Dinner Table Talks: How healthy eating behavior and body positivity start at home

Body dysmorphia, eating disorders, and unhealthy eating behaviors all share a large sociocultural component. A family medicine practice is the perfect place to start educating patients about their attitudes surrounding food and how the effects of their relationship with food and their bodies can be felt in the home environment. Hearing many patients share that their mental and physical health struggles stemmed from how they learned to perceive things as children inspired me to take advantage of the trickle down effects of patient education. The goal of this project is to make and distribute a pamphlet that addresses ways to improve eating culture and body image and to recognize and separate nutrition and emotional eating. I hope that this intervention not only educates patients but promotes a healthier home environment for the rest of the members in a household/community.https://scholarworks.uvm.edu/fmclerk/1960/thumbnail.jp

High order asymptotic preserving scheme for linear kinetic equations with diffusive scaling

In this work, high order asymptotic preserving schemes are constructed and analysed for kinetic equations under a diffusive scaling. The framework enables to consider different cases: the diffusion equation, the advection-diffusion equation and the presence of inflow boundary conditions. Starting from the micro-macro reformulation of the original kinetic equation, high order time integrators are introduced. This class of numerical schemes enjoys the Asymptotic Preserving (AP) property for arbitrary initial data and degenerates when $\epsilon$ goes to zero into a high order scheme which is implicit for the diffusion term, which makes it free from the usual diffusion stability condition. The space discretization is also discussed and high order methods are also proposed based on classical finite differences schemes. The Asymptotic Preserving property is analysed and numerical results are presented to illustrate the properties of the proposed schemes in different regimes

Story Traditions in Tamil Classical Literature

Depending on the prosperity of the literature that originated in a language, the language can be identified as Classical. On that basis, these are considered to be a solid of the classical literature, such as stories, epitomes, illustrations, inner parables and stories that are considered prosperous in Tamil classical literature. We symbolize these as story traditions. On this basis, the purpose of this article is to reveal the traditions of the story of the Avvaiyar songs

Factors Regarding The Purchase Of Artificial Gold Ornaments In Ariyalur District

From the prehistoric era women of all ages-the young, the middle-aged and the old have a fascination to wear jewelries mostly of gold and silver jewelry. But, cost for gold and silver jewelries is pretty high and in some cases the costs have gone out of the affordability of the buyers. This fact has paved the way to the use of imitation gold jewelry-jewelries made of metal, glass, plastic, enamel, silver, artificial gold, artificial diamond, wood and more. Currently a large number of people are using these artificial gold ornaments to make them beautiful and present them attractively. This study tries to find out the awareness about the sources of awareness, brands of artificial gold ornaments, types of artificial gold ornaments and awareness level of consumers.&nbsp

High moisture extrusion of plant proteins

The main aim of the thesis was to develop and evaluate the meat analogues from alternative protein sources such as soya, lupin and microalgae using high moisture extrusion (HME) processing. In the first part of the work, the effect of extrusion conditions, such as barrel temperature (135–180 °C), water feed (40–68 %) and screw speed (400–1800 rpm) on extruder responses and properties of the meat analogues based on lupin protein concentrate and isolate (50:50) was investigated. Barrel temperature showed negligible influence on the tested properties. A negative linear relationship of water feed was found on all of the extruder responses and on colour difference and cutting force of extrudates. Product temperature at extruder, specific mechanical energy and cooking yield of the extrudates were increased with increased screw speed. An increased in-vitro protein digestibility (IVPD) was observed with higher water feed content. Meat analogues showed better texturization with increased temperature and screw speed along with decreased water content. The investigation further continued with the aim of testing the feasibility of incorporating Spirulina platensis biomass with lupin protein mixtures for HME. The influence of different Spirulina concentrations (up to 50 % by dry mass), extruder barrel temperature (145 °C, 160 °C and 175 °C), water feed (50, 55 and 60 %), and screw speed (500, 800 and 1200 rpm) on the extrudate properties was investigated. The physical properties, such as texture, cooking yield and expressible moisture were significantly affected by the Spirulina addition and extrusion parameters. Increased temperature and screw speed as well as decreased water feed slightly improved the content of total flavonoids, total phenolics and antioxidant activity of meat analogues, and the addition of Spirulina biomass significantly increased those properties. The addition of Spirulina negatively influenced the IVPD of extrudates, however, this effect was counterbalanced with the controlled extrusion conditions, such as increased water feed and screw speed. Furthermore, the extrusion process modified the secondary structural properties of the proteins in the meat analogues. Further, the application of iota (ι) carrageenan (ICGN) as an additive was investigated to develop a soya meat analogue using a planetary roller extruder (PRE). The addition of ICGN significantly increased the cutting force and elasticity and decreased expressible moisture and cooking yield. Additionally, an increase of the compact network structure of the extrudates was observed with the addition of ICGN by the scanning electron microscopy. Sensory evaluation revealed that the meat analogue with 1.5 % ICGN was best accepted, and the addition of ICGN improved the fibrous structure/texturization, which is a key property of the meat analogues

Entropy conserving/stable schemes for a vector-kinetic model of hyperbolic systems

