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Discourse Analysis Of Partner-Focus In Intimate Partner Violence, Maureen Theresa Lowell

Dissertations and Theses

Intimate partner violence (IPV) involves behaviors that harm or threaten to harm an intimate partner; but more importantly, it involves the production of power and control in an intimate relationship that threatens a partner's liberty and wellbeing. As a wicked problem, IPV is challenging to unpack without reducing the complexities that give it its power. This study seeks to explore the complex nature of how abusive men's focus on their partner functions as a mechanism of abuse. To develop the concept of other-focus I draw on constructs of coercive control, power, and dominance. To investigate partner-focus, I conducted a discourse …

Adolescents' Use Of Music For Pain Management., Rebecca J. Lepping, Lora L. Black, Kymberly A. Kline, Deanna Hanson-Abromeit, Andrea L. Chadwick, Dustin Wallace, William R. Black

Manuscripts, Articles, Book Chapters and Other Papers

To investigate the experiences of adolescents with chronic pain who participated in an intensive interdisciplinary pain treatment program, this secondary study analyzes the themes that emerged regarding the spontaneous utilization of music in coping strategies for chronic pain. During research interviews focused on coping skills and treatment engagement, participants spontaneously reported using music as an effective coping strategy for managing pain. A deductive thematic analysis revealed key themes related to their usage, including using music as a distractor, motivator and in other ways as coping strategies. Since participants indicated that music is essential to their experiences of coping with pain, …

Humanization Strategy Of The Public Urban Space In Cairo, Rania Badawy Shokry

Mansoura Engineering Journal

An accurate scientific definition of the term “humanization of cities” has not yet crystallized, which refers the term to the word from which it is derived. She is "human". Obviously, anything contrary to it is inhuman; starting from wild nature or a life entirely dependent on vehicles. If a person cannot dispense with vehicles when carrying out his daily activities, then here we know that the standard of humanization in a place is low. However, if the planning of a city or neighborhood takes into account the needs of the population and the human standard, then the city may reach …

Study Habits And Examination Anxiety As Correlates Of Academic Performance Among Secondary School Students In Kwara State, Nigeria, Oyedotun Dolapo Ilori, Falilat A. Okesina, Patrick O. Akerele, Ifeoluwa Blessing Michael

Buletin Konseling Inovatif

Examination anxiety and study habits seem to be a significant factor of academic performance. This study examined study habits and examination anxiety as correlates of academic performance among secondary school students in Kwara State, Nigeria. This study adopted a descriptive survey of correlational type. The population for the study consists of 235, 652 secondary school students, and the sample consists of 400 secondary school students. Two research questions were answered using frequency count, percentage and mean rank order while the three hypotheses formulated were tested using inferential statistics of Pearson’s Product Moment Correlation statistics (PPMC) and multiple regression analysis at …

Thyrotoxicosis In Pregnancy Cured By Total Thyroidectomy, Owen G. Alvine, Daniel Thum Md

Aesculapius Journal (Health Sciences & Medicine)

Thyrotoxicosis during pregnancy is a rare but potentially life-threatening condition that requires prompt recognition and management. This case report describes a 23-year-old pregnant woman with a history of Graves’ disease who presented with symptoms of thyrotoxicosis, including tachycardia, weight loss, and dyspnea. Initial treatment with propylthiouracil and propranolol was insufficient, and her condition progressed to include pericardial effusion with early tamponade physiology and systemic inflammatory response syndrome (SIRS). Despite medical therapy, her symptoms persisted, necessitating a total thyroidectomy during the second trimester. Postoperatively, the patient experienced significant clinical improvement and delivered a healthy infant at term. This case highlights the …

Essays On Freedom And Power, John Acton

Hannah Arendt Marginalia - All

New York : [Published by Noonday Press], 1955, [c1948]

Call #: New York : JC571 .A14 1955

Excerpted pages contains marginalia, underlining and marginal lining

PDF Information: 77 pages – 4.5 MB

Novel Suclg1 Variants In A Patient With Fatal Neonatal Onset Succinyl-Coa Ligase Deficiency, Devlynne S. Ondusko, Lauren Culbertson, Cary O. Harding, Cori Feist, Johan L.K. Van Hove, Marisa W. Friederich, Sacha Ferdinandusse, Roxanne A. Van Hove, Jonathan N. Pruneda, Brian Scottoline, Kimberly A. Kripps

