100 research outputs found

    China Cues for Smart Shoppers

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    China tableware of good quality is perhaps one of the most prized possessions a homemaker can have. And selecting a life~time pattern often confronts the college woman planning for marriage or career

    The Homemaker is Yours

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    Home economics students as a group are unaware of many of the services and activities of the Homemaker. 1962 is a big year for your magazine! This is the 40th Anniversary year of its publication

    Knees are News

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    Knees are news this fall as fashion\u27s fickle hemline rises to dizzy heights. The shorter skirts not only barely skim the kneecap but in casual sportswear even creep above it

    The Iowa Homemaker vol.40, no.3

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    The Green Will Fade, Mary Ellen Muckenhirn, page 4 Being Your Best, Madeline Lange, page 5 New Faces in Home Economics, Beth Beecher, page 6 Touchdown or Touchback?, Sylvia Noid, page 8 Knees are News, Barbara Strang, Doris Post, page 8 Beauty Prescription, Marjean Swann, page 11 What’s Going On?, Patty Anderson, page 1

    The Iowa Homemaker vol.40, no.2

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    Let Art Speak, page 3 Dean LeBaron’s Travel Folio of Asia, Diane Houser, page 4 Iowa State, Husband-Hunting Grounds, Sylvia Noid, page 6 Two Ways to See Europe, Doris Post and Patty Anderson, page 7 Coffee House on the Left Bank, Beth Lambeth, page 8 Drip-Dry Through Europe, Myra Scholten, page 10 Memo to Suitcase Stuffers, Mary Ellen Muckenhirn, page 12 What’s Going On?, Carol Shellenbarger, page 1

    The Iowa Homemaker vol.40, no.1

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    As Others See Us, Tom Emmerson, Beth Lambeth and Sue Guernsey, page 6 China Cues for Smart Shoppers, Doris Post, page 8 Reflections of You, Sylvia Noid, page 9 Campus Tours, Inc., Patty Anderson, page 10 Child Development Experts Study “Multiple Mother” Effects, Carol Calhoon, page 11 Behind the TV Camera, Carolynn DeLay, page 12 Gray Meals, One Subject of Food Technology, Mary Ellen Muckenhirn, page 14 Coed Chooses Spring Fashion’s Fancy, Laveda Jansonius, page 17 Expand Your World, Marty Keeney, page 18 RAIN, Diane Houser, page 21 What’s Going On?, Carol Shellenbarger, page 2

    Common genetic variants improve risk stratification after the atrial switch operation for transposition of the great arteries

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    Background: Clinical factors are used to estimate late complication risk in adults after atrial switch operation (AtrSO) for transposition of the great arteries (TGA), but heterogeneity in clinical course remains. We studied whether common genetic variants are associated with outcome and add value to a clinical risk score in TGA-AtrSO patients. Methods and results: This multicenter study followed 133 TGA-AtrSO patients (aged 28 [IQR 24–35] years) for 13 (IQR 9–16) years and examined the association of genome-wide single-nucleotide polymorphisms (SNPs) with a composite endpoint of symptomatic ventricular arrhythmia, heart failure hospitalization, ventricular assist device implantation, heart transplantation, or mortality. Thirty-two patients (24%) reached the endpoint. The genome-wide association study yielded one genome-wide significant (p 20%) risk. Stratified by the combined score, observed 5-year event-free survival was 100%, 79% and 31% for low, intermediate, and high-risk patients, respectively. Conclusions: Common genetic variants may explain some variation in the clinical course in TGA-AtrSO and improve risk stratification over clinical factors alone, especially in patients at intermediate clinical risk. These findings support the hypothesis that including genetic variants in risk assessment may be beneficial

    On the notion of home and the goals of palliative care

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    The notion of home is well known from our everyday experience, and plays a crucial role in all kinds of narratives about human life, but is hardly ever systematically dealt with in the philosophy of medicine and health care. This paper is based upon the intuitively positive connotation of the term “home.” By metaphorically describing the goal of palliative care as “the patient’s coming home,” it wants to contribute to a medical humanities approach of medicine. It is argued that this metaphor can enrich our understanding of the goals of palliative care and its proper objectives. Four interpretations of “home” and “coming home” are explored: (1) one’s own house or homelike environment, (2) one’s own body, (3) the psychosocial environment, and (4) the spiritual dimension, in particular, the origin of human existence. Thinking in terms of coming home implies a normative point of view. It represents central human values and refers not only to the medical-technical and care aspects of health care, but also to the moral context

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London
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