Journal articles on the topic 'Managed Isolation'
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Shah, Jay Narayan, Jenifei Shah, and Jesifei Narayan Shah. "Quarantine, isolation and lockdown: in context of COVID-19." Journal of Patan Academy of Health Sciences 7, no. 1 (May 8, 2020): 48–57. http://dx.doi.org/10.3126/jpahs.v7i1.28863.
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Quarantine and lockdown, combined with restriction to the movement of people, along with measures like universal use of masks, social distancing, tracking, testing, isolation and specialized centers to manage COVID-19 patients, have been successful in the control and spread of the virus in China and most Asian countries, unlike in Europe and America. This review is written to provide information on quarantine, isolation and lockdown in the context of COVID-19 management. The quarantine and lockdown from historical, socio-cultural, and its effect on special circumstances, for example, the internal and international migrants, daily wage workers, refugees, and the ways in which countries have managed this issue, including the measures taken by Nepal to manage the quarantine and lockdown is briefly presented in this review.
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Feder, Judy. "Managed-Pressure Cementing Provides Zonal Isolation in Deepwater Gulf of Mexico." Journal of Petroleum Technology 71, no. 10 (October 1, 2019): 48–50. http://dx.doi.org/10.2118/1019-0048-jpt.
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Yuliatun, Ismiyati, Siti Rahmawati, and Sri Lestari. "Anxiety and Individual Coping Strategies In Undergoing Isolation During the Covid-19 Pandemic." International Journal of Health Science and Technology 2, no. 3 (April 1, 2021): 106–19. http://dx.doi.org/10.31101/ijhst.v2i3.2005.
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Individuals exposed to the Covid-19 virus have consequences for isolation, both self-isolation and isolation in health services. During isolation, individuals may experience anxiety which needs to be managed with appropriate coping strategies. Purpose: to find out how the anxiety experienced by individuals in undergoing isolation and how the coping strategies that individuals have in dealing with the anxiety that arises when undergoing isolation during a pandemic. Methods: qualitative using a phenomenological study. Data collection was carried out by semi-structured interviews and observations on two mothers who underwent isolation. The data obtained were analyzed to find emerging themes. Results: There were 5 main themes related to anxiety and coping strategies used by individuals in undergoing isolation during the Covid-19 pandemic, namely conditions before and during isolation, factors that cause anxiety, symptoms of anxiety, coping and support strategies, effects of coping strategies and lessons learned from experience undergo isolation.
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Pisaturo, Mariantonietta, Giulia De Angelis, Paolo Maggi, Vincenzo Sangiovanni, Fabio Numis, Ivan Gentile, Alfonso Masullo, et al. "Clinical Features of Patients with Home Isolation Sars-Cov-2 Infection: A Multicenter Retrospective Study in Southern Italy." Life 11, no. 4 (April 16, 2021): 347. http://dx.doi.org/10.3390/life11040347.
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To describe epidemiological and clinical features of patients confirmed as having SARS-CoV-2 infection and managed in isolation at home. We performed a multicenter retrospective study enrolling all SARS-CoV-2-positive adults evaluated from 28 February to 31 May 2020 at one of nine COVID-19 Units in southern Italy: we included patients receiving care at home and those admitted to hospital. We defined patients with not-severe disease if they were asymptomatic or experienced a mild infection that did not need oxygen (O2) therapy and those with a severe infection if hospitalized and required O2 therapy. We enrolled 415 patients with SARS-CoV-2 infection: 77 were managed in isolation at home, 338 required hospital management. The 77 patients in home isolation were less frequently male than hospitalized patients (55% vs. 64%; <0.01) and were younger (median age 45 years (IQR:19) vs. 62 (IQR 22); p < 0.01), had a lower Charlson comorbidity index (median 0 (IQR2) vs. 6 (IQR 3); p < 0.01), and included fewer subjects with an underlying chronic disease (36% vs. 59%; p < 0.01). According to a binomial logistic regression analysis, a younger age (OR: 0.96 (95% IC: 0.94–0.98), p < 0.01) and a low Charlson comorbidity index (OR: 0.66 (95% IC: 0.54–0.83); p < 0.01) were independent factors associated with at-home management. The identification of subjects with SARS-CoV-2 infection who could be managed in home isolation is useful in clinical practice. A younger age and no comorbidities were identified as factors independently associated with home management.
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Haverhals, Leah, Roman Ayele, and Hillary Lum. "HOW CAREGIVERS AND OLDER US VETERANS MANAGED SOCIAL ISOLATION DURING THE COVID-19 PANDEMIC." Innovation in Aging 6, Supplement_1 (November 1, 2022): 513. http://dx.doi.org/10.1093/geroni/igac059.1963.
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Abstract To protect themselves from contracting the SARS-CoV-2 virus, many older adults managing multiple medical conditions experienced increased social isolation. The objective of our qualitative research study was to describe how older Veterans receiving care from the United States (US) Department of Veterans Affairs (VA) healthcare system, and their caregivers, managed increased social isolation during the pandemic. We recruited Veterans and their caregivers residing in rural and urban areas who received care from either a tele-palliative care or a tele-geriatrics clinic connected to one VA Medical Center, inviting them to participate in phone interviews. From May-September 2021, we interviewed N=23 participants (n=9 Veterans and n=14) caregivers. We applied a deductive and inductive approach to thematic analysis to analyze interview data. Findings revealed that while caregivers experienced increased anxiety, which they attributed to pandemic-related changes, they also expressed solidarity in that others were experiencing similar stressors. Many caregivers and Veterans shared experiences of increased loneliness, which some found difficult to manage as communication with their social networks was sparse. At the same time, the pandemic made them value relationships with others more than before. Some Veterans noted they kept busy with hobbies and did not feel much loneliness despite increased isolation. Caregivers caring for Veterans with dementia stated they experienced confusion about their narrower social networks because they could not remember reasons why they were not regularly spending time with them. Findings demonstrate the need to identify strategies and policies to better support caregivers and older Veterans during times of crisis.
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García-Lecona, Dante Alí, Elvira Garza-González, Magaly Padilla-Orozco, Lidia Mendoza-Flores, Samatha Flores-Treviño, Soraya Mendoza-Olazaran, and Adrián Camacho-Ortiz. "Outcomes of Clostridium difficile– infected patients managed in a common isolation unit compared with isolation in their bed of diagnosis." American Journal of Infection Control 46, no. 1 (January 2018): 103–4. http://dx.doi.org/10.1016/j.ajic.2017.06.006.
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Tsvetkova, Nadezhda A., and Kira E. Lagvilava. "Dynamics of Interpersonal Communication Between Spouses with a Long Marriage Experience in the Period of Self-Isolation." Uchenye Zapiski RGSU 20, no. 1 (March 30, 2021): 16–26. http://dx.doi.org/10.17922/2071-5323-2021-20-1-16-26.
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The article presents the results of testing the hypothesis about changes in the nature of interpersonal communication between spouses in conditions of self-isolation, determined by the dynamics of destructive communicative attitudes and behavior style in conflict situations. 30 married couples with 15 years of family life experience were examined. Data obtained at the very beginning of restrictions and after a three-month period of self-isolation were compared. It is noted that the interpersonal communication of the spouses over the past three months has become more intense, tense, aggressive and conflicted. The spouses managed to intensify and maintain the usual system of implementing destructive attitudes in interpersonal communication, as well as the stylistic features of behavior in conflict situations, but they did not manage to prefer cooperation to compromise: compromise was and remains the dominant strategy of behavior of each of the spouses in the conflict. It is shown that during the three-month period of self-isolation, wives became somewhat detached from reality, while their husbands became significantly more realistic, but also significantly more openly violent. Attention is drawn to the need for further scientific research of this problem, as well as improving the practice of psychological support for families in situations of this type.
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Carpenter, Chris. "Integrated Hydraulics-Modeling Platform Automates Managed-Pressure Drilling." Journal of Petroleum Technology 74, no. 02 (February 1, 2022): 53–55. http://dx.doi.org/10.2118/0222-0053-jpt.
