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2024

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Hospital Location, Socioeconomic Factors, And Obesity Impact On Patient Readmission Rates 30 Days Post-Coronary Artery Bypass Graft, Mazalo Looky Dec 2024

Hospital Location, Socioeconomic Factors, And Obesity Impact On Patient Readmission Rates 30 Days Post-Coronary Artery Bypass Graft, Mazalo Looky

Walden Dissertations and Doctoral Studies

Coronary artery bypass graft (CABG) is associated with a high rate of readmissions within 30 days after discharge. Patient variables such as obesity and socioeconomic status (SES) are modifiable, whereas hospital factors such as location indicate the need for a better regional needs assessment. The purpose of this study was to examine the impact of hospital location, SES, and obesity (independent variables) on the 30-day readmission rate post-CABG (dependent variable) among US patients. Secondary data sets available from the Centers for Medicare & Medicaid Services and the Society of Thoracic Surgery websites were analyzed to assess the impact of location, …


Additional Expression Of T-Cell Engager In Clinically Tested Oncolytic Adeno-Immunotherapy Redirects Tumor-Infiltrated, Irrelevant T Cells Against Cancer Cells To Enhance Antitumor Immunity, Daisuke Morita, Amanda Rosewell Shaw, Greyson Biegert, Caroline Porter, Mae Woods, Spyridoula Vasileiou, Bora Lim, Masataka Suzuki Dec 2024

Additional Expression Of T-Cell Engager In Clinically Tested Oncolytic Adeno-Immunotherapy Redirects Tumor-Infiltrated, Irrelevant T Cells Against Cancer Cells To Enhance Antitumor Immunity, Daisuke Morita, Amanda Rosewell Shaw, Greyson Biegert, Caroline Porter, Mae Woods, Spyridoula Vasileiou, Bora Lim, Masataka Suzuki

Faculty, Staff and Student Publications

Background: Oncolytic adenoviruses (OAds) are the most clinically tested viral vectors for solid tumors. However, most clinically tested "Armed" OAds show limited antitumor effects in patients with various solid tumors even with increased dosages and multiple injections. We developed a binary oncolytic/helper-dependent adenovirus system (CAdVEC), in which tumors are coinfected with an OAd and a non-replicating helper-dependent Ad (HDAd). We recently demonstrated that a single low-dose CAdVEC expressing interleukin-12, programmed death-ligand 1 blocker, and HSV thymidine kinase safety switch (CAdTrio) induces significant antitumor effects in patients, including complete response. Similar to previous OAd studies, all patients primarily amplified Ad-specific T …


Understanding The Current Provisions Of Support For People With An Intellectual Disabilities And/Or Autism In Crisis: A Mixed Methods Study, Rohit Shankar Dec 2024

Understanding The Current Provisions Of Support For People With An Intellectual Disabilities And/Or Autism In Crisis: A Mixed Methods Study, Rohit Shankar

Peninsula Medical School

Background:There has been significant reduction in inpatient beds for people with intellectual disability and/or autism (PwID/A) in the UK in the last decade following high profile national scandals in specialist psychiatric hospitals. To reduce inappropriate admissions a new strategy (Blue-Light, an emergency multi-disciplinary meeting to prevent admission to hospital) was introduced. However, there is no research on the influence of Blue-Light on crisis management for PwID/A.Aim:To assess Blue-Light’s impact on PwID/A’s crisis presentationsMethods:Co-produced with experts-by-experience, a mixed methods approach using a 13 question Likert based survey of health and social-care professionals along with semi-structured interviews of carers involved with consecutive …


Long-Term Adverse Effects After Electroconvulsive Therapy (Ect): A Narrative Analysis Exploring People’S Experiences, Meaning-Making, And Coping, Emily Shipwright, David Murphy Dec 2024

Long-Term Adverse Effects After Electroconvulsive Therapy (Ect): A Narrative Analysis Exploring People’S Experiences, Meaning-Making, And Coping, Emily Shipwright, David Murphy

School of Psychology

Approximately 2500 people receive electroconvulsive therapy (ECT) annually in the United Kingdom; however, there is growing evidence of long-term adverse effects. Few studies have focused on people’s experience of ECT, particularly over the long term. The experience of ECT is known to be complex, requiring qualitative exploration. Therefore, this study aimed to explore the long-term adverse experiences of ECT, including psychological impacts, meaning-making, and coping. Narrative analysis considered thematic, structural, and performative elements of seven people’s stories. Themes were explored across the timeline of participants’ experiences. Before ECT, participants felt misinformed regarding ECT and misunderstood by healthcare professionals. They noticed …


