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2021

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Study Of Nutrition And Health Status Of Pregnant Women In A Tertiary Care Teaching Hospital, Shivakumar M, Amal Vallikunnal K. Rita Mar 2021

Study Of Nutrition And Health Status Of Pregnant Women In A Tertiary Care Teaching Hospital, Shivakumar M, Amal Vallikunnal K. Rita

Manipal Journal of Pharmaceutical Sciences

No abstract provided.


Nitrogen Fertilization And Glyphosate-Resistant Alfalfa Termination Method Effects On First-Year Silage Corn, Jason Clark, Matt A. Yost, Thomas C. Griggs, Grant E. Cardon, Corey V. Ransom, J. Earl Creech Mar 2021

Nitrogen Fertilization And Glyphosate-Resistant Alfalfa Termination Method Effects On First-Year Silage Corn, Jason Clark, Matt A. Yost, Thomas C. Griggs, Grant E. Cardon, Corey V. Ransom, J. Earl Creech

Agronomy, Horticulture and Plant Science Faculty Publications

Tillage type/timing and herbicide application date may change the amount and timing of N mineralization, altering fertilizer N needs for first-year corn (Zea mays L.) following glyphosate [N-(phosphonomethyl)glycine]-resistant (GR) alfalfa (Medicago sativa L.). Studies were conducted in 2012 and 2013 in Utah. Yield, quality, and economic return of silage corn as affected by five tillage type/timings (fall conventional till, spring conventional till, fall strip-till, spring strip-till, and no-till), three herbicide application dates for alfalfa termination (fall, spring, and in-crop), and four N rates (0, 56, 112, and 224 kg ha−1) were evaluated. Silage corn yield and quality following …


The Interrelationship Between Water Access, Exclusive Breastfeeding And Diarrhea In Children: A Cross-Sectional Assessment Across 19 African Countries, Paschal A. Apanga, Ann M. Weber, Lyndsey A. Darrow, Mark S. Riddle, Wei-Chen Tung, Yan Liu, Joshua V. Garn Mar 2021

The Interrelationship Between Water Access, Exclusive Breastfeeding And Diarrhea In Children: A Cross-Sectional Assessment Across 19 African Countries, Paschal A. Apanga, Ann M. Weber, Lyndsey A. Darrow, Mark S. Riddle, Wei-Chen Tung, Yan Liu, Joshua V. Garn

Faculty Publications

Background Access to an improved water supply and practicing exclusive breastfeeding are essential for improving maternal and child health outcomes. However, few studies have been equipped to assess the interdependencies between access to improved water, practicing exclusive breastfeeding, and child health. The primary aim of our study was to assess whether access to an improved water supply and water-fetching were associated with mothers’ practice of exclusive breastfeeding.

Methods We analyzed data on 247090 mothers with children 5 months old or less using Multiple Indicator Cluster Surveys from 19 African countries. Multivariable logistic regression was used to estimate the relationship between …


Center For Grassland Studies, March 2021 Mar 2021

Center For Grassland Studies, March 2021

Center for Grassland Studies: Newsletters

New PGA Professional in Residence

Director’s Column

Range Club Competes in Virtual SRM Conference

Register Now: Nebraska Range Short Course

Getting it in the Ground: Equipment Options for Seeding Perennial Grasslands

Scholarship: Northern Seed Trade Association

Your Support Matters

Alumni Update: Vicki Simonsen

Stretching Prairie Remnant

Nebraska Ranch Practicum Registration Open Now


Food Spoilage In Beeswax Impregnated Cotton Cloth Wraps Compared To Standard Storage Methods, Dawn E. Beck, Kevin M. Lane, Christine A. Shiel, Karl F. Welke Mar 2021

Food Spoilage In Beeswax Impregnated Cotton Cloth Wraps Compared To Standard Storage Methods, Dawn E. Beck, Kevin M. Lane, Christine A. Shiel, Karl F. Welke

Beekeeping Certificate Program

Beeswax food wraps have gained popularity as a sustainable, natural alternative to single use options such as plastic bags, plastic wrap, and wax paper. Despite limited evidence, sellers advertise beeswax wraps as having antimicrobial benefits that help food stay fresh longer. The purpose of this investigation was to determine the ability of beeswax impregnated cotton cloth to inhibit food spoilage relative to traditional methods. We designed a prospective trial in which strawberry, bread, and cheese specimens were wrapped in one of the 3 materials: 1) beeswax impregnated cotton cloth, 2) wax paper, or 3) plastic bags alone and followed for …


