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2020

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The Cresset (Vol. Lxxxiii, No. 3, Lent), Valparaiso University Feb 2020

The Cresset (Vol. Lxxxiii, No. 3, Lent), Valparaiso University

The Cresset (archived issues)

No abstract provided.


Affording Obamacare, Isaac ("Zack") D. Buck Feb 2020

Affording Obamacare, Isaac ("Zack") D. Buck

Scholarly Works

As it approaches its tenth birthday, the Patient Protection and Affordable Care Act (ACA) is devolving. Intended to solve problems that had vexed American health care for generations, the ACA built a comprehensive structure by providing more Americans with accessible health insurance, reordering the private insurance market, expanding and reconfiguring Medicaid, and installing rational incentives into America’s health care enterprise. Without question, it was the most important piece of health care legislation since the mid-1960s, and it brought about positive change for millions of Americans.

However, over its short lifespan, the ACA has faced persistent practical, popular, and policy-based challenges. …


An Examination Of The Global Refugee Crisis - How Have We Hurt? How Can We Help? - With Special Emphasis On Enhancing Resilience In The Somali Population Resettled In Columbus, Ohio, Jean Ollis Feb 2020

An Examination Of The Global Refugee Crisis - How Have We Hurt? How Can We Help? - With Special Emphasis On Enhancing Resilience In The Somali Population Resettled In Columbus, Ohio, Jean Ollis

Doctor of Ministry

More than 45,000 Somali refugees have been resettled in Columbus, Ohio— second in density only to Minneapolis-St. Paul, Minnesota. There is limited research on factors influencing resiliency among this population. This study utilized qualitative research methodology, including stakeholder interviews, stakeholder focus group, and literature review to understand the global, national, and local policies, resources, and cultural attitudes and biases that contribute to Somalian refugees’ struggle with resettlement in Columbus, Ohio.

The Declaration of Human Rights as the foundation of The United Nations High Commissioner for Refugees is explored as well as a timeline of how immigration and refugee policies have …


The Pulse: College Of Health Sciences E-Newsletter, Irvin B. Harrell (Editor) Feb 2020

The Pulse: College Of Health Sciences E-Newsletter, Irvin B. Harrell (Editor)

Ellmer College of Health Sciences Newsletters

February 2020 issue of Old Dominion University's College of Health Sciences Newsletter.


Child Helpers: A Multidisciplinary Perspective, David F. Lancy Feb 2020

Child Helpers: A Multidisciplinary Perspective, David F. Lancy

Sociology, Social Work and Anthropology Faculty Publications

This essay was greatly inspired by a 15" film titled Tiny Katerina, which shows glimpses of Katerina from two- to four-and-a-half years of age. She lives with her parents and older brother in Northwestern Siberia in the taiga. The Khanty-speaking people live by foraging (berries, for example), fishing and herding reindeer; they are semi-nomadic. In their camp and the vicinity, there is no evidence of electricity or any other public service. These people are very much “off the grid.” From the first, as a wobbly toddler, Katerina is shown being helpful. She carries (and drops and picks up) firewood …


Insights Image For "Evidence Of Increased Hypoxia Signalling In Fetal Liver From Maternal Nutrient Restriction In Mice"., Bethany N Radford, Victor K M Han Feb 2020

Insights Image For "Evidence Of Increased Hypoxia Signalling In Fetal Liver From Maternal Nutrient Restriction In Mice"., Bethany N Radford, Victor K M Han

Paediatrics Publications

No abstract provided.


Evidence Of Increased Hypoxia Signaling In Fetal Liver From Maternal Nutrient Restriction In Mice., Bethany N Radford, Victor K M Han Feb 2020

Evidence Of Increased Hypoxia Signaling In Fetal Liver From Maternal Nutrient Restriction In Mice., Bethany N Radford, Victor K M Han

Paediatrics Publications

BACKGROUND: Intrauterine growth restriction (IUGR) is a pregnancy condition where fetal growth is reduced, and offspring from IUGR pregnancies are at increased risk for type II diabetes as adults. The liver is susceptible to fetal undernutrition experienced by IUGR infants and animal models of growth restriction. This study aimed to examine hepatic expression changes in a maternal nutrient restriction (MNR) mouse model of IUGR to understand fetal adaptations that influence adult metabolism.

