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ABSTRACT
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A recent archival research project in the National Museums of Kenya (NMK) identified artifacts and human remains associated with the 1980 excavation of stone cairns and habitation areas on the west side of Lake Turkana. The presence of... more
A recent archival research project in the National Museums of Kenya (NMK) identified artifacts and human remains associated with the 1980 excavation of stone cairns and habitation areas on the west side of Lake Turkana. The presence of stone grave cairns across eastern Africa is common, but their cultural origins and construction times are enigmatic. This article presents the results of the archival project and contextualizes both the artifacts found and the unpublished research notes within the framework of evolving settlement patterns in eastern Africa during the middle to late Holocene. Despite the presence of numerous decorative features on ceramics and the recovery of many complete lithic tools, the material culture is generally non-diagnostic within existing typo-technological categories. The research indicates that there was tremendous diversity in the material culture of the Turkana Basin during the late Holocene.
Research Interests: Archaeology, Prehistoric Archaeology, Spatial Statistics, Ceramics (Archaeology), Mortuary archaeology, and 8 moreAfrican Archaeology, Mortuary Practices, Statistical Techniques in Spatial Analysis, Cairns, Brill, Statistical Analysis Techniques for Geography and Environmental Science, Ceramic Analysis Archaeology, and Lake Turkana
In the past 18 years the Nissen fundoplication has undergone a few modifications and changes in our institution and all over the world. The aim of this study is to review the long-term (up to 20 years) results of Nissen fundoplication in... more
In the past 18 years the Nissen fundoplication has undergone a few modifications and changes in our institution and all over the world. The aim of this study is to review the long-term (up to 20 years) results of Nissen fundoplication in 350 patients and to evaluate the effect of major modifications in the technique of fundoplication in these patients. Three hundred fifty patients with symptomatic chronic reflux esophagitis have been treated with Nissen fundoplication in our institution since 1966. They were divided into four groups: patients who had a long, tight fundoplication; patients who had a short, floppy fundoplication; patients with crural approximation; and patients without crural approximation. The preoperative and postoperative findings of these patients were evaluated in each group. Group 1 had more immediate and long-term dysphagia compared with group 2. Also, "gas bloat" syndrome was more prevalent in group 1 than group 2. The location of Nissen fundoplication (chest or abdomen) or the addition of hiatal hernia repair did not change the outcome. In patients with intact Nissen fundoplications, their esophagitis healed, and their symptoms disappeared. The rate of recurrence of symptoms was 5%. Recurrence of symptoms was associated with disruption of the fundoplication, which usually happened within the first two years after operation.
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Abstract Two operations used in the definitive surgical control of congenital aganglionosis coli were compared. Sixteen patients with biopsy-proven Hirschsprung's disease were treated by a modification of the Duhamel operation, and 13... more
Abstract Two operations used in the definitive surgical control of congenital aganglionosis coli were compared. Sixteen patients with biopsy-proven Hirschsprung's disease were treated by a modification of the Duhamel operation, and 13 patients were treated consecutively by a modification of the Soave endorectal procedure. The patients in the two treatment groups were found to be reasonably comparable. The anesthesia time and average length of postoperative stay in hospital were similar for the two operations. There was greater operative blood loss with the modified Soave operation in patients over 2 yr of age. Two patients in each group had anastomotic problems postoperatively, one patient requiring surgical revision of the anastomosis 1 yr following the modified Duhamel procedure. All of the late postoperative complications occurred after the modified Duhamel operation, the most common of which was recurrent enterocolitis. Since we altered this operation to include primary internal anal sphincterectomy, postoperative enterocolitis has not been a problem. Twenty-eight of the 29 patients in the two treatment groups were available for current evaluation. On the basis of ten criteria, 80% of patients were judged to have an excellent or good result following the modified Duhamel operation, compared with 92% following the modified Soave operation. In our experience, both of these operations are rather simple to perform technically and can be undertaken with little morbidity and no mortality, with a high expectation of control of the symptoms of Hirschsprung's disease.
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This article examines the interpretation of some stone monuments in north-eastern Kenya put forward by Dr M. Lynch. Mr Soper is now with the Institute of African Studies at the University of Nairobi. The article is followed by Dr.... more
This article examines the interpretation of some stone monuments in north-eastern Kenya put forward by Dr M. Lynch. Mr Soper is now with the Institute of African Studies at the University of Nairobi. The article is followed by Dr. Lynch's observations.
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1. Clin Pediatr (Phila). 2001 Jul;40(7):409-12. A training model for circumcision of the newborn. Soper RJ, Brooks G, Fletcher K, Sampson M. Nyack Hospital, New York, USA. PMID: 11491138 [PubMed - indexed for MEDLINE]. MeSH Terms: ...
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... CONGENITAL POSTEROLATERAL DIAPHRAGMATIC HERNIA IN THE ADULT BY JAMES A. KIRKLAND UNIVERSITY OF ST. ... COURSE SYMPTOMS SEX AND AGE REFERENCE Bowditch, 1853 M. I7 Patient struck by derrick with which he was ...
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A recent archival research project in the National Museums of Kenya (NMK) identified artifacts and human remains associated with the 1980 excavation of stone cairns and habitation areas on the west side of Lake Turkana. The presence of... more
A recent archival research project in the National Museums of Kenya (NMK) identified artifacts and human remains associated with the 1980 excavation of stone cairns and habitation areas on the west side of Lake Turkana. The presence of stone grave cairns across eastern Africa is common, but their cultural origins and construction times are enigmatic. This article presents the results of the archival project and contextualizes both the artifacts found and the unpublished research notes within the framework of evolving settlement patterns in eastern Africa during the middle to late Holocene. Despite the presence of numerous decorative features on ceramics and the recovery of many complete lithic tools, the material culture is generally non-diagnostic within existing typo-technological categories. The research indicates that there was tremendous diversity in the material culture of the Turkana Basin during the late Holocene. Résumé Un projet de recherche archivistique récemment mené dans les Musées Nationaux du Kenya (NMK) a permis d'identifier des artefacts et des restes humains associés à la fouille datant de 1980 de cairns et de zones d'habitation sur la côte ouest du lac Turkana. La présence de cairns sépulcraux en pierre dans l'Est de l'Afrique est commune, mais leurs origines culturelles et leurs époques de construction restent énigmatiques. Cet article présente les résultats du projet archivistique et replace à la fois les artefacts découverts et les notes de recherche inédites dans le cadre de l'évolution des modes de peuplement en Afrique orientale du milieu à la fin de l'Holocène. Malgré la présence de nombreux éléments décoratifs sur la céramique et la découverte d'abondants outils lithiques complets, la culture matérielle est généralement indifférenciée dans les catégories de typo-technologiques existantes. La recherche indique qu'il y a eu une très grande diversité dans la culture matérielle du bassin du lac Turkana au cours de l'Holocène tardif.
