American Indian and Alaska Native (AI/AN) populations report poor physical and mental health outcomes while tribal health providers and the Indian Health Service (IHS) operate in a climate of significant under funding. Understanding how the Patient Protection and Affordable Care Act (ACA) affects Native American tribes and the IHS is critical to addressing the improvement of the overall access,...

Not enough attention has been paid to the comparison in yield performance and N responsiveness between hybrid rice inbred using large number of new cultivars released after 2000 under machine transplanting. Field experiments were conducted 2017 2018; 48 widely planted included four groups, namely indica hybrids (IHs), japonica inbreds (JIs), indica-japonica (IJHs), (IIs) that transplanted by wi...

OBJECTIVE To assess the safety and effectiveness of oral propranolol (OP) in the treatment of infantile hemangiomas. MATERIAL AND METHOD We conducted a prospective study of infantile hemangiomas (IHs) treated with oral propranolol between October 2008 and March 2011. We included fast-growing IHs in the proliferative phase, IHs affecting vital structures, ulcerated IHs, and IHs that could caus...

BACKGROUND Most infantile hemangiomas (IHs) complete their proliferative growth phase before 9 months of age, but those with unusually prolonged growth create unique clinical challenges. We performed a retrospective case series of IHs with prolonged growth to further characterize these lesions and their treatment. OBSERVATIONS We identified 23 patients as having IHs with prolonged growth afte...

This study assessed dental students' evaluations of a new Interactive Histology Software (IHS) developed by the authors and compared students' assessment of the extent to which this new software, as well as other histology teaching methods, supported their learning. The IHS is a computer-based tool for histology learning that presents high-resolution images of histology basics as well as specif...

Aim: This study aims to explore the influence of innovation hubs (IHs) on innovation-based regional development. Methodology: applied a qualitative approach using multiple case method collect data through 10 semi-structured interviews. A detailed analysis collected was conducted content method. Findings: The shows that IHs can both economic and social An IH attract knowledge expertise as well i...

This paper presents the application of the improved harmony search (IHS) algorithm for determining the optimal location and sizing of static Var compensator (SVC) to improve the voltage profile and reduce system power losses. A multi-criterion objective function comprising of both operational objectives and investment costs is considered. The results on the 57-bust test system showed that the I...

This paper presents three hybrid metaheuristic algorithms that further improve the two hybrid differential evolution (DE) metaheuristic algorithms described in Liao [1]. The three improved algorithms are: (i) MDE′–HJ, which is a modification of MA–MDE′ in Liao [1] by replacing the random walk with direction exploitation local search with the Hooke and Jeeves (HJ) method; (ii) MDE′–IHS–HJ, which...

In-hospital stroke (IHS), which represents between 2.2% and 17% of all strokes, differs from community-onset stroke (COS) in etiology, treatment approaches and outcome. Patients hospitalized for cardiac disease are especially vulnerable to predominantly cardioembolic IHS. Stroke severity, functional outcome and mortality compare unfavorably to COS. Difficulties in symptom recognition, intra-hos...