Hospital Location, Socioeconomic Factors, And Obesity Impact On Patient Readmission Rates 30 Days Post-Coronary Artery Bypass Graft, Mazalo Looky Dec 2024

Hospital Location, Socioeconomic Factors, And Obesity Impact On Patient Readmission Rates 30 Days Post-Coronary Artery Bypass Graft, Mazalo Looky

Walden Dissertations and Doctoral Studies

Coronary artery bypass graft (CABG) is associated with a high rate of readmissions within 30 days after discharge. Patient variables such as obesity and socioeconomic status (SES) are modifiable, whereas hospital factors such as location indicate the need for a better regional needs assessment. The purpose of this study was to examine the impact of hospital location, SES, and obesity (independent variables) on the 30-day readmission rate post-CABG (dependent variable) among US patients. Secondary data sets available from the Centers for Medicare & Medicaid Services and the Society of Thoracic Surgery websites were analyzed to assess the impact of location, …


Agronomic Biofortification Of Calcium In Pak Choy (Brassica Rapa Subsp. Chinensis) Via Hydroponic Nutrient Film Technique, Regina Septiani Zahro, Khavid Faozi, Zulfa Ulinnuha, Agus Sarjito Dec 2024

Agronomic Biofortification Of Calcium In Pak Choy (Brassica Rapa Subsp. Chinensis) Via Hydroponic Nutrient Film Technique, Regina Septiani Zahro, Khavid Faozi, Zulfa Ulinnuha, Agus Sarjito

Jurnal Kultivasi

Pak choy is rich in calcium, magnesium, phosphorus, iron, and vitamin K, all essential for health. Pak choy requires a proper balance of nutrients for optimal growth. In a hydroponic system, any imbalance in nutrient levels can negatively impact plant growth and reduce the nutritional value stored in the tissues. Selecting suitable varieties and providing appropriate calcium treatment can help increase calcium content and enhance productivity. This study aims to determine the effect of calcium concentration on growth, yield, and Ca content and the most responsive varieties to increased calcium concentration. The research design used was a Split Plot Design …


Clinical And Radiologic Findings In Children With Anomalous Pontine Cranial Nerves, Karen K Moeller, Brandon H Tran, Thierry A G M Huisman, Nilesh K Desai, Marcia K Kukreja, Rajan P Patel, Uma S Ramaswamy, Carol Liu, Stephen F Kralik Dec 2024

Clinical And Radiologic Findings In Children With Anomalous Pontine Cranial Nerves, Karen K Moeller, Brandon H Tran, Thierry A G M Huisman, Nilesh K Desai, Marcia K Kukreja, Rajan P Patel, Uma S Ramaswamy, Carol Liu, Stephen F Kralik

Faculty, Staff and Students Publications

We retrospectively reviewed the clinical and radiologic findings in 17 children with an aberrant cisternal cranial nerve 7 (CN7), and found that these patients had additional anomalies involving other pontine cranial nerves (CNs). The hallmark imaging feature identified in all patients was an aberrant cisternal segment of an enlarged-appearing CN7. The abnormal nerve coursed anteriorly toward the Gasserian ganglion, where it fanned out toward the internal auditory canal, Meckel cave, or both. This finding was accompanied by a small cisternal CN5, which often had a lateral bowed appearance. CN5 and CN7 were abnormally close to each other. Meckel's cave appeared …


Rechovos Estates Llc. V. Thomas Dec 2024

Rechovos Estates Llc. V. Thomas

All Decisions

In this licensee holdover proceeding, the court dismissed the petition and found that the tenant, the son of the deceased tenant of record, had proven his entitlement to succeed to the rent-stabilized tenancy. The court found that the tenant's documentary evidence and testimony, including bank statements, utility bills, and identification documents, outweighed the landlord's testimony that he had never observed the tenant residing in the apartment. The court also rejected the landlord's argument that the tenant's omission from the deceased tenant's SCRIE application precluded his succession claim.


