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Practice Transformation

Yuanyuan Wu, Shuai Li, Jingxin Song, Bingxue Jiang, ShanShan Chen, Huimin Sun, Xinxin Li
Nano-titanium dioxide (TiO2 ) was modified with the surfactant sodium laurate (SL) via ultrasonic microwave-assisted technology to improve the dispersion of TiO2 in polymer matrices. As revealed by Fourier transform infrared spectroscopy, X-ray diffraction, and scanning electron microscopy analyses, SL was well adsorbed onto the TiO2 surface through chemical bonding, resulting in SL-modified TiO2 (TiO2 -SLx). The hydrophobicity and dispersibility of TiO2 -SLx increased significantly compared to unmodified nano-TiO2 ...
October 16, 2018: Journal of Food Science
Zongliang Hu, Tiejun Tong, Marc G Genton
We propose a likelihood ratio test framework for testing normal mean vectors in high-dimensional data under two common scenarios: the one-sample test and the two-sample test with equal covariance matrices. We derive the test statistics under the assumption that the covariance matrices follow a diagonal matrix structure. In comparison with the diagonal Hotelling's tests, our proposed test statistics display some interesting characteristics. In particular, they are a summation of the log-transformed squared t-statistics rather than a direct summation of those components...
October 16, 2018: Biometrics
Catherine Cook-Cottone, Traci Childress, Jennifer Cohen Harper
This commentary explores the legal and ethical obligations of yoga programs and teachers to uphold both the principles and the spirit of secularism when teaching yoga in schools. Arguing that secularity is essential both to comply with legal mandates and to maximize inclusivity and access, each facet of a secular approach to yoga in schools is explored through an inquiry-based model meant to help the reader gain clarity and make informed choices when developing school-based yoga programming. This article does not address the use of nonsecular yoga for children outside the school setting...
October 16, 2018: International Journal of Yoga Therapy
Daniele Licari, Marco Fusè, Andrea Salvadori, Nicola Tasinato, Marco Mendolicchio, Giordano Mancini, Vincenzo Barone
Is it possible to convert highly specialized research in the field of computational spectroscopy into robust and user-friendly aids to experiments and industrial applications? What kind of tools should be created to increase the interactions between researchers with different backgrounds and push towards new frontiers in computational chemistry? The outstanding advances in computational spectroscopy and the wide availability of computational and analytical tools are paving the route toward the study of problems that were previously difficult or impossible to solve and enable the imagination of even more ambitious targets for fundamental and applied research...
October 16, 2018: Physical Chemistry Chemical Physics: PCCP
Jae H Choi, John Pile-Spellman
Reperfusion is the first line of care in a growing number of eligible acute ischemic stroke patients. Early reperfusion with thrombolytic drugs and endovascular mechanical devices is associated with improved outcome and lower mortality rates compared with natural history. Reperfusion is not without risk, however, and may result in reperfusion injury, which manifests in hemorrhagic transformation, brain edema, infarct progression, and neurologic worsening. In this article, the functional and structural changes and underlying molecular mechanisms of ischemia and reperfusion are reviewed...
November 2018: Neuroimaging Clinics of North America
Yinan Jiang, Shane Fischbach, Xiangwei Xiao
Diabetes is a global epidemic and affects millions of individuals in the United States. Devising novel treatments for diabetes continues to be a great medical challenge. Postnatal beta cell growth or compensation is largely attributed to beta cell proliferation, which declines continuously with age. To boost beta cell proliferation to regenerate an adequate functional mass, there is a need to understand the signaling pathways that regulate beta cell proliferation for creating practical strategies to promote the process...
October 12, 2018: International Journal of Molecular Sciences
Bikashkali Midya, Wiktor Walasik, Natalia M Litchinitser, Liang Feng
We introduce the notion of a supercharge optical array synthesized according to supersymmetric charge operators. Starting from an arbitrary array, mathematical supersymmetry transformation can be used systematically to create a zero-energy physical state below the ground state of the super-partner array. This zero mode, which is pinned deep in the mid-gap of the corresponding supercharge array owing to the square-root spectral relationship between a supercharge and a super-Hamiltonian array, is shown to be protected because of the chiral symmetry inherent to a supercharge array...
