Shoppers Aren\u27t Buying What Ivanka Trump Has to Offer

My capstone is on Ivanka Trump\u27s business, how it\u27s really doing and how politics plays a role. For many shoppers buying her products is a political statement but not purchasing is just as big of a statement to enforce their political beliefs. Even though her business is not public I used research, reporting and interviews to prove that her company isn\u27t doing as well as she claims it is. From super discounted products to lawsuits on her brand and boycott movements, Ivanka Trump\u27s brand is suffering under her father\u27s presidency. https://journalizt.atavist.com/shoppers-arent-buying-ivanka-trum

Efficient finite element modeling of WT sections subjected to uniaxial tension

Present design specifications for statically loaded tension members do not consider the effects of connection eccentricity as it induces bending in statically loaded members. Previous experimental tests conducted at West Virginia University [WVU] have shown that connection eccentricity induced bending effects have the potential to significantly reduce the net section rupture capacity of a section.;The present study is focused on developing finite element tools capable of capturing the peak loads and behavioral response exhibited is the previous WVU experimental tests. The main objective of the finite element analysis is not only to estimate the failure loads of the WT section specimens but also to trace the entire load versus deflection path. For an accurate representation of the failure load it is essential to capture the underlying necking behavior in the vicinity of the lead bolthole. The finite element analysis is performed using 3D solid elements that are capable of representing large deformation geometric and material nonlinearities. The commercial finite element program ABAQUS is used to perform the analysis. (Abstract shortened by UMI.)

Hypothyroidism in polycystic ovarian syndrome: a comparative study of clinical characteristics, metabolic and hormonal parameters in euthyroid and hypothyroid polycystic ovarian syndrome women

Background: This study was conducted to examine influence of hypothyroidism on pathophysiology and features of PCOS with respect to clinical characteristics of polycystic ovarian syndrome (PCOS), hormonal and metabolic profile.Methods: 102 euthyroid PCOS and 18 hypothyroid PCOS women were included in this cross-sectional study after considering inclusion and exclusion criteria. The study subjects were assessed for various signs and symptoms like recent weight gain, obesity, abnormal hair growth, hirsutism, hair loss, acne, acanthosis nigricans and infertility. Various hormonal and metabolic parameters were evaluated viz. Luteinizing hormone, Follicle stimulating hormone, LH:FSH ratio, testosterone, prolactin, dehydroepiandrosterone, fasting insulin and fasting blood glucose. BMI and HOMA values were calculated.Results: Association of hirsutism, excessive hair growth, hair loss, acanthosis nigricans, acne, infertility was not significant between the two groups. Majority of patients in both the groups were overweight/obese. BMI and number of patients complaining weight gain was significantly more in hypothyroid PCOS women. While no statistical difference in LH, FSH, LH:FSH ratio, prolactin, and testosterone levels was found, serum DHEA level was significantly less in hypothyroid PCOS group. No statistical difference in fasting blood glucose and insulin levels was found between the two groups. Though both the groups show insulin resistance, HOMA values were significantly more in hypothyroid PCOS women.Conclusions: Presence of hypothyroidism significantly increased severity of insulin resistance as well as obesity in PCOS. This could have adverse metabolic consequences in them. Concurrent occurrence of both these disorder could also possibly affect other features of the PCOS viz. hair loss and infertility

Apparent Molal Volume of Tetraalkylammonium Iodides in Water-Methanol Mixtures of Varying Dielectric Constants

804-80

Comparison of efficacy of telmisartan with losartan in patients of essential hypertension with cognitive impairment