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This article, written by JPT Technology Editor Chris Carpenter, contains highlights of paper IPTC 19671, “Integrated Hydraulics Modeling for Managed-Pressure Drilling,” by Sayamik A. Rostami, Jose Brana, and Thomas Koithan, SPE, Weatherford. The paper has not been peer reviewed. Copyright 2021 International Petroleum Technology Conference. Reproduced by permission. Technologies aimed at better performance and lower cost are more important to the oil and gas industry than ever. This emphasis drives hardware manufacturers to innovate quickly and create devices with more capabilities so that what was impossible a few short years ago is reality today. In the complete paper, the authors describe a platform that integrates advanced data analytics and hydraulic modeling in real time, coupled with cybersecurity features applied through an open-platform communications unified-architecture protocol directed at automation controllers for managed-pressure-drilling (MPD) applications. MPD Control System An intelligent MPD system automatically controls all the components of an MPD system, including a rotating control device, annular isolation device, flow spool, buffer manifold, choke manifold, and pressure-relief valves. Aside from communicating with and controlling this equipment, such a system is able to communicate with the overarching rig-control system. The system uses the control capabilities of a centralized programmable automation controller with an integrated human/machine-interface screen. Another advantage of the intelligent MPD system is the built-in functionality to track the performance of the system in terms of performance and health through component monitoring to enable condition-based maintenance (CBM).
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Dunning, John B., Rene Borgella, Krista Clements, and Gary K. Meffe. "Patch Isolation, Corridor Effects, and Colonization by a Resident Sparrow in a Managed Pine Woodland." Conservation Biology 9, no. 3 (June 1995): 542–50. http://dx.doi.org/10.1046/j.1523-1739.1995.09030542.x.
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FROST, AJ, D. O'BOYLE, and JL SAMUEL. "The isolation of Salmonella spp from feed lot cattle managed under different conditions before slaughter." Australian Veterinary Journal 65, no. 7 (July 1988): 224–25. http://dx.doi.org/10.1111/j.1751-0813.1988.tb14464.x.
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WAMSER, SABINE, TIM DIEKÖTTER, LUISE BOLDT, VOLKMAR WOLTERS, and JENS DAUBER. "Trait-specific effects of habitat isolation on carabid species richness and community composition in managed grasslands." Insect Conservation and Diversity 5, no. 1 (August 19, 2010): 9–18. http://dx.doi.org/10.1111/j.1752-4598.2010.00110.x.
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Dorrance, Anne E., Sue Ann Berry, Terry R. Anderson, and Chuck Meharg. "Isolation, Storage, Pathotype Characterization, and Evaluation of Resistance for Phytophthora sojae in Soybean." Plant Health Progress 9, no. 1 (January 2008): 35. http://dx.doi.org/10.1094/php-2008-0118-01-dg.
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Phytophthora sojae is effectively managed through soybean cultivars with single resistance genes (Rps) and partial resistance inherited quantitatively. There are over 50 described races of Phytophthora sojae, but many more pathotypes have been reported. Many of the isolates recently collected are more complex, causing disease on plants with 3 or more Rps genes. This diagnostic guide provides some standard assays to assist in the identification of virulence types of P. sojae and genetic resistance in soybean. Accepted for publication 4 October 2007. Published 18 January 2008.
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Jain, Divya, Tapas Bandyopadhyay, Vasudha Tomar, Vikrant Sharma, and Ruch Rai. "Ankyloblephron Filiform Adnatum: A Case Report." Nepalese Journal of Ophthalmology 11, no. 1 (September 3, 2019): 102–4. http://dx.doi.org/10.3126/nepjoph.v11i1.25445.
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Ankyloblephron filiform adnatum (AFA) is a rare benign congenital anomaly that can arise either in isolation or associated with a syndrome. It should be treated as early as possible due to its ambylogenic potential. We report a case of a successfully managed newborn that had sporadic AFA detected at birth. Our case is unique in the sense that sporadic AFA with Atrial septal defect has not been reported in the literature.
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Dye, A. H. "Meiobenthos in intermittently open/closed coastal lakes in New South Wales: spatial and temporal patterns in densities of major taxa." Marine and Freshwater Research 56, no. 8 (2005): 1055. http://dx.doi.org/10.1071/mf05050.
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Intermittently open/closed coastal lakes and lagoons (ICOLLs) are common in Australia. Isolation from the sea makes them susceptible to nutrient enrichment and pollution and many are considered degraded. Understanding of their ecology and the effects of anthropogenic activity is limited. Many lakes are kept open artificially to improve water quality and mitigate the effects of floods. The present study examined the relationship between multivariate and univariate patterns in higher taxa of meiobenthos and compared their densities and distributions in naturally open and closed lakes with those in managed lakes. The degree of correspondence between multivariate and univariate patterns was taxon and locality dependent. Differences in densities between types of lakes was not related to physical factors. Within lakes, meiobenthos generally correlated negatively with salinity and organic content, but positively with silt. Densities reflected the degree of isolation from the sea, but the influence of this factor varied among lakes within categories and between taxa. Most taxa were less abundant in isolated localities, such as the inner reaches of lakes and in closed lakes. Meiobenthos were more spatially variable in closed and in managed lakes. The influence of frequency and duration of closure on the ecology of coastal lakes is discussed.
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DeBruijn, Gunnar. "Technology Focus: Cementing and Zonal Isolation (May 2021)." Journal of Petroleum Technology 73, no. 05 (May 1, 2021): 65. http://dx.doi.org/10.2118/0521-0065-jpt.
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Wow! What a year it has been! We have experienced enormous upheavals in our professional and social circles and wholescale changes in the way that we interact with each other. As engineers, though, we recognize that in every challenge there is an opportunity. I have been lucky to attend SPE online events, including a happy hour and a webinar on geothermal energy. As we witness a shift to renewable energy, I note that 2020 SPE President Shauna Noonan highlighted that our SPE professional expertise in the subsurface will be needed to both maintain existing energy production and develop new sources of energy. Cementing, zonal isolation, and well integrity continue to be an important piece of the puzzle. This year, in the presence of enormous challenges, the selected papers demonstrate step changes both in efficiency and in the results of cementing operations. Managed-pressure cementing extends the benefits of managed-pressure drilling, and a successful case is described in paper OTC 30481. Last year, we read about offline cementing in North America. Offline cementing continues to increase rig efficiency, and wellhead equipment that enables offline cementing is described in paper SPE 202439. Improving cementing results by enabling casing rotation with rotating cement heads is discussed in paper SPE 198970. Research that will enable future successful changes also continues. Although not summarized in this edition, extra reading is recommended for interesting discussions on proving shale as a barrier (SPE 200755), cement properties and initial state of stress in confined pressure conditions (SPE 201770), and the evaluation of neutron logging as a possible cement evaluation tool (SPE 202973). As an industry, we also continue to investigate materials that will provide effective isolation in the annulus. Papers about self-healing systems (SPE 203174), epoxy (SPE 202648), and expanding metal sealing systems (SPE 203354) are also recommended as extra reading. Although it has been a challenging year, operational improvements, research, and material investigation continue to provide engineering opportunities in cementing and zonal isolation. Recommended additional reading at OnePetro: www.onepetro.org. SPE 200755 - Innovative One-Trip System Helps Qualify Creeping Shale as Permanent Barrier for Plug and Abandonment of Wells on the Gyda Field by Thore Andre Stokkeland, Archer, et al. SPE 201770 - Laboratory Measurement of Cement Stress Before, During, and After Curing Under Undrained Condition With Constant Hydrostatic Pressure by Meng Meng, Los Alamos National Laboratory, et al. SPE 202973 - Potential Usage of Neutron Logging Technology for Casing Cement Evaluation—Feasibility Study by Espen Dommersnes, University of Stavanger, et al. SPE 203174 - A Game-Changing Technology for Cementing in Highly Deviated and Horizontal Wells Using Interactive Mud-Sealing Cement System by Choosak Orprasert, Mubadala Petroleum, et al. SPE 202648 - Primary Cementing Using Epoxy Resins as Additive: Experimental and Application by Khawlah Abdulaziz Alanqari, Saudi Aramco, et al.
