70 research outputs found
Groin hernia surgery in women : outputs, factors, methods and cost-effectiveness
No full textThere is inequity in access to surgical treatment and quality of care globally and this is more pronounced in low-and middle-income countries (LMICs) especially among women. Prioritizing treatment of common surgical conditions like groin hernias in LMICs would improve this aspect.Aims. The present aims were to assess groin hernia surgery outputs and practices in Uganda, to evaluate the relationship between parity and the incidence rate of groin hernia repair among women born in Sweden between 1956 and 1983, to compare the safety and effectiveness of open anterior mesh repair for groin hernia in adult women in Uganda to modified open anterior mesh repair through which both the inguinal and the femoral canal can be accessed and covered with a mesh flap. A further aim was to assess the cost and cost-effectiveness of the open anterior mesh repair in comparison to the modified open anterior mesh repair.Methods. Studies I, III and IV were carried out in Uganda. Study II was carried out in Sweden. Study I was a hospital-based observational study to retrospectively review theatre records for groin hernia repairs in 2013 and 2014, and a questionnaire interview for the surgical providers. Study II was a population-based cohort study among women born in Sweden between 1956 and 1983 in which the Swedish Hernia Register, and the National Medical Birth Register were cross- matched to identify groin hernia repairs after childbirth. The follow up period was until 31st December 2022. Incidence rates and incidence rate ratios for inguinal and femoral hernia repairs were determined. Study III was a double- blinded randomized controlled trial among adult women in Uganda in which the safety and effectiveness of open anterior mesh repair were compared with those of modified open anterior mesh repair. Study IV was a cost-effectiveness study of the trial in Study III to compare the cost and cost-effectiveness of the two groin hernia repair methods.Results. Study I, found that 5518 groin hernia repairs were performed in 2013 and 2014, with an annual repair rate of 7/100, 000 population. Most of the repairs were performed by non- specialized surgeons using suture techniques and almost 16% of the repairs were performed in women. In Study II, the mean incidence of inguinal hernia repair was 10.7 per 100,000 person-year and 2.6 per 100,000 person-year for femoral hernia repairs. The incidence rate and the incidence rate ratios for both inguinal and femoral hernia repairs increased with the number of births. In Study III, altogether, 200 participants were included. Nearly 45% had a femoral hernia. At one-year follow-up, overall recurrence was 5.6% and overall wound complications at two weeks follow-up were 10.1%. In Study IV, the cost per DALY averted in the open anterior mesh repair was 292.0 (SD, 264.4) USD compared to 328.8 (SD, 284.2) USD in the modified open anterior mesh repair.In conclusion, groin hernia repair outputs in Uganda need to improve along with mesh-based methods. High parity levels may increase the risk of groin hernias. Opening of the transversalis fascia to inspect the femoral canal should be routinely done among women to detect femoral hernias. The modified open anterior mesh repair is an option to treat inguinal and femoral hernias in the absence of laparoscopy. While the open anterior mesh repair and its modified version are cost-effective, their application should depend on patient needs. However, the high possibility of femoral hernias among women in the study setting, calls for promotion of the modified open anterior mesh method.List of scientific papersI. Groin hernia Surgery in Uganda. Caseload and Practices at Hospitals Operating Within the Publicly Funded Health Care Sector. Alphonsus Matovu, Pär Nordin, Andreas Wladis, Mary Margaret Ajiko, Jenny Löfgren. World J.Surg (2020) 44:3277-3283. https://doi.org/10.1007/s00268-020-05633-9II. Incidence of groin hernia repairs in women and parity. A population - based cohort study among women born in Sweden between 1956 and 1983. A. Matovu, J. Lofgren, A. Wladis, P. Nordin, G. Sandblom, H.J. Pettersson. Hernia (2024) 28:1231-1238. https://doi.org/10.1007/s10029-024-03011-1III. Open anterior mesh repair versus modified open anterior mesh repair for groin hernia in women. A randomized clinical trial. Alphonsus Matovu, Par Nordin, Andreas Wladis, Gabriel Sandblom, Moses Elaju, Fredrik Lindmark, Olof Bladin, Jenny Löfgren. [Manuscript]IV. Cost-effectiveness of open anterior mesh repair compared to modified open anterior mesh repair for groin hernia repair in women in a low resource setting. A randomized clinical trial. Alphonsus Matovu, Zin Min Thet Lwin, Geoffrey Okello, Francis Lulu, Gabriel Sandblom, Moses Elaju, Olof Bladin, Filip Westling, Andreas Wladis, Pär Nordin, Jenny Löfgren. [Manuscript]</p
