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Articles 1 - 30 of 125600

Full-Text Articles in Medicine and Health Sciences

Mechanical Properties Of Canine Patella-Ligament-Tibia Segment., Jeffery Biskup, Andy Freeman, W Camisa, J Innes, Michael Conzemius Jan 2104

Mechanical Properties Of Canine Patella-Ligament-Tibia Segment., Jeffery Biskup, Andy Freeman, W Camisa, J Innes, Michael Conzemius

Jeffery Biskup, DVM, DACVS

OBJECTIVE: To test the ex vivo mechanical properties of canine patella-ligament-tibia (PLT) segment and establish the relationship between donor size and PLT dimensions to the mechanical properties of PLT grafts.STUDY DESIGN: Ex vivo mechanical testing study. SAMPLE POPULATION: Canine PLT segments (n = 21 dogs; 42 PLT). METHODS:Morphometric measurements of PLT segments were taken from computed tomography (CT) images and compared with results obtained using calipers. PLT were tested to failure at a rate of 100% length/s. Mechanical properties and failure mode were recorded. RESULTS: PLT width and thickness (P < .001 for both) measured by calipers were significantly lower than those taken from CT images. Thirty-five (83%) specimens failed by avulsion fracture from the patella, 1 failed mid-ligament, and 6 failed by tibial fracture. Dog weight and PLT length had the strongest Pearson's r value when correlated with load at failure (r = 0.73, 0.81, respectively). CONCLUSION:Dog weight and PLT length were the best predictors of load at failure. PLT failure load of dogs weighing >25 kg were similar to those reported for ...


Spontaneous Uterine Rupture At 28 Weeks: A Case Report, Mahreen Rasool, Imrana Masroor, Shafia Shakoor, Shama Munim Aug 2066

Spontaneous Uterine Rupture At 28 Weeks: A Case Report, Mahreen Rasool, Imrana Masroor, Shafia Shakoor, Shama Munim

Department of Radiology

Abstract

Spontaneous Uterine rupture is associated with massive intra-peritoneal bleed which can be fatal if not recognized. We report a case of 32 year old multigravida at 28 weeks of gestation with history of liver cysts, previous caesarean and uterine curettage, who presented with acute abdominal pain and tenderness; ultrasound revealed placenta percreta. CT abdomen showed haemoperitoneum. The patient underwent emergency caesarean hysterectomy due to uterine rupture at the cornual site.


Squamous Cell Carcinoma Of Oral Tongue In Young Patients — A 10 Years Tertiary Care Experience, Shakeel Uz Zaman, Muhammad Adeel,, Anwar Suhail Feb 2066

Squamous Cell Carcinoma Of Oral Tongue In Young Patients — A 10 Years Tertiary Care Experience, Shakeel Uz Zaman, Muhammad Adeel,, Anwar Suhail

Department of Surgery

Abstract

OBJECTIVE:

To evaluate the clinical and pathological profile of young patients with squamous cell carcinoma of tongue.

METHODS:

The retrospective study was conducted at Aga Khan University Hospital, Karachi, and comprised record of patients <35 years presenting with squamous cell carcinoma of tongue between 2001 and 2011. Data was extracted from the electronic database of the hospital for site and age. Clinico-pathological variables were analysed using SPSS 20.

RESULTS:

Of the 29 patients, 17(58.6%) were men and 12(41.3%) were women. The overall mean age at presentation was 29.6+/-4.4 years. All patients (100%) had some sort of addiction, with 15(51.7%) having more than one addiction. Of the total, 20(68.9%) patients had moderately differentiated carcinoma. At presentation, 20(68.9%) had advanced stage (III-IV ...


Clinic-Based Biopsy With A Small Curette: Is It A Reliable And Safe Option In Extremity Tumours?, Waseem Ahmed, Muhammad Masood Kadir, Yasir Mohib, Rizwan Haroon Rashid Oct 2065

Clinic-Based Biopsy With A Small Curette: Is It A Reliable And Safe Option In Extremity Tumours?, Waseem Ahmed, Muhammad Masood Kadir, Yasir Mohib, Rizwan Haroon Rashid

Department of Radiology

Abstract

OBJECTIVE:

To establish the diagnostic accuracy and safety of clinic-based biopsy done with a small curette.

