Incidence and natural history of proliferative sickle cell retinopathy:Observations from a cohort study

Objective: To describe the incidence, prevalence, and natural history of proliferative sickle cell retinopathy (PSR). Design: Prospective longitudinal study over 20 years. Participants: Newborn screening of 100000 consecutive deliveries from 1973 to 1981 identified 315 children with homozygous sickle cell (SS) disease and 201 with SS-hemoglobin C (SC) disease. By the age of 5 years, 307 SS patients and 166 SC patients were alive and living in Jamaica and were recruited for this ophthalmic study. Methods: Description of retinal vascular changes on annual angiography and angioscopy. Main Outcome Measures: Incidence and prevalence of PSR and its behavior on follow-up. Progression of PSR was investigated using the number of eyes affected (none, one, both) and the interval until PSR onset. Results: At last review in January 2000, PSR had developed in 59 patients (14 SS, 45 SC), unilaterally in 36 patients and bilaterally in 23. Incidence increased with age in both genotypes, with crude annual incidence rates of 0.5 cases (95% confidence interval [CI], 0.3-0.8) per 100 SS subjects and 2.5 cases (95% CI, 1.9-3.3) per 100 SC subjects. Prevalence was greater in SC disease, and by the ages of 24 to 26 years, PSR had occurred in 43% subjects with SC disease and in 14% subjects with SS disease. Patients with unilateral PSR had a 16% (11% SS, 17% SC) probability of regressing to no PSR and a 14% (16% SS, 13% SC) probability of progressing to bilateral PSR. Those with bilateral PSR had an 8% (8% SS, 8% SC) probability of regressing to unilateral PSR and a 1% (0 SS, 2% SC) probability of regressing to a PSR-free state. Irretrievable visual loss occurred in only 1 of 82 PSR-affected eyes, and 1 required detachment surgery and recovered normal visual acuity. Conclusions: Longitudinal observations over 20 years in a cohort of patients followed from birth confirms a greater incidence and severity of PSR in SC disease, and shows that spontaneous regression occurred in 32% of PSR-affected eyes. Permanent visual loss was uncommon in subjects observed up to the age of 26 years. © 2005 by the American Academy of Ophthalmology.

A high resolution 15,600-year pollen and microcharcoal record from the Cederberg Mountains, South Africa

The Cederberg Mountains (Western Cape Province, South Africa) are located within the Fynbos Biome, which exhibits some of the highest levels of species richness and endemism in the world. The region's post-glacial vegetation history, however, remains largely unknown. Presented here are high resolution pollen and microcharcoal records spanning the last 15,600 years obtained from the De Rif rock hyrax midden from the Driehoek Valley of the central Cederberg. In this region, previous pollen studies have shown muted variability in vegetation community composition during periods of globally marked climatic variability (e.g. the last glacial-interglacial transition). In our record, however, significant changes in vegetation composition are apparent. Most notably, they indicate a shift from ericaceous/restioid fynbos (present from 15,600 to 13,300 cal yr BP) to a brief, but prominent, development of proteoid fynbos at the beginning of the Holocene around 11,200 cal yr BP. This vegetation shift is associated with increased moisture at the site, and coincides with reduced fire frequency as indicated by the microcharcoal record. At 10,400 cal yr BP, there is a marked reduction in Protea-type pollen, which is replaced by thicket, characterised by Dodonaea, which became the dominant arboreal pollen type. This shift was likely the result of a long relatively fire-free period coupled with warmer and wetter climates spanning much of the early Holocene. A brief but marked decrease in water availability around 8500-8000 cal yr BP resulted in the strong decrease of Dodonaea pollen. The vegetation of the mid- to late Holocene is characterised by the increased occurrence of Asteraceae and succulent taxa, suggesting substantially drier conditions. These data give unprecedented insight into the vegetation dynamics across a period of substantial, rapid climate change, and while they confirm the presence of fynbos elements throughout the last 15,600 years, the results highlight significant fluctuations in the vegetation that were triggered by changes in both climate and fire regimes. (C) 2013 Elsevier B.V. All rights reserved.

