Stapled haemorrhoidopexy vs. Milligan-Morgan haemorrhoidectomy for grade III haemorrhoids: a randomized clinical trial

The aim of this double blind randomized clinical trial was to compare the short-term and long-term outcomes of stapled haemorrhoidopexy (SH group) performed using a circular stapler with that of the Milligan-Morgan haemorrhoidectomy (MMH group). A total of 79 consecutive patients with grade III haemorrhoids were randomized into two groups treated with SH (n. 39) and MMH (n. 40). The outcomes of the procedures were evaluated postoperatively and over a follow-up period of minimum 2 years. Patients undergoing the SH procedure showed greater short term advantages than MMH group with reduced pain, shorter length of hospital stay, earlier return to work and high patient satisfaction. Long-term follow-up has indicated more favourable results in MMH group in terms of resumption of symptoms with absence of residual prolapse and risk of recurrence of prolapse. At two years follow-up recurrent prolapse was confirmed in six patients of SH group (13%) whereas in none of the MMH group. At six months follow-up there weren’t significant difference in the mean satisfaction score for the two groups. At two years the mean satisfaction score was higher in the MMH group vs SH group. Seven patients in the SH group needed a reoperation whereas none in MMH group. From January 2009, in our Surgery Unit the patients are always informed about a higher recurrence rate of SH and we perform this technique only when the patient choices to accept this risk to take advantage of the short-term benefits of this procedure.

“PROSPERING BECAUSE THAT’S ITS HISTORY”: BLACK RESILIENCE AND HONORS DEVELOPMENT IN HIGHER EDUCATION: MORGAN STATE UNIVERSITY AND THE STATE OF MARYLAND, 1867-1988

This study explores the origins and development of honors education at a Historically Black College and University (HBCU), Morgan State University, within the context of the Maryland higher education system. During the last decades, public and private institutions have invested in honors experiences for their high-ability students. These programs have become recruitment magnets while also raising institutional academic profiles, justifying additional campus resources. The history of higher education reveals simultaneous narratives such as the tension of post-desegregated Black colleges facing uncertain futures; and the progress of the rise and popularity of collegiate honors programs. Both accounts contribute to tracing seemingly parallel histories in higher education that speaks to the development of honors education at HBCUs. While the extant literature on honors development at Historically White Institutions (HWIs) of higher education has gradually emerged, our understanding of activity at HBCUs is spotty at best. One connection of these two phenomena is the development of honors programs at HBCUs. Using Morgan State University, I examine the role and purpose of honors education at a public HBCU through archival materials and oral histories. Major unexpected findings that constructed this historical narrative beyond its original scope were the impact of the 1935/6 Murray v Pearson, the first higher education desegregation case. Other emerging themes were Morgan’s decades-long efforts to resist state control of its governance, Maryland’s misuse of Morrill Act funds, and the border state’s resistance to desegregation. Also, the broader histories of Black education, racism, and Black citizenship from Dred Scott and Plessy, the 1863 Emancipation Proclamation to Brown, inform this study. As themes are threaded together, Critical Race Theory provides the framework for understanding the emerging themes. In the immediate wake of the post-desegregation era, HBCUs had to address future challenges such as purpose and mission. Competing with HWIs for high-achieving Black students was one of the unanticipated consequences of the Brown decision. Often marginalized from higher education research literature, this study will broaden the research repository of honors education by documenting HBCU contributions despite a challenging landscape.

Contact lens prescribing trends 2015 : The Efron, Morgan and Woods 16th annual survey of Australian contact lens prescribing habits

The 16th annual survey ofAustralian contact lens prescribingwas conducted from January toApril 2015. The same format as inprevious years was employed. Ane-mail was sent to all members ofOptometry Australia with a link to adownloadable questionnaire, and arequest that this be accessed, printedand completed to provide detailsof the first 10 patients fitted withcontact lenses after receipt of thequestionnaire.The survey was specifically designedto be straightforward to completewhile capturing key informationabout their patients. Practitionerswere asked general questions aboutthemselves. For each contact lensfitting, they were requested tocomplete the following details: dateof fitting, new fitting or refitting, ageand sex of patient, lens material, lensdesign, frequency of replacement,times per week of wear, modality(daily or extended wear) and caresystem. Practitioners were asked toreturn the questionnaire by fax, postor e-mail.Completed questionnaires relatingto 353 contact lens fittings werereturned, which provides a soundbasis for a meaningful analysis. Eachfitting was given a weighting based onthe number of lenses fitted per yearby the practitioner, based on the dateinformation on the form. This meansthat data generated by practitionerswho have a higher frequency of fittingcontact lenses were afforded a higherweighting than those taking longer tofit the 10 patients with lenses.This discussion concentratesprimarily on data relating to newlens fittings as opposed to refittings.We believe that new fittings are amore sensitive barometer of currentpatterns and future trends, whereasrefittings are more indicative ofprevious fitting behaviours.In keeping with other markets aroundthe world,1 the majority of lenses (62per cent) were fitted to females. Theaverage age of contact lens wearersat the time of fitting was 32.2 ± 16.5years. The age at fitting ranged fromeight to 75 years.

Littlefield Organ Series presents a Guest Artist Recital: Robert Huw Morgan February 26, 2012

Concert Program

Parasitismo em cochonilha Selenaspidus articulatus (Morgan, 1889) (hemiptera/Homoptera, Diaspididae) em citros nas regiões de Jaguariúna e Limeira, SP.

O diaspidideo S. articulatus e uma praga polifaga que vem infestando citros em várias regiões do Brasil e de outros países que praticam a citricultura. Sugando a seiva e inoculando toxinas na planta hospedeira, vem causando sérios prejuízos a citricultura nacional. Este trabalho teve como objetivo a avaliação do parasitismo da cochonilha por microhimenopteros na região de Jaguariúna-SP e Limeira-SP. Alem do parasitismo por microhimenopteros, encontrou-se o fungo Aschersonia aleyrodis infestando fêmeas de S. articulatus. Observou-se que em época de menor incidência da cochonilha, ocorria maior incidência do parasitismo. Foi observado também menor incidência dessa praga em pomares não capinados e não pulverizados.