Educating Patients on Screening Guidelines and Expectations for Well-Woman Examinations

Female patients seeing primary care in rural settings often do not seek out specialized care from a practicing OB/GYN, favoring instead to utilize their family practitioner to respond to their complaints. As such, it would be effective to work to educate these patients at their well-women examinations on routine screenings, immunizations, and health maintenance methods they should expect based on their presenting age. A handout simplifying and synthesizing the main screening and general health guidelines for annual well-women examinations may be helpful for female patients using primary care practitioners as their source for obstetric and gynecologic care.https://scholarworks.uvm.edu/fmclerk/1494/thumbnail.jp

Impact of Deferral for Low Hemoglobin on Donor Return

Introduction. A consistent blood supply to support life-saving transfusions relies on regular and repeat volunteer blood donations. In this study, we focused on donors previously deferred for low-hemoglobin (Hb) levels to better understand the value of supplying post-deferral educational information, and the actions donors took based on their deferral. Methods. An anonymous national survey of active and inactive donor groups (10,000 each) was conducted. The survey questions assessed post-deferral donor actions, preferences regarding post deferral education, understanding of their deferral, and demographic information. Chi-square analysis was performed to compare categorical survey results between donor groups with p \u3c 0.05 denoting statistical significance. Results. The survey resulted in 722 and 103 active and inactive donor respons- es, respectively. Active donors were more likely to recall receiving educational materials post-deferral (52% vs. 35%, p=003), take iron and vitamin supplements (54% vs. 39%, p=0.009), lived within 30 min of a donor site (94% vs. 84%, p=0.006), and more likely to be older than 45 yr (62% vs. 42%, p=0.002) than their inactive donor counter- parts. Active and inactive donors were similar (p\u3e0.05) with anemia history frequency, female-gender predominance, low-prevalence of vegans, and mixed interest in receiving information about raising hemoglobin levels. Conclusion. While active donors more frequently recalled receiving educational materials for their low hemoglobin deferral, and were more likely to take action to improve their hemoglobin, an alternative method of post-deferral recruitment should be considered given the uncertain value of post-deferral information when comparing active vs. inactive donors.https://scholarworks.uvm.edu/comphp_gallery/1253/thumbnail.jp

A Comparison of Dysphonia Severity Index in Female Teachers With and Without Voice Complaints in Elementary Schools of Tehran, Iran

Background: Teachers are the greatest group of professional voice users. Prolonged, continuous speaking in a loud voice at school may entail a bad vocal health. It seems that their occupational circumstances make them more likely to develop voice disorders in comparison with other groups. Objectives: The purposes of this study are 1) to compare teachers with and without voice complaint on the Dysphonia Severity Index and 2) to compare component measures that establish Dysphonia Severity Index. Materials and Methods: This study included 40 female teachers with voice complaint and 40 female teachers without voice complaint between the ages of 30 and 50 years who were teaching in elementary schools of Tehran city. Simple non-random sampling was done for selected teachers in two groups. The examinees were asked to produce the vowel /a/ three times for calculating any variables, then measures of maximum phonation time, jitter, highest phonational frequency, and lowest intensity were obtained for each subject with Praat and Phonetogram softwares and incorporated into multivariate Dysphonia Severity Index formula. Kolmogoro- Smirnov one sample test and independent sample T-Test was used, the significance level was set at P < 0.05. Results: Results indicate that female teachers without voice complaint have significantly higher Dysphonia Severity Index scores than female teachers with voice complaint (mean Dysphonia Severity Index: 3.58 vs. 1.05, respectively), also significant differences are observed between groups of with and without complaint for four of components of the DSI (F0 high, I low, jitter and maximum phonation time) (P value = 0.001). Conclusions: The findings of this study indicate that there is a significant difference in Vocal Quality between teachers with and without voice complaint. This finding may indicate teachers with voice complaint have worse vocal quality that means they are at risk for voice problems. This information may be very important for voice professionals and, speech and language pathology to advice teachers with voice complaint and manage to advocate "good vocal health”

Detection of On-Chip Generated Weak Microwave Radiation Using Superconducting Normal-Metal SET

The present work addresses quantum interaction phenomena of microwave radiation with a single-electron tunneling system. For this study, an integrated circuit is implemented, combining on the same chip a Josephson junction (Al/AlO /Al) oscillator and a single-electron transistor (SET) with the superconducting island (Al) and normal-conducting leads (AuPd). The transistor is demonstrated to operate as a very sensitive photon detector, sensing down to a few tens of photons per second in the microwave frequency range around 100 GHz. On the other hand, the Josephson oscillator, realized as a two-junction SQUID and coupled to the detector via a coplanar transmission line (Al), is shown to provide a tunable source of microwave radiation: controllable variations in power or in frequency were accompanied by significant changes in the detector output, when applying magnetic flux or adjusting the voltage across the SQUID, respectively. It was also shown that the effect of substrate-mediated phonons, generated by our microwave source, on the detector output was negligibly small

