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1

Gilbert, Julia, and Jane Boag. "‘To die, to sleep’ – assisted dying legislation in Victoria: A case study." Nursing Ethics 26, no. 7-8 (November 19, 2018): 1976–82. http://dx.doi.org/10.1177/0969733018806339.

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Background: Assisted dying remains an emotive topic globally with a number of countries initiating legislation to allow individuals access to assisted dying measures. Victoria will become the first Australian state in over 13 years to pass Assisted Dying Legislation, set to come into effect in 2019. Objectives: This article sought to evaluate the impact of Victorian Assisted Dying Legislation via narrative view and case study presentation. Research design: Narrative review and case study. Participants and research context: case study. Ethical considerations: This legislation will provide eligible Victorian residents with the option to request access to assisted dying measures as a viable alternative to a potentially painful, protracted death. Findings: This legislation, while conservative and inclusive of many safeguards at present, will form the basis for further discussion and debate on assisted dying across Australia in time to come. Discussion: The passing of this legislation by the Victorian parliament was prolonged, emotive and divided not only the parliament but Australian society. Conclusion: Many advocates for this legislation proclaimed it was well overdue and will finally meet the needs of contemporary society. Protagonists claim that medical treatment should not provide a means of ending life, despite palliative care reportedly often failing to relieve the pain and suffering of individuals living with a terminal illness.
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2

Saeed, Nadia, Muhammad Ali Shaikh, Stephen John, and Kamal Haider. "Thomas Hardy: A Torchbearer of Feminism Representing Sufferings of Victorian Era Women." International Journal of Applied Linguistics and English Literature 9, no. 3 (May 31, 2020): 55. http://dx.doi.org/10.7575/aiac.ijalel.v.9n.3p.55.

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The purpose of this paper was to highlight the miserable plight of women during the Victorian era, the age of social reforms, political improvements, collective welfare, and material prosperity. During this age, Queen Victoria worked on various issues that had remained the cause of unrest among the people. Her efforts, in this regard, were indeed commendable, but she took no interest to resolve issues of women who had been suffering terribly under patriarchy. The subject of women remained ignored for many years, then some writers started to highlight the miserable state of these passive creatures who were the constant victims of social, political and economic injustices, inequalities, deprivations, and domestic violence. Of all the feminists, Thomas Hardy stood unique as he brought to light almost all areas of life where women were suffering awfully and their voices were suppressed under the male-dominated system. Hardy took serious note of the long-ignored subject of society and provided a vivid and realistic picture of Victorian society through his extraordinarily brilliant novels. Thomas Hardy’s famous masterpiece ‘Tess of the d’Urbervilles: A Pure Woman” is one of the best novels depicting women-related issues that shook the minds of the people to proceed towards this delicate matter. The contents or events described in the novel confirmed that women were the disadvantaged section of society who were deprived of their due rights and respect in society. They were objectified and preferred to a man in each sphere of life.
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3

Wood, Beverley, and Thomas A. Darragh. "In His Own Words: Dr Hermann Beckler’s Writings about His Journeys between the Darling River and Bulloo, 1860–1." Historical Records of Australian Science 27, no. 1 (2016): 28. http://dx.doi.org/10.1071/hr16012.

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This essay introduces eight reports by Dr Hermann Beckler of the nineteenth-century Victorian Exploring Expedition (better known as the Burke & Wills Expedition) from the State Library of Victoria, the Argus newspaper and a German publication. Together, their detail reflects the complexity of the Expedition. Many are also hand-written manuscripts in nineteenth-century script that are difficult to decipher. In Beckler's own words, the reports range from descriptions of the landscape and his journeys, to the plants he observed and collected, and a meteorological report. The detailed medical reports about his return journey to Bulloo provide extensive insight into the grievous suffering of the men (four deaths) in the drought stricken summer of the semi-arid desert north of the Darling River. After he returned home to Bavaria, Beckler published a second medical report on the same subject, translated here by Thomas Darragh.
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4

MacIsaac, Michael B., Lyndal Bugeja, Tracey Weiland, Jeremy Dwyer, Kav Selvakumar, and George A. Jelinek. "Prevalence and Characteristics of Interpersonal Violence in People Dying From Suicide in Victoria, Australia." Asia Pacific Journal of Public Health 30, no. 1 (November 26, 2017): 36–44. http://dx.doi.org/10.1177/1010539517743615.

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Victims of interpersonal violence are known to be at increased risk of suicidal ideation and attempts; however, few data exist on the impact that violence has on the risk of death from suicide. This study examined 2153 suicides (1636 males and 517 females) occurring between 2009 and 2012. Information was sourced from the Coroners Court of Victoria’s Suicide Register, a detailed database containing information on all Victorian suicides. Forty-two percent of women who died from suicide had a history of exposure to interpersonal violence, with 23% having been a victim of physical violence, 18% suffering psychological violence, and 16% experiencing sexual abuse. A large number of men who died from suicide had also been exposed to interpersonal violence, many of whom had perpetrated violence within the 6 weeks prior to their death. Targeted prevention, particularly removing barriers for men to seek help early after perpetrating violence is likely to have benefits in preventing suicide in both men and women.
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O'Meara, Peter, Robert H. Hall, and Roger Strasser. "Developing a funding model for an after-hours primary medical care service in a rural town." Australian Health Review 21, no. 3 (1998): 104. http://dx.doi.org/10.1071/ah980104.

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The study described in this paper aimed to determine a funding model for an after-hoursprimary medical care service in the rural town of Moe, a socioeconomicallydisadvantaged area of Victoria suffering the rigours of industry restructuring andprivatisation. It has 12.5 equivalent full-time general practitioners servicing 21- 966persons.A break-even analysis of the financial viability compared the expected costs ofproviding the service with the anticipated income. A mixed funding model isrecommended. This would incorporate a general practitioner incentive scheme andState Government underwriting of infrastructure and basic non-medical staffing costsduring the business development phase to supplement the income from the HealthInsurance Commission.
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6

Powles, William E., and Mary G. Alexander. "Was Queen Victoria Depressed? 1. Natural History and Differential Diagnosis of Presenting Problem." Canadian Journal of Psychiatry 32, no. 1 (February 1987): 14–19. http://dx.doi.org/10.1177/070674378703200105.

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For some years we have speculated as to whether Queen Victoria suffered a definable psychiatric illness in her notorious and prolonged seclusion after the Prince Consort's death. We here summarize criteria for grief and depression from three authorities. Against these, we examine the natural history of the Queen's bereavement and restitution. We find that her suffering and her portrayal of the role of widow were related to her personal style and were culturally accepted. Her self-esteem, ego functions, and object relatedness were preserved. While some clinicians might favour a diagnosis of Dysthymic Disorder, we find the evidence strongly in favour of an intense, prolonged, normal human grief (Uncomplicated Bereavement of DSM III) coloured by a romantic and histrionic personal style. Intensity and duration do not, in this case, establish a diagnosis of depression.
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7

Parkinson, Debra, Alyssa Duncan, Jaspreet Kaur, Frank Archer, and Caroline Spencer. "Gendered aspects of long-term disaster resilience in Victoria, Australia." January 2022 10.47389/37, no. 37.1 (January 2022): 59–64. http://dx.doi.org/10.47389/37.1.59.

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Research conducted in 2018 documented the disaster experiences of 56 women and men in Australia aged between 18 and 93 years. This paper draws out the gendered factors that affected their resilience, and in so doing, begins to address the dearth of research related to gendered aspects of long-term disaster resilience. It is unique in capturing the voices of survivors who spoke of events 9 years after the 2009 Black Saturday fires and of earlier fires and floods in Victoria more than 50 years ago, including the 1983 Ash Wednesday fires. Over decades, gendered expectations of men and women significantly hindered resilience. Men spoke of the long-term cost to them of demands to ‘be strong’ in the worst of disasters and reasons they were reluctant to seek help afterwards. Women spoke of their contributions holding a lesser value and of discrimination. Discussions of violence against women and children after disaster, and suicide ideation in anticipation of future disasters offered critical insights. Protective factors identified by informants were not wholly intrinsic to their character but were also physical, such as essential resources provided in the immediate aftermath, and psychological and community support offered in the long-term. Factors that helped resilience departed from the ‘masculine’ model of coping post-disaster by moving away from a refusal to admit trauma and suffering, to community-wide resilience bolstered by widespread emotional, social and psychological support. Genuine community planning for disasters before they strike builds trust and offers insights for emergency management planners.
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8

Ashrafli, Nazifa. "The gender problem in the 19th century summary." Scientific Bulletin 1, no. 1 (2021): 40–47. http://dx.doi.org/10.54414/porv2035.

