Digital Commons Network^™

Like A Jar Of Flies? A Study Of Self-Control In An Organizational Social Dilemma With Large Stakes, Matthew W. Mccarter, Jonathan R. Clark, Darcy Fudge Kamal, Abel Winn

Business Faculty Articles and Research

We study the practice of self-control in an organizational social dilemma when the stakes are large, using 47 years of vital census data from 18^th century Sweden. From 1750 to 1800, eighty percent of Sweden lived in a simple-structure organization called a bytvång or village commons. The amount of resources a village family received was a function of their size. During this period, crop failures left the population facing starvation. Using autoregressive time-series modeling, we test whether the people of Sweden continued to take steps toward increasing the stress on the commons by marrying and birthing children or practiced …

Retinopathy Of Prematurity: A Major Review And Situation Analysis In Egypt, Ihab S. Othman

Journal of Medicine in Scientific Research

Retinopathy of prematurity (ROP) remains a major cause of childhood blindness in developing countries. As childhood and neonatal mortality in Egypt has shown tremendous improvement over the past two decades, it is expected to encounter an increasing number of cases of blindness from ROP in surviving infants unless strict guidelines and cooperation between different involved departments are explicitly set. In this review article, the author highlights the studies conducted and published risk factors, recommends protocols for early diagnosis, and describes management strategies to lessen or prevent blindness related to ROP.

Osteochondral Autologous Transplantation As A Treatment Of Osteochondral Defects Of The Talus, Sameh S. Alsafty

Journal of Medicine in Scientific Research

Background For many years, osteochondral defects of the talus has been known as a symptomatic lesion that causes pain, recurrent synovitis, altered joint mechanics, and obstruction from loose bodies. It is a probable precursor of ankle osteoarthritis. Arthroscopic procedures, such as debridement, retrograde drilling, and bone grafting have a great advantage in treating small defects. An open method can be considered for treatment of large osteochondral lesions and unstable osteochondral defect lesions. Objective To present the functional results after autologous osteochondral transplantation in 12 patients using open surgical technique by antromedial approach and antrolateral approach for the ankle according to …

Epidural Bupivacaine And Dexmedetomidine Versus Bupivacaine And Opioids For Lower Vascular Surgery, Amir S. M. Melika, Ashraf Abd El Hameed Mahmoud Soliman

Journal of Medicine in Scientific Research

Objective The purpose of this study was to assess dexmedetomidine as an adjuvant to bupivacaine as a good alternative to other adjuvants like fentanyl in epidural anesthesia. Patients and methods Ninety patients between the age of 40 and 60 years with American Statistical Association status I–III planned for elective lower abdomen surgery were enrolled in a double-blind comparative study. Patients were randomized to one of three group: group A (n = 30) patients received bupivacaine, group B (n = 30) patients received bupivacaine and fentanyl, and group D (n = 30) patients received bupivacaine and dexmedetomidine. Result …

Psychological Respect For Patients With Breast Cancer Using Radial Incision Which Gives Better Cosmetic Outcome After Conservative Breast Surgery, Adel K. Barsoum, Hytham R. Yassin

Journal of Medicine in Scientific Research

Background Breast cancer is considered as one of the most common cancers affecting women, and remains one of the world's biggest killers. Once diagnosed as a breast cancer patient, a woman can be exposed to psychological trauma that is manifested as stress, anxiety, and even depression. Since surgery is the most important part of breast cancer management protocol, the first time a woman looks to her body after surgery can be harmful. Despite this gloomy picture, there have been some dramatic modifications recently in the treatment of breast cancer, especially in early detected tumors. One of them is the clear …

Transcription Factor 7-Like 2 Rs7903146 Polymorphism And Therapeutic Response To Sulfonylureas In Patients With Type 2 Diabetes, Ashraf A. Ismail, Ghada A. Omar, Ghada S. Mohamed, Ola Sayed M. Ali

Journal of Medicine in Scientific Research

Background Transcription factor 7-like 2 (TCF7L2) variations were related to a modified hypoglycemic reaction to sulfonylureas (SUs) in patients with type 2 diabetes mellitus (T2D). Aims The aim of the present work was to show the relationship between TCF7L2 rs7903146 polymorphism and the hypoglycemic reaction to SUs in T2D patients. Patients and methods We enlisted 54 already diagnosed T2D patients who were treated with SUs. Utilizing secondary SU treatment failure, defined as glycated hemoglobin more than 7%, they were divided into two groups: responders and nonresponders. We genotyped the TCF7L2 rs7903146 single-nucleotide polymorphism by utilizing TaqMan allelic discrimination assay-based real-time …

