Digital Commons Network^™

Facts About Asthma Insights And Treatment Regimen: A Hospital Based Survey, Krishnananda Prabhu

Manipal Journal of Medical Sciences

Background: Bronchial asthma is the most prevalent chronic lung diseases. Morbidity and mortality associated with asthma has also continued to increase despite advances in treatment and management. Asthma vary from region to region due to the variability of extrinsic allergens that play a major role in sensitizing susceptible individuals. As an allergenic disease, environmental factors are of more importance than genetic factors in the etiology of bronchial asthma. Patient awareness and treatment regimen have a strong influence on outcome and stabilization of asthma. Objective: This survey was to evaluate the knowledge about triggering factors and treatment regimen among asthma patients. …

Managing Excess Inventory Of Stores In A Hospital, Naveen Kumar

Manipal Journal of Medical Sciences

Inventory costs in hospitals vary from 30 to 40 percent of the hospital operating costs per year. Inventories are materials and supplies that a hospital carries for patient care. Often, they are a substantial part of the total assets of a hospital. Quick liquidation is imperative in real-time scenarios like value recovery, getting rid of excess material or bringing down logistics cost. Due to poor handling of finances by purchase managers without prior retail management education – the ordering systems, vendor payments management of the hospitals will not be ideal, which will affect vendor relations. In this scenario, this study …

Role Of Statins In Covid-19, Bharti Chogtu

Manipal Journal of Medical Sciences

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School Absenteeism Among Adolescent Girls Due To Menstruation Related Issues – A Cross-Sectional School Based Study, Parul Malik

Manipal Journal of Medical Sciences

Introduction: Problems related to menstruation are one of the most common issues faced by adolescent girls all over India. To improve academic performances among adolescent girls and to reduce menstruation-related school absenteeism, it is important to understand and address the factors affecting school absenteeism during menstruation. Methods: This was a school-based survey conducted for six months from January to June 2019 in the Udupi district of Karnataka State. A semi-structured questionnaire with four domains, namely - sociodemographic variables, awareness on menstruation, menstrual products used and school absenteeism due to menstruation was administered. 1546 responses were received. Results: The participants of …

Let Nutrition Be Your Vaccine Amid Covid-19- A Narrative Review, Vidya Rajesh

Manipal Journal of Medical Sciences

There has been a growing body of evidence highlighting the radical effect of nutrition on the immune system and disease susceptibility. The current COVID-19 crisis awakens an urgent calling for optimum nutrition which boosts immunity and prevents diseases, just like a vaccine. Though there have been several national guidelines regarding diet during COVID-19, there has been sparse research and literature available in this field. This review aims to summarise the existing evidence on various aspects of nutrition and immunity pertaining to the COVID-19 crisis. Literature and search strategy included PubMed and Google Scholar for articles on various aspects of nutrition …

Digital Revolution During Covid-19 Era, Monalisa Biswas

Manipal Journal of Medical Sciences

Triaging is of utmost importance in any pandemic and is essential in the present COVID-19 times when we are witnessing an enormous number of our population being affected by the novel coronavirus. Further, it is important to acknowledge the varied spectrum of manifestations among our patients with each patient needing a tailored protocol and facilitating in gaining an understanding of the epidemiology and disease pathophysiology. The rapid spread of COVID-19 and shortage of health care personnel in a developing country like India needs immediate and effective health technology to triage COVID suspects thereby reducing doctor – suspects’ contact and monitor …

“Sampark Snehi”: Telemedicine Consultation In Covid-19 Times At A Private Medical College Hospital – Digitalised Solution, Vijetha Belle

Manipal Journal of Medical Sciences

Every life is precious and every patient matters: In a country with 5.5 government beds for 10,000 population, even a marginal increase in hospitalization increases the pressure on the system exponentially. The spread of COVID-19 has kindled the need for transformation from traditional face-to-face doctorpatient communication to a telehealth platform. During the lockdown, reduced access to both outpatient and hospitalization services is proving to be fatal for countless non-covid patients. Taking lead in addressing the health care needs and demands of the society we cater to, E-consultation which has been initiated by most of the medical colleges providing tertiary care, …

Post-Partum Haemorrhage - The Ultimate Challenge To Emergency Medicine, Akshata Ammembal

Manipal Journal of Medical Sciences

Post-partum haemorrhage (PPH) is a leading cause of maternal mortality globally. This report elaborates the diagnosis and treatment of a 31-year-old woman with PPH, treated in our tertiary centre. On presentation, she showed all signs of hypovolemic shock and disseminated intravascular coagulation (DIC). Persistent fresh vaginal bleeding led to the decision to perform an emergency hysterectomy. She required massive transfusion but consequently developed transfusion-associated lung injury (TRALI), for which she was effectively treated. She made a full recovery leading to discharge 12 days after admission. This article stresses the importance of the multi-disciplinary approach and rapid, coordinated management of emergency …