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This article addresses the gender issue of the 19th century. XIX century in England. This century is generally considered Victorian, although this is not quite the correct idea. The Victorian era refers to the period from 1837 to 1901, when Great Britain was ruled by Queen Victoria. So Queen Victoria began her reign only in 1837. In the Victorian era (1837-1901), it was the novel that became the leading literary genre in English. Women played an important role in this growth in the popularity of both authors and readers. Circulating libraries that allowed books to be borrowed for annual subscriptions were another factor in the novel's popularity. The 1830s and 1840s saw the rise of the social novel. It was a lot of things response to rapid industrialization, as well as social, political, and economic challenges associated with it and was a means of commenting on the abuses of government and industry and the suffering of the poor who did not profit from the English economy. Stories about the working-class poor were aimed at the middle class to help create sympathy and foster change. The greatness of the novelists of this period is not only in their veracity description of modern life, but also in their deep humanism. They believed in the good qualities of the human heart and expressed their hopes for a better future. At the end of the eighteenth century, two young poets, W. Wordsworth and S. Coleridge, published a volume of poems called "Lyric ballads". From this moment began the period of romanticism in England, although it did not last long, only three decades, but it was truly bright and memorable for English literature. It was this time that gave us many great novels. Even in the Middle ages, clear and distinct gender boundaries were drawn and stereotypes of gender behavior were defined. Everyone was assigned their own specific roles and their violation caused public hatred. A Victorian married woman was her husband's "chattel"; she had no right property and personal wealth; legal recourse in any question, if it was not confirmed by her husband. Socio-economic changes in the middle of the XIX century lead to changes in the status of women middle and lower strata: gaining material independence and sustainable development socio-economic status, women acquire a social status equal to that of men. Women are beginning to fight against double standards in relation to the sexes, for reforms in the field of property rights, divorce, for ability to work. The next step was to raise the issue of women's voting rights as a means to ensure legislative reform. Women they sought independence from men.
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9

Iglesias Campos, Marcos, Bella Pajares, Cristina Roldán Jiménez, Maria-Jose Bermejo-Perez, Emilio Alba, and Antonio Cuesta Vargas. "Functional status of patients suffering from ovarian cancer: A cross-sectional study." Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): e17556-e17556. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e17556.

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e17556 Background: Physical activity displays multiple benefits in oncology patients, with the strongest evidence related to breast cancer. But there is little information about patient with ovarian cancer, even less in those who are metastatic. The main objective of this study was to assess and describe the performance´s in patients suffering from ovarian cancer in terms of function and cancer-related fatigue (CRF). Methods: Patients willing to join therapeutic exercise program (TEP) were at the Medical Oncology Unit of the Hospital Virgen de la Victoria, Malaga. A physiotherapist carried out an interview and a baseline assessment. The following outcomes were recorded: number of repetitions (n) performed in 30 seconds sit-to-stand test (30-STS), handgrip strength (Kg), cancer related fatigue (CRF) measured by Piper Fatigue Scale (0-10), upper and lower limb function measured by Upper Limb Functional Index (ULFI) and Lower Upper Limb Functional Index (LLFI), respectively (%). Results: Patients recruited had a diagnosed of an advanced ovarian cancer receiving or not active treatment. All participants had a good performance status (PS) and signed informed consent. 8 women were included, with a mean age of 52.66 (9.53) years and a mean BMI of 27.22 (4.56) kg/m2. Women performed 22 (4.24) repetitions of 30-STS test. Handgrip strength was 22 (2.7) Kg and CRF 5.43 (2.91) points. Patients reported 64.81% (34.65) and 66.83% (37.91) in ULFI and LLFI questionnaires, respectively. Conclusions: At the light of these preliminary results, ovarian cancer patients present a good level of function measured by 30-STS and a good grip strength. However, they report a moderate level of CRF and affected upper and lower limbs function. In additions, patients measured had function enough to participate in a therapeutic exercise program. Given the heterogeneity of the sample and its low number of participants, future studies with a wider sample should be carried out.
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10

Hussain, Sadiq, Sara Reza, Hashim Raza, Saleha Zafar, Sami Ahmad, and Riaz Ahmed Javed. "Study of Serum Magnesium levels in diabetic patients with and without retinopathy." Professional Medical Journal 27, no. 12 (December 10, 2020): 2656–61. http://dx.doi.org/10.29309/tpmj/2020.27.12.4132.

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Objectives: The aim of our study is to evaluate the possible association of serum magnesium in diabetic patients with and without retinopathy. Study Design: Cross-sectional observational. Setting: Bahawal Victoria Hospital, Bahawalpur. Period: September, 2018 to May, 2019. Material & Methods: A total of 258 subjects were enrolled in the study. They were divided in 3 groups, which comprised of 208 diabetic patients; 92 with retinopathy, 116 without retinopathy and the control group comprised of 50 healthy individuals. Both cases and controls were subjected to blood tests for the estimation of biochemical parameters. Results: A considerable decrease was observed in the serum magnesium level of diabetics in comparison with the healthy participants. The mean serum magnesium levels amongst the groups were 1.5 ± 0.2 mg/dl and 2.4 ± 0.3 mg/dl respectively (p<0.001). There was also a marked variation in serum levels of magnesium among diabetic retinopathy patients and diabetics without complications i.e.1.3±0.1 mg/dl and 1.69±0.1 mg/dl respectively (p<0.001). Conclusion: Patients suffering from diabetic retinopathy displayed significantly lower serum magnesium levels in contrast to the control group and diabetics without retinopathy.
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11

Shoukat, Hina, Fahad Pervaiz, Sobia Noreen, Ayesha Khadim, and Maira Latif. "Evaluation of Prevalence of Complications of Measles." Global Pharmaceutical Sciences Review II, no. I (December 30, 2017): 34–41. http://dx.doi.org/10.31703/gpsr.2017(ii-i).04.

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Study and evaluation of the prevalence of measles and its complication in vaccinated and non- vaccinated patients. To evaluate the prevalence of complications of measles among different age groups of children in the pedriatric ward. Clinical description of a case series. Children of different age groups suffering from measles. We have observed 315 measles patients in the pediatric ward of Bahawal Victoria Hospital in Bahawalpur. They were evaluated on the basis of complications. Different complications were observed in children of different age group and gender, and the main complications were encephalitis, conjunctivitis, pneumonia, diarrhoea and ear infections. Children of age less than 1 year to 7 years were observed, and it was observed that conjunctivitis, pneumonia and diarrhoea were among the most common complications, while encephalitis and ear infections were rare. Patients admitted to the pedriatric ward having long term complications have a high risk of death when treated. These patients were due to malnutrition and improper vaccination coverage, and improper vaccine storage. Respiratory distress, i.e., pneumonia, diarrhoea, conjunctivitis, ear infection and encephalitis, were the most common complications. To reduce the severity of these complications, mechanical ventilation, antibiotics treatment, electrolyte balance should be instituted early in patients with measles.
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Abdulridha, Ghufran Amer, and Isra Hashim Taher. "Angela Carter’s The Magic Toyshop." Al-Adab Journal 3, no. 143 (December 15, 2022): 35–42. http://dx.doi.org/10.31973/aj.v3i143.3936.

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The charming world of fairy tales used to be, for many ages, the favorite world for readers of fiction. Until the moment, these magical tales, their adventurous journeys, and happy endings provide a vital source of enchanting entertainment. Throughout her literary career, Angela Carter (1940-1992), a contemporary British novelist and a short story writer, shows interest in the employment of fairy tales in her works, producing what is called modern fairy tales. Her rewriting of these tales rendered her a remarkable woman advocate who calls for women’s legitimate rights and an appreciation and a recognition of their active position in societies, things that men enjoy and always receive. This paper tackles The Magic Toyshop (1967), Carter’s second novel. It discusses the fate of its young heroine, Melanie, and her siblings, Jonathan and Victoria, who have become orphans by the death of their parents in a plane crash while in America. Melanie journeys from her middle-class luxurious house to Uncle Phillip’s poor house located in South London. Like Cinderella, the orphan girl dreams of being a bride and marrying a handsome man while suffering under the oppression of a stepfather, Uncle Phillip. Unlike her, Melanie will be shocked to meet a different version of Prince Charming of her imagination.
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E. Clay, R., and K. E. Schneider. "The ant (Hymenoptera: Formicidae) fauna of coastal heath in south-west Victoria: effects of dominance by Acacia sophorae and management actions to control it." Pacific Conservation Biology 6, no. 2 (2000): 144. http://dx.doi.org/10.1071/pc000144.

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There has been increasing emphasis on the use of ant communities as indicators of recovery during and after minesite rehabilitation. This study also focuses on ants as indicators of recovery but, in this case, assesses the success of active management of coastal heath vegetation. Remnants of coastal heath near Portland in south-west Victoria are very diverse communities of considerable conservation significance. However, many remnants are suffering a serious loss of plant diversity as they become dominated by the native Coast Wattle Acacia sophorae. In an attempt to reverse these declines, heath dominated by Coast Wattle is being actively managed to encourage natural regeneration of diverse heaths. Monitoring of ant communities has documented this regeneration of the vegetation and has attempted to assess the effectiveness of two different management methods, burning and cutting. Results of pitfall trapping over two years have shown considerable difference in the ant communities of two different intact heath types (the similarity index was a low 0.34). Also clearly illustrated is the detrimental effect that dominance by Coast Wattle has on ant community diversity. The diversity index of intact heath was 0.93 compared to 0.61 and 0.50 for two sites dominated by Coast Wattle. Trapping has also shown improvement in the ant communities following burning or cutting of Coast Wattle. However, our results suggest that complete recovery will require a considerable time and that it is too early to determine the relative effectiveness of different management techniques.
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14

SHARIF, NAVEED, NAZIR AHMED, FAWAD HAMEED, Nosheen Rehan, and Jawad Khan. "PULMONARY TUBERCULOSIS." Professional Medical Journal 18, no. 01 (March 10, 2011): 89–92. http://dx.doi.org/10.29309/tpmj/2011.18.01.1865.