Development Of A Stable And Buffered Reference Electrode For Binary Molten Chlorides Salts, Carlos Mejia, Nicholas Christensen, Ricardo Rodriguez Ceron, Devin Rappleye Dec 2024

Development Of A Stable And Buffered Reference Electrode For Binary Molten Chlorides Salts, Carlos Mejia, Nicholas Christensen, Ricardo Rodriguez Ceron, Devin Rappleye

Faculty Publications

The development of stable and buffered reference electrodes (REs) is crucial for molten salt electrochemistry, particularly in pyrochemical processing, such as electrorefining. These REs must maintain a stable potential to ensure precise control over electrorefining processes by preventing unwanted shifts in the potential that could lead to impurity deposition. This study evaluated metal chlorides and metal oxides as potential candidates for REs, with their stability assessed via electrochemical methods over extended durations. While metal chloride-based REs exhibited stable potential behavior over time, their response followed the Nernst equation, leading to potential shifts with varying concentrations of oxidized species. Metal oxide-based …


Taxonomy Of Cyber Risk Mitigation Cost Benefit Analysis Methods For Energy Infrastructure, Yvonne Kam Hwei Syn, Kevin Jones, Kimberly Tam, Robert Rawlinson-Smith Dec 2024

Taxonomy Of Cyber Risk Mitigation Cost Benefit Analysis Methods For Energy Infrastructure, Yvonne Kam Hwei Syn, Kevin Jones, Kimberly Tam, Robert Rawlinson-Smith

School of Engineering, Computing and Mathematics

Cybersecurity is a critical aspect for the energy industry to defend against cyber attacks. However, justifying the costs of cybersecurity measures is essential. A cost-benefit analysis (CBA) is commonly used to support decision-making for risk mitigation, helping to identify strategies that optimally balance mitigation costs and risk reduction. In this survey, we analyse existing approaches and provide a taxonomic overview of methods for cyber risk mitigation cost-benefit analysis, focusing on key aspects that determine their applicability to energy systems. The survey includes both general and contextual works, employing various methodologies for CBA, whether analytical or criteria-based. We conclude with an …


Four Iwu Students Receive Funding To Develop Ideas Through Titan New Venture Challenge, Jeffery Woodard Dec 2024

Four Iwu Students Receive Funding To Develop Ideas Through Titan New Venture Challenge, Jeffery Woodard

News and Events (Discontinued Series)

No abstract provided.


On The Benefits Of Directness In Virtual Characters For Motivational Interviews, Michael O'Mahony, Cathy Ennis, Robert Ross Dec 2024

On The Benefits Of Directness In Virtual Characters For Motivational Interviews, Michael O'Mahony, Cathy Ennis, Robert Ross

Conference papers

Understanding the factors influencing successful engagement with Embodied Conversational Agents (ECAs) remains a significant challenge. This understanding could be used to personalise agents to users to improve interactions. Some studies have shown that simulating personalities in healthcare agents can improve effectiveness and engagement. However, it is not yet well understood how variations of agent personality can be leveraged to improve user engagement with Motivational Interviewing (MI) ECAs. Specifically how the balance between agent warmth and directness can be controlled in an MI agent to improve likeability and engagement. We conducted an online Wizard-of-Oz (WoZ) mediated study of two variants of …


Contextualizing Adolescent’S Experiences Of Dementia In England, Esra Hassan, Ben Hicks, Naji Tabet, Nicolas Farina Dec 2024

Contextualizing Adolescent’S Experiences Of Dementia In England, Esra Hassan, Ben Hicks, Naji Tabet, Nicolas Farina

Peninsula Medical School

Adolescents represent an under-researched group that mayalready have experiences of dementia. In this study, we aimedto capture adolescents’ level of contact (frequency) and qualityof contact (whether experiences were positive or negative) withpeople living with the condition. In this cross-sectional study,1,371 adolescents (aged 11–18 years old) across England wererecruited. Descriptive statistics, cross-tabulations, and regres-sions were employed to explore the association between socio-demographic factors and the frequency and quality of dementiacontact in adolescents. Over 64% of adolescents had comeacross people living with dementia, while over a quarter ofadolescents had looked after someone living with the condition.The level of contact and quality of …


Delivering Improved Survivorship Care For People Affected By Advanced Or Metastatic Cancer, Julia Lai-Kwon, Sarah Heynemann, Nicolas Hart, Raymond J. Chan, Thomas Smith, Andrea L. Smith, Larissa Nekhlyudov, Michael Jefford Dec 2024

Delivering Improved Survivorship Care For People Affected By Advanced Or Metastatic Cancer, Julia Lai-Kwon, Sarah Heynemann, Nicolas Hart, Raymond J. Chan, Thomas Smith, Andrea L. Smith, Larissa Nekhlyudov, Michael Jefford

Research outputs 2022 to 2026

No abstract provided.


