Health and Healthcare among the Plain Anabaptist People

This issue of the Journal of Amish and Plain Anabaptist Studies (JAPAS) marks the eleventh year of publication of this journal, the flagship journal of the Amish & Plain Anabaptist Studies Association (APASA). In the past we have devoted entire issues to specific topics, including Beachy Amish-Mennonite churches [2017 5(1)], past and future directions of Amish studies [2017 5(2)], Ohio Amish schisms [2019 7(2)], gender-focused research [2020 8(2)], agriculture and the environment [2021 9(2)], and the plain people at midcentury [2023 11(1)]. In addition, the 2018 6(2) issue included a special section on health among the Amish. This issue [2023 11(2)] is dedicated, in its entirety, to sociocultural aspects of health and medicine among plain Anabaptists. The articles compiled here span a wide variety of topics including: health beliefs, attitudes toward Amish, genetic screening, midwifery, mental health, allergy and immunity, nutrition, oil therapy massage, water quality, and plain people’s experiences with health and medicine from the perspective of plain authors. Contributors include both plain and “English” authors

Heart - breaking Baby Doll

https://digitalcommons.library.umaine.edu/mmb-vp/3509/thumbnail.jp

You\u27d Better Get A Girl Before The Boys Come Home Or You\u27ll Never Get A Girl At All

https://digitalcommons.library.umaine.edu/mmb-vp/3459/thumbnail.jp

The 2016 Academic Emergency Medicine Consensus Conference, Shared Decision Making in the Emergency Department: Development of a Policy-relevant Patient-centered Research Agenda Diagnostic Testing Breakout Session Report.

Diagnostic testing is an integral component of patient evaluation in the emergency department (ED). Emergency clinicians frequently use diagnostic testing to more confidently exclude worst-case diagnoses rather than to determine the most likely etiology for a presenting complaint. Increased utilization of diagnostic testing has not been associated with reductions in disease-related mortality but has led to increased overall healthcare costs and other unintended consequences (e.g., incidental findings requiring further workup, unnecessary exposure to ionizing radiation or potentially nephrotoxic contrast). Shared decision making (SDM) presents an opportunity for clinicians to discuss the benefits and harms associated with diagnostic testing with patients to more closely tailor testing to patient risk. This article introduces the challenges and opportunities associated with incorporating SDM into emergency care by summarizing the conclusions of the diagnostic testing group at the 2016 Academic Emergency Medicine Consensus Conference on SDM. Three primary domains emerged: 1) characteristics of a condition or test appropriate for SDM, 2) critical elements of and potential barriers to SDM discussions on diagnostic testing, and 3) financial aspects of SDM applied to diagnostic testing. The most critical research questions to improve engagement of patients in their acute care diagnostic decisions were determined by consensus

Linking binocular vision neuroscience with clinical practice

yesBinocularity in the human visual system poses two interesting and extremely challenging questions. The first, and perhaps most obvious stems from the singularity of perception even though the neural images we see originate as two separate images in the right and left eyes. Mechanistically we can ask how and where do we convert two images into one? The second question is more of a “why” question. By converting lateral eyes with their inherent panoramic visual field into frontal eyes with overlapping binocular visual fields, primates have developed an extremely large blind region (the half of the world behind us). We generally accept that this sacrifice in visual field size was driven by the potential benefit of extracting information about the 3rd dimension from overlapping right and left eye visual fields. For some people, both of these core processes of binocularity fail: a single fused binocular image is not achieved (when diplopia or suppression is present), and the ability to accurately represent the 3rd dimension is lost (stereo-blindness). In addition to these failures in the core functions of the human binocular system, early imbalances in the quality of right and left eye neural images (e.g. due to anisometropia, monocular deprivation, and/or strabismus), can precipitate profound neurological changes at a cortical level which can lead to serious vision loss in one eye (amblyopia). Caring for patients with malfunctioning binocular visual systems is a core therapeutic responsibility of the eye care professions (optometry, ophthalmology and orthoptics) and significant advances in patient care and subsequent visual outcomes will be gained from a deeper understanding of how the human brain accomplishes full binocular integration. This feature issue on binocular vision brings together original articles and reviews from leading groups of neuroscientists, psychophysicists and clinical scientists from around the world who embrace the multidisciplinary nature of this topic. Our authors have taken on the big issues facing the research community tasked with understanding how binocular vision is meant to work, how it fails, and how to better treat those with compromised binocularity. These studies address deep issues about how the human brain functions and how it fails, as well as how it can be altered by therapy

Imaging Complex Structure in Shallow Seismic-reflection Data Using Prestack Depth Migration

Prestack depth migration (PSDM) analysis has the potential to significantly improve the accuracy of both shallow seismic reflection images and the measured velocity distributions. In a study designed to image faults in the Alvord Basin, Oregon, at depths from 25–1000 m, PSDM produced a detailed reflection image over the full target depth range. In contrast, poststack time migration produced significant migration artifacts in the upper 100 m that obscured reflection events and limited the structural interpretation in the shallow section. Additionally, an abrupt increase from ~2500 to \u3e3000 m/s in the PSDM velocity model constrained the interpretation of the transition from sedimentary basin fill to basement volcanic rocks. PSDM analysis revealed a complex extensional history with at least two distinct phases of basin growth and a midbasin basement high that forms the division between two major basin compartments

α\alpha-particle condensate states in 16^{16}O

The existence of a rotational band with the $\alpha$+$^{12}$C($0_2^+$) cluster structure, in which three $\alpha$ particles in $^{12}$C($0_2^+$) are locally condensed, is demonstrated near the four-$\alpha$ threshold of $^{16}$O in agreement with experiment. This is achieved by studying structure and scattering for the $\alpha$+$^{12}$C($0_2^+$) system in a unified way. A drastic reduction (quenching) of the moment of the inertia of the $0^+$ state at 15.1 MeV just above the four-$\alpha$ threshold in $^{16}$O suggests that it could be a candidate for the superfluid state in $\alpha$-particle condensation.Comment: 5 pages, 3 figure

rpSPH: a novel Smoothed Particle Hydrodynamics Algorithm

We suggest a novel discretisation of the momentum equation for Smoothed Particle Hydrodynamics (SPH) and show that it significantly improves the accuracy of the obtained solutions. Our new formulation which we refer to as relative pressure SPH, rpSPH, evaluates the pressure force in respect to the local pressure. It respects Newtons first law of motion and applies forces to particles only when there is a net force acting upon them. This is in contrast to standard SPH which explicitly uses Newtons third law of motion continuously applying equal but opposite forces between particles. rpSPH does not show the unphysical particle noise, the clumping or banding instability, unphysical surface tension, and unphysical scattering of different mass particles found for standard SPH. At the same time it uses fewer computational operations. and only changes a single line in existing SPH codes. We demonstrate its performance on isobaric uniform density distributions, uniform density shearing flows, the Kelvin-Helmholtz and Rayleigh-Taylor instabilities, the Sod shock tube, the Sedov-Taylor blast wave and a cosmological integration of the Santa Barbara galaxy cluster formation test. rpSPH is an improvement these cases. The improvements come at the cost of giving up exact momentum conservation of the scheme. Consequently one can also obtain unphysical solutions particularly at low resolutions.Comment: 17 pages, 13 figures. Final version. Including section of how to break i