Riverton Hospital

OBJECTIVE: To determine whether problems with childhood sleep behaviour are associated with either maternal sleep patterns and emotional status during the pregnancy period, or levels of maternal distress and depression during the postnatal period. METHODOLOGY: A case/control comparison study. Cases were families presenting for admissions to a mother/baby hospital in Brisbane with the major presenting problem being the child's sleep behaviour. The control group consisted of families presenting for well child health care to one of four child health centres in suburban Brisbane. Each participating mother provided information by way of a self-report questionnaire on social and demographic variables, children's sleep patterns, maternal emotional adjustment and maternal sleep pattern during the pregnancy, and current problem with child's sleep behaviour. Current level of maternal distress/depression, was measured using the Edinburgh Postnatal Depression Scale. Cases were compared with controls on all these variables. RESULTS: Significant differences were found between groups in childhood sleep parameters, degree of problem related to childhood sleep, maternal sleep variables during the entire pregnancy, and current levels of maternal distress/depression. CONCLUSION: The origins of problematic childhood sleep behaviour may lie in the pregnancy period. Levels of maternal distress and depression are associated with problematic childhood sleep behaviour. The issue of whether childhood sleep problem predisposes to maternal distress/depression needs exploration. Assessment of maternal mood disorder or childhood sleep problems should be comprehensive and involve both the maternal infant dyad and the family network.

Abstract A method is described for the colorimetric determination of ammonia in plasma by a batch ion-exchange procedure. The method combines separation of ammonium ion, using a strongly acidic cation-exchange resin, with a sensitive colorimetric procedure which simultaneously elutes and colorimetrically reacts with the ammonium ion to produce a stable color. Interference by basic amino acids is negligible, and the great sensitivity of the color reaction permits the measurement of ammonia of the order of 0.5 µg./ml. The effects of variations in the experimental conditions are examined, and the results of recovery experiments and other tests of precision and accuracy are reported. In comparison with other methods in current use, this method has distinct advantages in sensitivity, simplicity, and rapidity of determination, provided the conditions and methods of measurement are controlled carefully.

Journal Article Suburban Xanadu: The Casino Resort on the Las Vegas Strip and Beyond Get access Suburban Xanadu: The Casino Resort on the Las Vegas Strip and Beyond. By Schwartz David G.. (New York: Routledge, 2003. x + 243 pp. Illustrations, notes, bibliography, index. $22.95, paper.) Perry Kaufman Perry Kaufman Riverton, Wyoming Search for other works by this author on: Oxford Academic Google Scholar Western Historical Quarterly, Volume 35, Issue 4, Winter 2004, Pages 507–508, https://doi.org/10.2307/25443064 Published: 01 November 2004

Light and a temperature above 23 degrees C. are necessary for the activity of Popillia. The effect of light as indicated by the rate of locomotor response is related to light intensity according to Fechner's expression of Weber's law.

Cryptotia is rare in the western world, and consequently any one surgeon's experience with its correction is limited. A procedure for the correction of cryptotia is described, which takes into account the details of the deformity. It adds skin flap from the preauricular tissue to cover the reconstructed cartilage of the anterior and superior helix. Two patients with cryptotia were treated with this technique, and good postoperative results were achieved.

Abstract The purpose of the present study was to determine the normal sequence for the gene encoding factor IX in cats and to characterize the genetic basis for hemophilia B in 2 unrelated male, domestic, mixed-breed cats. Genomic DNA sequence for the entire coding region of the factor IX gene was determined in the affected cats and compared to the sequence obtained from a healthy cat. The factor IX gene in cats encodes a mature protein consisting of 420 amino acids, unlike genes in humans and dogs that encode 415 and 413 amino acid proteins, respectively. Affected cat 1 had a single nucleotide change in exon 8 at the 1st nucleotide position of the codon encoding an arginine (CGA to TGA) at amino acid position 338. This mutation would be predicted to result in the appearance of a premature stop codon in the portion of the gene encoding much of the catalytic domain of the protein. Affected cat 2 had a single nucleotide change in exon 4 at the 2nd nucleotide position of the codon encoding amino acid 82 (TGT to TAT), which would be predicted to result in the substitution of a tyrosine for a cysteine. This substitution would likely result in disruption of a disulfide bond crucial to normal protein structure and function. This study represents the 1st time hemophilia B has been characterized at the molecular level in cats.