The Role Of Urinary Hepcidin In Early Detection Of Iron Deficiency Anemia, Aisha El Sheimy, Azza Omran, Fify Helmy, Hala I. Mouhamed, Sohaila Ali, Youssof Mohamed

Journal of Medicine in Scientific Research

Iron deficiency anemia (IDA) is one of the most severe and important nutritional deficiencies, especially in children all over the world. Iron deficiency may occur because of inadequate dietary intake, increase in physiological needs of the nutrient, and/or increased losses, which may lead to anemia. IDA has been associated with cognitive, motor, and behavioral impairment in children. The most commonly used tests to determine iron status include serum iron levels, ferritin, and others. However, these test have limited role in diagnosis of IDA. For this reason, there is great interest in investigating effective method for the diagnosis of IDA. The …

Renal Function And Diabetic Foot Ulcer, El-Saied Shaheen, Feisal Goda, Helmy M. Elshazly

Journal of Medicine in Scientific Research

Introduction Diabetic nephropathy has been identified as an essential risk factor for foot ulceration and amputation. Renal failure has been reported to independently predict the risk of nonhealing ischemic and neuroischemic foot lesions and major amputation. Objective In this study, we aimed at assessing the renal function of diabetic foot infected patients. Patients and methods We included 120 patients with type 2 diabetes mellitus, patients participated from the medical and surgical unit, Shebin El Kom Teaching Hospital, Egypt. They were divided into two main group; group 1 included 80 patients with an active diabetic foot ulcer (DFU) and group 2 …

Mitral Annular Calcification Predicts Coronary Artery Disease In End-Stage Renal Disease Patients On Hemodialysis, Amir S. Michael

Journal of Medicine in Scientific Research

Background Mitral annulus calcifi cation ( MAC) is a chronic, degenerative process of the fi brous support structure of the mitral valve. The reported prevalence of MAC is between 8 and 15%, but it signifi cantly increases with age and in patients with multiple cardiovascular risk factors or chronic kidney disease. Aim The aim of this study was to determine whether MAC predicts coronary artery disease in a group of end-stage renal disease patients. Patients and Methods Twenty-three patients with ESRD on hemodialysis referred for coronary angiography were prospectively studied. Results This study included 23 patients, MAC was seen in …

Anti-Acetylcholine Receptor Antibodies As A Diagnostic Marker For Myasthenia Gravis, Aisha El-Shimy, Hala I. Mohamed, Iman Kamel, Magdy Khalaf, Youssof Abd El Motamad

Journal of Medicine in Scientific Research

Background Myasthenia gravis (MG) is a common primary disorder of neuromuscular transmission, which is characterized by fluctuating weakness of a certain voluntary muscles, particularly those innervated by motor nuclei of the brain stem, that is, ocular and mastication muscles, and caused by antibodies binding to components in the neuromuscular junction. Most MG cases demonstrate elevated serum levels of acetylcholine receptor (ACh-R) antibodies, which cause partial or complete inhibition of receptor function and complement-mediated focal lysis of the postsynaptic membrane. ACh-R antibodies are detected in the serum of more than 80–90% patients with generalized MG, in ~50% with ocular myasthenia, and …

D-Dimer, Von Willibrand Factor, And Adamts13 In Renal Transplant Recipients, Ahmed Hassan, Azza A. I. Elmenyawi

Journal of Medicine in Scientific Research

Introduction Chronic kidney disease and renal transplants are associated with activation of coagulation. Microvascular thrombosis and fibrinolytic disorders have been recognized as main causes of allograft rejection in renal transplant recipients. Aims The aim was to evaluate D-dimer, Von Willibrand factor (VWF), and ADAMTS13 activity plasma levels in renal transplant recipients and investigate the association of these parameters and creatinine plasma levels, estimated glomerular filtration rate (eGFR), and time after transplantation. Participants and methods A total of 40 renal transplant recipients clinically stable at National Institute of Urology and Nephrology, 5–192 months after transplantation were enrolled in the study. Dimer, …

Effect Of Digital Wireless Technology On The Language Development Of Children With Cochlear Implants, Abir Omara, Azza Azzam, Azza Samy, Eman Ghorab, Iman El-Rouby, Soha Hamada

Journal of Medicine in Scientific Research

Introduction Hearing is the principal sensory modality by which language and speech are acquired. For that reason, a child with hearing loss whose family chooses an auditory approach for learning language must have as much exposure to high-quality auditory stimulation as possible. Both hearing aids and cochlear implants (CI) are best in quiet and close places, but not so good at a distance, in noise or when sounds bounce around. Children with CI have significant difficulty in hearing conversational speech in the presence of background noise. They may have difficulty understanding soft speech signals due to distance and reverberation. Assistive …

