Carbon Monoxide Exposure and Human Health

The primary objective of this report is to provide detailed information on the health effects of carbon monoxide. With this information, the community can judge for itself what action is deemed necessary to maintain or improve the health of its residents

Scoliosis treatment using spinal manipulation and the Pettibon Weighting System™: a summary of 3 atypical presentations

BACKGROUND: Given the relative lack of treatment options for mild to moderate scoliosis, when the Cobb angle measurements fall below the 25–30° range, conservative manual therapies for scoliosis treatment have been increasingly investigated in recent years. In this case series, we present 3 specific cases of scoliosis. CASE PRESENTATION: Patient presentation, examination, intervention and outcomes are detailed for each case. The types of scoliosis presented here are left thoracic, idiopathic scoliosis after Harrington rod instrumentation, and a left thoracic scoliosis secondary to Scheuermann's Kyphosis. Each case carries its own clinical significance, in relation to clinical presentation. The first patient presented for chiropractic treatment with a 35° thoracic dextroscoliosis 18 years following Harrington Rod instrumentation and fusion. The second patient presented with a 22° thoracic levoscoliosis and concomitant Scheuermann's Disease. Finally, the third case summarizes the treatment of a patient with a primary 37° idiopathic thoracic levoscoliosis. Each patient was treated with a novel active rehabilitation program for varying lengths of time, including spinal manipulation and a patented external head and body weighting system. Following a course of treatment, consisting of clinic and home care treatments, post-treatment radiographs and examinations were conducted. Improvement in symptoms and daily function was obtained in all 3 cases. Concerning Cobb angle measurements, there was an apparent reduction in Cobb angle of 13°, 8°, and 16° over a maximum of 12 weeks of treatment. CONCLUSION: Although mild to moderate reductions in Cobb angle measurements were achieved in these cases, these improvements may not be related to the symptomatic and functional improvements. The lack of a control also includes the possibility of a placebo effect. However, this study adds to the growing body of literature investigating methods by which mild to moderate cases of scoliosis can be treated conservatively. Further investigation is necessary to determine whether curve reduction and/or manipulation and/or placebo was responsible for the symptomatic and functional improvements noted in these cases

First-Line Nurse Administrators in Academe: How are They Prepared, What Do They Do, and Will They Stay in their Jobs?

This article examines the role characteristics, responsibilities, and anticipated career patterns of first-line nurse administrators employed in university-based nursing education programs throughout the nation. First-line administration is the first level on the administrative ladder, and these administrators are most frequently entitied department chairpersons; division, program, and level directors; or coordinators. This was an exploratory and descriptive research project, and the questions addressed were (1) How are first-line nurse administrators in academe formally educated and informally prepared for their administrative role? (2) What are the administrative competencies important for this administrative role? (3) What strains, conflicts, and work overload are associated with the first-line administrative role, and what strategies are used to cope? (4) What do these administrators anticipate as a career pattern in administration based on their experiences as first-line administrators? Fifty-six first-line nurse administrators were interviewed from 42 schools of nursing that offer both bachelor\u27s degree and graduate nursing programs. Data indicated that one third of the study participants completed graduate level courses in administration, and the majority had worked with administrative mentors. They ranked having character and integrity as their most important competency, which was defined as being trusted by faculty, other administrators, and students. Settling priorities for their administrative work caused them their greatest strain, and work overload was most predominant. Role conflict was present consistently as they attempted to meet the traditional triad of faculty responsibilities (research and scholarship, teaching, service) plus administrative duties. Numerous time-management strategies were used to cope, but nonetheless, one half will not continue in an administration career pathway. Implications for academic nurse administrators are cited

Psychoactive substance use as a predictor of road rage behaviour in a sample of commercial drivers in Enugu, south-eastern Nigeria

