4,490 research outputs found
MiscellaneousâPeaceful Picketing
Wood v. O\u27Grady, 307 N. Y. 532, 122 N. E. 2d 386 (1954)
Jurisdiction and Free Speech Problems in Peaceful Picketing
Construction Workers v. Laburnum, 347 U. S. 656 (1954)
The association among diet, dietary fiber, and bowel preparation at colonoscopy
BACKGROUND AND AIMS: Pre-colonoscopy dietary restrictions vary widely and lack evidence-based guidance. We investigated whether fiber and various other foods/macronutrients consumed during the 3 days before colonoscopy are associated with bowel preparation quality.
METHODS: This was a prospective observational study among patients scheduled for outpatient colonoscopy. Patients received instructions including split-dose polyethylene glycol, avoidance of vegetables/beans 2 days before colonoscopy, and a clear liquid diet the day before colonoscopy. Two 24-hour dietary recall interviews and 1 patient-recorded food log measured dietary intake on the 3 days before colonoscopy. The Nutrition Data System for Research was used to estimate dietary exposures. Our primary outcome was the quality of bowel preparation measured by the Boston Bowel Preparation Scale (BBPS).
RESULTS: We enrolled 201 patients from November 2015 to September 2016 with complete data for 168. The mean age was 59 years (standard deviation, 7 years), and 90% of colonoscopies were conducted for screening/surveillance. Only 17% and 77% of patients complied with diet restrictions 2 and 1 day(s) before colonoscopy, respectively. We found no association between foods consumed 2 and 3 days before colonoscopy and BBPS scores. However, BPPS was positively associated with intake of gelatin, and inversely associated with intake of red meat, poultry, and vegetables on the day before colonoscopy.
CONCLUSIONS: Our findings support recent guidelines encouraging unrestricted diets >1 day before colonoscopy if using a split-dose bowel regimen. Furthermore, we found no evidence to restrict dietary fiber 1 day before colonoscopy. We also found evidence to promote consumption of gelatin and avoidance of red meat, poultry, and vegetables 1 day before colonoscopy.Dr Jacobson has acted as a consultant for MOTUS GI and Remedy Partners. All other authors disclosed no financial relationships relevant to this publication. Supported by NIH/NIDDK R21DK105476. (R21DK105476 - NIH/NIDDK)Accepted manuscrip
Twelve-year follow-up of conservative management of postnatal urinary and faecal incontinence and prolapse outcomes : randomised controlled trial
© 2013 Royal College of Obstetricians and Gynaecologists. Funded by Royal College of Obstetricians and Gynaecologists, London, UK; Health Research Council of New Zealand. Grant Number: RG 819/06 New Zealand Lottery Grant Board Health Services Research Unit, University of Aberdeen Chief Scientist Office of the Scottish Government Health DirectoratesPeer reviewedPostprin
Faecal incontinence persisting after childbirth : a 12 year longitudinal study
© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.Peer reviewedPostprin
Integrating Species Traits into Species Pools
Despite decades of research on the speciesâpool concept and the recent explosion of interest in traitâbased frameworks in ecology and biogeography, surprisingly little is known about how spatial and temporal changes in speciesâpool functional diversity (SPFD) influence biodiversity and the processes underlying community assembly. Current traitâbased frameworks focus primarily on community assembly from a static regional species pool, without considering how spatial or temporal variation in SPFD alters the relative importance of deterministic and stochastic assembly processes. Likewise, speciesâpool concepts primarily focus on how the number of species in the species pool influences local biodiversity. However, species pools with similar richness can vary substantially in functionalâtrait diversity, which can strongly influence community assembly and biodiversity responses to environmental change. Here, we integrate recent advances in community ecology, traitâbased ecology, and biogeography to provide a more comprehensive framework that explicitly considers how variation in SPFD, among regions and within regions through time, influences the relative importance of community assembly processes and patterns of biodiversity. First, we provide a brief overview of the primary ecological and evolutionary processes that create differences in SPFD among regions and within regions through time. We then illustrate how SPFD may influence fundamental processes of local community assembly (dispersal, ecological drift, niche selection). Higher SPFD may increase the relative importance of deterministic community assembly when greater functional diversity in the species pool increases niche selection across environmental gradients. In contrast, lower SPFD may increase the relative importance of stochastic community assembly when high functional redundancy in the species pool increases the influence of dispersal history or ecological drift. Next, we outline experimental and observational approaches for testing the influence of SPFD on assembly processes and biodiversity. Finally, we highlight applications of this framework for restoration and conservation. This speciesâpool functional diversity framework has the potential to advance our understanding of how localâ and regionalâscale processes jointly influence patterns of biodiversity across biogeographic regions, changes in biodiversity within regions over time, and restoration outcomes and conservation efforts in ecosystems altered by environmental change
