The problem of postoperative haematoma of the scrotum: An improved method of drainage of the scrotum after operation

No Abstract

Repair of indirect inguinal hernia

No Abstract

Enabling Micro-level Demand-Side Grid Flexiblity in Resource Constrained Environments

The increased penetration of uncertain and variable renewable energy presents various resource and operational electric grid challenges. Micro-level (household and small commercial) demand-side grid flexibility could be a cost-effective strategy to integrate high penetrations of wind and solar energy, but literature and field deployments exploring the necessary information and communication technologies (ICTs) are scant. This paper presents an exploratory framework for enabling information driven grid flexibility through the Internet of Things (IoT), and a proof-of-concept wireless sensor gateway (FlexBox) to collect the necessary parameters for adequately monitoring and actuating the micro-level demand-side. In the summer of 2015, thirty sensor gateways were deployed in the city of Managua (Nicaragua) to develop a baseline for a near future small-scale demand response pilot implementation. FlexBox field data has begun shedding light on relationships between ambient temperature and load energy consumption, load and building envelope energy efficiency challenges, latency communication network challenges, and opportunities to engage existing demand-side user behavioral patterns. Information driven grid flexibility strategies present great opportunity to develop new technologies, system architectures, and implementation approaches that can easily scale across regions, incomes, and levels of development

Knockdown of piRNA pathway proteins results in enhanced Semliki forest virus production in mosquito cells

The exogenous siRNA pathway is important in restricting arbovirus infection in mosquitoes. Less is known about the role of the PIWI-interacting RNA pathway, or piRNA pathway, in antiviral responses. Viral piRNA-like molecules have recently been described following infection of mosquitoes and derived cell lines with several arboviruses. The piRNA pathway has thus been suggested to function as an additional small RNA-mediated antiviral response to the known infection-induced siRNA response. Here we show that piRNA-like molecules are produced following infection with the naturally mosquito-borne Semliki Forest virus in mosquito cell lines. We show that knockdown of piRNA pathway proteins enhances the replication of this arbovirus and defines the contribution of piRNA pathway effectors, thus characterizing the antiviral properties of the piRNA pathway. In conclusion, arbovirus infection can trigger the piRNA pathway in mosquito cells, and knockdown of piRNA proteins enhances virus production

Congener profiles of polychlorinated biphenyls and the effect on marine mussels at an outfall site, Port Elizabeth, South Africa

This study investigated the effect of freshwater as a point source of PCBs contributing to a marine outfall region. Inflowing and outflowing water from the North End Lake, Port Elizabeth, was collected to determine the contamination levels of polychlorinated biphenyls (PCBs). Mussels at the outflow to the sea were also sampled. The samples were analysed by an internal standard method for 6 indicator PCB congeners using gas chromatography/mass spectrometry (GC/MS) in selected ion monitoring (SIM) mode. The total PCB concentrations in the water (dissolved plus particulate phases) ranged from 0.180 to 0.355 ng∙L-1 and from 20.84 to 31.34 ng∙g-1 wet weight (ww) in mussels. Lighter PCB congeners exhibited highest concentrations in the water samples while heavier PCBs were dominant in mussels. PCB-52 was the most abundant in the water samples while PCB-153 was abundant in mussels. To protect human health from the possible effects of eating fish and shellfish contaminated with PCBs, the Environmental Protection Agency regulates that the level of PCBs in water be no greater than 0.17 ng∙L-1 of water. The levels of PCBs in water from the North End Lake were found to be high (0.180 – 0.355 ng∙L-1) compared to the levels recommended by EPA.Keywords: dissolved phase, GC/MS, North End Lake, particulate phase, sedentary organism

Does Gender Discrimination Impact Regular Mammography Screening? Findings from the Race Differences in Screening Mammography Study

Objective: To determine if gender discrimination, conceptualized as a negative life stressor, is a deterrent to adherence to mammography screening guidelines. Methods: African American and white women (1451) aged 40–79 years who obtained an index screening mammogram at one of five urban hospitals in Connecticut between October 1996 and January 1998 were enrolled in this study. This logistic regression analysis includes the 1229 women who completed telephone interviews at baseline and follow-up (average 29.4 months later) and for whom the study outcome, nonadherence to age-specific mammography screening guidelines, was determined. Gender discrimination was measured as lifetime experience in seven possible situations. Results: Gender discrimination, reported by nearly 38% of the study population, was significantly associated with non-adherence to mammography guidelines in women with annual family incomes of $50,000 or greater (or 1.99, 95% CI 1.33, 2.98) and did not differ across racial/ethnic groups. Conclusions: Our findings suggest that gender discrimination can adversely influence regular mammography screening in some women. With nearly half of women nonadherent to screening mammography guidelines in this study and with decreasing mammography rates nationwide, it is important to address the complexity of nonadherence across subgroups of women. Life stressors, such as experiences of gender discrimination, may have considerable consequences, potentially influencing health prevention prioritization in women