The moment of entropy equation for vector-BGK model results in the entropy equation for macroscopic model. However, this is usually not the case in numerical methods because the current literature consists only of entropy conserving/stable schemes for macroscopic model (to the best of our knowledge). In this paper, we attempt to fill this gap by developing an entropy conserving scheme for vector-kinetic model, and we show that the moment of this results in an entropy conserving scheme for macroscopic model. With the numerical viscosity of entropy conserving scheme as reference, the entropy stable scheme for vector-kinetic model is developed in the spirit of [33]. We show that the moment of this scheme results in an entropy stable scheme for macroscopic model. The schemes are validated on several benchmark test problems for scalar and shallow water equations, and conservation/stability of both kinetic and macroscopic entropies are presented

Analysis of Clinicopathological parameters and Ki 67 immunoexpression in urothelial neoplasms of bladder

INTRODUCTION : Bladder cancer currently occupies eighth place, 90% being urothelial neoplasms. Current clinical and pathological variables have limited ability to predict tumor recurrence and progression. With availability of effective chemotherapy there is need for accurate predictors.Ki 67 is expressed by proliferating cells and can be observed immunohistochemically. Nuclear Ki 67 antigen expression is a measure of cell growth fraction and hence measures biological aggressiveness of malignancy. AIMS : To determine correlation of clinicopathological characteristics and Ki 67 expression with tumour grading and staging, thereby its impact on prognosis and clinical outcome. METHODS : This is a prospective study undertaken for a period of 1year. Clinical details of 30 bladder carcinoma patients were recorded and their TURBT specimens received are subjected to histopathological and immunohistochemical study. Ki 67 scoring was done and compared with grading and staging. RESULTS : A total of 77% of the patients presented with painless hematuria. The mean age was 64 ± 4 years old and the male to female ratio was 5:1. A total of 63% of the patients had muscle invasive disease at the time of presentation. Overall 33% (10 0f 30) of the patients had low-grade disease and 67% (20 of 30) had high grade tumors. The analysis of Ki 67 expression immunohistochemically revealed, higher values (i.e 3+ and 4+) in high grade tumors and t2 stage tumors. CONCLUSION : Proliferative activity of urothelial neoplasms assessed by Ki 67 expression correlated well with tumor grading and staging. Therefore it indicates prognosis and clinical outcome of patients

A study on prevalence of refractive error and its associated factors among school children in Krishnagiri District, Tamilnadu- 2015.

Refractive Error is an avoidable cause of visual impairment. Children do not complain of defective vision. This warrants early detection and treatment of these problems to prevent future blindness. Objectives: The study was conducted with the primary objective of estimating the prevalence of refractive error in school children and its associated factors among them. The secondary objective was to assess the extent to which children with refractive error are wearing corrective spectacles. Materials and methods: This was a cross sectional study conducted in randomly selected four schools of Krishnagiri district in Tamilnadu. A semi structured questionnaire was used to collect the details of associated factors. The students were screened for refractive errors. Snellen’s chart placed at 6 meters was used to test distant vision. Details of near work and outdoor activities were collected from their parents. Data was analysed using SPSS. Results: Among the 422 students screened, 86 (20.4%) had refractive error. Only 18.6% (N=16) of those with refractive error were already diagnosed and using corrective spectacles for refractive error. The prevalence of refractive error showed significant association in univariate analysis with age, education and occupation of parents, socio economic status, parental history of refractive error, duration of watching television and BMI. Conclusion: Refractive errors among school children can be easily identified by regular eye screening programmes, promptly treated can be protected from future complications. Periodic screening of school children is very essential to improve the quality of eye-sight

A prospective randomised study to compare and evaluate macintosh laryngoscope and king vision video laryngoscope for routine intubation in adults scheduled for elective surgery.

The present study compared the King Vision Video Laryngoscope (KVVL) channelled blade with Macintosh laryngoscope (ML) with regard to the laryngoscopic view, laryngoscopic time and time required to complete the tracheal intubation with head in neutral position. We aimed to investigate any disadvantages that the King Vision Video Laryngoscope may have with regard to hemodynamics when used in routine clinical practice. Methods: Eighty patients undergoing elective surgery requiring general anaesthesia and tracheal intubation were randomly allocated to receive tracheal intubation using the King Vision Video Laryngoscope or the Macintosh laryngoscope. Following a standardised general anaesthetic, data were collected during and after laryngoscopy and endotracheal intubation. Results: The mean tracheal intubation time (TTI) for the King Vision Video Laryngoscope and Macintosh laryngoscope respectively were 24.9 and 26.5seconds, (p =0.596). The mean duration of laryngoscopy (DOL) for the King Vision Video Laryngoscope and Macintosh laryngoscope respectively were 46.5 and 46.4 seconds (p = 0.925). Only 37.5% in ML group had Cormack Lehane grade 1 glottic view while all in KVVL had grade 1 glottic view. The xi percentage of patients who did not required optimisation manoeuvres were respectively 72.5% and 27.5% for KVVL and ML. The change in hemodynamic profile was comparable between both groups. Conclusion: King Vision Video Laryngoscope has comparable efficacy related to intubation time, duration of laryngoscopy, success rate and ease of intubation. Although King Vision provided greater percentage of best laryngoscopic view with less requirement of optimising manoeuvres, it provides no added benefit with regard to fluctuation of the hemodynamic response to intubation. Therefore, we conclude that the King Vision Video Laryngoscope may be used in routine clinical practice for tracheal intubation