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Conflict Resolution Processes In End-Of-Life Care Disputes Between Families And Healthcare Providers In Canada, Matthew P. Ponsford

Dalhousie Journal of Legal Studies

Conflict at the end-of-life, particularly between families and health-care providers, involves many complex factors; differing opinions surrounding a patient’s prognosis, cultural differences, moral values, and religious beliefs, associated costs, internal family dynamics, and of course, legal ramifications. Legislative reform at both the provincial and federal levels with respect to assisted dying has had far-reaching implications for healthcare decisionmaking for families, healthcare providers, religious groups, and others. These reforms provide the backdrop for this paper, which examines the conflict resolution processes that can provide a solution amidst an often stressful, costly, and time-consuming ordeal. This paper reviews several processes, but focuses …

Primary Healthcare Policy Implementation In South Asia, Chris Van Weel, Ryuki Kassai, Waris Qidwai, Raman Kumar, Kanu Bala, Pramendra Prasad Gupta, Ruvaiz Haniffa Haniffa, Neelamani Rajapaksa Hewageegana, Thusara Ranasinghe, Michael Kidd, Amanda Howe

Department of Family Medicine

Primary healthcare is considered an essential feature of health systems to secure population health and contain costs of healthcare while universal health coverage forms a key to secure access to care. This paper is based on a workshop at the 2016 World Organization of Family Doctors (WONCA) South Asia regional conference, where the health systems of Bangladesh, India, Nepal, Pakistan and Sri Lanka were presented in relation to their provision of primary healthcare. The five countries have in recent years improved the health of their populations, but currently face the challenges of non-communicable diseases and ageing populations. Primary healthcare should …

Doc 2016-06 Clinical And Courtesy Appointments, University Of Dayton. Faculty Affairs Committee

Senate Documents

Legislative Authority, Faculty Handbook, SEHS DOC 2015-01 Proposal for Faculty Title Changes

Present And Future Of Neurology In Pakistan, Mohammad Wasay

Pakistan Journal of Neurological Sciences (PJNS)

Neurology started as a department in early nineteen sixties in Dow Medical College and King Edward Medical College and initially having a separate department of neurology was not mandated in medical colleges by Pakistan Medical and Dental Council¹. Some neurology training programs do not give exposure to subspecialties and training is focused on adult neurology². From 2015 to 2016, several conferences were held on neurology including an Annual Meeting in Quetta, movement disorder conference in Lahore.

Acute Childhood Ischemic Stroke: A Pakistani Tertiary Care Hospital Experience, Prem Chand, Shahnaz Ibrahim, Muhammad Matloob Alam, Fazal Arain, Bhojo Khealani

Pakistan Journal of Neurological Sciences (PJNS)

Stroke in pediatric population is increasingly recognized and has diverse clinical presentation and risk factor profile. Majority of patients survive acute stroke but remain disabled. The reported literature on the subject from our part of world is scarce.Methods:A retrospective chart review was carried out for stroke patients between 1 month and 14 years of age, admitted between January 2009 and January 2015. Their demographic, clinical and radiological data was collected and analyzed.Results:Twenty nine patients were admitted with stroke over 5 years. Their mean age was 5.7 ±11.7 and male to female ratio was 3:1. The most common clinical features reported …

An Unusual Presentation Of Gbs: Case Report And Literature Review, Sadaf Khattak, Sumaira Nabi, Irfan Khattak, Mazhar Badshah

Pakistan Journal of Neurological Sciences (PJNS)

Guillain-Barre syndrome (GBS), also known as Landry paralysis is an acute idiopathic polyneuritis, believed to be immunologically mediated. It usually presents as a demyelinating neuropathy with ascending weakness, however, many clinical variants have been well documented in the medical literature, and variants involving the cranial nerves or pure motor involvement with axonal injury have also been described. We report a case of a 50 year old patient who initially presented to the ER with hemiparesis and cranial nerve palsies simulating a cerebrovascular event. Based on neurological examination, CSF analysis and needle EMG finding a diagnosis of GBS was made.

