An evaluation technique in appraising certain community resources for conservation education in Stanislaus County

This study is concerned with how the school is to proceed in a program of conservation education to bring about these desired changes. It is concerned, however, with only one link in the long chain of activities composing the total conservation education program--the development of a cooperative evaluation technique in appraising certain community agencies that can be used by the schools of Stanislaus county in teaching conservation of the resources most vital to the county; namely, soil and water. The study attempted to evaluate the agencies in terms of the accessibility and adaptability of their use to the school program

Alien Registration- Ogilvie, Clarence Francis R. (Portland, Cumberland County)

https://digitalmaine.com/alien_docs/22246/thumbnail.jp

Framework for the priority actions of filipino physical therapists in disaster risk reduction and management

Introduction: The study was conducted to develop a framework where physical therapists could be integrated into the disaster risk reduction and management (DRRM) initiatives of a province in the northern Philippines. Methods: This was a mixed-methods study that utilized a research and development design. A validated questionnaire on the experience and perceptions of DRRM was administered to 20 selected physical therapists. A validated interview guide was administered to 10 local disaster control office head and members. Descriptive statistics were used to analyze the quantitative data. Thematic analysis was used to synthesize and examine the qualitative data. Results: Physical therapists were found to have minimal exposure to disaster scenarios due to lack of training and experiences in disaster response. However, the physical therapists perceive that they are prepared to participate in DRRM and should be included. The study also revealed that physical therapists are not part of the local disaster management team because of limited awareness of leaders and members of the disaster control office on the roles of physical therapists in disaster management. Discussion: This study developed an action-oriented framework to guide physical therapists\u27 active involvement in all phases of disaster management. Specific strategies for the priorities for action of physical therapists in DRRM were identified based on the results of the study and its theoretical underpinnings

A randomized comparison between misoprostol and dinoprostone for cervical ripening and labor induction in patients with unfavorable cervices

Background: The induction of labor remains as one of the major challenges in obstetrics even in this modern era. The ideal priming agent is one that causes cervical change that is most similar to that seen in natural ripening process. This study was aimed to evaluate the safety and efficacy of intravaginal Misoprostol and compare its effects with intracervical dinoprostone gel for cervical ripening and labor induction in patients with unfavourable uterine cervices.Methods: This was a one-year prospective study conducted in the department of Obstetrics and Gynecology of a 800 bedded premier teaching hospital in Ludhiana. The study population consisted of all pregnant women admitted to the labor ward beyond 37 weeks of gestation and requiring induction of labor for various medical and obstetrical indications. Frequencies, proportions, mean and standard deviation were done while chi square and t-test were used for determination of significance.Results: A total of 153 mothers fulfilled the criteria to be included in the study of which 81 mothers were induced by misoprostol and 72 mothers by dinoprostone gel respectively. There was no statistical difference in the maternal age, parity and gestation at the onset of study in the two groups. The ANC complications were also statistically similar. There was no significant difference in the mean initial Bishop Score in the two groups. 3.42 in the Misoprostol group and 3.56 in the Dinoprostone group. The mean Bishop Score after 8 hour of the first dose was 7.86 in the Misoprostol group and 6.88 in the Dinoprostone group. The mean time taken from the induction to the onset of labor was 5.57 hours in the misoprostol group and 8.04 hours in the dinoprostone group. There were no cases of tachysystole or hyperstimulation in both the groups.Conclusions: Misoprostol is a more efficacious cervical ripening and labor inducing agent compared to dinoprostone gel and can be used safely in the North Indian setting

Feto-maternal outcome in pregnancies with preterm premature rupture of membranes: a tertiary hospital experience

