36 research outputs found

    PANC Study (Pancreatitis: A National Cohort Study): national cohort study examining the first 30 days from presentation of acute pancreatitis in the UK

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    Abstract Background Acute pancreatitis is a common, yet complex, emergency surgical presentation. Multiple guidelines exist and management can vary significantly. The aim of this first UK, multicentre, prospective cohort study was to assess the variation in management of acute pancreatitis to guide resource planning and optimize treatment. Methods All patients aged greater than or equal to 18 years presenting with acute pancreatitis, as per the Atlanta criteria, from March to April 2021 were eligible for inclusion and followed up for 30 days. Anonymized data were uploaded to a secure electronic database in line with local governance approvals. Results A total of 113 hospitals contributed data on 2580 patients, with an equal sex distribution and a mean age of 57 years. The aetiology was gallstones in 50.6 per cent, with idiopathic the next most common (22.4 per cent). In addition to the 7.6 per cent with a diagnosis of chronic pancreatitis, 20.1 per cent of patients had a previous episode of acute pancreatitis. One in 20 patients were classed as having severe pancreatitis, as per the Atlanta criteria. The overall mortality rate was 2.3 per cent at 30 days, but rose to one in three in the severe group. Predictors of death included male sex, increased age, and frailty; previous acute pancreatitis and gallstones as aetiologies were protective. Smoking status and body mass index did not affect death. Conclusion Most patients presenting with acute pancreatitis have a mild, self-limiting disease. Rates of patients with idiopathic pancreatitis are high. Recurrent attacks of pancreatitis are common, but are likely to have reduced risk of death on subsequent admissions. </jats:sec

    When organizations travel on intercultural translation

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    SIGLEUuStB Koeln(38)-961102333 / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekDEGerman

    Social constructivism and the enigma of strangeness

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    Report on the current research programme “Biomedicine in Africa” - DOI: 10.3395/reciis.v2i1.126en

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    This research programme examines how the science and practice of biomedicine is shaped through its engagements in various African contexts. We regard biomedicine as a circulating set of technologies, practices, and ideas that – as a by-product of prevention and healing – links individual bodies to the political order. We take Africa to be central for understanding global shifts in the making of bodies and subjectivities as well as of social, political, and juridical forms of governance exactly because the continent is so marginalised in the global political economy and thus represents a site of intense conflict and experimentation. Sociologists and anthropologists of medicine have begun to scrutinise biomedicine through studies of laboratory and clinical life in the West. There has, however, been little scrutiny of biomedicine on the more difficult terrains of non-Western countries where humanitarian crises and complex emergencies involving refugees, wars, and epidemics are common. Our programme, which focuses regionally on Ivory Coast, Kenya, Tanzania, Angola, and South Africa, aims to fill this gap

    Report on the current research programme “Biomedicine in Africa”

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    Made available in DSpace on 2017-01-30T11:45:34Z (GMT). No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) 18.pdf: 246883 bytes, checksum: 44b1f9816aeb148e7f074543f6ea7257 (MD5) Previous issue date: 2008Research Group on “Law, Organization, Science & Technology” MPI for Social Anthropology. Halle, Alemanha.Research Group on “Law, Organization, Science & Technology” MPI for Social Anthropology. Halle, Alemanha.Este programa de pesquisa examina como a ciência e a prática da biomedicina são modeladas através de seus envolvimentos em vários contextos africanos. Consideramos a biomedicina como um conjunto circulante de tecnologias, práticas, e idéias que – como um subproduto de prevenção e tratamento – une os órgãos individuais à ordem política. Consideramos a África como um ponto central para entendermos as mudanças globais na criação de órgãos e subjetividades, bem como formas sociais, políticas e jurídicas de governança, exatamente porque o continente é tão marginalizado na economia política global e, assim, representa um local de intenso conflito e experimentação. Os sociólogos e antropólogos da medicina começaram a examinar a biomedicina através de estudos laboratoriais e da vida clínica na região Oeste. Houve pouco escrutínio da biomedicina nas áreas mais difíceis de países não-ocidentais onde crises humanitárias e emergências complexas envolvendo refugiados, guerras e epidemias são comuns. O nosso programa, enfocado regionalmente em Costa do Marfim, Quênia, Tanzânia, Angola e África do Sul tem por objetivo o preenchimento desta lacuna.This research programme examines how the science and practice of biomedicine is shaped through its engagements in various African contexts. We regard biomedicine as a circulating set of technologies, practices, and ideas that – as a by-product of prevention and healing – links individual bodies to the political order. We take Africa to be central for understanding global shifts in the making of bodies and subjectivities as well as of social, political, and juridical forms of governance exactly because the continent is so marginalised in the global political economy and thus represents a site of intense conflict and experimentation. Sociologists and anthropologists of medicine have begun to scrutinise biomedicine through studies of laboratory and clinical life in the West. There has, however, been little scrutiny of biomedicine on the more difficult terrains of non-Western countries where humanitarian crises and complex emergencies involving refugees, wars, and epidemics are common. Our programme, which focuses regionally on Ivory Coast, Kenya, Tanzania, Angola, and South Africa, aims to fill this gap
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