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Articles 803041 - 803070 of 5162003

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Assessment Of Knowledge And Attitudes Of Medical Students On Tuberculosis, Arwa Abbas, Salam Mohammed Nov 2021

Assessment Of Knowledge And Attitudes Of Medical Students On Tuberculosis, Arwa Abbas, Salam Mohammed

Iraqi Postgraduate Medical Journal

BACKGROUND: Tuberculosis is one of the most common communicable diseases world wild and continues to be a major global health problem. It causes disease among millions of people each year, and, after HIV, it ranks as the second leading cause of death from an infectious disease worldwide. TB is a public health priority in Iraq. A report published by the World Health Organization highlighted ' the value of undergraduate tuberculosis training and outlined a systematic educational plan to ensure that students are provided with the necessary knowledge, skills, and attitudes essential to the effective management of tuberculosis. AIM OF STUDY: …


Evaluation Of Family Physicians Knowledge, Attituds And Practice For Emergency Services, Shaimaa Abdul-Mahdi, Abdulmuniem Al-Dabbagh Nov 2021

Evaluation Of Family Physicians Knowledge, Attituds And Practice For Emergency Services, Shaimaa Abdul-Mahdi, Abdulmuniem Al-Dabbagh

Iraqi Postgraduate Medical Journal

BACKGROUND: Provision of emergency care is an integral part of general practice, and family health physicians play                       a crucial role in the management of medical emergencies. OBJECTIVE: To evaluate the emergency health care services delivery at PHC level in family Health centers in Baghdad city, in terms of knowledge, attitudes and practices of the physicians (service providers) towards emergency service. METHODOLOGY: A cross-sectional study done in 22 Family Healthcare Centers, targeting all doctors who work in these centers who accepted to participate, 86 out of 100 agreed to participate. A self-administered questionnaire was used to obtain the basic characteristics of …


The Use Of Faricimab For The Treatment Of Wet Age Related Macular Degeneration (Amd) And Diabetic Macular Edema (Dme), Najah Mohammad Nov 2021

The Use Of Faricimab For The Treatment Of Wet Age Related Macular Degeneration (Amd) And Diabetic Macular Edema (Dme), Najah Mohammad

Iraqi Postgraduate Medical Journal

No abstract provided.


Changes In The Nerve Conduction Of The Paretic Limb In Post-Stroke Patients, Basmah Ali, Zahraa Eldon Ismaeel, Mohammed Mohammed, Farqad Hamdan, Aqeel Hatim Nov 2021

Changes In The Nerve Conduction Of The Paretic Limb In Post-Stroke Patients, Basmah Ali, Zahraa Eldon Ismaeel, Mohammed Mohammed, Farqad Hamdan, Aqeel Hatim

Iraqi Postgraduate Medical Journal

BACKGROUND: Post-stroke motor sequelae can lead to an abnormal limb posture and decreased function that can ultimately increase the susceptibility of the peripheral nerves in that limb to compression, particularly within the early stages of stroke. OBJECTIVE: To study nerve conduction in paretic and non-paretic extremity in patients with the first ever-one stroke and to relate these parameters with MRC (Medical Research Council) scale. METHODS: Twenty-three patients aged 31-62 years and duration of illness of 3 and 6 months were studied. Thirteen had right hemiparesis and 10 with left hemiparesis. MRC scale was ≥3 in 17 and <2 in 6 patients. RESULTS: The median and peroneal distal motor latencies (DML) were prolonged and the peroneal compound muscle action potential (CMAP) amplitude was reduced in the paretic as compared to the non-paretic side. The combined sensory index and the lumbrical/interosseous muscles comparison methods revealed significant differences between the paretic as compared to the non-paretic side. Median distal sensory latency (DSL), DML, motor conduction velocity (MCV), and peroneal CMAP amplitude of the paretic limb were significantly different between those with ≥3 and those with <2 MRC scale. In the non-paretic upper limbs, the DSL and DML were significantly prolonged in those with <2 MRC when compared to those with ≥3 MRC. CONCLUSION: Post-stroke entrapment neuropathy may develop, along with axonal neuropathy symptoms in patients with severe paresis. The more severely affected limbs, the more severe electrophysiologic changes.  