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Lynikienė, Jūratė, Diana Marčiulynienė, Adas Marčiulynas, Artūras Gedminas, Miglė Vaičiukynė, and Audrius Menkis. "Managed and Unmanaged Pinus sylvestris Forest Stands Harbour Similar Diversity and Composition of the Phyllosphere and Soil Fungi." Microorganisms 8, no. 2 (February 15, 2020): 259. http://dx.doi.org/10.3390/microorganisms8020259.
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The aim was to assess fungal communities associated with living needles and soil of Pinus sylvestris in managed and unmanaged forest stands to get a better understanding of whether and how different intensities of forest management affects fungal diversity and community composition under the north temperate forest zone conditions. The study was carried out in three national parks in Lithuania. Each included five study sites in managed stands and five in unmanaged stands. At each site, three random soil cores and five random last-year needle samples were collected. Following DNA isolation, a DNA fragment of the ITS2 rRNA gene region of each sample was individually amplified and subjected to high-throughput sequencing. Analysis of 195,808 high-quality reads showed the presence of 1909 fungal taxa. Richness and composition of fungal taxa were similar in each substrate (needles and soil) in managed vs. unmanaged sites. The most common fungi in needles were Coleosporium campanulae (12.4% of all fungal sequences), Unidentified sp. 3980_1 (12.4%), Unidentified sp. 3980_4 (4.1%) and Sydowia polyspora (3.1%). In soil: Unidentified sp. 3980_21 (8.6%), Umbelopsis nana (8.2%), Archaeorhizomyces sp. 3980_5 (8.1%) and Penicillium spinulosum (6.3%). The results demonstrated that managed and unmanaged P. sylvestris stands support similar diversity and composition of fungal communities associated with living needles and soil.
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Bertram, John E. A. "Hypothesis testing as a laboratory exercise: a simple analysis of human walking, with a physiological surprise." Advances in Physiology Education 26, no. 2 (June 2002): 110–19. http://dx.doi.org/10.1152/advan.00002.2001.
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This paper describes a laboratory exercise designed to provide students with experience testing a hypothesis by systematically isolating and controlling determinant variables. The study involves an analysis of walking and is performed by the students on a subject from within their lab group. The study requires use of a motorized treadmill, tape measure, stop watch, metronome, personal cassette player, and calculator. The exercise is designed to include factors that the students are familiar with, so they can focus on the isolation of variables without being confused about the process they are investigating. However, the exercise will not turn out as the students anticipate, meaning they will be forced to reevaluate the assumptions that formed the basis of their original hypothesis. This exercise is designed for a college-level course in exercise science, physiology, or biology but could easily be managed by a high school honors class with appropriate guidance.
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Xu, Germaine G., Andrew Yam, Lam Chuan Teoh, Fok Chuan Yong, and Shian Chao Tay. "Epidemiology and Management of Surgical Upper Limb Infections in Patients with End-stage Renal Failure." Annals of the Academy of Medicine, Singapore 39, no. 9 (September 15, 2010): 670–74. http://dx.doi.org/10.47102/annals-acadmedsg.v39n9p670.
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Introduction: Hand infections in patients with end-stage renal failure (ESRF) are more difficult to treat and have had the worse outcomes. This paper examines the epidemiology, bacteriology and outcomes of surgically managed upper limb infections in these vulnerable patients. Materials and Methods: All patients from a single centre with surgically-managed upper limb infections between 2001 and 2007 were reviewed. We collected epidemiological data on demographics, type and site of infection, bacteriology, surgical treatment, complications and mortality. Results: Forty-seven out of 803 (6%) patients with surgically managed upper limb infections in the study period had ESRF. The average age was 59 years. ESRF was secondary to diabetes in 88% of cases. Patients presented on average 7 days after onset of symptoms. Abscesses (34%), wet gangrene (26%) and osteomyelitis (11%) were the commonest infections. Methicillin-resistant Staphylococcus aureus (MRSA) was the commonest pathogen (29%), occurring either in isolation or with other organisms. Eighteen percent of single organisms cultured were gram-negative. Multiple organisms occurred in 29%. A median of 2 operations were required. Thirty-six percent of all cases required amputation. Twenty-five percent of patients had a life-threatening event (myocardial infarction or septic shock) during treatment. Conclusions: ESRF patients present late with severe upper limb infections. Nosocomial infections are common. Initial empirical antibiotic treatment should cover MRSA and gram-negative bacteria. Immediate referral to a hand surgery unit is recommended. Multi-disciplinary management of the patient with input from physicians and anaesthetists or intensivists in the perioperative period is necessary to optimise the patient for surgery and to manage active medical comorbidities and complications after surgery. Key words: Bacteriology, Complications, Diabetes mellitus, Hand infections, Upper limb amputation
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Adewuyi, G. M., O. S. Samuel, A. E. Unuane, K. O. Iraoyah, G. O. Onuha, O. T. Otumu, and J. I. Ogbue. "‘Metastatic seed’ of cholera in Edo State, Nigeria: a case report." African Journal of Clinical and Experimental Microbiology 23, no. 3 (June 17, 2022): 330–34. http://dx.doi.org/10.4314/ajcem.v23i3.13.
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There were reported cholera epidemics in some States in Nigeria. Cholera is an acute diarrhea disease with marked epidemic propensity, caused by colonization of the small intestine by Vibrio cholerae serogroup 01 or 0139. Cholera, like other infectious diseases epidemics, has propensity for sending metastatic seed to any susceptible remote community. If the metastatic seed can be promptly diagnosed and managed appropriately, the spread and development of new epicenter can be aborted. This report is a case of metastatic cholera who presented in a tertiary hospital in Edo State, Nigeria. The case was promptly detected and effectively managed using good surveillance system, inter-departmental collaboration, swift responses, good laboratory practices, patient isolation and infection prevention and control measures, coupled with appropriate fluid and antimicrobial treatments. This prevented cholera epidemic in the hospital and Edo State in general.
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Curtis, John M. "Considerations in Diagnosis and Management of Violent Behavior." Psychological Reports 57, no. 3 (December 1985): 815–23. http://dx.doi.org/10.2466/pr0.1985.57.3.815.
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Accountability of psychotherapists and other health-care professionals has now been extended to the prediction and control of violent behavior. Professional and public liability requires mental health practitioners to develop more reliable methods by which violent behavior may be diagnosed, managed with effective strategies, and ultimately prevented. The present paper lists a number of verifiable elements, e.g., (a) diagnosis, (b) availability of weapons, (c) use of drugs or alcohol, (d) history of violent behavior, (e) social withdrawal, isolation and absence of support systems, (f) level of psychosocial stress, and (g) environmental crises, which may be utilized to predict violent behavior with improved consistency. While by no means exhaustive, these suggested factors applied together with clinicians' “intuition” or “clinical judgment” might help improve the consistency with which violent behavior is diagnosed and then managed. Strategies for dealing with deleterious effects were also suggested.
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Boone, Grace, Aynsley C. Romaniuk, Shanis Barnard, Traci Shreyer, and Candace Croney. "The Effect of Early Neurological Stimulation on Puppy Welfare in Commercial Breeding Kennels." Animals 13, no. 1 (December 24, 2022): 71. http://dx.doi.org/10.3390/ani13010071.
