1,399 research outputs found

    In the opposite lane: How Women of Colour experience, negotiate and apply an oppositional gaze to dominant cycling discourses

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    In a cultural context dominated by the car, cyclists are often marginalised. For Women of Colour, this marginalisation may be heightened and help to reinforce often already low cycling rates. This paper is the first to pair hooks’ concept of the ‘oppositional gaze’ with Hall’s theories of representation and reception to explore how dominant discourses around cycling, gender and race shape the experience of UK Women of Colour who cycle. Using go-along interviews with cycling influencers and advocates who are also Women of Colour, it provides space for counternarratives that can challenge dominant discourses about cycling. Borrowing the concept of ‘oppositional gaze,’ we examine the agency of those whose cycling experience is simultaneously shaped by both hypervisibility and invisibility on the road as in the broader cultural and policy contexts. We find that masculine sporty representations in cycling in the UK have material effects on the experience of cycling for women. Women of Colour must constantly negotiate these and other representations that do not fit them easily, sometimes claiming and sometimes challenging aspects of dominant discourses. Despite a small sample size and diverse locations, the insights offered by our research can help policymakers in similar cultural contexts start to build on existing diverse cycling experiences to create more inclusive cycling futures

    NEW DYAD FROM RENEWABLE SOURCE FOR APPLICATIONIN ORGANIC SOLARCELLS

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    This work was supported by the Araucária Foundation, a Research Founding Agency from Paraná State – Brazil, CAPES and CNPq

    Acute Sheehan's Syndrome Presenting as Central Diabetes Insipidus

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    Sheehan's syndrome occurs as a result of ischaemic pituitary necrosis due to severe postpartum haemorrhage. Improvements in obstetrical care have significantly reduced its incidence in developed countries, but postpartum pituitary infarction remains a common cause of hypopituitarism in developing countries. We report a case of severe postpartum haemorrhage followed by headache, central diabetes insipidus and failure to lactate, which prompted us to investigate and identify both anterior and posterior pituitary deficiency compatible with Sheehan's syndrome. A timely diagnosis allowed us to implement an adequate treatment and follow-up plan, which are known to improve clinical status and patient outcome

    Late Stillbirth: a Ten Year Cohort Study

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    Introduction: Late fetal death is a desolating event that inspite the effort to implement new surveillance protocols in perinatal continues to defy our clinical pratice. Objective: To examine etiological factors contributing to main causes and conditions associated with fetal death in late pregnancies over a 10-year period. Methods: Retrospective cohort analysis of 208 late singleton stillbirth delived in a tertiary-perinatal referral maternity over a 10-year period. Clinical charts, laboratory data and feto-placental pathology findings were systematically reviewed. Results: The incidence of late fetal demise was 3.5 per 1000 pregnancies. No significant trend in the incidence of stillbirth was demonstrated during the study period. Stillbirth was intrapartum in 12 (5.8%) cases and 72 (35%) were term pregnancies. Fourteen percent of cases were undersurveilled pregnancies. Mean gestacional age at diagnosis was 34 weeks. The primary cause of death was fetal, it was present in 59 cases, 25% were considered small for gestational age. Stillbirths were unexplained in 24.5% of cases. Maternal medical disorders were identified in 21%. Hypertensive disorders were frequent and associated with early gestacional age (p = 0.028). Conclusion: There was no change in the incidence of late stillbirth during the 10 years under evaluation. The incidence was 3.5 ‰ which was identical to that described in developed countries. About one quarter of the stillbirths was unexplained. The most frequent maternal pathology was chronic hypertension

    Fetal Growth Restriction - a 4-Year Case Series

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    Overview and aims: Fetal growth restriction (FGR) affects 15% of pregnancies and is associated with both increased perinatal and neonatal morbidity and mortality and long-term effects in adult life. Our aim was to describe cases and outcomes of FGR from a tertiary perinatal care centre and identify the predictors of neonatal morbidity and mortality. Study design: retrospective cohort. Population: pregnancies with early or late FGR caused by placental factors followed from 2006 to 2009 in a tertiary perinatal care centre. Methods: we collected data from clinical records on demographics, clinical history and fetal ultrasound parameters. Perinatal and neonatal outcomes were stratiied according to gestational age (above or below 28 weeks) and we used bivariate analysis to identify any associations with clinical and imaging indings. Results: we included 246 pregnancies; hypertension was the most prevalent maternal risk factor (16%). There were 15 cases of early FGR, 11 of which had cesarean delivery due to deterioration of fetal Doppler parameters. Outcomes in this group included one fetal and three neonatal deaths. Of 231 cases of late FGR, 64% were delivered early given a non-reassuring fetal status i.e. due to changes in Doppler evaluation or altered Manning biophysical proile. There were four cases of perinatal death in this group, three of which delivered at 28 weeks. Neonatal morbidity was associated with lower gestational age, lower birthweight and progressive placental dysfunction (p<0.01). Conclusion: there was an association between neonatal morbidity and gestational age, birthweight and Doppler deterioration, particularly for deliveries below 28 weeks. The assessment of vascular changes through Doppler analysis allows anticipation of fetal deterioration and is a helpful tool in deciding the optimum timing of delivery
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