Study Protocol For Testing The Association Between Physical Activity And Academic Outcomes Utilizing A Cluster-Randomized Trial, Peter Boedeker, Lindsey Turner, Hannah Calvert, Christi Kay, Adria Meyer, Chuck Truett, Julie Gazmararian Mar 2021

Study Protocol For Testing The Association Between Physical Activity And Academic Outcomes Utilizing A Cluster-Randomized Trial, Peter Boedeker, Lindsey Turner, Hannah Calvert, Christi Kay, Adria Meyer, Chuck Truett, Julie Gazmararian

Curriculum, Instruction, and Foundational Studies Faculty Publications and Presentations

The Physical Activity Guidelines for Americans recommend adolescents engaging in 60 min of physical activity (PA) every day. Students should spend at least 30 min being active while at school. However, schools rarely provide that much PA time for students. This paper describes the planned analyses for a study evaluating the relationships between PA (measured as average daily minutes of Moderate to Vigorous Physical Activity [MVPA]) and educational outcomes of standardized test scores and classroom grades cross-sectionally in 4 th grade and longitudinally from 4 th to 5 th grade. Investigations of moderators (both student- and school-level), mediators, and potential …


Dynamics Behaviors Of A Hybrid Switching Epidemic Model With Le ́Vy Noise, Amine El Koufi, Abdelkrim Bennar, Noura Yousfi Mar 2021

Dynamics Behaviors Of A Hybrid Switching Epidemic Model With Le ́Vy Noise, Amine El Koufi, Abdelkrim Bennar, Noura Yousfi

Applied Mathematics & Information Sciences

The present paper investigates the dynamical behaviors of a stochastic SIRS epidemic model with telegraphic noise and Le ́vy noise. First, we establish the existence of a unique global positive solution for stochastic model. Furthermore, by constructing some suitable Lyapunov functions, we show that if R0 ≤ 1 and under some conditions on the parameters, then the solution of stochastic system fluctuates around the disease-free equilibrium, and if R0 > 1 the solution of stochastic system fluctuates around the disease- endemic equilibrium of the deterministic model. Finally, we present numerical simulations to support the theoretical results


Health Disparities Between Women And Men In Medieval Europe: A Bioarcheological Study Of Gender Roles, Ella Uren Mar 2021

Health Disparities Between Women And Men In Medieval Europe: A Bioarcheological Study Of Gender Roles, Ella Uren

Conspectus Borealis

No abstract provided.


Nitrogen And Sulfur Fertilizers Effects On Growth And Yield Of Brassica Carinata In South Dakota, Dwarika Bhattarai, Sandeep Kumar, Thandiwe Nleya Mar 2021

Nitrogen And Sulfur Fertilizers Effects On Growth And Yield Of Brassica Carinata In South Dakota, Dwarika Bhattarai, Sandeep Kumar, Thandiwe Nleya

Agronomy, Horticulture and Plant Science Faculty Publications

Carinata (Brassica carinata A. Braun), a non-food oilseed and an alternative biofuel feedstock, has received attention for its potential as a low-input option for production in the semi-arid regions of the Northern Great Plains (NGP). This study was conducted to (a) determine the economic optimum N and S fertilization rates and (b) determine the interactive effects of N and S fertilization on seed yield and agronomic traits in carinata. The field experiment conducted in 2017 and 2018 at Brookings, SD, had four N rates (56, 84, 112, and 140 kg N ha−1) and three S rates (0, …


Determining The Feasibility Of Creating A New York State Early Childhood Integrated Database, Center For Human Services Research, University At Albany Mar 2021

Determining The Feasibility Of Creating A New York State Early Childhood Integrated Database, Center For Human Services Research, University At Albany

Education & Early Childhood Development Reports and Research Briefs

New York State’s commitment to building a stronger and more effective early childhood care and education (ECCE) system is evidenced by its diverse and robust mixed delivery system of programs, services, and supports available to young children and families. However, addressing questions related to service availability, utilization, and effectiveness can be challenging given the lack of an integrated early childhood integrated data system (ECIDS) in the state. An ECIDS collects, integrates, maintains, stores, and reports on information from the many programs comprising the ECCE system, including data about individual children and their families; early childhood programs, providers, and services; and …


2020 #Realcollege Survey School Report, Hope Center For College, Community, And Justice At Temple University Mar 2021

2020 #Realcollege Survey School Report, Hope Center For College, Community, And Justice At Temple University

ASUM Renter Center Publications

This report was prepared for the University of Montana by the Hope Center for College, Community, and Justice at Temple University.

