Vagotomy with Pyloroplasty or Antrectomy: A Comparison of Results in the Treatment of Duodenal Ulcer

During the years 1970-73, 776 operations were performed for the relief of duodenal ulcer. Truncal vagotomy was done in all cases, and to this was added antrectomy in 92 cases and pyloroplasty in 24 cases. In the followup, three-fourths of the patients in both groups said they were satisfied with the result. There were four recurrences in the smaller pyloroplasty group. In this series, antrectomy with vagotomy appears to be the best operation for duodenal ulcer disease

Spatial analysis of campylobacter infection in the Canadian province of Manitoba

BACKGROUND: The study describes population level variations in campylobacter incidence within the Canadian province of Manitoba, and the relationship to sociodemographic and landscape related characteristics. Using data derived from the Manitoba Health Public Health Branch communicable disease surveillance database, the study applied a number of spatial and ecological techniques to visualize, explore and model campylobacter incidence for the years 1996 to 2004. Analytical techniques used in the study included spatial smoothing, the spatial scan statistic, the Gini coefficient, and Poisson regression analysis. RESULTS: The study demonstrated marked and statistically significant geographic variability in the rates of campylobacter incidence in Manitoba.. The incidence of campylobacter was observed to be significantly higher in populations living in rural and agricultural areas of the province, with the highest rates occurring in populations living in proximity to high densities of farm animals (cows, pigs, chickens). The study also observed that the age specific pattern of campylobacter incidence in rural Manitoba was very different than the urban pattern, with the incidence rate in the 0–4 year age group seven times higher in rural Manitoba than in the City of Winnipeg. CONCLUSION: The study demonstrates the value of a deploying a diverse set of spatial techniques to better understand the dynamics of an enteric disease such as campylobacter infection. The study concludes that there may be three distinct mechanisms for the transmission of campylobacter in Manitoba which are operating simultaneously. These include broad population exposure to a centralized food system endemically infected with the campylobacter organism, exposure to local level factors such as farm animals or contaminated water, and exposure to campylobacter infection through foreign travel

Plant extract efficacy on mosquito mortality: preliminary studies on the effect of Ailanthus altissima extract on adult Aedes aegypti and Culex quinquefasciatus

Abstract Due to the negative environmental impact and resistance to synthetic insecticides, the development of biological control has increased significantly over the past half century with the potential of plant extracts only recently attracting attention. The purpose of this preliminary study was to examine the potential of Ailanthus altissima extract as a botanical insecticide on adult mosquitoes. Two species of mosquitoes (Aedes aegypti and Culex quinquefasciatus) and a non-target lepidopteran species, Painted Lady butterfly (Vanessa cardui) were treated with A. altissima extract from new, mature, and senesced leaflets using serial dilutions (0, 25, 50, 75, 100%) of extract via two application methods (aerosol and sugar feeding). We found that application method and leaf age had significant effects on mosquito mortality at high concentrations. These findings indicate that while mortality was not significantly high compared to commercial products, there may be potential to use an invasive plant extract as a bio-control tool for mosquito vectors of human disease pathogens

A Landscape Cannot Be A Homeland

This is the author accepted manuscript. The final version is available from Taylor & Francis via the DOI in this record.What is the problem for which landscape is the answer? In this paper, I offer a response to this question, first posed at a meeting of landscape researchers in Brussels in 2011. I argue that the problem can be defined as ontopology, or what I call here homeland thinking, and I propose that a landscape cannot be a homeland. The salience of landscape as a critical term instead involves modes of thinking and feeling that chafe against invocations of homeland as a site of existential inhabitation, as a locus of sentiment and attachment, and a wellspring of identity. The paper explores the connections between ideas of landscape and homeland through discussions of the European Landscape Convention, phenomenology and the term homeland itself. I conclude by arguing that a landscape must be understood as a kind of dislocation or distancing from itself. There are, after all, no original inhabitants

Pipeline break detection using pressure transient monitoring

Sudden pipe breaks occur in water transmission pipelines and distribution mains. The consequences of these breaks can be very expensive because of the service interruption, the cost of repair, and damage to surrounding property and infrastructure. The costs associated with the pipeline breaks can be reduced by minimizing the break detection and location time. This paper presents a new continuous monitoring approach for detecting and locating breaks in pipelines. A sudden pipe break creates a negative pressure wave that travels in both directions away from the break point and is reflected at the pipeline boundaries. Using the pressure data measured at one location along the pipeline, the timing of the initial and reflected transient waves induced by the break determines the location of the break. The magnitude of the transient wave provides an estimate of the break size. The continuous monitoring technique uses a modified two-sided cumulative sum (CUSUM) algorithm to detect abrupt break-induced changes in the pressure data. The adaptive tuning of CUSUM parameters is implemented to detect breaks of differing sizes and opening times. The continuous monitoring technique is verified by using results from both laboratory and field experiments and shows potential for detecting and locating sudden breaks in real pipelines.Dalius Misiunas, John Vítkovský, Gustaf Olsson, Angus Simpson, M.ASCE, and Martin Lambert

Cyanogen in NGC 1851 red giant branch and asymptotic giant branch stars: Quadrimodal distributions

The Galactic globular cluster NGC 1851 has raised much interest since Hubble Space Telescope photometry revealed that it hosts a double subgiant branch. Here we report on our homogeneous study into the cyanogen (CN) band strengths in the red giant branc