Two objectives were examined in the present study. The first described the prevalence of psychoactive substance use in a sample of 208 commercial drivers; while the second examined whether psychoactive substance would predict road rage behaviour in the same sample. Purposive sampling technique, which targeted only drivers who were willing to participate at no fee, was utilized to select commercial drivers from 4 motor parks in Enugu, South-Eastern Nigeria. All the drivers were male; there were 102 (49.04%) married and 106 (50.96%) single drivers. Their ages range from 27 years – 52 years (Mean age = 33.52years; SD = 6.04). The years of driving experience of the commercial drivers ranged from 4 years – 29 years. The Psychoactive Substance Use Questionnaire and the Driving Anger Scale (DAS) were instruments used for the collection of data. Data were analyzed with preliminary statistics and a simple hierarchical multiple regressions and correlation (MRC). Results showed that alcohol was the most prevalently used psychoactive substance in the sample, and that alcohol, cocaine, and amphetamine, predicted road rage behaviour (p < 0.001) in the sample. These findings were discussed and the limitations of the study and recommendations were highlighted.Keywords: Commercial driver; Driving Anger Scale (DAS); Psychoactive substance use; Road rage behaviour; South-Eastern Nigeri

Control in chronic condition self-care management: how it occurs in the health worker–client relationship and implications for client empowerment

This item is under embargo for a period of 12 months from the date of publication, in accordance with the publisher's policy.Aim. To examine health worker–client interactions during care planning to understand processes that foster client empowerment and disempowerment. Background. It is unclear how health worker–client exchanges and information sharing through chronic condition care planning currently operate in primary health care. Moreover, it is unclear how control in these exchanges either enhances collaborative decision-making, partnership and client empowerment, or works to create client disempowerment and dependency on workers and health services. Design. Critical discourse analysis of qualitative data from ethnographic observations and audio-taped worker–client consultations. Method. Multidisciplinary teams in two Australian community-based primary healthcare sites participated. This included nurses, general practitioners and allied health workers and their clients who had a chronic condition care plan. Nineteen worker–client consultations were observed/recorded in 2011. Results. Control was expressed through multiple processes inherent in the worker role and in their interactions with clients. When workers exercised disproportionate control and clients relinquished their own control, client disempowerment and dependency were evident. Clients’ attempts to gain control and workers’ attempts to relinquish control alleviated clients’ disempowerment and dependency. However, structural features of information sharing systems and workers’ care planning behaviours diminished such efforts. Conclusion. Worker awareness of their communication style and the power of their role must improve for client chronic condition self-care management to be achieved. Training on the impacts of control in worker communication and systems where they work must be provided if unbeneficial forms of client dependency are to be overcome and true self-care management is to be realized

Barriers and enablers to good communication and information-sharing practices in care planning for chronic condition management

Author version made available in accordance with Publisher's copyright policy.Our aim was to document current communication and information-sharing practices and to identify the barriers and enablers to good practices within the context of care planning for chronic condition management. Further aims were to make recommendations about how changes to policy and practice can improve communication and information sharing in primary health care. A mixed-method approach was applied to seek the perspectives of patients and primary health-care workers across Australia. Data was collected via interviews, focus groups, non-participant observations and a national survey. Data analysis was performed using a mix of thematic, discourse and statistical approaches. Central barriers to effective communication and information sharing included fragmented communication, uncertainty around client and interagency consent, and the unacknowledged existence of overlapping care plans. To be most effective, communication and information sharing should be open, two-way and inclusive of all members of health-care teams. It must also only be undertaken with the appropriate participant consent, otherwise this has the potential to cause patients harm. Improvements in care planning as a communication and information-sharing tool may be achieved through practice initiatives that reflect the rhetoric of collaborative person-centred care, which is already supported through existing policy in Australia. General practitioners and other primary care providers should operationalise care planning, and the expectation of collaborative and effective communication of care that underpins it, within their practice with patients and all members of the care team. To assist in meeting these aims, we make several recommendations