Invitations to complete the questionnaire were sent by email to 9,805 students from University of Montana and 1,493 students participated. Thus, the estimated response rate is 15.2%.

Students at University of Montana told us that...

- 63% experienced at least one form of basic needs insecurity, including

- 32% who experienced food insecurity in the prior 30 days,

- 50% who experienced housing insecurity in the previous year, and

- 23% who experienced homelessness in the previous year.

We …


March 2021, Issue 6, James Madison University Uhc Marketing Team Mar 2021

March 2021, Issue 6, James Madison University Uhc Marketing Team

Potty Mouth

No abstract provided.


Food Stamp Enrollment And Mental Health: An Implicit Tax On The Poor, James Calvin Hasbany Mar 2021

Food Stamp Enrollment And Mental Health: An Implicit Tax On The Poor, James Calvin Hasbany

Economics

Objectives. This study examines whether food stamp participation status impacts the mental health of its recipients.

Methods. We use 2017 data from the Michigan Panel Study of Income Dynamics to construct a propensity score model to match treated and control individuals, circumventing inherent selection bias and estimating causal effects.

Results. We find that enrolling in food stamps within the past 30 days increases the frequency of emotional distress over the same timeframe, manifesting specifically in more frequent feelings of sadness, nervousness, hopelessness, ‘everything being an effort,’ and worthlessness.

Conclusions. Food stamp enrollment harms mental health more than it benefits it, …


Physical Activity Guidelines For People With Alzheimer’S Disease Of Various Ambulatory And Cognitive Status, Amanda Katherine Wright Mar 2021

Physical Activity Guidelines For People With Alzheimer’S Disease Of Various Ambulatory And Cognitive Status, Amanda Katherine Wright

Kinesiology and Public Health

With the rapidly growing elderly population in the United States, the number of people diagnosed with dementia and Alzheimer’s Disease (AD) is increasing dramatically. For these patients, it is crucial to slow the rate of progression. Research has proven that exercise improves cognition, and recent findings suggest a similar association among those with AD. However, this is complicated by the large majority of AD patients becoming non-ambulatory as the disease progresses. Thus, there is a large gap in the literature to meet the needs of non-ambulatory AD patients working to slow their disease’s progression. The first purpose of this article …


Entrustable Professional Activities (Epas) For Global Health, David R. Steeb, Tina P. Brock, Sarah A. Dascanio, Paul K. Drain Mar 2021

Entrustable Professional Activities (Epas) For Global Health, David R. Steeb, Tina P. Brock, Sarah A. Dascanio, Paul K. Drain

Faculty and Student Publications

Purpose As global health education and training shift toward competency-based approaches, academic institutions and organizations must define appropriate assessment strategies for use across health professions. The authors aim to develop entrustable professional activities (EPAs) for global health to apply across academic and workplace settings. Method In 2019, the authors invited 55 global health experts from medicine, nursing, pharmacy, and public health to participate in a multiround, online Delphi process; 30 (55%) agreed. Experts averaged 17 years of global health experience, and 12 (40%) were from low-to middle-income countries. In round one, participants listed essential global health activities. The authors used …


Establishing A Conditional Driver's Permit In Texas, Texas A&M University School Of Law Community Development Clinic, Madeline Marguerite Byers, Olivia Countryman, Taylor Garner, Crystal Hernandez, Luz E. Herrera, Lisa Mares Mar 2021

Establishing A Conditional Driver's Permit In Texas, Texas A&M University School Of Law Community Development Clinic, Madeline Marguerite Byers, Olivia Countryman, Taylor Garner, Crystal Hernandez, Luz E. Herrera, Lisa Mares

Legal Clinics

This report recommends expanding access to state-issued driver permits for Texans who are unable to obtain a driver license due to state requirements imposed pursuant to federal law. Many Texans, especially some of our most vulnerable residents, have difficulty meeting heightened identification requirements under federal law, and consequently drive without state authorization and auto insurance. This report also highlights the benefits of establishing a new driver’s permit and why it should be accessible by Texans who are natural disaster victims, experiencing homelessness, family violence survivors, and immigrants with no lawful status, a complicated immigration status, or in the process of …


