Coahoma Community College

Remarriage is analyzed from the perspective of family boundaries and roles. The nuclear and remarriage family models are compared, and the process that begins with the formation of the first-marriage nuclear family and ends with the formation of a second-marriage family is conceptualized in terms of changing family boundaries and roles. Discussions with remarriage group members provide concrete illustrations of this process and suggest solutions to some of the problems confronting remarriage family members.

West Nile virus infection can result in prolonged subjective complaints of cognitive and functional decline even in the absence of a neuroinvasive form of infection. Persistent cognitive and functional complaints could be a result of general somatic symptoms, emotional distress, or residual central nervous system damage or dysfunction. Most studies of cognition in postacute West Nile virus infection rely on self-report. This descriptive study aimed to document cognitive deficits in a sample of the 2003 infected population reported in New Mexico. Patients with clinically defined neuroinvasive disease or who were impaired on brief mental status screening were seen for comprehensive neuropsychological assessment. We found that one year after symptom onset, more than half of the sample had objectively measurable neuropsychological impairment in at least two cognitive domains. Impairment was not related to subjective complaints of physical or emotional distress, or premorbid intellectual abilities. Persistent cognitive impairment in West Nile virus infection may be due to prolonged or permanent damage to the central nervous system.

Coccidiosis is regarded as the parasitic disease with the greatest economic impact on the poultry industry due to reduced performance and increased mortality. A study was conducted to investigate the effects of in ovo administration of probiotics on hatchability, performance, immune organ weights, and lesion scores in broiler chicks during a mixed Eimeria infection. At embryonic day 18, 210 eggs were injected with either sterile water or 1×10 6 cfu probiotic bacteria. On day 3 post-hatch, half of the chicks from each treatment group were challenged with a mixed inoculum of Eimeria acervulina , Eimeria maxima and Eimeria tenella . Measurements and tissue samples were taken on day of hatch (DOH) and days 3, 9 and 15. On day 9, 24 birds per treatment were scored for intestinal Eimeria lesions. No differences were seen among groups for hatchability as well as for body weight (BW), BW gain (BWG), or immune organ weights prior to the Eimeria challenge. On day 9, the non-challenged birds with probiotic supplementation had higher BW and BWG than the non-supplemented controls while no differences were seen among the challenged groups. On day 15, probiotic supplemented birds had improved BW compared to the non-supplemented birds as well as increased BWG from day 9 to 15. Bursa weight was not affected by treatment at any time point while spleen weight was greater in supplemented birds on day 15. Birds receiving the probiotic had significantly lower mortality than non-treated birds. Additionally, gross lesion severity was reduced due to probiotic supplementation in all intestinal segments evaluated. These results suggest that in ovo supplementation of probiotics may improve early performance and provide protection against a mixed Eimeria infection.

Enteric methane (CH4) emissions make up approximately one-third of all New Zealand’s carbon dioxide equivalent greenhouse gas emissions. In current national inventory calculations, fixed values are used to estimate emissions from sheep; 20.9 g CH4 per kg dry matter intake (DMI) for sheep <1 year old and 16.8 g CH4 per kg DMI for sheep >1 year old. These values have been principally derived from trials where intake was estimated, and CH4 emissions were measured indirectly using the sulfur hexafluoride tracer technique. Using New Zealand sheep data collected between 2009 and 2015, where intake was accurately measured and CH4 emissions were measured for a minimum of 48 h in respiration chambers (n = 817), updated sheep methane prediction algorithms suitable for use in the national greenhouse gas inventory were derived. A single equation for all sheep based on daily DMI (kg) alone (ln(g CH4/day) = 0.763 × ln(DMI) + 3.039) explained 76% of the variation in CH4 emissions. Splitting the dataset into two age classes (sheep <1 year old and sheep >1 year old) provided two alternative equations; (sheep >1 year old), ln(g CH4/day) = 0.765 × ln(DMI) + 3.09 and (sheep <1 year old), ln(g CH4/day) = 0.734 × ln(DMI) + 0.05(metabolisable energy) + 2.46. An analysis of concordance suggests that a better fit to the data is obtained by using a two-algorithm approach. The use of these updated algorithms in the national inventory resulted in small changes to estimated emissions both within and between years.

BACKGROUND AND OBJECTIVES: Use of health services in rural communities has not been well studied. We explored how black and white children used health services in a rural Mississippi community. METHODS: Data were prospectively collected for 396 children attending a private practice to determine if race was associated with the use of health services in this community. RESULTS: White children made more sick contacts than black children (P < 0.001). Black children (36%) were more likely to be treated in the emergency room than white children (24%; P = 0.013). There was no black-white difference in the hospitalization rates, although white children were more likely to undergo ear-nose-throat (ENT) surgery for pressure equalizing tube (PET) placement, and/or tonsillectomy and adenoidectomy (T and A; P < 0.001). Even after controlling for various confounders, the frequency of all physician sick contacts was twice as high for white children than for black children (RR = 2.17; 95% C.I. = 1.32-3.58). CONCLUSION: Overall, black children used disproportionately fewer health services than their white counterparts, but used significantly higher emergency room services. Private insurance coverage was the single most significant variable that accounted for the black-white differential use of the emergency room.