Tillage, Crop Rotation, and Cultural Practice Effects on Dryland Soil Carbon Fractions

Information is needed on novel management practices to increase dryland C sequestration and soil quality in the northern Great Plains, USA. We evaluated the effects of tillage, crop rotation, and cultural practice on dryland crop biomass (stems and leaves) yield, surface residue, and soil C fractions at the 0-20 cm depth from 2004 to 2008 in a Williams loam in eastern Montana, USA. Treatments were two tillage (no-tillage [NT] and conventional tillage [CT]), two crop rotations (continuous spring wheat [Triticum aestivum L.] [CW] and spring wheat-barley [Hordeum vulgaris L.] hay-corn [Zea mays L.]-pea [Pisum sativum L.] [W-B-C-P]), and two cultural practices (regular [conventional seed rates and plant spacing, conventional planting date, broadcast N fertilization, and reduced stubble height] and ecological [variable seed rates and plant spacing, delayed planting, banded N fertilization, and increased stubble height]). Carbon fractions were soil organic C (SOC), particulate organic C (POC), microbial biomass C (MBC), and potential C mineralization (PCM). Crop biomass was 24% to 39% greater in W-B-C-P than in CW in 2004 and 2005. Surface residue C was 36% greater in NT than in CT in the regular practice. At 5 - 20 cm, SOC was 14% greater in NT with W-B-C-P and the regular practice than in CT with CW and the ecological practice. In 2007, POC and PCM at 0 - 20 cm were 23 to 54% greater in NT with CW or the regular practice than in CT with CW or the ecological practice. Similarly, MBC at 10 - 20 cm was 70% greater with the regular than with the ecological practice in NT with CW. Surface residue, PCM, and MBC declined from autumn 2007 to spring 2008. No-tillage with the regular cultural practice increased surface residue and soil C storage and microbial biomass and activity compared to conventional tillage with the ecological practice. Mineralization reduced surface residue and soil labile C fractions from autumn to spring

Učestalost i jačina invazije oblićem Toxocara cati u mačaka lutalica u Shirazu, Iran.

A cross-sectional survey was undertaken to study the prevalence and intensity of infestation with Toxocara cati in 108 stray cats, including 44 males and 64 females, from December 1996 to May 1997 in Shiraz city, southern Iran. A total of 57 cats (52.8%) were infected with T. cati. There was no significant difference between the rate of infection between males and females, young and adult cats, or the prevalence of infection in different geographical areas. The number of recovered worms per cat or intensity of infection ranged from one to a maximum of 50 worms per animal, with an average of 6.53 T. cati in each cat.Istraživanje je provedeno na 108 mačaka lutalica i to 44 mužjaka i 64 ženke u razdoblju od prosinca 1996. do svibnja 1997. na području grada Shiraza u Iranu. Potvrđeno je da je čak 52,8% pretraženih životinja bilo invadirano oblićem Toxocara cati. Nije utvrđena značajna razlika u učestalosti invazije s obzirom na spol i dob te mjesto istraživanja. Broj oblića kretao se od 1 do 50, u prosjeku 6,53 oblića po mački

Simulating Dryland Water Availability and Spring Wheat Production in the Northern Great Plains

Agricultural system models are useful tools to synthesize field experimental data and to extrapolate results to longer periods of weather and to other cropping systems. The objectives of this study were: (i) to quantify the effects of crop management practices and tillage on soil water and spring wheat (Triticum aestivum L.) production in a continuous spring wheat system using the RZWQM2 model (coupled with CERES-Wheat) under a dryland condition, and (ii) to extend the RZWQM2 model results to longer term weather conditions and propose alternate cropping systems and management practices. Measured soil water content, yield, and total aboveground biomass under different tillage and plant management practices were used to calibrate and evaluate the RZWQM2 model. The model showed no impacts of tillage but late planting greatly reduced grain yield and biomass, in agreement with observed differences among treatments. The hydrologic analysis under long-term climate variability showed a large water deficit (32.3 cm) for spring wheat. Fallowing the cropland every other year conserved 4.2 cm of water for the following wheat year, of which only 1.7 cm water was taken up by wheat, resulting in a yield increase of 249 kg ha−1 (13.7%); however, the annualized mean yield decreased 782 kg ha−1(43.1%) due to 1 yr of fallow. Other long-term simulations showed that optimal planting dates ranged from 1 March to 10 April and the seeding rates with optimum economic return were 3.71 and 3.95 × 106 seeds ha−1 for conventional and ecological management treatments, respectively

Internalizing and externalizing problems, empathy quotient, and systemizing quotient in 4 to 11 years-old siblings of children with autistic spectrum disorder compared to control group