The Drought Monitor Comes Of Age, Brad Rippey, Brian Fuchs, David Simeral, Deborah J. Bathke, Richard R. Heim Jr., Mark Svoboda Mar 2021

The Drought Monitor Comes Of Age, Brad Rippey, Brian Fuchs, David Simeral, Deborah J. Bathke, Richard R. Heim Jr., Mark Svoboda

National Drought Mitigation Center: Faculty Publications

The 20th century featured immense scientific discoveries and advances. Astrophysics gained Einstein’s life-altering theory of relativity, opening the door to nuclear weaponry and the mind-bending Big Bang theory. The medical field achieved stunning success in suppressing or vanquishing a host of deadly diseases, including polio and smallpox. And through advances in computing technology, meteorological forecasting moved from back-of-the-envelope calculations to supercomputers. However, drought monitoring fell behind the curve of scientific advancement. Not until 1965, when the United States Department of Commerce published Wayne C. Palmer’s “Research Paper No. 45: Meteorological Drought,” was there even a complex mathematical definition of drought. …


Food Insecurity And Food Access During Covid-19 In The San Francisco Bay Area, Giselle Pignotti, Marcelle Dougan, Iris Tablas-Mejia, Adriana Telias, Ashnee Gounden Mar 2021

Food Insecurity And Food Access During Covid-19 In The San Francisco Bay Area, Giselle Pignotti, Marcelle Dougan, Iris Tablas-Mejia, Adriana Telias, Ashnee Gounden

Faculty Publications

The coronavirus (COVID-19) pandemic impacted socio-economic stability and food systems in the U.S. and worldwide. To better understand food access challenges and needs of those significantly impacted by the pandemic, an online survey was distributed in the San Francisco Bay Area from August to November of 2020. A total of 726 participants completed the survey who were recruited through paid Facebook ads and community partners outreach. This report features key results from the survey regarding changes in food security rates, food access challenges, and coping strategies used during the pandemic. Some of the key findings include: 1) There was a …


Financial Stress Among Latino Adults In California During Covid-19, Luisa Blanco, Vanessa Cruz, Deja Frederick, Susie Herrera Mar 2021

Financial Stress Among Latino Adults In California During Covid-19, Luisa Blanco, Vanessa Cruz, Deja Frederick, Susie Herrera

School of Public Policy Working Papers

We study the impact of COVID-19 on stress, and especially financial stress, among Latino adults in California. We take a mixed-methods approach and rely on quantitative and qualitative data for our analysis. We recruited 84 Low and Moderate Income (LMI) Latino adults in California through the internet panel Understanding America Study (UAS), and among those who participated in the Mobile Financial Diaries (MFD) project, which took place during 2018-2019. We report findings about personal experiences during COVID-19 in October of 2020 and compared this to data collected during the period of August-October of 2018. Given the characteristics of our participants, …


The International Scientific Association For Probiotics And Prebiotics (Isapp) Consensus Statement On Fermented Foods, Maria L. Marco, Mary Ellen Sanders, Michael Gänzle, Marie Claire Arrieta, Paul D. Cotter, Luc De Vuyst, Colin Hill, Wilhelm Holzapfel, Sarah Lebeer, Dan Merenstein, Gregor Reid, Benjamin E. Wolfe, Robert Hutkins Mar 2021

The International Scientific Association For Probiotics And Prebiotics (Isapp) Consensus Statement On Fermented Foods, Maria L. Marco, Mary Ellen Sanders, Michael Gänzle, Marie Claire Arrieta, Paul D. Cotter, Luc De Vuyst, Colin Hill, Wilhelm Holzapfel, Sarah Lebeer, Dan Merenstein, Gregor Reid, Benjamin E. Wolfe, Robert Hutkins

Microbiology & Immunology Publications

An expert panel was convened in September 2019 by The International Scientific Association for Probiotics and Prebiotics (ISAPP) to develop a definition for fermented foods and to describe their role in the human diet. Although these foods have been consumed for thousands of years, they are receiving increased attention among biologists, nutritionists, technologists, clinicians and consumers. Despite this interest, inconsistencies related to the use of the term ‘fermented’ led the panel to define fermented foods and beverages as “foods made through desired microbial growth and enzymatic conversions of food components”. This definition, encompassing the many varieties of fermented foods, is …


