The Medicare Health Outcomes Survey (HOS) (originally called the Health of Seniors Survey) was developed as a longitudinal performance measure to assess the physical functioning and mental well being of Medicare beneficiaries over time. The survey was implemented nationally in Medicare managed care organizations (MCOs) as part of Medicare HEDIS, 3.0/1998 and continues today. In 1998, a pilot te...

In a series of papers, William J. Goode argued that the relationship between modernization and the class composition of divorce is inverse. Starting from his hypothesis, we examine the relationship between female education and the risk of divorce over time in 17 countries. We expect that the relationship differs across countries and across time, so that women with higher education have a higher...

We present detailed bathymetry, remotely operated vehicle (ROV) and submersible observations, and sedimentary and radiocarbon age data from carbonate deposits recovered from two submerged terraces at 150 m (T1) and 230 m (T2) off Lanai, Hawaii. The tops of the terraces are veneered by relatively thin (b5 m) in situ accumulations of coralline algal nodule, coralgal nodule, Halimeda and a derived...

We recently demonstrated that a set of five functional muscle synergies were sufficient to characterize both hindlimb muscle activity and active forces during automatic postural responses in cats standing at multiple postural configurations. This characterization depended critically upon the assumption that the endpoint force vector (synergy force vector) produced by the activation of each musc...

Introduction: Ingestion of a foreign body is a common problem among all age groups. Most of the foreign bodies in the pharynx are usually lodged at the level of cricopharynx. The diagnosis is based on history, clinical, and radiological examination. Most foreign-body ingestions are accidental, but there may be contributory factors such as mental disorder, alcoholism, and prison incarceration. T...

Case description- a goat-kid with anorexia, weakness, depression, reluctant to move, poor condition, and generalized unthriftiness was admitted to the Veterinary Clinic of Shahid Bahonar University of Kerman. Clinical Findings- body temperature, heart and respiratory rates, hematologic indices including PCV, total and differential WBC and total RBC count were normal. In clinical examination, a...

A 48 year old man presented to our outpatient department with the history of absolute dysphagia, and fever for two days. On examination patient was febrile with drooling of saliva. Oropharynx was minimally congested. Indirect laryngoscopy revealed odematous epiglottis with pus pointing over the lingual surface. Radiography of soft tissue, neck lateral view, showed the thumb sign which suggeste...

It is a challenging task to diagnose mycosis fungoides (MF), a type of primary cutaneous lymphoma, in the early stages of its development, due to the unspecific presentations associated with the disease. Histopathology and immunohistochemistry conduce to a more definite diagnosis. Presence of atypical T-cells in epidermis and upper dermis is the most significant pathologic finding. Herein...