Accelerating Shock-Driven Reactions In Metal Nanocomposites, Siva Kumar Valluri, Edward L. Dreizin, Dana D. Dlott Dec 2024

Accelerating Shock-Driven Reactions In Metal Nanocomposites, Siva Kumar Valluri, Edward L. Dreizin, Dana D. Dlott

Mechanical and Aerospace Engineering Faculty Research & Creative Works

Metal powders are sought as energetic additives to conventional explosives. However, due to their sluggish reaction kinetics with external gaseous oxidizers, pure metals are replaced with metallic composites with intimately mixed condensed phase oxidizers prepared by arrested reactive milling (ARM). Such composites can be initiated by non-thermal, mechanical means; through shear mixing of fuel and oxidizer under a shock compressive load. Since the ARM preparatory technique allows for tuning multiple powder attributes such as fuel/oxidizer of interest, their degree of mixing, amount of oxidizer, particle porosity, among others, a parametric study is crucial in identifying suitable traits for fast reactions …


Hyperspectral Imaging For Temperature Measurements Of Hot Spots In Shocked Plastic-Bonded Explosives, Dhanalakshmi Sellan, Siva Kumar Valluri, Dana D. Dlott Dec 2024

Hyperspectral Imaging For Temperature Measurements Of Hot Spots In Shocked Plastic-Bonded Explosives, Dhanalakshmi Sellan, Siva Kumar Valluri, Dana D. Dlott

Mechanical and Aerospace Engineering Faculty Research & Creative Works

Hot spots are formed when energetic microstructures are shocked, and they play a critical role in shock sensitivity. It is important to know both the time-dependent size and temperature of the hot spots, in order to generate a kinetic model to describe reaction growth in plastic-bonded explosives (PBX). Here we use a recently developed technique where PBX is fabricated in the form of a thin wafer, embedded within a transparent polymer binder, and shocked with a laser-launched flyer plate that produces pressures of about 30 GPa range. In this method, every crystal of the cyclotetramethylene-tetranitramine (HMX)-based PBX can be observed …


Interventions For Aboriginal And Torres Strait Islander People With Type 2 Diabetes That Modify Its Management And Cardiometabolic Risk Factors: A Systematic Review, Ciying Tan, Zoe Williams, Mohammad Ashraful Islam, Ray Kelly, Tuguy Esgin, Elif I. Ekinci Dec 2024

Interventions For Aboriginal And Torres Strait Islander People With Type 2 Diabetes That Modify Its Management And Cardiometabolic Risk Factors: A Systematic Review, Ciying Tan, Zoe Williams, Mohammad Ashraful Islam, Ray Kelly, Tuguy Esgin, Elif I. Ekinci

Research outputs 2022 to 2026

Objectives: To review studies of interventions for reducing the impact of type 2 diabetes in Aboriginal and Torres Strait Islander people. The primary aim was to review and summarise the characteristics and findings of the interventions. The secondary aims were to assess their effects on diabetes and cardiometabolic risk factors, and the proportions of people with type 2 diabetes who achieved therapeutic targets with each intervention. Study design: We searched eight electronic databases for publications of studies including Aboriginal or Torres Strait Islander people aged 15 years or older with diagnoses of type 2 diabetes, describing one or more diabetes …


Anodal Transcranial Direct Current Stimulation (Tdcs) Modulates Quadriceps Motor Cortex Inhibition And Facilitation During Rehabilitation Following Anterior Cruciate Ligament (Acl) Reconstruction: A Triple-Blind, Randomised Controlled Proof Of Concept Trial, Myles Calder Murphy, Colin Sylvester, Casey Whife, Peter D'Alessandro, Ebonie Kendra Rio, Ann Maree Vallence Dec 2024

Anodal Transcranial Direct Current Stimulation (Tdcs) Modulates Quadriceps Motor Cortex Inhibition And Facilitation During Rehabilitation Following Anterior Cruciate Ligament (Acl) Reconstruction: A Triple-Blind, Randomised Controlled Proof Of Concept Trial, Myles Calder Murphy, Colin Sylvester, Casey Whife, Peter D'Alessandro, Ebonie Kendra Rio, Ann Maree Vallence

Research outputs 2022 to 2026

Objectives Following anterior cruciate ligament reconstruction (ACLR), maladaptive changes occur in the motor cortex representation of the quadriceps, evidenced by increases in intracortical inhibition and facilitation. The primary objective of this proof-of-concept study was to determine if anodal transcranial direct current stimulation (tDCS) can alter quadriceps intracortical inhibition and facilitation in an early-ACLR population after 6 weeks of application during exercise. Methods We performed a randomised, triple-blind controlled trial for proof of concept comparing anodal-tDCS to sham-tDCS following ACLR. Anodal-tDCS or sham-tDCS was delivered to the primary motor cortex for 20 min, three times per week, for 6 weeks from …


