Articles Related to MPA

Monthly data spanning from January 2008 to December 2017 were obtained from the District Health Information Management System (DHIMS) 2, Ghana Health Service. The four competing forecasting techniques that were applied to the Malaria cases data were the Seasonal Autoregressive Integrated Moving Average (SARIMA), Artificial Neural Network (ANN), Exponential smoothing (ETS) and a Combination technique.

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Obesity has been linked to autonomic dysfunction, which is thought to be one of the main contributors for hypertension, cardiac remodelling and death. The aim of the present study was to investigate stress related changes in autonomous function in subjects at high risk for obesity (Restrained eaters). 33 healthy women aged 18-30 years were recruited through advertisement in local newspapers. Classification in restrained and unrestrained eaters was done according to norm tables from the German version of the Three Factor Eating Questionnaire. Participants were exposed to the Trier Social Stress Test, a standardized laboratory stressor. As an indicator of autonomous function the measurement of heart rate was performed. Restrained eaters did not respond with a significant increase in heart rate after stress. The results are interpreted with respect to consequences for nutritional intake and stress coping.

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Delirium is common in palliative care and often not diagnosed or mistaken for sedation or anxiety. There are multiple validated screening tools. The clock drawing test (CDT) is a rapid and patient centered screen for delirium which can be followed longitudinally. It also has the possibility of detecting the underlying neuroanatomical lesion. We present a patient with a right hemispheric subdural hematoma who had a reversal of the numbers on the clock face. This has been described with pathology of the right hemisphere. This patient experience illustrates the benefits of the CDT not only in detecting delirium but also revealing the neuroanatomical locus which generated the delirium episode and assisted the palliative care team in identifying patients with appropriate decision-making capacity

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The Movement Assessment Battery for Children (MABC) is used globally to identify and describe impairments in motor development in children; however, norms for Surinamese children are lacking. We thus conducted a cross-cultural comparison for Surinamese children 5 years–5 years and 6 months using the Dutch/Flemish (NL) and United Kingdom (UK) norms of the MABC, second edition (MABC-2).

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Food compound has an impact on cell regeneration and body mass index. Studies of observations conducted between 2015 and 2017 among men in the CAR show a similarity in eating habits and in the way of consuming food. Of 148 people from different households with different incomes observed, 79 or 53.38% were male and 69 or 46.32% were female. The median age was 28 years (18-45). In group 1 or G1, 115 (77.7%) retained the African food habit. In addition, 33 people or 22.3% adopted a western-style eating habit and have a preference for fried foods and dairy products with a high-fat content (group 2 or G2). This G2 had more overweight or obesity phenomena than the G1 which presented some weight loss cases with a significant difference. The composition of the African food habit has certainly an influence on the body mass and cellular regeneration thus tissue.

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This review work was conducted to explore the likely impacts of climate change on livestock production and productivity and different adaptation strategies in Ethiopia. National average temperature has increased by 1 °C since the 1960s. Most of the livestock owners in the country perceive there are a climate change impacts on Livestock production and productivity. The major effects of climate change on livestock production include feed shortage, shortage of water, livestock genetic resources loss, reduced productivity, and decreased mature weight and/or longer time to reach a mature weight in their order of importance. Higher temperatures resulting from climate change may increase the rate of development of certain pathogens or parasites that have one or more life cycle stages outside their animal host.

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In this study, it was aimed to assess pomegranate (punica granatum L.) and grape (vitis vinifera L.) seed oil by comparing them physically and chemically. The fat output of the pomegranate (punica granatum L.) and grape (vitis vinifera L.) seeds was determined by the standard method of soxhlet extraction.

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Climate change is the statistical distribution changes of weather patterns when that change lasts for a long period. This paper aims to review economic wide effect of climate change on transportation assets. Climate change economically affects transportation by increasing maintenance, operation, rehabilitation, and repairmen costs of transportation infrastructure. Climate changes can also increase the cost of new transportation infrastructure due to higher climate adaptable design standards. It also accelerates infrastructure replacement costs. In addition to damage to transportation infrastructures, climate change can also indirectly cause loss of infrastructure service and activity disruption. Climate change also causes bring down travel times, higher cost choice required to address operational needs and accumulating yield for shipment when transport courses allow.

