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"Cronin, Stephanie"
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Anti-veiling campaigns in the Muslim world : gender, modernism and the politics of dress
\"In recent years bitter controversies have erupted across Europe and the Middle East about women's veiling, and especially their wearing of the face-veil or niqab. Yet the deeper issues contained within these controversies--secularism versus religious belief, individual freedom versus social or family coercion, identity versus integration--are not new but are strikingly prefigured by earlier conflicts. This book examines the state-sponsored anti-veiling campaigns which swept across wide swathes of the Muslim world in the interwar period, especially in Turkey and the Balkans, Iran, Afghanistan and the Soviet republics of the Caucasus and Central Asia. It shows how veiling was officially discouraged and ridiculed as backward and, although it was rarely banned, veiling was politicized and turned into a rallying-point for a wider opposition. Asking a number of questions about this earlier anti-veiling discourse and the policies flowing from it, and the reactions which it provoked, the book illuminates and contextualizes contemporary debates about gender, Islam and modernism\"-- Provided by publisher.
Supercooling extends preservation time of human livers
2019
The inability to preserve vascular organs beyond several hours contributes to the scarcity of organs for transplantation1,2. Standard hypothermic preservation at +4 °C (refs. 1,3) limits liver preservation to less than 12 h. Our group previously showed that supercooled ice-free storage at –6 °C can extend viable preservation of rat livers4,5 However, scaling supercooling preservation to human organs is intrinsically limited because of volume-dependent stochastic ice formation. Here, we describe an improved supercooling protocol that averts freezing of human livers by minimizing favorable sites of ice nucleation and homogeneous preconditioning with protective agents during machine perfusion. We show that human livers can be stored at –4 °C with supercooling followed by subnormothermic machine perfusion, effectively extending the ex vivo life of the organ by 27 h. We show that viability of livers before and after supercooling is unchanged, and that after supercooling livers can withstand the stress of simulated transplantation by ex vivo normothermic reperfusion with blood.
Journal Article
Partial freezing of rat livers extends preservation time by 5-fold
2022
The limited preservation duration of organs has contributed to the shortage of organs for transplantation. Recently, a tripling of the storage duration was achieved with supercooling, which relies on temperatures between −4 and −6 °C. However, to achieve deeper metabolic stasis, lower temperatures are required. Inspired by freeze-tolerant animals, we entered high-subzero temperatures (−10 to −15 °C) using ice nucleators to control ice and cryoprotective agents (CPAs) to maintain an unfrozen liquid fraction. We present this approach, termed partial freezing, by testing gradual (un)loading and different CPAs, holding temperatures, and storage durations. Results indicate that propylene glycol outperforms glycerol and injury is largely influenced by storage temperatures. Subsequently, we demonstrate that machine perfusion enhancements improve the recovery of livers after freezing. Ultimately, livers that were partially frozen for 5-fold longer showed favorable outcomes as compared to viable controls, although frozen livers had lower cumulative bile and higher liver enzymes.
The limited preservation duration of donor organs is a big problem. Here the authors report a method for the freezing of whole rat livers at temperatures between −10 °C to −15 °C for up to 5 days, based on freeze-tolerant wood frogs, and term this partial freezing.
Journal Article
Subzero non-frozen preservation of human livers in the supercooled state
by
Banik, Peony D.
,
Markmann, James F.
,
Nagpal, Sonal
in
631/1647/1407/652
,
631/250/1854
,
631/61
2020
Preservation of human organs at subzero temperatures has been an elusive goal for decades. The major complication hindering successful subzero preservation is the formation of ice at temperatures below freezing. Supercooling, or subzero non-freezing, preservation completely avoids ice formation at subzero temperatures. We previously showed that rat livers can be viably preserved three times longer by supercooling as compared to hypothermic preservation at +4 °C. Scalability of supercooling preservation to human organs was intrinsically limited because of volume-dependent stochastic ice formation at subzero temperatures. However, we recently adapted the rat preservation approach so it could be applied to larger organs. Here, we describe a supercooling protocol that averts freezing of human livers by minimizing air–liquid interfaces as favorable sites of ice nucleation and uses preconditioning with cryoprotective agents to depress the freezing point of the liver tissue. Human livers are homogeneously preconditioned during multiple machine perfusion stages at different temperatures. Including preparation, the protocol takes 31 h to complete. Using this protocol, human livers can be stored free of ice at –4 °C, which substantially extends the ex vivo life of the organ. To our knowledge, this is the first detailed protocol describing how to perform subzero preservation of human organs.
Ice formation has hindered organ preservation below 0 °C. In this protocol, human livers are preconditioned with cryoprotective agents during machine perfusion and then supercooled to avoid ice formation.
Journal Article
Non-invasive quantification of the mitochondrial redox state in livers during machine perfusion
2021
Ischemia reperfusion injury (IRI) is a critical problem in liver transplantation that can lead to life-threatening complications and substantially limit the utilization of livers for transplantation. However, because there are no early diagnostics available, fulminant injury may only become evident post-transplant. Mitochondria play a central role in IRI and are an ideal diagnostic target. During ischemia, changes in the mitochondrial redox state form the first link in the chain of events that lead to IRI. In this study we used resonance Raman spectroscopy to provide a rapid, non-invasive, and label-free diagnostic for quantification of the hepatic mitochondrial redox status. We show this diagnostic can be used to significantly distinguish transplantable versus non-transplantable ischemically injured rat livers during oxygenated machine perfusion and demonstrate spatial differences in the response of mitochondrial redox to ischemia reperfusion. This novel diagnostic may be used in the future to predict the viability of human livers for transplantation and as a tool to better understand the mechanisms of hepatic IRI.
