Treating Ichthyotoxin Poisoning Induced by Gar Eggs Ingestion

Background: A Gar is a primarily freshwater fish that resides in North America. The flesh of a garfish is edible; however, the eggs and any meat surrounding the eggs are highly toxic to humans. The toxicity is induced by the protein ichthyotoxin. Case Report: The studied patient was an 18-year-old male who ingested 2-3 spoons full of gar eggs in their residence place. Each spoon full contained 40-50 eggs. The estimated total amount of consumed eggs equaled 3 teaspoons. Approximately one hour after eating the eggs, the patient began to feel unwell. Upon arrival at the local Children’s Hospital, the patient was experiencing nausea, vomiting, diarrhea, and sweating.Conclusion: Patients affected by gar eggs should be treated symptomatically, given there is no antidote or specific treatment for ichthyotoxin. Further research is required on the mechanism that makes ichthyotoxin toxic. Luckily, the presented patient presented no seizures due to the toxin and the care providers could manage the related symptoms

A telegeriatric service in a small rural hospital: A case study and cost analysis

Introduction Small hospitals in rural areas usually have an insufficient caseload of frail old people to justify the regular presence of a geriatrician. This study examined the costs of providing a telegeriatric service by videoconference in a rural hospital, compared to the costs of a visiting geriatrician that travels to undertake in-person consultations. Methods A cost analysis was undertaken to compare the costs of the telegeriatric service model with the costs of a visiting geriatrician service model. A recently established telegeriatric service at Warwick Hospital was used as a case study. Results In the base case model (assuming four patients per round and a round-trip travel distance of 312 kilometres), an estimated AUD$131 per patient consultation can be saved in favour of the telegeriatric service model. Key drivers of costs are the number of patients per round and the travel distance and time in the visiting geriatrician model. At a workload of four patients per round, it is less expensive to conduct a telegeriatric service than a visiting geriatrician service when the round-trip travel time exceeds 76 minutes. Discussion Even under quite conservative assumptions, a telegeriatric service offers an economically feasible approach to the delivery of specialist geriatric assessment in rural and remote settings

Judicial Review of Settlements Under the Class Action Fairness Act and Deference Due to the Department of Justice and State Attorneys General

The Class Action Fairness Act of 2005 (CAFA) made it easier to remove consumer class actions from state to federal court, and among other things regulates the procedure of federal court approval of settlements of those cases. CAFA requires that before any court approval or disapproval, the parties must notify the Attorney General of the United States, and the attorneys general of states where members of the class live, of the pending settlement in order to receive any objections or other input. While such notice is frequently sent, since most class action cases settle out of court, it appears that the U.S. AG and state AGs rarely formally object to proposed settlements. Perhaps not surprisingly, the provision has been the subject of little commentary and analysis. This Article fills that gap by focusing on how state AGs process and evaluate such notices under CAFA, using as a case study over ten years’ worth of unpublished data obtained from the Ohio Attorney General, regarding the Ohio AG’s review of thousands of CAFA settlement notices. The Article also addresses whether states should also be permitted to intervene as parties in CAFA suits, and the legal and policy issues regarding how much weight or deference a federal court should give to objections or input (or lack thereof) from the DOJ and state AGs, usually through amicus curiae briefs, to proposed settlements

Evidence of strong quasar feedback in the early Universe

Most theoretical models invoke quasar driven outflows to quench star formation in massive galaxies, this feedback mechanism is required to account for the population of old and passive galaxies observed in the local universe. The discovery of massive, old and passive galaxies at z=2, implies that such quasar feedback onto the host galaxy must have been at work very early on, close to the reionization epoch. We have observed the [CII]158um transition in SDSSJ114816.64+525150.3 that, at z=6.4189, is one of the most distant quasars known. We detect broad wings of the line tracing a quasar-driven massive outflow. This is the most distant massive outflow ever detected and is likely tracing the long sought quasar feedback, already at work in the early Universe. The outflow is marginally resolved on scales of about 16 kpc, implying that the outflow can really affect the whole galaxy, as required by quasar feedback models. The inferred outflow rate, dM/dt > 3500 Msun/yr, is the highest ever found. At this rate the outflow can clean the gas in the host galaxy, and therefore quench star formation, in a few million years.Comment: 5 pages, 3 figures, accepted for publication in MNRAS Letter

190— Punk Prayer: The History of The Riot Grrrl Movement

The “riot grrrl” movement was an underground subculture of music that began in Washington State (Particularly in Olympia) in the early 1990s. It consisted of all female bands that combined feminist values and politics in the form of punk music. It spread quickly across the nation, and the US, where it went on to influence the globe, and their society and politics, becoming a much more international movement. Here, we will be covering the foundations of the “riot grrrl” movement, list a few bands and their impacts on the nation, and the significance of the movement on aspects of society, as well as its relevance to today

Judicial Review of Settlements Under the Class Action Fairness Act and Deference Due to the Department of Justice and State Attorneys General