October 15, 2018: Optics Letters
Suzanne A Maher, Richard Kyle, Bernard F Morrey, Michael J Yaszemski
Despite the wealth of innovation in the orthopaedic sciences, few technologies translate to clinical use. By way of a 2-day symposium titled "AAOS/ORS Translating Orthopaedic Technologies into Clinical Practice: Pathways from Novel Idea to Improvements in Standard of Care Research Symposium," key components of successful commercialization strategies were identified as a passionate entrepreneur working on a concept aimed at improving patient outcomes and decreasing the cost and burden of disease; a de-risking strategy that has due recognition of the regulatory approval process and associated costs while maximizing the use of institutional, state, and federal resources; and a well thought-out and prepared legal plan and high quality, protected intellectual property...
October 12, 2018: Journal of the American Academy of Orthopaedic Surgeons
Dian Dowling Evans, Karen Sue Hoyt, Jennifer Wilbeck, Lorna Schumann, Elda Ramirez, Diane Tyler, Donna Agan
The emergency nurse practitioner (ENP) specialty has grown rapidly, responding and adapting to changes within emergency care. Designation and advancement of nurse practitioner (NP) specialties follows a systematic process as defined by the profession. This includes establishment of scope and standards of practice, educational standards, and policy initiatives to ensure quality and safety within the profession. This article describes how the ENP specialty has used evidence to meet health system needs and chart a transformational future...
October 2018: Journal of the American Association of Nurse Practitioners
Elda Ramirez, Lorna Schumann, Donna Agan, Karen Sue Hoyt, Jennifer Wilbeck, Diane Tyler, Dian Dowling Evans
BACKGROUND/PURPOSE: The growth of advanced practice nursing specialties requires additional expertise for practice that goes beyond entry-level competencies, knowledge, skills, and abilities. A practice standards model for specialty nurse practitioners (PSMSNPs) is introduced that differentiates entry-to-practice population foci competencies from advanced specialty practice standards. OBJECTIVES: (a) Differentiate competencies and practice standards in context to specialty NPs using the emergency specialty as the exemplar, (b) articulate the process to develop the PSMSNP that evolved from an evidence-based practice analysis of NPs working in emergency care, (c) apply the PSMSNP for adaptation to other specialties, and (d) provide implications for the utilization of the PSMSNP by educators, clinicians, and employers...
October 2018: Journal of the American Association of Nurse Practitioners
Giovanna Morello, Antonio Gianmaria Spampinato, Francesca Luisa Conforti, Sebastiano Cavallaro
Recent landmark publications from our research group outline a transformative approach to defining, studying and treating amyotrophic lateral sclerosis (ALS). Rather than approaching ALS as a single entity, we advocate targeting therapies to distinct "clusters" of patients based on their specific genomic and molecular features. Our findings point to the existence of a molecular taxonomy for ALS, bringing us a step closer to the establishment of a precision medicine approach in neurology practice.
2018: Frontiers in Neuroscience
Anuj Kapilashrami
With the growing salience of ideas and reforms concerning women's human rights and gender equality, violence against women (VAW) has received heightened policy attention. Recent global calls for ending VAW identify health care systems as having a crucial role in a multisector response to tackle this social injustice. Scholars emphasize the transformative potential of such response in its ability to not only address the varied health consequences but also prevent future recurrence by enabling wider access to support and justice...
October 13, 2018: Journal of Interpersonal Violence
Everett F McGuinty, Brian M Bird, John Nelson, Jazlyn L McGuinty, Andrew Cashin
TOPIC: The Brief Services psychotherapy paradigm has evolved to produce cost-effective and clinically significant outcomes in children's mental health. Though its clinical evaluation is still in its infancy, it has been utilized to a much lesser degree with autism spectrum disorders, which typically require a longer-term approach to psychotherapy treatment. PURPOSE: The current paper introduces a novel, four-session intervention that aims to decrease anxiety experienced by clients presenting with high-functioning autism...
October 14, 2018: Journal of Child and Adolescent Psychiatric Nursing
Ryo Asaoka, Hiroshi Murata, Kazunori Hirasawa, Yuri Fujino, Masato Matsuura, Atsuya Miki, Takashi Kanamoto, Yoko Ikeda, Kazuhiko Mori, Aiko Iwase, Nobuyuki Shoji, Kenji Inoue, Junkichi Yamagami, Makoto Araie
PURPOSE: To construct and evaluate a Deep Learning (DL) model to diagnose early glaucoma from spectral domain optical coherence tomography (SD-OCT) images. DESIGN: AI diagnostic tool development, evaluation, and comparison METHODS: Setting: multiple institutional practices. STUDY POPULATION: Pre-training data consisted of 4316 OCT images (RS3000, Nidek) from 1565 eyes with open angle glaucoma (OAG) irrespective of the stage of glaucoma and 193 normal eyes...
