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Articles 147151 - 147180 of 1810182
Full-Text Articles in Entire DC Network
Tree Diversity Across The Minneapolis-St. Paul Metropolitan Area In Relation To Climate And Social Vulnerability, Adrienne B. Keller, Leslie A. Brandt, Jeannine Cavender-Bares, Joseph F. Knight, Sarah E. Hobbie
Tree Diversity Across The Minneapolis-St. Paul Metropolitan Area In Relation To Climate And Social Vulnerability, Adrienne B. Keller, Leslie A. Brandt, Jeannine Cavender-Bares, Joseph F. Knight, Sarah E. Hobbie
Michigan Tech Publications
Urban tree canopy cover is often unequally distributed across cities such that more socially vulnerable neighborhoods often have lower tree canopy cover than less socially vulnerable neighborhoods. However, how the diversity and composition of the urban canopy affect the nature of social-ecological benefits (and burdens), including the urban forest's vulnerability to climate change, remains underexamined. Here, we synthesize tree inventories developed by multiple organizations and present a species-specific, geolocated database of more than 600,000 urban trees across the 7-county Minneapolis-St. Paul (MSP) metropolitan area in the Upper Midwest of the United States. We find that tree diversity across the MSP …
Mutual Relationships Of Nanoconfined Hexoses: Impacts On Hydrodynamic Radius And Anomeric Ratios, Bridget L. Gourley, Mia R. Halliday, Samantha L. Miller, Christopher D. Gale, Jenna R. Deckard, Nancy E. Levinger
Mutual Relationships Of Nanoconfined Hexoses: Impacts On Hydrodynamic Radius And Anomeric Ratios, Bridget L. Gourley, Mia R. Halliday, Samantha L. Miller, Christopher D. Gale, Jenna R. Deckard, Nancy E. Levinger
Chemistry & Biochemistry Faculty Publications
Although all hexose sugars share the same chemical formula, C6H12O6, subtle differences in their stereochemical structures lead to their various biological roles. Due to their prominent role in metabolism, hexose sugars are commonly found in nanoconfined environments. The complexity of authentic nanoconfined biological environments makes it challenging to study how confinement affects their behavior. Here, we present a study using a common model system, AOT reverse micelles, to study hexose sugars in nanoconfinement. We examine how reverse micelles affect the hexoses, how the hexoses affect reverse micelle formation, and the differences between specific hexoses: glucose, mannose, and galactose. We find …
Inequities In Air Pollution On Stroke Mortality Among Older Americans: A U.S. Nationwide Analysis, Jean-Luc K. Kabangu, Danny Fowler, Amanda Hernandez, Takara R. Newsome-Cuby, Benson Joseph, John Dugan, Lane Fry, Momodou G. Bah, Sonia V. Eden
Inequities In Air Pollution On Stroke Mortality Among Older Americans: A U.S. Nationwide Analysis, Jean-Luc K. Kabangu, Danny Fowler, Amanda Hernandez, Takara R. Newsome-Cuby, Benson Joseph, John Dugan, Lane Fry, Momodou G. Bah, Sonia V. Eden
Student Publications
Background: Air pollution is a known risk factor for cardiovascular diseases, including stroke. This study examines the impact of county-level air pollution on ischemic and hemorrhagic stroke mortality among U.S. individuals aged 65 and older, emphasizing racial and socioeconomic disparities.
Methods: Using data from the Center for Disease Control (CDC) Interactive Atlas of Heart Disease and Stroke, we analyzed county-level ischemic stroke mortality rates for older residents between 2016 and 2020. The data on air pollution at the county level, specifically particulate matter (PM2.5) levels, were obtained from the CDC. We applied multivariable linear and logistic regression models to examine …
Ai In The Health Professions, Heidi Monroe, Carrie Fry, Phillip Baker, Erika Busz
Ai In The Health Professions, Heidi Monroe, Carrie Fry, Phillip Baker, Erika Busz
AI and the Future of Work
The aim of this track is to provide health professionals, and those interested in mental health and healthcare careers with an understanding of key aspects of AI use in healthcare. Participants will explore advantages of some recent AI developments and evaluate how they may be effectively leveraged to improve patient care, while addressing potential challenges, limitations, and ethical considerations.
