Bilirubin Toxicity: The Problem Was Solved a Generation Ago

PEDIATRICS ◽  
1992 ◽  
Vol 89 (5) ◽  
pp. 819-821 ◽  
Author(s):  
TIMOS VALAES

The article by Newman and Maisels1 in the current issue of Pediatrics is the latest in their crusade to prove that the prevailing management of neonatal jaundice is of unproven efficacy, probably risky, definitely wasteful of resources, and, therefore, should be changed.2-6 There is no doubt that the status of neonatal jaundice has been reduced to that of an "expensive nuisance." It is very common, but, in the great majority of the cases, it is not accompanied by any other clinical or laboratory abnormality, has no diagnostic value, and disappears in a few days without sequelae. The current status of neonatal jaundice contrasts with the respect and fear it generated in the past.

2022 ◽  
Vol 44 (1) ◽  
Author(s):  
Ariel T. Gutierrez ◽  
Nelissa L. Manuel ◽  
Matthew S. Masbang

This study compares the observations of younger and older generations relating to different traditional games played by the Kapampangans. It particularly focuses on five games namely Maro; Tambubung; Luksung Babi; Salikutan; and Barongganan Bola. These games have been known to emphasise the players’ speed and agility. A survey and follow up in-depth interviews were used to explore the differing observations and perspectives of thirty elders (aged 60 years and above) and fifty youngsters (aged 10- 18 years old) from different towns in Pampanga. The survey highlighted the fact that the majority of the games were now played in the streets compared with the past when they were played in fields. The follow-up interviews revealed that the terrain of the towns significantly contributed to the structure and rules of the game, and many variations were found in the names of the games which were taken from how the game was played. Further research is recommended to explore the differing perceptions from the two generations concerning the current status of traditional games in their community.


2019 ◽  
Vol 35 (5) ◽  
pp. 393-400 ◽  
Author(s):  
Marcell Csanádi ◽  
András Inotai ◽  
Oleksandra Oleshchuk ◽  
Oksana Lebega ◽  
Brodovskaya Alexandra ◽  
...  

AbstractObjectivesThe need for improving healthcare decision making by implementing health technology assessment (HTA) has been a top priority in Ukraine since 2016. This study sought to provide a tailor-made HTA implementation roadmap, drawing on insights from national stakeholders.MethodsWe conducted a survey using a questionnaire already applied in previous HTA research. We assessed the status of HTA when reforms were initiated in 2016 and examined perspectives on possible future developments among policy makers and representatives of pharmaceutical companies and patient organizations.ResultsThirty-two respondents answered the survey. Forty-eight percent of respondents were not aware of HTA training in Ukraine, but 91 percent preferred having either a graduate or postgraduate training. Experts stated that funding for HTA research and for critical appraisal of HTA submissions was limited, but in the future, they would increase funding mainly from public sources. A public HTA agency with academic support was the most preferred organizational structure. Eighty-eight percent of respondents opted for full transparency, making the HTA agency's recommendations and the related appraisal reports publicly available. A great majority of participants preferred mandating the use of local data in certain categories and indicated the importance of evaluating the transferability of international evidence. Healthcare priority and cost-effectiveness were the most important criteria for decisions, applied with a soft explicit threshold.ConclusionsUkraine is in the early phase of implementing HTA and our study provides a clear vision of national stakeholders about the future directions. In addition, learning from the experiences of other countries may help the implementation process.


Author(s):  
Vanessa Nadig ◽  
Ken Herrmann ◽  
Felix M. Mottaghy ◽  
Volkmar Schulz

AbstractPurpose Since the 1990s, PET has been successfully combined with MR or CT systems. In the past years, especially PET systems have seen a trend towards an enlarged axial field of view (FOV), up to a factor of ten. Methods Conducting a thorough literature research, we summarize the status quo of contemporary total-body (TB) PET/CT scanners and give an outlook on possible future developments. Results Currently, three human TB PET/CT systems have been developed: The PennPET Explorer, the uExplorer, and the Biograph Vision Quadra realize aFOVs between 1 and 2 m and show a tremendous increase in system sensitivity related to their longer gantries. Conclusion The increased system sensitivity paves the way for short-term, low-dose, and dynamic TB imaging as well as new examination methods in almost all areas of imaging.


1973 ◽  
Vol 6 (04) ◽  
pp. 406-419 ◽  
Author(s):  
Ada W. Finifter

For the past few years, women political scientists have been working for measures to improve their professional status and increase opportunities available to them in the discipline. The national and regional political science associations have demonstrated their willingness to explore existing situations disadvantageous to women by the appointment of Committees on the Status of Women (CsSW). The regional committees have recently collected a variety of information on the employment status of political scientists in each of three regions. The availability of their reports prompted the Editor ofPSto ask me to prepare a summary statement on the current status of women in the profession. In order to provide a more comprehensive discussion I have also assembled some additional data and indicators and the APSA national office kindly provided some data from the 1972–73 Department Chairmen's questionnaire.


