Alternate Style Research Articles

Informing Modern Models of Care: A Randomized, Sequential Trial of In-Person, Telehealth, and Telephone Appointments for Patients with Inflammatory Bowel Disease.

A significant shift toward virtual care has occurred for many patients with inflammatory bowel disease (IBD). To date, there are no prospective studies assessing patients visits across different styles of appointments. We randomized IBD patients' appointments to in-person, video-assisted virtual, or telephone and subsequent appointments to the alternate style of visit in a single-center study in Victoria, Canada. Participants completed surveys after each appointment. Demographic data were collected and average scores were analyzed for potential associations. Forty-one patients were randomized to appointments, and 86 post-appointment surveys were completed, 30 in-person, 29 telephone, and 27 telehealth. The average age was 46.5 ± 18years and 59% were female. The overall patient score (out of ten) by appointment type was 9.1 ± 1.0 for in-person, 7.8 ± 2.1 for telephone, and 8.0 ± 2.6 for telehealth without a statistically significant difference. While there was only a near statistically significant preference for in-person appointments compared with telehealth p = 0.055, it was statistically significant when comparing with phone appointments p = 0.014. The highest rated factors for preference of an in-person appointment were optimal communication and interaction with care provider (86%). For patients who preferred telehealth or telephone appointments, the highest rated factors were time and cost savings (71%, 43% and 58%, 33%, respectively). In-person appointments were associated with a significantly higher cost (p < 0.01), and longer time commitment. Despite the increased cost and time commitment, in-person appointments were highly rated particularly in comparison to phone appointments. Based on this research, providers can be better informed on factors contributing to patients' preferred appointment style.

Reaction of undamped systematically driven vibrators via Gupta Transform

This paper deals with the dictation of the reaction of undamped, systematically driven electrical and mechanical vibrators by the Gupta transform (GT) and tenders an alternate style for the dictation of the reaction of undamped, systematically driven electrical and mechanical vibrators. It reveals that the GT is an effectual method for the dictation of undamped, systematically driven electrical and mechanical vibrators and proves the materiality of the GT for the dictation of reaction of undamped, systematically driven electrical and mechanical vibrators.

The Prestigious Status of Istanbul in Orhan Pamuk’s Literary Form

Love of the homeland is an innate instinct on which the human being was created. It is not strange that the individual loves his country in which he was born and raised and feels nostalgic for it when he/she leaves it to another state, so that is proof of the close relationship and the sincerity of belonging. Pamuk's passion for Istanbul is remarkable, and he is vitalist in portraying it in his literature. Mostly, all of Pamuk's novel plots are settled in Istanbul, but Pamuk's autobiographical novel Istanbul: Memories and The City gives much more about Pamuk's feelings towards his native city. It is devoted to both his memories from his childhood and Istanbul as a city and its meaning in his life as a writer. The book is composed of memories and emotions that have shaped his life forever.&#x0D; As a skillful painter, Pamuk's concepts and perspectives of Istanbul are unique. He composes that there was no Ottoman painting that can undoubtedly oblige our visual tastes because we have been educated to view things in an alternate Western style. He is attracted to Antoine Melling, the eighteen-century painter, who "viewed the city as an Istanbuli, however, painted it as a reasonable looked at Westerner" (Pamuk, Istanbul: Memories and the City, 67). This paper will attempt to outline and discuss the significant status of Istanbul in Orhan Pamuk's writing, how he represents his close connection with it, and how he made Istanbul the story field of his novels. It also will focus on the importance of the geographical location of Istanbul as the center of the bridge of different cultures, religions, and ethnicities, which leads to conflict or coexistence.