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Synthetic marijuana compounds are more potent than ∆9-tetrahydrocannabinol (∆9-THC) and are known to produce a wide variety of clinical symptoms including cardiac toxicity, seizures, and death. Erratic driving by a 45 y/o male was witnessed in the fall of 2017 and roadside evaluation of the driver by the responding law enforcement officer concluded that the driver was intoxicated. Comprehensive analysis of the cigarettes by gas chromatography-mass spectrometry detected the synthetic cannabinoid 5-fluoro-ADB (5F-ADB or 5F-MDMB-PINACA). Validated forensic liquid chromatography-tandem mass spectrometry (LC-MS/MS) methods were used to detect the 5-fluoro ADB metabolite 7 (26.37 ng/mL) in the driver’s blood sample. No other drugs were detected. This case report is one of the first to conclusively show that designer synthetic cannabinoids, commonly referred to as “K2” and “Spice”, can significantly impair driving at relatively low concentrations.

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The de-extinction of the dinosaur is a dubious possibility but its consideration brings forth some issues that are at least worthy of scientific discussion. In this review, we discuss two distinct issues that have implications for a de-extinct species such as a dinosaur: the ability, or lack thereof, to safely sedate a rare and potentially fractious animal capable of harming the veterinary staff tasked with its care; and, disease risks associated with a species that has been extinct for millions of years. To identify potential sedatives, comparative pharmacology will be needed to uncover the links between receptor pharmacology and the desired clinical outcomes of activating established alpha-2 adrenergic, opioid, and benzodiazepine receptors. Specific to disease control, it will be necessary to understand the unique susceptibility of the new species to current diseases as well as predicting their reservoir capacity for potential human and veterinary pandemic diseases. While the topics presented herein are not exhaustive, this review highlights some of the foremost research that should be conducted in order to serve the unique veterinary needs of a de-extinct species using the dinosaur as a paradigm. Addressing these issues should be considered if an intact dinosaur genome becomes available, regardless of the feasibility of dinosaur resurrection.

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Cervical carcinoma is the fourth most common gynecologic cancer. Screening assays that include the conventional cytology (CC) have a sensitivity and specificity far from optimal; however, liquid-based cytology (LBC) may overcome some limitations. The objective is to compare the screening accuracy of LBC and CC in individuals suspected of having precancerous lesions. A prospective, single center study, recruited individuals from a tertiary-level center. In all participants, CC and LBC were performed. Clinical, cytologic and histopathologic results were collected. Bethesda System was used and agreement of two of three cytopathologists was necessary to assign a positive or negative result. Cervical biopsy was performed in participants with abnormal findings.

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Fresh salad produce such as lettuce and spinach are an important part of a healthy diet, but are increasingly becoming associated with infection from foodborne pathogens such as Salmonella enterica. This review examines the incidence and origins of Salmonella fresh salad leaf colonization, models the behaviour of the pathogen when within a bagged salad and considers the various infection risk reduction strategies relevant to salad growers, distributors and consumers which can be employed to improve the microbiological safety of fresh salad leaves

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Rapid industrialization in the various fields of urbanization has resulted in massive pollution of environment. Pollution occurring in soil and ground water table is alarmingly increasing day by day. Thus, a sincere attention is required, to control the effect of pollutants on the soil and water table.

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Cerebral amyloid angiopathy (CAA) is frequently associated to Alzheimer’s disease (AD) but can also occur in Lewy body dementia (LBD). The present post-mortem study compares the incidence and the topographic distribution of small cerebrovascular lesions in LBD brains without and with severe CAA (LBD-CAA).

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The side effects of spinal anesthesia have been the focus of many researchers. These complications can affect patients’ satisfaction following surgery and duration of hospitalization. Therefore, factors that lead to increased risk of side effects must be identified, one of these factors is gender. This study evaluated the relationship between gender and adverse effects after spinal anesthesia.

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