METHODS: Liver samples of male offspring from MNR (70% of ad libitum starting at E6.5) or control pregnancies were obtained at E18.5 and differential expression was assessed by …


L'Importance De L'Apport Alimentaire En Sodium Chez Les Enfants, Manjula Gowrishankar, Becky Blair, Michael J. Rieder Feb 2020

L'Importance De L'Apport Alimentaire En Sodium Chez Les Enfants, Manjula Gowrishankar, Becky Blair, Michael J. Rieder

Paediatrics Publications

No abstract provided.


Infants’ And Toddlers’ Physical Activity And Sedentary Time As Measured By Accelerometry: A Systematic Review And Meta-Analysis,, Brianne Bruijns, Stephanie Truelove, Andrew M. Johnson, Jason A. Gilliland, Patricia Tucker Feb 2020

Infants’ And Toddlers’ Physical Activity And Sedentary Time As Measured By Accelerometry: A Systematic Review And Meta-Analysis,, Brianne Bruijns, Stephanie Truelove, Andrew M. Johnson, Jason A. Gilliland, Patricia Tucker

Human Environments Analysis Lab (HEAL)

Background: Early experiences in physical activity (PA) are important to shape healthy movement behaviours long-term; as such, it is critical that PA is promoted from infancy, and that detrimental behaviours (e.g., prolonged sedentary time [ST]) are minimized. The purpose of this systematic review and meta-analysis was to examine infants’ and toddlers’ movement behaviours across daytime hours.

Methods: Seven online databases were searched for terms related to infants (< 12 months), toddlers (12–35.9 months), PA, ST, and accelerometry. Two independent reviewers examined 4873 articles for peer-reviewed original research, published in English, that assessed infants’ (counts/min) and/or toddlers’ PA or ST (min/day) using accelerometry across daytime hours. Infants’ mean PA level (counts/min) was averaged across studies, and ranges were produced. Estimates of toddlers’ movement behaviours were aggregated meta-analytically to produce average daily rates, and accelerometer placement, cut-point validity, device type, and epoch length were tested as a moderating variables.

Results: Twenty-four studies from 16 countries (published 2011–2019), representing 3699 participants, were included in the systematic review. Five studies reported on infants’ PA, which ranged from 78.2 to 2580.5 cpm. Across 20 …


Value Added Fed And Feeder Cattle Practices: Are They Paying?, Elliott James Dennis Feb 2020

Value Added Fed And Feeder Cattle Practices: Are They Paying?, Elliott James Dennis

Extension Farm and Ranch Management News

Summary

Some value added management programs clearly pay more than others and some do not pay at all. However, just like with a breeding or forage management strategy where not every year the cow gets bred back or the grass has sufficient protein, a value added program strategies premiums vary year to year. Switching the way cattle are managed and raised, handled, and fed requires planning and an understanding of labor and management capabilities. Not every cattle producer could or even should switch management practices an animal health protocol – even if premiums do exist. Thus, careful planning and consideration …


Nebline, February 2020 Feb 2020

Nebline, February 2020

NEBLINE Newsletter Archive from Nebraska Extension in Lancaster County

High-Quality Early Child Care Is Important to Children and Communities

Taking Part is Your Civic Duty

Sweet Ideas Without Added Sugar

Berry Fun

Recipes of the Month

Pesticide Applicator Trainings

Growing Nut Trees Seminar, Feb. 20

Landlord/Tenant Cash Rent Workshop, Feb. 3

ProHort Lawn & Landscape Update

Southeast Nebraska Soil Health Conference, March 3

Backyard Bird Feeding Tips

Positive Change on Environmental Issues

What Do the Three Arrows of Recycling Mean?

2020 Flower All-America Selections

Garden Guide: Things to Do This Month

Lincoln Littles Early Childhood Education Initiative

Lincoln Early Childhood Conference

HEART OF 4-H

Meet 2019–2020 4-H Teen Council …


The Paradoxical Consequences Of Choice: Often Good For The Individual, Perhaps Less So For Society?, Shilpa Madan, Kevin Nanakdewa, Krishna Savani, Hazel Rose Markus Feb 2020

The Paradoxical Consequences Of Choice: Often Good For The Individual, Perhaps Less So For Society?, Shilpa Madan, Kevin Nanakdewa, Krishna Savani, Hazel Rose Markus