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Objective: To study the age related radiological finding in pulmonary tuberculosis. Study design: A cross sectional study. Place and duration of study: From January 2009 to December 2009 pulmonary department of Bahawal Victoria Hospital Bahawal Pur. Patients and method: The cases diagnosed as pulmonary tuberculosis of either gender above age of 12 years were included in the study. Patients suffering from extra pulmonary tuberculosis, treatment failure, relapse, drug resistant tuberculosis and HIV sero-positive patients were excluded from the study. Patients were divided into groups according to the age. Group 1 consist of patients having age ≥ 50years while group 2 consist of patients having <50 years. Data was recorded on the Proforma and was analyzed statistically on SPSS 11. Results: this study consists of 106 patients and divided into two groups. It has been found that apical zone of lung involvement was more common in patients younger than 50 years while involvement of lower zone was more common in patients with age ≥50years. No significant difference was found regarding the involvement of middle zone, multiple zones and the type of lesions as the p-value was >0.05. Conclusions: the elderly patients with pulmonary tuberculosis have predominant involvement of lower zones. So, lower zone involvement of radiological lesions should be evaluated for pulmonary tuberculosis to start the treatment earlier and to minimize the risk of missing the diagnosis.
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15

Subasinghe, Asvini K., Yasmin L. Jayasinghe, John D. Wark, Alexandra Gorelik, Suzanne M. Garland, on behalf of the Young Female Health Initiative (YFHI), and Safe-D Study Groups. "Factors associated with unwanted sexual experiences of young Australian females: an observational study." Sexual Health 14, no. 4 (2017): 383. http://dx.doi.org/10.1071/sh16238.

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Background Behavioural and lifestyle factors associated with childhood unwanted sexual experiences (USE) have yet to be investigated in Australian females aged less than 18 years. Methods: Women aged 16–25 years living in Victoria were recruited via targeted advertising on Facebook. A web-based validated questionnaire was used to collect information on participant demographics, mental health, USE and sexual behaviours. Multivariable logistic regression was used to determine associations between a history of childhood (<16 years) and adolescent (16−18 years) USE and indices of sexual orientation. Results: Data were collected from 639 females (mean ± s.d. age 22 ± 3 years). Approximately 14% reported childhood USE and 15% reported adolescent USE. Approximately 37% of survivors of childhood USE reported penile-genital contact in relation to their USE. Participants who reported depression were almost four times as likely to have experienced childhood USE than those who did not report suffering from depression (odds ratio 3.6, 95% confidence interval 2.1−6.0, P < 0.001). Positive associations between childhood USE, same-sex relationships and smoking were also detected. Conclusions: A strong relationship between childhood USE, depression and same-sex sexual behaviours was found, but results did not determine the direction of this association. Longitudinal studies should be conducted to investigate whether there are groups of individuals who are at a high risk of experiencing childhood USE, so that appropriate support systems can be put in place.
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Barnes, R. H., Janet Hoskins, Peter Boomgaard, Ann Kumar, Peter Boomgaard, Lenore Manderson, Matthew Isaac Cohen, et al. "Book Reviews." Bijdragen tot de taal-, land- en volkenkunde / Journal of the Humanities and Social Sciences of Southeast Asia 155, no. 2 (1999): 264–303. http://dx.doi.org/10.1163/22134379-90003877.

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- R.H. Barnes, Janet Hoskins, Biographical objects; How things tell the stories of people’s lives. London: Routledge, 1998, x + 213 pp. - Peter Boomgaard, Ann Kumar, Java and modern Europe; Ambiguous encounters. Richmond, Surrey: Curzon, 1997, vii + 472 pp. - Peter Boomgaard, Lenore Manderson, Sickness and the state; Health and illness in colonial Malaya, 1870-1940. Cambridge: Cambridge University Press, 1996, xix + 315 pp. - Matthew Isaac Cohen, Bambang Widoyo, Gapit; 4 naskah drama berbahasa Jawa: Rol, Leng, Tuk dan Dom. Yogyakarta: Yayasan Benteng Budaya, 1998, xiv + 302 pp. - James T. Collins, Bernd Nothofer, Reconstruction, classification, description; Festschrift in honor of Isidore Dyen. Hamburg: Abera, 1996, xiv + 259 pp. - J.R. Flenley, Kristina R.M. Beuning, Modern pollen rain, vegetation and climate in lowland East Java, Indonesia. Rotterdam: Balkema, 1996, 51 pp. + 49 plates. [Modern Quaternary Research in Southeast Asia 14.] - Gregory Forth, Karl-Heinze Kohl, Der Tod der Riesjungfrau; Mythen, Kulte und Allianzen in einer ostindonesischen Lokalkultur. Stuttgart: Kohlhammer, 1998, 304 pp. [Religionsethnologische Studien des Frobenius-Instituts Frankfurt am Main, Band I.] - J. van Goor, Brook Barrington, Empires, imperialism and Southeast Asia; Essays in honour of Nicholas Tarling. Clayton, Victoria: Monash Asia Institute, 1997, v + 250 pp. [Monash Papers on Southeast Asia 43.] - Mies Grijns, Penny van Esterik, Women of Southeast Asia. DeKalb: Center for Southeast Asian Studies, Northern Illinois University, 1996, xiv + 229 pp. ‘Monographs on Southeast Asia, Occasional Paper 17; Second, revised edition.] - Hans Hagerdal, Alfons van der Kraan, Bali at war; A history of the Dutch-Balinese conflict of 1846-49. Clayton, Victoria: Centre of Southeast Asian Studies, Monash University, 1995, x + 240 pp. [Monash Papers on Southeast Asia 34]. - Volker Heeschen, Jurg Wassmann, Das Ideal des leicht gebeugten Menschen; Eine ethnokognitive Analyse der Yupno in Papua New Guinea. Berlin: Reimer, 1993, xiii + 246 pp. - Nico Kaptein, Masykuri Abdillah, Responses of Indonesian Muslim intellectuals to the concept of democracy (1966-1993). Hamburg: Abera, 1997, iv + 304 pp. - Niels Mulder, Ivan A. Hadar, Bildung in Indonesia; Krise und kontinuitat; Das Beispiel Pesantren. Frankfurt: IKO-Verlag fur Interkulturelle Kommunikation, 1999, 207 pp. - Niels Mulder, Jim Schiller, Imagining Indonesia: Cultural politics and political culture. Athens: Ohio University, 1997, xxiii + 351 pp. [Monographs in International Studies, Southeast Asia Series 97.], Barbara Martin-Schiller (eds.) - J.W. Nibbering, Raymond L. Bryant, The political ecology of forestry in Burma 1824-1994. London: Hurst, 1997, xiii + 257 pp. - Hetty Nooy-Palm, Douglas W. Hollan, Contentment and suffering; Culture and experience in Toraja. New York: Columbia University Press, 1994, xiii + 276 pp., Jane C. Wellenkamp (eds.) - Anton Ploeg, Bill Gammage, The sky travellers; Journeys in New Guinea, 1938-1939. Carlton South, Victoria: Melbourne University Press, 1998. x + 292 pp. - Anton Ploeg, Jurg Wassmann, Pacific answers to Western hegemony; Cultural practices of identity construction. Oxford: Berg, 1998, vii + 449 pp. - John Villiers, Abdul Kohar Rony, Bibliography; The Portugese in Southeast Asia: Malacca, Moluccas, East Timor. Hamburg: Abera Verlag, 1997, 138 pp. [Abera Bibliographies 1.], Ieda Siqueira Wiarda (eds.) - Lourens de Vries, Ulrike Mosel, Saliba. Munchen/Newcastle: Lincom Europa, 1994, 48 pp. [Languages of the World/Materials 31.]
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17

Moran, Maureen. "Hopkins and Victorian Responses to Suffering." Revue LISA / LISA e-journal, Vol. VII – n°3 (March 1, 2009): 570–81. http://dx.doi.org/10.4000/lisa.145.

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18

Aruna, Gollapalli, Revu Subhashini, Bandaru Asha Poornima, and Usha Prasad. "ROLE OF MODIFIED BIOPHYSICAL PROFILE IN PREDICTING PERINATAL OUTCOME IN HIGH RISK PREGNANCY." International Journal of Advanced Research 10, no. 7 (July 31, 2022): 934–38. http://dx.doi.org/10.21474/ijar01/15116.

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Background: In order to achieve the target of having a healthy mother and healthy baby there is a need to identify pregnant woman with high risk factors.Ante natal foetal monitoring is aimed at identifying foetus that are at high risk of suffering from intrauterine hypoxia. Aims and Objectives: To evaluate the role of modified biophysical profile in predicting perinatal outcome in high risk pregnant women Material and methods: This is a hospital based observational study in the department of Obstetrics and Gynaecology , Victoria Government Hospital , Visakhapatnam, from January 2022 to May 2022.A total of 96 high risk pregnant women were included in this study. Inclusion criteria was Singleton pregnancy ,risk factors like[pre eclampsia,gestational hypertension,diabetes mellitus,anemia,past dates,post cesarian section.breech,bad obstetric history and pre term,Exclusion criteria was multifetal gestation,intrauterine death,fetal anomalies. Detailed history was taken and relavent investigations were sent. Results: 16.9% of cases had meconium stained liquor (normal CTG and AFI), 36% with meconium stained liquor had normal AFI but abnormal CTG, 40% with meconium stained liquor had abnormal AFI but normal CTG, 50% with meconium stained liquor had abnormal AFI and abnormal CTG 0% of babies had perinatal death when AFI and CTG was normal, 100% of babies had perinatal death when AFI and CTG was abnormal Conclusion: Modified bio physical profile is a easy ,time saving and cost effective procedure and can used as a test of antepartum fetal surveillance in order to predict perinatal outcome in high risk pregnancy.
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Torrens, Hugh. "Uncurated Curators, No. 3. Ronald Frederick Pickford (1920-2010): Bath curator, a Tribute." Geological Curator 9, no. 4 (December 2010): 243–54. http://dx.doi.org/10.55468/gc237.

