Between Worlds: German Missionaries and the Transition to Bantu Education in South Africa by Linda Chisholm

Linda Chisholm, one of the most talented educational researchers in South Africa, has published on a great variety of topics over the past thirty years and has been one of the most prolific commentators on educational policy and practice. Her most recent endeavour relating to the history of the Hermannsberg Mission Society and its educational involvement in South Africa over a period of a century and a half is therefore to be applauded as a unique endeavour to engage with the complexities and ambiguities of educational policy and practice in a colonial context. It focuses on the continuities and ruptures that were presented to SouthAfrican black education from the 1950s by Bantu Education. This is therefore an important contribution to the literature on the South African history of education to set in the context of the impressive relatively recent collections edited by Hanns Lessing et al. (2012, 2015 on German Protestant missions in Southern Africa and Richard Elphick’s definitive work on Protestant Missions (2012). As Chisholm demonstrates through a careful use of previously neglected sources in Germany and South Africa, this is a complex story that challenges manyof our easy preconceptions about colonial education and it defies any simple categorization of missionaries as agents of colonialism

Tribesman, trader, peasant and proletarian: The process of transition from pre-capitalist 'Natural Economy' to a capitalist mode of production in the Hinterland of the Kimberley Diamond Fields during the 19th century.

African Studies Seminar series. Paper presented October, 1978The concern of this paper is to attempt a critical investigation of the significance and implications of the penetration of capitalism and the colonial state into the geographical area of Griqualand West and British Bechuanaland in the 19th Century. The focus will be on the nature of the transition (‘transitional conjuncture’, ‘articulation of modes of production’) from pre-capitalist ‘natural economy’ to capitalist modes of production in the context of the industrializing political economy centred on the Kimberley Diamond Fields. More specifically, an attempt will be made to look at the evolving relationships between that emergent capitalist 'centre' and the immediate hinterland, examining the effects of the penetration of merchant capital (+- 1760-1860s), and of the industrialization process (from 1870 to 1900) on the societies and peoples of that region

Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy

Background A reliable system for grading operative difficulty of laparoscopic cholecystectomy would standardise description of findings and reporting of outcomes. The aim of this study was to validate a difficulty grading system (Nassar scale), testing its applicability and consistency in two large prospective datasets. Methods Patient and disease-related variables and 30-day outcomes were identified in two prospective cholecystectomy databases: the multi-centre prospective cohort of 8820 patients from the recent CholeS Study and the single-surgeon series containing 4089 patients. Operative data and patient outcomes were correlated with Nassar operative difficultly scale, using Kendall’s tau for dichotomous variables, or Jonckheere–Terpstra tests for continuous variables. A ROC curve analysis was performed, to quantify the predictive accuracy of the scale for each outcome, with continuous outcomes dichotomised, prior to analysis. Results A higher operative difficulty grade was consistently associated with worse outcomes for the patients in both the reference and CholeS cohorts. The median length of stay increased from 0 to 4 days, and the 30-day complication rate from 7.6 to 24.4% as the difficulty grade increased from 1 to 4/5 (both p < 0.001). In the CholeS cohort, a higher difficulty grade was found to be most strongly associated with conversion to open and 30-day mortality (AUROC = 0.903, 0.822, respectively). On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001). Conclusion We have shown that an operative difficulty scale can standardise the description of operative findings by multiple grades of surgeons to facilitate audit, training assessment and research. It provides a tool for reporting operative findings, disease severity and technical difficulty and can be utilised in future research to reliably compare outcomes according to case mix and intra-operative difficulty

Revisiting the ‘Great Levelling’: the limits of Piketty’s Capital and Ideology for understanding the rise of late 20th century inequality

In Capital and Ideology, Thomas Piketty returns to questions of historical inequality, not merely to fill in the gaps in the earlier, widely circulated and impactful Capital in the 21st Century, but to undertake a far more ambitious and nuanced project. Critics (Bhambra and Holmwood 2017; Moeller 2015) pointed out that in the previous book, Piketty’s consideration of the role of high concentrations wealth on inequality focused largely on a handful of relatively wealthy countries (the US, UK, France, Germany and Japan). More importantly, it did not consider the political and economic relationships, forged by European colonization and the trans-Atlantic slave trade, that helped create lasting inequalities in wealth, status, education and life expectancy around the globe. These oversights corresponded to significant methodological gaps, in which inequalities defined by social status and identity, including gender, race and caste, were largely left out of considerations that centred around economic and material disparities. Yet these different forms of inequalities are intimately connected, as gender wage gaps and racial wealth gaps in different parts of the world attest