Journal Article
Cell release during perfusion reflects cold ischemic injury in rat livers
2020
The global shortage of donor organs has made it crucial to deeply understand and better predict donor liver viability. However, biomarkers that effectively assess viability of marginal grafts for organ transplantation are currently lacking. Here, we showed that hepatocytes, sinusoidal endothelial, stellate, and liver-specific immune cells were released into perfusates from Lewis rat livers as a result of cold ischemia and machine perfusion. Perfusate comparison analysis of fresh livers and cold ischemic livers showed that the released cell profiles were significantly altered by the duration of cold ischemia. Our findings show for the first time that parenchymal cells are released from organs under non-proliferative pathological conditions, correlating with the degree of ischemic injury. Thus, perfusate cell profiles could serve as potential biomarkers of graft viability and indicators of specific injury mechanisms during organ handling and transplantation. Further, parenchymal cell release may have applications in other pathological conditions beyond organ transplantation.
Journal Article
Bread and justice in Qajar Iran: the moral economy, the free market and the hungry poor
2018
In 1971, E. P. Thompson published a seminal article on eighteenth century English bread riots which was to become a foundational text for the study of such protests. Challenging older elite notions of the irrationality, illegitimacy and even criminality of the 'mob', Thompson situated popular direct action in times of food crises within a very specific historical, economic and, most importantly, cultural context. This context produced a deeply held adhesion among the poor to the concept of a 'moral economy' and an equally profound rejection of the free market as enshrined in the new political economy of the eighteenth century. This article returns to Thompson's original text in order to assess to what extent his paradigm may be useful in understanding bread riots in Iran. In particular, it examines the evidence which supports the notion that Iran experienced a 'golden age' of bread riots in the 1890s and early 1900s, just before and indeed contributing to the outbreak of the constitutional revolution.
Journal Article
Noble Robbers, avengers and entrepreneurs: Eric Hobsbawm and Banditry in Iran, the Middle East and North Africa
2016
Banditry has been endemic across the Middle East and North Africa. Yet the Middle Eastern experience of banditry has thus far failed to receive sustained academic attention. In particular, the debates stimulated by Eric Hobsbawm's thesis of social banditry have elicited only a few responses from scholars of the Middle East and North Africa, and these largely negative. This article asks to what extent the recent work done in the field of 'Bandit studies' helps to elucidate the experience of the Middle East and North Africa. Why has there been such a lack of interest in banditry when the phenomenon itself, and rural crime in general, was so widespread? Why are so few individual bandits celebrated or reviled? What do we mean by banditry in the Middle Eastern context, who became a bandit, why and in what circumstances, what did bandits do and how was this perceived by elites and subalterns, what were the connections between bandits and peasants and between bandits and the worlds of power and, perhaps most importantly, who has written about bandits and what sources have they used?
Journal Article
Islam, slave agency and abolitionism in Iran, the Middle East and North Africa
2016
Modern understanding of the institution of slavery and the experience of slave themselves has been largely defined and dominated by a template drawn from the modern plantation slavery of the Americas. Images of slave agency and of abolitionism have been derived from the same template in which slave agency is equated with unambiguous resistance to slavery as such, and abolitionism attributed to a moral response originating within the slave-owning society and possessing a strong redemptive dimension. The weakness of an elite abolitionism regarding 'Islamic' slavery in the states of the eastern Mediterranean has often been noted and contrasted with the moral force and redemptive power of Western abolitionism. This article argues first that the ascription of a uniquely Islamic character to Middle Eastern and North African slavery, which in fact shares its key characteristics with practices and notions common to medieval and early modern southern Europe, is a survival of nineteenth century Orientalism. It argues second that the relative weakness of an abolitionist sentiment can best be explained not by the power of an Islamic discourse but by the structures of slavery in the region and especially the forms of agency to which those structures gave rise.
Journal Article
Zolpidem and Sleep in Pediatric Burn Patients with Attention Deficit/Hyperactivity Disorder
by
Gottschlich, Michele M
,
Kagan, Richard J
,
Gose, Lacy M
in
Age Differences
,
Attention Deficit Disorder with Hyperactivity - complications
,
Attention deficit hyperactivity disorder
2015
Existing research shows that hospitalized patients, especially pediatric burn patients, are often sleep deprived. A pre-existing diagnosis of attention deficit/hyperactivity disorder (ADHD) further compounds a burn patient's inability to sleep. This retrospective study compared the effectiveness of zolpidem on patients with acute burns with ADHD (n = 23) and patients with acute burns without ADHD (n = 23). Effectiveness was defined based on the need for a change in the sleep medication or an increase in the zolpidem dose during the first 12 days of treatment. This study found that sleep dysfunction was similar in pediatric burn patients with and without a concurrent diagnosis of ADHD. Sixteen (69.6%) patients with and 13 (56.5%) patients without ADHD required a sleep medication change (p = 0.541). Further, while patients with ADHD required a sleep medication change (median = 5 days) sooner than those without ADHD (median = 9 days), it appears that zolpidem is not an effective drug for managing sleep in pediatric burn patients with or without ADHD.
Journal Article