26 research outputs found

    Antimicrobial Resistance Patterns and Plasmid Profiles of Methicillin Resistant Staphylococcus aureus Isolated from Clinical Samples

    Get PDF
    Methicillin-resistant Staphylococcus aureus (MRSA), showing resistance to several antibiotics is a global health problem associated with considerable mortality and morbidity. Antibiotic susceptibility test is a commonly used method to characterize MRSA in epidemiologic studies. Additionally, plasmid profile has been reported to be useful in tracing the epidemiology of antibiotic resistance. This research was conducted to determine the antimicrobial resistance patterns and plasmid profiles of MRSA isolated from clinical samples at KIST Medical College, Imadol, Kathmandu, Nepal. All the clinical specimens sent to the laboratory were processed by standard microbiological techniques and antibiotic susceptibility testing was done by the modified Kirby Bauer disc diffusion method. Further, plasmid profiling was done by Alkaline-lysis method. A total of 27 (38.02%) MRSA were isolated from 71 S. aureus positive samples. MRSA showed the highest resistance towards penicillin (92.60%) and ampicillin (92.60%). In contrast, high levels of sensitivity were shown towards vancomycin (85.19%) and tetracycline (85.19%). Out of 27 MRSA positive samples, single plasmids were isolated from only 6 (22.22%) MRSA isolates. Antibiograms alone are inadequate to accomplish the characterization of MRSA during epidemiological studies. However, plasmid profile analysis in conjunction with the antibiotic susceptibility pattern is valuable in the epidemiological investigation of MRSA, and for reducing MRSA prevalence and treatment cost

    Involvement in Extracurricular Activities: Identifying Differences in Perceptions of School Climate

    Get PDF
    Many youth participate in extracurricular activities, and research has linked activity participation with school engagement and academic success. Social-ecological theory suggests that the social contexts of different types of extracurricular activities may differentially affect student outcomes. Yet, there is scant research examining the relation between various extracurricular activities and student outcomes. The current study seeks to address this gap by exploring how participation in three activities (sports, clubs, and arts), and combinations of these activities are associated with perceptions of school climate, using multilevel modelling. Participants included 15,004 high school students from 28 schools across 11 states in the United States. Findings suggest that students involved in extracurricular activities have more favourable perceptions of social-emotional security, adult support, student support, and school connectedness. However, these perceptions vary by activity type and combination, and do not appear to have a stacked effect in which involvement in more activities yields more favourable outcomes. We conclude that extracurricular activity participation may serve as a mechanism to promote a positive school climate. Implications for research and practice are discussed

    Estudio de casos: tensiones y desafíos en la elaboración de la normativa escolar en Chile

    Get PDF
    Resumen La convivencia escolar es un escenario que ha estado en la reflexión y ha sido transversal en las distintas esferas educativas en los últimos años. De hecho, en el año 2011, el Ministerio de Educación estableció la Ley de Violencia Escolar como una forma de diseñar e implementar líneas de acción que propendan a fortalecer la relación entre los miembros de la comunidad educativa contribuyendo con ello a propiciar un ambiente que permita el desarrollo armónico de todos los actores educativos que forman parte del centro escolar. Con referencia a lo anterior, se realizó un estudio de casos de carácter interpretativo el cual consideró una intervención socioeducativa en un centro escolar público con la finalidad de implementar de manera representativa un marco normativo para la convivencia escolar armónica con la participación de todos los agentes educativos, considerando para ello los diversos significados y comportamientos indagados y consensuados, de manera de hacer un aporte al ámbito escolar, contribuyendo por ende al cumplimiento de los objetivos propuestos por el Ministerio de Educación de Chile. Las etapas contempladas en la investigación permitieron ir explorando y sistematizando los aportes de los participantes destacando aquellos acuerdos asociados a los comportamientos evidenciados y que son frecuentes en el centro educativo (disruptivos, psicológico o físico), con el objeto de incorporarlos en la política reguladora de las conductas escolares y conformar con ello un marco conductual que aporte a una convivencia armoniosa en el centro educativo

    Trends in future health financing and coverage: future health spending and universal health coverage in 188 countries, 2016–40

    Get PDF
    Background: Achieving universal health coverage (UHC) requires health financing systems that provide prepaid pooled resources for key health services without placing undue financial stress on households. Understanding current and future trajectories of health financing is vital for progress towards UHC. We used historical health financing data for 188 countries from 1995 to 2015 to estimate future scenarios of health spending and pooled health spending through to 2040. Methods: We extracted historical data on gross domestic product (GDP) and health spending for 188 countries from 1995 to 2015, and projected annual GDP, development assistance for health, and government, out-of-pocket, and prepaid private health spending from 2015 through to 2040 as a reference scenario. These estimates were generated using an ensemble of models that varied key demographic and socioeconomic determinants. We generated better and worse alternative future scenarios based on the global distribution of historic health spending growth rates. Last, we used stochastic frontier analysis to investigate the association between pooled health resources and UHC index, a measure of a country's UHC service coverage. Finally, we estimated future UHC performance and the number of people covered under the three future scenarios. Findings: In the reference scenario, global health spending was projected to increase from US10trillion(9510 trillion (95% uncertainty interval 10 trillion to 10 trillion) in 2015 to 20 trillion (18 trillion to 22 trillion) in 2040. Per capita health spending was projected to increase fastest in upper-middle-income countries, at 4·2% (3·4–5·1) per year, followed by lower-middle-income countries (4·0%, 3·6–4·5) and low-income countries (2·2%, 1·7–2·8). Despite global growth, per capita health spending was projected to range from only 40(2465)to40 (24–65) to 413 (263–668) in 2040 in low-income countries, and from 140(90200)to140 (90–200) to 1699 (711–3423) in lower-middle-income countries. Globally, the share of health spending covered by pooled resources would range widely, from 19·8% (10·3–38·6) in Nigeria to 97·9% (96·4–98·5) in Seychelles. Historical performance on the UHC index was significantly associated with pooled resources per capita. Across the alternative scenarios, we estimate UHC reaching between 5·1 billion (4·9 billion to 5·3 billion) and 5·6 billion (5·3 billion to 5·8 billion) lives in 2030. Interpretation: We chart future scenarios for health spending and its relationship with UHC. Ensuring that all countries have sustainable pooled health resources is crucial to the achievement of UHC. Funding: The Bill & Melinda Gates Foundation