Neutrophil extracellular traps-periodontal implications of netosis: A literature review

Neutrophils are the primary line of innate immune defense against infectious diseases. Numerous researches in the field of neutrophil cell biology explain their role in skewing the immune response in various infections or inflammatory disorders revealed their importance within the regulation of immune response. It has been demonstrated that neutrophils release neutrophil extracellular traps (NETs) for the containment of infection and inflammation. NETosis, being an alternate style of death is that the creation of web-like chromatin decondensates by suitably primed neutrophils as a response to stimulus geared toward containing and eliminating the identical. NETs are implicated in periodontitis and COVID-19 as both these disease form a state of inflammation and be a source of constant harm to the tissues involved. This review thereby highlights the emerging role of neutrophil extracellular trap production in the regulation of immune response and its implication in periodontal disease predisposing towards adverse COVID-19 related outcomes.

Psychopath Balram in Aravind Adiga’s The White Tiger

The White Tiger is the 2008 Man Booker Prize winning novel in which the psychopathic character plays a role in telling the dramatic tale of his life. The protagonist Balram’s unpredictable journey from the underprivileged to the wealthy tycoon in India is amazing. The novel is a psychopathic story of murder and success. The genius memory of psychopath Balram sparks not only to map an excellent text space, but more than this, regulates Balram’s nerves. His struggle to be wealthy is full of compassion and sympathy. Balram is a blazingly savage, brilliant, and psychopathic on his journey. In the new alien world, he experiences a state mental disorder. That's why Balram, the narrator of the letter, has the mark of a Psychopath. The present research is an effort to examine and investigate the dimension of Balram's psychopathic character. This will give another heading to rising literary examination to character in an alternate psychopathic style.

The Alternate Consumption of Quercetin and Alliin in the Traditional Asian Diet Reshaped Microbiota and Altered Gene Expression of Colonic Epithelial Cells in Rats.

The diet of traditional Asian is similar to the Mediterranean that was considered as a healthy dietary pattern. The report was scarce on whether different plant-derived components with similar anti-oxidative and anti-inflammatory function such as quercetin and alliin in traditional Asian diet consumed in an alternate style cooperatively affect health including the growth of host and the status of the gut microbiota and colonic epithelial immunity. In the present study, the effects of alternate consumption of quercetin and alliin on host health judging by the profile of gut microbiota and gene expression of colonic epithelial cells were investigated with the Illumina MiSeq sequencing (16S rRNA genes) and Illumina HiSeq (RNA-seq) technique, respectively. The results showed that the alternate consumption significantly increased the rat body weight and reshaped the gut microbiota composition. At the phylum level, it significantly increased the relative abundance of fecal Firmicutes and Cyanobacteria but decreased that of Bacteroidetes (P < 0.05) and increased the relative abundance of Candidatus Arthromitus, Lactococcus, Geobacillus, and Ruminococcus at the genus level that benefits the host's health. The alternate consumption of quercetin and alliin also altered 13 genes expression involved in the KEGG pathways of complement and coagulation cascades and hematopoietic cell lineage to improve the gut immunity. Therefore, the alternate consumption of quercetin and alliin in traditional Asian diet can contribute beneficial metabolic effects by optimizing gut microbiota and altering the immunologic function of colonic epithelial cells, resulting in its potential to improve the sub-health status.

Examining the effectiveness of virtual fitting with 3D garment simulation

ABSTRACTIn this paper, we report how the interactive process of garment fitting, as a component of the apparel development process, was impacted by the use of virtual fittings in place of live fittings. We created 3D garment simulations using five existing garment patterns, then conducted virtual fittings with the maker and the designer of each garment. Participants viewed the virtual fittings via WebEx. They responded to questions about fit and design details, and about the experience of participating in a virtual fitting. They had opportunities to suggest alterations and to see alternate style line markings on the virtual garments. Responses showed that elements inherent to both preparation and execution of a virtual fitting impacted the collaborative experience.

