247 research outputs found

    Sankara Eye Records: eye-health tracker for children in India

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    Sankara Eye Records is a web application created for Sankara Eye, an Indian-based outreach or- ganization that provides eye care services for underserved communities. Our goal is to make the process of creating and editing screening site records and schoolchildren eye health records quick and efficient. This will enable Sankara Eye to track childrens eye health over their school years. Our system will include a web application to be used by trained Sankara Eye personnel at screening sites and a backend database to store all their data

    Determining the Importance of Macro and Trace Dietary Minerals on Growth and Nutrient Retention in Juvenile Penaeus monodon

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    Twelve minerals were screened to identify key dietary minerals important for Penaeus monodon growth. The minerals selected included boron, calcium plus phosphorus (assessed in tandem at a 1:1 ratio), cobalt, copper, magnesium, manganese, potassium, selenium, sodium, strontium and zinc. Twelve purified casein/gelatin-based diets were formulated and contained minerals at two levels: below expected requirements, as attributed by the basal formulation (-) and above expected requirements by adding inorganic minerals (+). The two levels were allocated to dietary treatments in juvenile prawns in accordance with the PB design. A two-level screening analysis was employed where effect of each mineral at level - or + across twelve diets were compared to identify the minerals of importance for culture performance of juvenile prawns. Calcium plus phosphorus (at a 1:1 ratio), magnesium, boron, manganese, selenium and zinc produced the greatest positive effects on weight gain, feed conversion efficiency, biomass gain and nutrient/energy retention. Particularly, boron and manganese significantly increased retention of key macronutrients and energy including gross energy, crude protein and crude lipid. Our study demonstrates the importance of several macro and trace minerals in prawn diets and the pressing need to refine their requirements for P. monodon

    Parents\u27 Goals: An Analysis of Therapist Reasoning

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    Purpose: Illustrate the use of DDDM to develop parent-identified goals for occupational therapy and to identify underlying sensory integration factors hypothesized to be impacting participation

    Effects of phytase inclusions in diets containing ground wheat or 12.5% whole wheat (pre- and post-pellet) and phytase and protease additions, individually and in combination, to diets containing 12.5% pre-pellet whole wheat on the performance of broiler chickens

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    Each of eight dietary treatments was offered to seven replicates (six birds per cage) of male Ross 308 chicks from 7 to 28 days post-hatch. The diets contained 741 g/kg wheat incorporated as ground (3.2 mm hammer-mill screen) wheat or 125 g/kg whole wheat included in diets, either pre- or post-pelleting. In Experiment 1 of the study, ground grain, pre-pellet and post-pellet whole grain diets were offered with and without phytase as a 3 Ă— 2 factorial array of treatments. The effects of dietary treatments on gizzard and pancreas weights, bone mineralisation, excreta dry matter, growth performance, nutrient utilisation, digestibility coefficients and disappearance rates of starch and protein (N) in four small intestinal segments were determined. Post-pellet whole grain addition significantly increased gizzard weight by 12.5% (18.17 versus 16.15 g/kg;

    The interactions of exogenous phytase with whole grain feeding and effects of barley as the whole grain component in broiler diets based on wheat, sorghum and wheat-sorghum blends

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    The objectives of this experiment were two-fold; the first was to evaluate exogenous phytase in either conventional or whole grain diets as a 2 Ă— 2 factorial treatment array. Wheat-sorghum blended rations containing 12.5% ground or whole barley were offered without and with 1000 FTU/kg exogenous phytase. The second objective was to evaluate barley as the whole grain component in diets based on wheat, sorghum and equal wheat-sorghum blends as a 3 Ă— 2 factorial treatment array. Rations based on wheat, sorghum and wheat-sorghum blends were offered as an intact pellet containing 12.5% ground barley or offered as a mix of 12.5% whole barley and a pelleted concentrate. Each of the dietary treatments was offered to 7 replicates (6 birds per cage) of male Ross 308 chicks from 7 to 28 days post-hatch. Treatment effects on growth performance, gizzard and pancreas weights, gizzard pH, bone mineralisation, nutrient utilisation, digestibility coefficients of starch and protein (N) and starch:protein disappearance rate ratios in four small intestinal segments (proximal and distal jejunum, proximal and distal ileum), excreta dry matter and incidence of dilated proventriculi were determined. In the 2 Ă— 2 analysis there was a significant (

    Glucose-responsive insulin activity by covalent modification with aliphatic phenylboronic acid conjugates

