Reflections on the Impact of a Library-based Personal Digital Assistant (PDA) Service

Objective: The purpose of this study is to determine if a librarybased personal digital assistant (PDA) service is a significant factor in the clinical use of PDAs at an academic medical center. Methods: Health sciences students, faculty, staff, and residents at an academic medical center were the participants. The library has serviced several thousand PDAs. This population was used as the basis for the study group. The study design is a cross-sectional study using survey methodology. The analysis was done based on age, college affiliation, and gender, and answered questions such as frequency of PDA use, usefulness of library’s PDA service, and usefulness of programs the library installed on users’ PDAs. Results: One hundred and eight people responded. Seventy-five percent of the respondents would still be PDA users, even if the library did not assist or promote the service. Almost 90% were daily PDA users. Seventy-five percent stated that they would not feel confident that they could install the software without the library’s help. Conclusions: The survey results reenforced the library’s feeling that the service fills a crucial need in the community it serves. The survey also provided information on the databases it buys, which gives the library information for future collection development

Suicide Related Ideation and Behavior Among Canadian Gay and Bisexual Men: A Syndemic Analysis

Background While several studies have demonstrated that gay and bisexual men are at increased risk of suicide less attention has been given to the processes that generate the inherent inequity with the mainstream population. This study tested whether syndemic theory can explain the excess suicide burden in a sample of Canadian gay and bisexual men. Syndemic theory accounts for co-occurring and mutually reinforcing epidemics suffered by vulnerable groups due to the effects of social marginalization. Methods This study used data from Sex Now 2011, a cross-sectional survey of Canadian gay and bisexual men (n  = 8382). The analysis measured the extent to which anti-gay marginalization and several psychosocial health problems are associated with suicide related ideation and attempts. Since psychosocial health problems were hypothesized to have an additive effect on suicide related ideation and attempts, the analysis calculated the effect of accumulated psychosocial health problems on suicide behavior. Results Suicide ideation and attempts were positively associated with each individual marginalization indicator (verbal violence, physical violence, bullying, sexual violence and work discrimination) and psychosocial health problems (smoking, party drugs, depression, anxiety, STIs, HIV risk and HIV). Furthermore, prevalence of suicide ideation and attempts increased with each added psychosocial health problem. Those who reported 3 or more had 6.90 (5.47–8.70) times the odds of experiencing suicide ideation and 16.29 (9.82–27.02) times the odds of a suicide attempt compared to those with no psychosocial health problems. Conclusions This investigation suggests that syndemics is a useful theory for studying suicide behavior among gay and bisexual men. Moreover, the findings highlight a need to address gay and bisexual men’s health problems holistically and the urgent need to reduce this population’s experience with marginalization and violence

Impact of Cow Size on Cow-Calf and Subsequent Steer Feedlot Performance

This study retrospectively evaluated the effect of cow size on cow-calf performance and post-weaning steer feedlot performance of cows at the Gudmundsen Sandhills Laboratory, Whitman. Cows were categorized at small, medium, or moderate within cow age from 13 years of data. Small cows had decreased reproductive performance, weaned smaller calves, and produced steer progeny with smaller carcass weights. In this dataset and under the environmental and management conditions at Gudmundsen Sandhills Laboratory, overall productivity of the cowherd decreased as cow size decreased with 1,150 to 1,200 lb cow being the most productive cow size

The Effect of Cow Udder Score on Subsequent Calf Performance in the Nebraska Sandhills

Cow records were evaluated over a 5-yr period to investigate how cow udder score affected calf growth and carcass performance. Cows from 2 calving herds, March and May, were classified as bad or good based on udder scores recorded at calving. Calves suckling dams with bad udders performed similarly during the pre-weaning period to good udder counterparts, with no differences in overall steer feedlot performance between udder groups. However, steers suckling good udder cows had heavier carcass weights and greater back fat thickness

