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Association Between Weight Status And Multimorbidity In Women At Reproductive Age Group Attending Phccs In Baghdad 2019, Athraa Yassin, Mohammed Al-Bayati

Iraqi Postgraduate Medical Journal

BACKGROUND:  Multimorbidity defined as (simultaneous occurrence of two or more chronic health conditions in    the same person without defining a primary disease) is a growing concern worldwide, with approximately 1 in 4 adults affected, associated with costly prolonged care and increased mortality and morbidity. These negative consequences affect individuals, households, and the whole society. OBJECTIVE: To describe the association between multimorbidity and weight status in women of reproductive age attending PHCCs in Baghdad. METHODS: Cross-sectional study was carried out among a random sample of women aged 15–49-year-old who attended 8 PHCCs in Baghdad from the March 1st to July 30th, …

Reasons Of Nonadherence To Treatment In Relapsing Remitting Multiple Sclerosis Patients, Sarah Taha, Akram Al-Mahdawi

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND: Multiple sclerosis is a chronic disease characterized by inflammation, gliosis, and neuronal loss;    the course can be relapsing-remitting or progressive.  Treatment with Disease modifying therapy may reduce the number of relapses, slowing down                 the progression of the disease, reducing disability and the number of hospitalizations.  AIM OF STUDY: To assess the adherence to medication and to know the causes of non-adherence to treatment in Iraqi patients with Multiple Sclerosis.  METHODS AND MATERIALS: Study included 178 patients with relapsing remitting multiple sclerosis from Dr. Saad Al-Witry Hospital for Neurosciences for period started from December 2018 until December 2019. Statistical …

Hepatitis A Encephalopathy Clinical And Laboratory Study Children Welfare Teaching Hospital, Zainab Al Khalifa, Dhiaa Al Beldawi

Iraqi Postgraduate Medical Journal

BACKGROUND: Hepatitis A virus is a small spherical non‐enveloped virus classified under the family Picornaviridae . It is highly contagious. Transmission is by person to-person contact through the fecal–oral route. Poor sanitation and personal hygiene, and consumption of contaminated food and water, are                   the commonest causes of HAV transmission. It is a viral liver disease that has a clinical spectrum ranges from asymptomatic infection to fulminant hepatitis and hepatic encephalopathy which is possibly reversible with treatment. The implementation of routine vaccination of children seems,              in the long term, the most reasonable way to get recurrent outbreaks under control. AIM OF …

Chemotherapy Induced Myelosuppression After First Cycle Of Adjuvant Chemotherapy For Non- Metastatic Breast Cancer, Marwa Mohammed, Adil Al Aqabi

Iraqi Postgraduate Medical Journal

BACKGROUND: Breast cancer is the most common cancer in women. Chemotherapy makes cancer patients at risk of developing myelosuppression which may cause delay in treatment and dose reduction.AIM OF THE STUDY: To assess tendency for chemotherapy induced cytopenia after the first cycle of chemotherapy in non-metastatic breast cancer patients.PATIENTS AND METHODS: A prospective observational study included 152 patients diagnosed with breast cancer and planned to receive adjuvant chemotherapy in form of Adriamycin / cyclophosphamide (AC) based chemotherapy, all of them with normal complete blood count pre chemotherapy and were observed by recording their absolute neutrophil count, hemoglobin and platelet count …

The Rural Enterprise Crime Complex: ‘Undefendable Rural Space’ And The Threat From The Fortress Farm, Orlando Goodall

School of Law, Humanities and Social Sciences

In response to the concept of the ‘fortress farm’ and its appropriation of traditional defensible space theory, this article introduces the conditions of undefendable rural space and the rural enterprise crime complex. Perspectives that invert traditional theory to determine contexts conducive to the incidence of rural enterprise crime. Empirical data from extensive fieldwork on crimes against wild animals in rural England is used to argue that the fortress and undefendable rural space can in effect serve to ‘design-out’ crime control and lock crime in. A dichotomous outcome, which creates a fortress for relatively powerful human insiders and a rural enterprise …

Design Of An Internal Osculating Waverider Intake, Mark E. Noftz, Andrew J. Shuck, Joseph S. Jewell, Jonathan Poggie, Andrew N. Bustard, Thomas J. Juliano, Nicholas J. Bisek