Role of Planting Date on Yield and Cannabinoid Content of Day-neutral and Photoperiod-sensitive Hemp in Georgia, USA

Industrial hemp (Cannabis sativa) cultivars used for flower, fiber, or seed production are usually considered short-day plants and flower in response to photoperiod. However, some cultivars of hemp are day-neutral, where flower induction may be independent of daylength. Day-neutral cultivars of hemp were planted before recommended dates and studied in field experiments conducted in Watkinsville, GA, in Spring 2020 and 2021. Day-neutral cultivars (Pipeline and Maverick) and photoperiod-sensitive cultivars (Von and Whitehouse Cherry) were planted on 9 and 25 Apr and 11 and 28 May to determine the impact of planting date on hemp flower yield and quality. Planting date did not impact yield of the photoperiod-sensitive cultivars, but yields of day-neutral cultivars decreased as planting date progressed. Average yields of photoperiod-sensitive plants were greater than the day-neutral cultivars in both study years. Cannabinoid concentrations in flowers were affected by cultivar and study year but were not impacted by planting date. Cannabidiol was the most prevalent cannabinoid in flower tissue with concentrations ranging from 6.5% to 10.5%. Flower biomass yields suggest that the spring hemp planting season may be extended using day-neutral cultivars in the southeastern United States

Brief Amici Curiae of Intellectual Property Professors in Support of Petitioner, No. 18-600, Texas Advanced Optoelectronic Solutions, Inc. V. Renesas Electronics America, Inc.

To comply with the obligations of the Uruguay Round Agreements, particularly the Agreement on the Trade Related Aspects of Intellectual Property (TRIPS), Congress amended 35 U.S.C. § 271(a) to make it an act of infringement to “offer to sell” a patented invention within the United States. See Uruguay Round Agreements Act, Pub. L. No. 103-465, §§ 531-533, 108 Stat. 4809 (1994). The Federal Circuit has interpreted this provision in a manner contrary to the presumption against the extraterritorial reach of United States laws. The Federal Circuit has held that location of the ultimate sale contemplated in the offer controls the locus of the act of infringement, not the location of the offer. Transocean Offshore Deepwater Drilling, Inc. v. Maersk Contractors USA, Inc., 617 F.3d 1296, 1309 (Fed. Cir. 2010) (holding that “the location of the contemplated sale controls whether there is an offer to sell within the United States.”). The Federal Circuit further clarified that an offer made in the United States to sell the invention abroad is not infringing. Halo Elecs., Inc. v. Pulse Elecs., Inc., 831 F.3d 1369, 1380 (Fed. Cir. 2016). As a result, the court has created an odd dichotomy: activity entirely outside of the United States can trigger liability for infringement of a United States patent, whereas activity within the United States does not. Such an approach is inconsistent with the presumption against extraterritoriality, particularly the two-step framework of RJR Nabisco, Inc. v. European Community, 136 S. Ct. 2090, 2101 (2016). This issue is of considerable importance, and this case is an excellent vehicle for assessing the appropriate territorial scope of § 271(a)

Ocular rhinosporidiosis mimicking conjunctival squamous papilloma in Kenya - a case report.

BACKGROUND: Ocular rhinosporidiosis is a chronic granulomatous infection caused by a newly classified organism that is neither a fungus nor bacterium. It often presents as a benign conjunctival tumour but may mimic other ocular conditions. It is most often described in India. In Africa cases have been reported from South Africa, Kenya, Tanzania, Malawi, Uganda, Congo and Ivory Coast. CASE PRESENTATION: A 54 year old man was seen in Kenya with a lesion that resembled a conjunctival papilloma. We report resemblance to conjunctival papilloma and the result of vital staining with 0.05% Toluidine Blue. CONCLUSION: Ocular rhinosporidiosis occurs in East Africa. It may resemble conjunctival squamous papilloma. Vital staining with 0.05% Toluidine blue dye did not distinguish the two lesions well