METHODS:

The retrospective study was conducted at Aga Khan University Hospital Karachi and comprised data of patients who underwent biopsy procedure of extremity tumours in clinic under local anaesthesia from July 2009 to June 2012. Patients who underwent the procedure in operating room under general anaesthesia were excluded and so were those with insufficient or missing information, or those who had the final procedure done elsewhere. Clinical parameters were evaluated and histo-pathology was compared with the final resected specimen.

RESULTS:

The mean age ...


Prostate Cancer: Patient Education For Changing Guidelines, Richard Mendez Jan 2018

Prostate Cancer: Patient Education For Changing Guidelines, Richard Mendez

Family Medicine Clerkship Student Projects

In May 2012 United States Preventative Services Task Force (USPSTF) recommended against prostate cancer screening, Grade D, with no other recommendation for providers. Since prostate cancer continues to be among the most common cancer in the United States among men, patients were exposed to previous guidelines during routine visits and require updated educational materials for primary care visits.


The Effects Of Perinatal Methamphetamine Use On Maternal And Child Outcomes: Implications For Education Among Bsn Nursing Students, Tina Nguyen Dec 2017

The Effects Of Perinatal Methamphetamine Use On Maternal And Child Outcomes: Implications For Education Among Bsn Nursing Students, Tina Nguyen

Honors Theses

The implications of methamphetamine use are vast and prevalent in the U.S. This epidemic is also well recognized in Tennessee and in Hamilton County. The number of men and women that continue to use methamphetamine speaks to the importance of this issue. Among these individuals, pregnant women comprise a significant portion of female methamphetamine users across the United States. The potential complications that can arise for not only a mother but also her child due to maternal methamphetamine use pose a much more significant issue. The detrimental effects that a child can experience as a result of maternal methamphetamine ...


Example Doctor Of Nursing Practice Project, Steven W. Pryor Test Nov 2017

Example Doctor Of Nursing Practice Project, Steven W. Pryor Test

Doctor of Nursing Practice Projects

This is an example of a Doctor of Nursing Practice Project uploaded to SPARK.

This is where the abstract of the submission will appear, briefly summarizing the problem and research results in a few sentences.

Background: Improved outcomes for patients with asthma have been proven with the utilization of the Expert Panel Report -3 (EPR3) evidence-based asthma guidelines. These clinical guidelines are tools developed for providers to direct appropriate high-quality patient care that leads to positive outcomes. However, research has shown healthcare providers do not routinely follow the evidence-based asthma guidelines adequately. Objective: To develop and implement an evidence-based asthma ...


Intractable Epilepsy, Sameh Morkous Md May 2017

Intractable Epilepsy, Sameh Morkous Md

Department of Pediatrics

No abstract provided.


Technical And Physical Match Demands Of A Ncaa Division I Soccer Goalkeeper, Joanne Spalding May 2017

Technical And Physical Match Demands Of A Ncaa Division I Soccer Goalkeeper, Joanne Spalding

Electronic Theses and Dissertations

The purpose of this study was to provide a better understanding of the goalkeeper position in order to prepare goalkeepers for competition. The objectives of this study were to characterize the technical and physical demands of an NCAA Division I collegiate goalkeeper over three seasons and examine trends from season to season. Count and frequency for each definition were analyzed. Results show that although the goalkeeper’s technical demands were characterized by engaging in play without action and being in the goal area, the gradually increased use of the feet over three season’s hints on the importance of skills ...


Synthesis And In-Vitro Cell Viability/Cytotoxicity Studies Of Novel Pyrrolobenzodiazepine Derivatives, John M. Jarrett May 2017

Synthesis And In-Vitro Cell Viability/Cytotoxicity Studies Of Novel Pyrrolobenzodiazepine Derivatives, John M. Jarrett

Undergraduate Honors Theses

Pyrrolobenzodiazepines (PBDs) are a group of naturally occurring compounds that were discovered in the cultures of Streptomyces in the 1960s. Some natural PBDs discovered in these cultures, such as anthramycin and sibiromycin, were shown to possess a broad spectrum of anti-tumor activity. Since cancer is still a leading cause of death globally, the development of novel anti-proliferative derivatives of PBDs is essential for human welfare worldwide. Further synthesis and structure-activity relationship (SAR) studies of the parent natural products and their tetracyclic analogs will lead to the discovery of drug candidates. In this work, thirteen PBD analogues were synthesized using no ...


