370 research outputs found

    Prognosis for Development of Early Motor Milestones in a Pediatric Patient with Myelomeningocele: A Case Report

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    Background: Myelomeningocele, a type of spina bifida, is a prevalent birth defect that affects numerous individuals around the world. Significant research has been conducted to examine the influence of this condition on adolescents and adults, but limited evidence is available on how spina bifida influences development in childhood. Purpose/Case Description: The purpose of this report is to describe the development of motor milestones in a 27-month old female with L4-5 myelomeningocele to improve the current understanding of the expected prognosis for development of early motor milestones in children with spina bifida, specifically the diagnosis of lower lumbar myelomeningocele. Although the patient was progressing in her achievement of motor milestones, she was significantly delayed compared to her peers. Outcomes: The primary outcomes utilized in this case were tests and measures, largely qualitative, analyzing the patient’s functional mobility. Additional outcome measures that could have been incorporated include the Bayley Scale of Infant and Toddler Development and the PEDI-CAT. Discussion: The patient with L4-5 myelomeningocele was achieving motor skills consistent with those around 10-12 months of age although her chronological age at the end of the nine-week time period was 29 months. The patient was steadily progressing in the development of new motor milestones over this time and, although behind peers without spina bifida, is expected to continue making progress. This case contributes to the current understanding of expected prognosis for motor skill development in children to assist physical therapists and other providers to establish an appropriate prognosis for timing of motor skill development in pediatric patients with myelomeningocele

    FARM POLICY IN AN INDUSTRIALIZED AGRICULTURE

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    The structural changes that will impact agriculture over the next decade will be profound. The economic benefits of the dual dimensions of industrialization of agriculture-implementation of a manufacturing approach to the food and industrial product production and distribution chain, and negotiated coordination among the stages in that chain are expected to result in a much more industrialized agricultural sector. The implications of this industrialization process for agricultural markets and market policy, and agricultural policy in general, are critical. The focal point of this discussion is the set of public policy options that might be considered to shape the future structure of the agricultural sector.concentration, contract production, industrialization, policy, vertical alignment, Agricultural and Food Policy, Industrial Organization,

    Symmetric factorization of the conformation tensor in viscoelastic fluid models

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    The positive definite symmetric polymer conformation tensor possesses a unique symmetric square root that satisfies a closed evolution equation in the Oldroyd-B and FENE-P models of viscoelastic fluid flow. When expressed in terms of the velocity field and the symmetric square root of the conformation tensor, these models' equations of motion formally constitute an evolution in a Hilbert space with a total energy functional that defines a norm. Moreover, this formulation is easily implemented in direct numerical simulations resulting in significant practical advantages in terms of both accuracy and stability.Comment: 7 pages, 5 figure

    The Gibson Winery Ammonia Fatality: September 21, 2012 The Result of "Let Them Die" Policies and PRofessionalization of Rescue

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    PresentationOn 2012, a young man was killed when he was trapped in a bathroom during an outdoor ammonia release at a winery in Sanger, California. What killed him was inhalation of anhydrous ammonia vapors. The vapor was released when an oil drain valve was opened instead of a hot gas valve near a shell and tube wine chiller. There were no other layers of protection, such as a valve plug or valve lock, or self closing valve on the oil drain valve at that time. The victim, a long term temporary employee who was the cousin of the man who opened the valve, attempted to escape through the released could of vapor and died in an exterior building hallway. Attempts to rescue the victim were thwarted by the fact that the employer had a formal policy prohibiting rescue by its employees and the resulting lack of any ammonia respirators onsite. The origin of such policies and the need for onsite preparedness is commented upon

    A Liberal Analysis of Religious Exemptions to Public Accommodation Laws

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    In 2015, the United States Supreme Court effectively made same-sex marriage legal throughout the country. Writing for the majority, Justice Kennedy opined that not extending marriage equality to same-sex couples violated both their autonomy and their right to equal dignity under the law. Three years earlier, a same-sex couple visited Masterpiece Cakeshop, a bakery in Colorado, and requested that the owner design and create a cake to celebrate their same-sex wedding. The owner declined, advising the couple that he did not provide wedding cakes for same-sex weddings due to his religious beliefs. He was found guilty of violating the Colorado Anti-Discrimination Act for discrimination on the basis of sexual orientation. In this paper, I present a liberal argument for the proposition that narrowly-tailored exemptions ought to be provided to wedding vendors such as Phillips with religious objections to same-sex marriage. In arguing for this claim, I provide a compromise between those who believe that the relevant anti-discrimination provisions should be categorically applied to all businesses open to the public and proponents of religious liberty who maintain that any business with religious objections to same-sex marriage should be able to refuse service to same-sex couples

    Spatial patterns in macroinvertebrate assemblages in surface-flowing waters of a glacially-influenced floodplain

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    We examined the spatial structure of macroinvertebrate assemblages in surface-flowing waters of a glacially-influenced floodplain. The floodplain main-channel responded longitudinally to changes in hydrology with evident coarse-scale zones of upwelling and downwelling; the lower floodplain main channel fell dry in late winter. Physico-chemical attributes differed among tributaries and the main channel. The main channel had lower values of conductivity, alkalinity and nitrate-N than tributaries, with right-side (east-facing) tributaries having the highest values. Left-side (west-facing) tributaries flowing over an exposed rock-face had warmer water temperatures than the main channel and right-side tributaries. The biomass of benthic organic matter and periphyton was highest in right-side tributaries, followed by main channel sites then left-side tributaries. Similarly, macroinvertebrate density and richness were higher in right-side tributaries, intermediate in main channel sites, and lowest in left-side tributaries. Macroinvertebrate assemblages clearly differed between main channel sites, right-side tributaries, and left side tributaries based on an NMDS analysis. Minor differences were observed among main channel sites, although most upstream sites showed some structural differences from downstream sites. Ephemeropterans and plecopterans were most common in main channel sites and right-side tributaries, whereas chironomids and trichopterans also were common in right-side tributaries. Although the main channel changed longitudinally in physico-chemical characteristics, no real patterns of zonation were evident in macroinvertebrate assemblages. Coarse spatial patterns in macroinvertebrate assemblages in the floodplain were reflected in the physico-chemical differences between the main channel and tributaries, and between left-side and right-side tributaries. We conclude that coarse-scale floodplain properties enhance the overall diversity of lotic macroinvertebrates. Consequently, floodplain alterations that reduce surface water heterogeneity/connectivity limits the potential macroinvertebrate diversity of floodplain
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