82 research outputs found

    Anaesthetic considerations in children with congenital heart disease undergoing non-cardiac surgery

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    The objective of this article is to provide an updated and comprehensive review on current perioperative anaesthetic management of paediatric patients with congenital heart disease (CHD) coming for non-cardiac surgery. Search of terms such as "anaesthetic management," "congenital heart disease" and "non-cardiac surgery" was carried out in KKH eLibrary, PubMed, Medline and Google, focussing on significant current randomised control trials, case reports, review articles and editorials. Issues on how to tailor perioperative anaesthetic management on cases with left to right shunt, right to left shunt and complex heart disease are discussed in this article. Furthermore, the author also highlights special considerations such as pulmonary hypertension, neonates with CHD coming for extracardiac surgery and the role of regional anaesthesia in children with CHD undergoing non-cardiac operation

    Rethinking historical fiction in the Americas, 1980 – 2000 toward the "mythorical novel"

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    Rethinking Historical Fiction in the Americas delineates the need for an alternative genre to historical fiction called the "Mythorical Novel." Looking at texts from Latin American author Isabel Allende, African American author Toni Morrison, and Caribbean author Edwidge Danticat, I argue that to better understand novels whose authors draw heavily on oral tradition, cultural heritage, and local literary movements to create the fictional parts of the narrative, we need to analyze them within the context of the same tradition they draw from. There are five characteristics that form the framework of the Mythorical Novel: historicity, creative motivations, cult of the author, consciously distorting history, and polyvocality

    Impact of age and gender matching on long-term graft function and actual graft survival in live-related renal transplantation: Retrospective study from Sindh Institute of Urology and transplantation, Pakistan

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    In renal transplantation, donor and allograft age are known to have an important influence on the outcome of the graft, reflecting functional renal mass. We evaluated the impact of gender and age matching in living-donor renal transplantation on long-term graft survival and actual graft function over five years from the day of transplantation. We retrospectively analyzed 500 primary live-related donor renal transplants performed from August 2007 to December 2008 at Sindh Institute of Urology and Transplantation, Karachi, Pakistan. Donors and recipients were divided into two age groups [young (YD) and elderly (ER)] with 40 years as cutoff line. Four donor recipient groups according to age match and age mismatch: YD/YR – ED/ER – YD/ER – ED/YR and four groups according to donor-recipient gender combinations: male recipients of male donors (MR/MD)–female recipients of male donors (FR/MD)–female recipients of female donors (FR/FD)–male recipients of female donors MR/FD) were studied. Serum creatinine was used to assess graft function after transplantation. The Kaplan–Meier method with the log-rank test was used to assess actual graft survival at five years. Actual graft function of four study groups based on age difference had no statistically significant difference at five years (P = 0.094). Regarding the actual graft survival, the best results were seen in young donor to elderly recipient group as compared to all other age combination groups. At five-year post-transplant, MD/MR had significantly better graft function than MR/FD and FR/MD had significantly better graft function than FD/FR and FD/MR. The actual graft survival was best in male-to-male (86%) compared to the lowest in female-to-female transplants (75%). The graft function at five years was better in elderly recipients of young donor kidneys. The actual graft survival was influenced positively by young donor age and negatively influenced by pre-transplant hepatitis C positivity of recipients

    Eating between binaries: food and young adult fiction

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    Eating Between Binaries examines the different ways first generation young adults use food to remember their cultural heritage while also navigating a new American identity. Looking at texts from Filipina-American author Melissa de la Cruz and Russian- American author/artist Vera Brogsol, I argue that media centering around first generation young adults not only uses food and methods of consumption as cultural markers, but that the use of more visual genres of literature—including novels, Netflix shows and documentaries, and food blogs—provide new outlets for community building and storytelling. This thesis juxtaposes the visual and the textual to show how visually seeing consumption can enrich or contradict the written word. By studying the intersections of food and social media, the young adult is better able to see themselves represented in popular media and respond to challenges around identity and authenticity. The interdisciplinary nature of this thesis highlights how intertextuality and media ultimately shape how and why we eat

    Autoimmunities after COVID: An Interview with Cindy Patton

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    Cindy Patton is Professor Emeritus of Sociology and Anthropology at Simon Fraser University in Vancouver, Canada. An early AIDS activist in Boston, she holds a PhD in Communications from the University of Massachusetts, Amherst. After inaugurating her academic career at Temple University (Rhetoric and Community) and Emory University (Graduate Institute of the Liberal Arts), she accepted a Canada Research Chair in Community, Culture and Health at Simon Fraser (2003-15). In that capacity, she worked with more than two dozen groups to develop small community-driven projects related to HIV/AIDS, housing, social welfare, mental health, while achieving, culminating in the creation of the Community Health Online Digital Research Resource, a catalogued, open-access, full-text collection of the materials from those groups (www.chodarr.org). Her academic publications span the social study of medicine, especially AIDS; social movement theory; gender studies; and media studies. She is the coeditor of Queer Diasporas (2000) and a special issue of Cultural Studies on Pierre Bourdieu (2003). She is the author of such works as Globalizing AIDS (2002), Cinematic Identity: Anatomy of a Problem Film (1997), Fatal Advice: How Safe-Sex Education Went Wrong (1996), Inventing AIDS (1990), and LA Plays Itself/Boys in the Sand: A Queer Film Classic (2014). Taken collectively, Patton’s scholarship and activism has laid the foundation for insights in the health humanities, particularly AIDS studies, that consider the inextricable connections between epidemiology and ideology. Patton’s theorizations of stigma and discrimination patterns, her deconstruction of “truth” discourses subtending science, her critical re-evaluations of axioms associated with risk, safe sex, community, and knowledge production have been crucial interventions in the understanding of health and illness as cultural and discursive scripts. Among Patton’s most enduring contributions has been her theorization of how “African AIDS” was invented and circulated—that is, the notion of geographically bifurcated HIV pandemics split by the essential linkage between Africa and blackness generally with pathogenesis. Equally influential has been her elaboration of the insurgent queer research practices that fused with antiracist struggle to combat this split.  In the interview below, Travis Alexander and Nishant Shahani engage Patton in a discussion on a range of topics—from (dis)continuities between the HIV/AIDS and COVID pandemics to the role of queer activism in forging epidemiological counter-publics and the geopolitics of medical bureaucracy

    Philippine-American Relations Beyond the Bases

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    This article has been delivered by the author for the 1988 Florence Macaulay Distinguished Lecture on Asia and the Pacific at the University of Hawaii on September 23, 1988. It discusses America’s colonial policy and the Philippines' security alliance with America. It also traces the termination of Military Base Agreement and the future of Philippine security without the U.S. military bases.military and military bases

    Philippine-American Relations Beyond the Bases

    No full text
    This article has been delivered by the author for the 1988 Florence Macaulay Distinguished Lecture on Asia and the Pacific at the University of Hawaii on September 23, 1988. It discusses America’s colonial policy and the Philippines' security alliance with America. It also traces the termination of Military Base Agreement and the future of Philippine security without the U.S. military bases.military and military bases
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