Role of psychiatric disorders and irritable bowel syndrome in asthma patients

OBJECTIVES: The goals of the study were the following: 1) to determine the frequency of psychiatric disorders and irritable bowel syndrome in patients with asthma and 2) to compare the frequency of these disorders in patients with asthma to their frequency in healthy controls. INTRODUCTION: Patients with asthma have a higher frequency of irritable bowel syndrome and psychiatric disorders. METHODS: We evaluated 101 patients with bronchial asthma and 67 healthy subjects. All subjects completed the brief version of the Bowel Symptoms Questionnaire and a structured clinical interview for DSM-IV axis disorders (SCID-I/CV). RESULTS: There were 37 cases of irritable bowel syndrome in the group of 101 stable asthma patients (36.6%) and 12 cases in the group of 67 healthy subjects (17.9%) (p = 0.009). Irritable bowel syndrome comorbidity was not related to the severity of asthma (p = 0.15). Regardless of the presence of irritable bowel syndrome, psychiatric disorders in asthma patients (52/97; 53.6%) were more common than in the control group (22/63, 34.9%) (p = 0.02). Although psychiatric disorders were more common in asthma patients with irritable bowel syndrome (21/35, 60%) than in those without irritable bowel syndrome (31/62, 50%), the difference was not significant (p = 0.34). In asthma patients with irritable bowel syndrome and psychiatric disorders, the percentage of forced expiratory volume in 1 s (FEV1) was lower than it was in those with no comorbidities (p = 0.02). CONCLUSIONS: Both irritable bowel syndrome and psychiatric disorders were more common in asthma patients than in healthy controls. Psychiatric disorders were more common in asthma patients with irritable bowel syndrome than in those without irritable bowel syndrome, although the differences failed to reach statistical significance. In asthma patients with IBS and psychiatric disorders, FEV1s were significantly lower than in other asthma patients. It is important for clinicians to accurately recognize that these comorbid conditions are associated with additive functional impairment

Kirşehir Region Hand-Knitted Sock: Samples Today

DergiPark: 450060trakyasobedTarihi M.Ö. 8. yy kadar dayanan çorap örücülüğünün geleneksel el sanatları içerisinde önemli bir yeri bulunmaktadır. El örgüsü çoraplar yöresel giyimin en önemli öğelerinden biridir. Bir giysi olarak çorap insanları dış etkenlerden korumak, giyim unsurlarını tamamlamak ve süslemek amacıyla kullanılmaktadır. Çorap örücülüğü Anadolu’da yaygın el sanatlarından biridir. Örülen çoraplar yöreden yöreye farklılıklar göstermekte, üzerindeki motifleri, örgü tekniği, kullanım amacı, renk ve desen özellikleri ile o yörenin kültürel yapısını içerisinde barındırmaktadır. Ayrıca, halk kültüründe evlenme adetlerinde çeyiz olarak yer alan çorap, Kırşehir iline bağlı bazı yerleşim yerlerinde halen örülerek, giyilerek, hediye edilerek varlığını sürdürmektedir. Kırşehir’de günümüzde geleneksel yöntemlerle örülen çoraplar araştırma kapsamında incelenmiştir. Bu çalışmanın amacı Kırşehir yöresinde köklü bir geçmişi olan el örgüsü çorapların günümüzdeki durumunu belirlemektir. Bu amaçla örücülükle uğraşılan yerleşimlerde bu işi yaptığı bilinen kişilerin çorap örnekleri derlenmiştir. Yörede karşılaşılan çoraplardan on örnek incelenmiştir. Konuyla ilgili literatür bilgileri, örneklerin fotoğrafları, karşılıklı görüşme yöntemiyle elde edilen veriler çalışmanın materyalini oluşturmuştur. Alan araştırması kapsamında tespit edilen örnekler üzerinden yapılan incelemede, kullanılan malzeme, teknik, renk, motif, form ve biçimsel özellikler belirlenmiş ve fotoğraflarla belgelenmiştir. İncelenen örneklerin yün gereç, beş şişten oluşan araç, çeşitli örgü modelleri, düz, ters, lastik örgü gibi örme teknikleri ile örüldüğü belirlenmiştir. Çoraplar çeyizlerde bulunmakta, günlük yaşamda giyilmekte ve çok süslü örnekleri dekoratif eşya veya hediyelik eşya olarak kullanılmaktadır. Yörede çorap örücülüğünün azaldığı, yok olmaya başladığı gözlenmiştir. History BC Sock knitting dates back to the 8th century has an important place in traditional handicrafts. Hand-knitted socks are one of the most important elements of local clothing. As a garment, socks are used to protect people from external influences, to complement and decorate clothing. Sock knitting is one of the common handicrafts in Anatolia. Knitted socks show differences from region to region and include the motifs, knitting technique, purpose of use, color and pattern characteristics and cultural structure of that region. In addition, socks which take place as a dowry in the marriages of folk culture still exist in some settlements of Kırşehir province by being knitted, worn and gifted. The socks which are knitted with traditional methods in Kırşehir are examined in the scope of the research. The aim of this study is to determine the current situation of hand knitted socks with a long history in the Kırşehir region. For this purpose, socks samples of people who are known to do this work in the settlements where knitting work was compiled. Ten samples of socks encountered in the region were examined. The literature information about the subject, the photographs of the samples and the data obtained through the interview method were the material of the study. The material, technique, color, motif, form and formal characteristics were determined and documented with photographs in the examination conducted on the samples determined within the scope of the field research. It was determined that the samples were knitted with knitting techniques such as wool tools, five-knot tool, various knitting models, flat, reverse and rubber knitting. Socks are found in dowry, worn in daily life and very ornamented examples are used as decorative goods or souvenirs. It was observed that socks knitting decreased and began to disappear in the region

