No description available.

Background: Autism spectrum disorder (ASD) is a lifelong developmental disability defined by deficits in social communication and social interaction and restricted, repetitive patterns of behavior, interests, or activities. Over the last few decades, the global prevalence of autism has increased by twentyfold to thirtyfold. In the United States, the prevalence of ASD has increased rapidly with one out of every fifty-nine children (1.7%) diagnosed with the condition. With the increasing prevalence of ASD, the financial cost has been estimated to exceed those of Diabetes and Attention Deficit Hyperactivity Disorder (ADHD) by 2025. Furthermore, ASD has been found to be about 4-5 times more prevalent in males, compared to females, and there has been a noted increase in the prevalence of congenital abnormalities in patients with ASD. Objective: As part of an ongoing multi-year retrospective chart review of the patients seen at the Genetics Clinic for suspected or confirmed cases of ASD, we sought to identify the demographic characteristics of these patients and to see how they compare with documented studies. Methods: The overall study is an ongoing multi-year, retrospective chart review of patients seen at the ETSU Medical Genetics Clinic, with features suggestive of ASD. For this preliminary study, we extracted data from the Electronic health record (Allscripts) for 80 patients (n=80), on the gender, term status at birth (term defined as gestational age at delivery of 37 weeks or more, preterm defined as those delivered at less than 37 weeks), twin status, presence of congenital abnormalities, and the state of residence. We entered all the extracted data into REDCap and carried out a descriptive analysis of the data using the Statistical Package for Social Sciences (SPSS). Results: It was found that of the eighty patients, eighteen (22.5%) were females while sixty-two (77.5%) were males, (male to female ratio of 3.4 to 1). Fifty-nine patients (73.8%) were born at term, eighteen (22.5%) born preterm and three (3.8%) with unknown term status. Seventy-seven patients (96.3%) were twins and three (3.8%) were not. Thirty patients (37.5%) had no congenital abnormalities at birth while fifty patients (62.5%) had at least one congenital abnormality at birth. Sixty-one patients (76.3%) were from Tennessee while nineteen (23.8%) were from Virginia. Conclusions: This preliminary finding revealed an increased proportion of males compared to females, as well as an increased proportion of the population with congenital abnormalities compared to those without such abnormality. These findings agree with documented data from previous studies on ASD. In our future analysis, we would examine the rate of diagnosis of ASD in the clinic, the type of mutation and the genes involved and identify any trend for specific genes, and/or specific mutation.

While a significant amount of attention has been paid to the efficacy of marriage and family therapy (MFT), research on the effectiveness of MFT is lacking. Furthermore, university training clinics are an underutilized, yet excellent resource for collecting effectiveness research data. This study examined the current practices at the Center for Family Services, an MFT university training clinic, by examining therapists' ratings of therapy effectiveness for clients seen more than once over the past five years (n = 558). Data on therapy modality, treatment length, fee for services, presenting problems, and termination category were examined. A statistically significant relationship was found between treatment outcome and each of the following variables: treatment length, number of presenting problems, and termination category (completed or dropout). Furthermore, termination category best discriminated membership in the three outcome groups. A statistically significant relationship was not found between treatment outcome and the following variables: therapy modality and fee for services. Strengths, limitations, suggestions for future research, and implications of the findings are discussed. / Master of Science

No description available.

No description available.

Yes / Purpose: The purpose of this study was to develop a convenient test of stereopsis in the clinic that is both robust and reliable and capable of providing a measure of variability necessary to make valid comparisons between measurements obtained at different occasions or under different conditions. Methods: Stereo acuity was measured based on principles derived from the laboratory measurement of stereopsis (i.e., staircase method). Potential premeasurement compensations are described if there is a significant degree of ocular misalignment, reduced visual acuity, or aniseikonia. Forty-six adults at McGill University, 44 adults at Auckland University, and 51 adults from the University of Bradford, with an age range of 20 to 65 years old and normal or corrected-to-normal vision participated in this study. Results: Stereo acuity within this normal population was widely distributed, with a significant percentage (28%) of the population with only coarse stereo (>300 arc seconds). Across subjects, the SD was approximately 25% of the mean. Measurements at two different times were strongly (r = 0.79) and significantly (P < 0.001) correlated, with little to no significant (P = 0.79) bias (0.01) between test and retest measures of stereopsis. Conclusions: The application enables measurements over the wide disparity range and not just at the finest disparities. In addition, it allows changes in stereopsis of the order of 1.9 to be statistically distinguished.