Middle to late Holocene chironomid-inferred July temperatures for the central Northwest Territories, Canada

We analyzed subfossil chironomids, sediment organic matter and sediment particle size data from a 1.11-m-long freeze core collected from Carleton Lake (unofficial name), located approximately 120 km north of the modern treeline. This well-dated core spans the last ca. 6,500 years. Two chironomid transfer functions were applied to infer mean July air temperatures. Our results indicated that the chironomid-inferred temperatures from this lake sediment record did not pass a significance test, suggesting that other factors in addition to temperature may have been important in structuring the chironomid community through time. Although not statistically significant, the chironomid-inferred temperatures from this site do follow a familiar pattern, with highest inferred temperatures occurring during the Holocene Thermal Maximum (~6–4 cal kyr BP), followed by a long-term cooling trend, which is reversed during the last 600 years. The largest change in the chironomid assemblage, which occurred between ca. 4,600 and 3,900 cal yr BP is possibly related to the well-documented northward advance and subsequent retreat of treeline in this region.

Why is Russia flexing its muscles in the Middle East?

Syria’s bloody civil war suddenly became even more tangled in September with the start of a massive Russian bombing campaign on targets in the country. Two historians offer their personal takes on why Vladimir Putin ordered airstrikes

Tecnologia lítica da Middle Stone Age da Gruta da Leba (Huíla, SW Angola)

África é hoje o foco principal na investigação sobre a problemática da emergência da humanidade. O registo arqueológico actual sugere que também alinhagem do Homo sapiens surgiu na África subsaariana, tornando a Middle Stone Age no período chave no debate sobre a emergência do comportamento humano moderno. Os primeiros indícios de comportamento humano presumivelmente moderno provêm da África do Sul, mas há um enorme vazio arqueográfico sobre as áreas limítrofes desse território como é o caso de Angola que podem trazer novos dados à discussão. A presente dissertação debruça-se sobre a colecção arqueológica da Gruta da Leba (Huíla, SW de Angola), actualmente parte do Arquivo Científico Tropical (Instituto de Investigação Científica Tropical), que permanece inédita, apesar de recolhida em escavação arqueológica pela Junta de Investigações do Ultramar durante os anos 1950, no âmbito da Missão Antropobiológica de Angola. O conjunto é composto por uma indústria lítica com mais de 1500 peças, bem como restos faunísticos e amostras de sedimentos, de uma sequência estratigráfica com três níveis de ocupação da Middle Stone Age. O principal objectivo deste estudo é caracterizar a produção e utilização dos materiais líticos da Middle Stone Age da Gruta da Leba, através da sistematização da informação de cariz tecnológico e tipológico do conjunto artefactual. A partir da análise dos materiais líticos é possível definir padrões de variabilidade na exploração das matérias-primas e cadeias operatórias de produção do sítio. Pretende-se, assim, enquadrar regionalmente as indústrias líticas no panorama mais alargado da Pré-História da África subsaariana, para a validação dos modelos crono-culturais convencionais e avaliação dos parâmetros teórico-metodológicos aplicados na abordagem à tecnologia lítica africana em relação à problemática do comportamento humano moderno.

A Man for the Ages due date card

This is a due date card for the book titled A Man for the Ages.

Preserving southern history material : an address before the Southern Club of Columbia University, July 31, 1923

This publication is a short address made by William H. Kilpatrick to the Southern Club of Columbia University calling on Southerners to gather and preserve their own history.

Talking book repair group : history in Columbia, S.C. : fifty years of service, 1960 - 2010

This book gives the history of the South Carolina Chapter 61 of the Telephone Pioneers of America from 1960-2010. These volunteers repair talking book machines for the South Carolina State Library Talking Book Services.

Media ‘Globalization’ as Survival Strategy for Authoritarian Regimes In the Arab Middle East

Sakr challenges the notion that transnational media technologies have forced states in the Arab Middle East to cede ever more control to non-state players since the 1990s. Taking account of a long history of foreign political engineering in Arab countries, she probes the realities of Arab broadcasting privatization, intra-regional harmonization of government communication policies, and external financial support for media freedom and reform, to show how Arab governments were large successfully in harnessing forces implicated in media globalization in a way that entrenched authoritarian elements of the status quo. The findings validate an alternative to globalization theory that places a dual focus on the agency of national ruling elites and the international structures that underpin the power of those elites today, as in the past.