Post-Traumatic Multiplanar Knee Deformity Correction Using Taylor Spatial Frame Fixator, Sameh S. Alsafty

Journal of Medicine in Scientific Research

Background Multiplanar knee deformity needs correction in different axes; this can be achieved by the Ilizarov system, which utilizes the hinges and translation mechanism; this needs an effort or orientation and gradual correction. The Taylor spatial frame (TSF) fixator solves this problems; it consist of two rings or partial rings connecting by six telescopic struts at special universal joints. Patients and methods The study included six patients with complex post-traumatic knee deformity. They had genu varus, recurvatum, and shortening; two female individuals and four male individuals, with an age range from 16 to 20 years comprised our study sample. The …

Results Of Compression Plating Versus Locked Intramedullary Nailing Fixation In The Treatment Of Humeral Shaft Fractures In Adults, Ahmad Shawakat Rizk, Hassan Hussein Ahmad Abdallah, Mohammed Gamal El Din Al Ashahab, Said Ibrahim Said Abdelmotalb

Journal of Medicine in Scientific Research

Background Most humerus shaft fractures can be treated successfully using the conservative methods. When choosing surgical fixation, there is a debate between the use of plate and screws and intramedullary nails. Aims The aim of this study was to compare the results of the dynamic compression plate and the antegrade interlocked humeral nail in the fixation of humerus shaft fractures. Patients and methods A total of 40 patients were selected by a randomized method to be treated by either method; there were 20 patients in each group and patients were followed up for at least 6 months until union. Result …

Evaluation Of Knowledge, Attitude, And Practice Of Adverse Drug Reactions Reporting Among Doctors And Nursing Staff Of A Rural Tertiary Care Teaching Hospital Of Maharashtra, Sanyukta M. Patil, Satish E. Bahekar

Journal of Medicine in Scientific Research

Context The adverse drug reactions (ADRs) are of great concern for any health care set ups as they directly or indirectly cost in terms of disability, prolongation of hospital stay, or even death. Hence, regular and timely reporting of ADR is of great importance, especially in treating doctors and nursing staff. Aims The main aim of this study was to assess the knowledge, attitude, and practice (KAP) of ADR reporting among doctors and nurses of tertiary care teaching hospital. Settings and design This was a prospective, cross-sectional questionnaire-based study that included 50 doctors and 50 nurses from the clinical departments …

Implementation Of National Action Plans On Noncommunicable Diseases, Bhutan, Cambodia, Indonesia, Philippines, Sri Lanka, Thailand And Viet Nam, Titiporn Tuangratananon, Sangay Wangmo, Nimali Widanapathirana, Suladda Pongutta, Shaheda Viriyathorn, Walaiporn Patcharanarumol, Kouland Thin, Somil Nagpal, Christian Edward L. Nuevo, Retna Siwi Padmawati, Maria Elizabeth Puyat-Murga, Laksono Trisnantoro, Kinzang Wangmo, Nalida Wellappuli, Phuong Hoang Thi, Tuan Khuong Anh, Thinley Zangmo, Viroj Tangcharoensathien

Health Sciences Faculty Publications

By 2016, Member States of the World Health Organization (WHO) had developed and implemented national action plans on noncommunicable diseases in line with the Global action plan for the prevention and control of noncommunicable diseases (2013–2020). In 2018, we assessed the implementation status of the recommended best-buy noncommunicable diseases interventions in seven Asian countries: Bhutan, Cambodia, Indonesia, Philippines, Sri Lanka, Thailand and Viet Nam. We gathered data from a range of published reports and directly from health ministries. We included interventions that addressed the use of tobacco and alcohol, inadequate physical activity and high salt intake, as well as health-systems …

Structured Diet And Exercise Guidance In Pregnancy To Improve Health In Women And Their Offspring: Study Protocol For The Be Healthy In Pregnancy (Bhip) Randomized Controlled Trial, Maude Perreault, Stephanie A. Atkinson, Michelle F. Mottola, Stuart M. Phillips, Keyna Bracken, Eileen K. Hutton, Feng Xie, David Meyre, Rita E. Morassut, Harry Prapavessis, Lehana Thabane

Anatomy and Cell Biology Publications

BackgroundEvidence from epidemiological and animal studies support the concept of programming fetal, neonatal, and adult health in response to in utero exposures such as maternal obesity and lifestyle variables. Excess gestational weight gain (GWG), maternal physical activity, and sub-optimal and excess nutrition during pregnancy may program the offspring's risk of obesity. Maternal intake of dairy foods rich in high-quality proteins, calcium, and vitamin D may influence later bone health status. Current clinical practice guidelines for managing GWG are not founded on randomized trials and lack specific active intervention ingredients. The Be Healthy in Pregnancy (BHIP) study is a randomized controlled …