First Molecular Records Of Potentially Harmful Planktonic Dinoflagellatesfrom The Southern Black Sea, Özgür Baytut, Cem Tolga Gürkanli, Eda Deni̇z, İbrahi̇m Özkoç, Ari̇f Gönülol

Turkish Journal of Botany

The aim of this study was to identify dinoflagellate species from the Black Sea (Samsun coast) using conventional and molecular phylogenetic methods. Water samples were collected using a plankton net with 22 µm pores. Dinoflagellate cells were documented under a light microscope and were then isolated for the single-cell PCR procedure. Phylogenetic inference showed that the isolates collected from the study area were affiliated with various harmful taxa: Dinophysis acuta Ehrenberg and Phalacroma rotundatum (Claparéde & Lachmann) Kofoid & Michener from dinophysioids, and Prorocentrum compressum (Bailey) Abé ex Dodge, P. cordatum (Ostenfeld) Dodge, and P. micans Ehrenberg from prorocentroids. In …

The Original Understanding Of "Property" In The Constitution, Paul J. Larkin Jr.

Marquette Law Review

Contemporary Supreme Court jurisprudence treats “property” as far less deserving of judicial protection than “life” or “liberty.” The Supreme Court, however, has misread American legal history. Anglo-American traditions, customs, and law held that property was an essential ingredient of the liberty that the Colonists had come to enjoy and must be protected against arbitrary governmental interference. The Framers’ generation believed that “property” and “liberty” were equally important institutions and that neither one could exist without the other. The Framers venerated property as a means of guaranteeing personal independence because (among other things) the concept of “property” embraced the legal rights …

Serious Juvenile Offenders: The Need For A Third Sentencing Option In Wisconsin, Danielle S. Snyder

Marquette Law Review

In light of the “Slenderman” trial, it has become abundantly clear that a gap exists between the sentencing options available for “Class A” juvenile offenders and “Class B” juvenile offenders. This Comment proposes an expanded sentencing option for “Class B” serious juvenile offenders under the Juvenile Justice Code to allow those “Class B” serious juvenile offenders the benefit of extended supervision in the Serious Juvenile Offender Program as is available to “Class A” serious juvenile offenders currently. This expansion aims to alleviate the concern that certain “Class B” serious juvenile offenders must remain under original adult court jurisdiction in order …

Fruit And Vegetable Consumption, Body Mass Index, And Dieting Behaviors Among Florida Middle And High School Youth, Corinne A. Labyak, Tammie M. Johnson, Claudia Sealey-Potts, Judy E. Perkin

Florida Public Health Review

The purpose of this study was to examine fruit and vegetable consumption reported by Florida middle school and high school students and to determine if consumption was associated with: (1) demographic characteristics; (2) body mass index (BMI); and/or (3) weight loss behaviors. Data from the 2009 Florida YRBS and the MSHBS were used. Both surveys used a two-stage cluster sample design, producing a representative sample of students. In addition to socio- demographic variables, independent variables included engaging in weight loss behaviors. Dependent variables were adequate fruit and adequate vegetable consumption. Descriptive, chi-square and logistic regression analyses were performed. Results indicated …

Fruit, Vegetable And Beverage Consumption In Duval County Middle School Students: Youth Risk Behavior Survey 2009-2013, Corinne A. Labyak, Alireza Jahan-Mihan, Richard Patterson, Judith Rodriguez, Janice J. Seabrooks-Blackmore, Karen Patterson, Zhiping Yu, Catherine Christie, Claudia Sealey-Potts

Florida Public Health Review

Public health professionals have the opportunity to impact middle school students’ dietary behaviors to combat childhood obesity. The purpose of this study was to investigate the dietary behavior results from the YRBS taken by middle school students in Duval County in 2009, 2011 and 2013. A two-stage cluster design was used and the survey was completed by 6th through 8th grade students following parent notification. Compared to other health zones, Health Zone 1 had the lowest intake of fruits and vegetables in 2009 (2.66 ±1.65) and 2011 (2.77 ± 1.60) and the second lowest intake in 2013 (2.92 ± 1.70). …

Childhood Obesity In Florida: A Narrative Review On Current Trends And Interventions, Corey Parliament, E Mckenzie Driscoll, Kristin Samuels, Laura Ward, Tammy M. Baranowski, Tara Kessinger, Alireza Jahan-Mihan

Florida Public Health Review

We examine current research on childhood obesity (CO) trends and intervention strategies in Florida. The fiscal, emotional, and health-related costs related to general obesity are staggering. Unfortunately, CO-related publicity, research, policy, and interventions have not been entirely successful in addressing the problem. Florida ranks 35thnationally in prevalence of CO. Data from the Centers for Disease Control and Prevention (CDC) 2013 report a statistically significant decrease in Florida's rate of CO among 2-4 year-olds participating in Florida’s Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) from 2008-2011. Whereas Florida still has significant room for improvement on the issue of …

Event Program: 2016 Sapphire Symposium And Awards: Health Transformation: The Power Of Engagement, Florida Blue Foundation

Florida Blue Archives Printed Materials

No abstract provided.