Assessment Of Left Ventricular Myocardial Stiffness In Hypertension Patients Utilizing Conventional And Tissue Doppler Echocardiography, Hind Abed, Basil Aldileamy Nov 2021

Assessment Of Left Ventricular Myocardial Stiffness In Hypertension Patients Utilizing Conventional And Tissue Doppler Echocardiography, Hind Abed, Basil Aldileamy

Iraqi Postgraduate Medical Journal

BACKGROUND:                                                                                                                                   It is predicted that changes in LV morphology in hypertensive patients will cause a reduction in compliance and an increase in myocardial stiffness. The E/E' to (LVEDD) ratio represents                        the pressure–volume relationship of the LV, which was used to quantify LV stiffness. AIM OF THIS STUDY: Assess myocardial stiffness in hypertensive patients by applying a combined conventional and (TDI) on the pressure volume relation [(E/E')/LVEDD]. METHODS:                                                                     The research included 81 hypertensive patients (48 females and 33 males) and 33 healthy individuals (23females&10males) as a control group . A complete TTE echocardiographic examination was performed on all patients, including (TDI) …


The Effect Of Nuchal Cord On Amniotic Fluid Index And Estimated Fetal Weight Detected By Ultrasound, Basma Kadhim, Abdul Alnakash Nov 2021

The Effect Of Nuchal Cord On Amniotic Fluid Index And Estimated Fetal Weight Detected By Ultrasound, Basma Kadhim, Abdul Alnakash

Iraqi Postgraduate Medical Journal

BACKGROUND: Umbilical cord around fetal neck (nuchal cord) is quite common finding, it is often assumed that it might cause cord compression and thus low fetal weight, oligohydramnios and intrapartum complication. OBJECTIVE: To determine effect of the nuchal cord on amniotic fluid index (AFI) and fetal weight. MATERIALS AND METHODS: Two hundred full term pregnant women were enrolled in this study. By using color Doppler ultrasound to detect the presence of nuchal cord, trans abdominal altrasound to detect AFI and fetal weight were estimated according hadlock equation, half of them were with nuchal cord (study group) and the remaining were …


Impact Of Anemia On Cerebral Venous Thrombosis Patients Compared To Arterial Stroke, Ahmed Khamees, Wassem . Al Tameemi, Hasan Al-Hamadani Nov 2021

Impact Of Anemia On Cerebral Venous Thrombosis Patients Compared To Arterial Stroke, Ahmed Khamees, Wassem . Al Tameemi, Hasan Al-Hamadani

Iraqi Postgraduate Medical Journal

BACKGROUND: Cerebral venous thrombosis (CVT) is a condition where a thrombotic event involves cerebral venous sinuses of varied temporal evolution. It causes stroke with incidence of ≈1.3 per 100000 especially in young female. Many - risk factors had attributed in its etiology assuming, anemia, as one of these factor, - based on case reports and case series. AIM OF STUDY:   Toassess the impact of anaemia on cerebral venous thrombosis (CVT) in comparison with arterial stroke  PATIENTS AND METHODS:  A case control prospective study performed at   Al-Imamain Al-Kadhimain Medical City throughout      the period from December-2017 to December-2019. It included 42 randomly …


Immunohistochemical Application Of Gata 3 In Differentiating Urothelial Cancer From Prostatic Cancer. A Clinicopathological Study, Khamaeel Faraj, Sazan Mirza Nov 2021

Immunohistochemical Application Of Gata 3 In Differentiating Urothelial Cancer From Prostatic Cancer. A Clinicopathological Study, Khamaeel Faraj, Sazan Mirza

Iraqi Postgraduate Medical Journal

BACKGROUND: Urothelial carcinoma and prostatic adenocarcinoma are the most common tumors of genitourinary system. Both can demonstrate a broad histology or present as undifferentiated carcinoma that made the distinction of which is the primary source very difficult. In indeterminate tumor morphology,    the immunohistochemical markers will assist the pathologists to avoid misinterpretation. AIM OF THE STUDY: To assess immunohistochemical expression of GATA3 in urothelial and prostatic adenocarcinoma with correlation to different clinicopathological parameters. MATERIALS AND METHODS: This retrospective study was done on formalin-fixed paraffin embedded tissue blocks from 20 urothelial CA and 20 prostatic adenocarcinoma cases. GATA3 was used and semi-quantitatively …