Differential Analysis Of The Impact Of Lesions’ Location On Clinical And Radiological Outcomes After The Implantation Of A Novel Aragonite-Based Scaffold To Treat Knee Cartilage Defects, Pietro Conte, Giuseppe Anzillotti, Dennis C. Crawford, Vinod Dasa, David C. Flanigan, William E. Nordt, Jason M. Scopp, Robert J. Meislin, Eric J. Strauss, Sabrina M. Strickland, Gennaro Fiorentino, Christian Lattermann
Differential Analysis Of The Impact Of Lesions’ Location On Clinical And Radiological Outcomes After The Implantation Of A Novel Aragonite-Based Scaffold To Treat Knee Cartilage Defects, Pietro Conte, Giuseppe Anzillotti, Dennis C. Crawford, Vinod Dasa, David C. Flanigan, William E. Nordt, Jason M. Scopp, Robert J. Meislin, Eric J. Strauss, Sabrina M. Strickland, Gennaro Fiorentino, Christian Lattermann
School of Medicine Faculty Publications
Purpose: There is limited comparative evidence on patient outcomes following cartilage repair in various knee compartments. The aim of this study was to compare clinical and imaging outcomes after treating cartilage defects in femoral condyles and trochlea with either an aragonite-based scaffold or surgical standard of care (SSoC, i.e., debridement/microfractures) in a large multicentre randomized controlled trial. Methods: 247 patients with up to three knee joint surface lesions (ICRS grade IIIa or above) in the femoral condyles, trochlea or both (“mixed”), were enrolled and randomized to surgery with either a cell-free aragonite scaffold or SSoC. Patients were followed for up …
Phytotherapeutic Approach To Enhance The Hepatoprotective Activity Of Some Edible Plants: Molecular Docking And Nanoformulation, Khaled Nematallah, Amgad Abdallah, Noha Swilam
Phytotherapeutic Approach To Enhance The Hepatoprotective Activity Of Some Edible Plants: Molecular Docking And Nanoformulation, Khaled Nematallah, Amgad Abdallah, Noha Swilam
Pharmacy
This study used molecular docking to evaluate phytochemicals from 47 plants against liver fibrosis. It identified potent compounds, prompting further investigation of chamomile, pomegranate, ginseng, and artichoke. Extracts from these plants were characterized and formulated into a self-microemulsifying drug delivery system (SMEDDS). Studies on the herbal formula exhibited around 150% higher flavonoids, 50% higher polyphenols, 178% higher antioxidant activity, and synergistic In-vitro hepatoprotective effects compared to the average results of individual extracts. Both the aqueous suspension and the nanoformulation of the formula offered in-vivo protection against paracetamol-induced hepatotoxicity in mice. The SMEDDS group showed superior outcomes, with no significant differences …
Phytotherapeutic Approach To Enhance The Hepatoprotective Activity Of Some Edible Plants: Molecular Docking And Nanoformulation, Khaled Nematallah, Amgad Albohy, Noha Swilam
Phytotherapeutic Approach To Enhance The Hepatoprotective Activity Of Some Edible Plants: Molecular Docking And Nanoformulation, Khaled Nematallah, Amgad Albohy, Noha Swilam
Pharmacy
This study used molecular docking to evaluate phytochemicals from 47 plants against liver fibrosis. It identified potent compounds, prompting further investigation of chamomile, pomegranate, ginseng, and artichoke. Extracts from these plants were characterized and formulated into a self-microemulsifying drug delivery system (SMEDDS). Studies on the herbal formula exhibited around 150% higher flavonoids, 50% higher polyphenols, 178% higher antioxidant activity, and synergistic In-vitro hepatoprotective effects compared to the average results of individual extracts. Both the aqueous suspension and the nanoformulation of the formula offered in-vivo protection against paracetamol-induced hepatotoxicity in mice. The SMEDDS group showed superior outcomes, with no significant differences …
Quantifying The Aging Of Lithium-Ion Pouch Cells Using Pressure Sensors, Yousof Nayfeh, Jon C. Vittitoe, Xianglin Li
Quantifying The Aging Of Lithium-Ion Pouch Cells Using Pressure Sensors, Yousof Nayfeh, Jon C. Vittitoe, Xianglin Li
Mechanical Engineering Faculty Publications
Understanding the behavior of pressure increases in lithium-ion (Li-ion) cells is essential for prolonging the lifespan of Li-ion battery cells and minimizing the safety risks associated with cell aging. This work investigates the effects of C-rates and temperature on pressure behavior in commercial lithium cobalt oxide (LCO)/graphite pouch cells. The battery is volumetrically constrained, and the mechanical pressure response is measured using a force gauge as the battery is cycled. The effect of the C-rate (1C, 2C, and 3C) and ambient temperature (10 °C, 25 °C, and 40 °C) on the increase in battery pressure is investigated. By analyzing the …