Maternal Blood Pressure In Relation To Prenatal Lipid-Based Nutrient Supplementation And Adverse Birth Outcomes In A Ghanaian Cohort: A Randomized Controlled Trial And Cohort Analysis, Alyssa Abreu, R. Young, Ashley L. Buchanan, Ingrid E. Lofgren, Harriet E T Okronipa, Anna Lartey, Per Ashorn, Seth Adu-Afarwuah, Kathryn G. Dewey, Brietta M. Oaks Mar 2021

Maternal Blood Pressure In Relation To Prenatal Lipid-Based Nutrient Supplementation And Adverse Birth Outcomes In A Ghanaian Cohort: A Randomized Controlled Trial And Cohort Analysis, Alyssa Abreu, R. Young, Ashley L. Buchanan, Ingrid E. Lofgren, Harriet E T Okronipa, Anna Lartey, Per Ashorn, Seth Adu-Afarwuah, Kathryn G. Dewey, Brietta M. Oaks

Pharmacy Practice and Clinical Research Faculty Publications

Background: It is unknown whether prenatal lipid-based nutrient supplements (LNSs) affect blood pressure (BP). Associations between hypertension and birth outcomes using recently updated BP cutoffs are undetermined.

Objectives: We aimed to assess the impact of LNSs on maternal hypertension and associations between hypertension and birth outcomes.

Methods: Pregnant Ghanaian women at ≤20 weeks of gestation (n = 1320) were randomly assigned to receive daily 1) iron and folic acid (IFA), 2) multiple micronutrients (MMN), or 3) LNSs until delivery. BP was measured at enrollment and 36 weeks of gestation. We analyzed the effect of LNSs on BP using ANOVA and …


Extension’S Potential To Respond To Suburban Food Insecurity, Daniel T. Remley, Glennon Sweeney, Julie Fox, Laquore J. Meadows Mar 2021

Extension’S Potential To Respond To Suburban Food Insecurity, Daniel T. Remley, Glennon Sweeney, Julie Fox, Laquore J. Meadows

Journal of Human Sciences and Extension

Between 2000 and 2013, the suburbs in the country’s largest metro areas saw their low-income population grow twice as fast as primary urban cities. In 2018, the Pew Research Center reported that poverty increased more sharply in suburbs than in urban and rural counties (Parker et al., 2018). The rise in suburban poverty coincides with an increasing prevalence of food insecurity. The social and physical environments of suburban communities pose unique food-related challenges for the suburban poor. Awareness and stigmatization of food assistance programs, lack of transportation options, access to food pantries, and limited community gardens are examples of challenges …


The Effects Of Increased Nacl Salinization On Riparian Plant Productivity And Decomposition Processes, Connor Gruntz Mar 2021

The Effects Of Increased Nacl Salinization On Riparian Plant Productivity And Decomposition Processes, Connor Gruntz

Master's Theses

NaCl salinization in inland ecosystems is increasing globally due to anthropogenic activity and may alter organism abundances and ecosystem processes. Because sodium is an essential nutrient for heterotrophs but not required by autotrophs, this salinization can alter species abundance and performance. Riparia may be particularly sensitive to increases in salinization. Here, I examined the Sodium Subsidy-Stress Hypothesis, which states that deviations from an organism’s optimal nutrient target can decrease abundance and performance, by studying the effects of NaCl salinization on plant chemistry, productivity, and decomposition rates in riparia. First, I selected three focal common riparian plants (water oak: Quercus nigra, …


Spinal Motor Neuron Loss Occurs Through A P53-And-P21-Independent Mechanism In The Smn, Emily J Reedich, Martin Kalski, Nicholas Armijo, Gregory A. Cox, Christine J Didonato Mar 2021

Spinal Motor Neuron Loss Occurs Through A P53-And-P21-Independent Mechanism In The Smn, Emily J Reedich, Martin Kalski, Nicholas Armijo, Gregory A. Cox, Christine J Didonato

Faculty Research 2021

Spinal muscular atrophy (SMA) is a pediatric neuromuscular disease caused by genetic deficiency of the survival motor neuron (SMN) protein. Pathological hallmarks of SMA are spinal motor neuron loss and skeletal muscle atrophy. The molecular mechanisms that elicit and drive preferential motor neuron degeneration and death in SMA remain unclear. Transcriptomic studies consistently report p53 pathway activation in motor neurons and spinal cord tissue of SMA mice. Recent work has identified p53 as an inducer of spinal motor neuron loss in severe Δ7 SMA mice. Additionally, the cyclin-dependent kinase inhibitor P21 (Cdkn1a), an inducer of cell cycle arrest and mediator …