Extending the Reach of PowerPay Debt Elimination: A New Mobile Application
PowerPay has proven effective as an online financial tool for personalized debt reduction since it was introduced in 1992. Results of the online program show positive outcomes for users such as reduced debt load and better spending habits. To increase the reach of this program, the free PowerPay mobile app was launched in 2014. This allows for immediate access to payment calendars, projected money saved, and building an emergency fund. The new app has been very well received, with over 2,400 downloads across 45 countries, and adds another debt management instrument for Extension personnel to share with their clientele
A Library of Integrated Spectra of Galactic Globular Clusters
We present a new library of integrated spectra of 40 Galactic globular
clusters, obtained with the Blanco 4-m telescope and the R-C spectrograph at
the Cerro Tololo Interamerican Observatory. The spectra cover the range ~ 3350
-- 6430 A with ~ 3.1 A (FWHM) resolution. The spectroscopic observations and
data reduction were designed to integrate the full projected area within the
cluster core radii in order to properly sample the light from stars in all
relevant evolutionary stages. The S/N values of the flux-calibrated spectra
range from 50 to 240/A at 4000 A and from 125 to 500/A at 5000 A. The selected
targets span a wide range of cluster parameters, including metallicity,
horizontal-branch morphology, Galactic coordinates, Galactocentric distance,
and concentration. The total sample is thus fairly representative of the entire
Galactic globular cluster population and should be valuable for comparison with
similar integrated spectra of unresolved stellar populations in remote systems.
For most of the library clusters, our spectra can be coupled with deep
color-magnitude diagrams and reliable metal abundances from the literature to
enable the calibration of stellar population synthesis models. In this paper we
present a detailed account of the observations and data reduction. The spectral
library is publicly available in electronic format from the National Optical
Astronomical Observatory website.Comment: 39 Pages, including 2 tables and 15 Figures. To appear in the
Astrophysical Journal, Supplement Serie
Persistent urinary incontinence and delivery mode history: a six-year longitudinal study.
Objective: To investigate the prevalence of persistent and long term postpartum urinary incontinence and associations with mode of first and subsequent delivery.
Setting: Maternity units in Aberdeen (Scotland), Birmingham (England) and Dunedin (New Zealand).
Design: Longitudinal study
Population: 4214 women who returned postal questionnaires 3 months and 6 years after the index birth.
Methods: Symptom data were obtained from both questionnaires and obstetric data from case-notes for the index birth and the second questionnaire for subsequent births. Logistic regression investigated the independent effects of mode of first delivery and delivery mode history.
Main outcome measures: Urinary incontinence â persistent (at 3 months and 6 years after index birth) and long-term (at 6 years after index birth).
Results: The prevalence of persistent urinary incontinence was 24%. Delivering exclusively by Caesarean section was associated with both less persistent (OR= 0.46, 95% CI 0.32 to 0.68) and long term urinary incontinence (OR=0.50, 95% CI 0.40 to 0.63). Caesarean section birth in addition to vaginal delivery however was not associated with significantly less persistent incontinence (OR 0.93, 95%CI 0.67 to 1.29). There were no significant associations between persistent or long-term urinary incontinence and forceps or vacuum extraction delivery. Other significantly associated factors were increasing number of births and older maternal age.
Conclusions: The risk of persistent and long term urinary incontinence is significantly lower following Caesarean section deliveries but not if there is another vaginal birth. Even when delivering exclusively by Caesarean section, the prevalence of persistent symptoms (14%) is still high
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