Pramlintide in the Management of Obesity

Obesity is a common problem that can lead to numerous comorbid conditions, including Type 2 diabetes. Currently, there are few pharmacologic options available to help obese patients lose weight. Pramlintide is an injectable, amylin analogue that is indicated in patients with Type 1 and Type 2 diabetes for use in conjunction with insulin to improve glycemic control. In addition to helping patients decrease hemoglobin A1c levels, pramlintide has also been shown to minimize weight gain, especially in patients with Type 2 diabetes. Studies have been conducted in various patient types, including those patients without diabetes, and the drug tends to have a positive effect on weight loss. It appears that the drug is well tolerated in patients without diabetes; however, current studies have been conducted in small patient populations. Additional research needs to be carried out to determine if the drug is a viable option for obese patients who have failed to respond to other weight loss products

Harmful Algae Bloom Identification Laboratory for Virginia Shellfish Hatcheries and Nurseries

HAB Identification Laboratory Training Module This laboratory is one part of a collaborative effort funded by NOAA Sea Grant to deliver timely and practical shellfish culture information to the commercial industr

Football Game Program 3 1965

Football Game Program 3 196

Nickel Exposure Reduces Enterobactin Production in Escherichia Coli

Escherichia coli is a well- studied bacterium that can be found in many niches, such as industrial wastewater, where the concentration of nickel can rise to low- millimolar levels. Recent studies show that nickel exposure can repress pyochelin or induce pyo-verdine siderophore production in Pseudomonas aueroginosa. Understanding the mo-lecular cross- talk between siderophore production, metal homeostasis, and metal toxicity in microorganisms is critical for designing bioremediation strategies for metal- contaminated sites. Here, we show that high- nickel exposure prolongs lag phase duration as a result of low- intracellular iron levels in E. coli. Although E. coli cells respond to low- intracellular iron during nickel stress by maintaining high expres-sion of iron uptake systems such as fepA, the demand for iron is not met due to a lack of siderophores in the extracellular medium during nickel stress. Taken together, these results indicate that nickel inhibits iron accumulation in E. coli by reducing the presence of enterobactin in the extracellular medium

Management of Gastroesophageal Reflux Disease (GERD) by Primary Care Providers in Mississippi

Gastroesophageal reflux disease (GERD) is one of the most common diseases seen in primary care practice. To reduce the negative effects, such as esophageal narrowing, erosions, and precancerous lesions, from uncontrolled or inadequately managed GERD, primary care providers must stay up to date on evidence-based research and integrate the most current guidelines, The American College of Gastroenterology (ACG) updated guidelines for proper management of GERD in 2021, into practice. The guidelines recommend lifestyle modifications, proper pharmacological treatment with proton pump inhibitors (PPIs) for an eight-week course, and proper follow-up and/or referral if unimproved. The purpose of this research study was to conduct chart reviews of documentation to identify if primary care providers followed current ACG guidelines. After contacting the Mississippi University for Women’s Institutional Review Board and receiving permission to conduct chart reviews at four primary care clinics in Southeastern Mississippi, the current researchers collected data from 465 patients’ charts to assess if current guidelines were being followed by Mississippi primary care providers. The quantitative retrospective study revealed the majority of primary care providers managed GERD adequately, according to current ACG guidelines. Although the data collection initially included all primary care providers, such as nurse practitioners, medical doctors, doctors of osteopathic medicine, and physicians’ assistants, only nurse practitioners and medical doctors were included in the study due to the specific clinics utilized for data collection. Overall, the study revealed nurse practitioners as more compliant than medical doctors with adhering to current ACG guidelines for management of GERD. If Mississippi primary care providers manage GERD according to the ACG guidelines, better patient outcomes can be achieved. By recommending lifestyle modifications, such as weight loss, elevation of the head of bed, refraining from eating two to three hours prior to bedtime, and avoiding trigger foods, reduction of the negative effects of GERD can be piloted. Correct pharmacological treatment with an eight-week course of PPIs can also reduce the negative outcomes produced by GERD without overtreatment that can lead to other issues, like osteoporosis. If failure of combined therapies occur, referral to a specialist should be made for further treatment. The findings also reiterate the importance of timely follow-up. By following the guidelines, primary care providers can improve patient outcomes through reducing the physical strains of GERD and the economical strains of improper management and treatment of the prevalent disease

