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Theme of Child sexual abuse in Mahesh Dattani's play 'Thirty Days in September
Prof. Sidhartha B. Sawant
Indian Streams Research Journal , 2012,
Abstract: Child sexual abuse is a form of child abuse in which an adult or older adolescent uses a child for sexual stimulation. Forms of child sexual abuse include asking or pressuring a child to engage in sexual activities (regardless of the outcome), indecent exposure (of the genitals, female nipples, etc.) with intent to gratify their own sexual desires or to intimidate or groom the child, physical sexual contact with a child, or using a child to produce child pornography. The sexual abuse of children is one of the most heinous crimes imaginable.
Effect of different doses of creatine on the bone in thirty days of supplementation in mice: FT-Raman study  [PDF]
Humberto Miranda,Renato Aparecido De Souza,Maira Gaspar Tosato,Roberto Sim o,Murilo Xavier Oliveira,Flávia Mafra De Lima,Erika Ferrari,Wellington Ribeiro,Leonardo Marmo Moreira,Airton Abrah o Martin
Spectroscopy: An International Journal , 2011, DOI: 10.3233/spe-2011-0508
Abstract: In this study, Raman spectroscopy was employed in order to provide information about the effects of different doses of creatine on bone tissue composition of phosphate apatite (960 cm–1), carbonate apatite (1170 cm–1) representing the mineral content and collagen matrix (amide I, 1665 cm–1). The animals (27 Balb-C male) were divided into three groups (n═ per group): control (CON), supplemented with 0.5 g/kg (Cre-0.5) and with 2.0 g/kg (Cre-2.0) creatine. The experiment was carried out for thirty days. After this time, the right femur of each animal was harvested. The specimens were assessment by FT-Raman spectroscopy and in a total of 81 spectra were acquired in the medial diaphysis of the femur. The Raman data strongly suggest that only the creatine supplementation of 0.5 g/kg effective to the bone constitution. Furthermore, the present results demonstrate that creatine ingestion provokes decrease in the relative presence of carbonate in the chemical constitution of bones. The decrease in the carbonate content can be associated to a significantly bone resistance altered to several mammalians. The analysis evidenced that the mineral concentrations in the Raman spectroscopy could be a feasible method for non-invasive or minimally invasive assessment of bone tissue composition. Probably this high sensitivity can be employed to determine spectral profiles, such as wavelength of maximum absorption and maximum intensity of absorption of each wavelength, of several bone diseases.
Strangulated external hernias in Kumasi
M Ohene-Yeboah
West African Journal of Medicine , 2003,
Abstract: Background: In our hospital, Komfo Anokye, Kumasi theatre records show that more than 65 per cent of hernia repairs are performed for strangulation. The low level of elective repair may be linked to poverty, ignorance and fear, factors commonly found in a rapidly expanding young city like Kumasi with ever increasing population. This paper highlights the morbidity and mortality associated with surgery for strangulated external hernias. Method: The details of consecutive adult patients admitted to our emergency ward with a diagnosis of strangulated hernia were recorded. In addition the mode of presentation, hernia type, treatment and the outcome were recorded for each case. Results: Out of 120 strangulated external hernias 76 were indirect, 6 recurrent and 4 direct a total of 86 (71.7%) inguinal hernias. Strangulated femoral hernias were diagnosed in 12 (10 percent)) of the cases. These were all females. Other hernias included 13 (10.8%) para-umbilical and 9(7.5%) of incisional hernias. Strangulation occurred in more men (80) than women (40) and 75% of these patients were aged 50 years or below. The most common physical sign for the diagnosis of strangulation was a tender lump at a previous hernia site. One hundred and seventeen patients were operated upon with an over all bowel resection rate of 24.1%. The over-all mortality was 11.8%. For the inguinal hernias, mortality was lower at 6.2% but higher for the incisional hernia at 33%. Apart from hernia type delayed operation after 72 hours increased the need for bowel resection. Conclusion: The significant and unacceptable morbidity and mortality associated with surgery for strangulated hernias may be avoided by advocating for mass elective repair of these hernias before strangulation occurred.
Meckel′s diverticulum strangulated in an umbilical hernia  [cached]
Komlatse Akakpo-Numado,Komla Gnassingbe,Komla Attipou,Azanledji Boume
African Journal of Paediatric Surgery , 2009,
Abstract: Background: Strangulated Meckel′s diverticulum (MD) in an umbilical hernia (UH) is a rare event. We present herein a case of strangulated MD in UH in a child. Case Report: An 18-month girl was admitted with clinical features suggesting upper intestinal strangulation since seven days. Many attempts of reduction were done before admission. She was resuscitated and had exploratory laparotomy, which revealed the hernia sac containing a completely gangrenous MD. She had bowel resection and had an uneventful postoperative period. Conclusion: An MD may be the content of a strangulated UH. Bowel resection of the segment bearing the diverticulum is advisable if the latter is gangrenous.