Community-Based Literacy Learning Spaces As Counterhegemonic Figured Worlds For African American Readers, Melanie M. Acosta, Shaunté Duggins

Reading Horizons: A Journal of Literacy and Language Arts

Community-based literacy learning spaces are crucial to the enduring African American pursuit of literacy. This article reports findings from a study exploring the impact of a community-based literacy tutoring program for African American readers in grades 3-5. Findings also report on ways the community literacy site was similar to historic African American figured communities. Mixed methods analysis revealed significant improvements in decoding, and counternarratives that existed with the figured community cultivated by community volunteers. Taken together, both highlight the powerful role communities’ can play in promoting African American student success. Recommendations for community organizations, teacher educators, and literacy researchers are …

Seasonality Of Nitrogen Balances In A Mediterranean Climate Watershed, Oregon, Us, Jiajia Lin, Jana E. Compton, Scott G. Leibowitz, George Mueller-Warrant, William Matthews, Stephen H. Schoenholtz, Daniel M. Evans, Rob A. Coulombe

United States Environmental Protection Agency: Publications

We constructed a seasonal nitrogen (N) budget for the year 2008 in the Calapooia River Watershed (CRW), an agriculturally dominated tributary of the Willamette River (Oregon, U.S.) under Mediterranean climate. Synthetic fertilizer application to agricultural land (dominated by grass seed crops) was the source of 90% of total N input to the CRW. Over 70% of the stream N export occurred during the wet winter, the primary time of fertilization and precipitation, and the lowest export occurred in the dry summer. Averaging across all 58 tributary subwatersheds, 19% of annual N inputs were exported by streams, and 41% by crop …

A Simulated Learning Experience In Advanced Care Planning Conversations, Brandy Ellis

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Background: The CDC (2012) reports that 1/3 of Americans have no advance care planning (ACP), which is essential for maintaining autonomy when people are no longer able to communicate wishes directly. IOM (2014) reports that providers have limited training in communication techniques and low confidence in holding advanced care planning conversations. Nursing simulation is an effective method of teaching clinical skills in a safe environment. The development of a high fidelity (HF) standardized patient simulation, using the Jeffries Simulation Framework, combined with evidence-based practice classroom curriculum, may increase knowledge and confidence in holding ACP conversations for nurse practitioner students.

Methods: …

But Are They Actually Healthier? Challenging The Health/Wellness Divide Through The Ethnography Of Embodied Ecological Heritage, Kristina Baines

Publications and Research

A holistic definition of ‘health’ remains difficult to operationalize, despite decades of attempts by medical anthropologists and the World Health Organization to do so. Anthropologists routinely reject dichotomous notions – belief vs. knowledge, wellness vs. health, mental vs. physical, environment vs. self – yet demands for physiological evidence of ‘health’ persist. In this article, I ask what evidence would sufficiently demonstrate health, and explore the possibility of measures that move beyond the physiological. Using ethnographic data collected in indigenous Maya communities in Belize and in immigrant communities in New York City, I argue that ecological heritage practices can provide a …

Hotline Press Newspaper- December 2018 Vol 34 No 36, Hotline Press Newspaper

Hotline Press Newspaper 2018

No abstract provided.

Review Of "Pragmatic Encroachment In Epistemology" Edited By B. Kim And M. Mcgrath, Peter Baumann

Philosophy Faculty Works

No abstract provided.

Bhatia Receives Award From The American Society Of Pediatric Hematology/Oncology, Brit Blalock

Browse All News

No abstract provided.

Dean's Message: Five Years Of Progress And Beyond, Selwyn M. Vickers Md

Browse All News

No abstract provided.

Six Key Components Of A Farm Or Ranch Business Plan, Jay Parsons

Cornhusker Economics

Developing a good farm or ranch business plan can have many benefits. In an earlier Cornhusker Economics article, I outlined six good reasons to develop a business plan (Parsons 2015). It helps to get your business organized and moving in the right direction. It lets your lender know you have a plan to succeed, which opens up your access to capital. It also helps you organize your thoughts, clarifying the goals and objectives you wish to achieve. In summary, putting together a written business plan increases the likelihood of your business achieving success (Scarborough 2011).

Unh Researchers Find Lasting Impact Of Concussions On Young Adults, Robbin Ray

Media Relations

No abstract provided.

Unh Research Finds Recreationists Support Offshore Wind Energy Development, Robbin Ray

Media Relations

No abstract provided.

Uab International Medical Education Partners With Chung Shan Medical University For Medical Student Exchange Program, Brit Blalock

Browse All News

No abstract provided.

Front Matter And Table Of Contents

University of Miami Business Law Review

No abstract provided.