Publications

The design of an inward-turning, high-speed, three-dimensional streamline traced intake is presented from osculating axisymmetric theory. To satisfy the osculating intake design criteria, a stitched Busemann diffuser and Internal Conical Flow-A solution is used as the basic isentropic compressive streamline. This new contour provides efficient compression, high flow uniformity, and straight leading edge shocks of equal strength. Additionally, a novel method for constructing the inlet cowl is presented. The combined process leads to a new method of high-speed intake design. A generic shape-transitioned intake is constructed and named the Indiana Inlet for the Indiana universities that contributed to the project. …

Editorial, Faizan Ali

Journal of Global Hospitality and Tourism

I am pleased to present the third issue of Journal of Global Hospitality and Tourism (JGHT), Volume 2, Issue 1. This issue focuses on ensuring the journal’s scope and strengthening its position in both conceptual developments and practical applications in global hospitality and tourism through publication of five quality manuscripts and 2 academic viewpoints: five full papers that underwent rigorous double-blind reviewing, an academic viewpoint, and an industry viewpoint. The present issue of JGHT contains five full papers, written by fourteen authors located in four different countries and affiliated with eight different universities.

Investigating The Potential Effect Of Pollinators On The Alpine Plant Diversity Of The Southern Rocky Mountains: A Community Phylogenetic Approach, Jeremiah Westerman

2024 Award Winners

No abstract provided.

The Affectivity Of Doctrine: Making Sense Of The Many Disagreements Between Christians, John San Nicolas

2024 Award Winners

No abstract provided.

Challenges To Building Black Generational Wellness To Foster Growth Within Black Populations: A Research Proposal, Lillian Quinn Walker

2024 Award Winners

No abstract provided.

Class Distinctions Between Moche Warriors: An Illustration In Ceramic Vessels, Kaitlin M. Bone

2024 Award Winners

No abstract provided.

Resolving Conflict In The Operating Room – How A Communication Training Workshop Can Improve Faculty Competency, Aleezay Haider, Ronald Orozco, Rebecca Hohsfield, Ming-Li Wang, Baila Maqbool

Surgical Education

Our study demonstrates that a formal communication training initiative can boost faculty self-confidence in conflict resolution skills within the operating room. Using simulations tailored to the unique challenges of an OR setting equip surgeons with immediately transferable skills.

Arhs 4573 Artists Of New Spain, Ana Pulido Rull

All Syllabi

No abstract provided.

Arhs 4973 Seminar In Art History, Ana Pulido Rull

All Syllabi

No abstract provided.

Arhs 5573 Artists Of New Spain, Ana Pulido Rull

All Syllabi

No abstract provided.

Assessing Impact Of Nutrition Care By Registered Dietitian Nutritionists On Patient Medical And Treatment Outcomes In Outpatient Cancer Clinics: A Cohort Feasibility Study, Dolores D. Guest, Tricia Cox, Anne Coble Voss, Kathryn Kelley, Xingya Ma, Andreea Nguyen, Kerry Mcmillen, Valaree Williams, James A. Lee, Jennifer Petersen, Karilynne Lenning, Elizabeth Yakes Jimenez

Pediatrics Research and Scholarship

More information is needed about the impact of outpatient nutrition care from a registered dietitian nutritionist (RDN) on patient outcomes. This study aimed to assess the feasibility of a cohort study design to evaluate impact of RDN nutrition care on patient outcomes, describe clinic malnutrition screening practices, and estimate statistical parameters for a larger study. Seventy-seven patients with lung, esophageal, colon, rectal, or pancreatic cancer from six facilities were included (41 received RDN care and 36 did not). RDN nutrition care was prospectively documented for six months and documented emergency room visits, unplanned hospitalizations and treatment changes were retrospectively abstracted …

Planned Adaptation And Implementation Of The Community Guide Recommendations For Increasing Physical Activity In Rural Community Settings: A Qualitative Study, Julia Meredith Hess, Sally M. Davis

Pediatrics Research and Scholarship

BACKGROUND: The purpose of this paper is to report on the implementation of an evidence-based model, VIVA, which was developed to translate physical activity (PA) recommendations to rural environments and was scaled-up to 12 rural communities across New Mexico. Our longitudinal qualitative research describes processes of planned adaptation in the rural context with an exploration of inner and outer context adaptations that consider important implementation constructs including leadership, partnership and collaboration.

