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The Rehabilitation and Return to Duty of a Male Firefighter After a Myocardial Infarction: A Case Study.
No full textINTRODUCTION
This study describes the rehabilitation of a 36 year old male firefighter who suffered a myocardial infarction (MI) and completed his rehabilitation with an athletic trainer. Something of a similar nature would typically end someone\u27s career regardless of how physical their job is. However, it is possible with proper care and rehabilitation to return to duty after such an event.
PATIENT
The patient was a 36 year old male firefighter whose primary risk factors for a MI are being obese and having a poor diet. He suffered the MI while on a cruise which delayed his care. He had a stent placed in the affected artery and was prescribed beta blockers. This case is different because his rehabilitation was programmed by an athletic trainer and completed at the fire station and included job specific training.
INTERVENTION
The rehabilitation was completed across 74 sessions that consisted of exercise and/or exercise testing. He continued to exercise and make dietary adjustments after his rehabilitation was completed. These sessions started with performing activities of daily living and progressed to strength and conditioning exercises, and they eventually progressed to job specific training.
COMPARISON
Most American rehabilitation programs for a MI last a total of 36 sessions and do not include any kind of return to duty plan for physical jobs such as being a firefighter. The standard set for the intensity of the rehabilitation in the typical standard does not encompass a progression to rigorous exercise or a return to duty protocol.
OUTCOME
The interventions completed in this case have had a positive outcome. He has returned to full duty with the fire department. The increased number of sessions and the progression that they followed seems to have resulted in a better outcome than others who have suffered a similar event
Using Visualization Software to Facilitate Negotiations for Fair Division
No full textThe fair division problem addresses the frequently encountered situation in which a set of resources must be fairly divided between two or more stakeholders. Dividing possessions after a divorce, assigning tasks to workers, and determining the terms of contracts or treaties are all examples of the problem. Algorithms have been developed to provide solutions that optimize for various metrics, but for many reasons, including the lack of agreement on what constitutes fairness, algorithms cannot provide a definitive result. Visualizations, rather than providing a single candidate solution, can be used effectively to browse the search space and generate a pool of candidate allocations that are likely to be appealing to all parties. Candidate solutions can be used by stakeholders, either separately or cooperatively, as the basis for negotiation. We will demonstrate prototype software that provides this capability
Sink your teeth into this: Assessing carnivorous dinosaur diversity using isolated tooth fossils
No full textIsolated teeth from carnivorous dinosaurs are relatively abundant in the terrestrial fossil record, providing important indicators of theropod diets and diversity. Currently, fossils excavated throughout the Morrison Formation (157-150 million years ago) display high predator diversity, implying ecosystems far more productive than what are seen today. The separation of these carnivores into more distinct temporal and geographic ranges, however, would more similarly reflect modern ecosystems. Using statistical methods established in previous papers, this study aims to identify a set of theropod teeth from Morrison-aged sites in Wyoming in order to evaluate theropod diversity during this time.
Following the methodology of a well-cited publication, we conducted a discriminant function analysis (LDA) through PAST v4.17 using the most modern version of a quantitative dataset. The analysis of a dataset including most theropod groups yielded stratigraphically improbable results (clade-level: Non-megalosaurian Megalosauroidea, Neovenatoridae, Therizinosauria, Metriacanthosauridae, Noasauridae, Carcharodontosauridae; taxon-level: Carnotaurus, an unnamed dromaeosaurid, Marshosaurus, Raptorex, Dubreuillosaurus, Berberosaurus, Neovenator, Falcarius, Australovenator, Abelisauridae, Deinonychus, Giganotosaurus). To improve these results, an additional Morrison-specific analysis was run, assigning 16 unknown teeth across 3 clades and 3 taxa. While the specimens were able to be statistically categorized (clade level: Non-abelisauroid Ceratosauria, Non-megalosaurian Megalosauroidea, Allosauridae; taxon-level: Ceratosaurus, Marshosaurus, Allosaurus), unrepresented Morrison taxa and the damaged state of the specimens may have limited the accurate classification of these results. Further research, especially emphasizing qualitative analysis, could improve future results
The Impact Alternate Forms of Prenatal Care Has on Low-Income Women
No full textThis literature review explores the significance of access to quality prenatal care and alternative options for low-income pregnant women in the United States. Prenatal care plays an essential role in maternal and fetal well-being. Low-income individuals often face a variety of barriers which can hinder their access to and knowledge of the importance of prenatal care. These barriers and a lack of understanding can lead to low-income women opting out of prenatal care during their pregnancy. Therefore, the purpose of this study is to educate low-income pregnant women on resources available to them to help improve birth outcomes. This clinical issue regarding prenatal care for low-income women is important on a larger scale because all nurses have to be able to identify barriers to accessing the services needed for all individuals regardless of socioeconomic status. Previous research has relied on survey data and insurance claims to analyze the prevalence of prenatal care in multiple socioeconomic groups. By examining research and literature published within the last five years, there is an evident connection between a lack of prenatal care and low socioeconomic status. Data provided through surveys such as the Pregnancy Risk Assessment Monitoring System (PRAMS) and others reveals changes in insurance continuity offered, lack of appointments, lack of private insurance, or simply lack of care overall due to structural and financial burdens. These findings revealed healthcare disparities, specifically related to socioeconomic status, thus underlining the importance of educating low-income women on alternative access to affordable prenatal care to improve maternal and fetal outcomes
BIOL 114: The effect of minerals found in manure on Arabidopsis thaliana growth and development
No full textFarmers all over the United States are known to use cow manure, with close to 8 percent of the planted acres having manure as fertilizer. The effect of manure on plants is known to increase growth, as manure contains organic material as well as minerals. The minerals being nitrate (NO3-), phosphorus (P), potassium (K), sulfur (s), magnesium (Mg), and calcium (Ca). Nitrate specifically is known to have a role in the expression of a number of genes. Because of this, we decided to measure the effect, if any, of the manure on the expression of the mutant and non mutant plants. The soil used for the control groups is the recommended soil for the Arabidopsis thaliana plant. The soil used for the manure group is soil mixed with cow manure and seeded appropriately for both wild type and mutant control groups. The conditions used are: light for 16 hours, 8 hours dark, watering all plants three times a week from the bottom and plastic cover. This study has shown that the mineral in cow manure was beneficial for Arabidopsis thaliana growth
BIOL 114: The Effect of ethanol on Arabidopsis thaliana growth and development
No full textEthanol can have a wide range of effects on plant growth, providing beneficial or deleterious effects, dependent on the concentration used. The purpose of this experiment is to determine the effects of ethanol on Arabidopsis thaliana (both wild-type and mutant-16284). Here we report the findings from a multi-week study where four subgroups. Both the experimental and control groups were kept under the same conditions except the experimental group was watered with a five percent Ethanol solution. The following effects were shown on the plants; the added ethanol in the experimental groups had detrimental effects on plant growth. The control groups grew as normal when compared to the experimental groups. Plants in the control group grew bigger and larger leaves by the end of the experiment when compared to the experimental group. Additionally, we saw deleterious effects on the mutant plant specifically. This experiment can show the effects of pollutants on plants in a natural environment, as ethanol can be a dangerous pollutant under certain conditions, as well as the potential that mutant-16284 exhibits a phenotype which causes susceptibility to ethanol