Research Collection Lee Kong Chian School Of Business

The proliferation of products and services, together with the rise of social media, affords people the opportunity to make more choices than ever before. However, the requirement to think in terms of choice, or to use a choice mind-set, may have powerful but unexamined consequences for judgment and decision making, both for the chooser and for others. A choice mind-set leads people to engage in cognitive processes of discrimination and separation, to emphasize personal freedom and independent agency, and to focus on themselves rather than others. Reviewing research from social psychology, legal studies, health and nutrition, and consumer behavior, we …


Study On Green Development Model And Approach Of Blue Agriculture In The Yellow River Delta, Yang Hongsheng, Xing Lili, Zhang Libin Feb 2020

Study On Green Development Model And Approach Of Blue Agriculture In The Yellow River Delta, Yang Hongsheng, Xing Lili, Zhang Libin

Bulletin of Chinese Academy of Sciences (Chinese Version)

The Yellow River Delta is located on the west coast of the Bohai Sea. It is one of the regions with the most active interaction between land and ocean, and one of the three major estuary deltas in China. This region has the most complete, the most extensive, the youngest wetland ecosystem and abundant biological resources in China's warm zone. It plays an important role in regulating the climate, reducing exogenous pollution, restoring amphibious ecological ecotone, and other functions. In recent years, with the rapid development of the Yellow River Delta region, problems such as the continuous reduction of inflow …


Plant-Derived Bioactives And Oxidative Stress-Related Disorders: A Key Trend Towards Healthy Aging And Longevity Promotion, Bahare Salehi, Elena Azzini, Paolo Zucca, Elena Maria Varoni Feb 2020

Plant-Derived Bioactives And Oxidative Stress-Related Disorders: A Key Trend Towards Healthy Aging And Longevity Promotion, Bahare Salehi, Elena Azzini, Paolo Zucca, Elena Maria Varoni

Open Access archive

Plants and their corresponding botanical preparations have been used for centuries due to their remarkable potential in both the treatment and prevention of oxidative stress-related disorders. Aging and aging-related diseases, like cardiovascular disease, cancer, diabetes, and neurodegenerative disorders, which have increased exponentially, are intrinsically related with redox imbalance and oxidative stress. Hundreds of biologically active constituents are present in each whole plant matrix, providing promissory bioactive effects for human beings. Indeed, the worldwide population has devoted increased attention and preference for the use of medicinal plants for healthy aging and longevity promotion. In fact, plant-derived bioactives present a broad spectrum …


Histological Variation Of Early Stage Atherosclerotic Lesions In Baboons After Prolonged Challenge With High-Cholesterol, Highfat Diet, Genesio M. Karere, Edward J. Dick Jr, Samuel Galindo Jr., Jesse C. Martinez, Jacob E. Martinez, Michael Owston, John L. Vandeberg, Laura Cox Feb 2020

Histological Variation Of Early Stage Atherosclerotic Lesions In Baboons After Prolonged Challenge With High-Cholesterol, Highfat Diet, Genesio M. Karere, Edward J. Dick Jr, Samuel Galindo Jr., Jesse C. Martinez, Jacob E. Martinez, Michael Owston, John L. Vandeberg, Laura Cox

School of Medicine Publications

Introduction—The baboon is a well-characterized model of human early stage atherosclerosis. However, histological and morphological changes involved in atherogenesis in baboons are not known. Previously we challenged baboons with a high-cholesterol, high-fat diet for two years and observed fatty streak and plaque lesions in iliac arteries (RCIA). Methods—We evaluated histological and morphological changes of baboon arterial lesions and control arteries. In addition, we evaluated the vascular expression of CD68 and SMαA markers with progression of atherosclerosis. Results—We observed changes that correlated with extent of atherosclerosis, including increased maximum intimal thickness. We demonstrated at molecular level the infiltration of smooth muscle …


Forage News [2020-02], Department Of Plant And Soil Sciences, University Of Kentucky Feb 2020

Forage News [2020-02], Department Of Plant And Soil Sciences, University Of Kentucky

Forage News

No abstract provided.