The Chronic Disease Prevention Program, Ashley Northcutt May 2017

The Chronic Disease Prevention Program, Ashley Northcutt

University of Tennessee Honors Thesis Projects

No abstract provided.


Schizophrenia And Its Effects On An American Family: A Call To Action For The 21st Century, Cynthia Newton Captain May 2017

Schizophrenia And Its Effects On An American Family: A Call To Action For The 21st Century, Cynthia Newton Captain

Senior Theses and Capstone Projects

Our country’s healthcare system is at a moral crossroads. The way we treat those whom we call “the homeless” is deplorable. The majority of the homeless are mentally ill and need treatment. Our country needs to treat those with the severe brain diseases of schizophrenia, schizo-affective disorder, and bi-polar disorder just as we would Alzheimer’s disease and Parkinson’s disease. Those with severe mental illness, who have no insight into their illness, should not be allowed to dictate their own treatment. If a homeless person is brought to San Francisco General Hospital and is found to be a ...


Increasing Functional Task Performance In Adults With Low Vision, Carrie Payne, Lauren Kufer May 2017

Increasing Functional Task Performance In Adults With Low Vision, Carrie Payne, Lauren Kufer

Master's Theses and Capstone Projects

This critically appraised topic explores the functional task performance of adults with low vision utilizing tactile vision substitution systems, specifically tongue display units (TDUs). TDUs are a novel assistive device that functions to provide artificial vision to those with low vision. TDUs pixelate images captured on a camera the person wears and the images are translated via electronic stimulation on the tongue to paint a picture. Two studies that measured functional task performance utilizing a TDU with adults with low vision were explored. Examples of functional tasks measured include word recognition, object recognition, and orientation and mobility tasks. The studies ...


Validation Of The Medication Box Task Assessment, Katherine Blank, Alison Chandler, Malcolm Isely, Serena Soria, Yamin Zaw May 2017

Validation Of The Medication Box Task Assessment, Katherine Blank, Alison Chandler, Malcolm Isely, Serena Soria, Yamin Zaw

Master's Theses and Capstone Projects

There are a limited number of validated occupation-based cognitive assessments that are feasible in clinical settings. For individuals with acquired brain injury (ABI), ecologically valid cognitive assessments are needed to understand how cognition influences functional performance. This study implemented a quantitative exploratory correlational design using a battery of gold standard tabletop cognitive assessments as criterion measurements against the Medication Box Task assessment, an occupation-based cognitive assessment. Eight participants completed the test battery. The student researchers used Pearson correlations to analyze each participant’s scores on the Medication Box Task assessment and the scores on the battery of gold standard assessments ...


The Effects Of Therapeutic Listening On Bilateral Coordination, Avery Wilson, Mios Buccat, Amanda Grace Irao, Morgan Mousley, Michael Yra Munchua May 2017

The Effects Of Therapeutic Listening On Bilateral Coordination, Avery Wilson, Mios Buccat, Amanda Grace Irao, Morgan Mousley, Michael Yra Munchua

Master's Theses and Capstone Projects

Therapeutic Listening® is an intervention increasingly used by occupational therapists despite the lack of supporting evidence in current literature. Therapeutic Listening® is a sound-based treatment developed by Sheila Frick, OTR/L, rooted in sensory integration. The purpose of this continuation study was to compare the quality of bilateral movement in typically developing children after either listening to Therapeutic Listening® Bilateral Coordination Quick Shift or listening to white noise. This study used a randomized control pretest-posttest experimental design to analyze posture, smooth and continuous movement, effort, precision, and arm/leg movements. Specific items were further analyzed after eliminating those with a ...