Author(s):  
Ali Yaman

This article deals with the transformation of the dede institution, one of the basic institutions of Alevism, throughout the urbanization. Dede institution played a primary role in the survival of Alevism until today. That is why it wouldn’t be an exaggeration to say that this institution is of key importance for an understanding of Alevism in Anatolia. Dedes have moved away from their roles in dede-talib relations, which are based on ocaks in traditional life, and also from their traditional functions due to urbanization. Today, cemevis and cultural centers in Turkey and the urban centers around Europe are widely run by associations and foundations. It is now clear that traditional institutions which had a significant power in the past, such as ocak institution, have been transformed. The socio-economic transformation caused by urbanization has also caused significant effects on the life of Alevis. It is necessary to compare the status of dede institution in the past with its current status in order to better understand this situation. There are great differences between the new and the old qualifications and functions of dedes in the new social order. The functions of Dede institution have either disappeared with time, or have continued with various changes along with the new conditions and new needs of the society. The change is still continuing.


2020 ◽  
Vol 3 (3) ◽  
pp. 19-37
Author(s):  
YOTAM WERZANSKY-ORLAND

Can western human society apply its definition of the term “animal” on itself? Is it possible that a “person” is not only human? In this article, I explore and analyze various and interdisciplinary doctrines and approaches towards nonhuman animals in order to question the current status-quo regarding nonhuman animals. Throughout history, as Man developed self-awareness and the ability to empathize with others, hunters were associated with wolves and began to domesticate them and other animals. With the introduction of different religions and beliefs into human society, Man was given the lead in the food chain, and the status of the nonhuman animals became objectified and subject of the property of human animals. Common modern taxonomy identified and described approximately 1.9 million different species. Some estimate the total number of species on earth in 8.7 million. The Human is just one of 5,416 other species in the Mammal class and shares a place of honour among hundreds of other Primates and Great Apes. It appears to be commonly and scientifically accepted that humans are animals. Humans, as other nonhuman animals, all meet the definitions of the term. However, it seems that there is a wide gap between the human-generated definitions (HGDs) and the human social practice that created a distinct line between humans and “animals”. This alienation is best illustrated by the commonly mistaken equivalence between the terms “human” and “person”, as at least some nonhuman animals answer to many other HGDs. In this article I try to show that a rational and logical interpretation of these definitions’ nonhuman animals (at least some), should be regarded as persons and to suggest an approach to implement in the future.


2003 ◽  
Vol 1 (1) ◽  
pp. 87-90 ◽  
Author(s):  
Chris Garvey

Asthma rates in the US have risen during the past 25 years, as have asthma-related morbidity and healthcare costs. Professional organizations involved in asthma care have identified the need to assure that an advanced level of asthma knowledge and skill is available to patients with asthma, their families, and insurers. This need led to development of the certification for asthma educators. The Certified Asthma Educator (AE-C) must meet specific clinical criteria and pass a standardized examination designed to evaluate knowledge and skill for providing competent asthma education and coordination. The development and current status of the Certified Asthma Educator examination process and content are discussed, as are goals of the certification


2016 ◽  
Vol 18 (3) ◽  
pp. 161-224
Author(s):  
ʿĀʾiḍ B. Sad Al-Dawsarī

The story of Lot is one of many shared by the Qur'an and the Torah, and Lot's offer of his two daughters to his people is presented in a similar way in the two books. This article compares the status of Lot in the Qur'an and Torah, and explores the moral dimensions of his character, and what scholars of the two religions make of this story. The significance of the episodes in which Lot offers his daughters to his people lies in the similarities and differences of the accounts given in the two books and the fact that, in both the past and the present, this story has presented moral problems and criticism has been leveled at Lot. Context is crucial in understanding this story, and exploration of the ways in which Lot and his people are presented is also useful in terms of comparative studies of the two scriptures. This article is divided into three sections: the first explores the depiction of Lot in the two texts, the second explores his moral limitations, and the third discusses the interpretations of various exegetes and scholars of the two books. Although there are similarities between the Qur'anic and Talmudic accounts of this episode, it is read differently by scholars from the two religions because of the different contexts of the respective accounts.


2012 ◽  
Vol 18 (1) ◽  
Author(s):  
Hunud Abia Kadouf ◽  
Umar Aimhanosi Oseini ◽  
Ainul Jaria Maidin

The primary function of Ahmad Ibrahim Kulliyyah (Faculty) of Laws, at the very beginning of its inception, was that of teaching civil law and Sharî’ah subjects. As it matured, its vision has been varied from teaching to that of research with the aim of attaining the status of a full research institution that provides both quality research and best legal education in the region. Similar to other institutions of higher education in Malaysia, the responsibility of research is a shared function of both graduate students and the academic staff. The research output, on the part of the students is mostly composed of either Master Dissertations or PhD Theses. The academic members of the Faculty, however, are involved either in direct research, individually or jointly, supervision, and publications of their findings. By investigating and analyzing factors influencing research activities at AIKOL in the past twenty years, the researchers will be able to identify the general trends and development of research as it unfolded over years. The researchers hope that the policymakers, at both Faculty and University levels, will use the findings to improve research quality by boldly addressing the problems hampering research progress at AIKOL.


1995 ◽  
Vol 32 (9-10) ◽  
pp. 267-272 ◽  
Author(s):  
A. Angelakis ◽  
E. Diamadopoulos

The basic aim of this paper is to present the existing conditions and problems of water resources management in Greece. Water demand has increased tremendously over the past 30 years. Despite adequate precipitation, water imbalance is often experienced, due to temporal and regional variations of the precipitation, the increased water demand during the summer months and the difficulty of transporting water due to the mountainous terrain. Integration of reclaimed wastewater originating from the wastewater treatment plant effluents into the water resources management is proposed. This plan exhibits the potential for reducing the pollution loads entering sea or inland waters, while at the same time providing water for irrigation.


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