Digital Commons Network^™

Validity Of Brighton Criteria In The Diagnosis Of Guillain–Barré Syndrome (Gbs) In Pakistan, Safia Bano, Ahsan Numan, Abubakar Siddique

Pakistan Journal of Neurological Sciences (PJNS)

Guillain–Barré syndrome (GBS) case definitions have been developed in recent past for its quick diagnosis. However, they have not been adopted worldwide especially in developing countries like Pakistan. In this study, we validated the sensitivity of Brighton working group case definitions for GBS at Services Hospital Lahore. Methods: A total of 30 cases of GBS with available clinical history, neurological examination,cerebrospinal fluid(CSF) and nerve conduction studies (NCS) results, and exclusion of related diagnoses were selected (2014–2015). Sensitivity of the Brighton criteria for GBS for level 3 of diagnostic certainty which requires no clinical laboratory testing, level 2 which employs CSF …

Three-Dimensional Neurorehabilitation: A Different Perspective, Ahmad Zaheer Qureshi, Randolph Mitchell Jenkins

Pakistan Journal of Neurological Sciences (PJNS)

The authors have narrated their perspective on rehabilitation of neurological disabilities based upon their experiences in three different regions of the globe, hence the word "three dimensional". It also reflects the need of holistic approach in neurorehabilitation. The article emphasizes the significance of impact of socio-cultural factors on disability and the way different challenges can change outcomes of the same neurological impairment in different health care systems. The understanding, perception and management of disability secondary to any neurological impairment varies greatly from one region to another across the world. Hence treatment guidelines applicable in one socioeconomic setup may not be …

Epilepsy In Pakistan: National Guidelines For Clinicians (Part 2), Fowzia Siddiqi, Shaukat Ali, Mughis Sheerani, Tipu Sultan, Shahid Mustafa, Saleem Barech, Haris Majid, Sarwar Siddiqi, Abdul Malik, Mohsin Zaheer, Wasim Akhter, Rasheed Jooma

Pakistan Journal of Neurological Sciences (PJNS)

In 2013 an international taskforce of the ILAE shaped out a communal definition of Epilepsy.(2) This definition is useful for all or most practical purposes, thus more helpful in management. Epilepsy was defined as recurrent unprovoked seizures i.e 2 or more at least 24 hours apart. The revised practical definition implies that Epilepsy can be considered even after a single seizure in individuals who have other factors predictive of a second unprovoked seizure, a risk set at 60%. The factors include the diagnosis of an epilepsy syndrome, structural lesions like stroke, CNS infections, intraparenchymal contusions after trauma, as well as …

Disciplinary Segregation: How The Punitive Solitary Confinement Policy In Federal Prisons Violates The Due Process Clause Of The Fifth Amendment In Spite Of Sandin V. Conner, Grant Henderson

Marquette Law Review

In 1995, the Supreme Court decided Sandin v. Connor, which held inmates did not have a protected liberty interest requiring due process before being placed in solitary confinement. With the increasing problems in the criminal justice systems nationwide, or perhaps a renewed interest in those problems, the public has turned its attention to the plight of the incarcerated. This Comment seeks to flush out the reasoning the Court provided in Sandin and understand the impacts of the “atypical and significant hardship” on subsequent prisoner litigation, chiefly involving solitary confinement. Following the legal analysis of cases, this Comment will view …

The Broadsheet- Issue 14, Merrimack College

The Broadsheet

Merrimack College's English Department newsletter.

This issue features:

• English Career Night
• Nordic Noir
• Windy and Cold New England Shore
• Alice Sebold Interview/Reading
• Writers House Informal Writing Sessions

Researcher Mobility Workshop Report: Researcher Mobility Among Apec Economies, Sarah Richardson, Julie Mcmillan, Ren Yi

Higher education research

There is growing acknowledgement around the world that contemporary research is increasingly – and needs to be – international. In a globalised world common problems can only be solved through the sharing of expertise and pooling of resources. At the same time, research developments are critical in stimulating economic growth in knowledge economies. Ensuring that researchers can access best practice through international research collaboration is essential in facilitating innovation. Policies and structures can go a long way to supporting increased international research collaboration. Online communication technologies have become a vital part of researcher mobility, enabling researchers to unite in conducting …

Muslim Brothers Or Overstaying Guests? The Reception Of Syrian Refugees In Southeastern Turkey, Irem Karaçizmeli

