Bacterial Meningitis Following Spinal Anesthesia for Caesarean Section

Authors: Qin Jian Low, Kuo Zhau Teo, Seng Wee Cheo

Bacterial meningitis has a potentially devastating outcome if there is any delay in diagnosis and treatment. There are multiple routes at which bacteria could migrate into the subarachnoid space. Lumbar puncture bypasses the natural defense barrier of central nervous system and therefore carries a risk of transmitting infection to the meninges. We report a case of post spinal bacterial meningitis in a post partum lady who underwent spinal anaesthesia for emergency lower segment caesarean section. She developed signs and symptoms of meningitis twenty-eight hours post procedure. Her cerebrospinal fluid (CSF) analysis was suggestive of bacterial meningitis and she made a full recovery.


Journal: Journal of Biosciences and Medicines
DOI: jbm.2018.610001 (PDF)
Paper Id: 87706 (metadata)

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Cloud versus On-Premise Computing

Author: Cameron Fisher

When investigating new choices for enterprise solutions, decision-makers need to increasingly weigh the merits of Cloud offerings. Accessibility, performance and security are key requirements along with vendor reputation and user community. The race to acquire customers and expand market share is prompting vendors to offer attractive introductory pricing to capture Cloud tenants. To keep in mind long term TCO and business outcomes, it’s essential to conduct due diligence to minimize risks or surprises. Knowing the business, technology and contractual drivers will inform the decisions on the future of Cloud at your organization. Decisions to embrace the Cloud will always require complete analysis of the options and business metrics. After performing a full needs analysis and understanding the variables, a reliable and cost-effective result is better selected and managed. This paper outlines fundamentals to understand the implications for deciding on Cloud versus On-Premise Computing going forward.


Journal: American Journal of Industrial and Business Management
DOI: ajibm.2018.89133 (PDF)
Paper Id: 87661 (metadata)

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Reclaiming American Indian Women Leadership: Indigenous Pathway to Leadership

Authors: Margo Hill, Mary Ann Keogh Hoss

There was no identified leadership model for American Indian women leaders. Through an exhaustive review of leadership styles it was identified that the Centered Leadership approach lends itself to the culture of American Indian Women. The components of the Centered Leadership approach include: utilizing personal strengths, managing energy, positive framing, relationship building, and collaborating with others to take advantage of opportunities. Based on the review of the literature and native women’s leadership styles, the concepts of the Centered Leadership Model were utilized to develop “Native Women Leadership: Indigenous Pathway”. Prior to European contact, native women held positions of leadership, shared in decision making and owned property. Today Native women leaders and managers are reclaiming their decision making authority to improve the lives of their nations. The Native Women Indigenous Pathway has not come without barriers and discrimination. The Centered Leadership approach assists in the examination of the American Indian woman’s pathway to decision making. Native women find themselves living in two worlds and must navigate expectations and responsibilities by switching between mainstream American and tribal values. How a native woman decides to negotiate these two worldviews is part of what creates her individual identity and her leadership style. A Native American Leadership Indigenous Pathway model is proposed.


Journal: Open Journal of Leadership

DOI: ojl.2018.73013 (PDF)
Paper Id: 87627 (metadata)

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Edge Modes and Teleportation in a Topologically Insulating Quantum Wire

Authors: Majd Ghrear, Brie Mackovic, Gordon W. Semenoff

We find a simple model of an insulating state of a quantum wire which has a single isolated edge mode. We argue that, when brought to proximity, the edge modes on independent wires naturally form Bell entangled states which could be used for elementary quantum processes such as teleportation. We give an example of an algorithm which teleports the spin state of an electron from one quantum wire to another.


Journal: Journal of Modern Physics
DOI: jmp.2018.911131 (PDF)
Paper Id: 87588 (metadata)

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Stability Assessment of Open Stope under Overlaying Mined-Out Regions at Modi Taung Gold Mine, Myanmar

Authors: Naung Naung, Takashi Sasaoka, Hideki Shimada, Akihiro Hamanaka,
Sugeng Wahyudi, Mao Pisith

Stability assessment is one of the most important issues in mining ground control. Mine development and/or production instability can cause production delay, loss of reserves, as well as injury to miners. Within the scope of this study, a series of open stope’s instability under the influence of overlaying mined-out regions were carried out with different mining scenarios at Modi Taung gold mine which is operated by National Prosperity Gold Production Group Limited (NPGPGL) in Myanmar. NPGPGL has been developing stopes up to 150 m from the surface at Shwesin vein system, and the mining activities are going to continue to deeper levels to fulfill the ore mineral supply. Creating a new stope opening under overlaying mined-out regions is not easy considering the instability of mined-out regions can affect the stope. The instability of new stope opening is not only due to its own induced stress but also the strong influence by the mined-out regions situated on upper part of the stope. Therefore, the understandings of ground behaviors and failure mechanisms of new stope opening due to the influence of overlaying mined-out regions are paramount to be studied. This paper describes in detail the strength factor and failure zones under the overlaying mined-out regions with different mine conditions by using numerical simulations, 3D finite difference software (FLAC 3D).