Emotionally Competent Behaviors and Nurse Bullying: Is There a Direct Link?  [PDF]
Michelle Doas
Open Journal of Psychiatry (OJPsych) , 2015, DOI: 10.4236/ojpsych.2015.51008
Abstract: An abundance of literature spanning many years depicts the devastating effects of nurse bullying within the profession. The evidence suggests that bullying in general is a deliberate act aimed at another person. Conceptualizing nurse bullying appears to be a key ingredient in creating both awareness and preventative strategies. Emotional competence includes a set of behaviors which are unique to each individual. These behaviors according to Goldman (1995) include, but are not limited to emotional self-assessment, accurate self-assurance, self-confidence, emotional self-control, and empathy. The majority of researchers agree that emotionally competent behaviors are impacted by both positive and negative interactions and experiences. Thus, it is hypothesized that emotionally competent behaviors are continually cultivated throughout one’s life based upon lived experiences. This article assesses direct relationships between implementation of emotionally competent behaviors as a means of combatting nurse bullying within the profession. Creating awareness of these two areas can be initial steps in cultivating the needed tools and supportive interventions to assist nurses from novice to expert to professionally mentor and role model for generations to come.
Towards semantic and affective coupling in emotionally annotated databases  [PDF]
Marko Horvat,Sini?a Popovi?,Kre?imir ?osi?
Computer Science , 2012,
Abstract: Emotionally annotated databases are repositories of multimedia documents with annotated affective content that elicit emotional responses in exposed human subjects. They are primarily used in research of human emotions, attention and development of stress-related mental disorders. This can be successfully exploited in larger processes like selection, evaluation and training of personnel for occupations involving high stress levels. Emotionally annotated databases are also used in multimodal affective user interfaces to facilitate richer and more intuitive human-computer interaction. Multimedia documents in emotionally annotated databases must have maximum personal ego relevance to be the most effective in all these applications. For this reason flexible construction of subject-specific of emotionally annotated databases is imperative. But current construction process is lengthy and labor intensive because it inherently includes an elaborate tagging experiment involving a team of human experts. This is unacceptable since the creation of new databases or modification of the existing ones becomes slow and difficult. We identify a positive correlation between the affect and semantics in the existing emotionally annotated databases and propose to exploit this feature with an interactive relevance feedback for a more efficient construction of emotionally annotated databases. Automatic estimation of affective annotations from existing semantics enhanced with information refinement processes may lead to an efficient construction of high-quality emotionally annotated databases.
Laparoscopic repair of strangulated Morgagni hernia
Michael D Kelly
World Journal of Emergency Surgery , 2007, DOI: 10.1186/1749-7922-2-27
Abstract: Morgagni hernia is a rare diaphragmatic hernia that develops through a congenital retrosternal defect. In adults they are generally asymptomatic and are found incidentally during laparoscopy or imaging for another condition. However, they may present as an emergency with abdominal pain due to strangulation of the hernia contents. An unusual case is reported of a strangulated Morgagni hernia, which presented with vomiting and abdominal pain due to a gastric volvulus.A 73-year-old man presented with a 24-hour history of vomiting and severe, constant epigastric pain. In the preceding three months he had noticed intermittent, dull epigastric pain worse on lying flat. He suffered from type II diabetes, hypertension, asthma and intermittent claudication. He had previously undergone treatment for a transitional cell carcinoma (TCC) of the bladder and repair of umbilical and inguinal hernias. He was a retired electrician with previous asbestos exposure and he was an ex-smoker. On examination, he was tachycardic and pyrexial with a distended, generally tender abdomen but no signs of peritonitis. Respiratory examination was unremarkable and his blood tests showed a raised white cell count (16.1 × 109/L) along with raised serum creatinine (189 μmol/L) and urea (11.9 mmol/L). Chest x-ray showed an unusual air fluid level in the lower chest (fig 1). Under fluoroscopy, a fine bore tube was inserted and a gastrografin? (Schering AG, Germany) study was done (fig 2, 3). This showed a gastric volvulus with complete obstruction within a Morgagni hernia.An emergency laparoscopy was done via open insertion of a 10 mm port at the umbilicus and subsequent insertion of two 5 mm ports. The stomach, transverse colon and omentum were trapped in the hernia (fig 4). They were reduced with difficulty after incising the neck of the sac and the edge of the diaphragmatic defect (fig 5). There was a large section of necrotic omentum, which was resected and placed into a retrieval bag and subsequentl
Soothing the Threatened Brain: Leveraging Contact Comfort with Emotionally Focused Therapy  [PDF]
Susan M. Johnson, Melissa Burgess Moser, Lane Beckes, Andra Smith, Tracy Dalgleish, Rebecca Halchuk, Karen Hasselmo, Paul S. Greenman, Zul Merali, James A. Coan
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0079314
Abstract: Social relationships are tightly linked to health and well-being. Recent work suggests that social relationships can even serve vital emotion regulation functions by minimizing threat-related neural activity. But relationship distress remains a significant public health problem in North America and elsewhere. A promising approach to helping couples both resolve relationship distress and nurture effective interpersonal functioning is Emotionally Focused Therapy for couples (EFT), a manualized, empirically supported therapy that is strongly focused on repairing adult attachment bonds. We sought to examine a neural index of social emotion regulation as a potential mediator of the effects of EFT. Specifically, we examined the effectiveness of EFT for modifying the social regulation of neural threat responding using an fMRI-based handholding procedure. Results suggest that EFT altered the brain's representation of threat cues in the presence of a romantic partner. EFT-related changes during stranger handholding were also observed, but stranger effects were dependent upon self-reported relationship quality. EFT also appeared to increase threat-related brain activity in regions associated with self-regulation during the no-handholding condition. These findings provide a critical window into the regulatory mechanisms of close relationships in general and EFT in particular.