Comparative Life Cycle Assessment Of Road And Multimodal Transportation Options - A Case Study Of Copperwood Project, Sumanth Kalluri

Dissertations, Master's Theses and Master's Reports

Freight transportation of goods and commodities is a necessity and often accounts for a significant portion of the overall investment in the industrial development, especially in the natural resource industry. The economic costs of developing an infrastructure have long been factored into the project costs, but environmental and/or social impacts have received less attention. In addition, alternative transportation modes are rarely compared from both economic and environmental perspectives. This project uses a case study to assess the environmental impacts (emissions) of different transportation options for transporting ore between a planned mine and a processing plant, and concentrate from the processing …

Evaluating Groundwater Recharge In The Saloum Region Of Senegal, Alexander Wohlgemuth

Dissertations, Master's Theses and Master's Reports

Approximately 1.2 billion people in the world live in an area facing physical, or absolute, water scarcity (defined as access to less than 1,000 cubic meters of water). This number is projected to increase to 1.8 billion by the year 2025. Thirty-eight percent of the world’s population lives in arid, semi-arid or dry subhumid regions, which translates to a high dependence on the 30% of the world’s freshwater present in the ground. Further, the rate of water use is increasing rapidly – between two and two and a half times that of population growth, over the last century.

In regions …

Potential Environmental And Social Influences On Schoolchildren’S Health And Nutrion In Guiba, Burkina Faso, Kristine Nachbor

Dissertations, Master's Theses and Master's Reports

Malnutrition continues to be an epidemic problem in sub-Saharan Africa. The degree of malnutrition depends on many factors including prevalence of bacterial and parasitic diseases especially those in water sources, level of education, level of hygienic practices, cultural customs, seasonal and climatic conditions, food production and availability, and daily food intake. This study sought to describe the prevalence of different factors’ that may be associated with health in the commune of Guiba, Burkina Faso while also examining the dietary diversity scores (DDS) among schoolchildren attending secondary school in Guiba.

Dietary diversity scores (DDS) are a measure of the number of …

Benthic Macroinvertebrate Composition In A Rural Zambian Stream, Bradley Wells

Dissertations, Master's Theses and Master's Reports

Across the globe, synthetic detergents are commonly used in everyday life (Azizullah et al. 2011). In rural Zambia, washing often occurs directly in the streams where each individual washing effort becomes a point source of pollution; discharging a suite of chemicals as well as particulates into the waterways. Although organophosphates have been banned for use in laundry and dish detergents throughout much of the developed world; many parts of the developing world have yet to follow suit. A system of weak environmental regulations and a lack of enforcement of those that do exist have left water quality in much of …

Pilot-Scale Study Of Low-Tech Methods Of Sustainable Class A Biosolids Production: A Trial Run, Rebecca L. Green

Dissertations, Master's Theses and Master's Reports

Water resource recovery facilities can improve sustainability by producing Class A biosolids. However, many conventional methods for achieving Class A biosolids are expensive, with high maintenance and energy costs. However, low-cost, low-tech (LCLT) treatment methods are also available. The overall goal of the larger project of which this study was a part is to develop a rational and universal approach for design of LCLT processes. To achieve this goal, pilot-scale studies of LCLT processes will be performed. The goal of this portion of the project was to perform a trial run pilot-scale study. During the trial run, the pilot-scale biosolids …

Central Neural Mechanisms Of Salt-Sensitive Hypertension, Robert Larson

Dissertations, Master's Theses and Master's Reports

Hypertension (HTN) is a major risk factor for the development of cardiovascular disease, and it’s estimated that over 80 million adults in the United States have HTN. Essential HTN often demonstrates sensitivity to salt, and reductions in dietary salt attenuate high blood pressure in this population. Evidence indicates that the paraventricular nucleus (PVN) of the hypothalamus is a key driver of HTN due to excess salt intake. The cellular mechanisms whereby PVN neuronal activity is augmented in response to salt are largely unknown. Previous work from our lab has demonstrated that small conductance calcium activated potassium (SK) channel function is …