MATERIALS & METHODS: An enhanced version of the RE-AIM framework was used to formulate community-level engagement and process questions essential to implementation science. Qualitative methods, using a thematic approach …

Pilot Study Shows Skin-To-Skin Care With Parents Improves Heart Rate Variability In Preterm Infants In The Neonatal Intensive Care Unit, Erin Swieter, Jessica M. Gross, Julia Stephen, Kristi Watterberg, Jessie R. Maxwell

Pediatrics Research and Scholarship

BACKGROUND: Skin-to-skin care in the newborn intensive care unit typically lasts for short periods of time and enhances breastfeeding, attachment, and parental self-esteem. Heart rate variability (HRV) increases with gestational age and is a measure of maturation of parasympathetic vs. sympathetic autonomic nervous system activity. HRV measurements may be useful in capturing changes in autonomic regulation in response to skin-to-skin care.

OBJECTIVE: To analyze the effects of skin-to-skin care on HRV in preterm infants receiving respiratory support. We hypothesized that skin-to-skin care would result in a more mature pattern of parasympathetic activity.

METHODS: In this prospective crossover study, infants <30 >weeks' …

Prenatal Cannabinoid Exposure: Why Expecting Individuals Should Take A Pregnancy Pause From Using Cannabinoid Products, Alexis Lin, Gelonia L. Dent, Suzy Davies, Zarena M. Dominguez, Leigh-Anne Cioffredi, Gabrielle L. Mclemore, Jessie R. Maxwell

Pediatrics Research and Scholarship

Cannabinoid use in all populations is increasing as legalization across the United States continues. Concerningly, there is a lack of caution provided by medical providers to pregnant individuals as to the impact the use of cannabinoids could have on the developing fetus. Research continues in both the preclinical and clinical areas, and is severely needed, as the potency of delta-9-tetrahydrocannabinol (THC), the primary psychoactive component of cannabis, has increased dramatically since the initial studies were completed. Thus far, clinical studies raise compelling evidence for short term memory deficits, impulse control issues, and attention deficiencies following prenatal cannabinoid exposure (PCE). These …