Strangulated Femoral Hernia Turned to Be Peritoneal Cyst  [PDF]
Dionysios Dellaportas,George Polymeneas,Christina Dastamani,Evi Kairi-Vasilatou,Ioannis Papaconstantinou
Case Reports in Surgery , 2012, DOI: 10.1155/2012/528780
Abstract: Introduction. A peritoneal inclusion cyst is a very rare mesenteric cyst of mesothelial origin usually asymptomatic. A rare case of an 82-year-old white Caucasian female with a femoral hernia containing a large peritoneal inclusion cyst, mimicking strangulated hernia, is presented herein. Case Presentation. The patient was admitted to our hospital suffering from a palpable groin mass on the right, which became painful and caused great discomfort for the last hours. Physical examination revealed a tender and tense, irreducible groin mass. An inguinal operative approach was selected and the mass was found protruding through the femoral ring. After careful dissection it turned out to be a large unilocular cyst, containing serous fluid, probably originating from the peritoneum. McVay procedure was used to reapproximate the femoral ring. Histologic examination showed a peritoneal inclusion cyst. Discussion. Peritoneal inclusion cysts are usually asymptomatic but occasionally present with various, nonspecific symptoms according to their size. Our case highlights that high index of clinical suspicion and careful exploration during repair of a hernia is mandatory in order to reach the correct diagnosis about hernia’s contents. 1. Introduction A peritoneal inclusion cyst is a very rare mesenteric cyst of mesothelial origin occurring in the peritoneal cavity, mostly affecting women in the reproductive age. Unilocular peritoneal inclusion cysts are usually asymptomatic, but occasionally present with various, nonspecific symptoms, which makes correct preoperative diagnosis difficult [1]. They may be attached or lie free in the peritoneal cavity, and occasionally they may involve the round ligament simulating an inguinal hernia. Femoral hernias comprise 6–17% of abdominal wall hernias and usually contain abdominal viscera [2]. We present a rare case of an 82-year-old white female with a femoral hernia containing a large peritoneal inclusion cyst, mimicking strangulated hernia. 2. Case Presentation An 82-year-old white Caucasian female was admitted to our hospital suffering from a palpable groin mass on the right, which appeared two days ago, but for the last hours before admission it became painful and caused great discomfort. The mass was tender and tense on physical examination measuring at least 8?cm on diameter, and it was not reducible. The initial differential diagnosis was either a strangulated femoral or groin hernia. She had no history of other hernias and her laboratory findings were within normal range. Also no history of previous surgery, endometriosis,
Strangulated Femoral Hernia Turned to Be Peritoneal Cyst
Dionysios Dellaportas,George Polymeneas,Christina Dastamani,Evi Kairi-Vasilatou,Ioannis Papaconstantinou
Case Reports in Surgery , 2012, DOI: 10.1155/2012/528780
Abstract: Introduction. A peritoneal inclusion cyst is a very rare mesenteric cyst of mesothelial origin usually asymptomatic. A rare case of an 82-year-old white Caucasian female with a femoral hernia containing a large peritoneal inclusion cyst, mimicking strangulated hernia, is presented herein. Case Presentation. The patient was admitted to our hospital suffering from a palpable groin mass on the right, which became painful and caused great discomfort for the last hours. Physical examination revealed a tender and tense, irreducible groin mass. An inguinal operative approach was selected and the mass was found protruding through the femoral ring. After careful dissection it turned out to be a large unilocular cyst, containing serous fluid, probably originating from the peritoneum. McVay procedure was used to reapproximate the femoral ring. Histologic examination showed a peritoneal inclusion cyst. Discussion. Peritoneal inclusion cysts are usually asymptomatic but occasionally present with various, nonspecific symptoms according to their size. Our case highlights that high index of clinical suspicion and careful exploration during repair of a hernia is mandatory in order to reach the correct diagnosis about hernia’s contents.
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