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Throughout their lives, dogs may experience various stressful events. Early neurological stimulation (ENS), which was shown to alter stress responses beneficially in some animals, has not been fully explored in dogs. Seventy-six small-breed puppies from one commercial breeding kennel were divided into three treatment groups: ENS, held, and control. Puppies in the ENS group received 30 s of handling exercises for 21 days after birth; puppies in the held group were simply held for the same amount of time. Puppies in the control group were managed as per normal breeder practices (i.e., routine husbandry and physical health checks). Physical health was assessed weekly, and puppies were generally healthy and clean. Behavioral responses to stranger approach and isolation tests were evaluated pre- and post-ground-transportation to a distributor. Puppies were more affiliative toward a stranger post-isolation than pre-isolation (p < 0.001), and post-transport than pre-transport (p < 0.001). At the distributor, puppies in the isolation test spent less time in exploratory locomotion (p < 0.001) and vocalized more than at the breeder’s kennel (p = 0.011). Treatment did not affect these results. Overall, the results suggest that the type of ENS used in this study may not provide the purported benefits to puppies’ stress responses in commercial breeding populations.
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Parker, S. J., and R. F. Dale. "Is perianal sepsis adequately managed? The results of a five year audit at Royal Naval Hospital Haslar." Journal of The Royal Naval Medical Service 80, no. 3 (1994): 148–51. http://dx.doi.org/10.1136/jrnms-80-148.
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AbstractA retrospective audit and postal questionnaire of 148 patients presenting with perianal sepsis confirms that the isolation of gut-related organisms remains a sensitive indicator of a perianal fistula. It did not confirm that the use of microbiological results affects the long term outcome for these patients. It suggests that early examination under anaesthetic and laying open of a fistula may not be necessary in all patients in which gut-related organisms are identified. There was no statistical difference in recurrence rates of perianal sepsis between those operated on by senior or junior surgeons, though there may have been selection bias in these patients.
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Schofield, Pat. "Pain in Older Adults: Epidemiology, Impact and Barriers to Management." Reviews in Pain 1, no. 1 (August 2007): 12–14. http://dx.doi.org/10.1177/204946370700100104.
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• There will be increased numbers of older adults in society in the next few decades. • Older adults are more likely to have pain problems and other co-morbidities. • Generally pain is poorly managed in older adults and this becomes worse when cognitive impairment exists. • The impact of chronic pain on older adults will be greater than that of their younger counterparts in terms of social isolation. • Attitudes and barriers exist in both the older adults themselves and their younger counterparts.
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Moghaddam, Nima, Bahar Moghaddam, Natasha Dehghan, and Nathan W. Brunner. "Isolated large vessel pulmonary vasculitis leading to pulmonary artery aneurysm formation: a case report and literature review." Pulmonary Circulation 8, no. 2 (February 28, 2018): 204589401876534. http://dx.doi.org/10.1177/2045894018765346.
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Pulmonary artery (PA) vasculitis occurs in association with primary vasculitides—in particular, giant cell arteritis, Takayasu’s arteritis, or Behçet’s disease—or secondary vasculitis as a result of infections or malignancy. However, PA vasculitis in isolation and with concomitant aneurysmal dilation is an unusual finding. We present a rare case of PA aneurysm secondary to isolated PA vasculitis in an asymptomatic patient with no features of systemic vasculitis. This case highlights one of the first cases of PA vasculitis managed with surgical resection alone.
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Debnath, Chitto Ranjan, Md Saiful Islam Khan, Md Sakirul Islam Khan, Proggananda Nath, Lakshmi Narayan Majumder, Md Sayem Monowar, Monalisa Khan, et al. "A comprehensive design for prevention and management of COVID-19 in a tertiary medical institution in Bangladesh." Journal of Infection in Developing Countries 16, no. 08 (August 30, 2022): 1252–57. http://dx.doi.org/10.3855/jidc.13729.
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Introduction: Containment of the further spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and reducing fatality due to coronavirus disease 19 (COVID-19) represent a pressing challenge to global health services. Here, we present a management blueprint for both the containment of SARS-CoV-2 and treatment of COVID-19 through a comprehensive approach.
Methodology: A cohort of 130 consecutive patients identified as positive for SARS-CoV-2 by testing of nasal swab by polymerase chain reaction were managed at a peripheral city of Bangladesh between 1 April and 31 May, 2020. Based on their clinical status, 64 of them were initially selected for isolation (Isolation Group) and 66 recommended for hospitalization (Hospital Group) as per the direction of the “Central COVID-19 Control” Center. Both groups of patients were allocated to receive standard of care management and oxygen inhalation, and intensive care unit management as and when necessary. Based on the conditions of the COVID-19 patients, there was an active system of patients being transferred from the “Isolation Group” to “Hospital Group” and vice versa.
Results: Twelve patients of the “Isolation Group” were transferred to the hospital, as they exhibited symptoms of deterioration. Four patients of the “Hospital Group” died during the observation period of two months in the intensive care unit. However, there has been no fatality among the patients of the “Isolation Group”.
Conclusions: The concept of “Isolation” and “Hospital Management” with the participation of the community seems to be an effective management strategy for COVID-19 in developing countries.
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Bradley, Dana, Carmen Sceppa, and Carmen Sceppa. "Isolation in Older Adults in the United States and Japan: An Early Examination of IOT Possibilities." Innovation in Aging 5, Supplement_1 (December 1, 2021): 450–51. http://dx.doi.org/10.1093/geroni/igab046.1744.
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Abstract Isolation in older adults is a growing problem in both the US and Japan. This symposium showcases work funded by NSF and JST (Japan Science Technology Committee) to develop smart technology to create caring, connected communities by integrating gerontology and technology research. The U.S. and Japan are experiencing dramatic population aging and share several similarities: Populous (U.S. 327 million at #3 and Japan 127 million at #11) and economically developed (GDP: the U.S. #1 and Japan #3) and isolation was increasing even before the pandemic. This multi-year project addresses the challenges of isolation by using smart technologies in culturally appropriate ways to support older adults and suggests ways that isolation and loneliness may be managed by older persons, local governments, and NGOs. The first paper examines the experiences of loneliness as characterized by early retirees in both countries. The interdisciplinary research team has used this qualitative set of case studies to identify promising technology support points. Our second paper explores these issues surrounding isolation using data from Study on the Lifestyle and Values of Senior Citizens (Japan). This analysis focuses on longitudinal data from both countries and helps situate our work outside the Covid-19 Pandemic. The third presentation focuses on the intersection between culture and technology and proposes a continued research collaboration model. Our discussion will highlight how community stakeholders in U.S. and Japan have a role in creating evidence-based adaptive environments to detect and mitigate isolation by developing and using gero-centric approaches.
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Liang, SiYu, ZhiHong Tian, XinDa Cheng, Yu Jiang, Le Wang, and Shen Su. "A Quantitative Method for the DNS Isolation Management Risk Estimation." Electronics 9, no. 6 (June 1, 2020): 922. http://dx.doi.org/10.3390/electronics9060922.
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The domain name system (DNS) is an important infrastructure of the Internet, providing domain name resolution services for almost all Internet communication systems. However, the current DNS is centrally managed, leading to unfair sovereignty of the Internet among countries. A domestic DNS is unable to work normally, noted as isolated management risk (IMR), especially when the national network is isolated from the rest of the Internet. To improve understanding of the DNS isolated management risk for better DNS resource deployment, it is critical to determine how serious the IMR is among various countries. In order to quantify DNS isolated management risk, this paper proposed an effective approach to collect DNS resolution demand data from the network used by various intelligent devices and to conduct data analysis to estimate isolated management risk of certain country’s domestic DNSs. Our idea is to quantify the domain name resolution demand and its relationship with the overseas resolution processes. We further used our quantitative method to compare the IMR of the USA and China and analyzed the difference between them.
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Tumilty, Emma, Fiona Doolan-Noble, Anna Tiatia Fa'atoese Latu, Kathryn McAuley, Jack Dummer, Jo Baxter, Debbie Hannah, Simon Donlevy, and Tim Stokes. "'A balancing act'. Living with severe chronic obstructive pulmonary disease in Southern New Zealand: a qualitative study." Journal of Primary Health Care 12, no. 2 (2020): 166. http://dx.doi.org/10.1071/hc20007.