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    Since its discovery and isolation, exogenous insulin has dramatically changed the outlook for patients with diabetes. However, even when patients strictly follow an insulin regimen, serious complications can result as patients experience both hyperglycemic and hypoglycemic states. Several chemically or genetically modified insulins have been developed that tune the pharmacokinetics of insulin activity for personalized therapy. Here, we demonstrate a strategy for the chemical modification of insulin intended to promote both long-lasting and glucose-responsive activity through the incorporation of an aliphatic domain to facilitate hydrophobic interactions, as well as a phenylboronic acid for glucose sensing. These synthetic insulin derivatives enable rapid reversal of blood glucose in a diabetic mouse model following glucose challenge, with some derivatives responding to repeated glucose challenges over a 13-h period. The best-performing insulin derivative provides glucose control that is superior to native insulin, with responsiveness to glucose challenge improved over a clinically used long-acting insulin derivative. Moreover, continuous glucose monitoring reveals responsiveness matching that of a healthy pancreas. This synthetic approach to insulin modification could afford both long-term and glucose-mediated insulin activity, thereby reducing the number of administrations and improving the fidelity of glycemic control for insulin therapy. The described work is to our knowledge the first demonstration of a glucose-binding modified insulin molecule with glucose-responsive activity verified in vivo.Leona M. and Harry B. Helmsley Charitable Trust (Award 2014PG-T1D002)Tayebati Family FoundationNational Institutes of Health (U.S.) (Ruth L. Kirschstein National Research Service Award F32DK101335)Juvenile Diabetes Research Foundation International (Postdoctoral Fellowship 3-2011-310)Juvenile Diabetes Research Foundation International (Postdoctoral Fellowship 3-2013-56

    Grain Sorghum: A Conundrum for Chicken-Meat Production

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    The inclusion of grain sorghum in diets for broiler chickens is quite common; however, under Australian conditions, the utilisation of starch/energy by birds offered sorghum-based diets appears inadequate. Various factors inherent in sorghum, including kafirin, phenolic compounds and phytate, may limit energy utilisation. The recent quantification of kafirin, the dominant protein fraction in sorghum, has allowed its nutritional significance to be assessed. This is important as indirect evidence suggests that kafirin concentrations in local sorghums are increasing as an unintended consequence of breeding programs. Presently, Australian sorghums do not contain condensed tannin but, from analyses and assessments of other polyphenolic compounds and phenolic acids, “non-tannin” phenols appear to be negative influences. Anecdotally, white sorghums are considered to be superior to red varieties thus the fact that polyphenolic pigments are responsible for the “redness” of sorghum assumes relevance. Inclusions of sulphite reducing agents in broiler diets have generated promising responses but seem dependent on sorghum properties. Preliminary studies have shown the possibilities of using rapid visco-analyser (RVA) starch pasting profiles, promatest protein solubilities and grain textures to indicate sorghum quality and further studies are required to confirm these hypotheses. These assessments may indicate which sorghums will best respond to reducing agents such as sodium metabisulphite. Finally, the usually modest responses of broilers to exogenous feed enzyme inclusions in sorghum-based are considered in this review

    Factors Influencing Physicians’ Screening Behavior for Liver Cancer Among High-risk Patients

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    BACKGROUND: Little is known about physicians’ screening patterns for liver cancer despite its rising incidence. OBJECTIVE: Describe physician factors associated with liver cancer screening. DESIGN: Mailed survey. PARTICIPANTS: Physicians practicing in family practice, internal medicine, gastroenterology, or nephrology in 3 northern California counties in 2004. MEASUREMENTS: Sociodemographic and practice measures, liver cancer knowledge, attitudes, and self-reported screening behaviors. RESULTS: The response rate was 61.8% (N = 459). Gastroenterologists (100%) were more likely than Internists (88.4%), family practitioners (84.2%), or nephrologists (75.0%) to screen for liver cancer in high-risk patients (p = 0.016). In multivariate analysis, screeners were more likely than nonscreeners to think that screening for liver cancer reduced mortality (odds ratio [OR] 1.60, CI 1.09–2.34) and that not screening was a malpractice risk (OR 1.88, CI 1.29–2.75). Screeners were more likely than nonscreeners to order any screening test if it was a quality of care measure (OR 4.39, CI 1.79–10.81). CONCLUSIONS: Despite debate about screening efficacy, many physicians screen for liver cancer. Their screening behavior is influenced by malpractice and quality control concerns. More research is needed to develop better screening tests for liver cancer, to evaluate their effectiveness, and to understand how physicians behave when there is insufficient evidence
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