Metastatic Genital Crohn’S Disease: Visceral Devil In The Details- A Case Report, Soumya Kanti Datta

Manipal Journal of Medical Sciences

Crohn’s disease (CD) is a chronic inflammatory bowel disease (IBD) commonly associated with extraintestinal manifestations such as arthritis, uveitis, deep venous thrombosis and erythema nodosum. Asymmetrical labial swelling and edema are the most common presentations of genital CD in females. Vulval CD can appear before or after gastrointestinal (GI) CD or it may occur simultaneously with an independent course of disease and response to treatment. Here we discuss an atypical case of metastatic vulvar CD presenting as perineal and perianal ulcers and erosions successfully treated with oral doxycycline and topical corticosteroids hence making it an exciting new treatment avenue to …

Inclusive And Implementable Legal Rules For E-Commerce: A Comparative Study Of Indonesia And Vietnam, Ngoc Nguyen Thi Bich, Phan Quoc Nguyen

Indonesia Law Review

Both Vietnam and Indonesia have large populations that promise major markets for e-commerce. The two nations record high internet coverage and large numbers of social media users. Recently, the countries have been trying to support e-commerce with new legal rules. In November 2019, Indonesia’s government introduced Government Regulation No. 80 of 2019 on Trading through Electronic Systems (GR 80, 2019). GR 80 requires e-commerce businesses to obtain business licenses, report taxes, and preserve consumer protections and rights. Similarly, Vietnam has issued a number of resolutions and guidelines since its Decree on E-Commerce in 2013 (Decree No. 52/2013/NĐ-CP). While these legal …

Removal Of Mimosine From Leucaena Leucocephala (Lam.) De Wit Seeds To Increase Their Benefits As Nutraceuticals, Sri Wardatun, Yahdiana Harahap, Abdul Mun'im, Fadlina Chany Saputri Dr., Noorwati Sutandyo

Pharmaceutical Sciences and Research

The Leucaena leucocephala (Lam.) de Wit tree contains pharmacologically active compounds and can easily be found in abundant quantities. The utilization of this tree as a source of nutraceuticals would increase its value. The extraction yields show the number of compounds that have been extracted by solvent. However, Leucaena leucocephala (Lam.) de Wit seeds also contain mimosine, which can cause hair loss. The present study investigated the process of removing mimosine from the seeds. Three treatments were applied to these seeds: treatment without soaking, soaking with distilled water for 24 hours, and splitting the seeds in half and then soaking …

Antioxidant And Antiaging Assays Of Ageratum Conyzoides (L.) Ethanolic Extract, Afifah B. Sutjiatmo, Novi Edriayani, Tira Endang Mulyasari, Faizal Hermanto, M. Fahrauk, Elin Y. Sukandar, Hanna Sari Widya Kusuma, Rizal Rizal, Wahyu Widowati

Pharmaceutical Sciences and Research

The declining ability of tissues to repair or replace themselves and maintain their structure and normal function is called aging. Aging is caused by free radical that can induce the activation of elastase and collagenase. Ageratum conyzoides (L.) or known as Babadotan is a medicinal plant that has been reported to be a good source of antioxidants that also inhibit aging process. The purpose of this research is to evaluate the antioxidant and antiaging properties of Babadotan Ethanolic Extract (BEE). Franswoth method was used to determine the phytochemical assay of BEE. Measurement of 2,2-diphenyl 1-picrylhydrazyl (DPPH) scavenger was used for …

Cotrimoxazole Prophylaxis Increases Resistance Gene Prevalence And Α-Diversity But Decreases Β-Diversity In The Gut Microbiome Of Human Immunodeficiency Virus-Exposed, Uninfected Infants, Alaric W D'Souza, Eshia Moodley-Govender, Bertram Berla, Tejas Kelkar, Bin Wang, Xiaoqing Sun, Brodie Daniels, Anna Coutsoudis, Indi Trehan, Gautam Dantas

2020-Current year OA Pubs

BACKGROUND: Prophylactic cotrimoxazole treatment is recommended in human immunodeficiency virus (HIV)-exposed, uninfected (HEU) infants, but the effects of this treatment on developing HEU infant gut microbiotas and resistomes are largely undefined.

METHODS: We analyzed whole-metagenome sequencing data from 163 longitudinally collected stool samples from 63 HEU infants randomized to receive (n = 34; CTX-T) or to not receive (n = 29; CTX-N) prophylactic cotrimoxazole treatment. We generated taxonomic, functional pathway, and resistance gene profiles for each sample and compared microbiome signatures between the CTX-T and CTX-N infants.