Predictive Risk Factors Of Steroid Dependency In Nephrotic Syndrome In Children, Hassnaa Kareem, Azhar Khazraji, Bushra Salih Nov 2021

Predictive Risk Factors Of Steroid Dependency In Nephrotic Syndrome In Children, Hassnaa Kareem, Azhar Khazraji, Bushra Salih

Iraqi Postgraduate Medical Journal

BACKGROUND:   Patients with idiopathic nephrotic syndrome are usually steroid sensitive, however about 50% of relapsed children who experienced frequent relapses, develop steroid-dependency and become vulnerable for complications of long-term use of steroid. OBJECTIVE: Early detection of risk factors in patients with a nephrotic syndrome that could make them more liable to have steroid dependency after initial response to treatment with steroid. PATIENTS AND METHOD: A hospital-based retrospective cross-sectional study of patients aged 1-16 years; Followed up for at least 6 months at the outpatient clinic of the pediatric nephrology unit in central child teaching hospital .The study group was divided …


Dorsal Onlay Buccal Mucosal Graft Urethroplasty For Anterior Urethral Stricture:Single Center Experience, Hayder Hadi Alqadhi, Yousuf Al-Hallaq Nov 2021

Dorsal Onlay Buccal Mucosal Graft Urethroplasty For Anterior Urethral Stricture:Single Center Experience, Hayder Hadi Alqadhi, Yousuf Al-Hallaq

Iraqi Postgraduate Medical Journal

BACKGROUND: Urethral stricture remains a great challenge. We reported dorsal onlay BMG urethroplasty for repair of anterior urethral stricture. AIM OF THE STUDY: is to analyze short term outcome of Dorsal Onlay Buccal mucosal graft Urethroplasty, in regarding                 the result and complication rate in surgical specialties hospital /Medical City. PATIENTS AND METHODS: From January 2017 to June 2019, a total of 20 cases were enrolled in this study with anterior urethral strictures managed by dorsal onlay BMG Urethroplasty. Patients with lichen sclerosus, previous failed urethroplasty and posterior urethral stenosis were excluded; those patients were followed up at 3 weeks, 3 …


Treatment Of Common Warts By Hydrogen Peroxide 50%, Mahmood Hashim Tabra, Hayder Al-Hamamy Nov 2021

Treatment Of Common Warts By Hydrogen Peroxide 50%, Mahmood Hashim Tabra, Hayder Al-Hamamy

Iraqi Postgraduate Medical Journal

BACKGROUND:  Common warts are common diseases encountered in daily dermatologic practice. They are caused by human papilloma virus which has about 200 genotypes. Although spontaneous resolution can occur in 65-78% after two years but disfigurement and social embarrassment necessitate treatment. Hydrogen peroxide has damaging effects on nucleic acids, proteins and lipids. It is currently used for debridement of wounds and has healing promotion and antimicrobial effects. It was recently approved for the treatment of seborrheic keratosis. OBJECTIVE: To evaluate topical 50% hydrogen peroxide use in the treatment of common warts regarding the safety and efficacy. PATIENTS AND METHODS: This interventional …


Helicobacter Pylori Infection Among Dyspeptic Patients Referred For Endoscopy, Rabah Asreah, Ammar Mahdi Nov 2021

Helicobacter Pylori Infection Among Dyspeptic Patients Referred For Endoscopy, Rabah Asreah, Ammar Mahdi

Iraqi Postgraduate Medical Journal

BACKGROUND: Functional dyspepsia is one of the most common gastrointestinal symptoms and attributed to various causes including Helicobacter pylori infection. AIM OF THE STUDY: To correlate Helicobacter pylori infection to functional dyspepsia and to identify the possible risk factors for this infection. PATIENTS AND METHODS: Fifty patients who were referred to the endoscopy unit for dyspepsia symptoms, secondary gastric causes of dyspepsia were excluded during endoscopy, gastric biopsies were taken for histopathological study and for bedside urease test for detection of Helicobacter pylori infection. RESULTS: 62% of non-ulcer dyspeptic patients were infected with Helicobacter pylori, 74.2% of the patients were …


A Clinical Diagnostic Scoring System To Improve Early Treatment Of Hirschsprung’S Disease, Maha Lattuf Al-Rudaini, Mohammed Abd Ali Nov 2021

A Clinical Diagnostic Scoring System To Improve Early Treatment Of Hirschsprung’S Disease, Maha Lattuf Al-Rudaini, Mohammed Abd Ali

