Individualized Health Care: The Utilization of Individual Design in Traditional Medicine in Madagascar

This project explores the application of individual design to the treatment of patients within the traditional medical system in Madagascar. I hypothesize that traditional medicine has remained prevalent in Madagascar alongside the allopathic system because of its predisposition to human centered, or individual design. Individual design is an increasingly popular approach to designing new technology with the total consumer experience in mind. Instead of focusing solely on functionality, this approach attempts to also address how the consumer experiences a technology physically, emotionally, and socially. When applied to health care, individual design addresses all aspects of how individuals experience illness and treatment so as to customize health care to best suit their specific needs. This approach is particularly beneficial in developing countries like Madagascar, where poverty, geographic isolation, and social factors may greatly impact the illness experiences of individuals. Through informal and formal interviews with both traditional healers and allopathic health care professionals, the researcher attempted to analyze the use of individualized health care in these two systems by assessing the presence of 5 key factors: healer-patient trust, narrative reasoning, financial flexibility, geographic flexibility, and privacy/comfort. The researcher found that although there is evidence of individual design in the traditional medical system, the country is evolving in such a way that this method may no longer differentiate the two residing health care systems

Human blood plasma factors affect the adhesion kinetics of Staphylococcus aureus to central venous catheters

Staphylococcus aureus is a common cause of catheter-related blood stream infections (CRBSI). The bacterium has the ability to form multilayered biofilms on implanted material, which usually requires the removal of the implanted medical device. A first major step of this biofilm formation is the initial adhesion of the bacterium to the artificial surface. Here, we used single-cell force spectroscopy (SCFS) to study the initial adhesion of S. aureus to central venous catheters (CVCs). SCFS performed with S. aureus on the surfaces of naïve CVCs produced comparable maximum adhesion forces on three types of CVCs in the low nN range (~ 2-7 nN). These values were drastically reduced, when CVC surfaces were preincubated with human blood plasma or human serum albumin, and similar reductions were observed when S. aureus cells were probed with freshly explanted CVCs withdrawn from patients without CRBSI. These findings indicate that the initial adhesion capacity of S. aureus to CVC tubing is markedly reduced, once the CVC is inserted into the vein, and that the risk of contamination of the CVC tubing by S. aureus during the insertion process might be reduced by a preconditioning of the CVC surface with blood plasma or serum albumin

Nutritional Biomarkers, Gene-Diet Interaction, and Risk Factors for Type 2 Diabetes

10.1155/2016/8610501Journal of Diabetes Research2016861050

Literator 2010: Daniel Kehlmann. Dozentur für Weltliteratur

"Sollen doch die Literaturwissenschaftler sich damit beschäftigen, etwas Übersehenes zu finden, der Literat aber darf sich auch einmal den Luxus erlauben, über das Beliebteste zu sprechen, also jenes weltgewinnende Werk, das für immer das Bild eines Kontinents verändert hat. Südamerika, so ließ García Márquez einst jemanden in seiner frühen Novelle Der Oberst hat niemand, der ihm schreibt klagen, das sei für die meisten Menschen doch nur ein Mann mit Schnurrbart, Gitarre und Pistole. Das stimmte dereinst sicher, aber heute ist Südamerika eher ein unheimliches Haus, umgeben von Moor und buntem Regenwald, ein Land bizarrer und melancholischer Wunder. Unsere Vorstellungen sind hier so sehr durch einen einzigen Roman geprägt, dass wir es kaum mehr bemerken." Daniel Kehlman

Mapping Cosmic Dawn and Reionization: Challenges and Synergies

Cosmic dawn and the Epoch of Reionization (EoR) are among the least explored observational eras in cosmology: a time at which the first galaxies and supermassive black holes formed and reionized the cold, neutral Universe of the post-recombination era. With current instruments, only a handful of the brightest galaxies and quasars from that time are detectable as individual objects, due to their extreme distances. Fortunately, a multitude of multi-wavelength intensity mapping measurements, ranging from the redshifted 21 cm background in the radio to the unresolved X-ray background, contain a plethora of synergistic information about this elusive era. The coming decade will likely see direct detections of inhomogenous reionization with CMB and 21 cm observations, and a slew of other probes covering overlapping areas and complementary physical processes will provide crucial additional information and cross-validation. To maximize scientific discovery and return on investment, coordinated survey planning and joint data analysis should be a high priority, closely coupled to computational models and theoretical predictions.Comment: 5 pages, 1 figure, submitted to the Astro2020 Decadal Survey Science White Paper cal

Повышение эффективности управления расчетами с персоналом по оплате труда посредством внедрения электронного документооборота

В данной статье рассмотрены понятие документооборота, его роль на предприятии, взаимодействие бухгалтерии с другими предприятиями через документооборот, а также проблемы, возникающие при взаимодействии, понятие системы электронного документооборота, преимущества и недостатки электронного документооборота

Risk of Intracranial Complications in Minor Head Injury:The Role of Loss of Consciousness and Post-Traumatic Amnesia in a Multi-Center Observational Study

Various guidelines for minor head injury focus on patients with a Glasgow Coma Scale (GCS) score of 13-15 and loss of consciousness (LOC) or post-traumatic amnesia (PTA), while clinical management for patients without LOC or PTA is often unclear. We aimed to investigate the effect of presence and absence of LOC or PTA on intracranial complications in minor head injury. A prospective multi-center cohort study of all patients with blunt head injury and GCS score of 15 was conducted at six Dutch centers between 2015 and 2017. Five centers used the national guideline and one center used a local guideline-both based on the CT in Head Injury Patients (CHIP) prediction model-to identify patients in need of a computed tomography (CT) scan. We studied the presence of traumatic findings and neurosurgical interventions in patients with and without LOC or PTA. In addition, we assessed the association of LOC and PTA with traumatic findings with logistic regression analysis and the additional predictive value of LOC and PTA compared with other risk factors in the CHIP model. Of 3914 patients, 2249 (58%) experienced neither LOC nor PTA and in 305 (8%) LOC and PTA was unknown. Traumatic findings were present in 153 of 1360 patients (11%) with LOC or PTA and in 67 of 2249 patients (3%) without LOC and PTA. Five patients without LOC and PTA had potential neurosurgical lesions and one patient underwent a neurosurgical intervention. LOC and PTA were strongly associated with traumatic findings on CT, with adjusted odds ratios of 2.9 (95% confidence interval [CI] 2.2-3.8) and 3.5 (95% CI 2.7-4.6), respectively. To conclude, patients who had minor head injury with neither LOC nor PTA are at risk of intracranial complications. Clinical guidelines should include clinical management for patients without LOC and PTA, and they should include LOC and PTA as separate risk factors rather than as diagnostic selection criteria