Magmatic expressions of continental lithosphere removal

AbstractGravitational lithosphere removal in continental interior has been inferred from various observations, including anomalous surface deflections and magmatism. We use numerical models and a simplified theoretical analysis to investigate how lithosphere removal can be recognized in the magmatic record. One style of removal is a Rayleigh‐Taylor‐type instability, where removal occurs through dripping. The associated magmatism depends on the lithosphere thermal structure. Four types of magmatism are predicted: (1) For relatively hot lithosphere (e.g., back arcs), the lithosphere can be conductively heated and melted during removal, while the asthenosphere upwells and undergoes decompression melting. If removal causes significant lithospheric thinning, the deep crust may be heated and melted. (2) For moderately warm lithosphere (e.g., average Phanerozoic lithosphere) in which the lithosphere root has a low density, only the lithosphere may melt. (3) If the lithosphere root has a high density in moderately warm lithosphere, only asthenosphere melt is predicted. (4) For cold lithosphere (e.g., cratons), no magmatism is induced. An alternate style of removal is delamination, where dense lithosphere peels along Moho. In most cases, the lithosphere sinks too rapidly to melt. However, asthenosphere can upwell to the base of the crust, resulting in asthenospheric and crustal melts. In delamination, magmatism migrates laterally with the detachment point; in contrast, magmatism in Rayleigh‐Taylor‐type instability has a symmetric shape and converges toward the drip center. The models may explain the diversity of magmatism observed in areas with inferred lithosphere removal, including the Puna Plateau and the southern Sierra Nevada.

South Asia and the Alternate Sexual Life Style

South Asia is experiencing a growing fluidity in the acceptance as well as providing rights to people practicing alternate sexual life styles. In societies that is preponderantly conservative, religious, experiencing the pangs of modernity, alternate sexual life style is something that is slowly gaining acceptance in the urban hamlets. The paper deals how the nations in the region are dealing with the minority, who have been suppressed, punished, their voice being kept unheard.

Human Happiness, Peace and Development: An Alternate Approach

Challenges of Globalization: The main theme of the conference suggests our concern for the challenges of globalization as reflected in the spheres of economics, politics and cultures. Though primarily manifesting itself in new economic and political paradigms, the effects of globalization are revealed in fast changing cultural values and social mores, thus posing a serious cultural crisis. It seems as if the very foundations of contemporary society are being threatened. The status and working relationship of both basic components of family vis-a-vis society, i.e. man and woman has been confused. The family as the core unit and most sensitive institution of human culture is being undermined by powerful destructive forces. Globalization is threatening the traditional family and is introducing an alternate life style in which a young man and young woman may live together without the legitimacy of marriage bond for the period they feel comfortable. They may or may not have children with no responsibilities on the “natural” parents. More alarming is the recognition and acceptance which is being extended to homosexual families and laws have been promulgated to protect these immoralities. In the wake of these problems we should ask ourselves: what is going to be the future of humanity and how can we move towards peace and development?

The Form and Style of Gnomic Hypermetrics

Gnomic poems have often been noted for their unusual metrical style. One aspect of their style that stands out is the hypermetric usage, both because these poems contain a notably high incidence of hypermetric verses and because the verses are frequently categorized as irregular. This paper analyses hypermetric composition in Maxims I, Maxims II, and Solomon and Saturn in detail to illustrate the major stylistic features of gnomic composition. It demonstrates that, contrary to the conclusions of some previous scholars, the hypermetric verses basically follow the form for hypermetric composition that can be found in most conservative poems, but with the inherent flexibility of hypermetric metre pushed to a greater extent than in most narrative poems, making for lines that are longer, heavier, and more complex. This alternate style highlights the importance of each individual aphorism and characterizes the solemnity of the poems as a whole. By composing their poems in accordance with the trends of this specialized style, poets may have been marking their composition as separate from narrative poems and encouraging their audience to consider each individual poem in the larger context of Old English wisdom poetry.

Smart Host Microcontroller for Optimal Battery Charging in a Solar-Powered Robotic Vehicle &amp; Cell Phone Charging

This paper focuses on the planning associated construction of an improvement charging system for Li-Po batteries by suggests that of half-track star panels. Thus, the implementation of an entire energy management system applied to a robotic exploration vehicle is advance. The projected system was tested on the robotic platform—an autonomous remote-controlled exploration vehicle specialized in recognition. The interest of this robotic system lies within the style thought, supported a wise microcontroller. On this basis, our proposal makes a twofold vital contribution. On the one hand, it presents the development of a star chase mechanism geared toward increasing the rover's power in spite of its quality. On the opposite hand, it proposes an alternate style of facility performance supported a pack of 2 batteries. The aim is finishing the method of charging electric battery severally whereas the opposite battery provides all the energy consumed by the robotic vehicle.