Journal: International Journal of Geosciences
DOI: ijg.2018.99032 (PDF)
Paper Id: 87538 (metadata)

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Innovative Approaches to Energy Provision in Off-Grid Rural Communities—A Case of Botswana

Authors: Clever Ketlogetswe, Jerekias Gandure

Although renewable energy technologies applications to rural communities to improve energy access have been embraced in numerous parts of the world, sustainability of these systems is increasingly becoming critical as far as realization of long term benefits is concerned. The current manuscript proposes approaches deemed to provide appropriate match between technology and users in a select of Botswana’s rural communities. The methodology includes a participatory and inclusive approach in which the local community is engaged in the generation of their own energy. Available information indicates that available feedstock in selected communities is sufficient to generate and provide sustainable energy supply for the community.


Journal: Journal of Sustainable Bioenergy Systems
DOI: jsbs.2018.83006 (PDF)
Paper Id: 87513 (metadata)

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Herpes Zoster in Diverse Situations: A Review

Authors: Olatunde Peter Olabode, Oiwoh Sebastine, Adeolu Oladayo Akinboro

Herpes zoster occurred when the suppressive ability of immune system failed to prevent the reactivation of initial varicella-zoster virus infection. Its frequency is higher among immune compromised individuals. Herpes zoster presents with characteristic painful grouped vesicles on erythematous background along the dermatome area and could be complicated by post-herpetic neuralgia. The current review examined the risk factors and discussed herpes zoster in different situations, treatment and concluded by discussing the future research trend of herpes zoster.


Journal: International Journal of Clinical Medicine
DOI: 10.4236/ijcm.2018.99060 (PDF)
Paper Id: 87477 (metadata)

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Assessment of the Effectiveness of Adjustment Programs at the Core of the Greek Economy

Authors: Aggelos Kotios, George Galanos, Thomas Poufinas

Despite the seven-year implementation of three adjustment programs to address the sovereign debt crisis, the Greek economy is still in a prolonged recession and faces problems of competitiveness, political stability and social cohesion. At the same time, the fiscal adjustment policy did not solve the original problem of public debt. On the contrary, as recent evidence shows, the country’s ability to service its debt has deteriorated. The causes of the crisis and the failure of the selected economic stabilization policies are a multidimensional and interrelated complex. The Greek economy has supported its growth in recent decades mainly in domestic consumption, with little presence in areas with high added value and extrovert features, focusing mainly on traditional business sectors with limited innovation characteristics. Ιn this study we will try on reasonable arguments but also with a series of statistical data and indicators from sources such as the Organization for Economic Cooperation and Development (OECD), the World Bank, the World Economic Forum (WEF) and the Greek authorities to analyze the course of the Greek economy, evaluate the results of the selected policies and to formulate appropriate policy proposals.


Journal: Modern Economy
DOI: 10.4236/me.2018.99098 (PDF)
Paper Id: 87464 (metadata)

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Application of Desert Date (Balanites aegyptiaca) Seed Oil as Potential Raw Material in the Formulation of Soap and Lotion

Authors: Charity Uren Zang, Alexander Asanja Jock, Hassan Ibrahim Garba, Yarkasuwa Istifanus Chindo

Balanites aegyptiaca has multiplicity of uses and almost every part of the plant is useful including its flowers, leaves, bark, root and fruit. In this study, oil from Desert date (Balanites aegyptiaca) kernel seed was extracted, analyzed and used in the formulation of soap and lotion. The physical parameters determined were oil content, specific gravity, refractive index and moisture content. These were found to be 45.32% ± 0.0026%, 0.90 ± 0.03, 1.45% and 0.114% ± 0.04%, respectively. The chemical parameters evaluated include saponification value (200.02 ± 0.12 mg KOH/g), acid value (2.14 ± 0.28 mg KOH/g), iodine value (104.39 ± 0.00 100/g), peroxide value (2.95 ± 0.00 mEq/kg) and free fatty acid (0.82% ± 0.01%). The oil quality assessments test indicates %FFA content of 0.84% and the fatty acids composition of the oil was evaluated using GC-MS as FAME; the oil contains about 47.52% unsaturated fatty acids. The seed kernel of Balanites aegyptiaca is a good source of vegetable oil. Soap formulated from the oil is considered a good soap based on the soap quality parameters determined. Lotion formulated has a good stability when subjected to lotion stability test.


Journal: American Journal of Analytical Chemistry
DOI: 10.4236/ajac.2018.99033 (PDF)
Paper Id: 87426 (metadata)

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Union Influence on Wage and Change in Employment Rate in an Overlapping Generations Economy

Author: Toyoki Matsue

The effect of labor market institutions on the unemployment rate has been widely studied in macroeconomic dynamics. Union influence is one of the most important issues in the labor market institutions. Thus, this study investigates the effects of union influence on wages with regard to employment dynamics using an overlapping generations model with closed economy. We assume a wage setting equation that is discussed in the existing literature and we consider an economy in which unemployment exists. The model shows that high upward pressure on wages leads to low employment rates not only in the steady state but also on the equilibrium path.


Journal: Theoretical Economics Letters
DOI: 10.4236/tel.2018.812172 (PDF)
Paper Id: 87404 (metadata)

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