Iraqi Postgraduate Medical Journal

BACKGROUND:   Hirschsprung’s disease (HD) is a functional intestinal obstruction due to an abnormality of the enteric   nervous system, most of affected patients with HD are presented during the neonatal period, but                        the diagnosis is still non-specific and leading to missing some patients. THE AIM OF THE STUDY:  Is to construct a simple clinical predictor scoring system to assist early diagnosis, allow early treatment               of HD and to avoid doing rectal biopsy as much as possible. METHODS: A prospective cohort study was done in Children Welfare Teaching Hospital from the first of January 2016 to the end of December 2017; the …


Compliance Of Type Two Diabetic Patients To Treatment In A Sample In Baghdad, Rana Dawood, Kefah Abdulmajeed, Sahar Abdul-Hameed Nov 2021

Compliance Of Type Two Diabetic Patients To Treatment In A Sample In Baghdad, Rana Dawood, Kefah Abdulmajeed, Sahar Abdul-Hameed

Iraqi Postgraduate Medical Journal

BACKGROUND: Diabetes is one of the major public health problems all over the world. The world health organization said that about 224 million persons in the world have diabetes mellitus (1). There is                 a globally agreed target to halt the rise in diabetes and obesity by 2025. Most of this increment              will occur in the developing countries and this will be due to population growth, ageing,                        and sedentary life styles. Many patients with type 2 diabetes are taking a combined regimen of drugs. The lifestyle changes and the drugs to manage type 2 diabetes and the associated issues can only …


Nutritional Status In Patients Newly Diagnosed With Malignancy In Child’S Central Teaching Hospital In Baghdad, Dhuhaa Mohammed, Matheel Jafer, Faten Rasheed, Allawi Al-Janabi Nov 2021

Nutritional Status In Patients Newly Diagnosed With Malignancy In Child’S Central Teaching Hospital In Baghdad, Dhuhaa Mohammed, Matheel Jafer, Faten Rasheed, Allawi Al-Janabi

Iraqi Postgraduate Medical Journal

BACKGROUND: Malnutrition is a major problem in children with cancer, Nutritional assessment is an essential component of the history and physical examination. Malnutrition is an unspecific term used to define an inappropriate nutritional condition that is characterized either by a deficiency or                       an excess of energy, protein, and other nutrients.  AIM OF THE STUDY: To evaluate the nutritional status of patients newly diagnosed with malignancy, and to show                     the correlation between malnutrition and different age, type of malignancy, duration of presentation. PATIENTS AND METHODS: Prospective study carried out on 150 patients between 2-15 years newly diagnosed with malignancy admitted to …


Estimation Of Myeloperoxidase (Mpo), Oxidized Ldl And Glutathione (Gsh) In Patients With Acute Myocardial Infarction (Ami) In Three Iraqi Hospitals, Muataz Ali Al-Qazzaz, Mohammed Hamzah, Moayed Hamid Nov 2021

Estimation Of Myeloperoxidase (Mpo), Oxidized Ldl And Glutathione (Gsh) In Patients With Acute Myocardial Infarction (Ami) In Three Iraqi Hospitals, Muataz Ali Al-Qazzaz, Mohammed Hamzah, Moayed Hamid

Iraqi Postgraduate Medical Journal

BACKGROUND: Acute myocardial infarction (AMI) is a cardiovascular emergency that needs immediate diagnosis and treatment. Myeloperoxidase (MPO) an enzyme generated by active leukocytes, has been connected to atherosclerosis in a mechanistic way and earlier research has suggested that MPO could be employed as a diagnostic and analytical marker for AMI patients. Many cardiovascular disease ( CVD) events have been linked to oxidized-LDL (Ox-LDL) &Glutathione (GSH) . OBJECTIVE: Studies a new, rapidly rising, or cost-effective biomarker for the detection of AMI. PATIENTS AND METHODS: Eighty (80) patients & (40) control offered with chest pain presented to the Coronary Care Unit looking …