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Ron Pickford (1920-2010) was given GCG 's first ever award in 1985, and then the Geologists' Association's sad first Halstead medal in 1991. He had been responsible (single-handed) for the rescue, and safe-guarding, of the important Museum collections (containing much vital geology - both of types and historical material) at the long-defunct Bath Royal Literary and Scientific Institution, from 1960 until his retirement in 1985. By then the Group, and others, had caused enough of a stir to ensure that the Area Museum Service for the South West had taken over some control, and initiated a series of reports, and then a curator post. But Ron's career was a most unusual one; from very humble and troubled beginnings in Bath, he had been stimulated in the 1930s by these very collections, to take a serious, if both unqualified and unpaid, interest in geology. Then, soon after he was appointed to a post as "cleaner/custodian" in the Victoria Art Gallery and Library service in Bath, he saw the depredations which these collections were now suffering, and decided to try, unasked, to secure their future. As a woodworking craftsman, he could create or restore display cases, and, as a sensible and competent person, he could equally ensure that all possible documentation survived as well. He now deserves to be as carefully curated as the materials he rescued, and this paper is intended to record his life and origins, his service in the Royal Navy in WW2, and to provide a tribute to his memory, and record what lessons we can learn from what he, and his fine sense of humour, achieved in Bath.
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Sutcliffe, Simon B., Puneet Bains, Fraser Black, Sandra S. Broughton, Stuart Brown, Simon Colgan, Megan E. Doherty, et al. "The Two Worlds of Palliative Care: Bridging the Gap with Nepal." Nepal Journal of Science and Technology 20, no. 2 (December 31, 2021): 125–30. http://dx.doi.org/10.3126/njst.v20i2.45802.

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Despite past geo-political turbulence, Nepal has made significant progress in societal and economic initiatives, particularly in relation to social determinants of health. These improvements, however, belie the suffering of those with life-limiting disease due to pain, stigma, social and financial distress, consequent upon low patient, caregiver and health professional awareness of the need for, and availability of, appropriate care and support. Two Worlds Cancer Collaboration (INCTR-Canada) has been working with partners in Nepal to build capacity for palliative care by: (a) organizational and administrative support – establishing the Nepal Association of Palliative Care (NAPCare), and the creation of the Nepal Strategy for Palliative Care, approved by government in 2017; (b) “twinning” between 2 hospital palliative care units in Nepal and the Nanaimo Hospice and Victoria Hospice, BC, Canada; (c) sustainable growth of palliative care according to WHO foundational measures, implementing facility-based clinical programs, and home-based care aligned with the cultural, social, and economic environment of Nepal; (d) training of health professionals in adult and paediatricpalliative carethrough interactive on-line “distance learning” (Extension of Community Healthcare Outcomes, ECHO);(e) leveraging palliative care training and expertise across the government health system, and (f) local and international support to build a newfacility for Hospice Nepal to provide more support for more patients in a rural ambience on the outskirts of Kathmandu. Palliative care needs to become standard-of-care, providing peace, comfort and dignity for adults and children. Working collaboratively with partners in Nepal, the collective vision is a capable professional Nepali community leading palliative care services for all in need, wherever in need.
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ARSHAD, MUHAMMAD. "TRIGEMINAL NEURALGIA." Professional Medical Journal 16, no. 03 (September 10, 2009): 400–402. http://dx.doi.org/10.29309/tpmj/2009.16.03.2818.

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Design: A retrospective study of 40 cases of Trigeminal Neuralgia who were treated surgically ( by MVD, micro-vasculardecompression). Place & Duration: Department of Neurosurgery Quaid-I-Azam Medical College/Bahawal Victoria Hospital Bahawalpur duringfour (4) year period from January 2003 to December 2006.These patients were resistant to medical treatment so MVD was performed. MethodsTotal number of patients is (40) forty. In 10 patients CT scan brain and especially for posterior fossa was performed before surgery to rule outany suspected tumour pathology. In the remaining 30 cases no MRI or CT scanning of brain was done before surgery and diagnosis ofTrigeminal Neuralgia was made on clinical grounds. Results: Posterior fossa was opened by standard right or left retro-mastoid approachdepending upon the side of pain. In 27 out of 40 cases the superior cerebellar artery (SCA) was the offending vessel. In 5 cases, only the veinwas the cause of pain. In 2 cases, vein and artery, both were the offending vessels. In 2 cases, only arachnoidal adhesions were the causeof pain. And in 4 cases, after opening the posterior fossa it was found that cause of pain is a tumour of trigeminal nerve (3 cases) or meningioma(1 case) of cerebellopontine angle. C o n c l u s i o n : From these operative findings of tumours in the posterior fossa in cases of TrigeminalNeuralgia, it is concluded that all the patients suffering from Trigeminal Neuralgia should be screened with MRI prior to surgery to rule out anytumour pathology as a cause of Trigeminal Neuralgia, so that proper preparations be made before surgical intervention.
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Luqman, Naima, Niaz Maqsood, and Wajih-Ur Rehman. "DEPRESSION IN ACNE VULGARIS." Professional Medical Journal 25, no. 06 (June 10, 2018): 892–95. http://dx.doi.org/10.29309/tpmj/2018.25.06.277.

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INTRODUCTION: Acne vulgaris is a chronic inflammatory disorder of pilo-sebaceous glands,which most commonly affect face and trunk. It is most prevalent in adolescent age group. Ithas been seen that acne can have profound social and psychological effects which are notnecessarily related to its clinical severity. Objectives: To determine the frequency and severity ofdepression among acne patients attending the outpatient dermatology department, of a tertiarycare hospital. Study Design: Descriptive study. Place & Duration of Study: Department ofDermatology, Bahawal Victoria Hospital, Bahawalpur from September, 2013 to November, 2013.Subjects & Methods: Informed written consent was taken from patients for the study, seventypatients of acne, diagnosed by consultant dermatologist were inducted. The severity of acnewas determined by Global Acne Grading System. Both genders were included, the age rangewas from 16 to 40 years. Those patients with concomitant dermatological, psychiatric diseasesand those receiving systemic isotretinoin were excluded. The patients fulfilling inclusioncriteria were assessed for depressive symptoms and Hamilton Depression rating scale wasadministered for severity of depression. Results: 70 patients were included in the study, amongthem 14 (20%) were male and 56 (80%) were females. Most of the acne patients were of the age16-20 years [24 (34.3%)]. Mild depression was seen in 26% patients (18%-were females and8%-males). Severe depression was present in 14% of patients, among which 11% were females& 3% were males. Very severe depression was noted in 18% patients among which 16% werefemale and 2% were males. Conclusions: it can be concluded that Dermatologists should paydue attention to the psychological/ mental state of the patient while clinically evaluating andtreating patients suffering from acne vulgaris
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Amin, Muhammad, Muhammad Saleem, Shamas-un Nisa, Malik Muhammad Naeem, and Hafiz Muhammad Anwar-ul Haq. "BIRTH ASPHYXIA;." Professional Medical Journal 24, no. 06 (June 5, 2017): 796–800. http://dx.doi.org/10.29309/tpmj/2017.24.06.1214.

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Introduction: Out of 130 million births, about four million infants die in the first fourweeks of their life. Birth asphyxia is a major cause of neonatal deaths in developing countries.Birth asphyxia is estimated to account for approximately 25% of neonatal mortality worldwide.Allopurinol is a cheap and freely available medicine whereas other management options arenot widely used. Objectives: To analyze the short-term outcome between allopurinol-treatedand non-allopurinol-treated asphyxiated neonates. Study Design: A randomized controlledstudy. Setting: Pediatric unit 2, Bahawal Victoria Hospital, Bahawalpur. Duration of Study: Thisstudy was conducted from March 2015 to September 2015. Materials and Methods: A totalof 62 (31 in allopurinol and 31 in non allopurinon treated group) infants having admitted within6 hours after birth with gestational age > 36 weeks. All were suffering from stage-2 hypoxicischemic encephalopathy, lethargy, hypotonia, flexion posture. All were having hyperactivetendon reflexes and poor moro reflex. All the admitted neonates were managed and followedup to to 7 days of admission to note the need of anti-convulsants, conscious level and lengthof admission in intensive care unit (< 7 days or > 7 days). Neonates who died during the staywere noted and compared between both the groups. Results: Out of 62 infants, there were 34(54.8%) males and 28 (45.2%) females. Mean gestational age was 37.90 weeks while meanweight of newborn infants was 2.75 kg. Overall Mortality was noted in 6 (9.68%) infants. Whenboth groups were compared, no statistically significant difference was found between the twogroups in terms of sex, gestational age, birth weight or mortality (p value > 0.05). Conclusion:Short-term outcome in terms of mortality between allopurinol-treated and conventional treatmentasphyxiated neonates was found to be 6.5 vs 12.9%.
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Manangi, Mallikarjuna, Santhosh Shivashankar, and Abhishek Vijayakumar. "Chronic Pain after Inguinal Hernia Repair." International Scholarly Research Notices 2014 (December 15, 2014): 1–6. http://dx.doi.org/10.1155/2014/839681.

