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While post-migrant generation Moroccans from Europe often are able to converse competently enough in Moroccan languages to bargain in shops during visits to Morocco, many report that they are not given the ‘local’, ‘right’ prices because they are ‘smelled’ as outsiders. During fieldwork following these diasporic visitors in Morocco, several participants strategically shopped for goods with a ‘local’ friend or family member who might negotiate on their behalf for the ‘right’ price. This strategy was seen as a way to circumvent or ameliorate the ways the diasporic client might be negatively categorized as an outsider, especially in terms of his or her language use. Yet, examining these events in recorded detail indicates that diasporic clients are often bargaining for themselves as competent speakers, but are sometimes not able to skillfully bargain politely. In these moments, proxy bargainers intervene when debate and tension increases during bargaining and diasporic visitors do not adequately perform politeness – specifically by deploying religious speech – to soften and minimize tension. Analysis of these interactions indicates how diasporic branching of linguistic practice contrasts communicative skills of mobile populations with subtle, place-based competences, and how the mismatch between these can negatively mark diasporic visitors.

Tear gas is designated a chemical weapon by multiple treaties that prohibit its use in war. However, despite mounting reports suggesting that tear gas may endanger targets beyond transient discomfort, its domestic use as a crowd control mechanism has not been adequately studied, nor is its use regulated by any United States government agency. Without comprehensive and demographically-representative epidemiological studies, the continued use of tear gas on civilian protesters poses an unknown and potentially severe threat to public safety. Chemical substances employed on civilians for a desired effect are more akin to drugs than to weapons. We, therefore, propose that legislation be introduced to place tear gas under the regulatory purview of the Food and Drug Administration (FDA) in order to understand its effects on the health of all members of the public and to better regulate its deployment.

We highlight 2 cases of immunocompetent pediatric patients diagnosed with osteomyelitis and cellulitis attributed to Aeromonas hydrophila. One case had a direct water source; however, the second case occurred following a wild hog bite. Both required fluoroquinolone treatment and demonstrated the need to consider A. hydrophila in patients with water exposure, animal bites and initial antibiotic failure.

Thymic Hyperplasia Developing After Treatment of Cushing’s Syndrome, Management and Literature Review Introduction/ Background: Rebound thymic hyperplasia (RTH) has been described after the resolution of hypercortisolism from multiple conditions. It can potentially lead to a variety of diagnostic dilemmas. We describe a case where thymic enlargement was seen after unilateral adrenalectomy for adrenal Cushing’s syndrome. Thymic hyperplasia developing after treatment of adrenal Cushing’s syndrome has been very rarely reported. Clinical Case: 43 year old female with type 2 diabetes, hypertension, morbid obesity, depression underwent left adrenalectomy for management of Cushing’s syndrome. Two years after adenoma resection, the patient underwent a CT angiogram of the chest as part of a work up for chest pain which revealed a new anterior mediastinal soft tissue attenuation mass (30–40 Hounsfield units) measuring 6.5cm x2.5cm x 3.7cm. It was found to be abutting the inferior margin of the left brachiocephalic vein and anterior margin of the aortic arch. MRI chest demonstarated mild homogeneous postcontrast enhancement and loss of signal on the opposed phase T1 sequence indicating microscopic fat, deemed to be consistent with thymic hyperplasia. Patient had a detailed discussion of risks versus benefits of biopsy/surgery/conservative management with thoracic surgeon and opted to be managed conservatively. MRI Chest done at 3 month follow up showed a decrease in the size of the mass to 5.8 x 2.4 x 5.cm. She has been on chronic hydrocortisone therapy since adrenalectomy and multiple attempts to wean her off of steroids have been unsuccessful. She continues to be followed closely in the outpatient setting for presumed RTH. Clinical Lesson/ Conclusion: This case highlights the importance of recognizing RTH in patients treated for Cushing’s syndrome. Rapid enlargement of the thymus post adrenalectomy can often lead to unnecessary biopsies and surgeries. The underlying mechanism though unclear has been attributed to depletion of thymic lymphocytes caused by high cortisol concentrations of the plasma leading to RTH when the cortisol level declines. Keywords: Thymic Hypertrophy, Cushing’s syndrome, Thymic hyperplasia

Questions of ‘coveredness’ in Islamic codes of dress, particularly as they apply to women, are often framed through the symbolic statements that they enable or disable, or through discourses on public versus private spaces. Rather than focus on these disciplining dimensions, this article explores observations about embodied practices for clothing oneself ‘modestly’, and some of the paradoxes thereof, which emerged in the context of research about diasporic mobilities of European-Moroccans in Morocco. Drawing heavily on Karen Barad and a materialist phenomenological approach to corporeality, this approach produces an understanding of how moral bodies materialize with and through clothing. By observing and following the mobilities of participants across spaces dominated by ‘Muslim’ and ‘Western’ regimes of modesty, certain dissonances of their practices in these differentiated spaces indicate ways bodies, clothing and moralities are intra-actively entangled. Proposing ethnography as a diffractive apparatus, the analysis incorporates participant reports, as well as embodied learning through ethnographic time. By approaching this ‘disciplining’ diffractively, all agents–knowledgeable bodies, malleable clothes and spatially moral gazes–are considered as intra-actively influencing each other, mattering into ‘modesty’ where ‘subjected’ bodies, as well as clothing and regimes of modesty are adapting.