Master's Theses

This thesis contextualizes the Syrian refugee issue in Turkey with an analysis of history and political discourse, and data drawn from a fieldwork conducted in Şanlıurfa, Turkey in 2015. The Islamist ruling party has staged a warm welcome for Syrian refugees. Their refugee regime, however, has remained weak in regards to law and policy. Retaining the geographical limitation stipulated in the 1951 United Nations Convention Relating to the Status of Refugees, Turks have attempted to locate the larger issue of hosting refugees into cultural notions of ‘guesthood’ rather than a developed refugee rights framework. The fieldwork discovers the lack of …

Repeat Maltreatment In Alaska: Assessment And Exploration Of Alternative Measures, Diwakar Vadapalli, Jessica Passini

ISER Reports

Most deaths and serious injuries among children who are abused or neglected are preceded by multiple reported instances of maltreatment. The Office of Children Services (OCS), Alaska’s child protection agency, is very concerned about repeat maltreatment. It’s extremely damaging to children and demoralizing to everyone who tries to help prevent it. Over the last several years, Alaska has consistently had among the highest rates in the country of repeat child maltreatment, as reported by the Children’s Bureau of the U.S. Department of Health and Human Services. Those federal figures measure the percentage of children who were the victims of at …

Bomb Blast Injuries: An Exploration Of Patient Characteristics And Outcome Using Pakistan National Emergency Departments Surveillance (Pak-Neds) Data., Irum Qamar Khan, Nadeem Ullah Khan, Rubaba Naeem, Salima Kerai, Kate Allen, Nukhba Zia, Sana Shahbaz, Shiraz Qayoom Afridi, Emaduddin Siddiqui, Uzma Rahim Khan, Adnan A. Hyder, Junaid Abdul Razzak

Department of Emergency Medicine

BACKGROUND:

Bomb blast injuries result in premature deaths and burdening of healthcare systems. The objective of this study was to explore the characteristics and outcome of patients presenting to the emergency departments in Pakistan with bomb blast injuries.

METHODS:

Active surveillance was conducted in seven major emergency departments of Pakistan from November 2010-March 2011. All the sites are tertiary care urban centers. All the patients who presented to the hospital's emergency department (ED) following a bomb blast injury as per self-report or the ambulance personnel were included in the study. Frequency of demographics, injury pattern, and outcomes were calculated.

RESULTS: …

Overcrowding In The Emergency Departments: Challenges And Opportunities For Improvement, Muhammad Akbar Baig, Asad Mian, Fatima Najeeb, Hira Shahzad

Department of Emergency Medicine

With the advent of Emergency Medicine, one can observe an increase in the number of Emergency Departments (ED) across the country. However, most EDs struggle due to an overwhelming number of patients. Overcrowding can lead to delays in patient care. For a city like Karachi which is an active disaster zone, preemptive preparedness is required in the face of terror threats and such overcrowding needs to be decreased to a bare minimum. The most frequent causes of prolonged length of stay (LOS) in the ED include non-availability of in-hospital beds, delays in response to subspecialty consultations and escalating medical expenses. …

Developing Paediatric Emergency Medicine—An Opinion From A Developing Country Tertiary Care Center, Emaduddin Siddiqui, Shahan Waheed, Irum Qamar Khan

Department of Emergency Medicine

No abstract provided.

Pneumoperitoneum, Pneumoretroperitoneum, Pneumomediastinum And Extensive Subcutaneous Emphysema In A Patient With Ulcerative Colitis: A Case Report., Usman T Siddiqui, Hira Shahzad, Asad Raja

Department of Surgery Docs

Abstract

INTRODUCTION:

Pneumo-mediastinum and subcutaneous emphysema are rare presentations of lower gastrointestinal tract perforation.

PRESENTATION OF CASE:

We are presenting the case of a middle aged man diagnosed with UC who presented with dyspnea and subcutaneous emphysema, attributed to multiple perforations including the stomach and colon.

CASE DISCUSSION:

Patients with ulcerative colitis (UC) are at an increased risk of perforations due to friability of colonic mucosa given the chronic inflammation and relapsing flares. Chronic use of steroids further predisposes to stress ulcers. These pathologies sometimes coexist and identification of each is crucial for the appropriate treatment plan.

CONCLUSION:

The case …

Time Is Money: Deskilling Caring Work Through Time Allocation In Services Procurement, Orly Benjamin

Wagadu: A Journal of Transnational Women's & Gender Studies

This study explores the contribution of the Israeli procurement policy to deskilling in gendered occupations, particularly nursing, social work, and teaching; areas with a rich history of unionization. Three tender calls for projects are analyzed. The data show a systematic administrative effort to reduce skilled employees’ funded time.