Com o objetivo de avaliar a função metabólica de vacas da raça Holandesa com diferentes graus de catarro genital, foram examinadas 230 vacas e foram colhidas 133 amostras de sangue de fêmeas no puerpério tardio, entre 15 e 42 dias. As amostras foram separadas em quatro grupos de animais, os que apresentaram catarro genital grau I, aqueles com catarro genital grau II, animais com catarro genital grau III e animais saudáveis que formaram o grupo controle, sendo dos grupos G1, G2, G3 e G4 respectivamente. Avaliou-se a função renal a partir da determinação dos teores séricos de uréia e creatinina, a função hepática através da determinação dos teores séricos de proteína total, de albumina, da atividade enzimática da aspartato aminotransferase (AST) e da gamaglutamiltransferase (GGT), o lipidograma foi avaliado por meio da determinação dos teores séricos de colesterol, de triglicérides e dos teores plasmáticos de ácidos graxos não esterificados (NEFA) e do betahidroxibutirato. Além disso foram avaliados os teores plasmáticos de glicose e séricos dos íons cálcio, fósforo e magnésio do soro. A determinação dos teores das variáveis estudadas foram quantificadas em analisador bioquímico automático da marca MAS®, modelo Liasys®. Os teores séricos de uréia foram estatisticamente diferentes entre os grupos 1 e 2. Os teores séricos de creatinina foram estatisticamente maiores nos animais doentes. Não houve diferença estatistica entre os teores de proteína sérica total nos diferentes grupos. Houve diferença estatistica entre os teores séricos de albumina entre os grupos 1 e 3. Houve diferença estatistica entre os teores séricos de AST entre os grupos 1 e 4. Não houve diferença estatistica entre os teores séricos de GGT. Houve diferença estatistica entre os teores séricos de colesterol entre os grupos. Não houve diferença estatistica entre os teores séricos de triglicérides entre os grupos. Não houve diferença estatistica entre os grupos em relação aos teores plasmáticos de NEFA, de &beta;-Hidroxibutirato e de glicose. Houve diferença estatística entre os teores séricos de cálcio entre os grupos 1 e 4. Houve diferença estatística entre os teores séricos de fósforo entre os grupos 1 e 2 e entre os grupos 1 e 4. Houve diferença estatística entre os teores séricos de magnésio entre o grupo 1 e 4. / In order to evaluate the metabolic function of Holstein Friesian cows with different degrees of vaginal catarrh, 230 cows were examined and 133 blood samples were collected from late postpartum females between 15 and 42 days. The blood samples were separated into four experimental groups, animals with vaginal catarrh grade I, animals with vaginal catarrh grade II, animals with vaginal catarrh grade III and healthy animals comprising the control group, being G1, G2, G3 and G4, respectively. We evaluated renal function by determining the levels of serum urea and creatinine, liver function by determining the levels of serum total protein, albumin, the enzymatic activity of aspartate aminotransferase (AST) and gammaglutamyltransferase (GGT), the lipid profile was evaluated by determining the levels of serum cholesterol, triglyceride levels and plasma non-esterified fatty acids (NEFA) and &beta;-hidroxibutyrate. In addition we evaluated the levels of glucose in plasma, calcium, magnesium and phosphorus in serum. The determination of the levels of variables were quantified with the use of automatic biochemical analyzer, AMS® brand, model Liasys®. The serum urea levels were statistically different between groups 1 and 2. The serum creatinine levels were statistically higher in diseased animals. There was no statistical difference between the levels of total serum protein in the different groups. There was statistical difference between serum albumin levels between groups 1 and 3. There was statistical difference between serum AST levels between groups 1 and 4. There was no statistical difference between the serum levels of GGT. There was statistical difference between serum cholesterol levels between the groups. There was no statistical difference between the serum triglyceride levels between the groups. There was no statistical difference between groups in relation to plasma levels of NEFA, &beta;-hydroxybutyrate and glucose. There was statistical difference between the serum calcium levels between groups 1 and 4. There was statistical difference between serum phosphorus levels between groups 1 and 2 and between groups 1 and 4. There was statistical difference between serum magnesium levels between groups 1 and 4.