O riso unido ao distanciamento: correlações com o conto “Jacinto”, de Alphonsus de Guimaraens, Cândido, ou o otimismo, de Voltaire e nuanças de um Alphonsus humorista em arquivos históricos / The Laughter Coupled with Distancing: Interconnections with the Short Story “Jacinto” by Alphonsus de Guimaraens, the Candide: or Optimism by Voltaire and Nuances of an Alphonsus Humorist in Archives
No full textResumo: Este artigo trata do riso unido ao distanciamento, correlações com o conto “Jacinto (recordações de Vila Rica)”, de Alphonsus de Guimaraens e o livro Cândido, ou o otimismo, de Voltaire, e também busca traçar um perfil humorista do poeta com base nos arquivos do Museu Casa Alphonsus Guimaraens. Ambos os autores, embora vivessem em países e épocas diferentes, de certo modo, acabaram se aproximando em suas escritas. Um, filósofo, dramaturgo e historiador, outro, poeta simbolista, se renderam aos artifícios da comicidade e produziram trabalhos que pertencem ao campo humorístico. No caso de Alphonsus, autor destacado neste trabalho, há uma personalidade que necessita ser delineada nesse sentido, uma vez que há uma grande quantidade de criações relacionadas ao riso nos manuscritos e outros documentos do Museu Casa Alphonsus Guimaraens, e todos, normalmente o conheciam como um poeta taciturno, o “solitário de Mariana”. No geral este estudo busca investigar como Voltaire, em Cândido, ou o otimismo, e Alphonsus no conto “Jacinto (recordações de Vila Rica)”, usam a ironia para provocar o riso, algo que, numa avaliação mais profunda, traduz uma decepção com o social e com a realidade existencial, gerando uma espécie de distanciamento. Pretende, por fim, com base em pesquisas em documentos históricos, encontrar uma lembrança dessa outra faceta de Alphonsus. O livro O riso e o risível: na história do pensamento, de Verena Alberti e o capítulo “Rabelais e a história do riso” em Cultura popular na idade média e no renascimento, de Mikhail Bakhtin, completam a investigação.Palavras-chave: Alphonsus Guimaraens; museu; Voltaire; riso; Jacinto (recordações de Vila Rica; Cândido, ou o otimismo.Abstract: This article deals with the laughter coupled with distancing, interconnections with the short story “Jacinto (recordações de Vila Rica)” by Alphonsus de Guimaraens and the book Candide: or optimism by Voltaire, also seeks to draw a humorous profile of the poet Alphonsus based on the archives of the Casa Alphonsus Guimaraens Museum. The two authors lived at different time but ended up approaching their writings. One was a philosopher, playwright and historian and the other was a symbolist poet and both surrendered to the comic and created works that are situated in the humorous field. There is an existence that needs to be delineated in this sense in the case of Alphonsus, the author highlighted in this work, since there is a great amount of creations related to laughter in the manuscripts and other documents of the Casa Alphonsus de Guimaraens Museum, and most of people knew him as a taciturn poet, the “solitary of Mariana”. In general, this study seeks to investigate how Voltaire in Candide: or optimism and Alphonsus in “Jacinto (recordações de Vila Rica)” use an irony to provoke laughter, something that with a deeper evaluation translates a disappointment with social and existential reality generating a kind of detachment. Finally based on research in historical documents it seeks to find a memory of this other facet of Alphonsus. The book O riso e o risível: na história do pensamento, of Verena Alberti and the chapter “Rabelais and the history of laughter” in, Rabelais and his world of Mikhail Bakhtin, complete the investigation.Keywords: Alphonsus Guimaraens; museum; Voltaire; laughter; Jacinto (recordações de Vila Rica; Cândido, ou o otimismo