Examining Management And Employees' Perceptions Of Occupational Heat Exposure And The Effectiveness Of A Heat Stress Prevention Intervention On Safety And Well-Being Among Natural Gas Construction Workers: A Qualitative Field-Based Study, Muinat Abolore Idris, Christine Markham, Kristina D Mena, William B Perkison
Examining Management And Employees' Perceptions Of Occupational Heat Exposure And The Effectiveness Of A Heat Stress Prevention Intervention On Safety And Well-Being Among Natural Gas Construction Workers: A Qualitative Field-Based Study, Muinat Abolore Idris, Christine Markham, Kristina D Mena, William B Perkison
Faculty, Staff and Student Publications
BACKGROUND: Numerous risk factors have been identified as significantly influencing outdoor workers' risk for heat stress and heat-related conditions, impacting their health, well-being, and productivity. However, the specific effects of these factors on construction workers' safety, health, and well-being remain under-researched. With climate change increasing temperatures, assessing heat stress among construction workers is imperative.
OBJECTIVE: To identify the barriers and facilitators influencing the safety of natural gas construction workers and evaluate an implemented heat stress intervention.
METHODS: In the summer of 2023, two semi-structured interviews and six focus groups were conducted with twenty-one stakeholders at a Texas natural gas construction …
Financial Toxicity In Breast Cancer Patients Receiving Regional Nodal Irradiation: Variation By Cancer Subtype, Grace L Smith, Benjamin D Smith, Chi-Fang Wu, Simona F Shaitelman, Mariana Chavez-Macgregor, Rashmi Murthy, Kelsey Kaiser, Kimberly S Ku, Julia J Shi, Sanjay S Shete, Ying-Shiuan Chen, Robert J Volk, Sharon H Giordano, Ya-Chen T Shih, Karen E Hoffman
Financial Toxicity In Breast Cancer Patients Receiving Regional Nodal Irradiation: Variation By Cancer Subtype, Grace L Smith, Benjamin D Smith, Chi-Fang Wu, Simona F Shaitelman, Mariana Chavez-Macgregor, Rashmi Murthy, Kelsey Kaiser, Kimberly S Ku, Julia J Shi, Sanjay S Shete, Ying-Shiuan Chen, Robert J Volk, Sharon H Giordano, Ya-Chen T Shih, Karen E Hoffman
Faculty, Staff and Student Publications
BACKGROUND: We evaluated sociodemographic and clinical predictors of financial toxicity (FT) among patients with breast cancer with higher risk clinical factors warranting regional nodal irradiation (RNI).
METHODS: Among 183 participants in a clinical trial of conventional vs. hypofractionated treatment with RNI, 125 (68 %) completed a pilot survey of FT measured using the validated Economic Strain and Resilience in Cancer (ENRICh) instrument, scored from 0 (minimal) to 10 (severe) FT. Associations with predictors were evaluated using Pearson correlation coefficients and Kruskal Wallis, Mann-Whitney U, and Jonckheere-Terpstra tests. Predictors of severe FT (ENRICh≥5) were tested using multivariable logistic regression with odds …
Business Failure Mode And Effects Analysis: A Risk Based Holistic Strategy To Improve Success Rates Of Small Technology Businesses, Krishnakumar R. Nair
Business Failure Mode And Effects Analysis: A Risk Based Holistic Strategy To Improve Success Rates Of Small Technology Businesses, Krishnakumar R. Nair
USF Tampa Graduate Theses and Dissertations
Multiple US and global statistics show that small businesses are vital to economic development but fail at a startling rate. Small technology businesses (STBs) are around 35% of this small business segment. The central problem addressed in this research is to reduce their short lives and enable growth and stability. The solution is a significant business management strategy iteratively developed by working with business owners and practitioners. A holistic approach to view the business as a whole to address premature failures is not available, and this research presents a comprehensive approach to solving that problem. The study developed a novel …
Contaminant Exposure And Liver And Kidney Lesions In North American River Otters In The Indian River Lagoon, Florida, Ami Krasner, Megan Stolen, David Rotstein, Spencer Fire
Contaminant Exposure And Liver And Kidney Lesions In North American River Otters In The Indian River Lagoon, Florida, Ami Krasner, Megan Stolen, David Rotstein, Spencer Fire