Effect of Age of Dam on Heifer Progeny Performance

Cattle records were gathered and evaluated over a 12- yr period to investigate how cow age impacts heifer progeny growth and reproductive performance. Cow records from March and May calving herds, were categorized into young, moderate, and old groups based on their age at calving each year in the herd. Heifer calves born to young cows had lighter body weight at birth and adjusted 205- d BW than heifers from moderate and old cows. Heifer pre-breeding BW and pregnancy determination BW were not influenced by dam age. However, age of dam does impact the percentage of heifers to reach puberty prior to the start of breeding with no differences in percentage of heifers who calved within the first 21 d of calving in the subsequent calving season and pregnancy rates. Average number of calf crops from heifer progeny was different among all age of dam groups with young dams having more calves. Results from this study suggest older cows have a positive influence on growth and pre-breeding puberty status in female progeny during heifer development. Heifer progeny from young dams, however, had increased calf crops and longevity within the cowherd

The Forum: Spring 2008

Spring 2008 journal of the Honors Program at the University of North Dakota. The issue includes stories, poems, essays and art by undergraduate students.https://commons.und.edu/und-books/1061/thumbnail.jp

Outlook for tuberculosis elimination in California: An individual-based stochastic model.

RationaleAs part of the End TB Strategy, the World Health Organization calls for low-tuberculosis (TB) incidence settings to achieve pre-elimination (<10 cases per million) and elimination (<1 case per million) by 2035 and 2050, respectively. These targets require testing and treatment for latent tuberculosis infection (LTBI).ObjectivesTo estimate the ability and costs of testing and treatment for LTBI to reach pre-elimination and elimination targets in California.MethodsWe created an individual-based epidemic model of TB, calibrated to historical cases. We evaluated the effects of increased testing (QuantiFERON-TB Gold) and treatment (three months of isoniazid and rifapentine). We analyzed four test and treat targeting strategies: (1) individuals with medical risk factors (MRF), (2) non-USB, (3) both non-USB and MRF, and (4) all Californians. For each strategy, we estimated the effects of increasing test and treat by a factor of 2, 4, or 10 from the base case. We estimated the number of TB cases occurring and prevented, and net and incremental costs from 2017 to 2065 in 2015 U.S. dollars. Efficacy, costs, adverse events, and treatment dropout were estimated from published data. We estimated the cost per case averted and per quality-adjusted life year (QALY) gained.Measurements and main resultsIn the base case, 106,000 TB cases are predicted to 2065. Pre-elimination was achieved by 2065 in three scenarios: a 10-fold increase in the non-USB and persons with MRF (by 2052), and 4- or 10-fold increase in all Californians (by 2058 and 2035, respectively). TB elimination was not achieved by any intervention scenario. The most aggressive strategy, 10-fold in all Californians, achieved a case rate of 8 (95% UI 4-16) per million by 2050. Of scenarios that reached pre-elimination, the incremental net cost was $20 billion (non-USB and MRF) to$48 billion. These had an incremental cost per QALY of $657,000 to$3.1 million. A more efficient but somewhat less effective single-lifetime test strategy reached as low as $80,000 per QALY.ConclusionsSubstantial gains can be made in TB control in coming years by scaling-up current testing and treatment in non-USB and those with medical risks

Growth and Performance of Terminal Sired Calves Grazing Range or Meadow Pasture

Multiparous dams were assigned to be bred by artificial insemination or natural service to bulls with terminal traits. Additionally, the cow- calf pairs grazed upland range or sub- irrigated meadow from June 1 to weaning in November. Two weeks aft er weaning, calves entered the feedlot as calffeds. Natural service range calves had the lightest weaning weights, final live weights, and hot carcass weights. Additional days on feed may be required for natural service range calves to reach similar body weights and carcass characteristics as other treatments. Average daily gain and feed conversion was improved in calves that grazed range pastures prior to feedlot entry. Estrus synchronization and artificial insemination may be an effective way to increase body weights and carcass characteristics of calves that graze range pastures prior to feedlot entry

Regulatory role of C5a in LPS-induced IL-6 production by neutrophils during sepsis

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/154469/1/fsb2fj030708fje-sup-0001.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154469/2/fsb2fj030708fje.pd