Registered Dietitians: Attitudes And Perceptions Regarding Bachelor’s Degree In Nutrition And Dietetics

The profession of dietetics is transitioning to the master’s degree (MS) as the entry-level requirement for registered dietitians’ (RDs) to practice. The purpose of this quantitative study was to examine the attitudes and perceptions of registered dietitians with bachelor’s degrees (BS, RD’s) regarding a transition to the MS degree as the requirement for the RD certification. This study also examined these RD’s attitudes and perceptions regarding impacting factors such as their years of work experience including salary levels and increments, professional stature including promotions and positions, and scope and type of practice. A cross-sectional survey was utilized to collect data and Statistical Package for Social Sciences (SPSS) Version 22.0 was used to conduct data analysis. The participant pool was comprised of 107 BS, RDs and included 99 (92.5%) females and 8 (7.5%) males. Fifty-six percent of participants (n=60) were predominantly between the ages of 30-39 years and 88.0% (n=94) reported working in California. Participants expressed greater support for a one-year transitional master’s degree (tMS) rather than the MS degree, and findings indicated lack of support for the universal degree requirement of the MS degree for practice. Participants felt that the MS degree improved the RD’s ability to apply research in clinical practice and improved clinical reasoning skills, however, the degree would not alter the role of the RD, lead to a more defined type and scope of practice, improve the quality of health care for the patients, improve leadership skills or enhance professionalism. RDs who were younger in age and had practiced for a few years were more inclined to be supportive of the transition and were willing to enroll in the MS degree. However, the support decreased with increase in age and years of practice. Participants who believed that the transition was a positive change were found to favor the MS degree and were willing to enroll in the tMS degree, and preferred the “online” mode of instruction. This study provides insight into some attitudes of BS, RDs toward both the educational changes that are taking place and those that may be implemented in the near future

Auras in patients with temporal lobe epilepsy and mesial temporal sclerosis.

We investigated auras in patients with drug-resistant temporal lobe epilepsy (TLE) and mesial temporal sclerosis (MTS). We also investigated the clinical differences between patients with MTS and abdominal auras and those with MTS and non-mesial temporal auras. All patients with drug-resistant TLE and unilateral MTS who underwent epilepsy surgery at Jefferson Comprehensive Epilepsy Center from 1986 through 2014 were evaluated. Patients with good postoperative seizure outcome were investigated. One hundred forty-nine patients (71 males and 78 females) were studied. Thirty-one patients (20.8%) reported no auras, while 29 patients (19.5%) reported abdominal aura, and 30 patients (20.1%) reported non-mesial temporal auras; 16 patients (10.7%) had sensory auras, 11 patients (7.4%) had auditory auras, and five patients (3.4%) reported visual auras. A history of preoperative tonic-clonic seizures was strongly associated with non-mesial temporal auras (odds ratio 3.8; 95% CI: 1.15-12.98; p=0.02). About one-fifth of patients who had MTS in their MRI and responded well to surgery reported auras that are historically associated with non-mesial temporal structures. However, the presence of presumed non-mesial temporal auras in a patient with MTS may herald a more widespread epileptogenic zone

Patient historical risk factors associated with seizure outcome after surgery for drug-resistant nonlesional temporal lobe epilepsy.

OBJECTIVE: To investigate the possible influence of risk factors on seizure outcome after surgery for drug-resistant nonlesional temporal lobe epilepsy (TLE). METHODS: This retrospective study recruited patients with drug-resistant nonlesional TLE who underwent epilepsy surgery at Jefferson Comprehensive Epilepsy Center and were followed for a minimum of one year. Patients had been prospectively registered in a database from 1991 through 2014. Postsurgical outcome was classified into two groups; seizure free or relapsed. The possible risk factors influencing long-term seizure outcome after surgery were investigated. RESULTS: Ninety-five patients (42 males and 53 females) were studied. Fifty-four (56.8%) patients were seizure free. Only a history of febrile seizure in childhood affected the risk of post-operative seizure recurrence (odds ratio 0.22; 95% CI: 0.06-0.83; p = 0.02). Gender, race, family history of epilepsy, history of status epilepticus, duration of disease before surgery, aura symptoms, intelligence quotient, and seizure type or frequency were not predictors of outcome. CONCLUSION: Many patients with drug-resistant nonlesional TLE responded favorably to surgery. The only factor predictive of seizure outcome after surgery was a history of febrile seizure in childhood. It is critical to distinguish among different types of TLE when assessing outcome after surgery

Historical Risk Factors Associated with Seizure Outcome After Surgery for Drug-Resistant Mesial Temporal Lobe Epilepsy.