Ocean Engineering and Marine Sciences Student Publications
The harmful algal bloom (HAB) liver toxin microcystin (MC) and trace element biomagnification were previously detected in organisms in the Indian River Lagoon (IRL), Florida. Since there are no routine screening programs for these contaminants, liver tissue from North American river otters (Lontra canadensis), an important sentinel species in the IRL, was screened for MC via enzyme-linked immunoassay (ELISA), followed by confirmatory analyses via liquid-chromatography/mass spectrometry methods (LC-MS/MS). Liver and kidney samples were evaluated for trace element (As, Cd, Co, Cu, Fe, Hg, Mn, Mo, Pb, Se, Tl, and Zn) bioaccumulation via inductively coupled plasma mass spectrometry (ICP-MS). Histopathologic evaluation …
A Generalized Machine Learning Model For Long-Term Coral Reef Monitoring In The Red Sea, Justin J. Gapper, Surendra Maharjan, Wenzhao Li, Erik Linstead, Surya Prakash Tiwari, Mohamed A. Qurban, Hesham El-Askary
A Generalized Machine Learning Model For Long-Term Coral Reef Monitoring In The Red Sea, Justin J. Gapper, Surendra Maharjan, Wenzhao Li, Erik Linstead, Surya Prakash Tiwari, Mohamed A. Qurban, Hesham El-Askary
Mathematics, Physics, and Computer Science Faculty Articles and Research
Coral reefs, despite covering less than 0.2 % of the ocean floor, harbor approximately 35 % of all known marine species, making their conservation critical. However, coral bleaching, exacerbated by climate change and phenomena such as El Niño, poses a significant threat to these ecosystems. This study focuses on the Red Sea, proposing a generalized machine learning approach to detect and monitor changes in coral reef cover over an 18-year period (2000–2018). Using Landsat 7 and 8 data, a Support Vector Machine (SVM) classifier was trained on depth-invariant indices (DII) derived from the Gulf of Aqaba and validated against ground …
Perceived Anxiety Disorder Stigma: A Predictive Analysis, Shawn Nabors, Richard J. Cicchetti, Gary Michael Szirony, Craig R. Blum, Sri Banerjee
Perceived Anxiety Disorder Stigma: A Predictive Analysis, Shawn Nabors, Richard J. Cicchetti, Gary Michael Szirony, Craig R. Blum, Sri Banerjee
Journal of Social, Behavioral, and Health Sciences
Anxiety remains one of the most commonly diagnosed mental health disorders. Systemic barriers to mental health treatment persist. Research on anxiety is robust, although research on perceived anxiety disorder stigma is limited. The purpose of this quantitative analysis was to determine whether factors including age, gender, level of education, and presence of a diagnosable anxiety disorder condition would predict perceived anxiety stigma in a population of adults from the Midwestern region of the United States who were in treatment for anxiety. Based on Goffman’s framework, we used the Generalized Anxiety Stigma Scale (GASS) to determine the presence and level of …
Lactate/Pyruvate Ratio As An Early Predictor Of Mortality In Patients With Sepsis: A Cohort Study, Olga G. Cantu-Rodriguez, Jose A. Hawing-Zarate, Edgar Dorsey Trevino, David Hernandez-Barajas, Leonel E. Villalobos-Gutierrez, Jose Carlos Jaime-Perez, Consuelo Mancias-Guerra, Oscar Gonzalez-Llano, Graciela A. Gonzalez-Cantu, David Gomez-Almaguer, Cesar H. Gutierrez-Aguirre
Lactate/Pyruvate Ratio As An Early Predictor Of Mortality In Patients With Sepsis: A Cohort Study, Olga G. Cantu-Rodriguez, Jose A. Hawing-Zarate, Edgar Dorsey Trevino, David Hernandez-Barajas, Leonel E. Villalobos-Gutierrez, Jose Carlos Jaime-Perez, Consuelo Mancias-Guerra, Oscar Gonzalez-Llano, Graciela A. Gonzalez-Cantu, David Gomez-Almaguer, Cesar H. Gutierrez-Aguirre
School of Medicine Publications
Background: The lactate/pyruvate (LP) ratio has been studied as an alternative to serum lactate to determine clinical prognosis. Despite its clinical utility, there is a paucity of evidence evaluating the role of the L/P ratio in patients with sepsis. Methods: We assessed the clinical utility of the L/P ratio in patients with sepsis. The L/P ratio was measured at baseline, 4 and 8 h after admission. Our primary outcome was to determine the prognostic utility of the L/P ratio on the 15-day mortality risk. Our secondary outcomes were to compare the L/P ratio across time and its prognostic utility against …
Introduction, Marion Schiefer
A Yellow-Breasted Chat Entangled In Beggar's Lice, Christopher A. Woodson
A Yellow-Breasted Chat Entangled In Beggar's Lice, Christopher A. Woodson
Mississippi Kite
No abstract provided.