Objective: This study was conducted to recognize the problems of living with a sibling with Autistic Spectrum Disorder (ASD) to improve their quality of life. Method: A total of 30 participants were selected among the 4-to11- year-old siblings of children who had referred to Tehran Psychiatric Institute due to autism spectrum disorder. For the control group, 30 children aged 4 to11years old who were the siblings of patients with chronic diseases referring to Pediatric Clinic of Rasoul-e Akram (PBUH) hospital were selected. Gilliam Autism Rating Scale-Second Edition (GARS-2) was filled out for patients and siblings participating in the study and Child Behavior Checklist was completed by their parents. Results: The mean age of the patients in this study was 4.46 ± 9.66 years (range: 1.5-22 years), and the mean age in the healthy children was 2.54 ± 8.18 years (range: 4-11 years). The mean scores of anxiety/depression, withdrawn/depressed, somatic complaints, social problems, thought problems, attention problems, and rule-breaking behavior subscale of CBCL (Child Behavior Checklist) were not significantly different between groups. Aggressive behavior was the only subscale that showed such difference (p = 0.008). Externalizing problems in children who had siblings with ASD was higher than children who had siblings with physical illness. In a group in which a sibling had ASD, sisters were more anxious/ depressed than brothers. Conclusion: Due to various psychological and social problems that siblings of children with ASD experience throughout their life, studying their psychological problems to improve their quality of life seems to be of paramount importance. © 2018 Tehran University of Medical Sciences

Internalizing and externalizing problems, empathy quotient, and systemizing quotient in 4 to 11 years-old siblings of children with autistic spectrum disorder compared to control group

Objective: This study was conducted to recognize the problems of living with a sibling with Autistic Spectrum Disorder (ASD) to improve their quality of life. Method: A total of 30 participants were selected among the 4-to11- year-old siblings of children who had referred to Tehran Psychiatric Institute due to autism spectrum disorder. For the control group, 30 children aged 4 to11years old who were the siblings of patients with chronic diseases referring to Pediatric Clinic of Rasoul-e Akram (PBUH) hospital were selected. Gilliam Autism Rating Scale-Second Edition (GARS-2) was filled out for patients and siblings participating in the study and Child Behavior Checklist was completed by their parents. Results: The mean age of the patients in this study was 4.46 ± 9.66 years (range: 1.5-22 years), and the mean age in the healthy children was 2.54 ± 8.18 years (range: 4-11 years). The mean scores of anxiety/depression, withdrawn/depressed, somatic complaints, social problems, thought problems, attention problems, and rule-breaking behavior subscale of CBCL (Child Behavior Checklist) were not significantly different between groups. Aggressive behavior was the only subscale that showed such difference (p = 0.008). Externalizing problems in children who had siblings with ASD was higher than children who had siblings with physical illness. In a group in which a sibling had ASD, sisters were more anxious/ depressed than brothers. Conclusion: Due to various psychological and social problems that siblings of children with ASD experience throughout their life, studying their psychological problems to improve their quality of life seems to be of paramount importance. © 2018 Tehran University of Medical Sciences

Full-Body Radiographic Analysis of Postoperative Deviations From Age-Adjusted Alignment Goals in Adult Spinal Deformity Correction and Related Compensatory Recruitment.

Background: Full-body stereographs for adult spinal deformity (ASD) have enhanced global deformity and lower-limb compensation associations. The advent of age-adjusted goals for classic ASD parameters (sagittal vertical axis, pelvic tilt, spino-pelvic mismatch [PI-LL]) has enabled individualized evaluation of successful versus failed realignment, though these remain to be radiographically assessed postoperatively. This study analyzes pre- and postoperative sagittal alignment to quantify patient-specific correction against age-adjusted goals, and presents differences in compensation in patients whose postoperative profile deviates from targets. Methods: Single-center retrospective review of ASD patients ≥ 18 years with biplanar full-body stereographic x-rays. Inclusion: ≥ 4 levels fused, complete baseline and early (≤ 6-month) follow-up imaging. Correction groups generated at postoperative visit for actual alignment compared to age-adjusted ideal values for pelvic tilt, PI-LL, and sagittal vertical axis derived from clinically relevant formulas. Patients that matched exact ± 10-year threshold for age-adjusted targets were compared to unmatched cases (undercorrected or overcorrected). Comparison of spinal alignment and compensatory mechanisms (thoracic kyphosis, hip extension, knee flexion, ankle flexion, pelvic shift) across correction groups were performed with ANOVA and paired Results: The sagittal vertical axis, pelvic tilt, and PI-LL of 122 patients improved at early postoperative visits ( Conclusions: Global alignment cohort improvements were observed, and when comparing actual to age-adjusted alignment, undercorrections recruited pelvic and lower-limb flexion to compensate. Level of Evidence: 3