Alphonsus de Guimaraens: o vocabulário neológico em sua obra
No full textThe aim of this work is to map the neologic vocabulary in Alphonsus de Guimaraens s
literary production to offer a contribution towards the creation of a linguistic glossary adding
to the Dictionary of the Literary Neologisms of the Brazilian Portuguese by professor
Evandro Silva Martins. This is a bibliographical research in which it is done the study of
some processes of the neologic creation, sustained by Alphonsus de Guimaraens s poetry and
prose. It is started from the hypothesis that Alphonsus de Guimaraens, through his neologic
creation, promotes a certain rescue of the Portuguese Language, either by revisiting meanings,
or by creating new meanings for old words, or even creating new words. The semantic
neologism usually comes from a lexical basis previously existent in the language; however it
assumes a new sense, due to its new context. Therefore, there is a great importance of the
context for the good neologic interpretation. Seeking to reach the specific objectives of this
research, we look for checking Alphonsus de Guimaraens s contribution for the lexicon of the
language and which of his semantic neologisms are capable to subsidize the elaboration of the
proposed dictionary. Methodologically, it is made, firstly, a neologic extraction in the author's
work, then we check their appearance in the dictionaries that are selected as the corpus of
exclusion. Next, we choose which words may form the glossary checking the gender and how
many times these words occur. Then it is made a listing of the existent bases in the corpus of
exclusion and, soon after, it is made an analysis of the linguistic or cultural notes around these
words followed by an analysis of the sense of the same ones inside of that context. The results
prove the hypothesis of Alphonsus de Guimaraens s neologic creativity, particularly founded
through the literary esthetics of the Symbolism, as well as the aims of our research. It is also
inferred that Alphonsus de Guimaraens s great neologic creation happens, in consequence of
the historical, political and literary moment (of profound search of the lost values in the
deepest soul states) in which this author lived. Hence it can be seen the sovereignty of the
context as explanatory of the new terms and re-significance of the old ones. Alphonsus de
Guimaraens s contribution for the perenniality of the literary neologisms found in the
Brazilian Portuguese will have, no doubt, according to the neologic observatory delimited by
the major project by professor Evandro, a distinguished place in that dictionary.Mestre em LinguísticaEste trabalho tem como objetivo fazer o levantamento do vocabulário neológico na obra de
Alphonsus de Guimaraens para oferecer uma parcela de contribuição na criação de um
glossário lingüístico, trazendo subsídios para a confecção do Dicionário dos Neologismos
Literários do Português do Brasil, um projeto-maior do professor doutor Evandro Silva
Martins. Esta é uma pesquisa bibliográfica, que consiste no estudo de alguns processos de
criação neológica, apoiada na poesia e na prosa de Alphonsus de Guimaraens. Parte-se da
hipótese de que, Alphonsus de Guimaraens, através de sua criação neológica, promove um
certo resgate da Língua Portuguesa, seja revisitando significados, seja criando novos
significados para significantes já existentes, seja criando novos significantes. O neologismo
semântico parte, normalmente, de uma base lexical já existente na língua; porém assume um
novo sentido devido a sua nova contextualização. Por isso, a grande importância do contexto
para a boa interpretação neológica. Visando alcançar os objetivos específicos da pesquisa,
faz-se a checagem da contribuição de Alphonsus de Guimaraens para o léxico da língua e
quais os neologismos semânticos, em sua produção literária, capazes de subsidiar a
elaboração do dicionário proposto. Metodologicamente, em primeiro lugar, faz-se um
levantamento dos possíveis neologismos na obra do autor; depois confere-se a sua existência
nos dicionários eleitos como corpus de exclusão; daí, elege-se os vocábulos que constituem o
