National Institute for Literacy Interagency Management Group

1994 ◽  
Author(s):  
Keyword(s):  
2012 ◽  
Author(s):  
Kelci Conti ◽  
Laura S. Guy ◽  
Rebecca Nelson ◽  
Samantha L. Fusco

2012 ◽  
Author(s):  
Samantha L. Fusco ◽  
Laura S. Guy ◽  
Rebecca Nelson ◽  
Kelci Conti ◽  
Mary Bennett ◽  
...  

2017 ◽  
Vol 1 (28) ◽  
pp. 637-648
Author(s):  
Abbas Hassan Khlaty Al-Sray

The aim of present study was to detect the seroprevalence of Ostertagia ostertagi specific antibodies in cattle milk samples in Wasit province, by using the indirect ELISA test for first time in Iraq. For this purpose, an overall 368 dairies cow was submitted for study and the results were revealed that 51 (13.86 %) of tested cows were positive, and the mean optic density ratios (ODRs) of ELISA test values in seropositive cattle were 0.58. Also, this study aimed to investigate an association of seropositive results with some epidemiological risk factors. Hence, the positive results, according to these factors, were as follow: in milk production factor, 6.32 % for ³18 liters/day group, 14.29 % for ³10-18 liters/day group, and 25 % for < 10 liters/day group; in age factor, 13.41% for ³3-6 years group, and 14.75% for >6 years group; in breed factor, 18.27% for local breed group, 12.17% for cross-breed group, and 12% for pure breed group; in farm management factor, 21.35% for bad management group, and 5.68% for good management group; and in herd size factor, 11.59% for <25 (cow/herd) group, and 17.78% for ³ 25 (cow/herd) group. Statistically, the significant differences (P£ 0.05) were observed among related groups of milk production, breed, husbandry management, and herd size factors; while it’s not reported among groups of age factor.


1986 ◽  
Vol 18 (4-5) ◽  
pp. 35-41 ◽  
Author(s):  
M. J. Gardner ◽  
D T. E. Hunt ◽  
G. Topping

It is widely recognised that, unless special steps are taken, analytical results from a group of laboratories engaged in a monitoring programme are likely to be of poor comparability. This in turn can prejudice the conclusions drawn from the results of monitoring. On the basis of previous studies, the problem is known to be particularly acute for measurements of trace metals in saline waters. Recognising the difficulty, the Marine Pollution Monitoring Management Group (MPMMG) and the Water Research centre (WRc) have organised a programme of Analytical Quality Control (AQC). This has the objective of ensuring that analytical results for filterable cadmium and mercury in saline waters, obtained by water industry and other relevant laboratories, are of adequate accuracy and comparability for their intended uses. WRc is to coordinate a series of tests, some involving distributions of standards and samples, which the participating laboratories undertake; this series of tests, the background to the approach and some of the results obtained to date are described here.


2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S231-S232
Author(s):  
Shiwei Zhou ◽  
Brian M Schmidt ◽  
Oryan Henig ◽  
Keith S Kaye

Abstract Background Diabetic foot osteomyelitis (DFO) is a leading cause of below knee amputation (BKA). Even when medical treatment is deemed unlikely to succeed, patients with DFO are often resistant to amputation. Methods An observational cohort analysis was done on patients with DFO at Michigan Medicine who were evaluated by podiatry and recommended BKA from Oct 2015 - Jun 2019. Primary outcome was mortality after BKA recommendation. Secondary outcomes were healing of affected limb, rate of BKA or above knee amputation (AKA) and total antibiotic days in the 6 months following. All intravenous antibiotics and oral courses of linezolid and fluoroquinolones were captured. Results Of 44 patients with DFO, 18 chose BKA, 26 chose medical management with wound care. Mean age of the cohort was 61, 68% male, 80% white with a median Charlson Comorbidity Index of 6 (IQR 4,7). The two groups were similar with regards to demographics and comorbid conditions. Those who chose medical management did so because their infection was non-life-threatening and they desired to avoid amputation. One-year mortality was greater in patients who were medically managed compared to those who had BKA (23.1% vs 0%, OR 11.7, 95% CI 0.6–222.9). Considering only the 33 patients who were followed for at least 2 years, 2-year mortality was also greater in the medically managed group compared to the BKA group (38.5% vs 5.6%, OR 10.6, 95% CI 1.2–92.7, Figure 1). Fewer patients in the medical management group had complete healing of their wound/stump compared to the BKA group (46.2% vs 88.9%, OR 9.3, 95% CI 1.8–49.1). In the medically managed group, 18 (69%) patients went on to require BKA or AKA at a median of 76.5 days compared to 2 (11%) in the BKA group who required AKA at 1 and 11 days following recommendation. Median antibiotic days were significantly greater in the medically managed group compared to the BKA group (55 IQR 42,78 vs 17 IQR 10,37, p=0.0017). Conclusion In this cohort of DFO patients where BKA was recommended, medical management was associated with increased mortality, poor healing of the affected limb, and excess antibiotic exposure compared to BKA. These findings are particularly notable as case mix and severity of illness were similar between the two groups. This study can be used to inform providers and patients in cases where BKA is recommended. Disclosures All Authors: No reported disclosures


Author(s):  
Min-Hyuk Kim ◽  
Jinhee Lee ◽  
Hyunjean Noh ◽  
Jin-Pyo Hong ◽  
Hyun Kim ◽  
...  

The purpose of this study was to investigate the effect of continuous case management with a flexible approach on the prevention of suicide by suicide reattempt in a real clinical setting. The subjects in this study were 526 suicide attempters who visited emergency rooms in a teaching hospital in South Korea. Subjects were provided a continuous case management program with a flexible approach according to the severity of their suicide risk and needs. During the entire observation period (from 182 days to 855 days, mean = 572 ± 254), 18 patients (3.7%) died by suicide reattempt: Eight patients (2.27%) in the case management group and 10 patients (7.35%) in the no-case management group. The Cox regression analysis showed that the case management group had a 75% lower risk of death from suicide attempts than the no-case management group (HR = 0.34, 95% CI = 0.13–0.87). This result was shown to be more robust after adjusting for confounding factors such as gender, age, psychiatric treatment, suicide attempts, and family history of suicide (adjusted HR = 0.27, 95% CI = 0.09–0.83). This study was conducted in a single teaching hospital and not a randomized controlled one. A flexible and continuous case management program for suicide attempters is effective for preventing death by suicide reattempts.


2003 ◽  
Vol 1836 (1) ◽  
pp. 118-125 ◽  
Author(s):  
Bo Huang ◽  
Li Yao

Dynamic segmentation is viewed as one of the most important functions of geographic information systems for transportation applications. Although the road network and associated events (e.g., pavement material, traffic volume, incidents) can be referenced to both space and time, the spatial and temporal dimensions have not been well integrated. Modeling space-varying, time-varying, and space-time-varying events in dynamic segmentation by using an object database approach that is in line with the Object Database Management Group standard is explored. A mechanism called parametric polymorphism is used to lift conventional data types to spatial, temporal, and spatiotemporal types for maintaining knowledge about events that could change spatially, temporally, and spatiotemporally along linear features. An associated object query language, DS-OQL, was designed to support the formulation of spatial, temporal, and spatiotemporal queries on the road and event information.


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