A Cultural And Technical Study Of Wastewater Treatment Plant Maintenance In A Small Community In Peru, Rebecca C. Midkiff

Dissertations, Master's Theses and Master's Reports

Management of wastewater treatment plants (WWTPs) has been found to be especially challenging in small, rural communities of the developing world. This study examined maintenance of two small WWTPs in Leymebamba and Palmira, Peru through interviews with local authorities, observation of maintenance practices, wastewater measurements, and prediction of effects from maintenance with modeling using a wastewater process simulation software, BioWin. Challenges and motivations related to maintenance were investigated with semi-structured interviews, and maintenance practices were recorded during observations. It was found that outside supervision was a key motivating factor, and the existence of an operator who is supported by the …

Heavy Metal Accumulation In Urban Soil: A Phytoextraction Method Review, Diane M. Nelson

Dissertations, Master's Theses and Master's Reports

Lead (Pb), cadmium (Cd), and arsenic (As) are three common non-essential heavy metals found in urban soils and can prove toxic to animals, humans, and some plants at low concentrations. The main exposure pathways of heavy metals in humans are through ingestion and inhalation of soil particles and ingestion of contaminated food. When dealing with contaminated soil in urban environments, activities like urban gardening can increase the likelihood of these exposure pathways, so heavy metal toxicity from contaminated soil can become a greater risk with the increased interest in urban agriculture. The US EPA created target concentrations for these heavy …

Enhancing Osseointegration Of Orthopaedic Implants With Titania Nanotube Surfaces, Erin A. Baker

Dissertations, Master's Theses and Master's Reports

Introduction: As joint arthroplasty surgical procedures increase annually, the development of new strategies, including novel materials and surface modifications, to attain solid bone-implant fixation are needed to increase implant terms of service. In this study, we evaluate two morphologies of titania nanotubes in both in vitro and in vivo experiments to quantify osseointegrative potential and material-level biocompatibility.

Materials and Methods: Samples were prepared via an electrochemical etching process. Two different titania nanotube (TiNT) morphologies were produced, Aligned and Trabecular. For the in vitro experiment, Sprague Dawley (SD) rat marrow-derived bone marrow cells (BMC) were seeded on samples. Alkaline phosphatase (ALP) …

A Sustainability-Based Project Selection Algorithm: Socio-Technical-Economic Project Selection (Steps) Algorithm, Bharathi Bhattu

Dissertations, Master's Theses and Master's Reports

Multi-dimensional aspects play a vital role in the task of project-decision making. Environmental effects are to be considered in addition to other technical and non-technical aspects in order to avoid undue environmental damage. This current work introduces a new decision-making algorithm (Socio-Technical-Economic Project Selection or STEPS) that is demonstrated with the use of RCA (recycled concrete aggregate) as riprap for slope stabilization and erosion control which leaches chemical arsenic when in contact with water. Arsenic has long been recognized for its lethal properties. The main intention of introducing this new algorithm is to use sustainability concepts of social, technical, and …

Barriers To And Efficacy Of Point-Of-Use Chemical Drinking Water Treatment In Kolda, Senegal, West Africa, Barbara L. Michel

Dissertations, Master's Theses and Master's Reports

Hundreds of thousands throughout the Kolda region in southern Senegal rely on potentially contaminated well water as their drinking source. Chemical treatment of the water using a small amount of chlorine bleach has been shown to increase its safety for human consumption; however, the vast majority of people in the region do not disinfect water before they drink it. In this study, 97 individuals (47 water Treaters and 51 Non-Treaters) were surveyed on motivations and barriers towards bleaching or not bleaching their water, and microbiological field testing was undertaken to examine the effectiveness of treatment in the field. The microbial …

Modeling Impacts Of Combined Sewer Overflows In Swmm In Cleveland, Ohio, Zoe A. Miller

