Changes in SPECT Brain Imaging in Pediatric Patients with Suspected Neuroborreliosis: A Series of 6 Cases
Abstract
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Changes in SPECT Brain Imaging in Pediatric Patients with Suspected Neuroborreliosis: A Series of 6 CasesAbstract
Lyme disease is a spirochetal illness transmitted primarily through the bite of ticks. The disease has a broad spectrum of comorbid conditions including osteoarticular, cardiovascular, and neurological involvement. In addition, clinical variability depends on the age of affected individuals.
The Center for Disease Control recognizes the disease as an epidemic and mentions it to be a major morbidity burden in our environment because of the frequent lack of diagnosis and early treatment. Scientific literature mention [...] 1465 9324 |
Dearomatization of the Kerosene Fraction: Kinetic StudiesAbstract
The kinetics of dearomatization of a kerosene fraction processed using a zeolite catalyst (0.9 HZSM-5) at different temperatures (160-200°C), the molar ratio between the aromatic hydrocarbons present in the kerosene fraction and n-decene (1:(0.5-4)), and the reaction time (1-3 h) were studied. Based on the obtained data, a kinetic model for kerosene dearomatization is proposed. It is assumed that the single-center Riedel mechanism is followed. The stage associated with the interaction between n-decene adsorbed on t [...] 1661 9323 |
Mothers’ Strategies for Promoting Children’s Healthy Eating, Physical Activity, and Screen-Related BehaviorsAbstract
Parents model and teach early health practices that persist into adulthood by establishing a family culture through which children learn related family beliefs, values, and expectations. This phenomenological study examined the ways in which a purposefully selected group of mothers (selected due to their high scores on the Family Nutrition and Physical Activity screening tool) shaped family culture related to physical activity, addressed screen-time behaviors, and established positive eating related routines. Findi [...] 1333 9322 |
Experimental and Analytical Studies of an Ultra-high Performance Concrete Beam Using Carbon Fiber Reinforced Polymer BarsAbstract
Infrastructure degradation attributable to concrete deterioration and corrosion of reinforcing steel has been a long-standing challenge to the owners and engineers. This problem becomes more evident when concrete structures are subject to aggressively corrosive environments. The use of advanced materials such as ultra-high performance concrete (UHPC) and carbon fiber reinforced polymer (CFRP) bars has a strong potential to overcome this challenge and help build new infrastructure that is durable and sustainable. Ho [...] 1305 9322 |
Developing a Compassion Focused Supervision Model for Senior Leaders in Educationby
Abstract
This article describes the development and delivery of a novel model of supervision for senior teachers in schools, informed by Compassion Focused Therapy (CFT). It explores whether this model can be considered acceptable and valuable to senior teachers, and is able to be delivered by multiple supervisors using a manual. Surveys, interviews, and focus groups were used to gather feedback about the value and impact of the supervision. Data were gathered from 39 senior teachers across three phases to assess feedback o [...] 1596 9321 |
Testing the Correlation between Prior Knowledge of - and Visualisation Guided WTPs for Reducing the Visual Impacts Visual from Offshore Wind FarmsAbstract
Visual external costs are significant elements in the cost-benefit analysis of wind farm locations. This has been demonstrated well in the literature. However, in the assessment of the visual costs, a large share of the earlier studies used no or only simplistic visualizations of the visual impacts at stake. The cost estimates thus rely on the respondents’ ability to imagine the visual impacts associated with wind turbines of different sizes and at different locations. This has been argued to potentially reduce the [...] 2037 9320 |
The Use of Sulfur Waste to Protect Against Corrosion of Metal ImplantsAbstract
Metal parts of endoprosthesis have a detrimental effect on the bones that come into contact with them and on the entire body of the patient. Coating them with biocompatible layers (hydroxyapatite and bioglass) has not yet brought about permanent results. In this study, the author showed the possibility of using a binder containing sulfur waste for this purpose. The sulfur binder is used industrially in electrical engineering and construction applications. The chemical properties of elemental sulfur indicate that it [...] 1901 9308 |
Automated Probabilistic Analysis and Parametric Modelling of the Seasonal-Diurnal Wind VectorAbstract