Background: Hypertension can lead to mild to moderate alteration in the brain structure and function including cognitive functions impairments. Many first line antihypertensive drugs are devoid of producing significant improvement in cognitive functions; in fact some of them worsen cognitive function. Data suggests that angiotensin II receptor antagonist slows the progression of cognitive impairment associated with hypertension. Hence present study was planned to compare the efficacy of telmisartan with losartan in hypertensive patients with cognitive impairment.Methods: Prospective, randomized, single blind, comparative study was conducted for period of 24 weeks. Study population was enrolled into two groups: group A (losartan 50 mg) and group B (telmisartan 20 mg). Cognitive functions were assessed by mini mental status examination and trail making test part-A. Qualitative data were analysed by using “Fischer’s test” and quantitative data was analysed by using “t test”.Results: Baseline clinical characteristics of patients receiving losartan and telmisartan did not show significant difference Telmisartan was as effective as losartan in lowering systolic and diastolic blood pressure in patients of essential hypertension. Increase in mini mental status examination score appeared similar in both groups and there was no statistically significant difference (p>0.05) between the two groups at 12 and 24 weeks of therapy. Reduction in trail making test part A score was slightly more among patient receiving losartan but on comparison of two groups reduction in trail making test part A score was not statistically significant (p>0.05) at 12 and 24 weeks of therapy.Conclusions: Telmisartan is as effective as losartan in controlling blood pressure and improving cognitive function in hypertensive patients with cognitive impairment

Assessment of initiation of post-exposure prophylaxis with anti-rabies vaccine in cases of dog bites: an observational study

Background: The management of rabies is challenging because of the long incubation period, lack of specificity of early prodromal symptoms and 100% fatality rate. Post-exposure prophylaxis (PEP) with anti-rabies vaccine (ARV) at the earliest has proven life-saving. Studies conducted in many parts of the country have shown that the time interval between exposure and initiation of PEP is wide. The objective was to study the profile of dog bites cases and assess initiation of PEP with ARV.Methods: Prospective observational study where prescription sheets of all new cases of dog bite injury were evaluated for a period of 3-month.Results: The victims of dog bite were predominantly males (72.41% males vs. 27.59% females, n=551). 45% cases belonged to the age group of 15-44 years. The majority of the cases (88.03%) were of wound Category II. The most common site of a dog bite was lower limb (80.94%). The percentage of cases who had received ARV within 24 hrs was 41.92, between 1 and 3 days was 31.03, between 4 and 10 days was 21.60, whereas 5.45% cases received vaccine after 10 days of exposure.Conclusion: Substantial proportion of victims of dog bite did not report and receive PEP within 24 hrs of exposure

Drug utilization pattern in outpatient department of Government Medical College and C.P.R. Hospital, Kolhapur

Background: Drug utilization studies are used to analyze different aspects of the use of drugs and to implement methods of improving therapeutic quality. This study was conducted to study drug prescription pattern in outpatient department of Government Medical College and C.P.R. Hospital, Kolhapur which is one of the important medical college in western Maharashtra.Methods: One thousand prescriptions were screened & analyzed as per the study parameters from OPD of Government Medical College & C.P.R. Hospital, Kolhapur. Study parameters like demographic profile of the patient like age, sex and diagnosis were recorded. Also groups of drugs commonly prescribed, number of drugs per patient, drug profile and drawbacks of prescription if any were recorded and analyzed.Results: Most common group of drugs prescribed by physicians was Analgesics (32.83%), followed by Antimicrobials (22.82%), Multivitamins (16.42%) and Antacids (9.14%). The average number of drugs prescribed per patient was four; the average number of analgesic was one. The incidence of polypharmacy was common occurrence and some prescriptions had small drawbacks like absence of diagnosis, absence of doctor’s signature, etc.Conclusions: We conclude that most of the prescriptions which were analyzed at R.C.S.M. Government Medical College and C.P.R. Hospital, Kolhapur, were according to the standard norms of WHO prescriptions and also most of the drugs prescribed were from the list of essential drug list. But still there is scope for improvement in prescription pattern

Transformational adaptation: the community ecosystems-based adaptation assemblage in KwaZulu-Natal, South Africa.