Efficacy Of Therapeutic Listening® Quickshifts In Children With Sensory Processing Difficulties, Shannon Preto, Ann Malloy, Bryant Luong May 2017

Efficacy Of Therapeutic Listening® Quickshifts In Children With Sensory Processing Difficulties, Shannon Preto, Ann Malloy, Bryant Luong

Master's Theses and Capstone Projects

Few empirical studies provide evidence for the effectiveness of Therapeutic Listening - Quickshifts (TL-Q). However, anecdotally, therapists and clients report TL-Q produces consistent positive results as an intervention for children with learning and developmental problems. In this study, the researchers examined the effectiveness of TL-Q intervention for five children with sensory processing difficulties to improve participation and function in (1) self-regulation and arousal, (2) activities of daily living (ADLs), (3) social/emotional skills, and (4) sensorimotor skills. Over the course of an 8-week prospective study, the researchers conducted a pre-test, post-test, prospective case study. During the intervention period, occupational therapist with ...


Sleep As An Occupation In College Students: A Mixed Method Study, Charlotte Sally, Savannah Hancock, Rhianna Wallace, Jacqueline Bloom May 2017

Sleep As An Occupation In College Students: A Mixed Method Study, Charlotte Sally, Savannah Hancock, Rhianna Wallace, Jacqueline Bloom

Master's Theses and Capstone Projects

Sleep is an emerging area of research and practice for occupational therapists. The purpose of this study was to identify and investigate how college students’ cognitive perceptions and beliefs about sleep affect their quality of sleep. Four college students participated in qualitative interviews investigating their sleep beliefs and attitudes. The students also completed a two-week daily sleep diary to report their sleep beliefs, attitudes, and daily living patterns. Four emerging themes were identified from the interviews: beliefs about sleep patterns related to temporal structure of sleep, stress, daytime performance associated with sleep, and conflicting beliefs about sleep. Daily sleep diaries ...


Occupational Therapy In The Intensive Care Unit, Kelsie Colombini, Kristen M. Henderson, Michelle Huie, Courtney Malachowski May 2017

Occupational Therapy In The Intensive Care Unit, Kelsie Colombini, Kristen M. Henderson, Michelle Huie, Courtney Malachowski

Master's Theses and Capstone Projects

In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, individuals’ experience and clinical reasoning frequently guides interventions rather than current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this Vision, an evidence-based clinical pathway was developed for the occupational therapists at Mills-Peninsula Medical Center. The clinical pathway ...


Implementing Multifactorial Education Modules With Older Adults: Individualized And Interactive Fall Prevention Education, Salvador Chavez, Jocelle Flores, Rachelle Yambao May 2017

Implementing Multifactorial Education Modules With Older Adults: Individualized And Interactive Fall Prevention Education, Salvador Chavez, Jocelle Flores, Rachelle Yambao

Master's Theses and Capstone Projects

Falls are a significant concern for community-dwelling older adults (OAs), with one in four OAs reporting a fall every year. Occupational therapy students collaborated with first responders of the Novato Fire District to identify gaps in fall prevention community outreach programs and found that many interventions lack an interactive or individualized approach. Based on the gap analysis and current literature, seven education modules were developed to address key risk factors including home safety hazards, polypharmacy, fear of falling, and strength and balance exercises. Thirty community-dwelling OAs participated in the education modules that were implemented at two senior community sites in ...


The Duc Healthy Aging Website: Providing Online Occupation-Based Information, Haley Caruthers, Samantha Talavera, Jackeline Ulloa, Stephanie Vera May 2017

The Duc Healthy Aging Website: Providing Online Occupation-Based Information, Haley Caruthers, Samantha Talavera, Jackeline Ulloa, Stephanie Vera

Master's Theses and Capstone Projects

Access to current, evidence-based health information is an important step to the promotion of health and wellness for all age groups, including OAs. Since the virtual world is easily accessible and is being used more frequently by OAs, an effective way to convey relevant up-to-date health information is through a website devoted to the dissemination of health promotion information tailored for OAs, including tips for integrating healthy habits into their lifestyle. Dominican University of California’s (DUC) Healthy Aging website, developed in May 2014, contains relevant and evidence-based research, including activities and local community based programs that promote healthy aging ...