Combination Of Biological And Chemical Soil Tests Best Predict Maize Nitrogen Response, M. D. Mcdaniel, Daniel T. Walters, L. G. Bundy, Xiaofei Li, Rhae A. Drijber, John E. Sawyer, Michael J. Castellano, C. A.M. Laboski, Peter C. Scharf Feb 2020

Combination Of Biological And Chemical Soil Tests Best Predict Maize Nitrogen Response, M. D. Mcdaniel, Daniel T. Walters, L. G. Bundy, Xiaofei Li, Rhae A. Drijber, John E. Sawyer, Michael J. Castellano, C. A.M. Laboski, Peter C. Scharf

Department of Agronomy and Horticulture: Faculty Publications

Soil tests can help optimize nitrogen (N) fertilizer rates, thereby improving farmer profitability and environmental performance. In US Midwest maize (Zea mays) production, however, most soil N tests have limited accuracy to predict N fertilizer requirements. Here we tested the individual and combined ability of 30 soil tests (12 rapid N extractions, seven biological carbon or N tests, six long-term incubation kinetic parameters, and five other routine soil tests), as well as environmental and management data, to predict maize response to N fertilizer across 56 site-years in the US Midwest. Out of 30 soil tests, and across all …


Sindroma E Malabsorbimit Te Fëmijët Dhe Kujdesi Infermieror, Rina Trnava Feb 2020

Sindroma E Malabsorbimit Te Fëmijët Dhe Kujdesi Infermieror, Rina Trnava

Theses and Dissertations

Malabsorbimi është një sindromë, që i referohet një numri të çrregullimeve në të cilat zorrët e vogla nuk mund të absorbojnë mjaftueshëm lëndë ushqyese dhe lëngje të caktuara. Sëmundjet më të shpeshta janë celiakia (enteropatia e ndjeshme në gluten) dhe fibroza cistike.

Qëllimi i këtij punimi ishte të përcaktohet numri i rasteve të fëmijëve të hospitalizuar me sindromën e malabsorbimit, në periudhën Tetor 2018- Tetor 2019 në klinikën e pediatrisë në QKUK, të përcaktohet numri i rasteve sipas gjinisë, numri i rasteve sipas grupmoshës, numri i rasteve sipas llojit të malabsorbimit, të vlerësohet roli i infermieres në përkujdesjen ndaj këtyre …


Kujdesi Infermieror Tek Të Sëmurët Me Sëmundje Të Refluksit Gastroezofagial, Shkurte Sherifi Feb 2020

Kujdesi Infermieror Tek Të Sëmurët Me Sëmundje Të Refluksit Gastroezofagial, Shkurte Sherifi

Theses and Dissertations

Ky punim është realizuar me qëllim të zgjerimit të njohurive të infermierëve të ardhshëm lidhur me kujdesin infermieror tek të sëmurët me refluks gastroezofagial, ku përmes këtij punimi synohet që të shtjellohet diagnostifikimi, preventiva, zhvillimi dhe mjekimi i Refluksit Gastroezofageal.

Lexuesit mundë të informohen rreth sëmundjes së refluksit gastroezofageal.Ky punim është bërë në kolegjin UBT Programi Infermieri si dhe në bashkpunim me Qendren Klinike Universitare të Kosovës QKUK në Prishtinë,ku të dhënat për numrin e pacientëve janë marrë nga Klinika e Gastroenterologjisë.

Mentori i temës është Prof.Dr.Zaim Gashi.

Punimi përfshinë: 43 faqe, 3 tabela, dhe 7 figura.


Hexapod Herald - Vol. 32, No. 1, February 2020 Feb 2020

Hexapod Herald - Vol. 32, No. 1, February 2020

Hexapod Herald and Other Entomology Department Newsletters

Welcome new Entomology Graduate Students!

Congratulations December Graduates!

Spring 2020 Beekeeping Workshops Planned

Student News & Activities

BugFest attendance increases last fall

Faculty Awards & News: Joe Louis, Tom Hunt, Justin McMechan, Bob Wright, Wayne Ohnesorg, Ron Seymour, Troy Anderson, Lance Meinke, Tom Weissling, Julie Peterson, Ana Vélez and Doug Golick

Publications & Books

Staff News & Activities

Online MS in Entomology Continues Growth


Inspire : Vol 3, Issue 2, Department Of Medicine Feb 2020

Inspire : Vol 3, Issue 2, Department Of Medicine

INSPIRE – Department of Medicine Archives

Content

  • Message From the Chair
  • Pulse 2020
  • Data Science in Health
  • Medicine at National and International Forums
  • Featured Faculty: Dr Adeel ur Rehman “Your work should speak for you.”


Evidence To Inform An Integrated Social And Behavior Change Strategy In The Sahel, Leanne Dougherty, Jessie Pinchoff Feb 2020

Evidence To Inform An Integrated Social And Behavior Change Strategy In The Sahel, Leanne Dougherty, Jessie Pinchoff

Sexual and Reproductive Health, Rights, and Choices

Breakthrough RESEARCH completed this literature review, which summarized the evidence, or lack thereof, in the Sahel, to establish a rationale for the planned RISE II SBC evaluation as described in the study protocol. The literature review provides an overview of the health and development challenges in the region, along with priority health behaviors and their determinants followed by a description of SBC programmatic approaches that have addressed behavioral determinants and health outcomes in the region.