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Background. Chronic postherniorrhaphy groin pain is defined as pain lasting >6 months after surgery, which is one of the most important complications occurring after inguinal hernia repair, which occurs with greater frequency than previously thought. Material and Methods. Patients undergoing elective inguinal hernioplasty in Victoria Hospital from November 2011 to May 2013 were included in the study. A total of 227 patients met the inclusion criteria and were available for followup at end of six months. Detailed preoperative, intraoperative, and postoperative details of cases were recorded according to proforma. The postoperative pain and pain at days two and seven and at end of six months were recorded on a VAS scale. Results. Chronic pain at six-month followup was present in 89 patients constituting 39.4% of all patients undergoing hernia repair. It was seen that 26.9% without preoperative pain developed chronic pain whereas 76.7% of patients with preoperative pain developed chronic pain. Preemptive analgesia failed to show statistical significance in development of chronic pain (P=0.079). Nerve injury was present in 22 of cases; it was found that nerve injury significantly affected development of chronic pain (P=0.001). On multivariate analysis, it was found that development of chronic pain following hernia surgery was dependent upon factors like preoperative pain, type of anesthesia, nerve injury, postoperative local infiltration, postoperative complication, and most importantly the early postoperative pain. Conclusions. In the present study, we found that chronic pain following inguinal hernia repair causes significant morbidity to patients and should not be ignored. Preemptive analgesia and operation under local anesthesia significantly affect pain. Intraoperative identification and preservation of all inguinal nerves are very important. Early diagnosis and management of chronic pain can remove suffering of the patient.
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Harrington, Emily. "The Expiration of Commitments in Adelaide Procter's “Homeward Bound”." Victorian Literature and Culture 48, no. 2 (2020): 435–44. http://dx.doi.org/10.1017/s1060150320000042.

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It has been a long time since the poetry of Adelaide Anne Procter, a favorite of Queen Victoria, captured much interest from readers of poetry, whether they be anthology aficionados, scholars, or students. Now considered a minor poet of the period, she was nevertheless a quintessential poet activist of her day, raising money for and working with the Providence Row Night Refuge, editing and contributing to the English Women's Journal alongside the Langham Place Feminists and the Society for the Employment of Women. She published volumes of her own poems, one of which ran to as many as nineteen editions between 1858 and 1881, and her work was featured regularly in Charles Dickens's periodical Household Words. Her legacy stands as a powerful testimony to the way ideas and tastes change over time. Full of angels, Christmases, quietly suffering children, and pious nuns (she converted to Catholicism in 1851), her poetry is often dismissed as sentimental and clichéd. A glance at her forms reveals many straightforward tetrameters with expected alternating, end-stopped rhymes, an easiness that seems to ally form and content. If Adorno had ever taken the time to read her poetry, he probably would have hated it, not just for its Catholic faith and its frequent focus on sin and redemption, but for its attempt “to work at the level of fundamental attitudes,” typical of committed art. Consider these lines from her frequently anthologized “Homeless,” which asks readers to recognize that their society takes better care of animals, criminals, and commodities than of the homeless poor: For each man knows the market valueOf silk or woolen or cotton…But in counting the riches of EnglandI think our Poor are forgotten.
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Li, Jian, Can-Lei Song, Tang Wang, Yu-Long Ye, Jian-Ru Du, Shu-Hua Li, and Jian-Min Zhu. "Etiological and epidemiological characteristics of severe acute respiratory infection caused by multiple viruses and Mycoplasma pneumoniae in adult patients in Jinshan, Shanghai: A pilot hospital-based surveillance study." PLOS ONE 16, no. 3 (March 22, 2021): e0248750. http://dx.doi.org/10.1371/journal.pone.0248750.

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Background Severe acute respiratory infection (SARI) results in a tremendous disease burden worldwide. Available research on active surveillance among hospitalized adult patients suffering from SARI in China is limited. This pilot study aimed to identify associated etiologies and describe the demographic, epidemiological and clinical profiles of hospitalized SARI patients aged over 16 years in Jinshan, Shanghai. Methods Active surveillance was conducted at 1 sentinel hospital in Jinshan district, Shanghai, from April 2017 to March 2018. Hospitalized SARI patients aged over 16 years old were enrolled, and nasopharyngeal swabs were collected within 24 hours of admission and tested for multiple respiratory viruses (including 18 common viruses) and Mycoplasma pneumoniae with real-time polymerase chain reaction. Demographic, epidemiological and clinical information was obtained from case report forms. Results In total, 397 SARI patients were enrolled; the median age was 68 years, and 194 (48.9%) patients were male. A total of 278 (70.0%) patients had at least one underlying chronic medical condition. The most frequent symptoms were cough (99.2%) and sputum production (88.4%). The median duration of hospitalization was 10 days. A total of 250 infection patients (63.0%) were positive for at least one pathogen, of whom 198 (49.9%) were positive for a single pathogen and 52 (13.1%) were positive for multiple pathogens. The pathogens identified most frequently were M. pneumoniae (23.9%, 95/397), followed by adenovirus (AdV) (11.6%, 46/397), influenza virus A/H3N2 (Flu A/H3N2) (11.1%, 44/397), human rhinovirus (HRhV) (8.1%, 32/397), influenza virus B/Yamagata (Flu B/Yamagata) (6.3%, 25/397), pandemic influenza virus A/H1N1 (Flu A/pH1N1) (4.0%, 16/397), parainfluenza virus (PIV) type 1 (2.0%, 8/397), human coronavirus (HCoV) type NL63 (2.0%, 8/397), HCoV 229E (1.5%, 6/397), HCoV HKU1 (1.5%, 6/397), PIV 3 (1.5%, 6/397), human metapneumovirus (HMPV) (1.5%, 6/397), PIV 4 (1.3%, 5/397), HCoV OC43 (1.0%, 4/397), influenza virus B/Victoria (Flu B/Victoria) (0.5%, 2/397), respiratory syncytial virus (RSV) type B (0.5%, 2/397), and human bocavirus (HBoV) (0.3%, 1/397). The seasonality of pathogen-confirmed SARI patients had a bimodal distribution, with the first peak in the summer and the second peak in the winter. Statistically significant differences were observed with respect to the rates of dyspnea, radiographically diagnosed pneumonia and the presence of at least one comorbidity in patients who were infected with only M. pneumoniae, AdV, HRhV, Flu A/H3N2, Flu A /pH1N1 or Flu B/Yamagata. The differences in the positivity rates of the above 6 pathogens among the different age groups were nonsignificant. Conclusions M. pneumoniae, AdV and Flu A/H3N2 were the main pathogens detected in hospitalized SARI patients aged over 16 years old in Jinshan district, Shanghai. Our findings highlight the importance of sustained multipathogen surveillance among SARI patients in sentinel hospitals, which can provide useful information on SARI etiologies, epidemiology, and clinical characteristics.
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Garton, Stephen. "The scales of suffering: Love, death and Victorian masculinity." Social History 27, no. 1 (January 2002): 40–58. http://dx.doi.org/10.1080/03071020110094192.

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Davis, Tracy C. "The Employment of Children in the Victorian Theatre." New Theatre Quarterly 2, no. 6 (May 1986): 117–35. http://dx.doi.org/10.1017/s0266464x00002013.

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The public nature of their work should seemingly have ensured that children employed in the Victorian theatre enjoyed better conditions than their brothers and sisters, so often suffering on one of those treadmills at which the virtuous Victorians set their offspring to work. Yet little is known of the actuality of their experiences, and the present article represents a pioneering investigation into the area. Drawing on the researches of contemporary social reformers as well as on the reminiscences of the children themselves and of their employers and colleagues, Tracy C. Davis, who teaches in the Department of Drama at Queen's University, Kingston, Canad, presents an intriguing picture of exploitation mixed with adulation, and a pervasive muddle of defensive indifference, gradually brought within the bounds of well-intentioned legislation.
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Hayat Makki, Muhammad Khizer, Shahid Mehmood, Muhammad Iqbal Buzdar, Aisha Ajmal, Hafiz Muhammad Ahmad Qureshi, and Muhammad Ali. "Role of Arthoscopy in Knee Osteoarthritis Treatment." Pakistan Journal of Medical and Health Sciences 15, no. 9 (September 30, 2021): 2591–93. http://dx.doi.org/10.53350/pjmhs211592591.

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Objective: The aim of this study is to determine the effectiveness of arthoscopy in knee osteoarthritis treatment. Study Design: Prospective study Place and Duration: Conducted at Victoria hospital Bahawalpur/Civil (sadiq Abbasi) hospital Bahawalpur, during from June 2019 to June 2021. Methods: There were 70 patients of both genders suffering from knee osteoarthritis presented in this study. Patients were aged between 25-80 years of age. Detailed demographics of enrolled cases age, sex, body mass index and weight were calculated after taking informed written consent. Kellgren Lawrence scale was used for grading of osteoarthritis. MRI and plain X-ray was done among cases. Post-operatively Lysholm score was used to diagnosed outcomes. Patients were followed for 24 months. Complete data was analyzed by SPSS 24.0 version. Results: Majority of the patients were females 40 (57.1%) and 30 (42.9%) were males. Mean age of the patients was 51.41±7.44 years with mean BMI 32.18±9.31 kg/m2. Mean weight of the patients was 93.17±5.64 kg with mean height 169.9±5.68 cm. We found that 30 (42.9%) had left knee, 26 (37.1%) patients had right knee and 14 (20%) had bilateral. According to Kellgren Lawrence scale 40 (57.1%) patients had grade 2, 22 (31.4%) cases had grade 3 and 8 (11.4%) cases had grade 4 osteoarthritis. Most common symptom was pain among 69 (98.6%) cases followed by swelling 50 (71.4%). According to Lysholm score 36 (51.4%) cases showed good results with score after complete follow up 80.73±7.54. Overall maximum improvement of pain relief among grade 2 osteoarthritis was seen in 28 (70%) cases. Conclusion: We found in this study that arthoscopy for in knee osteaoarthritis resulted in symptomatic improvement among patients of low grade osteoarthritis where it gives pain alleviation. This arthroscopic therapy regimen can enhance function and activity levels in patients with moderate to severe osteoarthritis. Keywords: Arthoscopy, Knee osteoarthritis, Pain, Lysholm score, Kellgren Lawrence scale
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CH, TARIQ HASSAN, ASGHAR ALI, and MUNAWAR JAMIL. "ACUTE CHOLECYSTITIS." Professional Medical Journal 17, no. 02 (June 10, 2010): 185–92. http://dx.doi.org/10.29309/tpmj/2010.17.02.2342.