Leaders Of The Pack: Women And The Future Of Veterinary Medicine, Julie Kumble, Donald F. Smith Mar 2017

Leaders Of The Pack: Women And The Future Of Veterinary Medicine, Julie Kumble, Donald F. Smith

Purdue University Press Book Previews

Veterinary medicine has undergone sweeping changes in the last few decades. Women now account for 55 percent of the active veterinarians in the field, and nearly 80 percent of veterinary students are women. However, average salaries have dropped as this shift has occurred, and even with women in the vast majority, only 25 percent of leadership roles are held by women.

These trends point to gender-based inequality that veterinary medicine, a profession that tilts so heavily toward women, is struggling to address. How will the profession respond? What will this mean for our students and schools? What will it mean ...


A Comprehensive Audiometric Analysis Of Hearing Impairment And Tinnitus After Cisplatin-Based Chemotherapy In Survivors Of Adult-Onset Cancer, Heather E. Wheeler Feb 2017

A Comprehensive Audiometric Analysis Of Hearing Impairment And Tinnitus After Cisplatin-Based Chemotherapy In Survivors Of Adult-Onset Cancer, Heather E. Wheeler

Bioinformatics Faculty Publications

Purpose: Cisplatin is widely used, but highly ototoxic. Effects of cumulative cisplatin dose on hearing loss have not been comprehensively evaluated in survivors of adult-onset cancer.

Patients and Methods: Comprehensive audiological measures were conducted on 488 North American male germ cell tumor (GCT) survivors in relation to cumulative cisplatin dose, including audiograms(0.25-12 kHz), tests of middle ear function, and tinnitus. American Speech-Language-Hearing Association (ASHA) criteria defined hearing loss severity. The geometric mean of hearing thresholds(0.25-12 kHz) summarized overall hearing status consistent with audiometric guidelines. Patients were sorted into quartiles of hearing thresholds of age- and sex-matched ...


Lexical Access In Children With Specific Language Impairment And Auditory Processing Deficits, Laura E. Sylvia Feb 2017

Lexical Access In Children With Specific Language Impairment And Auditory Processing Deficits, Laura E. Sylvia

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

Abstract

LEXICAL ACCESS IN CHILDREN WITH SPECIFIC LANGUAGE IMPAIRMENT AND AUDITORY PROCESSING DEFICITS

By

Laura Sylvia

The purpose of this study was to investigate the time line of lexical access in 8-11 year-old children with Specific Language Impairment and with and without deficits in auditory processing. Typically developing children and children with SLI, ages 8-11 years, participated in a Picture-Word Interference (PWI) task and a Picture-Picture Interference (PPI) task. For both tasks, subjects named a familiar target picture while ignoring an auditory word in the PWI task and an interfering picture in the PPI task. The interfering stimuli were presented ...


The Relationship Between Clinical Teaching Effectiveness And Emotional Intelligence In Clinical Nurse Faculty In Pre-Licensure Baccalaureate Programs In New York State, Caroline K. Mosca Feb 2017

The Relationship Between Clinical Teaching Effectiveness And Emotional Intelligence In Clinical Nurse Faculty In Pre-Licensure Baccalaureate Programs In New York State, Caroline K. Mosca

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

It is important to evaluate the Clinical Teaching Effectiveness (CTE) of nurse faculty because clinical teaching is one of the most effective pedagogies in nursing education (Billings & Halstead, 2012). However, clinical faculty must be able to manage effectively the stressors of the clinical setting, where lessons can be unpredictable and the environment is often laden with intense emotion (Gerolamo & Roemer, 2011; Ondrejka, 2013; Roberts, Chrisman, & Flowers, 2013). Emotional Intelligence (EI) may facilitate CTE because higher EI has been associated with improved management of stress in both nursing and the general workplace (Goleman, 1995; Görgens-Ekermans & Brand, 2012; Karimi, Leggat, Donohue, & Cooper, 2014). EI modulates the stress response and may enhance faculty’s ability to teach in the clinical setting (Ondrejka, 2013). However, to date, only one study has investigated the relationship between EI and CTE in nursing faculty, and this study was limited to a small sample at one institution (Allen, Ploeg, & Kaasalainen (2012). The present study investigated the relationship between EI and CTE from ...