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ABSTRACT INTRODUCTIONChronic obstructive pulmonary disease (COPD) is a common chronic condition managed in primary care. AIMTo understand how patients with severe COPD living in the Southern Health Region (Otago and Southland) experience and cope with the condition. METHODSSemi-structured interviews were undertaken with 23 patients with severe COPD (defined using the 2013 GOLD classification). A thematic analysis was conducted. RESULTSPatients’ accounts of living with severe COPD revealed four themes: loss, adaptation, isolation and social support. All participants discussed their sense of loss in coming to terms with having COPD and the ongoing restrictions or changes that were associated with breathlessness and fatigue. These losses required adaptation in daily living. Some patients struggled to adjust to new limitations and needed to rely on others for support. Others found ways to adapt their surroundings or ways of doing things while trying to maintain the same activities. Isolation was described in two ways – direct (no longer being able to easily socialize because activities often caused breathlessness) and indirect (the feeling of being isolated from others because they do not understand what it is like to live with COPD). Social support, including support provided by group-based pulmonary rehabilitation, helped to address the problems of social isolation. DISCUSSIONLiving with severe COPD is a ‘balancing act’ between insecurity (loss and isolation) and resilience (adaptation and social support). Health-care providers need to be proactive in identifying and managing patients’ unmet health needs and promote activities that reduce social isolation.
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Meirovich, G. "Systematic Application of Normative and Descriptive Aspects of Management Education." Management Science 9, no. 3 (October 7, 2019): 72–77. http://dx.doi.org/10.26794/2304-022x-2019-9-3-72-77.
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This theoretical study advocates strongly for clear differentiation and synthesis of descriptive and normative approaches in management education. There is a certain isolation of normative and descriptive theoretical frameworks presented in management courses. Normative models in management explain how organizations should be managed, while descriptive frameworks show how they actually are managed. Significant portions of what we teach in the business curriculum are predominantly descriptive; other parts are mostly normative, or prescriptive. If these domains are not sufficiently connected, the relevance of both approaches diminishes. When one piece of material explains the current reality without providing tools to improve it, while another piece prescribes steps for improvement that are not grounded in a particular context, students lose interest in both. The paper presents various modes of integration between two realms such as collocation of actual and desired conditions, contingency models, nesting descriptive and normative elements in the same framework.
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Khan-Mayberry, Noreen, John T. James, Rochelle Tyl, and Chiu-wing Lam. "Space Toxicology." International Journal of Toxicology 30, no. 1 (January 25, 2011): 3–18. http://dx.doi.org/10.1177/1091581810386389.
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Space toxicology is a unique and targeted discipline for spaceflight, space habitation, and occupation of celestial bodies including planets, moons, and asteroids. Astronaut explorers face distinctive health challenges and limited resources for rescue and medical care during space operation. A central goal of space toxicology is to protect the health of the astronaut by assessing potential chemical exposures during spaceflight and setting safe limits that will protect the astronaut against chemical exposures while in a physiologically altered state. In order to maintain sustained occupation in space on the International Space Station (ISS), toxicological risks must be assessed and managed within the context of isolation, continuous exposures, reuse of air and water, limited rescue options, and the need to use highly toxic compounds for propulsion and other purposes. As we begin to explore other celestial bodies, in situ toxicological risks, such as inhalation of reactive mineral dusts, must also be managed.
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Mousa, H. A. "Fungal infection of burn wounds in patients with open and occlusive treatment methods." Eastern Mediterranean Health Journal 5, no. 2 (May 30, 1999): 333–36. http://dx.doi.org/10.26719/1999.5.2.333.
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Fungal infection of burn wounds was investigated in a prospective study of 130 patients managed either with open or occlusive treatment methods. In all, 30 fungal isolates were recovered from 26 patients all of whom had bacterial infection also, except for one patient. The predominant fungi recovered were Aspergillus spp. and Candida spp. Fungal infection was more common in patients treated with open dressing [25.5%]than occlusive dressing [16.0%]. Fungal culture from tissue specimens gave a better isolation rate of fungi than from cotton swab specimens
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Esmail, Hanif, and Emma Aarons. "Management of Suspected Avian (H5N1) Influenza in a Non-pandemic Setting." Acute Medicine Journal 6, no. 1 (January 1, 2007): 9–13. http://dx.doi.org/10.52964/amja.0146.
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Avian (H5N1) influenza has been responsible for millions of wild bird and poultry deaths throughout the world. Sporadic human cases with a high mortality have occurred, almost exclusively in association with very close contact with sick, dying or dead birds. Appropriate management of suspected cases requires their prompt recognition via attention to travel and bird-exposure history. The early isolation, diagnosis and treatment of suspected cases as well as prompt involvement of the health protection unit should enable patients to be optimally managed with minimum risk to health care staff.
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Yakabe, Daisuke, Masahiro Araki, Kojiro Furukawa, and Toshihiro Nakamura. "Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report." European Heart Journal - Case Reports 4, no. 3 (May 14, 2020): 1–5. http://dx.doi.org/10.1093/ehjcr/ytaa093.
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Abstract Background Atrial fibrillation (AF) is a common arrhythmia in patients with hypertrophic cardiomyopathy (HCM) and can deteriorate haemodynamic status. Case summary We report a case of a 77-year-old woman with cardiogenic shock due to paroxysmal AF, complicated with HCM and aortic stenosis. Atrial fibrillation was successfully managed with temporary atrial pacing and administration of nifekalant hydrochloride without invasive mechanical circulatory support until surgery. Septal myectomy, aortic valve replacement, and pulmonary vein isolation were performed. Discussion This case suggests that atrial pacing and nifekalant may be safe and effective for rhythm control.
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Meirovich, Gavriel. "Normative and Descriptive Aspects of Management Education: Differentiation and Integration." Journal of Educational Issues 1, no. 1 (June 3, 2015): 97. http://dx.doi.org/10.5296/jei.v1i1.7395.
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<p>This study advocates strongly for clear differentiation and synthesis of descriptive and normative approaches in management education. There is a certain isolation of normative and descriptive theoretical frameworks presented in management courses. Normative frameworks in management explain how organizations <em>should be</em> managed, while descriptive frameworks show how they actually <em>are </em>managed. Significant portions of what we teach in the business curriculum are predominantly descriptive; other parts are mostly normative, or prescriptive. If these domains are not sufficiently connected, the relevance of both approaches diminishes. When one piece of material explains only the current reality without providing tools to improve it, while another piece prescribes steps for improvement that are not grounded in a particular context, students lose interest in both. The paper presents various modes of differentiation and integration between two realms and pertinent ways to recalibrate management courses.</p>
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Connor, Margaret A., Stephanie Tarvin, Megan Quail, and Sven Peter Batke. "Plant diversity and community composition in managed humid coastal dune slacks in NW England." PLOS ONE 16, no. 8 (August 19, 2021): e0256215. http://dx.doi.org/10.1371/journal.pone.0256215.
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Humid coastal dune slacks are an endangered habitat in Northwestern Europe. In the UK, dune slacks are currently classified as being in ‘unfavourable’ condition, with projected decrease in England of up to 30% by 2036. Studies in mainland Europe suggest that regional factors (e.g. slack area, age, and isolation) are more important than local factors (e.g. soil, pH, soil nutrient and water status) in driving successional vegetation processes in coastal slacks. However, this has never been tested for the UK, where approximately 14% of European slacks occur. We used previously established survey protocols to test whether regional factors are more important than local factors in UK coastal slacks, along the Sefton Coast in NW England. We found that slack area and slack age were more important than local factors in driving plant community composition and species richness. We also showed that higher levels of management, such as active grazing and invasive shrub and tree removal, are effective in increasing soil moisture levels in slacks. Our results suggest that similar successional processes are likely to be important in slacks in the NW of England, compared to mainland Europe.
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Reagu, Shuja, Ovais Wadoo, Javed Latoo, Deborah Nelson, Sami Ouanes, Naseer Masoodi, Mustafa Abdul Karim, et al. "Psychological impact of the COVID-19 pandemic within institutional quarantine and isolation centres and its sociodemographic correlates in Qatar: a cross-sectional study." BMJ Open 11, no. 1 (January 2021): e045794. http://dx.doi.org/10.1136/bmjopen-2020-045794.