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Introduction: Gallstones are common biliary pathology. The Vast majority of subjects are asymptomatic. About 0.2% of the population suffering from gallstones develop acute cholecystitis every year. In case of acute calculous cholecystitis, cholecystectomy can be performed early i.e during the same admission or interval i.e after 6 weeks of conservative management. Objective: To compare the early and interval cholecystectomy in acute calculous cholecystitis for morbidity, postoperative hospital stay, total hospital stay and complications. Study Design: Quasi-experimental study. Setting: Department of Surgery Bahawal Victoria Hospital Bahawalpur. Duration of Study: Two year study from December 2007 to December 2009. Subject and Methods: Sixty patients fulfilling the inclusion criteria were selected for this study. The patients were divided into two groups. Group A patients were managed by early cholecystectomy and group B patients by intervalcholecystectomy. Postoperatively patients were evaluated for postoperative hospital stay, total hospital stay and postoperative complications. Results: The mean age of the patients in group A was 42.2 + 10.7 years and in group B was 42.2+ 10.7 years. The Male to female ratio was 1:4 in both groups. The mean postoperative hospital stay in group A was 4.0+ 1.8days and in group B was 3.8+ 1.4 days. The mean total hospital stayin group A was 6.5 + 1.7 days and in group B was 10.2 + 1.3 days. The P value was less than 0.001, which was significant. In distribution of postoperative complications, in group A there were 1(3.3%) injury to biliary tree, 4(13.3%) wound infection,1(3.3%) wound haematoma, 3 (10%) seroma and 1(3.3%) wound dehiscence. While in group B there were 1(3.3%) injury to biliary tree, 3(10%) wound infection,2 (6.7%) wound haematoma, 2(6.7%) & no patient of wound dehiscence. Conclusion: Our study suggests that early cholecystectomy is a better treatment option than interval cholecystectomy because it has less total hospital stay, needs single hospital visit and has no risk of developing complications during wait for surgery.
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MAQSOOD, NIAZ, ISHTIAQ AHMAD, WAJID ALI, Wajeh ur Rehman, and Naima Niaz. "THE HYSTERIA." Professional Medical Journal 13, no. 02 (June 25, 2006): 303–9. http://dx.doi.org/10.29309/tpmj/2006.13.02.5033.

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Objectives: To find out the sociodemographic characteristics ofconversion disorders and to find if there is any difference between the presenting symptoms of rural and urbanpopulation. Design: A non-probability, purposive, hospital based sample. Place and Duration of Study: Psychiatrydepartment of Victoria Hospital Bahawalpur, from February 2004 to April 2005. Patients and Method: A sample of 100-patients was collected. Both sexes were included. DSM-IV criteria for conversion disorder were applied for diagnosisof all these patients. Informed consent was taken for inclusion in the study. Patients suffering from concurrent physicaldisorders were excluded. The first author (NM.) using a semi-structured pro-forma interviewed all these patients. Thesociodemographic characteristics and the clinical profile were collected. Statistical analysis was made with the statisticalpackage for windows, SPSS (version –10). The applied method for group comparison was chi square- test. Results:The mean age of patients from the urban area was 24.26±7.25 years, as compared to 22.15±7.49 years for thepatients from the rural area. Most of the patients were females and were married. Majority of the patients from the urbanas well as from the rural area were uneducated and from the lower socio-economic class. The onset of illness wastypically acute and sudden, with precipitating life event. Majority of the patients had family history of the illness and comorbidpsychiatric disorders. The presenting symptoms were either sensory, motor, mixed symptoms and psuedoseizures.The presenting symptoms of patient from both urban (p value of 0.008), and rural area (P value =0.013), werestatistically significant. There were no statistically significant association between the presenting symptoms and thearea of living. The p values of the entire chi square tests were greater than (0.05). Conclusion: Prompt elimination ofthe symptoms of conversion disorder is important to prevent secondary gains from reinforcing it and causing it to persistor reoccur. Psychiatric services need to be developed and updated for the provision of prompt and efficient treatment,for the patients with these chronic and sometimes disabling conversion disorders.
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CH, TARIQ HASSAN, and ASGHAR ALI. "ACUTE CHOLECYSTITIS." Professional Medical Journal 17, no. 02 (December 8, 2018): 185–92. http://dx.doi.org/10.29309/tpmj/2010.17.02.2218.

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Introduction: Gallstones are common biliary pathology. The Vast majority of subjects are asymptomatic. About 0.2% of the population suffering from gallstones develop acute cholecystitis every year. In case of acute calculous cholecystitis, cholecystectomy can be performed early i.e during the same admission or interval i.e after 6 weeks of conservative management. Objective: To compare the early and interval cholecystectomy in acute calculous cholecystitis for morbidity, postoperative hospital stay, total hospital stay and complications. Study Design: Quasi-experimental study. Setting: Department of Surgery Bahawal Victoria Hospital Bahawalpur. Duration of Study: Two year study from December 2007 to December 2009. Subject and Methods: Sixty patients fulfilling the inclusion criteria were selected for this study. The patients were divided into two groups. Group A patients were managed by early cholecystectomy and group B patients by intervalcholecystectomy. Postoperatively patients were evaluated for postoperative hospital stay, total hospital stay and postoperative complications. Results: The mean age of the patients in group A was 42.2 + 10.7 years and in group B was 42.2+ 10.7 years. The Male to female ratio was 1:4 in both groups. The mean postoperative hospital stay in group A was 4.0+ 1.8days and in group B was 3.8+ 1.4 days. The mean total hospital stayin group A was 6.5 + 1.7 days and in group B was 10.2 + 1.3 days. The P value was less than 0.001, which was significant. In distribution of postoperative complications, in group A there were 1(3.3%) injury to biliary tree, 4(13.3%) wound infection,1(3.3%) wound haematoma, 3 (10%) seroma and 1(3.3%) wound dehiscence. While in group B there were 1(3.3%) injury to biliary tree, 3(10%) wound infection,2 (6.7%) woundhaematoma, 2(6.7%) & no patient of wound dehiscence. Conclusion: Our study suggests that early cholecystectomy is a better treatment option than interval cholecystectomy because it has less total hospital stay, needs single hospital visit and has no risk of developing complications during wait for surgery.
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Overton, I. C., I. D. Jolly, P. G. Slavich, M. M. Lewis, and G. R. Walker. "Modelling vegetation health from the interaction of saline groundwater and flooding on the Chowilla floodplain, South Australia." Australian Journal of Botany 54, no. 2 (2006): 207. http://dx.doi.org/10.1071/bt05020.

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The native riparian vegetation communities on the Chowilla floodplain in the lower River Murray in South Australia are suffering severe declines in health, particularly the Eucalyptus camaldulensis Dehnh. (red gum) and Eucalyptus largiflorens F.Muell. (black box) communities. The primary cause of the decline is salinisation of the floodplain soils caused by increased rates of groundwater discharge and hence increased movement of salt up into the plant root zone. The salinity is driven by a lack of flooding and rising saline groundwater tables. Rises in the naturally saline groundwater levels are due to the effects of river regulation from Lock 6 and high inflows from regional groundwater levels increased by Lake Victoria to the east. River regulation has also led to reduced frequency and duration of the floods that leach salt from the plant root zone and supply fresh water for transpiration. The frequency of medium-sized floods occurring on Chowilla has been reduced by a factor of three since locking and water extractions were commenced in the 1920s to provide reliable water for urban and agricultural use. The soil salinisation on the floodplain was modelled by using a spatial and temporal model of salt accumulation from groundwater depth, groundwater salinity, soil type and flooding frequency. The derived soil water availability index (WINDS) is used to infer vegetation health and was calibrated against current extent of vegetation health as assessed from fieldwork and satellite image analysis. The modelling work has shown that there is a severe risk to the floodplain vegetation from current flow regimes. This paper estimates that 65% (5658 ha) of the 8600 ha of floodplain trees are affected by soil salinisation matching a field survey of vegetation health in 2003 (Department of Environment and Heritage 2005a), compared with 40% in 1993 (Taylor et al. 1996). Model results show that the best management option for Chowilla is lowering the groundwater down to 2 m below current levels, which predicts an improvement in the health of the floodplain tree species from 35 to 42%.
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Gavin, Adrienne E. "Suffering Mothers in Mid-Victorian Novels by Natalie J. McKnight." Victorian Review 24, no. 1 (1998): 80–82. http://dx.doi.org/10.1353/vcr.1998.0012.

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Christoff, Alicia Mireles. "Margaret and the Victorians." Publications of the Modern Language Association of America 134, no. 3 (May 2019): 507–23. http://dx.doi.org/10.1632/pmla.2019.134.3.507.