Resilience from a lived-experience perspective in the regional context of Dumfries and Galloway, Scotland

Within the UK, academics and practitioners’ understanding of resilience have been increasingly nuanced, particularly after the introduction of the Civil Contingencies Act (CCA) 2004. However, there remain debates and variations in how resilience is conceptualised that creates confusion in how resilience building is operationalised in practice by stakeholders. To address this concern, this study explores the meaning of resilience from the perspectives of people with a lived experience of flooding, through the lens of adaptive capacity, which is a key dimension of resilience as identified in Scottish policy frameworks. Insight from a literature review combined with empirical data collected from forty-three participants, suggests that resilience to natural hazards is a function of two inter-related aspects: ‘information’ and ‘response’ mechanisms. Further analysis suggests that resilience enhancement begins following receipt of risk information from either experience or other sources that shapes the understanding of a hazard and what protective steps to take. This understanding prompts behavioural responses influenced by ‘risk attitude’, ‘skills’ and ‘access to resources’ to enhance the adaptive capacity of the receiver. The paper engages in the complex debate about how resilience is conceptualized from the social sciences perspective. It presents a simplified account of what resilience means and sets out policy and practical implications of this

Clinical Relevance of Preoperative Neutrophil to Lymphocyte and Platelet to Lymphocyte Ratio in Renal Cell Carcinoma

Objective:The association of preoperative neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) with postoperative tumor stage and Fuhrman nuclear grade was investigated in patients with renal cell carcinoma (RCC).Materials and Methods:Data of 123 patients, who were operated due to RCC, in our clinic was analysed. NLR and PLR were evaluated in patients who were classified according to tumor stage (T1 and T2 low stage, T3 and T4 high stage) and Fuhrman nuclear grade (grade 1 and 2 low-grade, grade 3 and 4 high-grade). NLR and PLR were compared using Levene’s test between the groups.Results:Sixty four patients were female (52.1%) and 59 were male (47.9%). All haematological parameters were expressed as 103/μL. Mean age, blood neutrophil, lymphocyte and platelet counts, and NLR and PLR values of the patients were 62.49±12.43 years, 6.27±2.8, 2.05±0.83, 263.72±89.03, 4.01±3.93, and 149.73±82.1, respectively. The most common histologic subtype was recorded as clear cell RCC (76.4%). NLR and PLR were 3.83±3.22 and 142.79±66.66, respectively in the low-stage group and 4.43±5.29 and 165.85±109.41, respectively in the high stage group. As for the Fuhrman nuclear grading, NLR and PLR were 3.81±3.45 and 146.63±87.36, respectively in the low-grade group and 4.61±5.387 and 159.32±63.42 in the high-grade group. There was no statistically significant difference between the groups (p>0.05).Conclusion:Although not statistically significant, high tumor stage and nuclear grade were positively correlated with NLR and PLR. It is concluded that, further multi-center and prospective studies with larger samples are needed to derive meaningful results