RESULTS: Metagenomic analysis did not reveal significant differences in taxonomic or functional pathway …

Assessment Of Location Suitability, Health And Safety Practices In Petrol Filling Stations, Ilorin, Nigeria, S.O. Olokoba, O.A. Mokuolu, Y. Magaji

Platform: A Journal of Engineering (PAJE)

The recent proliferation of petrol flling stations in Ilorin town was assessed with the use of both site analysis report and questionnaire. In order to achieve the aim of this research, 43 petrol flling stations were systematically chosen and physically analyzed. More also, 150 carefully structured questionnaires were used to extract information from respondents who are attendants in these petrol flling stations. The results gotten from both the site analysis and questionnaire were subjected to Department of Petroleum Resources’ standard criteria (Nigeria) and criteria of the Petroleum Enforcement Liaison (or simply the RED GUIDE) from the UK. It was established …

2020-12-31 Message From The President, Morehead State University. Office Of The President.

Staff Congress Records

A letter from the Office of the President sent to students on December 31, 2020 regarding the spring semester and return to campus.

Banco Central De La Republica Argentina - 2020 Financial Statements, Argentina: Banco Central De La Repãºblica

Documents

No abstract provided.

Hospitalized Adult Patient Characteristics Associated With Participation In A Volunteer-Assisted Mobility Program: A Feasibility Study, Gordana Dermody, Tamara Odom-Maryon, Jennifer Zimmerman, Courtney Glass

Research outputs 2014 to 2021

Background: Physical inactivity during hospitalization commonly results in functional decline. Structured multidisciplinary programs/approaches may be useful to promote mobility in hospitalized adults.

Purpose: The purpose was to determine whether a volunteer-assisted mobility program was feasible to improve the ambulation of hospitalized patients, and examine the characteristics of patients associated with willingness to participate in the program.

Methods: A prospective descriptive correlation study was conducted in 2 acute care units. A volunteer-staffed program was implemented with the aim of improving the ambulation of hospitalized patients.

Results: Hospitalized patients (N = 490) were approached, with 39.2% (n = 192) agreeing to ambulate …

Where The Deer And The Antelope Play:Conserving Big Game Migrations As An Endangered Phenomena, Temple Stoellinger, Heidi J. Albers, Arthur Middleton, Jason F. Shogren, Robert Bonnie

Duke Environmental Law & Policy Forum

In the American West, high-profile big game species including mule deer, antelope, elk, moose, bison and bighorn sheep use large landscapes to migrate between winter and summer habitats to obtain the resources they need to survive. The big game species are a vital part of the West’s ecology, economy, and culture and are valued by local, national, and international stakeholders. Thanks to large parcels of private and public land and a low human population, many parts of the American West still provide some of the best big game habitats in the world. But these vast, intact landscapes are under threat …

The Quality Of Peace In Post-Conflict Situation: A Comparative Study Between Armed Conflicts In Aceh And Bangsamoro, Ikhwan Rahmatika Latif, Dyah Mutiarin, Achmad Nurmandi

Global: Jurnal Politik Internasional

This article investigates the quality of peace in armed conflicts that occurred in the Southeast Asia region. The authors compared the cases of Aceh, where the armed conflict between the Free Aceh Movement or GAM and the government of Republic Indonesia ended peacefully with the Helsinki Memorandum of Understanding, with the conflict in the southern Philippines, where a peace agreement, the Comprehensive Agreement on the Bangsamoro, was successfully achieved between the government of Philippines and the Moro Islamic Liberation Front. This research employed document analysis to analyse the peace settlement documents of both parties and the derivative laws of the …

Indonesia's Involvement In The Afghanistan Peacebuilding Process, Fabian Nur Farizan, Dudy Heryadi

Global: Jurnal Politik Internasional

This article aims to understand and analyse Indonesia's involvement in ensuring peace, especially in peacebuilding efforts in Afghanistan. Indonesia’s commitment to improve its peace efforts in Afghanistan was expressed by President Joko Widodo during his visit to Kabul in 2018. This research used Lederach’s pyramid model of peacebuilding as the primary analysis tool. Lederach’s pyramid model identifies three approaches to peacebuilding, along with the main actors in the population affected by the conflict—namely top leadership, middle range leadership, and grass-root leadership. The results of the study show that Indonesia's involvement in Afghanistan in peace efforts has been carried out at …

The Moderation Of Frente Farabundo Martí Para La Liberación Nacional’S Economic Orientation In El Salvador, 2009-2019, Petrus Putut Pradhopo Wening