A refined and extended version of the Offset Elliptical Normal mixture model has been developed to parameterise the seasonal diurnal wind vector automatically. Automated using R scripts, the method eliminates any potential risk of confirmation bias posed by the manual supervision in the original method. Refinements to the method include the latest algorithms for clustering of Gaussian mixtures, with Bayesian regularisation to set the number of components and to limit the predisposition to overfit. A new extension u [...] 1725 9302 |
Evolving Conceptualizations: A Commentary on the Varying Perspectives of Self-Compassion in Western PsychologyAbstract
Self-compassion involves being touched by and open to one's own suffering, coupled with the desire to alleviate it and heal oneself with kindness. While self-compassion has gained significant attention in research, certain conceptual and methodological complexities have evolved over time and led to ambiguity surrounding the concept. As such, the overall purpose of this commentary was to highlight and discuss the different perspectives of self-compassion in the literature. We opted to centralize our focus primarily [...] 1072 9300 |
Single-Center Outcomes of Heart Transplantation in Patients with Pulmonary Hypertension Bridged with Mechanical Circulatory Supportby
Abstract
In advanced heart failure, orthotopic heart transplantation (OHT) remains the standard for definitive treatment. Patients with heart failure and concomitant pulmonary hypertension (PH) represent a challenging subgroup, with poor outcomes following OHT. Recently, Mechanical Circulatory Support (MCS) devices have been utilized as a bridge to OHT for these patients. Patients with MCS devices who underwent OHT were evaluated at a single center. Patients were stratified into three groups, depending on baseline pulmonary [...] 1735 9291 |
Influence of Teachers’ Secondary Traumatic Symptoms on Their Burnout, Compassion Fatigue, and Intentions to Resign in Low Socioeconomic Status SchoolsAbstract
The current study explored the adverse outcomes of secondary traumatic symptoms experienced by secondary school teachers on their compassion fatigue, burnout, sense of satisfaction, and intention to resign from the teaching profession in low SES schools in the United States context. The study was inspired by Ludick and Figley’s Compassion Fatigue and Resilience model and Figley’s work on Compassion Fatigue. A non-experimental design was employed, and data were gathered from a random sample of 131 teache [...] 1589 9290 |
What is Geriatrics?Abstract
All of us are intuitively aware, and many of us explicitly aware as well, of the meaning of geriatrics as a specialty. After all, most of us practice geriatrics or we have been intimately involved with this area and we are know the reality of geriatrics. Or do we? Geriatrics is an oddly ill-defined specialty when you look at it more carefully. Some of us practice medicine, some of us practice in the social sciences, and many of us simply do our jobs day-to-day and try to get by. What we share, however, is the heart [...] 1593 9289 |
Substance Use Disorder, Alexithymia, and Personality Disorders, What is the Link? Pilot African Studyby
Abstract
Alexithymia and personality disorders are common in substance use (SUD) patients. This association remains understudied and is considered to hurt the course and management of substance use disorder patients. To determine the prevalence of personality disorders (PD) and alexithymia in addiction care patients. Besides, we targeted investigating a possible link between alexithymia, different personality disorders and clinical aspects of substance use disorder including severity. This cross-sectional study was conducte [...] 1379 9281 |
Efficacy of Autologous Stem Cell Transplantation for the Treatment of Multiple Myeloma in HIV-Positive PatientsAbstract
Prior to the advent of anti-retroviral therapy (ART), autologous stem cell transplant (ASCT) was relatively contraindicated for multiple myeloma (MM) patients with human immunodeficiency virus (HIV) due to issues associated with stem cell harvest and the risk of opportunistic infections. With the widespread use of ART for control of HIV, ASCT is now the preferred treatment for relapsed lymphoma, the leading hematopoietic malignancy associated with HIV/AIDS. Hence, MM patients with HIV controlled by ART may benefit [...] 1671 9281 |
NF-κB; the Critical Link between Immune and Metabolic Pathways: Could NF-κB be Used as a Novel Diagnostic and Prognostic Biomarker for Non-Alcoholic Steatohepatitis?by
Abstract
(1) Background: A great number of inflammatory mediators and metabolic biomarkers have been shown to contribute to the development and progression of obesity-induced pathologies, including insulin resistance and nonalcoholic fatty liver disease (NAFLD). Many of those mediators are either targets or activators of nuclear factor-κappa B (NF-κB), which is a key transcription factor and plays a pivotal role in the homeostasis and the regulation of inflammatory signaling pathways in the liver.
