Types of colorectal cancer and dysplasia associated with inflammatory bowel disease

Ulcerative colitis (UC) and Crohn’s disease (CD) are two major inflammatory disorders of the intestinal wall collectively known as inflammatory bowel disease (IBD). Colorectal carcinoma (CRC) is the most significant and grave consequence of IBD and is preceded by dysplasia in majority of the cases. In this review we aim to discuss the various types of dysplasia found in patients with CRC due to IBD. A thorough literature search was conducted in online databases such as PubMed, Google Scholar, from which all studies published in the last ten years were included in this review. The major development in diagnostic procedures and visualization modalities have aided our understanding of dysplasia, which is now known to be the strongest predictor and marker for CRC development. However, the unpredictable behavior and progression of dysplasia still warrants vigilant surveillance. Dysplasia has been classified on histological characteristics using grades of dysplasia from ‘negative for dysplasia’ to ‘high grade dysplasia’. On visibility via an endoscope from ‘visible dysplasia’ to ‘invisible dysplasia’ and macroscopic features of ‘conventional dysplasia’ and ‘non-conventional dysplasia’. No single classification can be utilized to define the stage of dysplasia and more importantly predict its progression and outcome of CRC. Using evidence-based medicine an integrated classification expanding on a management algorithm must be formulated by a panel of experts to steer management of the disease. A multidisciplinary, tailored approach with a strong emphasis on regular and timely surveillance to ensure early detection of CRC can enhance quality of life and patient outcomes.

Opposition loses place in Hong Kong politics

Significance The election was a triumph for Hong Kong’s Beijing-friendly politicians, with only one of 90 seats won by a non-establishment candidate. Most opposition politicians did not take part in the election. The few independent candidates that did performed badly due to low turnout among pro-democracy voters. Impacts Major development projects are likely to remain on hold as long as pandemic-related border restrictions continue. Political engagement by the generally pro-democracy middle and professional classes may wane, weakening some of the city's institutions. Emigration may continue in the next year due to continued disillusionment.

RESEARCH STATUS AND DEVELOPMENT TREND OF MECHANIZED STRAW RETURNING TECHNOLOGY. A REVIEW

As the application of agricultural mechanized production technology becomes more and more extensive, the application of mechanized straw returning technology has become more and more valuable. The mechanized return of straw to the field is a time-saving and labor-saving technology. It is an effective way to achieve sustainable agricultural development and is of great significance to the development and progress of modern agriculture. This article analyzes the current research status of mechanized straw returning to the field, discusses the process structure and characteristics of different mechanized straw returning methods, and focuses on the analysis of the composite technology of straw returning to the field. At the same time, the key problems of straw returning to the field, such as the length of straw not meeting the standard, the shallow depth of straw returning to the field, and the uneven distribution of straw, are put forward and analyzed. By taking the cover and burial rate of straw on the soil surface and the spatial distribution uniformity of straw in the soil as the performance evaluation indexes of straw mechanized field return, each index is elaborated. Finally, two major development trends are proposed: the development of mechanized straw returning to the field from a single process to a composite process, and the effect of straw returning to the field towards uniform mixed burying and precise control.

Pharmaceutical care in medical homeopathic service in public health in Jundiaí (SP), Brazil

Pharmaceutical care is a concept already well established, but its application presents difficulties in homeopathy since homeopathic medicines have no the same indications as traditional drug classes. In recent decades the Brazilian Homeopathic Pharmacy presented a major development in the area of Pharmacotechnics, exemplified by the creation of local and national associations, the publication of technical texts and the fact that homeopathic medicines are, almost entirely, manipulated in pharmacies. It is also important to develop a pharmaceutical care in homeopathy, optimizing the activities of the medical homeopath and extending the service to the population. For two years, in a medical education and clinical service conducted at the Medical Faculty of Jundiaí, and supported by the Public Medical Service (SUS), three pharmacists and one pharmacy student, were responsible for pre and post consultation and dispensing of medicines. The objectives of this paper are to document the activities of pharmaceutical care, in order to encourage the activities of pharmacists in homeopathy. We developed a form for interviews as a pre-consultations. In the first consultation, it was used to record the identification data of the patient, the symptoms that brought him to the consultation, information about the presence of several physicians in the consultation and about the homeopathic treatment. In subsequent consultations, it was used to investigate the changes that have occurred since the last visit to the service. In post-consultation, the dispensation of the medication was done, with information about its use and conservation. The forms were given to the physicians and kept for future reference along with the clinical records of patients. As a result there was a positive reaction on the part of patients, probably because they felt more confident and instructed about the homeopathic treatment. The physicians referred in a positive manner about the help of pharmacists. Pharmacists have the opportunity to closely follow the changes in the health of patients, verifying the effectiveness of homeopathic treatment. The relationship between doctors and pharmacists developed in a positive way. Unfortunately, despite numerous cases of improvement of patients' symptoms, as well as its appreciation for homeopathic care, homeopathic service ended abruptly in the first half of 2011 due to lack of support from the Medical Faculty and public health service of that municipality, demonstrating once again the fragility of homeopathic services.