Global: Jurnal Politik Internasional

Frente Farabundo Martí Para la Liberación Nacional (FMLN) was a Marxist guerrilla group, known for its activities in the 1980s and 1990s to seize El Salvador’s government through war. Post-peace accords, FMLN transformed into an electoral political party and successfully won to lead the government of El Salvador in 2009-2019, but then they compromised their economic policies to suit neoliberalism. This article uses Gill and Law’s conceptualisation of the theory of direct and structural power of capital to explain the causes of FMLN’s neoliberalism-compromising economic policy adjustment in 2009-2019. This article finds that El Salvador’s social and political-economy historical dynamics, …

The Role Of Global Civil Society At The Local Level In Climate Change Mitigation: A Case Study Of Earth Hour’S Activities In Malang, Najamuddin Khairur Rijal

Global: Jurnal Politik Internasional

This study examines the role of global civil society at the local level in climate change mitigation. Climate change issue is one of the global issues that is responded at the local level, as the impact of the problem concerns the universal livelihood of the world’s population. This study focuses on Earth Hour’s activities in the Malang region as a part of a global civil society. This research uses global civil society and its role in environmental governance as the analytical framework. The data are collected through documentation studies and interviews. The results show that Earth Hour Malang’s activities have …

Preconceptional Lipid-Based Nutrient Supplementation In 2 Low-Resource Countries Results In Distinctly Different Igf-1/Mtor Placental Responses, Marisol Castillo-Castrejon, Ivana V. Yang, Elizabeth J. Davidson, Sarah J. Borengasser, Purevsuren Jambal, Jamie Westcott, Jennifer F. Kemp, Ana Garces, Sumera Aziz Ali, Sarah Saleem

Community Health Sciences

Background: Preconceptional maternal small-quantity lipid-based nutrient supplementation (SQLNS) improved intrauterine linear growth in low-resource countries as demonstrated by the Women First Preconception Maternal Nutrition Trial (WF). Fetal growth is dependent on nutrient availability and regulated by insulin-like growth factor 1 (IGF-1) through changes in placental transfer capacity, mediated by the mechanistic target of rapamycin (mTOR) pathway.
Objectives: Our objective was to evaluate the role of placental mTOR and IGF-1 signaling on fetal growth in women from 2 low-resource countries with high rates of stunting after they received preconceptional SQLNS.
Methods: We studied 48 women from preconception through delivery who were …

Front Matter, Vol. 80 No. 4

Western North American Naturalist

No abstract provided.

Data Governance And The Elasticity Of Sovereignty, Roxana Vatanparast

Brooklyn Journal of International Law

Traditionally, the world map and territorially bounded spaces have dominated the ways in which we imagine how states govern, make laws, and exercise their authority. Under this conception, reflected in traditional international law principles of territorial sovereignty, each state would have exclusive authority to govern and make laws over everything concerning the land within its borders. Yet developments like the proliferation of data flows, which are based on divisible, mobile, and interconnected components of data, are not territorially bounded. This presents a challenge to the traditional bases for territorial sovereignty and jurisdiction under international law, which some scholars claim is …

Functional Statehood In Contemporary International Law, William Thomas Worster

Brooklyn Journal of International Law

The international community lacks a form of territorial-based, international legal personality distinct from statehood, and yet, non-state, territorial entities of varying degrees of autonomy or independence need to function within the international community in some form. Some of these entities cannot be recognized as states because their creation violates jus cogens norms, though others are not recognized based on an assessment that they may not fully qualify as a state or that there are political reasons to refuse recognition. However, existing states still need to engage with these territorial quasi-states through the only paradigm the international community has—statehood. For example, …

Research News. Publications, 2020. Volume 4, Soumyajit Majumdar

Publications (2015-)

Publications that appeared during the period October 1 through December 31, 2020

Research News. Grants, 2020. Volume 4, Soumyajit Majumdar

Grants (2015-)

Grants and contracts awarded during October - December 2020

Sources Of Nutrition Information In Recreational Ultra-Marathon Runners: A Mixed Methods Analysis, Sara E. Mahoney, Thomas R. Wójcicki, Andrew J. Carnes

Journal of Human Performance in Extreme Environments

Ultra-marathon events (i.e., .42.2-km) continue to grow in popularity; however, little is known regarding the sources of nutrition information which inform their beliefs and habits. The objective of this study was to characterize the acquisition of sport-specific nutrition information among ultra-endurance athletes using a mixed methods design. Qualitative data were collected through focus groups and analyzed using thematic analysis. Three primary higher order themes were identified: Optimal Diet for Ultra-Endurance Athletes, Common Sources of Information, and Barriers to Scientific Information. Then, a self-report inventory (Sources of Nutrition Information-SONI questionnaire) was developed to assess common sources of nutrition information and characterize …

400 W. 59th St. Partners Llc V. Oyolesi

All Decisions

No abstract provided.