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SettingThe State of Qatar has had one of the highest COVID-19 infection rates globally and has used state-managed quarantine and isolation centres to limit the spread of infection. Quarantine and isolation have been shown to negatively affect the mental health of individuals. Qatar has a unique population, with around 90% of the population being economic migrants and a majority being blue-collar workers and labourers.ObjectivesThis study was carried out to evaluate the psychological impact of institutional isolation and quarantine during the COVID-19 pandemic outbreak in Qatar. The study also explored the sociodemographic correlates of this psychological impact.Design, participants and interventionA cross-sectional study involving 748 consenting individuals in institutional quarantine and isolation in Qatar during the months of June and July 2020 was carried out. Relevant sociodemographic data along with depressive and anxiety symptomatology scores were collected from consenting adults at these facilities.Results37.4% (n=270) of respondents reported depressive symptoms and 25.9% (n=189) reported anxiety symptoms. The scores were higher for individuals in isolation facilities and higher for migrants from poor socioeconomic group (p<0.001 for both). Within this group, although worries about infection were widely reported, lack of contact with the family was cited as one of the most important sources of distress. Respondents reported that contact with the family and reliable information were important factors that helped during the duration of isolation and quarantine.ConclusionsOur study reported significantly elevated scores for depression and anxiety during institutional quarantine, which is in keeping with emerging evidence. However, in contrast to other studies reporting mostly from native populations, this study of a population with an overwhelming majority of immigrants highlights the special mental health needs of this specific group and can inform future healthcare policies.
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Campbell, Patrick, Selim Krim, and Hector Ventura. "The Bi-directional Impact of Two Chronic Illnesses: Heart Failure and Diabetes A review of the Epidemiology and Outcomes." Cardiac Failure Review 1, no. 1 (2015): 8. http://dx.doi.org/10.15420/cfr.2015.01.01.8.
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Heart failure and diabetes mellitus contribute significantly to the morbidity and mortality of the US population. The combined economic impact on the US health care system reaches nearly $300 billion. Much of this cost stems from the frequent hospital admissions and direct cost of managing the two diseases. The presence of diabetes significantly increases the risk of developing heart failure compared to the general population and diabetics with heart failure experience significantly higher mortality. Patients with heart failure have a high incidence of insulin resistance and are at increased risk of developing diabetes mellitus. Traditionally these two chronic illnesses have been managed in relative isolation. However the adverse effects of each disease has significant impact on the other. The combination of heart failure and diabetes mellitus significantly increases the morbidity and mortality compared to either in isolation. This paper reviews the epidemiology and impact of the bidirectional effects of these two chronic illnesses.
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Zaman, Begum Safia, Mst Minara Khatun, Md Ariful Islam, Shadia Sharmin, Umme Kulsum, and M. Enamul Hoq. "Bacterial Flora of Koi (Anabas testudineus) Harvested from Ponds and Their Antibiogram." Microbes and Health 2, no. 1 (February 24, 2014): 8–11. http://dx.doi.org/10.3329/mh.v2i1.17255.
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Fish is known to harbour bacteria of public health importance. Aquatic environments of ponds are known to influence the bacterial loads of the harvested fish. The present work was undertaken to determine total viable count (TVC) and isolation and identification of bacteria from Koi fish, mud and water samples of two selected ponds managed and owned by the Bangladesh Fisheries Research Institute (BFRI) and two ponds located at Muktagacha, Mymensingh, managed by private owners. Fish (n=16), mud (n=16) and water (n=16) samples were collected from all 4 ponds. Samples were cultured on plate count agar to determine TVC. Fish harvested from Muktagacha ponds had statistically higher bacterial count (8.44 ± 0.04 log10 CFU/ml) when compared to BFRI ponds (7.92±0.17 log10 CFU/ml) (p? 0.05). Similarly, highest TVC was found in mud and water samples of Muktagacha ponds (6.87±0.73 and 7.41±0.04 log10 CFU/ml, respectively) compared to mud and water samples of BFRI ponds (5.04 ±0.07 and 5.40±0.09 log10 CFU/ml, respectively). Samples were inoculated onto appropriate selective media for isolation of bacteria. Total 257 bacterial isolates representing five genera were identified: Pseudomonas spp. (21.40%), Aeromonas spp. (33.46%), Vibrio spp. (14.78%), Salmonella spp. (21.40%) and E. coli (8.94%). Antibiotic sensitivity assay showed multidrug resistant profiles of Pseudomonas sp., Aeromonas sp., Salmonella sp. and E. coli. These bacteria are known to cause food borne illness in humans and spoilage of fish. Microbes and Health, June 2013, 2(1): 8-11DOI: http://dx.doi.org/10.3329/mh.v2i1.17255
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Lee, Ji Hye, Hae Sook Kim, Hwi-Joong Yoon, and Kun Soo Lee. "Significance of Laminar Air Flow Room for the Reverse Isolation in Neutropenic Cancer Patients." Blood 108, no. 11 (November 16, 2006): 5503. http://dx.doi.org/10.1182/blood.v108.11.5503.5503.
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Abstract Infection is one of the most important causes of death in cancer patients. So many physicians make every effort to control the infection, especially in neutropenic cancer patients. The aim of this study is to find out the role of HEPA filter equipped laminar air flow room reverse isolation for the management of chemotherapy induced febrile neutropenic children with cancer. We evaluated febrile neutropenic patients following chemotherapy from January 2003 to April 2006 at the Department of Pediatrics, Kyungpook National University Hospital, Daegu, Korea. They were promptly managed by antibiotics and antifungal agents and if possible, they were isolated in the aseptic room. They were allocated to three groups of standard ward care, isolation after onset of fever and isolation before onset of fever. Profiles of infection, clinical courses and survival rate were compared among three groups. One hundred and nine episodes of febrile neutropenia from thirty eight cancer patients were observed. Twenty nine were boys and nine were girls with their median age were 5.5 years. The diagnoses included acute leukemia (36.8%), malignant lymphoma (15.8%), and other solid tumor (47.4%). Fifty five episodes were included to standard ward care, forty four episodes to isolation after onset of fever and thirteen episodes to isolation before onset of fever. We found out that one in thirteen episodes of isolation before onset of fever (8%) and twenty six in ninety six episodes in other groups (27%) were microbiologically or clinically defined infections. Fifty six episodes recovered and only one died of infectious cause both isolation after and before onset of fever group, especially all recovered in isolation before onset of fever group. Forty eight episodes recovered and four died in general ward care group, but there was no statistical difference among three groups (p=0.93). Age, sexual difference, underlying disease, absolute neutrophil count (ANC), duration of ANC recovery and incidence of disseminated intravascular coagulation were no difference among three groups. In early isolated group, duration of fever and antibiotics medication were significantly shorter (p=0.002, 0.009) and CRP level was lower than other two groups (p=0.04). Reverse isolation in laminar air flow room for neutropenic cancer children before onset of fever affect the durations of fever and antibiotics treatment with beneficial effect.
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Kim, Hyun-Jun. "FOSTERING SOCIAL CONNECTIVITY AND RESILIENCE IN SEXUAL AND GENDER MINORITY OLDER ADULTS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 359. http://dx.doi.org/10.1093/geroni/igac059.1419.