Faculty Senate Agenda, March 1, 2021, Utah State University Mar 2021

Faculty Senate Agenda, March 1, 2021, Utah State University

Faculty Senate & Faculty Senate Executive Committee

  • EPC Monthly Report – February 4, 2021
  • HR Policy 311: Setting Expectations and Managing Performance
  • HR Policy 321: Respectful Workplace
  • Research Data Management Librarian
  • Parking Committee Annual Report
  • Sustainability Council Annual Report
  • Faculty Concerns Regarding New Faculty Startup Funding Rules


Avoiding Compassion Fatigue In Hospice Chaplains Through Cultivating Sabbath As An Element Of Self-Care, A. Milton Stanley Mar 2021

Avoiding Compassion Fatigue In Hospice Chaplains Through Cultivating Sabbath As An Element Of Self-Care, A. Milton Stanley

Harding School of Theology Dissertations and Theses

No abstract provided.


Southwest Harvest For Health: Adapting A Mentored Vegetable Gardening Intervention For Cancer Survivors In The Southwest, Cindy K. Blair, Elizabeth M. Harding, Prajakta Adsul, Sara Moran, Dolores Guest, Kathy Clough, Andrew L. Sussman, Dorothy Duff, Linda S. Cook, Joseph Rodman, Zoneddy Dayao, Ursa Brown-Glaberman, Towela V. King, V Shane Pankratz, Eduardo Servin, Sally M. Davis, Wendy Demark-Wahnefried Mar 2021

Southwest Harvest For Health: Adapting A Mentored Vegetable Gardening Intervention For Cancer Survivors In The Southwest, Cindy K. Blair, Elizabeth M. Harding, Prajakta Adsul, Sara Moran, Dolores Guest, Kathy Clough, Andrew L. Sussman, Dorothy Duff, Linda S. Cook, Joseph Rodman, Zoneddy Dayao, Ursa Brown-Glaberman, Towela V. King, V Shane Pankratz, Eduardo Servin, Sally M. Davis, Wendy Demark-Wahnefried

Pediatrics Research and Scholarship

Few diet and physical activity evidence-based interventions have been routinely used in community settings to achieve population health outcomes. Adapting interventions to fit the implementation context is important to achieve the desired results. Harvest for Health is a home-based vegetable gardening intervention that pairs cancer survivors with certified Master Gardeners from the Cooperative Extension Service with the ultimate goal of increasing vegetable consumption and physical activity, and improving physical functioning and health-related quality-of-life. Harvest for Health has potential for widespread dissemination since Master Gardener Programs exist throughout the United States. However, state- and population-specific adaptations may be needed to improve …


Risk Indicators Of Food Insecurity In The Cf Population, Semret Seyoum, Marsha Regenstein, Lea Nolan Mar 2021

Risk Indicators Of Food Insecurity In The Cf Population, Semret Seyoum, Marsha Regenstein, Lea Nolan

Health Policy and Management Issue Briefs

No abstract provided.


Ecological Studies Of Wolves On Isle Royale Annual Report 2020-2021, John A. Vucetich, Rolf O. Peterson, Sarah R. Hoy Mar 2021

Ecological Studies Of Wolves On Isle Royale Annual Report 2020-2021, John A. Vucetich, Rolf O. Peterson, Sarah R. Hoy

Ecological Studies of Wolves on Isle Royale

Annual Report 2020-2021


Gutka Associated Optic Neuropathy, Dureshahwar Kanwar, Mohammad Wasay Mar 2021

Gutka Associated Optic Neuropathy, Dureshahwar Kanwar, Mohammad Wasay

Pakistan Journal of Neurological Sciences (PJNS)

Optic neuropathy may be multi factorial in origin. It’s association with gutka use in South East Asia is most likely under diagnosed and often overlooked, considering it is a diagnosis of exclusion. The Optic nerve toxicity is well known occurring due to medications, metals, organic solvents, methanol, and carbon dioxide.1 Over recent years the effect of smokeless tobacco has been highlighted as one of the common causes of toxic optic neuropathy (TON), as visual impairment is already a colossal global health issue. Nonetheless,as high as 80 percent of the total burden of cases of blindness globally are due to causes …