Garage-Nesting Carolina Wren Parasitized By Brown-Headed Cowbird, Jerome A. Jackson
Garage-Nesting Carolina Wren Parasitized By Brown-Headed Cowbird, Jerome A. Jackson
Mississippi Kite
No abstract provided.
A Red-Necked Grebe In Hattiesburg, Mississippi, Larry Gates, J. Richard Moore
A Red-Necked Grebe In Hattiesburg, Mississippi, Larry Gates, J. Richard Moore
Mississippi Kite
No abstract provided.
American Gothic, J Annie Macleod
Characterizing Undiagnosed And Incident Stis In An Hiv Vaccine Trial Cohort In South Africa (Hvtn 702), Hermione Yamyo Monie, Adrienne Shapiro, Fatima Laher, Ayman Osman
Characterizing Undiagnosed And Incident Stis In An Hiv Vaccine Trial Cohort In South Africa (Hvtn 702), Hermione Yamyo Monie, Adrienne Shapiro, Fatima Laher, Ayman Osman
Research Colloquium
Background: According to the World Health Organization (WHO), sub-Saharan Africa leads the world in incidence rates of chlamydia, gonorrhea, and trichomonas1. Sexually transmitted infections (STIs) are associated with reduced quality of life, neonatal deaths and increased disease susceptibility. Despite efforts in public health, among those with STIs, the risk of contracting HIV remains at an all-time high2.
The aim of this secondary analysis was to extrapolate the prevalence and incidence of STIs, within a cohort, as supporting evidence to guide future public health efforts and resources.
Methods This analysis was conducted as a cross-sectional and longitudinal examination of the data …
A Brief Sketch Of The Life And Work Of Rev. J. Gardner Ross, D. D., Jacksonville, Florida
A Brief Sketch Of The Life And Work Of Rev. J. Gardner Ross, D. D., Jacksonville, Florida
Eartha M. M. White Textual Material
Booklet: A sketch of the life and work of Reverend J. Gardner Ross D. D., written by a friend. Reverend Ross was the third pastor of Bethel Baptist, serving from 1885-1890. He died on February 6, 1932. Blank pages of booklet not included in scanned file. Undated.
The Student Movement Volume 109 Issue 1: Cardinals Migrate Back To Berrien For '24 School Year, Savannah Tyler, Esther Martin, Alyssa Caruthers, Andrew Francis, Joel Pelletier, Melanie Webb, Aiko J. Ayala Rios, Melissa Moore, Natalie Mendonça, Callie Carlsen, Natalie Reid, Timi Olatunde, Katherine Pierre, Anna Rybachek, Nora Martin, Lexie Dunham, Amelia Stefanescu
The Student Movement Volume 109 Issue 1: Cardinals Migrate Back To Berrien For '24 School Year, Savannah Tyler, Esther Martin, Alyssa Caruthers, Andrew Francis, Joel Pelletier, Melanie Webb, Aiko J. Ayala Rios, Melissa Moore, Natalie Mendonça, Callie Carlsen, Natalie Reid, Timi Olatunde, Katherine Pierre, Anna Rybachek, Nora Martin, Lexie Dunham, Amelia Stefanescu
The Student Movement V. 109 (2024-2025)
HUMANS
"Believe the Promise" Through the Storms, Interviewed by Savannah Tyler
A Sit-Down with New Associate Chaplain Pitcher, Esther Martin
Dean Fitting on Lamson's "Refreshing", Interviewed by Alyssa Caruthers
What Happened to Change Day?, Andrew Francis
ARTS & ENTERTAINMENT
Farewell, "Brat" Summer, Joel Pelletier
"Believe the Promise" Musical Review, Joel Pelletier
Got What You Wanted, So Stop Feeling Sorry: An Opinion on Chappell Roan's Request for Privacy, Melanie Webb
Helping Through Books: A Review of "Welcome to the Hyunam-dong Bookshop", Aiko J. Ayala Rios
NEWS
Sophomores Win Big at AUlmost Anything Goes, Melissa Moore
AUSA Hosts The Nest, Natalie Mendonça …
September 20, 2024 Board Of Trustees Meeting Report, Board Of Trustees
September 20, 2024 Board Of Trustees Meeting Report, Board Of Trustees
Board of Trustees
No abstract provided.