Factors influencing consent rates of deceased organ donation in Western Cape Province, South Africa

Background. South Africa (SA) has very low and unchanging organ donation rates. A key point in the pathway of organ donation is obtaining informed consent from the family, which is necessary before organ donation can proceed. There is no published SA research on the consent rate and factors that influence this.Objectives. To describe the number of requests for consent and factors influencing this process in the SA context.Methods. A prospective descriptive study was performed of all requests to families for organ donation in Western Cape Province, SA, by Groote Schuur Hospital (state sector), Red Cross War Memorial Children’s Hospital (state sector) and Netcare (private sector) transplant co-ordinators from 1 May 2017 to 1 May 2018 to describe factors influencing consent rates.Results. The 6 co-ordinators (3 state sector and 3 private sector) recorded data of 83 consecutive families approached in 16 hospitals over the 1-year period. Consent to organ donation was granted for 23 family requests (n=18 (state sector); n=5 (private sector)). The number of families approached was greater in the state sector (n=74) than in the private sector (n=9). The overall consent rate was 27.7% (24.3% (state sector); 55.5% (private sector)). The majority of referrals came from trauma and emergency units (n=55; 66.3%) and very few from intensive care units (n=25; 30.1%). Immediate fluid resuscitation was required in 56 (67.5%) potential donors. The majority of families (n=74; 89.2%) were receptive to the organ donation request, independent of their ultimate decision regarding donation. The main reason given for refusing to consent was that it was against their religion (n=21) or culture (n=18).Conclusions. This study showed that the number of families approached for consent to organ donation were low in the Western Cape (lower in the private sector), with a low consent rate (lower in the state sector). Donor management by clinical teams needs to be ongoing and active during the consent process. Consent discussions (and public awareness initiatives) need to be sensitive to and deal with religious and cultural reservations about organ donation

Looking Back: Medieval French Romance and the Dynamics of Seeing.

This dissertation examines looking in twelfth- and thirteenth-century French romances and argues for its importance in understanding the ways in which the interrelational dynamics between characters are both scripted and subverted through seeing and through the circulation of knowledge about what is seen. Focusing on how medieval love narratives construct sight, and how sight constructs these narratives via the repetition of scenes of looking and in the representation through looking of relationships between characters, this project seeks to understand how seeing in medieval romances complicates the view of female characters objectified by masculine desire. The first chapter explores the repeated use of windows as a frame in Chrétien de Troyes’s Le Chevalier de la Charrette for the ways in which characters relate to each other. The second chapter discusses how objects define relationships between male and female characters in the Prose Lancelot and the Mort Artu, and how the characters act upon the objects and, in turn, how the objects act upon the characters. The third chapter focuses on seeing and on claims to have seen a maiden’s birthmark in Jean Renart’s Roman de la Rose, and the ways that the tension between seeing and speaking turn the lady and her birthmark into objects of circulation in the narrative. Sight is privileged in the analysis as the primary sense associated with love; as the chapters progress, other senses are at play with seeing. Sight is the most important sense in the first chapter, as characters look upon each other from windows and from the ground. Touch joins seeing in the second chapter, because in the absence of missing lovers, the characters look upon and caress paintings and statues that represent them. Hearing (and speaking) displace touch in the third chapter, and are in constant conflict with seeing. This dissertation builds upon the work of feminist medievalists and other literary and cultural scholars to argue that sight, and objects that are seen, articulate love relationships between characters in medieval romances, and that seeing is frequently a locus of resistance to gender norms the texts both establish and refuse to accept.Ph.D.Romance Languages & Literatures: FrenchUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/78924/1/jlhuman_1.pd

From Victims of Trafficking to Freedom Fighters: Rethinking Migrant Domestic Workers in the Middle East

Throughout the Middle East migrant women are employed to work in people’s homes. While some experience good working relations with employers, others experience forms of abuse and labour coercion. This chapter evaluates critically different ways that system of unfree labour has been variously described and analysed as a form of ‘contract slavery’, ‘debt bondage’ and ‘trafficking’. It also shows how migrant women who describe themselves as ‘freelancers’ exit their original employer’s home both to escape that relation and in hopes of securing a better situation outside of the regular system of employment. Freelancing is more than simply a form of resistance. Rather, women who work as freelance migrant domestic workers challenge directly that state enforced control over their mobility and are on the vanguard of those migrants who are seeking through their own actions to effect social change