CrossRef Listing of Deleted DOIs

Motivating patients to adopt a healthful treatment plan during brief office visits is a major challenge facing health care providers. Therefore, effective communication strategies that can be successfully employed during time-pressured consultations are worthy of consideration. Traditional approaches to patient care often rely on advice-giving and direct persuasion. Motivational interviewing is an alternate style of communication that has demonstrated success with very resistant clients, such as those recovering from drug and alcohol addiction. More recent adaptations of this approach to medical settings have been effective in improving a wide range of problem behaviors, including physical inactivity. This motivational approach is well suited to the daily practice of a busy primary care clinic, where improved patient compliance is a priority. Skillful application by a clinician provides the platform for patients to talk about change instead of exhibiting resistance. Consequently, clinical consultations are not only more effective, but also less frustrating for the provider.

The Effect of Alternate Style Keyboards on Severity of Symptoms and Functional Status of Individuals with Work Related Upper Extremity Disorders

There is evidence that performing job tasks involving repetition, vibration, sustained posture or forceful movement may contribute to symptoms of work related upper extremity disorders. Typing is one such activity; symptoms that develop as a result of this activity can affect performance of work, self-care and leisure occupations. Studies investigating the impact of ergonomic keyboards on symptom reduction are limited, and little research exists regarding the reduction of key activation force as an intervention. This randomized, prospective study used a sample of 68 symptomatic workers employed by a single company. One group received a commercially available ergonomic keyboard, a second group used a modified version of the same keyboard designed to reduce activation force, vibration and key travel. We measured symptoms and clinical signs, functional status, and device satisfaction in both groups over a six-month study period. Between-groups analyses indicated that the groups performed similarly on the outcomes of interest. Repeated-measure analysis identified a reduction of symptoms, an improvement in functional status, preference for and increased satisfaction with the intervention keyboards, and maintenance of typing speed and accuracy for both groups.

Multiple-choice tests, negative marks and an alternative

I analyse various schemes of negative marking for tests consisting of multiple-choice questions and propose a scheme that reduces the impact of random guessing. I also propose an alternate style of multiple-choice questions, where each question may have several correct answers and the candidate is required to tick all correct answers in order to get credit.

Motivational techniques for improving compliance with an exercise program: skills for primary care clinicians.

Motivating patients to adopt a healthful treatment plan during brief office visits is a major challenge facing health care providers. Therefore, effective communication strategies that can be successfully employed during time-pressured consultations are worthy of consideration. Traditional approaches to patient care often rely on advice-giving and direct persuasion. Motivational interviewing is an alternate style of communication that has demonstrated success with very resistant clients, such as those recovering from drug and alcohol addiction. More recent adaptations of this approach to medical settings have been effective in improving a wide range of problem behaviors, including physical inactivity. This motivational approach is well suited to the daily practice of a busy primary care clinic, where improved patient compliance is a priority. Skillful application by a clinician provides the platform for patients to talk about change instead of exhibiting resistance. Consequently, clinical consultations are not only more effective, but also less frustrating for the provider.

AERIAL: ad-hoc entity-relationship investigation and learning

This paper discusses Browsing, an alternate style of working with databases, that facilitates the unplanned exploration of the structure and contents of a database by a novice user. We argue that Browsing promotes learning and helps bring the user's mental model of the problem space into correspondence with the model stored in the database. Browsing is illustrated through a learning scenario using AERIAL, a facility that allows the user to browse an Entity-Relationship database. The facilities provided by AERIAL are discussed in detail as well as their effectiveness in building the above correspondence.