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This essay examines Kenneth Lonergan's stunning and underviewed New York City film Margaret (2011), placing it in a larger corpus of post-9/11 artistic production while also drawing out its Victorian intertexts—most notably, the Gerard Manley Hopkins poem that gives the film its title. Margaret derives its organizing thematics and formal experiments with sound from the Victorian cultural trope of hyperesthesia: the drive to look beyond the self (the protagonist, the nation) and the answering anxiety that doing so would mean being overwhelmed by the frequency of human suffering. Margaret demonstrates the continued pull of Victorian aesthetics and politics of representation on contemporary literature and film and, I argue, the cost of this persistence. At once emphasizing and occluding the far-reaching and long-lasting violence of formal and informal empire, Margaret carefully attunes us to particular forms of suffering—but only by disattuning us to global catastrophe.
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Watt, Anne E., Glenn F. Browning, Alistair R. Legione, Rhys N. Bushell, Andrew Stent, Ross S. Cutler, Neil D. Young, and Marc S. Marenda. "A NovelGlaesserellasp. Isolated from Pigs with Severe Respiratory Infections Has a Mosaic Genome with Virulence Factors Putatively Acquired by Horizontal Transfer." Applied and Environmental Microbiology 84, no. 11 (March 23, 2018): e00092-18. http://dx.doi.org/10.1128/aem.00092-18.

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ABSTRACTAn unknown member of the familyPasteurellaceaewas repeatedly isolated from 20- to 24-week-old pigs with severe pulmonary lesions reared on the same farm in Victoria, Australia. The etiological diagnosis of the disease was inconclusive. The complete genome sequence analysis of one strain, 15-184, revealed some phylogenic proximity toGlaesserella(Haemophilus)parasuis, the cause of Glasser's disease. However, the sequences of the 16S rRNA and housekeeping genes, as well as the average nucleotide identity scores, differed from those of all other known species in the familyPasteurellaceae. The protein content of 15-184 was composite, with 60% of coding sequences matching knownG. parasuisproducts, while more than 20% had a closer relative in the generaActinobacillus,Mannheimia,Pasteurella, andBibersteinia. Several putative virulence genes absent fromG. parasuisbut present in otherPasteurellaceaewere also found, including theapxIIIRTX toxin gene fromActinobacillus pleuropneumoniae, ABC transporters fromActinobacillus minor, and iron transporters from various species. Three prophages and one integrative conjugative element were present in the isolate. Horizontal gene transfers might explain the mosaic genomic structure and atypical metabolic and virulence characteristics of 15-184. This organism has not been assigned a taxonomic position in the family, but this study underlines the need for a large-scale epidemiological and clinical characterization of this novel pathogen in swine populations, as a genomic analysis suggests it could have a severe impact on pig health.IMPORTANCESeveral species ofPasteurellaceaecause a range of significant diseases in pigs. A novel member of this family was recently isolated from Australian pigs suffering from severe respiratory infections. Comparative whole-genome analyses suggest that this bacterium represents a new species, which possesses a number of virulence genes horizontally acquired from a diverse range of otherPasteurellaceae. While the possible contribution of other coinfecting noncultivable agents to the disease has not been ruled out in this study, the repertoire of virulence genes found in this organism may nevertheless explain some aspects of the associated pathology observed on the farm. The prevalence of this novel pathogen within pig populations is currently unknown. This finding is of particular importance for the pig industry, as this organism can have a serious impact on the health of these animals.
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37

Penner, B. "A World of Unmentionable Suffering: Women's Public Conveniences in Victorian London." Journal of Design History 14, no. 1 (January 1, 2001): 35–51. http://dx.doi.org/10.1093/jdh/14.1.35.

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38

Ottewill, Roger. "‘Alleviating the Sum of Human Suffering’: The Origins, Attributes and Appeal of Hospital Sunday, 1859–1914." Studies in Church History 58 (June 2022): 352–71. http://dx.doi.org/10.1017/stc.2022.17.

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In many communities, from the mid-Victorian era until well into the twentieth century, one Sunday every year was dedicated to the work of local hospitals and dispensaries. Originating in Birmingham and designated Hospital Sunday, it enabled congregations to remember their responsibilities towards the sick and it raised much-needed funds for what was essentially voluntary provision, prior to the establishment of the National Health Service. In so doing, they were demonstrating their commitment to philanthropy and (for many) the tenets of the social gospel. Hospital Sunday also symbolized an element of interdenominational cooperation, with most denominations participating, at a time when relations between the established church and the Free Churches on other issues could sometimes be fraught. Moreover, it facilitated the engagement of churches with charitable organizations, such as friendly societies. This article aims to explore the origins of Hospital Sunday, to analyse its key attributes, to assess its appeal and to highlight some of the issues which arose during the Victorian and Edwardian eras.
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Zadrozny, Sara. "Women’s Ageing as Disease." Humanities 8, no. 2 (April 15, 2019): 75. http://dx.doi.org/10.3390/h8020075.

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In the medical humanities, there has been a growing interest in diagnosing disease in fictional characters, particularly with the idea that characters in Charles Dickens’s novels may be suffering from diseases recognised today. However, an area that deserves greater attention is the representation of women’s ageing as disease in Victorian literature and medical narratives. Even as Victorian doctors were trying to cure age-related illnesses, they continued to employ classical notions of unhealthy female ageing. For all his interest in medical matters, the novelist Charles Dickens wrote about old women in a similar vein. Using close reading to analyse Victorian gerontology alongside Charles Dickens’s novels Dombey and Son (1848) and Great Expectations (1861), this article examines narratives of female ageing as disease. It concludes by pointing to the ways that Victorian gerontology impacts on how we view women’s ageing as ‘diseased’ today.
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Chrisler, Joan C., Kaitlin T. Fung, Alexandra M. Lopez, and Jennifer A. Gorman. "Suffering by comparison: Twitter users’ reactions to the Victoria's Secret Fashion Show." Body Image 10, no. 4 (September 2013): 648–52. http://dx.doi.org/10.1016/j.bodyim.2013.05.001.

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41

Silantyeva, Valentina I. "JOHN FOWLES’S POSTMODERN REALITY (“THE FRENCH LIEUTENANT’S WOMAN”)." Alfred Nobel University Journal of Philology 1, no. 23 (June 2022): 99–106. http://dx.doi.org/10.32342/2523-4463-2022-1-23-9.

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The present paper is aimed at studying the artistic mind of the modern English writer John Fowles as the creator of the original worldview in its postmodern style. It has been specified that British artistic culture does not demonstrate neither the extremes, peculiar to the art of “transition” or “frontier” nor sharp denial of everything that seemed inviolable. Inclining towards realistic forms of the English classics, a lot of postmodern authors, including Fowles, prefer a synthesis of the old with the new. This applies both to postmodernism and all avant-garde and neo-avant-garde movements, aimed at fundamental changing of the general ideas about the beauty and ugliness. “The French Lieutenant’s Woman”, written by John Fowles, proposes such a postmodern synthesis in the context of the “playing with the past” thesis. In his novel, the author presents a special type of “new reality”, corresponding to the period of the profound changes inside the movement during the period starting from the end of the 19th century till the end of the 20th century. Instead of the typical for English literature “hero in search”, the novel under consideration demonstrates an existential type of a man. The above-mentioned hero, who is embodied in the images of Charles and Sarah, seeks his individual freedom and “corrects” his own destiny. It should be emphasized that gaining true freedom is possible only through overcoming various life and social obstacles associated with breaking class and social ties, as well as with great internal suffering. Fowles’s peculiar style of narration helps to reveal the main theme of the novel. The author uses postmodern irony, which is meta-irony, and pastiche. The method of “overlapping epochs” forms an original intertext whereby the semantic field of the novel increases. The literary significance of the outlined method is multifaceted: an elitist reader perceives text-subtext-intertext; a “mass” reader gets acquainted with the work at the level of an entertaining storyline. The author of the article also analyses a mythological component of the novel “The French Lieutenant’s Woman”. A mention should also be made that Fowles in the analysed work acts both as a creator and a destroyer of the socio-ethical and literary myth of the Victorian era. Of primary interest to the writer was the literary myth of the time of Queen Victoria, which in the minds of readers has long been romanticized and become a legend. Therefore, the article shows the connection of everything that happens according to the tradition of English romantic narration and the principles of reformation of characters and situations that no longer correspond to the romantic worldview. The ironic understanding of the gentleman’s code of honor and the object of his passion, the reduction of love conflicts and places of romantic meetings are illustrated by specific examples from the text of the novel. The present paper has also devoted considerable attention to the psychology of the protagonists as well as the problem of the plot and compositional unity of the novel “The French Lieutenant’s Woman”. It is proved that the development of the storyline of the novel is a polystructural and polysemantic phenomenon. If Sarah’s character combines the traditional features of both “woman with a secret” and “infernal woman”, then respect for Charles’s traditional aristocracy is being called into question: it is repeatedly mentioned that he did not receive a Cambridge diploma, that he is an amateur paleontologist, that he considers the possibility of getting married for money, and that there is a very strong element of carnal passion in his romantic relationship with Sarah. The article offers the author’s commentary on the compositional completion of the novel. It is argued that the trinity of the epilogue, first of all, explains the “world-chaos” antithesis. The formula of the dissipating world, according to the author of the article, was supposed to become the basis of the postmodernist text in the original version of the novel “The French Lieutenant’s Woman”.
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Anna E., Nikiforova. "Gender Aspect in the Pre-Raphaelite Art." Vestnik of Saint Petersburg State University of Culture, no. 1 (50) (2022): 75–80. http://dx.doi.org/10.30725/2619-0303-2022-1-75-80.

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The Pre-Raphaelite art, intimately associated with the artists’ personal life, reflects the main gender relations of the Victorian era and its transformations. Ideal, vicious and suffering types of women inherent to the Victorian society are interpreted by the Pre-Raphaelite artists Dante Gabriel Rossetti, John Everett Milles, William Holman Hunt, William Morris and Edward Burne-Jones, in accordance with their moral and aesthetic views. The personal life of the artists pushes the boundaries of agreed standards and gives freedom in interpretation of archetypical images. Pre-Raphaelites also cultivate ideal female images in everyday life and in art, comparing and incorporating their real models with the characters from The New Life by Dante Alighieri, Le Morte d’Arthur by Sir Thomas Malory, and Alfred Tennyson’s poetry.
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43

Butterworth, Robert D. "THOMAS HOOD, EARLY VICTORIAN CHRISTIAN SOCIAL CRITICISM, AND THE HOODIAN HERO." Victorian Literature and Culture 39, no. 2 (May 18, 2011): 427–41. http://dx.doi.org/10.1017/s1060150311000076.

