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Irritable bowel syndrome with diarrhea, characterized by abdominal pain and loose or frequent bowel movements without organic disease, is a common condition worldwide. Alpha-gal syndrome, an increasingly recognized condition characterized by elevated alpha-gal immunoglobulin E (IgE) antibodies and improvement of symptoms on mammalian product-free diet, and hereditary angioedema, a hereditary condition that can cause recurrent abdominal pain and swelling and abnormal blood complement studies, can both mimic irritable bowel syndrome and be challenging to diagnose. In this review, we discuss the diagnosis, management, and pathophysiology of these two conditions.

The smartphone has become integral to most aspects of students’ lives and is the primary conduit for accessing the internet. Objective research into the promise and dangers of this device is critical. While educational uses of the smartphone with young adults hold promise, the potential for harm is also present. While objectivity is valued, the focus of researchers can subjectively skew towards optimistic or pessimistic views of technology. The topics addressed in smartphone and learning research illuminate trends and potential biases in the field. This study investigates the issues addressed in smartphone and learning research in the past two years. These topics are compared with smartphone research in a similar field: psychology. The study, using a bibliometric approach, identified an overall negative arc of the literature towards topics such as addiction, depression, and anxiety in the psychology literature. The educational literature topics were comparatively more positive than psychology. Highly cited papers in both fields reflected explorations of adverse outcomes.

RESUMO Objetivo: Avaliar a hipótese de que o Modified Early Warning Score (MEWS) por ocasião da alta da unidade de terapia intensiva associa-se com readmissão, e identificar o nível desse escore que prediz com maior confiabilidade a readmissão à unidade de terapia intensiva dentro de 48 horas após a alta. Métodos: Este foi um estudo observacional retrospectivo a respeito do MEWS de pacientes que receberam alta da unidade de terapia intensiva. Comparamos dados demográficos, escores de severidade, características da doença crítica e MEWS de pacientes readmitidos e não readmitidos. Identificamos os fatores associados com a readmissão em um modelo de regressão logística. Construímos uma curva Característica de Operação do Receptor para o MEWS na predição da probabilidade de readmissão. Por fim, apresentamos o critério ideal com maior sensibilidade e especificidade. Resultados: A taxa de readmissões foi de 2,6%, e o MEWS foi preditor significante de readmissão, juntamente do tempo de permanência na unidade de terapia intensiva acima de 10 dias e traqueostomia. A curva Característica de Operação do Receptor relativa ao MEWS para predizer a probabilidade de readmissão teve área sob a curva de 0,82, e MEWS acima de 6 teve sensibilidade de 0,78 (IC95% 0,66 - 0,9) e especificidade de 0,9 (IC95% 0,87 - 0,93). Conclusão: O MEWS associa-se com readmissão à unidade de terapia intensiva, e o escore acima de 6 teve excelente precisão como preditor prognóstico.

Based on the author’s field work in western Rajasthan, this paper forwards the argument that the growing chasm between its promises and delivery has made the state lose its credibility among the Bhils of western Rajasthan in India. The interviews and observations are based on twelve weeks of participation in the daily life of multiple actors in desert jungles of Jodhpur and Bikaner western Rajasthan. The main motive was to understand various postures on hunting- as a community activity as well as a legal input behind certain modern state laws. Still waiting for basic amenities such as reliable supply of water and electricity, forest communities as Bhils also remain unhappy with the way the power politics amongst caste plays out to suppress their ascent into public offices. Many practices of the state remain out of bounds for them. In as far as evoking from the state a moral-functional response over its failings is concerned, Bhils see no light at the end of the day either. They substantiate this by pointing out that, perhaps, their demands, requirements and expectations from the state still remain pretty much the same as the promises in the inaugural election manifestos of parties post-independence. However, although they find it hard to reach the state, its reciprocal reach towards intervening in day to day lives of the communities remains much more than its own ability to deliver for them. This is evidenced by the helicopter visions emanating from changed hunting laws which in turn change the way Bhils view the state and society around them. While Bhils come to terms with or question these laws in India, the irony is that the hunting of the very species which stands declared as under threat stands hunted clandestinely on ground by all kinds of actors, despite a ‘jail without bail’ provision that presumably should up the ante for criminal activities such as poaching. In this context this paper talks of the world view of the Bhils over the issue in general, their dilemmas and emic perspectives in particular. It also brings to light the implications of conservation politics by other communities in the vicinity such as the Bishnois who wage collective struggles to ensure protection of endangered species, while the state remains distant and lags behind in its approach to answer the issues raised by the Bhils, newer market strategies and products gain a quick entry as well as growing relevance in the Bhil lifestyles.

La mayoría de las investigaciones y las teorías de la comunicación interpersonal reflejan la cultura dominante de Estados Unidos. En un intento de comprender mejor las prácticas de comunicación de las culturas hispanohablantes, se realizó un estudio exploratorio de la comunicación interpersonal con gerentes puertorriqueños. El Índice de Capacidad de Comunicación Interpersonal (IICC, por sus siglas en inglés) fue traducido al español y administrado en dos grandes empresas farmacéuticas internacionales en Puerto Rico. Los resultados del estudio se discuten en materia de las implicaciones para la teoría de la comunicación y la investigación de comunicación aplicada.

This document is AN140, one of a series of the Animal Science Department, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Original publication date February 10, 2003. https://edis.ifas.ufl.edu/an140

This document is AN140, one of a series of the Animal Science Department, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Original publication date February 10, 2003. https://edis.ifas.ufl.edu/an140

This document is AN140, one of a series of the Animal Science Department, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Original publication date February 10, 2003. https://edis.ifas.ufl.edu/an140