A qualitative exploration of the experiences of community dwelling older adults with sensory impairment/s receiving polypharmacy on their pharmaceutical care journey

Background Most developed countries have increasing numbers of community dwelling older people with both multi-morbidity and sensory impairment that includes visual, hearing or dual impairment. Older people with sensory impairment are more likely to have chronic health conditions and to be in receipt of polypharmacy (>4 medicines). It is important to understand their experience of pharmaceutical care provision to facilitate a safe, appropriate and person centred approach. Aim this study explored the pharmaceutical care experiences and perspectives of older people with sensory impairment receiving polypharmacy. Design and setting exploratory qualitative study with semi-structured telephone or face-to-face interviews with community dwelling older adults with sensory impairment receiving polypharmacy in Scotland in 2016. Methods in total, 23 interviews were conducted with older people from seven of the 14 Scottish Health Board areas. Subjects over half the participants (n = 12) had dual sensory impairment, six had visual impairment and five had hearing impairment. Results three overarching themes were identified reflecting different stages of participants’ pharmaceutical care journey: ordering and collection of prescriptions; medicine storage; and administration. At each stage of their journey, participants identified barriers and facilitators associated with their pharmaceutical care. Conclusions this is the first comprehensive, in-depth exploration of the pharmaceutical care journey needs of older people with sensory impairment. As the number of community dwelling older people with sensory impairment and polypharmacy increases there is a requirement to identify challenges experienced by this population and offer solutions for safe and effective pharmaceutical care provision

Discussing atypical sexual harassment as a controversial issue in bystander programmes: One UK campus study

This research emanates from an anti-sexual violence bystander programme delivered at an English university. Fifteen students were identified through purposive and convenience sampling to take part in focus groups. Discussions emerged regarding atypical sexual harassment. There is a gap in the literature exploring sexual harassment outside of the male perpetrator and female victim narrative which this paper contributes to. This paper considers four conversational themes: ‘unwanted touching: women to men’, ‘sexual banter: women to men’, ‘sexual stereotypes: women and men’, and ‘developing stronger ethical subjectivity’. This paper recognises most sexual harassment occurs from men to women, and acknowledges criticism of focussing otherwise when resources are limited, noting this risks obscuring the enduring power differentials between the sexes. It contends that exploring a controversial issue, such as male experience of sexual harassment, might help bystander programmes by developing ethical subjectivity in undergraduate students. Exploring sexual behaviour as a spectrum may lead to counter hegemonic discourses to emerge

Understanding Technology as Situated Practice: Everyday use of Voice User Interfaces Among Diverse Groups of Users in Urban India

Abstract: As smartphones have become ubiquitous across urban India, voice user interfaces (VUIs) are increasingly becoming part of diverse groups of users’ daily experiences. These technologies are now generally accessible as a result of improvements in mobile Internet access, [-8.5pc]Biography is Required. Please provide. introduction of low-cost smartphones and the ongoing process of their localisation into Indian languages. However, when people engage with technologies in their everyday lives, they not only enact the material attributes of the artifact but also draw on their skills, social positions, prior experience and societal norms and expectations to make use of the artifact. Drawing on Orlikowski’s analytical framework of “technologies-in-practice” we engage in an interview-based exploratory study among diverse groups of users in urban India to understand use of VUIs as situated practice. We identify three technologies-in-practice emerging through enactment of VUIs on users’ smartphones: looking up, learning and leisure. We argue that – instead of asking why and how users appropriate VUIs – identifying different kinds of enactments of VUIs present researchers and practitioners with a more nuanced understanding of existing and potential use of VUIs across varied contexts