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Abstract While social connectedness and engagement are key aspects of well-being over the life course, sexual and gender minority (SGM) older adults are found to experience elevated risks of social isolation and limited social connectivity, which have been linked to loneliness. Social isolation and loneliness have been significant health concerns, increasing risk of premature death, cognitive decline, and poor health and well-being, yet SGM older adults are resilient populations. To address the strengths and challenges found in evidence-based intervention development, it is critical to understand how they have managed to build and maintain their social resources and reduce social isolation and loneliness. To this end, this symposium will analyze and incorporate the results using data from both Aging with Pride: National Health, Aging and Sexuality/Gender Study (NHAS), the first longitudinal study of SGM older adults in the United States and Innovations in Empowerment and Action (IDEA) Café, the first clinical trial pilot study addressing social isolation among SGM older adults living with dementia. Dr. Kim and colleagues with present a factor analysis suggesting a multi-dimensional construct of social resources unique to SGM older adults. Dr. Fredriksen Goldsen and colleagues will identify sexual and gender diverse older adults at heightened risk of loneliness and examine risk and protective factors. Dr. Emlet and colleagues will present findings from a pilot study, IDEA Café, designed to enhance social connectedness, physical functioning, and quality of life among socially isolated SGM older adults with cognitive impairment.
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Tay, Joanne, Yeuk Fan Ng, Jeffery Cutter, and Lyn James. "Influenza A (H1N1-2009) Pandemic in Singapore – Public Health Control Measures Implemented and Lessons Learnt." Annals of the Academy of Medicine, Singapore 39, no. 4 (April 15, 2010): 313–24. http://dx.doi.org/10.47102/annals-acadmedsg.v39n4p313.
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We describe the public health control measures implemented in Singapore to limit the spread of influenza A (H1N1-2009) and mitigate its social effects. We also discuss the key learning points from this experience. Singapore’s public health control measures were broadly divided into 2 phases: containment and mitigation. Containment strategies included the triage of febrile patients at frontline healthcare settings, admission and isolation of confirmed cases, mandatory Quarantine Orders (QO) for close contacts, and temperature screening at border entry points. After sustained community transmission became established, containment shifted to mitigation. Hospitals only admitted H1N1-2009 cases based on clinical indications, not for isolation. Mild cases were managed in the community. Contact tracing and QOs tapered off, and border temperature screening ended. The 5 key lessons learnt were: (1) Be prepared, but retain flexibility in implementing control measures; (2) Surveillance, good scientific information and operational research can increase a system’s ability to manage risk during a public health crisis; (3) Integrated systems-level responses are essential for a coherent public health response; (4) Effective handling of manpower surges requires creative strategies; and (5) Communication must be strategic, timely, concise and clear. Singapore’s effective response to the H1N1-2009 pandemic, founded on experience in managing the 2003 SARS epidemic, was a whole-of-government approach towards pandemic preparedness planning. Documenting the measures taken and lessons learnt provides a learning opportunity for both doctors and policy makers, and can help fortify Singapore’s ability to respond to future major disease outbreaks. Key words: Communications, Preparedness, Surge capacity
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Farnsworth, Kirk E., and Michael W. Regier. "A Vision for the Future: Redeeming Psychology and Business, Managing Managed Care, and Partnering with the Church." Journal of Psychology and Theology 25, no. 1 (March 1997): 155–63. http://dx.doi.org/10.1177/009164719702500115.
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A vision for the future of Christian counseling is presented, focusing on four integration issues: incorporation of psychology and theology into one's practice, integration of business practices and biblical principles, intrusion of managed care into mental health care, and isolation of counselors from the church. The negative effects of professionalism are considered, including the spiritual mediocrity created by contractual relationships. In contrast, covenantal relationships are more biblical as well as foundational to Christian counseling. A covenantal biblical view of reality is discussed, followed by a comparison of the transactional—contract-based—and transformational—covenant-based—approaches to counseling. Engendering covenantal understanding in others, engaging them in covenantal actions and encouraging their ongoing participation in covenant community are pivotal in the future of Christian counseling. Finally, guidelines for the future are given, with special emphasis on partnering with local churches in developing caring communities for the completion of the transformation process.
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Kaidi, Austin C., Michael B. Held, Paul J. Park, and Wakenda K. Tyler. "Postoperative COVID-19 Pneumonia following Resection of a Large Thoracic Chondrosarcoma." Case Reports in Orthopedics 2021 (January 30, 2021): 1–6. http://dx.doi.org/10.1155/2021/8866848.
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Case. A 57-year-old man presenting with two months of insidious shoulder pain was found to have a large thoracic chondrosarcoma invading the spinal canal. The patient’s orthopedic oncologist organized an interdisciplinary team including interventional radiology, thoracic surgery, neurosurgery, and plastic surgery. This allowed safe, en bloc tumor resection. The patient’s postoperative course was complicated by COVID-19 pneumonia, which was rapidly identified and medically managed with full recovery. Conclusion. Postoperative COVID-19 pneumonia can present insidiously and mimic other postoperative complications. Early identification and testing can promote rapid isolation, proper personal protective equipment use, and guide outcome-improving treatments.
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Boulyana, M. "Acute Neonatal Parotitis with Late-Onset Septic Shock due toStreptococcus agalactiae." Case Reports in Pediatrics 2014 (2014): 1–3. http://dx.doi.org/10.1155/2014/689678.
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Acute neonatal parotitis (ANP) is a very rare disease. Most cases are managed conservatively; early antibiotics and adequate hydration may reduce the need for surgery. The most common cause of ANP isStaphylococcus aureus. We report a rare case of acute neonatal parotitis with late-onset septic shock due toStreptococcus agalactiae. The diagnosis was confirmed with ultrasound and isolation ofStreptococcus agalactiaefrom blood culture. The patient was treated successfully with 10 days of intravenous antibiotics and supportive measures. Despite being rare, streptococcal ANP should be considered in the etiological diagnosis of neonatal sepsis. Early diagnosis and appropriate antibiotic might prevent serious complications.
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Madhubhushan M, Seshaiah S, Chandrudu J, Sagar R, and Akila CR. "Isolation and characterization of oleochemical compounds from watermelon seed." International Journal of Novel Trends in Pharmaceutical Sciences 10, no. 4 (December 11, 2020): 79–82. http://dx.doi.org/10.26452/ijntps.v10i4.1377.
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The common watermelon item (Citrullus lanatus) seeds were gained from castoffs verdant nourishments for use by decorating, sun ventilation and pulverizing. Light yellow-toned oil was gotten by dissolvable withdrawal using oil atmosphere and the going with traits were gotten using oil ether: pH, refractive rundown, thickness, dissolvable miscibility, coagulating temperature, fire nature, express gravity, streak point and warmth of consuming. With a shallow level of unsaturation, stepped level of smoothness, and proximity of raised degree of the sensible proportion of free unsaturated fats. The low assessment of the solidifying temperature of the oil offered a hint that the oil can be managed in various areas paying little heed to the qualification in temperature. The following level of linoleic destructive of the oil offers a hint of natural gradation of solidarity. Fatty esters are increasing expanding significance as a biodegradable swap for mineral oils. In some request regions, for example, cutting tool oil, gearbox, pressure-driven oils, and greases for raw petroleum creation, the oleochemical items are set up. Nonetheless, certain particular wellsprings of fatty esters are hitherto to be abused for this comparative reason. This exploration subsequently tests into one of the less used wellsprings of fatty esters in watermelon. The oil from the kernels demonstrations a top-notch yield presents significant utilitarian gatherings for change and thus was utilized to set up an assortment of oleochemicals which demonstrated excellence materials in contrast with the routinely utilized oils feed frameworks for oleochemicals after portrayal. The photopolymers acquired indicated piercing vinyl protons for consistent polymerize.
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Williams, Geoffrey R., Krista Head, Karen L. Burgher-MacLellan, Richard E. L. Rogers, and Dave Shutler. "Parasitic mites and microsporidians in managed western honey bee colonies on the island of Newfoundland, Canada." Canadian Entomologist 142, no. 6 (December 2010): 584–88. http://dx.doi.org/10.4039/n10-029.
