Male Nurses: A Visible Minority

Because nursing is associated with feminine characteristics, it is mainly considered a woman’s profession (Meadus, 2000; Roth & Coleman, 2008). Despite the increasing number of men choosing nursing as a profession, they often face discrimination in this predominantly female profession (Roth & Coleman, 2008). When men choose a female-dominated profession like nursing, they are questioned regarding their sexual orientation and are considered inappropriate for bed-side nursing (O’Connor, 2015; Meadus, 2000). Patients’ perceptions of male nurses as sexual aggressors or gay affects their ability to do their job (Evans, 2002). The goal of this literature review is to explore challenges commonly faced by male nurses and understand how these perceptions and stereotypes affect their ability to provide care

A Comprehensive Review on Metabolic Syndrome

Metabolic syndrome is defined by a constellation of interconnected physiological, biochemical, clinical, and metabolic factors that directly increases the risk of cardiovascular disease, type 2 diabetes mellitus, and all cause mortality. Insulin resistance, visceral adiposity, atherogenic dyslipidemia, endothelial dysfunction, genetic susceptibility, elevated blood pressure, hypercoagulable state, and chronic stress are the several factors which constitute the syndrome. Chronic inflammation is known to be associated with visceral obesity and insulin resistance which is characterized by production of abnormal adipocytokines such as tumor necrosis factor α, interleukin-1 (IL-1), IL-6, leptin, and adiponectin. The interaction between components of the clinical phenotype of the syndrome with its biological phenotype (insulin resistance, dyslipidemia, etc.) contributes to the development of a proinflammatory state and further a chronic, subclinical vascular inflammation which modulates and results in atherosclerotic processes. Lifestyle modification remains the initial intervention of choice for such population. Modern lifestyle modification therapy combines specific recommendations on diet and exercise with behavioural strategies. Pharmacological treatment should be considered for those whose risk factors are not adequately reduced with lifestyle changes. This review provides summary of literature related to the syndrome’s definition, epidemiology, underlying pathogenesis, and treatment approaches of each of the risk factors comprising metabolic syndrome

A non-destructive approach for measuring rice panicle-level photosynthetic responses using 3D-image reconstruction

Our understanding of the physiological response of rice inflorescence (panicle) to environmental stresses is limited by the challenge of accurately determining panicle photosynthetic parameters and their impact on grain yield. This is primarily due to lack of a suitable gas exchange methodology for panicles, as well as non-destructive methods to accurately determine panicle surface area. To address these challenges, we have developed a custom panicle gas exchange cylinder compatible with the LiCor 6800 Infra-red Gas Analyzer. Accurate surface area measurements were determined with a 3D panicle imaging platform to normalize the panicle-level photosynthetic measurements. We observed differential responses in both panicle and flag leaf for two temperate Japonica rice genotypes (accessions, TEJ-1 and TEJ-2) exposed to heat stress during early grain filling. There was a notable divergence in relative photosynthetic contribution of flag leaf and panicles for the genotype tolerant to heat stress (TEJ-2) compared to the less tolerant accession. The novelty of this approach is that it is non-destructive and more accurately determines panicle area and photosynthetic parameters, enabling researchers to monitor temporal changes in panicle physiology during the reproductive development. The method is useful for panicle-level measurements under diverse environmental stresses, and for evaluating genotypic variation for panicle physiology and architecture in other cereals with compact inflorescences

Assessment and Screening of the Risk Factors in Metabolic Syndrome

Metabolic syndrome (MetS) is chronic inflammatory epidemic state contributing to total and cardiovascular mortality. The current study planned to assess and screen risk factors for MetS and its components. A cross-sectional study conducted to assess age, gender, social status, employment, education, family history, physical activity, dietary habits, alcohol, sleep, body mass index and stress as determinants of MetS. The results were analyzed by Chi Square test with statistical significance of p value <0.05. The frequency of MetS was 17.38% as per modified National Cholesterol Education Program–Adult Treatment Panel III criteria. Females (57.38%), age >50 years (86.90%; p < 0.05), middle socioeconomic status (70.50%), illiteracy (39.35%), and unemployment (81.97%; p < 0.05) were found contributing though to different extents. Subjects with a sedentary lifestyle (72.14%), positive family history (42.63%), omnivore diet (47.55%), stress (78.69%; p < 0.05), insomnia (29.51%) and increased BMI (83.62%; p < 0.001) had shown predisposition to MetS. However, the protective role of alcohol (38.28%), an active lifestyle (36.21%), vegetarian diet (62.07%) and adequate sleep (73.11%) was observed. A significant hypertension (98.37%; p < 0.001), dyslipidemia (77.05%; p < 0.001), dysglycemia (75.41%; p < 0.001) and obesity (59.02%; p < 0.001) was reported in MetS. Common concerns of female gender, increasing age and BMI, sedentary lifestyle, stress and positive family history should be considered for early identification and appropriate intervention to fight the growing MetS epidemic

Oronasal Fistula and Complete Edentulism: What to Do?

Oronasal fistula is an internal fistula which represents an abnormal epitheliazed tract between oral and nasal cavity, thus impairing associated functions of deglutition and speech by nasal regurgitation of fluid and nasal speech respectively, besides risk of nasal infection resulting from food lodgement. This paper provides a brief yet definitive insight on the etiology, diagnosis and surgical closure of oronasal fistula along with a case report and discussion on prosthodontic rehabilitation of a 65 year old female with an iatrogenic oronasal fistula developed as a result of maxillary molar extraction using a complete metal based denture

Detect and Isolate Black Hole Attack in MANET using AODV

Abstract-I

Heat transfer study from square cylinder immersed in water-based nanofluid: Effect of orientation

Heat transfer study from the heated square cylinder at a different orientation angle to the stream of nanofluids has been investigated numerically. CuO-based nanofluids were used to elucidate the significant effect of parameters: Reynolds number (1–40), nanoparticle volume fraction (0.00–0.05), the diameter of the NPs (30–100 mn) and the orientation of square cylinder (0–90). The numerical results were expressed in terms of isotherm contours and average Nusselt number to explain the effect of relevant parameters. Over the range of conditions, the separation of the boundary layers of nanofluids increased with the size of the NPs as compared to pure water. NPs volume fraction and its size had a significant effect on heat transfer rate. The square cylinder of orientation angle (45) gained a more efficient heat transfer cylinder than other orientation angles. Finally, the correlations were developed for the average Nusselt number in terms of the relevant parameters for 45 orientation of the cylinder for new applications

Paliperidone Inducing Concomitantly Syndrome of Inappropriate Antidiuretic Hormone, Neuroleptic Malignant Syndrome, and Rhabdomyolysis

Paliperidone, an active metabolite of risperidone, is a new atypical antipsychotic agent. Syndrome of inappropriate antidiuretic hormone (SIADH), neuroleptic malignant syndrome (NMS), and rhabdomyolysis are the uncommon side effects of psychotropic drugs. We report a case of 35-year-old male with schizoaffective disorder who was admitted for acute-on-chronic exacerbation of his psychotic disorder for which intramuscular paliperidone 234 mg injection was given. Two days later, the patient developed hyponatremic seizures secondary to SIADH which was treated with hypertonic saline. On the third day, he developed high grade fever and severe muscle rigidity with raised creatine phosphokinase (CPK) and liver enzymes levels. He was treated with dantrolene 100 mg, bromocriptine 2.5 mg, and lorazepam 2 mg. Our patient required management of the three rare conditions following treatment with paliperidone. This case highlights the need for health care providers to be aware of the rare, potentially life threatening but preventable hyponatremia, NMS, and rhabdomyolysis as a possible adverse effect of paliperidone