Recovering Phosphorus And Nitrogen From Leachate Collected From Chidaya Sanitary Landfill Dodoma Tanzania For Fertilizer Production, Yasin Y. Kifwe, Godlisten N. Shao, Washa B. Washa, Christina F. Pius Dec 2024

Recovering Phosphorus And Nitrogen From Leachate Collected From Chidaya Sanitary Landfill Dodoma Tanzania For Fertilizer Production, Yasin Y. Kifwe, Godlisten N. Shao, Washa B. Washa, Christina F. Pius

Tanzania Journal of Science

The demand for fertilizer is a global issue that poses a significant threat to future food security. Tanzania is among the countries which rely on agriculture for food production and contribute largely to the economy of the nation. However, farmers incur high production costs due to the utilization of expensive and environmentally insecure fertilizers. The present study investigated the potential of recovering nitrogen and phosphorus nutrients from leachate to produce fertilizer. Hanna pH meter (HI-98121) was used to determine the pH of leachate which was found to be 8.29 ± 0.33. The concentration of phosphorus and nitrogen was determined by …


Mountain Big Sagebrush Restoration In Former Dryland Pasture, Elizabeth Bailey, Eric Thacker, Thomas Monaco, Kari E. Veblen Dec 2024

Mountain Big Sagebrush Restoration In Former Dryland Pasture, Elizabeth Bailey, Eric Thacker, Thomas Monaco, Kari E. Veblen

All Current Publications

Our study supports using older naturally grown sagebrush plants (wildlings) for restoration efforts. Wildlings had already faced various environmental stresses before transplantation and then had a survival advantage when transplanted. Our study also demonstrates how successfully established transplants planted in “islands” aid in the future recruitment of sagebrush. Overall, because of their higher survival, we found that wildlings led to higher sagebrush densities and were a more cost-effective approach.


New Method To Avoid The Panel With Abnormal Screen Issue, Hp Inc Dec 2024

New Method To Avoid The Panel With Abnormal Screen Issue, Hp Inc

Defensive Publications Series

New method to avoid the panel with abnormal screen issue.


Latching Mechanism For Networking Hardware Module, Anonymous Dec 2024

Latching Mechanism For Networking Hardware Module, Anonymous

Defensive Publications Series

The present disclosure relates to a latching mechanism for a module, such as a networking hardware module. The proposed bottomed-out connector mechanism ensures a constant force is maintained to fully mate the connector, even in the presence of various tolerance stack-ups, resulting in outstanding signal integrity and performance. Compatible with any standard ejector featuring a locking mechanism, this disclosure offers versatility and ease of integration into existing systems. It also provides flexibility by allowing the mating force to be adjusted according to specific requirements through a simple spring change, enhancing usability across diverse applications. Throughout its lifetime, the mechanism ensures …


Capacitor Touch Interface For Ai Interaction, Hp Inc Dec 2024

Capacitor Touch Interface For Ai Interaction, Hp Inc

Defensive Publications Series

This disclosure presents the Capacitor Touch Interface for AI Interaction, a system that extends touch-sensitive technology beyond traditional display surfaces to enable more intuitive device interaction. By integrating capacitor sensors across various laptop surfaces and coupling them with AI capabilities, the system allows users to activate their device and trigger AI assistance through a simple touch gesture. Upon touch detection, the system automatically activates a microphone to capture spoken prompts, which are then transcribed and processed to execute AI-driven actions. Our approach focuses on hardware-firmware integration to ensure reliable touch detection and audio capture while maintaining low latency. Initial …


The Man Who Would Be Billy Collins, W. Edward Blain Dec 2024

The Man Who Would Be Billy Collins, W. Edward Blain

Valparaiso Fiction Review

No abstract provided.


Suga Pines, Michael Rogner Dec 2024

Suga Pines, Michael Rogner

Valparaiso Fiction Review

No abstract provided.


Generation, Carolyn Wilson-Scott Dec 2024

Generation, Carolyn Wilson-Scott

Valparaiso Fiction Review

No abstract provided.


A Constant State Of Agitation, Martin Cloutier Dec 2024

A Constant State Of Agitation, Martin Cloutier

Valparaiso Fiction Review

No abstract provided.


The Top Of His Game, David Harris Dec 2024

The Top Of His Game, David Harris

Valparaiso Fiction Review

No abstract provided.


Sooner Or Later, We All End Up At Oceanside, Sarah Schiff Dec 2024

Sooner Or Later, We All End Up At Oceanside, Sarah Schiff

Valparaiso Fiction Review

No abstract provided.


Prefatory Notes Dec 2024

Prefatory Notes

Valparaiso Fiction Review

No abstract provided.