Spinal Malignancy Psychobehavioral Issues, Mazin Mohammed Jawad Nov 2021

Spinal Malignancy Psychobehavioral Issues, Mazin Mohammed Jawad

Iraqi Postgraduate Medical Journal

BACKGROUND: Psychobehavioral is an all encompassing term for psychological and behavioral factors that are major determinants of the widely accepted biopsychobehavioral or multidimensional concept of diseases such as cancer. AIM OF STUDY: To identify psychobehavioral issues affecting patients with a diagnosis of a spinal column or cord tumor. PATIENTS AND METHODS: Using the keywords “cancer communication,” “psychobehavioral care,” and “spine cancer patient,” a review of literature was performed on Medline, and PsycInfo, a database of the psychology and psychiatry literature in the United States. The relevant articles were reviewed; in addition, relevant references from selected articles were searched. The Spine …


A Case Of Tubo-Ovarian Abscess In A 15-Year-Old Female After Appendectomy Complicated By Peritonitis, Martin Castaneda Nov 2021

A Case Of Tubo-Ovarian Abscess In A 15-Year-Old Female After Appendectomy Complicated By Peritonitis, Martin Castaneda

All Publications

Pelvic inflammatory disease (PID) and tubo-ovarian abscess (TOA) are serious diagnoses to consider in reproductive-age women presenting with abdominal or pelvic pain. Management can be medical or surgical depending on severity. This case report outlines the unique presentation of TOA in a 15-year-old female presenting with acute abdominal pain with a recent past surgical history of appendectomy. A discussion of the approach to similar presentations and the importance of maintaining a broad differential diagnosis follows.


State V. Weaver Appellant's Reply Brief Dckt. 48470 Nov 2021

State V. Weaver Appellant's Reply Brief Dckt. 48470

Idaho Supreme Court Records & Briefs, All

No abstract provided.


System And Method For Non-Invasive Blood Glucose Monitoring, Stephen E. Saddow, Fabiola Araujo Cespedes, Gokhan Mumcu, Christopher Leroy Frewin Nov 2021

System And Method For Non-Invasive Blood Glucose Monitoring, Stephen E. Saddow, Fabiola Araujo Cespedes, Gokhan Mumcu, Christopher Leroy Frewin

USF Patents

A system and method for continuous glucose monitoring (CGM) of blood in a blood vessel of a patient using a non-invasive sensor composed of a patch antenna operating in the Industrial, Scientific and Medical (ISM) Radio band (5.725 GHz-5.875 GHz). The device determines the blood glucose concentration of the blood in the blood vessel based on the measured shift of the resonant frequency of the non-invasive antenna patch sensor. A radio frequency (RF) synthesizer is used to drive the patch antenna with a fraction of its output coupled to both the antenna and receiver through a directional coupler. In this …


Alda-1 Treatment And Prevention Of Pulmonary Disease, Narasaiah Kolliputi, Richard F. Lockey, Lakshmi Galam Nov 2021

Alda-1 Treatment And Prevention Of Pulmonary Disease, Narasaiah Kolliputi, Richard F. Lockey, Lakshmi Galam

USF Patents

Methods of treating or preventing allergic or pulmonary diseases characterized by endothelial dysfunction with Alda-1 are presented. Treatment of pulmonary endothelial cells subjected to hyperoxia with Alda-1 showed an increase in ALDH2 activity and expression. Treatment with Alda-1 also illustrated a decrease in oxidative stress, a decrease in reactive oxygen species (ROS), a decrease in apoptosis, a decrease in inflammation and an enhancement of mitochondrial membrane potential.


Dechlorination Apparatus For Treating Chloride Salt Wastes: System Evaluation And Scale-Up, Brian J. Riley, Saehwa Chong, Charmayne E. Lonergan Nov 2021

Dechlorination Apparatus For Treating Chloride Salt Wastes: System Evaluation And Scale-Up, Brian J. Riley, Saehwa Chong, Charmayne E. Lonergan

Materials Science and Engineering Faculty Research & Creative Works

This paper describes an apparatus used to remove chlorine from chloride salt-based nuclear wastes from electrochemical reprocessing and/or chloride-based molten salt reactors (MSRs) through dechlorination by reacting the salts with ammonium dihydrogen phosphate (NH4H2PO4 or ADP) at temperatures up to 600 °C to produce NH4Cl as a byproduct. The benefits of removing the Cl from these salts include 37Cl recovery from Cl-based MSR salts, formation of UCl3 from the NH4Cl, as well as removal of Cl from the salts and conversion of the salt cations to oxides to allow …