Child Life Specialist Impact On Family Stress Resilience: A Parent’S Perspective, Katie Bell

Honors College

This study aims to fill a void in current research on how parents believe child life specialists aid in stress resiliency, and how they aid the whole familial unit, rather than simply the child. The purpose of this qualitative study is to explore how parents perceive child life specialists impacting family stress resilience as they face medical stressors associated with their children. The phenomenological study is guided by the primary question: What impact do child life specialists have on family stress resilience, as told from the perspective of parents with children experiencing medical events? Through interviews of parents who have …

The Production Of Sticky Notes And Bible Quotes: Godly Answers For Sticky Situations A Children’S Musical As Directed By Julie Brinkman, Julie Elizabeth Brinkman

Honors College

This thesis reflects upon a director’s experience while directing her first production: Sticky Notes and Bible Quotes: Godly Answers for Sticky Situations by Dennis and Nan Allen. This children’s musical was produced in cooperation with Wylie United Methodist Church of Abilene, TX. Over forty children, with the help of ten adult volunteers, shared the importance of memorizing scripture and looking to God’s Word in times of trouble through song, skits, and the recitation of scripture. While reflecting upon the production process after each rehearsal, the director makes connections between her experiences as director, the content of her music education undergraduate …

Girls In Emergencies Collaborative—Catalyzing Action-Learning: Meeting Summary, Girls In Emergencies Collaborative

Adolescents and Young People

Brief report prepared by the members of the Girls in Emergencies Collaborative: International Rescue Committee; Mercy Corps; Human Rights Program, Arnold Institute of Global Health at Mount Sinai; Plan USA; the Population Council; and the Women’s Refugee Commission.

Instrumental Music Participation And The Differences In Academic Performances For Students In Poverty, Shawn A. Oban

Theses and Dissertations

Because of the emphasis on No Child Left Behind and high stakes testing, school districts and administrators have been limiting or eliminating fine arts courses from an already shrinking curriculum, focusing on the subjects being tested. Students living in poverty are often entering formal schooling behind academically.

The researcher examined longitudinal test data from 2010-2015 from middle school aged students in a large Midwest school district. The researcher focused on test scores from the sixth grade when instrumental music was offered, examined test data from tenth grade, and studied academic growth. All student scores were included, but the independent variables …

Cycles Of Life, Henry Jake Foreman

Architecture and Planning ETDs

Engaging storytelling is both the means and medium of Cycles of Life(COL). This thesis project consists of a video documentary and curriculum magazine that highlights the visioning process, implementation, and cyclical design of this transformative learning model. Throughout the COL co-creative process, students collectively utilize Indigenous research methodologies to examine innovations in planning, design and education from diverse sources including guest speakers, social media, and contextual multi-sensory experiences. Incorporated into the COL curriculum is a regenerative process where students vision their own curriculum model that impacts health, education, planning and design. It is my hope that these seed projects will …

Barriers For Immunization Against Hpv In Developing Countries (India), Sandhya Ghanta

Master's Theses and Doctoral Dissertations

Cervical cancer is one of the most common cancers in women. Incidence and mortality rates of cervical cancer are high in less developed and developing countries. In some countries, the acceptance of the HPV vaccine to prevent cervical cancer is low. Previous studies revealed that lack of awareness, income, and education were major barriers for accepting the HPV vaccine. Apart from the above-mentioned barriers, some socio-cultural barriers for accepting the HPV vaccine exist in less developed and developing countries. This study surveyed 250 women in India of age groups 18 years and above. The sample population for the study was …

Genome Rearrangements Can Make And Break Small Rna Genes, Rahul Raghavan, Fenil R. Kacharia, Jess A. Millar, Christine Demko Sislak, Howard Ochman

Biology Faculty Publications and Presentations

Small RNAs (sRNAs) are short, transcribed regulatory elements that are typically encoded in the intergenic regions (IGRs) of bacterial genomes. Several sRNAs, first recognized in Escherichia coli, are conserved among enteric bacteria, but because of the regulatory roles of sRNAs, differences in sRNA repertoires might be responsible for features that differentiate closely related species. We scanned the E. coli MG1655 and Salmonella enterica Typhimurium genomes for nonsyntenic IGRs as a potential source of uncharacterized, species-specific sRNAs and found that genome rearrangements have reconfigured several IGRs causing the disruption and formation of sRNAs. Within an IGR that is present in …

Simulations Of A New Response-Adaptive Biased Coin Design, Aleksandra Stein

Department of Statistics: Dissertations, Theses, and Student Research

Modern medical experiments accrue and treat patients--hence obtain treatment response data--throughout a trial. Designs which prospectively plan to modify patient allocation by leveraging accumulating data are response-adaptive randomization (RAR) designs. Many such designs attempt to balance the desire to bias assignment proportions towards a treatment which is performing better against the need to maintain randomization in the face of continued equipoise.