(2) Methods: Our study po [...] 1532 9274 |
Clonal Heterogeneity in Non-Small Cell Lung Cancer and the Possible Role in Predicting Response to Treatment with Immune Checkpoint InhibitorsAbstract
Immune oncology treatment with immune checkpoint inhibitors (ICIs) is revolutionizing therapeutic approach for advanced non-small cell lung cancer (NSCLC) patients, in terms of longer survival and improved quality of life. To date, the widely used and approved biomarker is programmed death ligand 1 (PD-L1) expression on tumour cells, but it is considered not accurate and it is more likely that many factors, related to both cancer and host, may better predict response to ICI. Among those factors, great attention is [...] 1875 9267 |
Perspective on Neurobiological and Clinical Early Indicators of Mild Cognitive Decline and Alzheimer’s Diseaseby
Abstract
There is a need for early diagnosis, monitoring and treatment of Alzheimer’s Disease (AD) and Mild Cognitive Impairment (MCI). Traditional assessments of cognitive decline have been found to lack sensitivity and accuracy in differentiating varying stages of Dementia and cognitive decline as well as being time consuming in their administration. Key components of cognition namely memory and executive function have been identified as most predicative of AD status. Brief cognitive screening tools such as the Montreal C [...] 1802 9262 |
Effects of a One-Week Intensive Wellness Camp on Dietary Behaviors among Southwest American Indian Youthby
Abstract
American Indians (AI) suffer the highest rates of diabetes in the United States (US); a chronic disease that is increasingly prevalent among AI children and is associated with increased risk of cancer. A summer camp was developed to improve disease risk-reducing behaviors, including diet, among AI youth in Arizona. The aim of this study was to examine the efficacy of a one-week intensive summer health camp conducted from 2016 to 2019 on change in dietary behaviors and compliance for Dietary Guidelines for Americans [...] 1773 9256 |
Impact of SARS-CoV-2 Outbreak on Physical and Mental Health, Psychological Distress, and Suicidal Ideation, and the Mediating Role of StressorsAbstract
This study investigated the physical and psychological impacts of elements related to coronavirus disease (COVID-19) and demographic data in Japan both directly and as mediated by stressors, immediately following the rescinding of the state of emergency declaration accompanying the severe acute respiratory syndrome coronavirus 2 outbreak. An online survey was administered to 1,500 Japanese registered with an online outsourcing service. Data were analyzed with structural equation modeling using Mplus. Relatively lar [...] 1823 9254 |
Estimation of the Return Periods in HydrologyAbstract
A filtered Poisson process is proposed as a model for river flows. With the help of real-life data, the model parameters are estimated. Mathematical formulae are derived in order to estimate the various return periods of the river. An application to two rivers shows that the point estimates are very close to the corresponding values computed by hydrologists, based on historical data. Moreover, by modifying the values of the parameters in the model, we can see the potential effects of climate change on the return pe [...] 2149 9249 |
Anti-cancer Drug Susceptibility of Breast Cancer Cells Incubated on Electrospun Polymeric Fiber SubstratesAbstract
In this study, we examined the effect of a combination of surface topographies (fiber alignments) and different stiffness of poly(L-lactic acid) (PLLA) substrates on the direct relationship between anti-cancer drug (CDDP) sensitivity for MDA-MB-231 cells and mesenchymal properties under both normal and hypoxic conditions. In addition, we studied the induction of epithelial–mesenchymal transition (EMT). The CDDP treatment under hypoxia indicated poor adhesion of MDA-MB-231 cells as well as significant repression of [...] 2078 9248 |
Misinterpretation or Underestimation of the Appearance, Location, or Size of Non-bleeding Visible Vessels (Forrest Class IIa) as a Cause of Hemostasis FailureAbstract
(1) Background: Endoscopy has become the primary diagnostic and treatment technique for non-variceal upper gastrointestinal bleeding. Despite advancements in therapeutic methods and instrumentation, endoscopic hemostatic failure occurs in 10% of patients. This study aimed to analyze endoscopic findings in patients with failed hemostasis and to elucidate strategies for endoscopists and gastroenterologists to facilitate improved treatment outcomes.
(2) Methods: A total of 128 patients received hemostatic treatment fo [...] 1392 9245 |
Methanol Synthesis Catalyst Waste as the Principal Component of New Sustainable Cementless Concreteby
Abstract
Methanol synthesis catalyst (MSC) waste was applied as the principal component (till 70 wt.%) of sustainable ceramics in composites with bauxite processing waste (RM), and waste foundry sand (FS). The results of the initial components' chemical interaction studies by a complex of methods (XRD, SEM/EDS/mapping, AAS and LAMMA) during heating demonstrated the synthesis of amorphous glasslike new formation, their filling of pores and compaction of the ceramic’s structure. In this case, a strong chemical and mechanical [...] 1333 9243 |
Introducing a Novel Intervention, CoHealing, to Address Teacher Burnout and Indirect TraumaAbstract
The COVID-19 pandemic exacerbated the long-standing issues of stress and burnout in the education sector, with teachers and education staff facing unprecedented challenges including significant adjustments to teaching methods and balancing the mental health and academic needs of their students. The resulting challenges have contributed to heightened levels of stress and burnout among teachers and education staff. The impact of the pandemic on teachers and education staff has highlighted the need for greater support [...] 1382 9239 |
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