Practitioner Perceptions Regarding The Practices Of Soccer Substitutes, Samuel P. Hills, Jon N. Radcliffe, Martin J. Barwood, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Carlton B. Cooke, Mark Russell Feb 2020

Practitioner Perceptions Regarding The Practices Of Soccer Substitutes, Samuel P. Hills, Jon N. Radcliffe, Martin J. Barwood, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Carlton B. Cooke, Mark Russell

Faculty Publications

Despite empirical observations suggesting that practitioners value the use of substitutions during soccer match-play, limited research has sought to substantiate such claims. This study used online surveys to assess the perceptions of practitioners within professional soccer about the use and practices of substitutes. Thirty-three practitioners completed one of two surveys (each requiring both open and closed questions to be answered), depending upon whether their primary role related mostly to tactical (‘tactical practitioners’; n = 7) or physical (‘physical practitioners’; n = 26) aspects of player/team management. Thematic content analysis of responses identified four higher-order themes: ‘impact of substitutions’, ‘planning and …


Mitochondrial Pyruvate Carriers Are Not Required For Adipogenesis But Are Regulated By High-Fat Feeding In Brown Adipose Tissue, Jasmine A. Burrell, Allison J. Richard, William T. King, Jacqueline M. Stephens Feb 2020

Mitochondrial Pyruvate Carriers Are Not Required For Adipogenesis But Are Regulated By High-Fat Feeding In Brown Adipose Tissue, Jasmine A. Burrell, Allison J. Richard, William T. King, Jacqueline M. Stephens

Faculty Publications

© 2020 The Obesity Society. Objective: The objectives of this study were to assess the role of mitochondrial pyruvate carriers (MPCs) in adipocyte development in vitro and determine whether MPCs are regulated in vivo by high-fat feeding in male and female C57BL/6J mice. Methods: This study utilized small interfering RNA-mediated knockdown to assess the requirement of MPC1 for adipogenesis in the 3T3-L1 model system. Treatment with UK-5099, a potent pharmacological MPC inhibitor, was also used to assess the loss of MPC activity. Western blot analysis was performed on adipose tissue samples from mice on a low-fat diet or a high-fat …


Review: Enhancing Intramuscular Fat Development Via Targeting Fibro-Adipogenic Progenitor Cells In Meat Animals, X. Li, X. Fu, G. Yang, M. Du Feb 2020

Review: Enhancing Intramuscular Fat Development Via Targeting Fibro-Adipogenic Progenitor Cells In Meat Animals, X. Li, X. Fu, G. Yang, M. Du

Faculty Publications

© 2019 The Animal Consortium. In the livestock industry, subcutaneous and visceral fat pads are considered as wastes, while intramuscular fat or marbling fat is essential for improving flavor and palatability of meat. Thus, strategies for optimizing fat deposition are needed. Intramuscular adipocytes provide sites for lipid deposition and marbling formation. In the present article, we addressed the origin and markers of intramuscular adipocyte progenitors-fibro-adipogenic progenitors (FAPs), as well as the latest progresses in mechanisms regulating the proliferation and differentiation of intramuscular FAPs. Finally, by targeting intramuscular FAPs, possible nutritional manipulations to improve marbling fat deposition are discussed. Despite recent …


Perinatal Maternal Antibiotic Exposure Augments Lung Injury In Offspring In Experimental Bronchopulmonary Dysplasia, Kent A. Willis, David T. Siefker, Michael M. Aziz, Catrina T. White, Naiha Mussarat, Charles K. Gomes, Amandeep Bajwa, Joseph F. Pierre, Stephania A. Cormier, Ajay J. Talati Feb 2020

Perinatal Maternal Antibiotic Exposure Augments Lung Injury In Offspring In Experimental Bronchopulmonary Dysplasia, Kent A. Willis, David T. Siefker, Michael M. Aziz, Catrina T. White, Naiha Mussarat, Charles K. Gomes, Amandeep Bajwa, Joseph F. Pierre, Stephania A. Cormier, Ajay J. Talati

