Neonatal meningitis caused by streptococcus pneumonia in Iran

Meningitis, pneumonia, and sepsis in newborns and young infants (age<60 days) are the main causes of childhood mortality in developing countries. Even though streptococcus pneumonia is the most commonly detected microorganism in pediatric bacterial meningitis, it is rare in newborn infants. The following article reports a case of pneumococcal meningitis that was detected early in a newborn infant in 2013. A female baby was born by vaginal delivery with a birth weight of 2900 grams. She was symptomatic (poor feeding) from her first day of life, but she was admitted with a toxic status (dehydrated, lethargic, cyanotic, hypo tone, hypo reflex) to our referral center on her third day life. Her blood culture showed no growth of any organism and her urine culture was also negative, but the Cerebrospinal fluid (CSF) culture showed growth of streptococcus pneumonia. The maternal sepsis workup was normal. Despite all therapeutic management, unfortunately, the patient died on her fourth day after admission

Numerical study of shock-wave/boundary layer interactions in premixed hydrogen-air hypersonic flows

A computational study of shock wave/boundary layer interactions involving premixed combustible gases, and the resulting combustion processes is presented. The analysis is carried out using a new fully implicit, total variation diminishing (TVD) code developed for solving the fully coupled Reynolds-averaged Navier-Stokes equations and species continuity equations in an efficient manner. To accelerate the convergence of the basic iterative procedure, this code is combined with vector extrapolation methods. The chemical nonequilibrium processes are simulated by means of a finite-rate chemistry model for hydrogen-air combustion. Several validation test cases are presented and the results compared with experimental data or with other computational results. The code is then applied to study shock wave/boundary layer interactions in a ram accelerator configuration. Results indicate a new combustion mechanism in which a shock wave induces combustion in the boundary layer, which then propagates outwards and downstream. At higher Mach numbers, spontaneous ignition in part of the boundary layer is observed, which eventually extends along the entire boundary layer at still higher values of the Mach number

Quality improvement: Piloting a pediatric obesity prevention screening tool and intervention in a family practice setting.

Background: In the United States today, nearly one third of children fall into the category of overweight or obese. Because it is extremely difficult to treat childhood obesity once it occurs, prevention is the optimal approach to childhood overweight and obesity (Brown & Perrin, 2018; Cooper & Mandel, 2020). An ideal time to address obesity prevention health behaviors is during pediatric primary care visits. Since the COVID-19 pandemic began in the United States in 2019, visits to primary care offices, including visits to an urban university-based family practice clinic in Kentucky, dropped as some pediatric patients and their caregivers worried they could be at risk for contracting COVID-19 by visiting a primary care office (O’Leary et al., 2021). Purpose: The purpose of the project was to pilot an evidence-based obesity prevention intervention developed by Maine Health at the project site during both well-child and sick visits to ensure as many children as possible were provided with anticipatory guidance related to obesity prevention during both well-child and sick visits. Intervention: Children two to 18 years of age and/or their caregivers were asked to fill out an obesity prevention healthy habits questionnaire (HHQ) prior to seeing their provider. The provider then discussed the results of the questionnaire with the patient and caregiver during their well or sick child visit, went over 5210 behavioral goals developed by the Maine Youth Overweight Collaborative (MYOC) during the visit, and the provider and child-caregiver dyad then collaborated to identify a health behavior goal related to obesity prevention. The provider then documented discussion of the child’s goal in the electronic health record (EHR) using a smart phrase that was created as a part of this quality improvement (QI) project. Methods: The primary outcome evaluated through the obesity prevention intervention was documentation of health promotion related to obesity prevention in the EHR. Evaluation of documentation of key phrases and health behavior goals were evaluated pre and post intervention to measure improvement in promotion of obesity prevention health behaviors with the implementation of this obesity prevention intervention. Secondary outcomes measured included improved recognition and diagnosis of overweight (OW) and obesity (OB) in children, fidelity to the intervention, number of follow-up appointments generated as a result of the intervention, and the qualitative measurement of provider satisfaction with the intervention. Keywords: pediatric obesity prevention, childhood obesity, primary care, family practice, Maine Health, quality improvemen

Glossolalia: an ethnographic study of the rhetorical role of speaking in tongues in the creation of the pentecostal religious culture

This study investigated, through ethnographic methodology, the individual and group experiences of glossolalia within a Pentecostal church. The study examined the discursive interactions and rhetorical impact of how this Pentecostal church gave meaning to the experience of glossolalia or speaking in tongues and the individual and group manifestations of those meanings. In addition to being the approach for gathering discourse and interview data, ethnographic methodology also helped reveal the socially constructed realities of Pentecostal believers. The study focused on the situated and accountable descriptions of Pentecostal believer\u27s social world as it involved glossolalia; not to contest or predict that world, but to better understand its creation and place in their lives. In the case of this particular Pentecostal church, glossolalia is a learned ability created by mastering the structures of discourse endemic to that church culture. The positions taken up in the discourse place individuals in a predisposed reaction to the meanings derived from that discourse. Glossolalia is rhetorical in that it serves as a symbolic act that reinforces shared beliefs and is learned through participation in church. As a rhetorical act within church services, the discourses are institutionalized to explain and account for glossolalia episodes as an acceptable and encouraged practice; a rite of passage; a seal of approval from God; a commitment to the culture; and a tool for manifesting appropriate gendered church behavior which means empowerment and transcendence for men and purification and subjugation for women. Societal implications, based on these findings, are also discussed, as well as ideas for further research

The ways that parted: Jews, Christians, and Jewish-Christians ca. 100-150 CE

Near Eastern Languages and Civilization

Constitutional Law - First Amendment - Freedom of Speech

The United States Supreme Court held that Florida Bar rules prohibiting attorneys from using direct mail to solicit personal injury or wrongful death clients within thirty days of an accident are constitutional and do not violate an attorney\u27s First Amendment rights. Florida Bar v. Went For It, Inc., 115 S. Ct. 2371 (1995)

Women in Radio: A (Her)Story

Since the 1920s, women have been an integral part of the radio industry both as originators and as consumers, yet they have experienced near exclusion from histories and analyses on the subject. This thesis project explores the intersection of gender, sound and history through a cultural and historical analysis of female voices in American radio. The analysis includes an examination of the history of silencing women in the public sphere, the on-going conversation surrounding the suitability of female voices for broadcast and modern critiques of female voices. As more women\u27s voices are heard on the radio, the ways gender hierarchies are heard and interpreted in sound environments change. This research seeks to address the following question: has modern radio programming helped to rework the gendered dimensions of the public and private space, and shape the perception of the female voice in the public sphere? The purpose of this thesis project is to explore the ways in which power and agency may be expressed by women in a traditionally gendered soundscape to breakdown gender biases in the radio industry. Women in radio are rarely given the platform to respond to the critiques and complaints made about their voices or to share their thoughts on the ideal “radio voice”. To reclaim this conversation, interviews were conducted with female radio hosts and announcers to help illustrate their experiences and allow them to share their own narratives

Jewish Observance of the Sabbath in Bardaiṣan’s Book of the Laws of Countries

Near Eastern Languages and Civilization