanka. The linear trends were analyzed using the nonparametric Mann–Kendall test and Sen–Theil regression. The prewhitening method was first used to remove autocorrelation from the time series, and the modified seasonal Mann–Kendall test was then applied for the seasonal data. The results show that, during May, 15% of the stations showed a significant decrease in wet days, which may be due to the delayed southwest monsoon (SWM) to Sri Lanka. A remarkable increase in the annual average temperature of Tmin and Tmax was observed as 70% and 55% of the stations, respectively. For the entire period, 80% of the stations demonstrated statistically significant increases of Tmin during June and July. The daily temperature range (DTR) exhibited a widespread increase at the stations located within the southwestern coast region of Sri Lanka. Although changes in global climate, teleconnections, and local deforestation in recent decades at least partially influence the trends observed in Sri Lanka, a formal trend attribution study should be conducted

Patients with Crohn's disease have longer post-operative in-hospital stay than patients with colon cancer but no difference in complications' rate

BACKGROUNDRight hemicolectomy or ileocecal resection are used to treat benign conditions like Crohn's disease (CD) and malignant ones like colon cancer (CC).AIMTo investigate differences in pre- and peri-operative factors and their impact on post-operative outcome in patients with CC and CD.METHODSThis is a sub-group analysis of the European Society of Coloproctology's prospective, multi-centre snapshot audit. Adult patients with CC and CD undergoing right hemicolectomy or ileocecal resection were included. Primary outcome measure was 30-d post-operative complications. Secondary outcome measures were post-operative length of stay (LOS) at and readmission.RESULTSThree hundred and seventy-five patients with CD and 2,515 patients with CC were included. Patients with CD were younger (median = 37 years for CD and 71 years for CC (P < 0.01), had lower American Society of Anesthesiology score (ASA) grade (P < 0.01) and less comorbidity (P < 0.01), but were more likely to be current smokers (P < 0.01). Patients with CD were more frequently operated on by colorectal surgeons (P < 0.01) and frequently underwent ileocecal resection (P < 0.01) with higher rate of de-functioning/primary stoma construction (P < 0.01). Thirty-day post-operative mortality occurred exclusively in the CC group (66/2515, 2.3%). In multivariate analyses, the risk of post-operative complications was similar in the two groups (OR 0.80, 95%CI: 0.54-1.17; P = 0.25). Patients with CD had a significantly longer LOS (Geometric mean 0.87, 95%CI: 0.79-0.95; P < 0.01). There was no difference in re-admission rates. The audit did not collect data on post-operative enhanced recovery protocols that are implemented in the different participating centers.CONCLUSIONPatients with CD were younger, with lower ASA grade, less comorbidity, operated on by experienced surgeons and underwent less radical resection but had a longer LOS than patients with CC although complication's rate was not different between the two groups