Researching Covid To Enhance Recovery (Recover) Adult Study Protocol: Rationale, Objectives, And Design, Leora I Horwitz, Tanayott Thaweethai, Shari B Brosnahan, Mine S Cicek, Megan L Fitzgerald, Jason D Goldman, Rachel Hess, S L Hodder, Vanessa L Jacoby, Michael R Jordan, Jerry A Krishnan, Adeyinka O Laiyemo, Torri D Metz, Lauren Nichols, Rachel E Patzer, Anisha Sekar, Nora G Singer, Lauren E Stiles, Barbara S Taylor, Shifa Ahmed, Heather A Algren, Khamal Anglin, Lisa Aponte-Soto, Hassan Ashktorab, Ingrid V Bassett, Brahmchetna Bedi, Nahid Bhadelia, Christian Bime, Marie-Abele C Bind, Lora J Black, Andra L Blomkalns, Hassan Brim, Mario Castro, James Chan, Alexander W Charney, Benjamin K Chen, Li Qing Chen, Peter Chen, David Chestek, Lori B Chibnik, Dominic C Chow, Helen Y Chu, Rebecca G Clifton, Shelby Collins, Maged M Costantine, Sushma K Cribbs, Steven G Deeks, John D Dickinson, Sarah E Donohue, Matthew S Durstenfeld, Ivette F Emery, Kristine M Erlandson, Julio C Facelli, Rachael Farah-Abraham, Aloke V Finn, Melinda S Fischer, Valerie J Flaherman, Judes Fleurimont, Vivian Fonseca, Emily J Gallagher, Jennifer C Gander, Maria Laura Gennaro, Kelly S Gibson, Minjoung Go, Steven N Goodman, Joey P Granger, Frank L Greenway, John W Hafner, Jenny E Han, Michelle S Harkins, Kristine S P Hauser, James R Heath, Carla R Hernandez, On Ho, Matthew K Hoffman, Susan E Hoover, Carol R Horowitz, Harvey Hsu, Priscilla Y Hsue, Brenna L Hughes, Prasanna Jagannathan, Judith A James, Janice John, Sarah Jolley, S E Judd, Joy J Juskowich, Diane G Kanjilal, Elizabeth W Karlson, Stuart D Katz, J Daniel Kelly, Sara W Kelly, Arthur Y Kim, John P Kirwan, Kenneth S Knox, Andre Kumar, Michelle F Lamendola-Essel, Margaret Lanca, Joyce K Lee-Lannotti, R Craig Lefebvre, Bruce D Levy, Janet Y Lin, Brian P Logarbo, Jennifer K Logue, Michele T Longo, Carlos A Luciano, Karen Lutrick, Shahdi K Malakooti, Gail Mallett, Gabrielle Maranga, Jai G Marathe, Vincent C Marconi, Gailen D Marshall, Christopher F Martin, Jeffrey N Martin, Heidi T May, Grace A Mccomsey, Dylan Mcdonald, Hector Mendez-Figueroa, Lucio Miele, Murray A Mittleman, Sindhu Mohandas, Christian Mouchati, Janet M Mullington, Girish N Nadkarni, Erica R Nahin, Robert B Neuman, Lisa T Newman, Amber Nguyen, Janko Z Nikolich, Igho Ofotokun, Princess U Ogbogu, Anna Palatnik, Kristy T S Palomares, Tanyalak Parimon, Samuel Parry, Sairam Parthasarathy, Thomas F Patterson, Ann Pearman, Michael J Peluso, Priscilla Pemu, Christian M Pettker, Beth A Plunkett, Kristen Pogreba-Brown, Athena Poppas, J Zachary Porterfield, John G Quigley, Davin K Quinn, Hengameh Raissy, Candida J Rebello, Uma M Reddy, Rebecca Reece, Harrison T Reeder, Franz P Rischard, Johana M Rosas, Clifford J Rosen, Nadine G Rouphael, Dwight J Rouse, Adam M Ruff, Christina Saint Jean, Grecio J Sandoval, Jorge L Santana, Shannon M Schlater, Frank C Sciurba, Caitlin Selvaggi, Sudha Seshadri, Howard D Sesso, Dimpy P Shah, Eyal Shemesh, Zaki A Sherif, Daniel J Shinnick, Hyagriv N Simhan, Upinder Singh, Amber Sowles, Vignesh Subbian, Jun Sun, Mehul S Suthar, Larissa J Teunis, John M Thorp, Amberly Ticotsky, Alan T N Tita, Robin Tragus, Katherine R Tuttle, Alfredo E Urdaneta, P J Utz, Timothy M Vanwagoner, Andrew Vasey, Suzanne D Vernon, Crystal Vidal, Tiffany Walker, Honorine D Ward, David E Warren, Ryan M Weeks, Steven J Weiner, Jordan C Weyer, Jennifer L Wheeler, Sidney W Whiteheart, Zanthia Wiley, Natasha J Williams, Juan P Wisnivesky, John C Wood, Lynn M Yee, Natalie M Young, Sokratis N Zisis, Andrea S Foulkes

Pediatrics Research and Scholarship

IMPORTANCE: SARS-CoV-2 infection can result in ongoing, relapsing, or new symptoms or other health effects after the acute phase of infection; termed post-acute sequelae of SARS-CoV-2 infection (PASC), or long COVID. The characteristics, prevalence, trajectory and mechanisms of PASC are ill-defined. The objectives of the Researching COVID to Enhance Recovery (RECOVER) Multi-site Observational Study of PASC in Adults (RECOVER-Adult) are to: (1) characterize PASC prevalence; (2) characterize the symptoms, organ dysfunction, natural history, and distinct phenotypes of PASC; (3) identify demographic, social and clinical risk factors for PASC onset and recovery; and (4) define the biological mechanisms underlying PASC pathogenesis. …

Brain Structural Differences In Children With Fetal Alcohol Spectrum Disorder And Its Subtypes, Theresah Boateng, Kathryn Beauchamp, Faerl Torres, Chaselyn D. Ruffaner-Hanson, John Fl Pinner, Kishore Vakamudi, Cassandra Cerros, Dina E. Hill, Julia M. Stephen

Pediatrics Research and Scholarship

INTRODUCTION: The teratogenic effects of prenatal alcohol exposure (PAE) have been examined in animal models and humans. The current study extends the prior literature by quantifying differences in brain structure for individuals with a fetal alcohol spectrum disorder (FASD) compared to typically developing controls, as well as examining FASD subtypes. We hypothesized the FASD group would reveal smaller brain volume, reduced cortical thickness, and reduced surface area compared to controls, with the partial fetal alcohol syndrome (pFAS)/fetal alcohol syndrome (FAS) subtypes showing the largest effects and the PAE/alcohol-related neurodevelopmental disorder (ARND) subtype revealing intermediate effects.