<p>Syftet med denna studie var att ta reda på nyblivna föräldrars tankar kring främst föräldraledighet, amning, föräldrautbildning, barn- och mödravården, med tyngdpunkt på vårdens roll och pappans delaktighet. Intervjuer genomfördes med 11 föräldrar och svaren analyserades och kategoriserades i teman. Resultatet visade att de allra flesta var nöjda med vården de hade fått från både MVC och BVC, men enskilda föräldrar var missnöjda med enstaka sköterskor de träffat. Informanterna var också nöjda med bemötandet, då båda föräldrarna kände sig delaktiga i samtalet med barnmorskan. Alla föräldrar ville vara hemma med sitt barn under någon period, vilket berodde på personliga skäl och en vilja att vara med sitt barn. Hos hälften av paren tog mamman ut största delen av föräldraledigheten. Orsaken till detta var i huvudsak amningen, men även ekonomiska orsaker spelade in. Att amning är en stark aspekt för vem som är föräldraledig först gäller fortfarande, och informanterna upplevde att det var något som även vården förespråkade starkt. Angående föräldrautbildningen tyckte alla föräldraparen att studiebesöket på förlossningen var det som gav mest, samt att få träffa andra blivande föräldrar. En brist som nämndes var att informationen som gavs var sådant som de flesta redan kände till.</p> / <p>The aim of this study was to find out what new parents think about parental leave, parental education, the child welfare center and the prenatal clinic. The main focus was on what role the care system played and to what extent the father was involved. Eleven parents were interviewed and the findings were analysed and put into different themes. The result showed that most of the parents were satisfied with the care given at the child welfare center and the prenatal clinic. The participants also thought they were well treated by the nurses and midwives during the encounters. Both parents felt equaly involved while talking to the midwife. All of the parents wanted to have parental leave to some extent and the main reason was that they wanted to spend time with their child. In half of the cases mothers used the greater part of the parental leave. Both breast-feeding and economical aspects were mentioned to be reasons for this. The participants felt that the child welfare center and the prenatal clinic strongly recommended breast-feeding which contributes to the fact that breast-feeding still is a key aspect in the decision on which parent who is going to stay at home with the child during the fist period. All of the parents thought that the visit to the delivery department was the best part during the parental education, they also appreciated meeting other people in the same situation. The general information given during the regular meetings were things that many of the participants already knew and could for that reason have been more detailed.</p>

Syftet med denna studie var att ta reda på nyblivna föräldrars tankar kring främst föräldraledighet, amning, föräldrautbildning, barn- och mödravården, med tyngdpunkt på vårdens roll och pappans delaktighet. Intervjuer genomfördes med 11 föräldrar och svaren analyserades och kategoriserades i teman. Resultatet visade att de allra flesta var nöjda med vården de hade fått från både MVC och BVC, men enskilda föräldrar var missnöjda med enstaka sköterskor de träffat. Informanterna var också nöjda med bemötandet, då båda föräldrarna kände sig delaktiga i samtalet med barnmorskan. Alla föräldrar ville vara hemma med sitt barn under någon period, vilket berodde på personliga skäl och en vilja att vara med sitt barn. Hos hälften av paren tog mamman ut största delen av föräldraledigheten. Orsaken till detta var i huvudsak amningen, men även ekonomiska orsaker spelade in. Att amning är en stark aspekt för vem som är föräldraledig först gäller fortfarande, och informanterna upplevde att det var något som även vården förespråkade starkt. Angående föräldrautbildningen tyckte alla föräldraparen att studiebesöket på förlossningen var det som gav mest, samt att få träffa andra blivande föräldrar. En brist som nämndes var att informationen som gavs var sådant som de flesta redan kände till. / The aim of this study was to find out what new parents think about parental leave, parental education, the child welfare center and the prenatal clinic. The main focus was on what role the care system played and to what extent the father was involved. Eleven parents were interviewed and the findings were analysed and put into different themes. The result showed that most of the parents were satisfied with the care given at the child welfare center and the prenatal clinic. The participants also thought they were well treated by the nurses and midwives during the encounters. Both parents felt equaly involved while talking to the midwife. All of the parents wanted to have parental leave to some extent and the main reason was that they wanted to spend time with their child. In half of the cases mothers used the greater part of the parental leave. Both breast-feeding and economical aspects were mentioned to be reasons for this. The participants felt that the child welfare center and the prenatal clinic strongly recommended breast-feeding which contributes to the fact that breast-feeding still is a key aspect in the decision on which parent who is going to stay at home with the child during the fist period. All of the parents thought that the visit to the delivery department was the best part during the parental education, they also appreciated meeting other people in the same situation. The general information given during the regular meetings were things that many of the participants already knew and could for that reason have been more detailed.

This paper offers in-depth look at the convenient care/retail clinic industry in the context of today’s changing medical landscape with specific focus on Texas-based RediClinic. In addition to a detailed analysis of RediClinic, this paper proposes detailed advertising, marketing and social media recommendations that will aid RediClinic in bolstering its brand image and expanding its client base. Every suggested tactic is framed within the rapidly changing healthcare environment present in America, and specific focus is given to the recent passing of the Patient Protection and Affordable Care Act. This paper attempts to aid RediClinic in understanding and leveraging its most important strengths: its strong position within the Texas market, and its service to those who are currently uninsured. / text