Exploring The Potential Use Of Porous Silica Nanoparticles In Cest-Mri, Lydia Makotamo Nov 2021

Exploring The Potential Use Of Porous Silica Nanoparticles In Cest-Mri, Lydia Makotamo

Dissertations and Theses

Magnetic resonance imaging (MRI) is a widely used modality in diagnostics, treatment, and monitoring various conditions due to its ability to generate high-resolution images using non-ionizing radiation. The advent of contrast agents, which generally work by increasing the spin relaxation rate constants of water protons, has led to image enhancement. Despite the usefulness of this class of agents in diagnostic medicine, their inability to provide in-depth functional and anatomical information, coupled with their high detection limits, has led to new agents being explored.

Chemical exchange saturation transfer (CEST) presents an alternative route to generate signals via repetitive saturations transfers between …


Community College Geoscience Faculty Perspectives On Critical Thinking Instructional Tools, Mariela Salas Bao Nov 2021

Community College Geoscience Faculty Perspectives On Critical Thinking Instructional Tools, Mariela Salas Bao

Dissertations and Theses

Research has shown that modern courses and programs designed to foster critical thinking vary in both content and delivery, in turn leading to differences in their effectiveness. Few studies have investigated critical thinking among nontraditional students at community colleges taking STEM courses, especially within the geosciences. Furthermore, such research has focused primarily on the students with few if any studies involving faculty. This study examined the perceptions held by community college geoscience faculty regarding critical thinking and how such perceptions influenced their choice of instructional strategies. This study used a basic qualitative methodology and a maximum variation sampling to select …


Gata Now!, Georgia Southern University Nov 2021

Gata Now!, Georgia Southern University

Athletics: News & Publications

  • GATA Now!


Gata Now!, Georgia Southern University Nov 2021

Gata Now!, Georgia Southern University

Athletics: News & Publications

  • GATA Now!


Memphis State College Recruitment Pamphlet, 1942 Nov 2021

Memphis State College Recruitment Pamphlet, 1942

Documents

Pamphlet published in 1942, by Memphis State College, Memphis, Tennessee, to recruit students outlining costs and containing photographs of campus life.


Dedication Of Rawls Hall And Robison Hall, Memphis State University, Program, 1965 Nov 2021

Dedication Of Rawls Hall And Robison Hall, Memphis State University, Program, 1965

Documents

Program of the dedication of Rawls Hall and Robison Hall, the new women's and men's residence halls at Memphis State University, Memphis, Tennessee, named after longtime Dean of Women, Flora Rawls, and Dean R.M. Robison. It was held during the Second Annual Alumni Day on May 8, 1965.


Radioresistance In Prostate Cancer: Focus On The Interplay Between Nf-Κb And Sod, Sameera Kumar, Daret St. Clair Nov 2021

Radioresistance In Prostate Cancer: Focus On The Interplay Between Nf-Κb And Sod, Sameera Kumar, Daret St. Clair

Toxicology and Cancer Biology Faculty Publications

Prostate cancer occurs frequently in men and can often lead to death. Many cancers, including prostate cancer, can be initiated by oxidative insult caused by free radicals and reactive oxygen species. The superoxide dismutase family removes the oxygen-derived reactive oxygen species, and increased superoxide dismutase activity can often be protective against prostate cancer. Prostate cancer can be treated in a variety of ways, including surgery, androgen deprivation therapy, radiation therapy, and chemotherapy. The clinical trajectory of prostate cancer varies from patient to patient, but more aggressive tumors often tend to be radioresistant. This is often due to the free-radical and …


Will Other States Adopt California’S Ab 51 After Its Validation By The Ninth Circuit?, Henry Gluck Nov 2021

Will Other States Adopt California’S Ab 51 After Its Validation By The Ninth Circuit?, Henry Gluck

Cardozo Journal of Conflict Resolution (CJCR) Blog

Roughly sixty million Americans have relinquished their right to litigate any work-related claims against their employers. This is due to employers including arbitration clauses in employment contracts—a condition of employment that has led to a mass waiver of this constitutionally granted right. The pretext for this phenomenon is that arbitration is cheaper and more efficient than litigation. But in fact, arbitration works to limit employers’ legal exposure and litigation costs, and helps keep incidents of workplace abuse unexposed. Employees are less likely to be awarded damages in arbitration, and the awards are usually smaller. Employees who are governed by forced …