glossário, verificando-se o gênero e o número de ocorrências dos vocábulos encontrados. Em
seguida, faz-se uma listagem das bases existentes no corpus de exclusão, e, por fim, faz-se
uma análise das notas lingüísticas e/ou culturais em torno destes vocábulos, seguida de uma
análise dos sentidos dos mesmos dentro daquele contexto. Os resultados confirmam a
hipótese da criatividade neológica de Alphonsus de Guimaraens, especialmente fundamentada
pela estética literária do simbolismo, assim como os objetivos da nossa pesquisa. Conclui-se
que a grande criação neológica de Alphonsus de Guimaraens se dá, também, pelo momento
histórico, político e literário (de busca profunda dos valores perdidos nos mais profundos
estados de alma) em que viveu este autor. Portanto se vê a soberania do contexto como
explicativo do novo e re-significância do velho. A contribuição de Alphonsus de Guimaraens
para a perenização dos neologismos literários encontrados no Português do Brasil terá, sem
dúvida, de acordo com o observatório neológico delimitado pelo projeto-maior, um lugar de
destaque naquele dicionário
Short term clinical outcomes following elective day care primary inguinal hernia repair in Mulago hospital
No full textA dissertation submitted to the Graduate School in partial fulfillment of the requirements for the award of a degree of Master of Medicine in Surgery of Makerere UniversityBACKGROUND: Day surgery is steadily growing all over the world. In Uganda, this modality of surgery will expand. Known for its cost friendly approaches, improving surgical outputs and relieveing the burden of disease, day surgery is of great benefit to Uganda. Inguinal hernia is one of the commonest surgical conditions often operated on as either outpatient or inpatient cases in mulago hospital. This study was done to evaluate the clinical outcomes of day care primary inguinal hernia repair in Mulago hospital. OBJECTIVE: To asses the clinical outcomes of day care elective primary inguinal hernia repair in mulago hospital. DESIGN: A prospective case series SETTING: Surgical outpatients department, mulago hospital. METHODS: In this study, 123 adult patients with a primary inguinal hernia were received in the surgical outpatient’s clinic between October 2006 and March 2007. Twenty were not eligible for the study. One hundred and three patients were operated on as day cases in the surgical outpatient’s theater under local anesthesia. The participants were observed for a minimum of 2 hours and then allowed to go home. Neither was admitted on the day of surgery nor in the course of follow up. During recovery, the principle investigator communicated with the participants for follow up. Returning on the7th postoperative day, stitch removal was done with final reviews and discharge from the study on the 14th postoperative day. RESULTS: A Total of 103(81.3%) patients had day care hernia repair. Three patients were lost to follow up. The results presented are based on 100 patients that were followed to the 14th post operative day. Among the participants, 97(97%) had normal wound healing, only 3(3%) developed wound complications, three(3%) had post operative nausea, 98(98%) were satisfied with the procedure and two(2%) were not. Pain scores were determined using the visual analog scale. On the 7th day at rest the scores were 0(87%), 1(10%), and 7(3%). On movement, 0(61%), 1(17%), 2(9%), 3(10%) and 8(3%). On the 14th day, the scores at rest were 0(97%), 2(2%), 3(1%). On movement, 0(97%), 3(2%) and 4(1%). Generally 92% of the participants had a good outcome while 8% had a bad outcome. CONCLUSION: Day adult hernia surgery was found to be safe and acceptable to a majority of patients. In this study, 81.3% of the adult primary inguinal hernias were operated on as day cases. Ninety two percent of the patients with primary inguinal hernia treated as day cases had a good outcome while 8% had a bad outcome. RECOMMENDATIONS: Adult day inguinal hernia repair should be promoted in Mulago hospital
Between tradition and modernity: the chronicles of Alphonsus de Guimaraens in the newspaper Conceição do Serro
