2,762 research outputs found
Laparoscopic versus open Burch colposuspension: a randomised controlled trial
No full textObjective To compare perioperative characteristics, short-term, and long-term outcomes for laparoscopic Burch colposuspension (LBC) and open Burch colposuspension (OBC) for the treatment of urinary stress incontinence
Developing partnership through Third Space activity
No full textThis paper reports on a small-scale research investigation into developing partnerships between a Higher Education Institution (HEI) in England and schools based on a collaborative, rather than a cooperative model. Here, a deeper’ interpretation of collaboration, that is to say ‘working together’ rather than ‘working with’ is facilitated through Third Space activity. In essence 'Third Space’ suggests coming out of our normal working environment at school or university) and into a neutral ‘third space’ to design, develop and deliver teacher education with jointly shared understanding and vision. The research was carried out during 2012 and consisted of non-participant observation of meetings between HEI and school staff involved in the partnership and semi-structure interviews with a sample of these staff. The university programme involved was the PGCE secondary programme, however it is important to note that the research suggested that the philosophy of Third Space activity to develop partnership transcends limitations of context. Findings suggest that, despite the ambitious nature of this philosophy, this kind of partnership working has the potential to be transformative for all concerned: HEI tutors, school mentors and student teachers. This in turn benefits pupils in school. As School Direct becomes more widespread in England, it is suggested that the benefits of this kind of working could add significantly to the evolution of effective partnership practice not only in the English context but also in teacher education world-wide
Empty spaces and the value of symbols: Estonia's 'war of monuments' from another angle
No full textTaking as its point of departure the recent heightened discussion surrounding publicly sited monuments in Estonia, this article investigates the issue from the perspective of the country's eastern border city of Narva, focusing especially upon the restoration in 2000 of a 'Swedish Lion' monument to mark the 300th anniversary of Sweden's victory over Russia at the first Battle of Narva. This commemoration is characterised here as a successful local negotiation of a potentially divisive past, as are subsequent commemorations of the Russian conquest of Narva in 1704. A recent proposal to erect a statue of Peter the Great in the city, however, briefly threatened to open a new front in Estonia's ongoing 'war of monuments'. Through a discussion of these episodes, the article seeks to link the Narva case to broader conceptual issues of identity politics, nationalism and post-communist transition
Comparison of laparoscopic and laparotomic Burch colposuspension in the treatment of stress urinary incontinence
No full textObjective: To evaluate patients who underwent Burch colposuspension due to stress-type urinary incontinence (SUI) in terms of laparoscopic (L/S) and laparotomy (L/T) approaches. Material and Methods: Women aged 40-70 years who were admitted to our hospital with symptoms of SUI between 2017 and 2024, who underwent surgical treatment for SUI, and who met the inclusion criteria were included. The women were divided into two groups, those who received L/T and those who underwent L/S Burch colposuspension. To assess the impact of SUI on quality of life, several quality-of-life questionnaires, including the urinary distress inventory (UDI-6), the incontinence impact questionnaire (IIQ-7), the short-form-36 (SF-36) physical component summary, and the mental component summary (MCS), were evaluated. Post-operative pain was assessed with a Visual Analog Scale (VAS). Results: The cohort consisted of 74 patients. The surgical time and estimated blood loss in the L/S group was significantly lower than in the L/T group (both p<0.001). The sixth and 48th-hour VAS score in the L/S group was significantly lower than in the L/T group (both p<0.001). There was a significant decrease in UDI-6 and IIQ-7 score in patients who underwent L/S-Burch colposuspension and L/T-Burch colposuspension at the 6th-month follow-up (p<0.001 and p<0.001, respectively). At the sixth-month follow-up, the SF-36 MCS score was significantly lower in the L/S group compared with the L/T group (p=0.014). Conclusion: In our study, the results of Burch colposuspension methods were consistent with the literature. L/S-Burch colposuspension is superior in terms of surgical time, blood loss, hospital stay, pain management, and recovery time. The significant decrease in UDI-6 and IIQ-7 scores at the 6-month follow-up shows that both methods provide improvement in urinary incontinence symptoms and increase quality of life. [J Turk Ger Gynecol Assoc. 2025; 26(3): 190-4]
The use of intuition in homeopathic clinical decision making: an interpretative phenomenological study
No full textWhile intuition plays a role in clinical decision making within conventional medicine, little is understood about its use in complementary and alternative medicine (CAM). The aim of this qualitative study was to investigate intuition from the perspective of homeopathic practitioners; its’ manifestation, how it was recognized, its origins and when it was used within daily clinical practice. Semi-structured interviews were carried out with clinically experienced non-National Health Service (NHS) UK homeopathic practitioners. Interpretative phenomenological analysis was used to analyze the data. Homeopaths reported many similarities with conventional medical practitioner regarding the nature, perceived origin and manifestation of their intuitions in clinical practice. Intuition was used in two key aspects of the consultation: (i) to enhance the practitioner–patient relationship, these were generally trusted; and (ii) intuitions relating to the prescribing decision. Homeopaths were cautious about these latter intuitions, testing any intuitive thoughts through deductive reasoning before accepting them. Their reluctance is not surprising given the consequences for patient care, but we propose this also reflects homeopaths’ sensitivity to the academic and medical mistrust of both homeopathy and intuition. This study is the first to explore the use of intuition in decision making in any form of complementary medicine. The similarities with conventional practitioners may provide confidence in validating intuition as a legitimate part of the decision making process for these specific practitioners. Further work is needed to elucidate if these findings reflect intuitive use in clinical practice of other CAM practitioners in both private and NHS (i.e. time limited) setting