Characterization and subtraction of luminescence background signals in high-wavenumber Raman spectra of human tissue

Raman spectroscopy in the high-wavenumber spectral region (HWR) is particularly suited for fiber-optic in vivo medical applications. The most-used fiber-optic materials have negligible Raman signal in the HWR. This enables the use of simple and cheap single-fiber-optic probes that can be fitted in endoscopes and needles. The HWR generally shows less tissue luminescence than the fingerprint region. However, the luminescence can still be stronger than the Raman signal. Hardware- and software-based strategies have been developed to correct for these luminescence signals. Typically, hardware-based strategies are more complex and expensive than software-based solutions. Effective software strategies have almost exclusively been developed for the fingerprint region. First-order polynomial baseline fitting (PBF) is the most common background/luminescence estimation employed for the HWR. The goal of this study was to characterize the luminescence background signals of HW spectra of human oral tissue and compare the performance of two algorithms for correction of these background signals: PBF and multiple regression fitting (MRF). In the MRF method, we introduce here, prior knowledge of the range of Raman signals that can be obtained from the tissues of interest is explicitly used. MRF is more robust than PBF because it does not require an a priori choice of the polynomial order for fitting the background signal. This is important because, as we show, no single polynomial order can optimally characterize all backgrounds that are encountered in HW tissue spectra. We conclude that MRF should be the preferred method for background subtraction in the HWR

Raman Spectroscopy and Regenerative Medicine: A Review

The field of regenerative medicine spans a wide area of the biomedical landscape—from single cell culture in laboratories to human whole-organ transplantation. To ensure that research is transferrable from bench to bedside, it is critical that we are able to assess regenerative processes in cells, tissues, organs and patients at a biochemical level. Regeneration relies on a large number of biological factors, which can be perturbed using conventional bioanalytical techniques. A versatile, non-invasive, non-destructive technique for biochemical analysis would be invaluable for the study of regeneration; and Raman spectroscopy is a potential solution. Raman spectroscopy is an analytical method by which chemical data are obtained through the inelastic scattering of light. Since its discovery in the 1920s, physicists and chemists have used Raman scattering to investigate the chemical composition of a vast range of both liquid and solid materials. However, only in the last two decades has this form of spectroscopy been employed in biomedical research. Particularly relevant to regenerative medicine are recent studies illustrating its ability to characterise and discriminate between healthy and disease states in cells, tissue biopsies and in patients. This review will briefly outline the principles behind Raman spectroscopy and its variants, describe key examples of its applications to biomedicine, and consider areas of regenerative medicine that would benefit from this non-invasive bioanalytical tool

Population‐based cohort study of outcomes following cholecystectomy for benign gallbladder diseases

Background The aim was to describe the management of benign gallbladder disease and identify characteristics associated with all‐cause 30‐day readmissions and complications in a prospective population‐based cohort. Methods Data were collected on consecutive patients undergoing cholecystectomy in acute UK and Irish hospitals between 1 March and 1 May 2014. Potential explanatory variables influencing all‐cause 30‐day readmissions and complications were analysed by means of multilevel, multivariable logistic regression modelling using a two‐level hierarchical structure with patients (level 1) nested within hospitals (level 2). Results Data were collected on 8909 patients undergoing cholecystectomy from 167 hospitals. Some 1451 cholecystectomies (16·3 per cent) were performed as an emergency, 4165 (46·8 per cent) as elective operations, and 3293 patients (37·0 per cent) had had at least one previous emergency admission, but had surgery on a delayed basis. The readmission and complication rates at 30 days were 7·1 per cent (633 of 8909) and 10·8 per cent (962 of 8909) respectively. Both readmissions and complications were independently associated with increasing ASA fitness grade, duration of surgery, and increasing numbers of emergency admissions with gallbladder disease before cholecystectomy. No identifiable hospital characteristics were linked to readmissions and complications. Conclusion Readmissions and complications following cholecystectomy are common and associated with patient and disease characteristics