Background: Preterm premature rupture of the membranes (PPROM) is a known dreaded complication of pregnancy as it is associated with significant perinatal complications. The objective of our study was to bring forward the incidence and feto-maternal outcome in pregnancies with PPROM in Indian scenario. Methods: This retrospective cohort study was conducted in the Department of Obstetrics and Gynecology, in a tertiary hospital in Punjab between January 2014 and December 2014. Medical records of all pregnant patients who were admitted to our department with PPROM on the basis of clinical and /or laboratory data were reviewed. These 75 women were divided into two groups according to gestation age (GA), Group 1- early PPROM (24- 33 6/7 weeks of GA) (n=38) and Group 2- late PPROM (34-36 6/7 weeks of GA) (n=37). A multivariate analysis was used to find the association between PPROM and perinatal outcome.Results: During the study period, there were 1528 deliveries in the hospital and 75 pregnant women were diagnosed to have PPROM giving an overall incidence of 4.9%. In both the groups most common maternal complication was chorioamnionitis (15.7% vs. 2.7%) and most common neonatal complication was physiological jaundice (56.8% vs. 69.2%). Most of the babies required phototherapy (50% vs. 43.5%) and antibiotics. Our study demonstrated that patients in group 1 had significant increase in the frequency of chorioamnionitis, hyaline membrane disease, septicaemia, periventricular leukomalacia, intrauterine pneumonia, need for ventilator support and inotropes. Patients in group 2 had significant increase in the frequency of APGAR score <7 at 1 min, APGAR <7 at 5 min and LSCS rate.Conclusions: The study result implies that lesser the gestation age more are the chances of fetomaternal complications in patients with PPROM. Early PPROM is associated with higher rates of perinatal morbidity and mortality

Bostonia. Volume 11

Founded in 1900, Bostonia magazine is Boston University's main alumni publication, which covers alumni and student life, as well as university activities, events, and programs

Genotyping for point mutations in selected codons of pfcrt and pfmdr-1 genes of Plasmodium falciparum among patients with uncomplicated malaria in Mbita district Kenya.

Background Malaria remains a leading cause of morbidity and mortality in Kenya, especially in young children and pregnant women. Due to widespread resistance of Plasmodium falciparum to drugs such as Chloroquine (CQ) and Sulfurdoxine-Pyrthamine (SP), Artemisisnin Combination Therapy (ACT) was adopted in Africa as a means of improving treatment efficacy and slowing the spread of resistance. The development of drug resistance by the parasites for the various malaria drug regimens that have been in use before has been attributed to point mutations within the parasite genome. Therefore this study investigated the prevalence of point mutations in selected codons of the pfcrt and pfmdr-1 genes of Plasmodium falciparum. It is however unclear whether ACT will be effective in preventing the selection of resistant parasites in Africa, where parasite transmission rates are generally much higher with parts of Asia and Africa already reporting a reduction in sensitivity to ACT. Methods The dot-blot/probe hybridization technique was used to identify point mutations in codons 74, 75 and 76 of the pfcrt gene and codons 1034, 1042 and 1246 of the pfmdr-1 gene in Mbita a malaria holoendemic site in Kenya. In the pfcrt gene, 76T mutation was found to be in 91 (79.83% CI 63.1-88.5) of 114 samples while the, the wild type allele 76K was present in 23 (20.17% CI 9.0-22.0) samples. Codons 1246 showed allelic variation with 1246D the wild type allele being 72.8% (CI 52.0-89.1). This was a significant increase in the 76K allele (p=0.001) in comparison to the year 2005 where prevalence of 76K was 6%.   Conclusion There’s an expansion of the wild-type allele 76K of the pfcrt gene and no significant difference in the 1246D allele of the pfmdr1 gene, moreover the prevalence of 76T allele is still high in Mbita hence it’s beneficial to continue using AL as treatment for uncomplicated malaria. Keywords: Malaria, Drug Resistance, Point Mutations

CMB-S4 Science Book, First Edition

This book lays out the scientific goals to be addressed by the next-generation ground-based cosmic microwave background experiment, CMB-S4, envisioned to consist of dedicated telescopes at the South Pole, the high Chilean Atacama plateau and possibly a northern hemisphere site, all equipped with new superconducting cameras. CMB-S4 will dramatically advance cosmological studies by crossing critical thresholds in the search for the B-mode polarization signature of primordial gravitational waves, in the determination of the number and masses of the neutrinos, in the search for evidence of new light relics, in constraining the nature of dark energy, and in testing general relativity on large scales