October 11, 2018: American Journal of Ophthalmology
Qimeng Ning, Zhihong Yin, Yunguo Liu, Xiaofei Tan, Guangming Zeng, Luhua Jiang, Shaobo Liu, Sirong Tian, Ni Liu, Xiaohua Wang
Fe⁻Mn binary oxide nanoparticles (FMBON) were reported to be high performance as adsorbent for pollutants removal from aqueous solution. However, there are still limitations in practice application due to the FMBON tend to aggregate into the micro millimeter level. In order to avoid the agglomeration of nanoparticles, this work synthesized the stabilized Fe⁻Mn binary oxide nanoparticles (CMC-FMBON) by using water-soluble carboxymethyl celluloses (CMC) as the stabilizer. The characteristics of CMC-FMBON and FMBON were measured by using Transmission electron microscopy (TEM), X-ray diffraction (XRD), Fourier transform infrared (FTIR) spectroscopy, and Zeta potential...
October 11, 2018: International Journal of Environmental Research and Public Health
Chang Liu, Peng Wang, Xueke Liu, Xiaotong Yi, Donghui Liu, Zhiqiang Zhou
Heavy metals contaminated water has been identified as a significant threat to human health. To develop safe and rapid water treatment techniques is necessary. Herein, we synthesized an eco-friendly γ-cyclodextrin MOF-based nanoporous carbon (γ-CD MOF-NPC) material and conducted comprehensive characterization, and found its rapid and effective Cd(II) removal capacity. The γ-CD MOF-NPC could effectively sequester most of cadmium ions within 1 min, and it still demonstrated excellent adsorption ability under various conditions, including different pH, adsorbent dosage and coexisting ions...
October 12, 2018: Chemistry, An Asian Journal
Mary Jayne Kennedy
The field of personalized medicine affords multiple opportunities to pharmacists, and pharmacists have specific knowledge, skills and abilities that make them uniquely suited to advance the use of personalized medicine as a clinical tool. The pharmacy profession as a whole, however, has been slow to embrace the concept of clinical pharmacogenetics and is now facing a critical juncture that can potentially redefine the professional identity of the pharmacist. Before practice transformation can occur, however, it is important for our profession to ask and fully explore the following question: Are pharmacists ready for the challenge of personalized medicine? When assessing the readiness of pharmacy for personalized medicine, one must consider factors that are specific to the individual pharmacist as well as systematic considerations that allow pharmacists to successfully integrate personalized medicine into their individual practice area...
2018: Integrated Pharmacy Research and Practice
Christoph Kerzig, Oliver S Wenger
Sensitized triplet-triplet annihilation (TTA) is a promising mechanism for solar energy conversion, but so far its application has been practically completely limited to organic solvents and self-assembled or solid state systems. Combining water-soluble ruthenium complex-pyrene dyads with particularly long excited-state lifetimes as sensitizers and highly fluorescent commercial anthracenes as acceptors/annihilators, we were able to achieve green-to-violet upconversion with unprecedented quantum yields in pure water...
August 28, 2018: Chemical Science
Abdellatif ElMarrouni, Casey B Ritts, Jaume Balsells
The emergence of photoredox catalysis has enabled the discovery of mild and efficient conditions for the generation of a variety of radical reaction platforms. Herein is disclosed the development of a conjugate addition reaction of non-activated alkyl bromides to Michael acceptors under visible-light photoredox catalysis. Optimization of the reaction was achieved using high-throughput experimentation (HTE) tools to enable the identification of mild, general and practical reaction conditions. A diverse set of alkyl bromides was successfully added to cyclic or acyclic α,β-unsaturated esters and amides...
August 28, 2018: Chemical Science
Saemyi Chung
Using intersectionality as a conceptual framework, this study investigated how older Korean women living in New Zealand perceived their aging bodies, antiaging practices and/or products, and how they used such products. Thematic analysis identified three themes: tension between acceptance of the aging body as an inevitable process and transformation of the aging body into a healthy body, juggling between abstinence and use of antiaging products and practices, and redefining natural aging. The findings challenge binary interpretations between "acceptance" of and "resistance" to the experiences of the aging process and the use of antiaging practices...
October 11, 2018: Journal of Women & Aging
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