Dissertations, Master's Theses and Master's Reports

Despite its legacy of pollution, the City of Cleveland, Ohio, has historically been at the forefront of water quality management. Today, the Northeast Ohio Regional Sewer District (NEORSD), which serves the Greater Cleveland area, is following a consent decree with the State of Ohio to minimize combined sewer overflows (CSOs), along with implementing an integrated Clean Water Act planning study to prioritize infrastructure improvements with a broader view of water quality objectives. This report summarizes an urban watershed modeling effort to support the integrated planning (IP) process. Specifically, the development, calibration, and validation of the EPA Stormwater Management Model (SWMM) …

An Empirical Examination Of An Agile Contingent Project/Method Fit Model, Diana K. Young, N. L. Beebe, G. Dietrich, C. Z. Liu

School of Business Faculty Research

While research has demonstrated positive productivity and quality gains from using agile software development methods (SDMs), some experts argue that no single SDM suits every project context. We lack empirical evidence about the project contextual factors that influence when one should use these methods. Research suggests several factors to explain agile method appropriateness; however, generalizable empirical evidence supporting these suggestions is weak. To address this need, we used contingency theory and the information processing model to develop the agile contingent project/method fit model. Subsequently, we used the model to analyze the influence of project contextual factors and agile practices on …

Sglt2 Inhibitor Therapy Improves Blood Glucose But Does Not Prevent Diabetic Bone Disease In Diabetic Dba/2j Male Mice, Kathryn M. Thrailkill, R. Clay Bunn, Jeffry S. Nyman, Mallikarjuna R. Rettiganti, Gael E. Cockrell, Elizabeth C. Wahl, Sasidhar Uppuganti, Charles K. Lumpkin, John L. Fowlkes

Barnstable Brown Diabetes Center Faculty Publications

Persons with type 1 and type 2 diabetes have increased fracture risk, attributed to deficits in the microarchitecture and strength of diabetic bone, thought to be mediated, in part, by the consequences of chronic hyperglycemia. Therefore, to examine the effects of a glucose-lowering SGLT2 inhibitor on blood glucose (BG) and bone homeostasis in a model of diabetic bone disease, male DBA/2J mice with or without streptozotocin (STZ)-induced hyperglycemia were fed chow containing the SGLT2 inhibitor, canagliflozin (CANA), or chow without drug, for 10 weeks of therapy. Thereafter, serum bone biomarkers were measured, fracture resistance of cortical bone was assessed by …

Exploring New Chemical Entities From Traditional Medicine: Docking, Synthesis And Specific Bioactivities, Chinni Yalamanchili

Electronic Theses and Dissertations

Traditional medical systems contributed significantly to medicine with a number of their phytochemicals found to possess good biological properties. Recently, Dr. Youyou Tu was awarded the Nobel Prize (2015) for her discovery/isolation of Artemisinin from the TCM plant Artemisia annua. Our first aim is to identify active phytochemicals against botulinum neurotoxin A (BoNT/A), and diabetes from Ayurveda and TCM, respectively, by using in silico, in vitro and in vivo approaches. In our second aim, we wanted to enantioselectively synthesize scalable quantities of phytoestrogenic isoflavans such as equol and sativan. The following three chapters summarize results of the three research goals. …

Physical Activity Initiatives: Implications For Physical Activity Promotion, Allison Lea Nooe

Electronic Theses and Dissertations

The Exercise is Medicine (EiM) initiative and the National Physical Activity Plan (NPAP) are structured to promote an increase of physical activity at the population level. The primary vision of the EiM initiative is the assessment and prescription of exercise in a primary care clinical setting. The NPAP is a document presenting evidenced-based strategies and tactics across 8 different societal sectors that create opportunity for increased physical activity. Both initiatives offer valuable strategies in promoting physical activity among American citizens. However, little empirical research on these initiatives has been evaluated. Study I is entitled,Perceptions of the Exercise is Medicine®Initiative in …

The Calming Effects Of Modified Lighting, Jessica Foshee Simpson

Electronic Theses and Dissertations

This dissertation consists of three articles examining the effects of modified lighting on commonly observed behaviors in children diagnosed with behavior-based disabilities. Prior literature has evaluated the effect of lighting on academic skills. Unfortunately, there is an absence of evidence regarding the effect of lighting on behaviors. Taken together these three articles will clearly display the importance of carefully designing lighting in classrooms, specifically in classrooms that include children with behavior-based disabilities. The first article (Chapter 2) evaluates the effect lighting with low level illumination has on the behaviors commonly observed in a child diagnosed with Attention Deficit Hyperactivity Disorder …