The Wellbeing of the Heterogeneous Older Persons: The Analysis of ‘Going in Style’ Gereontological Comedy Film and Real-life Malaysian Elderly

While ageing has become a global phenomenon and received prominent attention due to the rapid increase in the older population, including Malaysia; There has also been an increase in comedy films focusing on old people. Therefore, this study aims to analyse how older persons represented in a gerontological comedy film ‘Going in Style’. This study also aims to relate how older persons represented in this comedy film with real-life situations of Malaysian older people. In meeting these aims, a qualitative research approach through thematic analysis has been adopted. The findings of this study shows how the older person represented in ‘Going in Style’ is similar to real-life situations experienced by some of Malaysian older people. The comedy highlights that ageing is not a single dimensional concept concentrated on physical aspects but is multidimensional, consisting of social,psychological, spiritual and economic and environmental aspects

Impaired glucose tolerance and diabetes mellitus in a rural population in South India

In the present study the prevalence of impaired glucose tolerance and non-insulin dependent diabetes mellitus in a rural population in South India was assessed and its associations with body mass index and a family history of diabetes mellitus. Data were obtained from inhabitants of two villages located in the North Arcot District of Tamil Nadu. After an overnight fast, 467 randomly selected subjects, aged 40 years or over, were given 75 g glucose orally. After two hours the capillary glucose level was determined. The prevalence of impaired glucose tolerance (2 h value ≥ 7.8 mmol/l and < 11.1 mmol/l) was 6.6% (31 subjects). Non-insulin dependent diabetes mellitus (2 h value ≥ 11.1 mmol/l) was found in 23 subjects (4.9%). Of these, 53% were previously unknown. Age and sex adjusted mean body mass index was significantly higher among subjects with impaired glucose tolerance compared to subjects without glucose intolerance, with a mean difference of 1.4 kg/m2 (95% confidence interval (CI) 0.2, 2.6). A positive family history of diabetes was non-significantly higher in subjects with impaired glucose tolerance. Subjects with non-insulin-dependent diabetes mellitus had a higher mean body mass index compared to subjects with normal glucose levels with a mean difference of 1.9 kg/m2 (95% CI 0.5, 3.3). A positive family history of diabetes was more common among diabetics with a difference of 20% (95% CI 10, 30). Our findings suggest that in a considerable proportion (11.5%) of the rural South Indian population aged 40 years or over glucose intolerance is present. These results may indicate that apart from other important causes of morbidity and mortality, a substantial proportion of the rural Indian population will suffer from cardiovascular morbidity and mortality in the near future

Bubbly two-phase flow in hydraulic jumps at large Froude numbers

A hydraulic jump is a sudden, rapid transition from a supercritical flow to a subcritical flow. At large inflow Froude numbers, the jump is characterized by a significant amount of entrained air. For this paper, the bubbly two-phase flow properties of steady and strong hydraulic jumps were investigated experimentally. The results demonstrate that the strong air entrainment rate and the depth-averaged void-fraction data highlight a rapid deaeration of the jump roller. The results suggest that the hydraulic jumps are effective aerators and that the rate of detrainment is comparatively smaller at the largest Froude numbers. © 2011 American Society of Civil Engineers

Turbulent length-time scales distributions in hydraulic jumps

Air–water flow measurements were performed in hydraulic jump flows for a range of inflow Froude numbers. The experiments were conducted in a large-sized facility using phase-detection intrusive probes. The void fraction measurements showed the presence of an advective diffusion shear layer where the air concentration vertical distributions were successfully compared with an analytical solution of the advective diffusion equation for air bubbles. In the air–water shear layer, a new empirical relationship between the maximum air concentration decay as a function of both the distance from the jump toe and the inflow Froude number was derived. Air–water turbulent time and length scales were deduced from auto- and cross-correlation analyses based on the method of Chanson (2007). The result provided some characteristic transverse time and length scales of the eddy structures advecting the air bubbles in the developing shear layer. The turbulence time scale data showed an increase with the relative elevation above the bed, as well as some decrease with increasing distance from the toe. The dimensionless integral turbulent length scale Lxz/d1 was closely related to the inflow depth

