The Iowa Homemaker vol.19, no.3

Cuisine, page 1 College With an Eye to a Job, page 2 Shoulder Arms Against Telltale Tarnish, page 3 Generosity with Spices, page 4 Grandmother’s Heirlooms, page 5 Greyed Pastels, page 6 Food Facts – or Fairy Tales, page 8 Les Menus, the American Nemesis, page 9 What’s New in Home Economics, page 10 From Panama to Paris, page 12 Spread-ucation, page 13 Behind Bright Jackets, page 14 Alums in the News, page 15 His Royal Highness, the Chef, page 16 New Zealand Cuisine, page 17 From Journalistic Spindles, page 18 A Frozen Art, page 19 Biography of a Home Economist, page 2

The Iowa Homemaker vol.19, no.4

Art, page 1 Caroling Through Christmas, page 3 Personality Packages, page 4 Mask-Making, page 5 Chimes of Christmas, page 6 Fashion in Feasting, page 7 Sally Cheers, page 8 For a Festive Home, page 10 Hold That Tie!, page 11 What’s New in Home Economics, page 12 Packages Go Sophisticated, page 14 Silver Secrets for Santa, page 16 The Plight Before Christmas, page 18 Your Child’s Food, page 19 From Journalistic Spindles, page 20 Alums in the News, page 21 Behind Bright Jackets, page 22 Art with Practice, page 23 Biography of a Home Economist, page 2

The Vehicle, Spring 2009

Table of Contents Idyllic Has an EndJustine Fittonpage 28 The RemedyJosh Boykinpage 29 True NatureStephen Garciapage 30 We Are All Eaters of SoulsDan Davispage 31 Scarlet on the WindJustin Sudkamppage 34 IlluminatedRashelle McNairpage 35 Lightning RodKim Hunter-Perkinspage 36 TrialDan Davispage 49 Dear GodKristi Kohlenbergpage 50 A Cheap Metaphor Is What We Have for DeathKeith Stewartpage 51 Sad MoonJennifer O\u27Neilpage 52 The Transported ManStephen Garciapage 61 Divine InsanityGrace Lawrencepage 62 Moonglow MemoriesJustin Sudkamppage 63 Poetry The Habits of HusbandsKim Hunter-Perkinspage 4 Young AmericanMaria Rhodespage 5 Kevin Doesn\u27t Live Here AnymoreJustine Fittonpage 6 Summer VacationMary Lieskepage 8 PerfectChristie Cheatlepage 9 Hate for OneMiranda Whitepage 10 The Witch\u27s GraveDan Davispage 16 Medicine WomanLindsey Durbinpage 18 Epistle to a BombshellKim Hunter-Perkinspage 19 GuardedAaron Dillardpage 20 Lean and Hungry in YesteryearTim Ernstpage 21 Dirty TearsBrittany Morganpage 27 I Left the Radio OnSerena Heathpage 83 Untitled, for CourtneyKellen Fasnachtpage 84 Ermine DriveStephen Garciapage 85 Prose TwigDaniel Paquinpage 11 Coyote MoonDan Davispage 22 BloodGretchen Schaiblepage 32 IntroductionSam Sottosantopage 53 The Guitar ManDan Davispage 75 Art Picasso InspirationAlycia Rockeycover StageSarah Fairchildpage 37 ConnectedBrittany Morganpage 65 SpringAnthony Travis Shootpage 66 BodhisattvaSarah Fairchildpage 67 What About Love?Justin Sudkamppage 68 Angry MoonJennifer O\u27Neilpage 69 HauntedKellen Fasnachtpage 70 Haiku #1Justin Sudkamppage 72 ImmobileRashelle McNairpage 73 The ChurningJosh Boykinpage 74 The Old Boat DockJosh Boykinpage 79 Saltwater RaindropsTim Ernstpage 80 Slow MotionGrace Lawrencepage 81 Solid AdviceAnthony Travis Shootpage 82 TreeAlycia Rockeypage 38 TireSarah Fairchildpage 39 What to WearKristy Pearsonpage 40 Figure 1Sean Walkerpage 41 GreenhouseAlycia Rockeypage 42 RomeAlycia Rockeypage 43 Me at the Lamp PostElizabeth Surbeckpage 44 Little Miss LizKristy Pearsonpage 45 DoudnaAlycia Rockeypage 46 FlagAlycia Rockeypage 47 Flag ProtestAlycia Rockeypage 48 Features Note From the EditorRebecca Griffithpage 1 Fall 2008-Spring 2009 Vehicle Award Winnerspage 2 James K. Johnson Creative Writing Awardpage 86 Winning Entry (Nonfiction)Daniel Paquinpage 87 Winning Entries (Poetry)Anthony Travis Shootpage 98 Contributorspage 103https://thekeep.eiu.edu/vehicle/1091/thumbnail.jp

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

Obstructive Sleep Apnea and Incidence of Postoperative Delirium after Elective Knee Replacement in the Nondemented Elderly

ABSTRACT Background: Postoperative delirium, a common complication in the elderly, can occur following any type of surgery and is associated with increased morbidity and mortality; it may also be associated with subsequent cognitive problems. Effective therapy for postoperative delirium remains elusive because the causative factors of delirium are likely multiple and varied. Methods: Patients 65 yr or older undergoing elective knee arthroplasty were prospectively evaluated for postoperative Diagnostic and Statistical Manual of Mental Disorders-IV delirium. Exclusion criteria included dementia, mini-mental state exam score less than 24, delirium, clinically significant central nervous system/neurologic disorder, current alcoholism, or any serious psychiatric disorder. Delirium was assessed on postoperative days 2 and 3 using standardized scales. Patients' preexisting medical conditions were obtained from medical charts. The occurrence of obstructiv

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London