    Quantitative Reasoning for Student Empowerment

    Get PDF
    This is an ongoing study on the undergraduate Quantitative Reasoning course at Ohio University

    Contemporary Snow Changes in the Karakoram Region Attributed to Improved MODIS Data between 2003 and 2018

    No full text
    Snowmelt significantly contributes to meltwater in most parts of High Mountain Asia. The Karakoram region is one of these densely glacierized and snow-covered regions. Several studies have reported that glaciers in the Karakoram region remained stable or experience slight mass loss. This trend has called for further investigation to understand changes in other components of the cryosphere. This study estimates the comparative snow cover area (SCA) and snowline altitude (SLA) changes between 2003 and 2018 in the Karakoram region and its subbasins, including Hunza, Shigar, and Shyok. We used three different 8-day composite snow products of the Moderate Resolution Imaging Spectroradiometer (MODIS) in this study including (1) Original Aqua (MYD10A2), (2) Original Terra (MOD10A2), and (3) Improved Terra-Aqua (MOYDGL06*) snow products from 2003 to 2018. We used Mann–Kendall and Sen Slope methods to assess trends in the SCA and SLA. Our results show that the original snow products are significantly biased when investigating seasonal and annual trends. However, discarding a cloud cover of >20% in the original products improves the results and makes them more comparable to our improved snow product. The original products (without cloud removal) overestimate the SCA during summer and underestimate the SCA during winter and year-round throughout the Karakoram region. The bias in the mean annual SCA between improved and Aqua and Terra cloud threshold products for the Karakoram region is found to be −1.67% and 1.1%, respectively. The improved (MOYDGL06*) product reveals a statistically insignificant decreasing trend of the SCA on the annual scale between 2003 and 2018 in the Karakoram region and all three subbasins. The annual trends decreased at −0.13%, −0.1%, −0.08%, and −0.05% in the Karakoram, Hunza, Shigar, and Shyok, respectively. The monthly trends were slightly positive overall in December. The annual maximum SLA shows a statistically significant upward trend of 13 m above sea level (m a.s.l.) per year for the entire Karakoram region. This finding suggests a significant uncertainty in water resource planning based on the original snow data, and this study recommends the use of the improved snow product for a better understanding

    Quantitative Reasoning and Student Empowerment

    No full text
    Concerning concerns about a disconnect between what is being taught in math class and student empowerment, the Quantitative Rea

    Improved MODIS TERRA/AQUA composite Snow and glacier (RGI6.0) data for High Mountain Asia (2002-2018)

    No full text
    The data contains an enhanced MODIS 8-day Terra and Aqua snow-cover combined product merged with Randolph Glacier Inventory (RGI6.0). The input data used to generate this product are MOD10A2.006* and MYD10A2.006* representing Terra and Aqua MODIS 8-day composite collection 6 (C6) snow-cover, respectively. The data is specifically developed for the High Mountain Asia (HMA) with the geographic coverage between latitude 24.32− 49.19 N and Longitude 58.22 − 122.48 E. The data MOYDGL06_2002_2018_HMA is an enhanced snow cover and glacier combined product covering the period between 2002 and 2018. The data is available with eight-day temporal resolution and 500 m spatial resolution. The name of the product is derived from MODIS Terra (MOD) MODIS Aqua (MYD), and Glacier (GL), Version 6 (06) as MOYDGL06*. The product is 8-day composite described in Julian day and each year has 46 eight-day composite images in GeoTIFF file format as described in the Dataset README below. The data can be accessed alternatively from http://rds.icimod.org/Home/DataDetail?metadataId=36031. The R code developed for this product is available at https://doi.org/10.5281/zenodo.3610735. For more details about the data, please read the paper associated with this data titled "An improved Terra–Aqua MODIS snow cover and Randolph Glacier Inventory 6.0 combined product (MOYDGL06*) for high-mountain Asia between 2002 and 2018" published in Earth System Science Data Journal

    Floods and Children’s Education in Rural India

    No full text
    Floods cause extensive damage in high-income countries, including the United States, but problems are more severe in low- and middle-income countries (LMICs) that lack preventative and mitigating infrastructure. Marginalized children’s education in LMICs might be particularly vulnerable. Using the Indian Human Development Survey, we investigate flood exposure implications for the education of school-age rural children, paying particular attention to children from marginalized groups. Results show that lower-caste Hindu, Muslim, and poorer children with less-educated parents in agricultural households are more likely to experience flooding. Interactions between flooding and marginalization characteristics indicate that flood exposure is associated with disproportionately negative learning outcomes for girls and that economic resources may mitigate flood exposure effects on delayed school progress. While greater exposures for marginalized groups are concerning, the limited number and modest magnitudes of documented negative effect heterogeneities for marginalized children are somewhat better news
    corecore