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AbstractWestern honey bees, Apis mellifera L. (Hymenoptera: Apidae), occur in nearly every region inhabited by man because they provide valuable honey, wax, and pollination services. Many commercial honey bee operations are plagued by economically important parasites; however, beekeepers on the island of Newfoundland, Canada, are in a unique position because of the province of Newfoundland and Labrador’s strict import regulations and geographic isolation. We surveyed about 25% of the island’s approximately 100 managed honey bee colonies. The parasitic mites Varroa destructor Anderson and Trueman (Acari: Varroidae) and Acarapis woodi (Rennie) (Acari: Tarsonemidae) were not detected, whereas Nosema spp. microsporidia were detected in two of four beekeeping operations and in 11 of 23 (48%) colonies (intensity = 482 609 ± 1199 489 (mean ± SD); median intensity = 0). Because V. destructor and A. woodi are important pests that typically require chemical treatments, beekeepers on the island of Newfoundland may be uniquely positioned to market organic honey bee products from colonies that could also be a source of mite-naïve bees for research.
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Ng, Kenny. "Combating marine invasive alien species effectively in Australia." Asia Pacific Journal of Environmental Law 24, no. 1 (September 24, 2021): 41–65. http://dx.doi.org/10.4337/apjel.2021.01.02.
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Marine invasive alien species are sea-based organisms that are non-native to a marine ecosystem, and which can or have spread to a degree that has an adverse impact on biodiversity and human livelihoods. In a globalized and inter-connected world, the threats posed by marine invasive alien species are here to stay. Accordingly, it often has been lamented that the threats from marine alien species are too difficult to combat effectively. In Australia, these threats are exacerbated by the country's unique characteristics such as its sheer size, as well as its geographical and historical isolation from the rest of the world. More importantly for the purposes of this article, Australia's unique constitutional framework that entrenches its national system of federalism has led to complex power-sharing arrangements between the Commonwealth, and the State and Territory governments in the management of invasive alien species, which are arguably inadequate to combat marine invasive alien species effectively. In Australia, laws have been made to manage only one vector of marine invasive species, ballast water from vessels, but not for other vectors. This article analyses how marine invasive alien species are currently managed within the Australian legal framework, and discusses what can be done to improve the status quo in order effectively to control the spread of such foreign organisms. It argues with optimism that marine invasive alien species can be effectively managed under a strong legal framework that seeks to prevent their occurrence and minimize the negative impacts of their occurrence. Such a legal framework consists of sound domestic laws and institutions, the effects of which can be enhanced by greater international cooperation.
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Kumar Panda, Sambit, Surai Soren, Ashok Kumar Nayak, Rabindra Kumar Nayak, and Pravash Ranjan Parida. "Evaluation of results of fracture head and neck of radius managed by varius methods." Panacea Journal of Medical Sciences 11, no. 2 (August 15, 2021): 269–73. http://dx.doi.org/10.18231/j.pjms.2021.055.
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Radial head fractures are the most frequent fracture type reported around the elbow. Fractures have been documented to occur in isolation or with other associated osseous and soft tissue injuries. However, despite intensive research into these injuries, controversies still exist regarding the role of further imaging modalities, the use of non-operative management, as well as the indication and technique for operative intervention. To analyses the clinical and functional outcome of patients with head and neck fracture of radius managed by conservative method, open reduction and internal fixation, radial head prosthesis and radial head excision. This study “evaluation of results of fracture head and neck of radius managed by various methods” was carried out in M.K.C.G Medical College, Berhampur from September 2017 to October 2019. Eighty patients of radial head and neck fractures were treated and hereby included in our study. We collected records of the patients by asking the patients history and examining the patients. Essential investigations of all the patients were done. The primary outcome measures were the surgeon reported Mayo Elbow Score (MES) and the patient reported Short Musculoskeletal Function Assessment (SMFA). Current evidence supports open reduction and internal fixation of simple Mason type II fractures. For Mason type III fractures, controversy still exists regarding the optimal treatment. Studies currently show good to excellent results with radial head replacement in the majority of patients with Mason type III fractures with three or more fracture fragments.
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Spies, Ingrid, Paul D. Spencer, and André E. Punt. "Where do we draw the line? A simulation approach for evaluating management of marine fish stocks with isolation-by-distance stock structure." Canadian Journal of Fisheries and Aquatic Sciences 72, no. 7 (July 2015): 968–82. http://dx.doi.org/10.1139/cjfas-2014-0366.
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There is no established management protocol for stocks subject to isolation-by-distance (IBD) stock structure. This study examines several management strategies for two marine fish species subject to IBD using simulation: Pacific cod (Gadus macrocephalus) in the Aleutian Islands (AI) and northern rockfish (Sebastes polyspinis) in the Eastern Bering Sea (EBS) and AI. A one-dimensional stepping stone model was used to model IBD and was intended to mimic regions where marine species are exploited along a continental shelf. The performance of spatial assessment and management methods depended on how the range was split. Splitting anywhere within the managed area led to fewer demes falling below target and threshold biomass levels and higher yield than managing the entire area as a single unit. Equilibrium yield was maximized when each deme was assessed and managed separately and under catch cascading, in which harvest quotas within a management unit are spatially allocated based upon the distribution of survey biomass. The longer-lived rockfish declined more slowly than Pacific cod and experienced greater depletion in biomass under disproportionate fishing effort because of lower productivity. Overall, splitting a management area of the size simulated in the model improved performance measures, and the optimal management strategy grouped management units by demes with similar relative fishing effort.
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Carpenter, Chris. "Managed-Pressure Cementing Implemented in an Exploratory Ultradeepwater Well." Journal of Petroleum Technology 73, no. 05 (May 1, 2021): 66–67. http://dx.doi.org/10.2118/0521-0066-jpt.
Full textAbstract:
This article, written by JPT Technology Editor Chris Carpenter, contains highlights of paper OTC 30481, “Successful Managed-Pressure Cementing on an Exploratory Well Operation in Ultradeep Waters of Mexico,” by Raul Bermudez, Juan Jose Ferro, and Cyril Szakolczai, Total, et al., prepared for the 2020 Offshore Technology Conference, originally scheduled to be held in Houston, 4–7 May. The paper has not been peer reviewed. Copyright 2020 Offshore Technology Conference. Reproduced by permission. The focus of the complete paper is the planning and execution of an ultradeepwater managed-pressure-cementing (MPC) job in the Gulf of Mexico. From the onset of planning, the base case was to integrate a managed-pressure system into the drilling program to mitigate predicted pore-pressure (PP) uncertainty, pressure ramp increase, and narrow PP/fracture-gradient (FG) window operations, including drilling, tripping, and running casing. Although MPC was not originally in the scope of work, it was required because of the tight drilling window and was successfully executed. Introduction The well is in Mexican waters at a depth of 10,748 ft. Given the exploratory nature of the well, a pressure ramp was predicted that would demand an excessive number of casing strings if a conventional approach were used. During the drilling phase—taking advantage of the ability to adjust the bottomhole pressure instantaneously—dynamic PP tests were performed to conclude that the expected pressure ramp was not aggressive but was leading to a narrow window that would not allow conventional cementing of the 13⅜-in. casing. Strategic planning and close collaboration between the operator’s engineering and operations teams, the cementing service provider, the managed-pressure-drilling (MPD) consultant, and the MPD service provider team was required. The uncertainty about the actual size of the hole led to an even more challenging MPC engineering analysis. The result of this cementing job was a success with no fluid losses, resulting in good zonal isolation. The specific objective for the MPC application was to set a 13⅜-in. casing to isolate the critical formation and safely continue drilling further stages of the well with an improved leakoff test at the shoe. Planning and design of the MPC application is detailed in the complete paper. This job represented the greatest water depth, and first from a drillship, for an MPC job performed by both operator and MPD service provider. In addition to performing a critical cementing operation using the managed-pressure approach, reaching well-construction objectives using MPD also was achieved while avoiding the use of a contingency liner, which saved significant expense. The base case was to integrate an MPD system into the drilling program to assist with PP uncertainty, pressure-ramp increase, and narrow PP/FG window operations, including drilling and tripping. The main objective for using the managed-pressure system during cementing was to ensure that the equivalent mud weight (EMW) at both total depth (TD) and the previous casing shoe did not fall below set limits throughout the job. The secondary objective was to reduce or eliminate losses during this process.