This study explores the meaning of weaving for Karen refugee women from Burma as they participated in their traditional practice of weaving in Salt Lake City, Utah. Participants included eight Karen refugee women. Data were collected through one focus group and in-depth, semi-structured, open-ended interviews, structured to capture past and present meanings related to weaving. Transcription and analysis of the interviews and focus group were guided by phenomenology. Three themes emerged from structured, qualitative analysis: “I am Karen people”; “When there is nobody I am not happy, but with a lot of people I am happy”; and “If I can sell a lot of things I am happy to weave all the time”. The findings demonstrate how potent one occupation can be for the well-being of a particular group of people in terms of cultural identity construction, empowerment, social support, and economic survival in a new environment.

BACKGROUND: Despite controversy over their possible health consequences, manufacturers of e-cigarettes employ a variety of marketing media to increase their popularity among adolescents. This study analyzed the relationship between adolescent e-cigarette harm perception and five types of e-cigarette advertising exposures: social media, radio, billboard, newspaper, and television. METHODS: This study used data from Wave 4.5 of the Population Assessment of Tobacco and Health Study (PATH). PATH collects demographic data and interview individuals about issues pertaining to tobacco use, health outcomes, attitudes, and behaviors. This study applied factor analysis to three individual PATH harm perception items to develop a composite harm perception score. Using linear regression, the study explored the relationship of harm perception and participant responses to their recalled viewing of five different types (i.e., newspaper, radio, billboard, television and social media) of advertisements within the past 30 days. A second analysis explored if adjusting for exposure to anti-tobacco messaging and environmental factors such as family approval mitigated the association of harm perception and advertisement types. RESULTS: The study sample consisted of 12,570 (weighted N = 23,993,149) individuals aged 12 to 17 years old. Unadjusted past 30-day exposure to newspaper, radio, billboard, and social media advertising all correlated with a reduced harm perception, but only the associations for newspaper and social media were statistically significant (p<0.05). After adjusting for environmental support factors, exposure to warning labels, and anti-tobacco advertisements, the analysis yielded statistically significant associations between increased e-cigarette harm perception and exposure to radio, billboard, and television advertisements (p<0.05). Adjusting for covariates also reduced the association of marketing and harm perception for all forms of media. CONCLUSION: E-cigarette advertising influences adolescent perceptions of harm in e-cigarette use, particularly for social media and newspaper advertisements. This association weakens when adjusted for covariates such as environmental support and exposure to anti-tobacco marketing. These findings provide evidence for policy makers to continue anti-tobacco marketing and incorporate environmentally supportive strategies such as holistic, family-centered educational approaches to reduce e-cigarette use among adolescents.

Various techniques of reattachment of the amputated ear have been described. Some of these reattachments may be successful, and some may survive but without good aesthetic results owing to changes in the cartilaginous framework or its skin cover, while many others may result in complete failure. To improve the blood supply to the reattached ear, especially the venous return, local flaps have been devised to cover part of the ear. Eight patients with partial or complete amputation of their ears have been treated with this technique. They have had good postoperative results and at least 6 months of follow-up.

Correction of defects of the external ear following trauma or partial amputation for cancerous lesions is difficult. A flap from the medial surface of the auricle has been devised to correct the deformity. The flap is either introduced through the cartilaginous framework or passed around the edge of the helical cartilage for reconstruction of the lateral surface of the ear. The small part of the flap that passed underneath the auricular skin or through the auricular cartilage is deepithelialized. Six patients have been treated with this technique; they have had at least one year of follow-up and good postoperative results.