No full textO escritor mineiro Alphonsus de Guimaraens (1870-1921) é comumente lembrado pela história e crítica literária devido à qualidade de seus poemas simbolistas, responsáveis por ter elevado o autor ao patamar de cânone das letras brasileiras. Além de poeta, Alphonsus de Guimaraens desempenhou por aproximadamente 30 anos, de 1890 a 1921, a função de cronista, contribuindo com a publicação de jornais. De 1904 a 1905, especificamente, Guimaraens dirigiu e produziu o jornal Conceição do Serro, além de ter publicado crônicas de sua autoria em praticamente todas as 45 edições do periódico. As crônicas de Alphonsus de Guimaraens, sobretudo as publicadas em jornais, correspondem a parte considerável da produção literária desse autor que se encontra em esquecimento. Dessa forma, ao voltar-se para o cânone sobre a perspectiva do esquecimento, com vistas a resgatar parte da história e da memória literária que não foi institucionalizada, este trabalho pretende investigar as crônicas de Alphonsus de Guimaraens publicadas no jornal mineiro Conceição do Serro. Para tanto, após levantamento e transcrição das crônicas, serão discutidas, primeiramente, a profícua relação da literatura com o jornal, assim como a relação do escritor mineiro com os jornais. Posteriormente, este trabalho discute aproximações e distanciamentos entre a poesia de Guimaraens e as crônicas do Conceição do Serro, com ênfase nas temáticas lua / luar e religião / religiosidade. Apesar do diálogo das crônicas com temas fortemente desenvolvidos na poesia do autor, os textos em prosa não se restringem aos parâmetros da estética simbolista. Por fim, este trabalho discute como as crônicas de Alphonsus de Guimaraens, partindo do pressuposto de que Minas Gerais é o lugar da tradição, parecem evidenciar um projeto de manutenção dessa, condenando, desse modo, as transformações sociais provocadas pela modernidade. Esse projeto será evidenciado, principalmente, nas crônicas que abordam o papel social da mulher e o seu direito ao voto. Os cronistas de Alphonsus reafirmam o papel da mulher enquanto mãe, esposa e dona do lar, restrita ao espaço privado, rechaçando, consequentemente, a luta pelo direito ao voto feminino e ao espaço público. Por conseguinte, as crônicas evidenciam Alphonsus de Guimaraens cronista um observador atento às transformações de seu tempo. Palavras-chave: Literatura brasileira. História Literária. Alphonsus de Guimaraens. Crônicas. Jornal. Tradição.The Minas Gerais writer Alphonsus de Guimaraens (1870-1921) is commonly remembered by history and literary criticism because of the quality of his symbolist poems, responsible for raising the author to the level of canon of Brazilian letters. Beyond that, Alphonsus de Guimaraens performed the role of chronicler for approximately 30 years, from 1890 to 1921, contributing to newspapers from the cities where he lived. Specifically, from 1904 to 1905, Guimaraens directed and produced the newspaper Conceição do Serro, and published chronicles of his own in virtually all 45 editions of the periodical. Alphonsus de Guimaraens's chronicles, especially those published in newspapers, correspond to a considerable part of his literary production which is in oblivion. Thus, by turning to the canon on the perspective of forgetfulness, aiming at retrieving part of history and literary memory that was not institutionalized, this paper intends to investigate the chronicles of Alphonsus de Guimaraens published in the Minas Gerais newspaper Conceição do Serro. For this, after survey and transcription of the chronicles, will be discussed, firstly, the fruitful relationship of literature with the newspaper, as well as the relationship of the Minas Gerais writer with the newspapers. Subsequently, this paper discusses approximations and distances between Guimaraens' poetry and Conceição do Serro's chronicles, with emphasis on the themes moon / moonlight and religion / religiosity. Despite the dialogue of the chronicles with strongly developed themes in the author's poetry, prose texts are not restricted to the parameters of symbolist aesthetics. Finally, this paper discusses how the chronicles of Alphonsus de Guimaraens, based on the assumption that Minas Gerais is the place of tradition, seem to evidence a project of maintaining this, thus condemning the social transformations brought about by modernity. This project will be evidenced mainly in the chronicles that address the social role of women and their right to vote. Alphonsus's chroniclers reaffirm the role of women as mothers, wives and homemakers, restricted to the private space, thus rejecting the struggle for the right to female voting and public space. Consequently, the chronicles show Alphonsus de Guimaraens chronicler an observer attentive to the transformations of his time. Keywords: Brazilian literature. Literary history Alphonsus de Guimaraens. Chronicles. Newspaper. Tradition