Faculty Publications

Copyright © 2020 the American Physiological Society. During the newborn period, intestinal commensal bacteria influence pulmonary mucosal immunology via the gut-lung axis. Epidemiological studies have linked perinatal antibiotic exposure in human newborns to an increased risk for bronchopulmonary dysplasia, but whether this effect is mediated by the gut-lung axis is unknown. To explore antibiotic disruption of the newborn gut-lung axis, we studied how perinatal maternal antibiotic exposure influenced lung injury in a hyperoxia-based mouse model of bronchopulmonary dysplasia. We report that disruption of intestinal commensal colonization during the perinatal period promotes a more severe bronchopulmonary dysplasia phenotype characterized by increased …


Got Misinformation? Critically Evaluating Sources For Credibility, Accuracy, And Usefulness, Neyda V. Gilman, Julia Glauberman Feb 2020

Got Misinformation? Critically Evaluating Sources For Credibility, Accuracy, And Usefulness, Neyda V. Gilman, Julia Glauberman

Library Scholarship

A chapter in the The Critical Thinking About Sources Cookbook. It discusses an in-class activity for evaluating sources.


Maternal Mtnr1b Genotype, Maternal Gestational Weight Gain, And Childhood Obesity, Zhaoxia Liang, Huikun Liu, Leishen Wang, Yuhang Chen, Tao Zhou, Yoriko Heianza, Weiqin Li, Junhong Leng, Jing Wang, Ru Gao, Gang Hu, Lu Qi Feb 2020

Maternal Mtnr1b Genotype, Maternal Gestational Weight Gain, And Childhood Obesity, Zhaoxia Liang, Huikun Liu, Leishen Wang, Yuhang Chen, Tao Zhou, Yoriko Heianza, Weiqin Li, Junhong Leng, Jing Wang, Ru Gao, Gang Hu, Lu Qi

Population and Public Health Science Faculty Publications

Background: Maternal metabolic abnormalities have been related to offspring obesity especially during childhood. Objectives: We analyzed whether the gestational diabetes mellitus (GDM)-associated melatonin receptor 1B (MTNR1B) genotype of mothers modified the relation between maternal gestational weight gain and childhood obesity. Methods: A total of 1114 Chinese mother-child pairs (mothers with or without prior GDM) were included. Mothers' MTNR1B rs10830962 genotype and gestational weight gain were assessed. Indicators of childhood obesity included BMI-for-age z-score, weight-for-age z-score, waist circumference, and body fat. Childhood overweight and obesity were also analyzed. Results: We found that the maternal MTNR1B genotype significantly interacted with gestational weight …


Meat Eating And Moral Responsibility: Exploring The Moral Distinctions Between Meat Eaters And Puppy Torturers, C.E. Abbate Feb 2020

Meat Eating And Moral Responsibility: Exploring The Moral Distinctions Between Meat Eaters And Puppy Torturers, C.E. Abbate

Philosophy Faculty Research

In his influential article on the ethics of eating animals, Alastair Norcross argues that consumers of factory raised meat and puppy torturers are equally condemnable because both knowingly cause serious harm to sentient creatures just for trivial pleasures. Against this claim, I argue that those who buy and consume factory raised meat, even those who do so knowing that they cause harm, have a partial excuse for their wrongdoings. Meat eaters act under social duress, which causes volitional impairment, and they often act from deeply ingrained habits, which causes epistemic impairment. But puppy torturers act against cultural norms and …


Adequacy Of Hemodialysis And Its Associated Factors Among Patients Undergoing Chronic Hemodialysis In Dar Es Salaam, Tanzania, Samina S. Somji, Pascal Ruggajo, Sibtain Moledina Feb 2020

Adequacy Of Hemodialysis And Its Associated Factors Among Patients Undergoing Chronic Hemodialysis In Dar Es Salaam, Tanzania, Samina S. Somji, Pascal Ruggajo, Sibtain Moledina

Internal Medicine, East Africa

The worldwide prevalence of maintenance hemodialysis continues to rise. An adequate delivery of hemodialysis dose as measured by Kt/V or urea reduction ratio is a crucial determinant of clinical outcome for chronic hemodialysis patients. The aim of this study was to assess the adequacy of hemodialysis and its associated factors among patients undergoing chronic hemodialysis in Dar es Salaam. This was a cross-sectional study done on patients undergoing chronic hemodialysis in four dialysis centers in Dar es Salaam. Sociodemographic information and treatment characteristics were collected. Urea reduction rate and single-pool Kt/V were calculated to determine the …