The focus of this research project was to investigate the perceived usefulness and impacts of a 4-hour divorce education workshop offered to adults. The program, Parents Forever, is a parent education program designed to assist adults dealing with the divorce or separation process and educate them about the effects on children and strategies for effective coparenting. Participants included 238 individuals who completed the workshop and then participated in an initial postprogram survey and a follow-up survey 2 months later, with 82 individuals completing the follow-up survey. The questionnaires evaluated the participants' perceptions regarding program usefulness, program impacts on their behavior, and demographic and participation variables of interest. Participants indicated positive views of program usefulness and significant adjustments in specific divorce-related behaviors. The implications of the findings for support of divorce education programs are explored.

ABSTRACT Thirteen studies were reviewed to explore the promise of school- and community-based solutions in reducing the impact of exposure to violence and chronic traumatic events among urban minority youth aged 11 to 19 years old. Because the variables of spirituality and religion are often overlooked in empirical research, studies that measured or included these concepts were prioritized. Out of a total of 35 studies, 13 were included in this review. The 13 studies included 5 intervention studies, 5 cross-sectional studies, and 3 nonexperimental studies that met our criteria. Six of the studies included spirituality or religion as a variable. The review confirmed significant associations between rates of exposure to chronic community violence and presence of posttraumatic stress disorder (PTSD) symptoms within this population. Five intervention studies confirmed the effectiveness of cognitive-behavioral therapy or group therapy in reducing trauma symptoms expressed through PTSD symptoms and depressive symptoms. Two cross-sectional studies identified spiritual or religious factors as buffering or moderating the impact of chronic community violence, and 1 revealed higher rates of spirituality/creativity among adolescents with more exposure to traumatic events. Recommendations for future research are outlined.

A series of large pelvoabdominal cystic masses in young females is presented. Ultrasound examination is the procedure of choice for the initial evaluation of these uncommon masses. Ultrasound can characterize internal structure and relationship to contiguous organs and tissues, and the examination can often suggest the etiology. In two cases, multiple pathologic entities were encountered.

Monitoring of chloride flux as a surrogate for heat flux out of Yellowstone National Park has been carried out to quantify the scientific data which can be used to understand the temporal changes in the plumbing system that connect the magmatic reservoirs to shallow geothermal systems underlying the Park, and establishment of baseline data to assess possible future adverse impacts on the thermal features by proposed commercial development of geothermal, oil and gas resources adjacent to the Park.Tabulated here without interpretative comment are river discharge, chloride concentrations and instantaneous chloride fluxes for the Fall, Madison, Snake, and Yellowstone Rivers at sites near the boundary of the Park, and for the Firehole and Gibbon Rivers near their confluence to form the Madison River.In addition data is presented for the Gardner River above it's confluence with the Yellowstone River, and the Henry's Fork River near Ashton, Idaho.This study includes the water years 1983-1999.

INTRODUCTION: century was marked by a dramatic increase in adolescent e-cigarette use in the United States (US). The popularity of non-traditional flavor types, including fruit and pastry, is thought to contribute toward growing product use nationally, leading to a variety of federal and state regulations limiting the use of non-traditional flavors in the US. The relationship between flavor type and increased adolescent use suggests a possible link between flavor use and addiction and harm perception. This study assessed if the flavor type used when initiating e-cigarette use predicted addiction and harm perceptions. METHODS: The study utilized data from the multi-wave youth Population Assessment of Tobacco Health Study. It explored the impact initiating e-cigarette use with traditional versus non-traditional flavor types among cigarette users on the outcome variables: e-cigarette addiction and harm perception. Both e-cigarette addiction and harm perception were measured using self-report, Likert scale questionnaires. Descriptive statistics characterized the study variables and linear regression analyses performed to test whether flavor initiation type is associated with addiction and harm perception. RESULTS: The study sample consisted of 1,043 youth (weighted N = 1,873,617) aged 12 to 17 years who reported at least one instance of e-cigarette use. After adjusting for age, age of onset, sex, race and annual household income there was no statistically significant difference in addiction levels between those initiating with traditional versus non-traditional flavors (p = 0.294). Similarly, traditional versus non-traditional flavor initiation did not show a statistically significant difference in adolescent e-cigarette harm perceptions (p = 0.601). CONCLUSIONS: Traditionally flavored e-cigarette initiation produces similar risk for addiction and harm perceptions as non-traditionally flavored initiation. These findings suggest that banning non-traditional flavors alone may be ineffective in curbing e-cigarette addiction and harm perception. Additional research is needed to better understand which e-cigarette product characteristics and behaviors may be associated with greater addiction and reduced harm perceptions.