OBJECTIVE: To investigate the possible influence of risk factors on seizure outcome after surgery for drug-resistant temporal lobe epilepsy (TLE) and mesial temporal sclerosis (MTS). METHODS: This retrospective study recruited patients with drug-resistant MTS-TLE who underwent epilepsy surgery at Jefferson Comprehensive Epilepsy Center and were followed for a minimum of 1 year. Patients had been prospectively registered in a database from 1986 through 2014. After surgery outcome was classified into 2 groups: seizure-free or relapsed. The possible risk factors influencing long-term outcome after surgery were investigated. RESULTS: A total of 275 patients with MTS-TLE were studied. Two thirds of the patients had Engel\u27s class 1 outcome and 48.4% of the patients had sustained seizure freedom, with no seizures since surgery. Patients with a history of tonic-clonic seizures in the year preceding surgery were more likely to experience seizure recurrence (odds ratio, 2.4; 95% confidence interval 1.19-4.80; P = 0.01). Gender, race, family history of epilepsy, history of febrile seizure, history of status epilepticus, duration of disease before surgery, intelligence quotient, and seizure frequency were not predictors of outcome. CONCLUSIONS: Many patients with drug-resistant MTS-TLE respond favorably to surgery. It is critical to distinguish among different types and etiologies of TLE when predicting outcome after surgery

Prevalence of hypothyroidism in first trimester screening and its association with maternal and foetal outcomes

Background: Maternal hypothyroid is one of the common thyroid disorder. Hypothyroidism in pregnant women who are not treated can cause premature birth, low birth weight, and respiratory distress in the newborn. Objectives were to find out the prevalence of hypothyroidism in pregnant women during first trimester screening and its association with maternal and foetal outcomes. Methods: The present study was a hospital based study carried out in the department of obstetrics and gynaecology, Chettinad Hospital and Research Institute, Kelambakkam, Chennai, India between January 2021 and January 2023. The study was carried out among the pregnant women in the first trimester visiting the outpatient department of the OBG department during the study period. Based on the thyroid profile obtained, the participants were classified into normal, subclinical hypothyroidism and overt hypothyroidism. They were then followed up to record the maternal and foetal outcome. Results: A total of 2017 patients were included in the study. The prevalence of hypothyroidism was 15.3%. The distribution of type of delivery was found to be different between hypothyroid and normal groups with more number of women underwent Caesarean delivery (18.24%) in the hypothyroid group than those in normal group. The proportion of low birth weight was also statistically higher (45.28%) in the hypothyroid group than in the normal. Similar pattern was observed with birth asphyxia. The APGAR scores recorded were also significantly lower in the hypothyroid group than in the euthyroid group with p value of less than 0.05. Conclusions: The prevalence of hypothyroidism was 15.3%. In our study, women with hypothyroidism showed adverse maternal and foetal outcome such as more caesarean deliveries, low birth weight, and poor APGAR scores and were found to be statistically significant when compared to euthyroid women

Relationship Between Demographic Variables and Job Outcomes of Clinical Nurses in NABH Accredited Hospitals

One of the most important and much-needed services in patient care is nursing. Managing an employee in the hospital industry is difficult, and addressing their requirements is critical. Nurses are crucial in ensuring that the requirements of patients are satisfied. Nurses and the organization's goals both benefit from increased job satisfaction. In this study, clinical nurses working in NABH-accredited hospitals in Tamil Nadu are examined to see how demographic factors such as age, years of service, and designation affect outcomes such as job satisfaction, involvement in the workplace, organisational commitment (attitude), job stress (psychological), and turnover intention (behavioural)

Characteristics of Chemical Oscillators: Part III -Theory of Oscillatory Reactions

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Flux-Force Relationship in Oscillatory Reactions

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SMART TRAFFIC CONTROL BARRICADE SYSTEM

At present traffic management is a big challenge and plays a vital role in moving the vehicles from one corner of the city to the other. This system not only controls the traffic signals but also it reduces violating traffic rules and accidents. Here when the red light signal is ON there will be a servomotor which pops up barricade from ground level. It applies one special condition in the road by placing a barricade before the zebra crossing which will stop the vehicles when the signal red light is ON. The barricade will automatically pops up on the vehicle stopping mark, when the signal leaves it pops down to the ground. For ambulance, it is having a special feature that there will be an RFID tag which can sense about its arrival. For this reason the RFID reader is fixed to road. During the red signal, when the ambulance needs to pass at that time RFID reads the tag and changes red light to green light in traffic signal through GSM where RFID reader card number is stored in control system. So the barricade will pop down to ground and the other three ways are stopped with red signal light so that the ambulance can easily pass through the way by these one can save someone's life. This project work is carried out by using IOT technology

Pseudopolymorphism: occurrences of hydrogen bonding organic solvents in molecular crystals

Multi-point recognition with strong and weak hydrogen bonds between solvent and solute molecules facilitates the retention of organic solvents in crystals