The development of effective, safe, and acceptable vaccines is a long process. COVID-19 vaccine hesitancy continues to elicit mixed reactions among different quarters despite numerous evidence of their effectiveness. This study aimed to determine the availability and acceptance rates of SARS-CoV-2 vaccines, among Kenyan and Hungarian residing populations and the underlying reasons contributing to the hesitancy of uptake.
View Article and Find Full Text PDFRecent climate change has been especially pronounced in the High Arctic, however, the responses of aquatic biota, such as diatoms, can be modified by site-specific environmental characteristics. To assess if climate-mediated ice cover changes affect the diatom response to climate, we used paleolimnological techniques to examine shifts in diatom assemblages from ten High Arctic lakes and ponds from Ellesmere Island and nearby Pim Island (Nunavut, Canada). The sites were divided a priori into four groups ("warm", "cool", "cold", and "oasis") based on local elevation and microclimatic differences that result in differing lengths of the ice-free season, as well as about three decades of personal observations.
View Article and Find Full Text PDFDespite recent advances, iatrogenic bile duct injury remains one of the most common complications of laparoscopic cholecystectomy. Aberrant biliary tract anatomy is one of the major risk factors for iatrogenic bile duct injury. In this case report, for the first time, we report a case of aberrant left main bile duct draining directly into the cystic duct or gallbladder that presented with bile duct injury after laparoscopic cholecystectomy.
View Article and Find Full Text PDFSuccessful management of HIV requires patient understanding and ability to act on treatment information. We examined the relationship between patient literacy and understanding of HIV treatment. Literacy, knowledge of CD4 count and viral load, and correct identification of HIV medications in regimen were evaluated in 204 patients receiving care in Shreveport, Louisiana and Chicago, Illinois.
View Article and Find Full Text PDFIn the treatment of asthma, the conventional measures used to monitor a patient's progress and health status do not address the impact of functional impairments associated with the disease that may affect the patient's daily life. Unlike those measures, health-related quality of life (HRQL) reflects the physical, psychological, and social difficulties a patient perceives on a day-to-day basis. This study was conducted to determine the effects of once-daily budesonide inhalation powder via the Pulmicort Turbuhaler on the HRQL in adult patients with asthma previously treated with other inhaled corticosteroids.
View Article and Find Full Text PDFUnited States law requires that immunization providers use Centers for Disease Control Vaccine Information Statements (VISs) and inform parents about vaccine risks and benefits prior to every childhood immunization. A recent national survey found that public health clinics (PHCs) reported high compliance with this law. To further investigate these findings, we conducted an immunization time-motion study in two PHCs in Kansas and Louisiana.
View Article and Find Full Text PDFThe adsorption kinetics of micellar solutions of anionic/cationic SDS/DATB mixtures with mixing ratios of 10/1 and 10/2, respectively, are studied experimentally by means of the maximum bubble pressure method. For long adsorption times the adsorption of the highly surface-active anionic/cationic complex leads to a decrease of dynamic surface tension in comparison to the single SDS system. However, the situation is the reverse for short adsorption times where the dynamic surface tension is increased by addition of the cationic surfactant, although the overall concentration is increased.
View Article and Find Full Text PDFFrom a detailed view of the myth of the binding of Isaac, a speculation emerges that Isaac may have had incest with his mother, Sarah. This would explain the death of Sarah shortly thereafter, his absent virility for twenty years, and his blindness. The commonalities with the Oedipus myth are outlined, along with the themes of filicide, patricide, guilt, punishment, and expiation.
View Article and Find Full Text PDFThis 12-week, double-blind, placebo-controlled, multicenter study evaluated the efficacy and safety of budesonide 400 microg administered once daily via Turbuhaler in adults previously treated with at least twice-daily dosing of inhaled corticosteroids. Pulmonary function (FEV1, PEF, FVC, FEF(25-75%)), asthma symptom scores, quality of life, and breakthrough medication use were significantly (p < 0.05) different in patients receiving once-daily budesonide Turbuhaler compared to placebo, and significantly (p < 0.
View Article and Find Full Text PDFThe multiple functions of clothes include utility, protection, rivalry, disguise, camouflage, display for seduction purposes, aggression, totemism, and status. Here the focus is on a decorative and distinctive hierarchical aspect of ancient dress, the tsitsit or fringes, whose original function is long absent, but that has endured for 3,500 years in Judaism. The beginning of their use beyond the totemic appears related to issues of changing identity from slavery to liberty, endowing noble status, exhibitionism, a symbol of identity, identification with the aggressor, a talisman, and potency.
View Article and Find Full Text PDFWhen performing skin irritation tests with sodium lauryl sulfate (SLS), the quality of the test solution is of major importance for the reproducibility and comparability of the results. The influence of 4 different storage parameters (concentration, duration, temperature, material of the storage vials) on the stability of aqueous SLS solutions was investigated under non-sterile conditions. SLS solutions at 5 different concentrations (0.
View Article and Find Full Text PDFA review of gender identity disorder is presented along with a case of a four-year-old boy. An overview of some of the theories of gender identity disorder directs our attention via the clinical material to conflict/defense as the most useful. The youngster's cross-gender behavior, possible contributions to it, treatment issues, parental input, boundaries, and transitional objects are considered.
View Article and Find Full Text PDFA method of preventing and limiting loss of control in therapy sessions is detailed. This begins with attunement to increasing excitement. Restraining the child by the wrists when dyscontrol occurs provides a safe and harmless means to limit the episode and continue therapy.
View Article and Find Full Text PDFBackground: Few studies have evaluated the epidemiology and effect of pain in ambulatory patients with cancer who are undergoing active therapy. This information is needed to develop strategies for supportive care in this population.
Methods: The prevalence and characteristics of pain were determined in a prospective survey of ambulatory patients with lung or colon cancer.
Maltreatment in the classroom by students of teachers, and teachers of students, is widespread with emotional, physical, sexual, and neglect aspects. Its frequency and long-term developmental effects are undocumented. We know of the consequences in some who become our patients; but for the others we can only speculate based on reports about parental abuse and neglect.
View Article and Find Full Text PDFGroup therapy provides a situation to focus inpatient adolescent borderlines' problems with separation anxiety, symbiotic pairing, and efforts to help them, based on the availability of multiple transferences and shifts in symbiotic pairs that occur between group members, as well as the observations and contributions of the peers and therapist.
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