Social and gender analysis report: Barotse Floodplain, Western Province,Zambia

There is increasing awareness that integrating gender into development frameworks is critical for effective implementation of development strategies. In working to alleviate rural poverty, the CGIAR Research Program on Aquatic Agricultural Systems (AAS) recognizes that “business as usual” gender integration approaches will not deliver lasting and widespread improvements in agricultural productivity, poverty reduction and food security. In response, AAS operationalized a gender transformative approach. The approach is informed by conceptual frameworks that explicitly recognize the potent influence of social relations on creating and perpetuating gender inequalities. In this way, AAS aims to address the underlying causes of rural poverty and gender inequality in Zambia’s Barotse Floodplain, where people rely extensively on riverine and wetland ecosystems for food and livelihood security. A central question guiding the research program is “How do social norms and gendered power relations influence agricultural development outcomes?” The findings presented in this report provide insights that help answer this question. The report presents a review of literature relevant to livelihoods, ecosystem services, and gender and social relations in Zambia, with a specific focus on Western Province, where AAS is currently implemented. It also presents a synthesis of findings of a social and gender analysis conducted in 2013 in 10 focal communities situated in and around the Barotse Floodplain

A Randomized Controlled Trial of Sertraline in Young Children With Autism Spectrum Disorder.

Objective: Selective serotonin reuptake inhibitors like sertraline have been shown in observational studies and anecdotal reports to improve language development in young children with fragile X syndrome (FXS). A previous controlled trial of sertraline in young children with FXS found significant improvement in expressive language development as measured by the Mullen Scales of Early Learning (MSEL) among those with comorbid autism spectrum disorder (ASD) in post hoc analysis, prompting the authors to probe whether sertraline is also indicated in nonsyndromic ASD. Methods: The authors evaluated the efficacy of 6 months of treatment with low-dose sertraline in a randomized, double-blind, placebo-controlled trial in 58 children with ASD aged 24 to 72 months. Results: 179 subjects were screened for eligibility, and 58 were randomized to sertraline (32) or placebo (26). Eight subjects from the sertraline arm and five from the placebo arm discontinued. Intent-to-treat analysis showed no significant difference from placebo on the primary outcomes (MSEL expressive language raw score and age equivalent combined score) or secondary outcomes. Sertraline was well tolerated, with no difference in side effects between sertraline and placebo groups. No serious adverse events possibly related to study treatment occurred. Conclusion: This randomized controlled trial of sertraline treatment showed no benefit with respect to primary or secondary outcome measures. For the 6-month period, treatment in young children with ASD appears safe, although the long-term side effects of low-dose sertraline in early childhood are unknown. Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT02385799

High Median Nerve Paralysis:Is the Hand of Benediction or Preacher's Hand A Correct Sign?

High median nerve injuries are commonly presented in textbooks as adopting the typical posture of hand of benediction or preacher’s hand. This study aimed to show that the hand of benediction or preacher’s hand is incorrectly associated with a high median nerve paralysis. METHODS: A retrospective review of four cases with a high median nerve injury is presented. Diagnosis of a high median nerve injury was performed by means of intraoperative findings, electrodiagnostic studies, or ultrasound imaging. None of the patients presented in this study had a hand of benediction on physical examination despite the presence of a high median nerve lesion. RESULTS: All four patients with high median nerve injuries showed a similar hand posture when attempting to make a fist. Firstly, the index finger still flexed at the metacarpophalangeal joint because of the ulnar innervated interossei muscles. Secondly the thumb is completely abducted at the carpometocarpal joint and extended at the interphalangeal joint. Lastly, middle finger flexion is possible due to dual innervation of its flexor digitorum profundus by the ulnar nerve as well as due to the quadriga phenomenon. CONCLUSIONS: The clinical appearance of a high median nerve palsy is different from the classical hand of benediction or preacher’s hand posture pointing finger. We have shown that this incorrect association can result in delayed referral of patients with high median nerve injuries