Women in Neurosurgery: Historical Path to Self-Segregation and Proposal for an Integrated Future

Despite the rising percentage of women accessing the medical profession over the last few decades, surgical specialties are still largely male-dominated; in particular, a remarkable gender disparity is evident in neurosurgery, where only 19% of practitioners are females. Although women may be reluctant to choose a challenging specialty like neurosurgery due to concerns around how to balance family and career, it must be admitted that prejudices against female neurosurgeons have been deeply rooted for long, prompting many to give up and switch track to less demanding subspecialties. Among those who have persisted, many, if not most, have experienced difficulties in career progression and received unequal treatment in comparison with their male counterparts. In 1989, a group of 8 female neurosurgeons founded Women in Neurosurgery (WINS), an organization that aimed to guarantee inclusivity in neurosurgery, encouraging a better and more egalitarian working environment. Thereafter, WINS sessions were regularly promoted at international conferences, offering female neurosurgeons a platform to report issues related to gender discrimination. Over recent years, the mission of WINS sessions in national and international conferences has taken an unexpected deviation; they have progressively become supplementary scientific sessions with only women neurosurgeons as speakers, thus paving the road to a form of self-segregation. This tendency has also resulted in the establishment of sections of only female neurosurgeons within some national societies. Although there remains a faction that fiercely supports the WINS mindset of reserved spaces for women, such segregation is an upsetting prospect for those who believe that science and professionalism have no gender; a growing part of the global neurosurgical community believes that the conception of a “female neurosurgery” and a “male neurosurgery” is misguided and counterproductive and consider the existence of the WINS as anachronistic and no longer necessary.

Anthropogenic arsenic menace in contaminated water near thermal power plants and coal mining areas of India

Coal mining and coal combustion in thermal power plants (TPPs) are the major anthropogenic sources of arsenic (As) contamination in many different industrial regions. In this study of industrial regions of West Bengal and Singrauli, it is observed that there is an anthropogenic contribution to the contamination from As-bearing coal. Up to 14.53 mg/kg of As is obtained in coal of West Bengal which also has very high average Fe concentration (16,095 mg/kg) along with high concentration of Cu, Mn and Hg. Similar observations are also found in Singrauli Industrial Region where 3.14 mg/kg of As with very high concentration of Fe 43,867 mg/kg along with high Cu, Mn and Hg concentration is found in coal samples. This low-grade bituminous coal contains arsenopyrite as observed by SEM-EDX. Arsenopyrite is converted to arsenolite upon combustion in these TPPs as observed in XRD. The fly ash has average As concentration of 1.53 mg/kg for West Bengal and 2.38 mg/kg for Singrauli Industrial Region and high concentration of toxic elements. The soil near these TPPs and mining areas is enriched in As, Fe, Hg, Cu and Mn. Not only As but high concentrations of Fe, Hg, Mn are also observed from analysis of water which relates to the anthropogenic inputs. The dissolution of arsenolite in reducing environments caused by periodic flooding releases As into water. Hence, the As contamination in the study area also has anthropogenic origin from coal consumption in TPPs.

Deciphering the role of meteorological parameters controlling the sediment load and water discharge in the Sutlej basin, Western Himalaya

The Sutlej River basin of the western Himalaya (study area), owing to its unique geographical disposition, receives precipitation from both the Indian summer monsoon (ISM) and the Westerlies. The characteristic timing and intensity of the ISM and Westerlies, leaves a distinct footprint on the sediment load of the River. Analysis with the last forty years data, shows an increasing trend for temperature. While for precipitation during the same period, the Spiti watershed on the west has highest monthly accumulated precipitation with long term declining trend, in contrast to the other areas where an increasing trend has been observed. Thus, to probe the hydrological variability and the seasonal attributes, governed by the Westerlies and ISM in the study area, we analyzed precipitation, temperature, snow cover area (in %), discharge, suspended sediment concentration (SSC) and suspended sediment load (SSL) for the period 2004 - 2008. To accomplish the task, we used the available data of five hydrological stations located in the study area. Inter-annual shift in peak discharge during the monsoon period is controlled by the variation in precipitation, snow melt, glacier melt and temperature. Besides seasonal variability has been observed in generation of the sediments and its delivery to the river. Our analysis indicates, dominance of the Westerlies footprints in the hydrological parameters of the Spiti region, towards western part of the study area. While, it is observed that the hydrology of the Khab towards eastern part of the study area shows dominance of ISM. Further downstream, the hydrology of Nathpa station also shows dominance of ISM. It also emerged out that the snowmelt contribution to the River flow is mostly during the initial part, at the onset of the monsoon, while for rest and major part of the summer monsoon season, the River flow is augmented by the precipitation, glacial melt and some snow melt. We observed, that the SSC increases exponentially in response to increase in temperature and correlates positively with River discharge. The average daily SSL in the summer monsoon is many times more than that in the winter monsoon. The downstream decrease in steepness of the sediment rating curve is attributed to either a change in the River-sediment dynamics or on account of the anthropogenic forcing. The top 1% of the extreme summer monsoon events (only 4 events) in our study area contribute up to 45% of SSL to the total sediment load budget. It has also been observed that the River-sediment dynamics in the upstream catchments are more vulnerable and sensitive to the extreme events in comparison to the downstream catchments. The present study for the first time gives a holistic insight in to the complex dynamics of the hydrological processes operational in the study area. The research findings would be crucial for managing the water resources of the region and the linked water and food security.