Europeanization and the English Regions
No full text[From the Introduction]. In this paper we attempt to explore and apply Europeanization to the regional level in England. We begin with some remarks on what we take Europeanization to be. The way we have approached the concept and its definition is to regard it as fundamentally concerned with the study of change as it affects issues, perceptions, institutions and policies. But distinctively we are dealing with a particular kind or example of change which is evident through what might be termed ‘the EU effect’. That is change that would not have happened or would not have happened in the way it has if it were not for the existence of arrangements and relationships consequent upon the establishment and development of the EU. So a starting point for our analysis is that Europeanization concerns the nature of and the processes whereby this EU effect is manifested. In developing our definition further we start with a formula utilized in an earlier paper adapted from work by Radaelli (2000: 4). In this earlier work Europeanization was defined as: "A set of processes through which the EU political, social and economic dynamics interact with the logic of domestic discourse, identities, political structures, and public policies (Bulmer and Burch 2002: 116)"
Survey of pulmonate snails of central Minnesota .1. Lymnaeidae
No full textAquatic snails were collected at 148 sites from various wetland habitats in central Minnesota between May and September, 1988. Ten lymnaeid species were collected, including Lymnaea palustris, L. stagnalis, L. exilis, L. caperata, L. catascopium, L. megasoma, L. Fossaria modicella, L. (F.) parva, L. (F.) bulimoides, and L. (F.) dalli. These species were found at 30-, 18-, 15-, 12-, 11-, 7-, 20-, 9-, 1.4-, and 0.7% of the collection sites, respectively. Lymnaeids were found most frequently in still water of near neutral pH with a small particle size substrate. However, individual lymnaeid species showed great variability in habitat type selection. Lymnaea megasoma and L. exilis were found in slightly acidic water. Lymnaea catascopium was found in the deeper open water of lakes and slow moving rivers, while L. caperata and L. (Fossaria) spp. were found in temporary wetlands and mud flats. Wetland habitat reduction during the drought of 1987-1989 may have influenced distribution of the amphibious species. Those species recovered from shallow temporary wetlands in this study may have a wider distribution during periods of normal rainfall.PT: J; CR: BAKER FC, 1911, CHICAGO ACAD SCI SPE, V3 BAKER FC, 1929, NAUTILUS, V4, P95 BAKER FC, 1929, NAUTILUS, V42, P131 BAKER FC, 1935, AM MID NAT, V16, P256 BAKER FC, 1936, NAUTILUS, V49, P127 BURCH JB, 1980, WALKERANA, V1, P81 BURCH JB, 1982, T POETS SOC, V1, P217 CLARKE AH, 1973, MALACOLOGIA, V13 DANIELS LE, 1909, NAUTILUS, V22, P119 DAWLEY C, 1947, AM MIDL NAT, V38, P671 EDDY S, 1982, TAXONOMIC KEYS COMMO EGGERS SD, 1987, WETLAND PLANTS PLANT SARGENT HE, 1895, NAUTILUS, V9, P87 SARGENT HE, 1995, NAUTILUS, V9, P125 SHAW S, 1971, 39 US DEP INT FISH W; NR: 15; TC: 2; J9: J FRESHWATER ECOL; PG: 9; GA: HK695Source type: Electronic(1
Burch, T. J.
No full textSee entry in Lawrence County volume 1, page 57: https://digital.archives.alabama.gov/digital/collection/voter/id/194
Inhibition of Caco-2 and HeLa proliferation by Terminalia sericea Burch. ex DC. (Combretaceae) leaf extracts and identification of volatile components
No full textTerminalia sericea Burch. ex. DC (Combretaceae) is used in traditional South African medicine to treat a wide variety of diseases. Several other Terminalia spp. have been reported to have anti-proliferative and apoptotic activities. Despite this, the anticancer properties of T. sericea remain to be rigorously tested. The current study was undertaken to test a panel of T. sericea leaf extracts for the ability to inhibit the proliferation of Caco-2 colorectal and HeLa cervical carcinoma cells, and to identify volatile compounds using GC-MS headspace analysis. Powdered T. sericea leaves were extracted with solvents of varying polarity and investigated for the ability to inhibit the proliferation of Caco-2 and cervical carcinoma cells using MTS based colorimetric cell proliferation assays. The extracts were tested for toxicity in the Artemia nauplii bioassay and the extract with the most potent anti-proliferative activity was examined using headspace GC-MS analysis to identify volatile nonpolar components. The T. sericea leaf extracts displayed potent anti-proliferative activity against Caco-2 and HeLa carcinoma cells. The methanolic extracts were particularly potent inhibitors of Caco-2 and HeLa proliferation. The aqueous and ethyl acetate extracts (but not the chloroform or hexane extracts) also significantly inhibited carcinoma proliferation, albeit with substantially lower potency. Subsequent analysis of the T. sericea leaf extracts by GC-MS headspace analysis highlighted several interesting volatile compounds. All extracts were shown to be non-toxic in the Artemia nauplii bioassay. The lack of toxicity of these extracts and their anti-proliferative bioactivity against Caco-2 and HeLa carcinoma cells indicates their potential in the treatment of some cancers.Full Tex
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A Norwegian grey zone: Knut Rød, Victor Lind and 'The crucial year, 1942'
No full textThis article uses Primo Levi’s concept of “the grey zone” to explore Knut Rød’s involvement in the transfer of 532 Norwegian Jews from Oslo to Auschwitz in 1942. Rød, the police chief in charge of the operation, was subsequently exonerated of any crime on the grounds that he had simultaneously used his position to help members of Milorg – the Norwegian Resistance. The legal and moral basis of this verdict has been questioned by the artist Victor Lind in a series of artworks, including his “countermonument” The Perpetrator (2005)
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