ALTAR SEBAGAI TEMPAT TERJADINYA PERISTIWA KESELAMATAN: TINJAUAN TEOLOGIS MENURUT ALFONSUS MARIA DE LIGUORI
No full textABSTRACT:This article is a study to find the theological meaning of altar according to Saint Alphonsus Maria de Liguori. The author is interested in examining one of the peculiarities of Alphonsus' theology, namely the altar. The main focus of this writing is to find the theological meaning of the altar according to Alphonsus. The method used is a literature study. The main source of this research is the theological reflections generated from the writings of Alphonsus. The purpose of this article has two purposes. First, helping the Catholic people to experience the Eucharist more deeply when it is set with Alphonsus' understanding of the altar. Second, through this research, the readers can understand and take inspiration from the meaning of the altar in their daily lives.The theological meaning of the altar according to Alphonsus is the altar as an act of God's love, the altar as God's gift to humans, the altar as a symbol of the atoning sacrifice of Jesus Christ and the altar as a symbol of the unity of God and man.ABSTRAKArtikel ini merupakan kajian untuk menemukan makna teologis altar menurut Santo Alfonsus Maria de Liguori. Penulis tertarik untuk mengkaji salah satu kekhasan teologi Alfonsus, yaitu altar. Fokus utama tulisan ini adalah menemukan makna teologis altar menurut Alfonsus. Metode yang digunakan adalah studi kepustakaan. Sumber utama penelitian ini adalah refleksi teologis yang dihasilkan dari tulisan-tulisan Alfonsus. Artikel ini memiliki dua tujuan. Pertama, membantu umat Katolik untuk mengalami Ekaristi lebih mendalam ketika ditatapkan dengan pemahaman Alfonsus tentang altar. Kedua, melalui penelitian ini, pembaca dapat memahami dan mengambil inspirasi dari makna altar dalam kehidupan sehari-hari. Makna teologis altar menurut Alfonsus adalah altar sebagai tindakan cinta Allah, altar sebagai pemberian diri Allah kepada manusia, altar sebagai lambang kurban penebusan Yesus Kristus dan altar sebagai lambang kesatuan Allah dan manusia
Ultrasound-guided Breast Biopsy in the Resource-limited Setting: An Initial Experience in Rural Uganda
No full textHealth Fraud and its Implications on Public Health
No full textProtecting General Public Health by Targeting Bogus Claims of Natural Awakenings Detoxified Iodine and Dr. David Perlmutter’s Grain BrainSpring 2014Accompanied by video fil
Leisure hours; a selection of short poems and miscellaneous scraps. By John A. Lanigan ...
No full text108 p
Knowledge logistics in business contexts: analysing and diagnosing knowledge sharing by logistics concepts
No full textKnowledge sharing is regarded by many management scientists as a main factor to evaluate organizational learning and knowledge management performance in organizations. Therefore, it is important to develop instruments for the analysis and diagnosis of knowledge sharing. Unfortunately, management practice and science lack instruments to evaluate the effectiveness of knowledge sharing within and between organizational units. This paper explores the possibilities of logistic concepts in analyzing and diagnosing knowledge sharing. Because the logistics concepts have been developed in physical/material elements sharing, it might be impractical or misdirecting in the virtual/knowledge area. Consequently, each concept has been evaluated to its practicability for knowledge-sharing analysis and diagnosis, leading to the KNOWLOG instrument and further understandings of the nature of knowledge sharing. These insights and the instrument are applied to three cases: a knowledge logistics coordinator, a high-tech equipment manufacturer and an IT consultancy/software company. The author concludes with pros and cons for the knowledge logistics approach to the effective management of knowledge sharing
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