Extra-curricular activity participation and psychological school engagement in ethnically diverse middle school students

Students of diverse populations have the highest risk of becoming disengaged from school and dropping out. This study investigated the relationship between extra-curricular activity participation and psychological school engagement among a group of fifty-three diverse middle school students. The sample studied mostly lived in the United States their entire lives, participated in extra-curricular activities, and reported being affectively “engaged” in school. Among the students studied, no correlation between participation in extra-curricular activities was observed. Students of all ethnicities reported similar levels of psychological school engagement. However, a difference was found in Hispanic/Latino students, in that those who had spent less than their entire life in the United States were involved less in extra-curricular activities than other ethnic groups

Mechanisms of enhanced thrombin generating capacity in patients with cirrhosis.

The liver is the site of synthesis of many proteins involved in hemostasis including pro- and anticoagulant proteins, pro- and antifibrinolytic proteins, and thrombopoietin. Consequently, patients with liver disease acquire complex changes within their hemostatic system[1]. Historically, these changes were thought to result in a bleeding diathesis. Although bleeding complications are common in patients with chronic liver disease, the most common bleeding complication, variceal bleeding, is a consequence of portal hypertension, rather than hemostatic failure

The Spectrum of Disease Severity in Cirrhosis and Its Implications for Hemostasis

Bleeding and thrombosis are both common complications that patients with advanced liver disease experience. While hemostatic pathways remain largely intact with cirrhosis, this balance can quickly shift in the direction of bleeding or clotting in an unpredictable manner. A growing body of literature is attempting to shed light on difficult scenarios that clinicians often face, ranging from predicting and mitigating bleeding risk in those who need invasive procedures to determining the best strategies to manage both bleeding and thrombotic complications when they occur. Studies examining hemostasis in those with advanced liver disease, however, often include heterogeneous cohorts with varied methodology. While these studies often select a cohort of all types and degrees of cirrhosis, emerging evidence suggests significant differences in underlying systemic inflammation and hemostatic abnormalities among specific phenotypes of liver disease, ranging from compensated cirrhosis to decompensated cirrhosis and acute-on-chronic liver failure. It is paramount that future studies account for these differing disease severities if we hope to address the many critical knowledge gaps in this field

The relationship between food insecurity and mental health: Do resilience factors mediate this relationship?

Master of ScienceSchool of Family Studies and Human ServicesBradford B WilesFood insecurity continues to rise as a significant public health concern in the United States, affecting millions daily. Literature and studies of food insecurity have identified correlations between food insecurity and mental health; however, understanding to what extent resilience factors mediate this relationship remains lacking among food insecurity literature, specifically among rural populations. This study uses data from the multi-state research project, NC-1171 Interactions of Individual, Family, Community, and Policy Contexts, often referred to as “Rural Families Speak about Health” [RFSH], to better understand the correlation between food insecurity and mental health and the extent to which that relationship’s mediation occurs by specific resilience factors of parental alliance, adult physical health status, child behavior, and family routines, among rural, low-income families through the lens of Family Systems Theory (Minuchin, 1974) and Family Stress Theory (Hill, 1958). Data were analyzed using hierarchical multiple regression analysis for 444 rural mothers with low incomes to understand the relationship between variables. Results indicated a significant relationship between food insecurity and maternal mental health. No significance was found to report family routines as a mediating factor. The study findings suggest that parental alliance, adult physical health, and child behaviors are resilience factors that mediate the relationship between food insecurity and maternal depression but can also manifest as risk factors in worsening this relationship among rural, low-income households. The findings and results are of interest to practitioners, policymakers, and researchers and are reported

Pinpointing Unrest at Palmyra in the Early Islamic Period. The Evidence from Coin Hoards and Written Sources

This article collates the evidence of coin hoards from Palmyra in order to reflect on the causes behind some of the most dramatic events that befell the city in Late Antiquity and early Islam. After having stressed the importance of coin hoards as sources to reconstruct the city’s past by looking at a couple of examples dated to the fourth century AD, the article moves on to the early Islamic period. It argues that the unusual concentration of coin hoards dated to the second half of the seventh century suggests that the city underwent a period of unrest at that time and reflects on the causes that might have triggered it.This article collates the evidence of coin hoards from Palmyra in order to reflect on the causes behind some of the most dramatic events that befell the city in Late Antiquity and early Islam. After having stressed the importance of coin hoards as sources to reconstruct the city’s past by looking at a couple of examples dated to the fourth century AD, the article moves on to the early Islamic period. It argues that the unusual concentration of coin hoards dated to the second half of the seventh century suggests that the city underwent a period of unrest at that time and reflects on the causes that might have triggered it

Effects of restoring portal flow with anticoagulation and partial splenorenal shunt embolization

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/110757/1/hep27241.pd

The Importance of Positive Interaction within Assistance Work in Appalachia

Central Appalachia experiences disproportionate rates of poverty. Historical exploitation has resulted in a lack of trust in others. Appalachia Service Project (ASP) utilizes interpersonal interactions as a way to market their free home repair services to a hesitant region. This study is an extension of a qualitative project about the link between housing repairs and health. The purpose is to highlight the impact that positive interaction with ASP has on willingness to receive assistance through service organizations in rural East Tennessee. Twenty-eight phone interviews were recorded through Zoom and thematic analysis was done using NVivo software. Twenty-four (86%) of those interviewed increased in their willingness to receive assistance based on their positive experience. Themes included being treated with dignity and respect, quality time, the intergenerational interface, reciprocity, and being spiritually uplifted. Further research is suggested regarding the affect religious communities, honor culture, rurality, and industrial ties have on willingness to receive assistance

Haemostatic alterations and management of haemostasis in patients with cirrhosis

Patients with cirrhosis frequently acquire complex changes in their haemostatic system including a decreased platelet count and decreased levels of various haemostatic proteins. Although historically patients with cirrhosis were thought to have a haemostasis-related bleeding tendency, it is now widely accepted that the haemostatic system of patients with cirrhosis remains in balance as a result of simultaneous changes in pro- and anti-haemostatic systems. The concept of rebalanced haemostasis has led to changes in clinical management, although firm evidence from well-designed clinical studies is largely lacking. For example, many invasive procedures in patients with cirrhosis and a prolonged prothrombin time are now performed without prophylaxis with fresh frozen plasma. Conversely, clinicians have become more aware of the need for anti-thrombotic therapy, even in those patients with abnormal routine coagulation tests. This paper will outline recent advances in pathogenesis, prevention and treatment of both bleeding and thrombotic complications in patients with cirrhosis. Among other topics, we will discuss the haemostatic status of acutely ill patients with cirrhosis, the various causes of bleeding in patients with cirrhosis, and how best to prevent or treat bleeding. In addition, we will discuss the hypercoagulable features of patients with cirrhosis, new insights into the pathogenesis of portal vein thrombosis, and how best to prevent or treat thromboses

The Late Antique Church at Napurvala Hill (Pichvnari, Western Georgia) and Its Associated Cemetery. A Reappraisal Based on Surviving Evidence at the Batumi Archaeological Museum

This article presents the artefacts found during the excavation of a building at Napurvala Hill, Pichvnari, in the 1960s and 1970s and now at the Batumi Archaeological Museum (BAM). Besides discussing the bulk finds, some of which were already published in 1980 by Chkhaidze, this contribution provides, for the first time, a study of a small white marble cross found during the excavation and now on display at the BAM. It will conclude that, although the interpretation of the building as a church remains sound, the chronology of the artefacts is problematic as their dating ranges from the Hellenistic to the Medieval periods