ABSTRACT The effect of pH and ascorbic acid on the ionization and valence state of iron was investigated. Elemental iron, ferrous sulfate, ferric ortho phosphate, and sodium ferric EDTA were added, with and without ascorbate, 10 phthalate buffers of pH 2.7, 4.2, and 6.2. Total ionic, ferrous and ferric iron were analyzed by the bathophenanthroline method. A 4‐wk study showed the greatest amount of ionization and conversion to the ferrous valence occurring at pH 2.7, the least at pH 6.2. Ascorbic acid aided ionization at all pH values and favored the ferrous valence state at pH 2.7. Actual percent ionization and conversion to the ferrous valence in foods were compared to predictions derived from the model systems. The chemical changes of iron added to cranberry juice, tomato juice, and a chemically leavened biscuit dough followed the same trends observed in the phthalate buffers. Though not quantitatively, pH can be used to predict trends of chemical changes in iron added to foods.

INTRODUCTION: The Mississippi Delta has high rates of chronic disease and is known for its poor health outcomes and health disparities. The University of Mississippi School of Pharmacy (UMSOP) and the Mississippi State Department of Health partnered in 2009 through the Mississippi Delta Health Collaborative to reduce health disparities and improve clinical outcomes by expanding the UMSOP's evidence-based medication therapy management (MTM) initiative, focused in Mississippi's 18-county Delta region, to federally qualified health centers (FQHCs) in 4 of those counties. METHODS: ). RESULTS: (1.6% [baseline ≥6%] and 1.9% [baseline ≥9%]). CONCLUSION: Despite the cultural and environmental disadvantages present in the Mississippi Delta, the integrated MTM treatment program demonstrated significant health improvements across 3 chronic diseases: hypertension, dyslipidemia, and diabetes. This model demonstrates that a partnership between public health and pharmacy is a successful and innovative approach to care.

Tourists have the potential to detrimentally impact breeding seabirds, particularly at popular destinations such as on the Great Barrier Reef. Michaelmas Cay is a significant seabird rookery and prime tourist destination on the reef. In 1990, Queensland Parks &amp; Wildlife Service erected a fence to separate tourists from fragile nesting habitat. We used two independent assessments during different breeding seasons to determine the potential impacts of tourism on two pelagic seabird species breeding on the cay. In the first quasi-experiment, egg losses by sooty terns (Sterna fuscata) and common noddies (Anous stolidus) were monitored at four distances (3, 6, 18 and 36 m) from a tourist enclosure. Our second quasi-experiment involved monitoring adult provisioning rates, chick growth and chick survival of sooty terns at two locations, one adjacent to the tourist fence and one 50 m away. At plots 3–6 m from the fence, we observed higher among-week variation in egg loss but no differences in total egg loss as compared with the more distant plots. The only difference observed between plots during our second quasi-experiment was that nest predation was higher at the tourist fence plot. Our research suggests that as long as the effects observed do not influence post-fledging survival or gull predation does not impact under different conditions, current management protocols are appropriately facilitating shared usage between wildlife and the tourism industry at Michaelmas Cay.

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Abstract In this paper, we consider the classical Riemann problem for a generalized Burgers equation, with a spatially dependent, nonlinear sound speed, with , which decays algebraically with increasing distance from a fixed spatial origin. When , this reduces to the classical Burgers equation. In this first part of a pair of papers, we focus attention on the large‐time structure of the associated Riemann problem, and obtain its detailed structure, as , via the method of matched asymptotic coordinate expansions (this uses the classical method of matched asymptotic expansions, with the asymptotic parameters being the independent coordinates in the evolution problem; this approach is developed in detail in the monograph of Leach and Needham, as referenced in the text), over all parameter ranges. We identify a significant bifurcation in structure at .

The Internet is a comprehensive but largely unevaluated archive of health information accessible to adolescents. The paper describes an initiative to establish a mental health promotion site acceptable to those between 12 and 18 and to evaluate its success. It was found that, while an accessible and effective resource for targeting young people, its place in clinical practice depends on whether the information provided is accurate and reliable, access secure and confidential, design acceptable to users, and development supported by health service staff and professional bodies. Guidelines are recommended.

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Life care plans are designed to outline the evaluee’s rehabilitation and future medical needs. It is imperative to have an accurate understanding of the injury’s impact on a person’s ability to complete activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Assessment of ADLs and IADLs should include standardized measures, combined with clinical observation. This information is then interpreted within the context of a person’s environment, personal traits, habits, routines, values, and motor and processing skills to provide a wholistic assessment.

The FEDIX Annual Status Report provides details regarding an on-line information project designed, developed and implemented by Federal Information Exchange, Inc., a diversified information services company. This document details the project design activities, summarizes the developmental phases of the project and describes the implementation activities generated to fulfill the project`s objectives. The information contained in this document illustrates FIE`s continuing commitment to serve as the link that facilitates the dissemination of federal information to the education community. This report reviews the project accomplishments and describes intended service enhancements.

In this paper general interior and exterior penalty methods are considered and their essential properties are summarized. Penalty-shifting methods are also contained in this survey.