A tale of two sit-bones: The cyclist’s ischial hygroma (Perineal nodular induration)

The ischial hygroma, also known as a perineal nodular induration, is a relatively rare and mostly cycling-specific injury that is often incorrectly diagnosed and managed. Here two cases with divergent managements are described to highlight the spectrum of treatment available to manage this condition. The presentation, assessment and management of two cases of perineal nodular induration are discussed.The management options, namely surgical excision vs conservative management, with saddle pressure mapping highlight that there is no single optimal method and that a multidisciplinary approach should be applied to treat these injuries successfully. Perineal nodular induration should be investigated appropriately to exclude less benign causes of perineal masses. Conservative management and surgical excision can both be successful. Clinicians should be familiar with the assessment and management of this relatively rare but debilitating condition in competitive cyclists.Keywords: cycling, perineal injur

Local forage fish abundance influences foraging effort and offspring condition in an endangered marine predator

This is the author accepted manuscript. The final version is available from Wiley via the DOI in this record.All data will be archived in the Dryad Digital Repository and BirdLife Seabird Tracking Database.1. Understanding the functional relationship between marine predators and their prey is vital to inform ecosystem-based management. However, collecting concurrent data on predator behaviour and their prey at relevant scales is challenging. Moreover, opportunities to study these relationships in the absence of industrial fishing are extremely rare. 2. We took advantage of an experimental fisheries closure to study how local prey abundance influences foraging success and chick condition of Endangered African penguins Spheniscus demersus in the Benguela Ecosystem. 3. We tracked 75 chick-provisioning penguins with GPS-time-depth devices, measured body condition of 569 chicks, quantified the diet of 83 breeding penguins and conducted 12 forage fish hydro-acoustic surveys within a 20 km radius of Robben Island, South Africa, over three years (2011–2013). Commercial fishing for the penguins’ main prey, sardine Sardinops sagax and anchovy Engraulis encrasicolus, was prohibited within this 20 km radius during the study period. 4. Local forage fish abundance explained 60% of the variation in time spent diving for 14 penguins at sea within 2 days of a hydro-acoustic survey. Penguin foraging effort (time spent diving, number of wiggles per trip, number of foraging dives and the maximum distance travelled) increased and offspring body condition decreased as forage fish abundance declined. In addition, quantile regression revealed that variation in foraging effort increased as prey abundance around the colony declined. 5. Policy implications. Our results demonstrate that local forage fish abundance influences seabird foraging and offspring fitness. They also highlight the potential for offspring condition and the mean-variance relationship in foraging behaviour to act as leading indicators of poor prey abundance. By rapidly indicating periods where forage resources are scarce, these metrics could help limit seabird-fisheries competition and aid the implementation of dynamic ocean managemen

A tale of two sit-bones: The cyclist’s ischial hygroma (Perineal nodular induration)

The ischial hygroma or perineal nodular induration is a relatively rare and cycling specific injury that is often incorrectly diagnosed and managed. We highlight two cases with divergent managements to highlight the spectrum of treatment available to manage this rare condition. We describe the presentation, assessment and management of two cases of pernineal nodular induration. The management (surgical excision vs conservative management with saddle pressure mapping) highlight that there is no single optimal management and a multidisciplinary approach should be applied to treat these injuries successfully. Perineal nodular induration should be investigated appropriately to exclude less benign causes of perineal masses. Both conservative management and surgical excision can be successful. Clinicians should be familiar with assessment and management options for this relatively rare but debilitating condition in competitive cyclists. &nbsp

UPLC-MS analysis of cannabis sativa using tetrahydrocannabinol (THC), cannabidiol (CBD), and tetrahydrocannabinolic acid (THCA) as marker compounds: inhibition of breast cancer cell survival and progression

Cannabis sativa L. extracts were characterized by ultra performance liquid chromatography-mass spectrometry (UPLC-MS) using tetrahydrocannabinol (THC), cannabidiol (CBD), and tetrahydrocannabinolic acid (THCA) as marker compounds. The inhibitory effects of various extracts were determined on the survival and progression of highly metastatic breast cancer cells. A higher amount of CBD was found in the dichloromethane extract, and this was found to be effective in inhibiting breast cancer cell growth in vitro and in angiogenesis. Collectively, it may be concluded that CBD, THC, and THCA in the African variety of C. sativa can be used as marker compounds in UPLC-MS analysis. The ability of the plant to inhibit breast cancer cell survival and progression may affirm the traditional use of the drug as an anticancer agent.The National Research Foundation and DST-IKS Based Technology, South Africa.https://journals.sagepub.com/home/npxpm2020Chemistr

Recreational fish-finders - an inexpensive alternative to scientific echo-sounders for unravelling the links between marine top predators and their prey

Studies investigating how mobile marine predators respond to their prey are limited due to the challenging nature of the environment. While marine top predators are increasingly easy to study thanks to developments in bio-logging technology, typically there is scant information on the distribution and abundance of their prey, largely due to the specialised nature of acquiring this information. We explore the potential of using single-beam recreational fish-finders (RFF) to quantify relative forage fish abundance and draw inferences of the prey distribution at a fine spatial scale. We compared fish school characteristics as inferred from the RFF with that of a calibrated scientific split-beam echo-sounder (SES) by simultaneously operating both systems from the same vessel in Algoa Bay, South Africa. Customized open-source software was developed to extract fish school information from the echo returns of the RFF. For schools insonified by both systems, there was close correspondence between estimates of mean school depth (R 2 = 0.98) and school area (R 2 = 0.70). Estimates of relative school density (mean volume backscattering strength; S v ) measured by the RFF were negatively biased through saturation of this system given its smaller dynamic range. A correction factor applied to the RFF-derived density estimates improved the comparability between the two systems. Relative abundance estimates using all schools from both systems were congruent at scales from 0.5 km to 18 km with a strong positive linear trend in model fit estimates with increasing scale. Although absolute estimates of fish abundance cannot be derived from these systems, they are effective at describing prey school characteristics and have good potential for mapping forage fish distribution and relative abundance. Using such relatively inexpensive systems could greatly enhance our understanding of predator-prey interactions

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Performance appraisals in the public sector: are they accurate and fair?

Traditionally, performance appraisal has been a much maligned human resources function. As a result of criticism normally being more generalised, research was conducted regarding the extent to which differing perceptions play a role in terms of specific aspects of performance appraisal. Opsomming Prestasiebeoordeling word tradisioneel as een van die mees gekritiseerde menslikehulpbron-bestuursfunksies beskou.Vanwee die feit dat hierdie kritiek dikwels bate veralgemeen word, is dit ten doel gestel om die mate waartoe indiwiduele persepsies met betrekking tot sekere aspekte van prestasiebeoordeling verskil, na te vors

Performance appraisal in the public sector : are they accurate and fair?

CITATION: Rademan, D. J. & Vos, H. D. 2001. Performance appraisal in the public sector : are they accurate and fair? SA Journal of Industrial Psychology, 27(1):54-60, doi:10.4102/sajip.v27i1.776.The original publication is available at https://sajip.co.zaTraditionally, performance appraisal has been a much maligned human resources function. As a result of criticism normally being more generalised, research was conducted regarding the extent to which differing perceptions play a role in terms of specific aspects of performance appraisal.https://sajip.co.za/index.php/sajip/article/view/776Publisher's versio