Bethel Jackson Church History, Bethel United Methodist Church, Jackson
Bethel Jackson Church History, Bethel United Methodist Church, Jackson
Methodist Local Church Records
No abstract provided.
Bethel Jackson Church Council Minutes 2019-23, Bethel United Methodist Church, Jackson
Bethel Jackson Church Council Minutes 2019-23, Bethel United Methodist Church, Jackson
Methodist Local Church Records
No abstract provided.
Bethel Ruffin Charge Conference Minutes, Bethel United Methodist Church, Ruffin
Bethel Ruffin Charge Conference Minutes, Bethel United Methodist Church, Ruffin
Methodist Local Church Records
No abstract provided.
The Association Of Apathy With Functional And Cognitive Impairment In Individuals With Biomarker Confirmed Alzheimer’S Disease Pathology, Megan Engeland
The Association Of Apathy With Functional And Cognitive Impairment In Individuals With Biomarker Confirmed Alzheimer’S Disease Pathology, Megan Engeland
Yale School of Medicine Physician Associate Program Theses
Objectives: Apathy is one of the most common neuropsychiatric symptoms in patients with Alzheimer’s Disease (AD) and has been shown to be associated with greater impairments in daily functional and cognitive status. Previous studies have used subjects with a clinical diagnosis of AD, without biomarker information, and did not control for potential confounding factors. Design: To evaluate the prevalence of apathy in a biomarker informed cross-sectional study of AD and the association of apathy with functional and cognitive status. Setting: Data used in this study was obtained from the Yale Alzheimer’s Disease Research Unit (ADRU) database. Participants …
Resuming Anticoagulation In High Thrombotic Risk Patients After Traumatic Intracranial Hemorrhage, Elijah Adams
Resuming Anticoagulation In High Thrombotic Risk Patients After Traumatic Intracranial Hemorrhage, Elijah Adams
Yale School of Medicine Physician Associate Program Theses
Background: The purpose of this study was to examine whether patients, previously on anticoagulation (AC) therapy who have sustained traumatic intracranial hemorrhage (tICrH), had less composite thrombotic or hemorrhagic events from earlier resumption of AC therapy compared to patients resumed later. Methods: In this retrospective observational study, we explored the median time to AC resumption in patients who were admitted for tICrH. The median was used as the cutoff point for defining early vs. late resumption of AC. Patients were categorized into early if resumption occurred between 14 and 23 days, late if resumption occurred between 24-120 days, and never …
Echoes Of Reform: The Excellent Care For All Act And Psychiatric Patient Advocacy In Ontario, Lucia De Fatima Costa
Echoes Of Reform: The Excellent Care For All Act And Psychiatric Patient Advocacy In Ontario, Lucia De Fatima Costa
LLM Theses
The passage of the Excellent Care for All Act (ECFAA) in June 2010 marked a significant juncture for healthcare reform in Ontario, aiming to enhance standards, optimize resources, and reduce costs across hospitals. One significant responsibility mandated under ECFAA was the requirement for a Patient Declarations of Values (PDoVs). This study delves into the foundational underpinnings of the PDoV development process, drawing from Mad Studies theory and the contemporary landscape of patient advocacy. I examine the integration of patient embodied knowledge in these PDoVs, while simultaneously identifying conspicuous absences by unpacking the assumptions within "patient engagement" and its role in …