This dissertation consists of simulated investigations into frequentist and ethical properties of an new RAR biased coin design. Chapter 2 proposes a new adaptive design for phase III clinical trials, a modification of the 2001 Bandyopadhyay and Biswas biased …

Prevalence Of Tick-Borne Pathogens In Small Mammals And White-Tailed Deer In Southeast Nebraska, Tim M. Hotaling

School of Veterinary and Biomedical Sciences: Dissertations, Theses, and Student Research

The prevalence of tick-borne diseases has been increasing in the United States for the past couple decades. Studies have been conducted throughout the US identifying tick-borne disease pathogens as well as their hosts and prevalence. Research was conducted in Nebraska to determine the presence of some tick-borne disease pathogens, their vectors, and their hosts, with emphasis made on Borrelia spp., Rickettsia rickettsii, and Ehrlichia chaffeensis.

Small rodents in southeast Nebraska were trapped and sampled at eight study sites using live capture traps. Captured rodents were assessed for active parasitism by ticks which were collected and placed in alcohol. …

Goss's Bacterial Wilt Development And Clavibacter Michiganensis Subsp. Nebraskensis Interactions With Spray Adjuvants, Sarah A. Schlund

Department of Agronomy and Horticulture: Dissertations, Theses, and Student Research

Goss’s bacterial wilt and leaf blight of corn (Zea mays L.), causal agent Clavibacter michiganensis subsp. nebraskensis, was first confirmed in Dawson County, NE in 1969. Disease incidence decreased in the 1980’s due to various management strategies and disease developed sporadically until the early 2000’s when it re-emerged and was economically important. A Midwest, multistate survey conducted in 2011 suggested farming practices that may have contributed to the pathogen’s re-emergence. The use of agricultural pesticides was associated with Goss’s wilt. Since spray adjuvants are often used with pesticides, and physical characteristics of these adjuvants may enable infection of …

New Mexico Musician Vol 63 No 2 (Winter 2015)

New Mexico Musician

No abstract provided.

On Calculation Of Failure Probability For Structures Designed Based On Magnitudes Of Historical Event, Farzad Noubary, Reza Noubary

Applications and Applied Mathematics: An International Journal (AAM)

During their operational life, structures may be subject to various types of live load caused by events such as earthquakes, high speed winds, etc. Given the design life of a structure, the probability for a specific live load to cause a failure depends on the magnitude of the load structure it is designed to withstand (designed load). In this article, methods are developed for calculation of the failure probability for structures designed to withstand loads comparable to historical loads at the site of interest.

Analysis Of Changes In Muscle Architecture And Explosive Ability In Ncaa Division I Volleyball Players, Caleb D. Bazyler, Jacob R. Goodin, Conrad Rapp, Mark Disanto, Frank Smith, Michael H. Stone

ETSU Faculty Works

Abstract available in the 10th Annual Coaches and Sport Science College .

Application Of Principal Components Analysis In Kinetics Study For Isometric Squat, Junshi Liu, Caleb D. Bazyler, Christopher B. Taber, Tony Pustina, Satoshi Mizuguchi

ETSU Faculty Works

Abstract available in the 10th Annual Coaches and Sport Science College .

Editorial, S.N. Nyeck, Orly Benjamin

Wagadu: A Journal of Transnational Women's & Gender Studies

Although much attention has been given to the legal and institutional reform of government outsourcing worldwide, there is still no work that addresses the implications of the devolution of the state’s responsibilities to private contractors on women’s/gender issues. This special journal issue’s aim is to initiate a conversation about government outsourcing policies and the ways in which they reshape gender relations today from an interdisciplinary/transdisciplinary perspective.

Assessing Public Sector Reform Impacts On Domestic Violence Service Delivery, Beth M. Rauhaus

Wagadu: A Journal of Transnational Women's & Gender Studies

This research applies the theoretical notions of representative bureaucracy and the feminization of poverty to cases of domestic violence involving women to explore how states may adequately address their needs. It further explores how partnerships with non-governmental organizations may meet the needs of vulnerable populations.

Male Sex Work And Society By Victor Minichiello & John Scott, Harrington Press, 2014, Thaddeus Gregory Blanchette

Wagadu: A Journal of Transnational Women's & Gender Studies

Male Sex Work and Society by Victor Minichiello & John Scott, Harrington Press, 2014