The Class Action Fairness Act of 2005 (CAFA) makes it easier to remove consumer class actions from state to federal court and, among other things, regulates the procedure of federal court approval of settlements of those cases. CAFA requires that before any court approval or disapproval, the parties must notify the Attorney General of the United States, and the attorneys general of states where members of the class live, of the pending settlement in order to receive any objections or other input. While such notice is frequently sent, since most class action cases settle out of court, it appears that the U.S. AG and state AGs rarely formally object to proposed settlements. Perhaps not surprisingly, the provision has been the subject of little commentary and analysis.This Article fills that gap by focusing on how state AGs process and evaluate such notices under CAFA, using, as a case study, over ten years’ worth of unpublished data obtained from the Ohio Attorney General, regarding the Ohio AG’s review of thousands of CAFA settlement notices. The Article also addresses whether states should also be permitted to intervene as parties in CAFA suits, and considers the legal and policy issues regarding how much weight or deference a federal court should give to objections or input (or lack thereof) from the DOJ and state AGs, usually through amicus curiae briefs, to proposed settlements

An Improved Method to Protecting Skin Graft Dressings Following Surgery in Severe Burn Patients

Severe burns, including deep second- and third-degree burns, affect over 450,000 people annually in the U.S., often requiring skin grafts for treatment. Recovery involves wearing wound dressings covered by bandage wraps for at least two weeks. While wraps are breathable, versatile, and simple, they can be painful to apply, especially for larger patients, and their compression varies based on the person applying them. This poses challenges when untrained caregivers are involved. Additionally, wraps often slip during physical therapy. Burn care units seek a new solution that matches current wraps in breathability and comfort but offers quicker application, controlled compression, and stability during movement. Motivations for this project include wanting to provide a better recovery for the patient, decreasing skin graft failure and discomfort, all while increasing the ease of application for the clinician or at-home user. The goal of our research is to diagnose user, and clinician needs and develop a prototype that solves the discovered pain points. If successful, this project will be a significant step toward improving the effectiveness and efficiency of bandage wrapping for burn patients. while also reducing the pain and discomfort they experience when wearing the bandages

Predictors of orbital convergence in primates: A test of the snake detection hypothesis of primate evolution

Traditional explanations for the evolution of high orbital convergence and stereoscopic vision in primates have focused on how stereopsis might have aided early primates in foraging or locomoting in an arboreal environment. It has recently been suggested that predation risk by constricting snakes was the selective force that favored the evolution of orbital convergence in early primates, and that later exposure to venomous snakes favored further degrees of convergence in anthropoid primates. Our study tests this snake detection hypothesis (SDH) by examining whether orbital convergence among extant primates is indeed associated with the shared evolutionary history with snakes or the risk that snakes pose for a given species. We predicted that orbital convergence would be higher in species that: 1) have a longer history of sympatry with venomous snakes, 2) are likely to encounter snakes more frequently, 3) are less able to detect or deter snakes due to group size effects, and 4) are more likely to be preyed upon by snakes. Results based on phylogenetically independent contrasts do not support the SDH. Orbital convergence shows no relationship to the shared history with venomous snakes, likelihood of encountering snakes, or group size. Moreover, those species less likely to be targeted as prey by snakes show significantly higher values of orbital convergence. Although an improved ability to detect camouflaged snakes, along with other cryptic stimuli, is likely a consequence of increased orbital convergence, this was unlikely to have been the primary selective force favoring the evolution of stereoscopic vision in primates

Mixed Higgsino Dark Matter from a Large SU(2) Gaugino Mass

We observe that in SUSY models with non-universal GUT scale gaugino mass parameters, raising the GUT scale SU(2) gaugino mass |M_2| from its unified value results in a smaller value of -m_{H_u}^2 at the weak scale. By the electroweak symmetry breaking conditions, this implies a reduced value of \mu^2 {\it vis \`a vis} models with gaugino mass unification. The lightest neutralino can then be mixed Higgsino dark matter with a relic density in agreement with the measured abundance of cold dark matter (DM). We explore the phenomenology of this high |M_2| DM model. The spectrum is characterized by a very large wino mass and a concomitantly large splitting between left- and right- sfermion masses. In addition, the lighter chargino and three light neutralinos are relatively light with substantial higgsino components. The higgsino content of the LSP implies large rates for direct detection of neutralino dark matter, and enhanced rates for its indirect detection relative to mSUGRA. We find that experiments at the LHC should be able to discover SUSY over the portion of parameter space where m_{\tg} \alt 2350-2750 ~GeV, depending on the squark mass, while a 1 TeV electron-positron collider has a reach comparable to that of the LHC. The dilepton mass spectrum in multi-jet + \ell^+\ell^- + \eslt events at the LHC will likely show more than one mass edge, while its shape should provide indirect evidence for the large higgsino content of the decaying neutralinos.Comment: 36 pages with 26 eps figure