Since 1975, the Bureau of Reclamation has installed approximately 25.8 miles (41.5 km) of PVC (polyvinyl‐chloride) lining in the distribution system of the Riverton Irrigation Project. The lining is part of a $40,000,000 rehabilitation program designed to stop waterlogging of adjacent farmland and conserve water. This paper describes the methods used in investigating, designing, and constructing the PVC lining. It also summarizes the construction costs from 1973 to 1982.

The use of arsenate of lead mixed with the soil to a depth of three or four inches before seeding, or used in the top dressing on turf already established is described. The method is proving satisfactory in practice. The large majority of fine turf grasses are stimulated in their growth by the present of the poison on the soil.

Journal Article The Green Japanese Beetle Problem Get access John J. Davis John J. Davis Riverton, N. J. Search for other works by this author on: Oxford Academic PubMed Google Scholar Journal of Economic Entomology, Volume 13, Issue 2, 1 April 1920, Pages 185–194, https://doi.org/10.1093/jee/13.2.185 Published: 01 April 1920

The need for qualified cardiothoracic surgeons is increasing in the United States because of the growing geriatric population and fewer medical students and residents choosing this speciality. 1 Cardiothoracic training programs must recruit from a pool of qualified students and residents, including international medical graduates (IMGs).A report from the Association of American Medical Colleges noted that 19.1% of traditional thoracic surgery trainees, 8% of integrated thoracic surgery trainees, and 0% of congenital cardiac trainees are IMGs, compared with 23% of trainees across all specialties (Table 1 and Figure 1). 2-4Despite a 12.5% increase over the past 10 years in IMG representation in the physician workforce, cardiothoracic surgery (CTS) had the most rapid decline in IMG numbers among all specialties, with IMGs now representing 20% of the practicing cardiothoracic workforce. 5 This decrease in representation suggests a potential loss of diversity in the future cardiothoracic workforce.With fewer IMGs, CTS loses the opportunity to improve patient care for the increasingly diverse US population 6 through shared cultural understanding and language. 7 diverse physician workforce can offer valuable cultural insights, conferring improved patient-centered care.Increasing diversity in medical settings improves cognitive processes and knowledge, fosters discussion and alternative viewpoints, and drives healthcare innovation. 8Furthermore, as shown in data from medical specialties, IMGs are more likely to practice in underserved areas post-training, 9 and this is facilitated in all specialties by the fact that there are associated visa waivers.This may potentially mitigate health disparities in CTS.The medical field has demonstrated increasing support for the international perspective; the American Board of Surgery and the American Board of Thoracic Surgery have pathways to certification for IMGs, which offer certification for surgeons who are currently practicing.The American Medical Association advocates for international physicians, trainees, and students and provides a toolkit for navigating US practicing and training. 10The American Association of Medical Colleges offers global opportunities by assisting IMGs to come to the United States and US physicians to gain international experience. 11The Accreditation Council for Graduate Medical Education (ACGME) developed ACGME International to standardize international education and ACGME Global to facilitate US medical experience for IMGs.Of note, there are also many non-ACGME-accredited programs that support IMG training throughout the country; however, because of the lack of information on the number of programs or positions, this discussion focuses on ACGME-accredited programs.CTS must continue to make efforts to recruit top candidates from both US and international medical schools.Unfortunately, several barriers persist for IMGs training in CTS.

Evaluation of the ground-water observation-well program for the