Doctoral Degree. University of KwaZulu-Natal, Pietermaritzburg.Climate change poses a fundamental global threat to society, especially for those who depend directly on natural ecosystems for their survival and sustainable livelihoods. The lack of research on climate adaptation interventions was identified by the 2019 National Adaptation Strategy of South Africa as a stumbling block to climate adaptation. This thesis investigates and tracks the emergence, evolution and scaling up of a Community Ecosystems-Based Adaptation (CEBA) intervention that is operated by Wildlands, an NGO in KwaZulu-Natal, as a local response to the current climate adaptation deficit. My original contribution is the application of an assemblage approach that characterises an integrated CBA-EBA adaptation intervention (Wildlands CEBA Assemblage) as an adaptation assemblage, and to build on the established knowledge of Transformational Adaptation, which is the primary theoretical underpinning of this research. The four study objectives are as follows: 1) to understand the complex range of factors that have influenced the mainstreaming of the Wildlands CEBA Assemblage and a marginalised (adaptation) agenda; 2) to explore the upscaling of the Wildlands CEBA Assemblage; 3) to explore the impacts of the Wildlands CEBA Assemblage on the livelihoods of participating communities in KwaZulu-Natal and 4) to explore the utility of an assemblage approach to understanding adaptation. The thesis embraces a practical approach for advancing knowledge on Transformational Adaptation by engaging with aspects of poverty reduction through livelihood diversification, as well as the challenges associated with the ambiguities and uncertainties. To achieve the research aims, a multiple case study design and a pragmatic and interpretive approach were adopted by using the mixed methods research technique. Interviews for the main study subsequently commenced with 29 key informants and 157 participating community members across seven sites, using a semi-structured interview guide. Thematic and inductive analyses were used to generate data that spoke to the organisational development, poverty reduction and individual capability themes within the research. Furthermore, I developed a CEBA Analysis Framework that focused on analysing and interpreting the research findings by drawing on the theories of assemblage thinking and transformation, guided by the supplementary theories of discourse analysis, managerial roles, sustainable livelihoods and individual capabilities. The assemblage approach is a key contribution to this thesis through which interconnected parts of an adaptation intervention can be investigated. Characterising the Wildlands CEBA intervention as an assemblage brings into perspective how it can spread over time and space, by territorialising different geographical landscapes and communities. In addition, the CEBA Analysis Framework made it possible to assess additional aspects. The discursive dimension of the study shows that changes in climate discourses have influenced the evolution of the Wildlands CEBA Assemblage, by expanding the definition and interpretation of the concept of ‘adaptation’. The results pertaining to the ‘enviropreneurship’ livelihood support mechanism within CEBA revealed an increased awareness of climate change, the potential to reduce poverty by direct monetary gain and the diversification of livelihoods through barter and trade mechanisms within the Wildtrust programme suite. However, the implementation of CEBA was not without some confusing and demoralising effects on the communities. A lack of transparency, communication, capacity building, monitoring and evaluation were overshadowed by other organisational and donor priorities, which enhanced the challenges of achieving transformational adaptation for systemic change. Ambiguity and uncertainty were present in the Wildlands CEBA Assemblage, where varying interpretations of ‘CEBA’ negatively impacted the workforce while daily operational work was undertaken; in many cases, this caused confusion and conflict amongst the participating community members. Overall, the Wildlands CEBA Assemblage was rhizomatic in nature as it expanded across political and geographical boundaries, revealing that upscaling climate change adaptation interventions at a landscape level was indeed possible by employing an integrated CBA-EBA approach. While challenges, changes and ‘reassembling’ occurred, the assemblage remained intact. This thesis contributes to the new ‘Transformational Adaptation’ school of thought by being one of the first studies in South Africa to apply an assemblage approach to a landscapelevel climate change adaptation intervention. The thesis suggests that adaptation studies should not only involve a ‘birds-eye view’ of the adaptation intervention (the whole system) in its entirety, but that it is equally important to scrutinise, explore and investigate the actors, discourses, practices, governance regimes, technologies (the ‘moving parts’ of the system) and incentives that influence the system itself