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The criticisms of society made by Thomas Hood in the poems he wrote in the years immediately prior to his death in 1845 are from a very particular stance. The poems specifically measure society against Christian values. Thus, Hood bewails how “Christian charity” should “hang your head” (“The Workhouse Clock” 63), or on its “rarity” (“The Bridge of Sighs” 43).The seamstress in “The Song of the Shirt” expresses disbelief that “this is Christian work” (16). The pauper in “A Pauper's Christmas Carol” muses over his treatment on “our Saviour's natal day” (2). The gin to which the beleaguered are driven is the “dram of Satan” and is drunk, “While Angels sorrow, and Demons grin” (“A Drop of Gin” 11, 72). In “The Lady's Dream” the neglectful attitude shown by society to its suffering members is damningly put alongside the Biblical reassurance that, “even the sparrow falls / Not unmarked of God” (“The Lady's Dream” 77–78). “The Lay of the Labourer,” as we shall see, also makes play with Scriptural references. In this Christian analysis of society's ills, the suffering and going wrong of society are the product of setting aside God's wisdom in the decrees He gives about how to organise human dealings.
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Siber, Mouloud. "Ellen M. Rogers as a Feminist and Orientalist Travel Writer: A Study of her A Winter in Algeria: 1863-4 (1865)." Revista Alicantina de Estudios Ingleses, no. 29 (November 15, 2016): 213. http://dx.doi.org/10.14198/raei.2016.29.12.

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This article studies the Orientalist and Feminist discourses that underlay Ellen M. Rogers’s A Winter in Algeria: 1863-4 (1865). Her conception of Algeria reproduces the Victorian imperialist attitude toward the Algerian as inferior to the European in order to celebrate British imperial power. Underneath this colonial discourse, the writer proclaims her feminist point of view about empire and juxtaposes feminist attitudes in Victorian Britain with the degraded condition of the Oriental woman. To contribute to Victorian feminist struggle for gender equality, she identifies with the suffering of Muslim Algerian women under male domination and compares their confinement to the harem and their veiling to Victorian “separate spheres” ideology. From this perspective, Rogers presents the profiles of the Orientalist as defined by Edward Said (1978) and the feminist as defined by Antoinette Burton (1994). Said limits his discussion of Orientalism to male writers and travelers who construct imperialist views about the colonial world and its people. However, Burton argues that many Victorian travel writers were women who not only circulated Orientalist ideas but also constructed a feminist discourse. Women writers found in the colonial world ways to cross the boundaries of gender and power in order to criticize male writers who insisted on women’s inferior status. In sum, the major claim made in this article is that Ellen M. Rogers projects a feminist-Orientalist view in her travel account about French Algeria.
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Tiller, John. "Obsessive Compulsive Disorder: A Sufferer's Viewpoint." Australian & New Zealand Journal of Psychiatry 23, no. 2 (June 1989): 279–81. http://dx.doi.org/10.3109/00048678909062147.

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This is a personal account of trying to live and cope with obsessive compulsive disorder (OCD) written primarily by a sufferer attending the Victorian OCD Support Group. It outlines some of the suffering and distress of having the disorder, some of the efforts and techniques used in trying to understand and cope with the disorder, the fortitude and endurance required, the difficulty in seeking and accepting treatment and some of the sufferer's hopes for a better future.
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46

Gephardt, Katarina. "Pandemic Consciousness and Narrative Perspective in Sheri Holman’s The Dress Lodger." Victoriographies 11, no. 2 (July 2021): 185–205. http://dx.doi.org/10.3366/vic.2021.0422.

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Sheri Holman’s neo-Victorian novel The Dress Lodger (1999 ) depicts the beginning of the 1831 cholera epidemic in Britain. The novel skilfully manipulates the conventions of nineteenth-century realism and neo-Victorian fiction to test the limits of readerly empathy and its foundations in the conception of the liberal subject as disembodied and disinterested. Although the novel seems ‘faux-Victorian’ and apparently encourages immersion in the story and identification with the central characters, metaphorical uses of language and shifting points of view disrupt such comfortable ways of reading, challenging the readers’ tendency to derive pleasure from representations of working-class suffering. Through complex characterisation of the protagonists, the factory and sex worker Gustine and the doctor Henry Chiver, the narrative exposes the violence of representation through parallels with medical discourse. This essay argues that Holman’s experimentation with narrative strategies ultimately suggests the need for a pandemic consciousness that transcends the clashing responses to the cholera epidemic and cultivates an awareness of global interdependence. The possibility of such pandemic consciousness is conveyed through ‘the Great Narration’ by the novel’s unconventional intradiegetic narrator, the working-class Dead, whose bodies were stolen by doctors for the purposes of dissection.
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47

Fusco, Carla. "Female Factory Workers in Charlotte Elizabeth Tonna’s Quest." Gender Studies 15, no. 1 (December 1, 2016): 13–26. http://dx.doi.org/10.1515/genst-2017-0002.

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Abstract Female workers represent a fundamental component of the workforce to the extent that it is true that the Industrial Revolution owes them a huge debt. However, despite the unfair exploitation of many women in factories in which conditions resembled manslaughter, they have been often neglected and reduced to liminal characters by Victorian novelists. An interesting exception in the early Victorian period is represented by the writer Charlotte Elizabeth Tonna, whose fiction works as a medium of social criticism. Her semi-fictional The Wrongs of Woman is a reform novel which sheds a controversial light on female working conditions. On the one hand she indeed deplores the inhuman treatment of female labourers, but on the other hand she also argues that female employment provokes a consequent increase in male unemployment! My paper aims to investigate the role of Tonna’s text and her attempt to alleviate working-class suffering.
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48

Stevens, Valerie L. "Embodied Violence Towards Nonhuman Animals in Anne Brontë’s Agnes Grey." Society & Animals 29, no. 7 (December 23, 2021): 679–94. http://dx.doi.org/10.1163/15685306-bja10056.

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Abstract Aware of her pupil’s plans to torture and kill a nest of birds, and with no authority to stop him based on her class, gender, and professional positions, the governess-heroine of Anne Brontë’s (2010/1847) Agnes Grey kills the nonhuman animals to keep them from needless suffering. Building on Brontë scholarship as well as animal studies understandings of violence and embodiment, this article considers expectations that Victorian sympathy will be a simplistic and pretty play on reader emotions to argue that nineteenth-century sympathetic feeling was more theoretically and ethically complex than we might imagine. Agnes Grey demonstrates how human-animal violence was thought to be an acceptable expression of middle- and upper-class masculinity, while proper women were expected to be complicit with this treatment of nonhumans. By looking at the close relationship between wanton and merciful embodied violence, the article shows how grotesque Victorian human-animal sympathy could be.
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Shepherd, Anne, and David Wright. "Madness, Suicide and the Victorian Asylum: Attempted Self-Murder in the Age of Non-Restraint." Medical History 46, no. 2 (April 2002): 175–96. http://dx.doi.org/10.1017/s0025727300000053.

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On 20 July 1870, Catherine Tyrrell found herself transferred to another asylum. The 32-year-old nurse suffering from melancholia had previously been a private patient in Bethlem Hospital; but, having had her twelve months expire at that institution, she was conveyed across the metropolis and into the bucolic countryside and county asylum of Buckinghamshire. Up to this point, Catherine had had a long and sad history of suicide attempts and food refusal. Indeed, when she was transferred the following year, this time from Buckinghamshire to the Surrey County Asylum at Wandsworth, she was listed as “very suicidally disposed”. Now diagnosed as suffering from “mania”, she managed only three months before arriving at her fourth institution in as many years—the Surrey County Asylum at Brookwood. On admission, the medical superintendent described, with transparent disapproval, the precautionary clothing that held her suicidal impulses in check:She was brought in a canvas garment which fitted her person even down to her ankles, the arms however not going through the sleeves, but being folded across her chest close to her skin, the hands being locked in leather gloves. The jacket or whatever it is called being [fastened] at the back by 5 locks. All this complicated arrangement was immediately removed. There was no clothing of ordinary kind under it.
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Davenport, Nancy. "The Holy Spirit and the Soul as Revealed in Nature." Religion and the Arts 19, no. 3 (2015): 163–213. http://dx.doi.org/10.1163/15685292-01903001.

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The artist Anna Lea Merritt (1844–1930) was born in Philadelphia, Pennsylvania and spent most of her professional life in London and in a rural village in Surrey. She settled in England in 1871 and soon became a friend of the members of the Pre-Raphaelite Brotherhood in their mature years, the art critic John Ruskin, the late Victorian artists George Frederick Watts and Frederick, Lord Leighton, and others in the London artistic and literary community. In the milieu she had chosen, her intimate and spiritual relationship with nature and her sympathy for all mankind, ingrained in her in childhood among Unitarians and Quakers in Philadelphia, developed into paintings, murals, and etchings that were at once academic, naturalistic, and mystical. In re-introducing this little known woman artist today, this article focuses on her work as one that evokes the spirit and beauty of the natural world and sympathy for the plight of the suffering, both eloquent testimonials to the ideals and beliefs of her renowned friend and contemporary, John Ruskin and to late Victorian liberal sensibilities.
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