Evaluation Development and Use in Social Work Practice

Background: Social workers entering the profession typically receive little, if any, content or training on evaluation practice. This is, in part, due to limited course offerings outside of the typical courses in most schools of social work. In addition, practicing social workers who often serve in the role as field instructors have not fully embraced the use of research in practice, and tend to employ less rigorous evaluative methods.   Purpose: The purpose of this study was to explore the development and use of evaluation knowledge among social work practitioners who supervise social work students.   Setting: Not applicable.   Intervention: Not applicable.   Research Design: A mixed method, sequential research design within the context of an exploratory study was used to determine factors that facilitate evaluation, identify and prioritize evaluation competencies, and determine the extent to which evaluation constructs contribute to self efficacy, evaluation competency, evaluation influence, and leadership behaviors.   Data Collection and Analysis: A web-based survey was used followed by a participatory method that included the use of a web-based software to identify and prioritize activities that contribute to the development of evaluation knowledge and skill.   Findings: Results suggest social work education has a critical role in promoting evaluation practice, establishing evaluation practice competencies, and using evaluation results to inform policy and practice.   Keywords: social work practice, field education, evaluation practice, Council on Social Work Education (CSWE), Educational Policy, and Accreditation Standards (EPAS

Initial experience of dedicated breast PET imaging of ER+ breast cancers using [F-18]fluoroestradiol.

Dedicated breast positron emission tomography (dbPET) is an emerging technology with high sensitivity and spatial resolution that enables detection of sub-centimeter lesions and depiction of intratumoral heterogeneity. In this study, we report our initial experience with dbPET using [F-18]fluoroestradiol (FES) in assessing ER+ primary breast cancers. Six patients with >90% ER+ and HER2- breast cancers were imaged with dbPET and breast MRI. Two patients had ILC, three had IDC, and one had an unknown primary tumor. One ILC patient was treated with letrozole, and another patient with IDC was treated with neoadjuvant chemotherapy without endocrine treatment. In this small cohort, we observed FES uptake in ER+ primary breast tumors with specificity to ER demonstrated in a case with tamoxifen blockade. FES uptake in ILC had a diffused pattern compared to the distinct circumscribed pattern in IDC. In evaluating treatment response, the reduction of SUVmax was observed with residual disease in an ILC patient treated with letrozole, and an IDC patient treated with chemotherapy. Future study is critical to understand the change in FES SUVmax after endocrine therapy and to consider other tracer uptake metrics with SUVmax to describe ER-rich breast cancer. Limitations include variations of FES uptake in different ER+ breast cancer diseases and exclusion of posterior tissues and axillary regions. However, FES-dbPET has a high potential for clinical utility, especially in measuring response to neoadjuvant endocrine treatment. Further development to improve the field of view and studies with a larger cohort of ER+ breast cancer patients are warranted

Review of Ground Systems Development and Operations (GSDO) Tools for Verifying Command and Control Software

The Exploration Systems Development (ESD) Standing Review Board (SRB) requested the NASA Engineering and Safety Center (NESC) conduct an independent review of the plan developed by Ground Systems Development and Operations (GSDO) for identifying models and emulators to create a tool(s) to verify their command and control software. The NESC was requested to identify any issues or weaknesses in the GSDO plan. This document contains the outcome of the NESC review

Combination antiretroviral therapy in population affected by conflict: outcomes from large cohort in northern Uganda

Objective To measure the clinical and immunological outcomes of HIV positive adult patients receiving combination antiretroviral therapy in conflict affected northern Uganda