2,556 research outputs found

    Improving Acne Vulgaris Knowledge in Adolescents: Computer-Based Tutorial versus Handout

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    IMPROVING ACNE VULGARIS KNOWLEDGE IN ADOLESCENTS: COMPUTER-BASED TUTORIAL VERSUS HANDOUT Ohenewaa Larbi Ahima; James Dziura; Richard J. Antaya, Department of Dermatology, Yale University School of Medicine, New Haven, CT. Given the choice, adolescents would most likely prefer a computer-based tutorial (CBT) on acne vulgaris rather than a handout with the same information. The aims of the study were to assess pre- and post-test preference of either a handout or CBT on acne among adolescents, and to assess adolescents knowledge of acne before and after the intervention. One hundred ten patients ages 13 to 17 participated in the study. All subjects completed a pretest questionnaire about preference of either a CBT or handout, and to assess baseline knowledge of acne. Subjects were then randomized to either the CBT or handout. Immediately after the intervention, subjects completed preference and acne knowledge questionnaires to assess change in knowledge. One month later a posttest was given and subjects completed the same acne knowledge questionnaire to assess knowledge retention. In the pretest sixty-seven percent of subjects preferred the CBT versus 33% for the handout (p = 0.0006). Posttest preference for the CBT was 68% versus 31% for the handout (p = 0.0002). Each group liked their medium of tutorial (p = 0.085). More subjects in the CBT group than the handout group felt the pictures were adequate (p = 0.0003). Likewise, more subjects in the CBT group than the handout group felt the tutorial was easy to understand (p = 0.02). Adolescent patients prefer to learn about acne with a CBT rather than a handout. Both CBT and handout tutorial are equally beneficial in significantly improving short- and moderate-term knowledge about acne among adolescent patients

    Understanding the Factors Associated with Engaged Scholarship: A Case Study of Sociologists in the University of Cape Coast, Ghana

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    Although initially established for the purpose of training teachers and management staff for the formal education sector, one of the major objectives of the University of Cape Coast (UCC) is to establish partnerships with both local and international communities and organizations in ways that simultaneously enhance academic scholarship and socioeconomic development. For this reason, this study examined the significance of university policies on community engagement and the practice of public sociology. Specifically, the influence of epistemological dispositions and perceptions concerning disciplinary, institutional and social demands on engaged scholarship are addressed. The challenges associated with the practice of engaged scholarship and “public sociology” are discussed by identifying the ironies presented by the laws and decrees of UCC and two other national policies for Institutions of Higher Education (IHEs). Data was also collected from fifteen (n=15) academic faculty (sociologists) from DSA and the CEGRAD using a questionnaire with mostly open-ended questions. The responses of participants of this research elucidated some of the major factors associated with the feasibility of the practice of public sociology. Also outlined are some of the community engagement practices pursued in the midst of all the challenges presented in the UCC and Ghanaian context

    Reading Habits of Selected Communication Educators in Ghana

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    This study investigated the intensive and the extensive reading habits of Communication Educators in Ghana. It sought to explore how reading habits enhance the professional and personal lives of the Communication Educators. Questionnaires were used to gather responses from a total of 80 Communication Educators. The findings of this research clearly depict that most of the Communication Educators are not passionate readers considering the fact that they mostly read pedagogical materials in their field of study with minimal concentration on materials which required daily reading to broaden their knowledge base and also for pleasure and relaxation. The findings also revealed the constrains that some of the Educators face in getting current pedagogical textbooks from their various Institutions for the purpose of teaching. Keywords: Reading; Reading habits; Communication Educators. DOI: 10.7176/JEP/11-3-05 Publication date: January 31st 202

    d-Lucky Labeling of Graphs

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    AbstractLet l: V (G) →N be a labeling of the vertices of a graph G by positive integers. Define , where d(u) denotes the degree of u and N(u) denotes the open neighborhood of u. In this paper we introduce a new labeling called d-lucky labeling and study the same as a vertex coloring problem. We define a labeling l as d-lucky if c(u) ≠ c(v) , for every pair of adjacent vertices u and v in G. The d-lucky number of a graph G, denoted by ηdl(G), is the least positive k such that G has a d-lucky labeling with {1,2, ..., k} as the set of labels. We obtain ηdl(G) = 2 for hypercube network, butterfly network, benes network, mesh network, hypertree and X-tree

    Adipose tissue as an endocrine organ,”