Three Decades of Working Panchayati Raj Institutions (PRIs) in Andaman and Nicobar Islands: Issues and Challenges

Panchayati Raj Institutions (PRIs) are the cornerstone of local self government and it provides democratic platform for people's participation at various levels of governance in India. PRIs have been given constitutional status through 73rd Constitutional Amendment in 1992 to make democracy more functional at the local level and driven by citizens needs in addition to with their participation to ensure economic development, strengthen social justice and implementing Central as well as State government welfare schemes including those 29 subjects listed in the Eleventh schedule. In its present form and structure, the PRIs in Andaman and Nicobar Islands have completed three decades of existence and well entrenched with the rural life and have brought about major development in Andaman and Nicobar Islands. However, a lot remains to be done in order to further deepen decentralization and strengthen democracy at the grass root level in the absence of legislature at Union Territory level. Given the general conceptual implication, the present paper seeks to make an in-depth study of issues and challenges encounter by PRIs in Andaman and Nicobar Islands in particular. Keywords: Governance, Participation, Gram Sabha, Zilla Parishad.

Unconventional Drilling and Creative Solutions Delivered World Record a Multi-Laterals Fishbone all Legs Drilled, Accessed and Stimulated First Attempt - Case Study from Kuwait

Despite being the first area for oil to be found in Kuwait in mid 1930's, Bahra's oil production remained largely unexploited until 2015, when a major development campaign targeting one of its tight carbonate reservoirs through horizontal drilling and multi-stage frack completions was commissioned. Nonetheless, with the development and exploration initiatives underway, surface congestion is the primary challenge. As the number of wells increased the need for unconventional well profiles became more demanding. The multi-lateral fishbone approach was designed to have a total of four laterals with approximately 3000 ft each. Lessons learned from previous level-1 multi-laterals drilled in North Kuwait indicated that the primary challenge remained to be the ability to drill a smooth bore hole profile across the junctions to successfully re-access and stimulate all the drilled legs with coil-tubing to maximize production. Kuwaiti Operator Reservoir and study team were looking for an alternate solution to increase the production in Bahra using multi-laterals technics in the same reservoir to stimulate and sustain production in calcite reservoir. Historically only three wells were drilled experimenting challenges and failures to open hole sidetrack leading to have long time to complete the wells with maximum 3 legs as record including the mother hole. RST team asked to drill a well with 4 legs, each leg following the same azimuth with the condition to be 300 ft apart. The thorough planning exercise completed and the close follow-up to the approved design of service during execution phase resulted in the successful delivery of the first four legs fishbone in Kuwait with Zero Non-Productive Time. In addition to achieving all the geological targets, the smooth borehole profile helped ensure successful re-entry and stimulation of all four legs in the same run achieving the well challenge using the unique

The Urban Poor and Livelihood Vulnerability: Are Gender, Age and Marriage Intertwined

Dhaka is the capital city and the single fastest growing metropolis in Bangladesh – by 2020 its population will have increased thirty-fold to over ten million. This rapid population growth is largely facilitated by mass rural-to-urban migration. The speed of urbanization and the enormous numbers involved make it one of the major development challenges of the 21st century (World Bank & Bangladesh Centre for Advanced Studies, 1998). Neither public nor private facilities can meet the basic human needs (food, water, shelter, sanitation, and a safe environment) of slum dwellers, most of whom also lack livelihood security. To understand the magnitude of urban poverty, this research explores the question of whether gender, age and marital status are indeed linked to livelihood vulnerability among the urban poor. It has utilized qualitative methods of data collection -FGDs, case studies (based on in depth-interviews) and participant observation from a selected slum in Dhaka- Begultila. Results of this study has indicated that both physical and emotional vulnerabilities have a crucial impact on the livelihood pattern of the slum dwellers of Begultila. To understand the state and nature of poverty in Begultila it is important to consider non-economic factors, which have a very strong role in enhancing vulnerability among the urban poor, particularly with children, women, and the elderly. This study sheds new light on urban poverty in relation to livelihood vulnerability; and consequently, highlights the diverse experiences of the urban poor and the livelihood insecurity that automatically categorizes them as one of the most vulnerable groups within the slum community. This form of livelihood vulnerability has a crucial effect on the nature and quality of life of the urban poor, particularly for women, which in turn, perpetuates the cycle of poverty. Social Science Review, Vol. 37(2), Dec 2020 Page 217-237

A bibliometric analysis of greenwashing research: a closer look at agriculture, food industry and food retail

PurposeThis paper aims at providing an overview and synthesis of the existing body of knowledge about greenwashing. Special attention is paid to the articles directly linked with agriculture, food industry and food retail.Design/methodology/approachA bibliometric analysis was performed over 351 documents extracted from the WoS database, using SciMAT and VOSviewer software programs.FindingsThree periods in the academic literature about greenwashing can be distinguished: ground-setting (2003–2010), trail-blazing (2011–2015) and remarkable growth (2016–2020). Along this evolution, a body of knowledge which stemmed from the literature about CSR has achieved a major development, deploying different research lines such as stakeholders' management, marketing and communication and audit. A specific analysis of the academic literature about greenwashing in agriculture, food industry and food retail has been carried out, showing a need for further development.Social implicationsThe development of scientific knowledge about greenwashing puts this social claim on the spotlight of business management studies, helping to fight greenwashing and, this way, to reduce the environmental impact of corporate activities. Studying greenwashing will help to reduce its frequency and, therefore, heal the planet.Originality/valueSome previous studies have provided systematic reviews of the literature using different approaches, but they did not untangle the intellectual structure and the evolution of the body of research about greenwashing. This article originally provides a thorough analysis of these aspects, as well as a closer look at the impact of greenwashing practices in the academic literature regarding agriculture, food industry and food retail.