The Effect Of A Single Bout Of Physical Exertion On Expressive Language And Word Finding In Individuals With Multiple Sclerosis, Marissa A. Barrera Feb 2017

The Effect Of A Single Bout Of Physical Exertion On Expressive Language And Word Finding In Individuals With Multiple Sclerosis, Marissa A. Barrera

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

To date, little research has been conducted on the relationship between fatigue and expressive language among Multiple Sclerosis patients (MS). This study was a response to this knowledge gap. A nonrandom, matched- subject, mixed-factor design model was used with a purposive sample of 17 individuals with MS (five had primary-progressive (PP) MS, and 12 had relapsing-remitting (RR) MS). The research design was subjected to pretesting to ensure validity. Participants were assessed on a range of language tasks after undergoing one bout of cardiovascular exercise (NuStep T5 Recumbent Cross Trainer) and asked to provide a subjective fatigue score. The expressive language ...


Frequency Of Use And Perceived Credibility Of Information Sources And Variations By Socioeconomic Factors Among Savannah River Stakeholders, Bryan L. Williams, Alex Vallei, Sylvia Brown, Michael Greenberg Jan 2017

Frequency Of Use And Perceived Credibility Of Information Sources And Variations By Socioeconomic Factors Among Savannah River Stakeholders, Bryan L. Williams, Alex Vallei, Sylvia Brown, Michael Greenberg

RISK: Health, Safety & Environment

The authors examine the factors effecting credibility of risk communication in the communities surrounding the Savannah River Nuclear Weapons Site.


One Solution For Managing Risks During Cutbacks In Residency Training Programs, Patrick Knott, Kathleen Ruroede Jan 2017

One Solution For Managing Risks During Cutbacks In Residency Training Programs, Patrick Knott, Kathleen Ruroede

RISK: Health, Safety & Environment

Professors Knott and Ruroede examine the risks associated with downsizing and elimination of physician residency training programs.


Cultural And Clinical Factors Associated With Antihypertensive Medication Adherence In Vietnamese Policemen, Wen-Wen Li, Duong Thi Kim Nhung, Wei-Shu Lai, Shiow-Li Hwang Jan 2017

Cultural And Clinical Factors Associated With Antihypertensive Medication Adherence In Vietnamese Policemen, Wen-Wen Li, Duong Thi Kim Nhung, Wei-Shu Lai, Shiow-Li Hwang

Asian/Pacific Island Nursing Journal

The purpose of this study is to characterize Vietnamese policemen with hypertension, to report the proportion of hypertension control and medication adherence in Vietnamese policemen, and to explore cultural and clinical factors related to antihypertensive medication adherence. A cross-sectional study design was used. A convenience sample of 100 policemen with hypertension was recruited in Vietnam. A total score of 80% or more on the Medication Adherence scale was defined as medication adherence. Medication adherence was reported in 64% of the participants, but hypertension control was found in only 53%. Medication adherence was higher in the participants with higher perceived susceptibility ...


A Physical Therapist And Physical Therapist Assistant Learning Activity To Examine Student Collaboration And Collaboration Readiness: An Intraprofessional Educational Process, Salome V. Brooks, Renae Gorman Jan 2017

A Physical Therapist And Physical Therapist Assistant Learning Activity To Examine Student Collaboration And Collaboration Readiness: An Intraprofessional Educational Process, Salome V. Brooks, Renae Gorman

Internet Journal of Allied Health Sciences and Practice

BACKGROUND: Workforce responsibilities in the clinical setting between the physical therapist (PT) and physical therapist assistant (PTA) emphasize the necessity to develop intraprofessional skills fostering discipline collaboration. These skills impact the team process and the achievement of interprofessional patient centered outcomes. Collaboration is a skill that is sought after in inter- and intraprofessional teams. Intraprofessionalism is occurring within teamwork and collaborative activities labelled or described in interprofessional terms and tools. Health science professional programs have received recent mandates to address interprofessional collaboration skills within curricula. But disciplines that contain multiple professional roles need to address the within discipline, prerequisite intraprofessional ...


Notice Of 02/07/2017 Hsc Committee Meeting, Patrice Martin Jan 2017

Notice Of 02/07/2017 Hsc Committee Meeting, Patrice Martin

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.