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    Abstract AHIMA, REXFORD S. Adipose tissue as an endocrine organ. Obesity. 2006;14(Suppl 5):242S-249S. Adipose tissue plays a critical role in energy homeostasis, not only in storing triglycerides, but also responding to nutrient, neural, and hormonal signals and secreting adipokines that control feeding, thermogenesis, immunity, and neuroendocrine function. A rise in leptin signals satiety to the brain through receptors in hypothalamic and brainstem neurons. Leptin activates tyrosine kinase, Janus kinase 2, and signal transducer and activator of transcription 3, leading to increased levels of anorexigenic peptides, e.g., ␣-melanocyte stimulating hormone and cocaine-and amphetamine-regulated transcript, and inhibition of orexigenic peptides, e.g., neuropeptide Y and agouti-related peptide. Obesity is characterized by hyperleptinemia and hypothalamic leptin resistance, partly caused by induction of suppressor of cytokine signaling-3. Leptin falls rapidly during fasting and potently stimulates appetite, reduces thermogenesis, and mediates the inhibition of thyroid and reproductive hormones and activation of the hypothalamic-pituitaryadrenal axis. These actions are integrated by the paraventicular hypothalamic nucleus. Leptin also decreases glucose and stimulates lipolysis through central and peripheral pathways involving AMP-activated protein kinase (AMPK). Adiponectin is secreted exclusively by adipocytes and has been linked to glucose, lipid, and cardiovascular regulation. Obesity, diabetes, and atherosclerosis have been associated with reduced adiponectin levels, whereas adiponectin treatment reverses these abnormalities partly through activation of AMPK in liver and muscle. Administration of adiponectin in the brain recapitulates the peripheral actions to increase fatty acid oxidation and insulin sensitivity and reduce glucose. Although putative adiponectin receptors are widespread in peripheral organs and brain, it is uncertain whether adiponectin acts exclusively through these targets. As with leptin, adiponectin requires the central melanocortin pathway. Furthermore, adiponectin stimulates fatty acid oxidation and reduces glucose and lipids, at least in part, by activating AMPK in muscle and liver

    Decreased leptin concentration in neonates is associated with enhanced postnatal growth during the first year

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    AbstractLeptin regulates maternal metabolism and fetal growth by reducing food intake and increasing energy expenditure, particularly during the third trimester. In this study, we investigated the relationships between leptin and growth, and explored the longitudinal change of leptin in early postnatal life. A total of 58 infants were categorized according to gestational length and birth weight. Arterial blood samples were taken within 24 hours (Day 1), and on Days 4 and 7 of life. Plasma leptin levels were measured by commercial human leptin enzyme immunometric assay. The average serum leptin level declined in the first week of life. There was a positive correlation between leptin level and body weight on Day 4. Neonates with leptin decrease between Day 1 and Day 4 had better weight gain at one year old, and the hospital stay day was shorter. Furthermore, the full feeding days and the duration of feeding priming and full feeding days in the leptin decrease group were less than in the leptin increase group. Serum leptin was significantly decreased and positively correlated with neonates' body weight gain in the first week of life. A rapid decline in serum leptin after birth is associated with greater future weight gain and physiological advantage for infants' life

    Triiodothyronine suppresses humoral immunity but not T-cell-mediated immune response in incubating female eiders (Somateria mollissima)

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    Immunity is believed to share limited resources with other physiological functions and this may partly account for the fitness costs of reproduction. Previous studies have shown that the acquired immunity of female common eiders (Somateria mollissima) is suppressed during the incubation fast. To save energy, triiodothyronine (T3) is adaptively decreased during fasting in most bird species, despite T3 levels are maintained throughout incubation in female eiders. However, the relationship between thyroid hormones and the immune system is not fully understood. The current study aimed to determine the endocrine mechanisms that underlie immunosuppression in incubating female eiders. ..

    Leptin fails to blunt the lipopolysaccharide-induced activation of the hypothalamic-pituitary-adrenal axis in rats

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    Copyright @ 2013 The authors. This work is licensed under a Creative Commons Attribution 3.0 Unported License.Obesity is a risk factor for sepsis morbidity and mortality, whereas the hypothalamic-pituitary-adrenal (HPA) axis plays a protective role in the body's defence against sepsis. Sepsis induces a profound systemic immune response and cytokines serve as excellent markers for sepsis as they act as mediators of the immune response. Evidence suggests that the adipokine leptin may play a pathogenic role in sepsis. Mouse endotoxaemic models present with elevated leptin levels and exogenously added leptin increased mortality whereas human septic patients have elevated circulating levels of the soluble leptin receptor (Ob-Re). Evidence suggests that leptin can inhibit the regulation of the HPA axis. Thus, leptin may suppress the HPA axis, impairing its protective role in sepsis.We hypothesised that leptin would attenuate the HPA axis response to sepsis.We investigated the direct effects of an i.p. injection of 2 mg/kg leptin on the HPA axis response to intraperitoneally injected 25 μg/kg lipopolysaccharide (LPS) in the male Wistar rat. We found that LPS potently activated the HPA axis, as shown by significantly increased plasma stress hormones, ACTH and corticosterone, and increased plasma interleukin 1β (IL1β) levels, 2 h after administration. Pre-treatment with leptin, 2 h before LPS administration, did not influence the HPA axis response to LPS. In turn, LPS did not affect plasma leptin levels. Our findings suggest that leptin does not influence HPA function or IL1b secretion in a rat model of LPS-induced sepsis, and thus that leptin is unlikely to be involved in the acute-phase endocrine response to bacterial infection in rats.The section is funded by grants from the MRC, BBSRC, NIHR and an Integrative Mammalian Biology (IMB) Capacity Building Award, and by a FP7-HEALTH-2009-241592 EuroCHIP grant and is supported by the NIHR Imperial Biomedical Research Centre Funding Scheme. This work is supported by a BBSRC Doctoral Training-Strategic Skills Award grant (BB/F017340/1)
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