METHODS: The sample consisted of …

Perspective Of Patients And Stakeholders As Members Of A Research Team, Janet L Poole, Sharon L Newbill

Pediatrics Research and Scholarship

Systemic sclerosis (SSc) is a rare orphan disease, characterized by skin thickening, vascular insufficiency, and fibrosis of internal organs. SSc affects about 100,000 people in the United States. This study explored perceived benefits and challenges of patient partners and stakeholders, who were team members on a project to revise and test a self-management program (Taking Charge of Systemic Sclerosis). Five patient partners, 1 stakeholder from the Scleroderma Foundation and 1 stakeholder from a state chapter of the Scleroderma Foundation were interviewed. Conversations were audio recorded and transcribed verbatim and analyzed. Four themes emerged from the analysis with corresponding subthemes: contributions …

A Novel Interactive Training Device To Improve Walking Ability And Quality Of Life For Children With Cerebral Palsy Trial: Accept Study An Exploration Of Balance, Its Measurement And Usual Physiotherapy Care In Children With Cerebral Palsy, To Inform A Mixed Methods Feasibility Rct., Rachel Rapson

School of Health Professions Theses

Cerebral palsy (CP) is a common disability with its onset in childhood, resulting from a non-progressive lesion to the brain. Motor impairments associated with CP are spasticity, weakness and reduced selective movement; these interfere with various aspects of balance. Children undertake physiotherapy to maintain or improve their mobility but find it hard to train at the correct frequency, intensity and in functional positions. A novel interactive trainer, the Happy Rehab™ (Innovaid, Denmark), was designed to address this. Its efficacy as an intervention to improve walking and balance is unknown. To evaluate this requires a Randomised Controlled Trial (RCT). The usual …

Front Matter, Natural Resources Journal

Natural Resources Journal

No abstract provided.

(Some) Land Back…Sort Of: The Transfer Of Federal Public Lands To Indian Tribes Since 1970, Audrey Glendenning, Martin Nie, Prof. Monte Mills

Natural Resources Journal

Federal public lands in the United States were carved from the territories of Native Nations and, in nearly every instance, required that the United States extinguish pre-existing aboriginal title. Following acquisition of these lands, the federal government pursued various strategies for them, including disposal to states and private parties, managing lands to allow for multiple uses, and conservation or protection. After over a century of such varied approaches, the modern public landscape is a complex milieu of public and private interests, laws and policies, and patchwork ownership patterns. This complexity depends on—and begins with—the history of Indigenous dispossession but subsequent …

Seeking To Be 'Like Water': Plastic Regulation In The People's Republic Of China, Dr. Gerry Nagtzaam, Dr. Elena Karataeva

Natural Resources Journal

China is one of the biggest producers of both virgin plastic and plastic waste. In order to tackle its growing plastic pollution crisis, China has recently made a number of significant legislative reforms directed at minimizing the use of disposable plastics, increasing the production of degradable plastic items and cutting off its reliance on imported plastic waste for recycling feedstock to boost its own recycling efforts. However, relying on recycling and degradable plastics as solutions to the plastic waste crisis may not be sufficient. China’s approach highlights an inherent contradiction in minimizing plastic pollution whilst simultaneously increasing plastic production.

Case Note: The Lack Of Teeth In Teitiota: Exploring The Limits Of The Groundbreaking U.N. Human Rights Committee Case, Elena Papadakos

Natural Resources Journal

No abstract provided.

Case Note: The Ultimate Nuisance: Climate Change Comes To Federal Court In City Of New York V. Chevron Corp., Dr. Jeremy Wirths

Natural Resources Journal

No abstract provided.

Book Review: Up To Heaven And Down To Hell: Fracking, Freedom, And Community In An American Town Written By Colin Jerolmack, Abigail Lutz

Natural Resources Journal

No abstract provided.

Book Review: Wildlife As Property Owners: A New Conception Of Animal Rights Written By Karen Bradshaw, Justin Starr

Natural Resources Journal

No abstract provided.