Journal of Pediatric Genetics

Succinyl-CoA ligase deficiency is a rare autosomal recessive enzymatic deficiency that causes an energy-deficient state with mitochondrial depletion syndrome. It is often fatal. We present a case of novel variants in SUCLG1 leading to fatal infantile lactic acidosis. Two variants of uncertain significance in trans were identified in SUCLG1: c.901G>A p.(Gly301Arg) paternally inherited and c.532-6T>A maternally inherited. These variants resulted in severely reduced succinyl-CoA ligase activity. This patient exhibited the classical metabolic profile of succinyl-Co-A ligase deficiency and massive elevation of glutamine. Elevated glutamine, in the absence of hyperammonemia, should lead providers to consider succinyl-CoA ligase deficiency in …

A New Case Of Kilquist’S Syndrome With A Novel Variant In Slc12a2 And A Brief Review Of The Literature, Hatice Yelda Yalçin, Yiğithan Güzin, Tayfun Cinletil, Berk Özyilmaz, Gamze Uzan, Melis Köse, Figen Baydan

Journal of Pediatric Genetics

Background: Kilquist syndrome (KILQS) is a recently characterized, rare disorder characterized by hearing loss, secretory dysfunction, gastrointestinal system (GIS) abnormalities, and neurological anomalies including hypotonia and global developmental delay. It is caused by variants in the SLC12A2 (Solute Carrier Family 12 Member 2) gene which encodes the Na-K-2Cl cotransporter isoform 1 (NKCC1). Objective: This study aims to contribute to genotype-phenotype correlations for SLC12A2 variants. Material and Methods: We evaluated a Turkish patient with a novel variant in SLC12A2 gene and reviewed all previously reported cases with Kilquist syndrome. Whole exome sequencing and Sanger sequencing were used as molecular genetic testing …

Genotype First Approach As A Diagnostic Strategy For Precision Medicine In Moroccan Families With Nephronophthisis, Ourayna Batta, Imane J. Cherkaoui, Yasmina Rahmuni, Nada Amllal, Kenza Soulami, Abdelaziz Sefiani, Jaber Lyahyai

Journal of Pediatric Genetics

Nephronophthisis is a group of autosomal recessive kidney diseases characterized by chronic tubulointerstitial abnormalities leading to kidney failure. The incidence of nephronophthisis varies globally, and its genetic heterogeneity presents significant difficulties in diagnosis. Herein, we present a molecular diagnosis of four unrelated Moroccan families fulfilling the clinical criteria of nephronophthisis. As first diagnosis step, screening for a homozygous NPHP1 gene deletion, the most common mutation, was performed by using multiplex polymerase chain reaction. Additionally, clinical exome sequencing was carried out on patients in whom no NPHP1 deletion was identified. Three novel pathogenic variants in NPHP1, INVS, and NPHP4 genes were …

Sleep Disordered Breathing In Children With Achondroplasia: 17 Years’ Experience From A Multidisciplinary Team, Maria Jose Guerdile, Virginia Fan, Mariana Del Pino, Vivian Leske

Journal of Pediatric Genetics

The aim of this study was to describe sleep-disordered breathing (SDB) and treatment in children with achondroplasia (ACH). A retrospective longitudinal study was conducted at the Sleep Unit, Hospital de Pediatría Garrahan. Children with ACH, aged 0 to 18 years, referred for SDB due to clinical symptoms or foramen magnum stenosis (FMS) with at least one polysomnography (PSG) between 2002 and 2019 were included in the study. The primary outcomes included SDB typification and therapeutic interventions. We included 89 patients; 79.7% had one PSG, 13.4% had two PSGs, and 5.6% had three PSGs. The first PSG confirmed SDB in 65.16% …

Mucolipidosis Iii Gamma Masquerading As Juvenile Idiopathic Arthritis, Vykuntaraju K. Gowda, Sharath Babu, Varunvenkat M. Srinivasan

Journal of Pediatric Genetics

No abstract provided.

Opportunities For Growth: A Metacognitive Self-Talk Strategy That Improves Classroom Unity And Academic Attitudes, Sera Anello, Michael J. Haslip

Journal of Practitioner Research

This teacher action research study describes the development and application of the opportunities for growth teaching method to increase learner motivation, persistence, cooperation and positive self-talk among primary school students. The approach was implemented with 30 fourth graders in a Philadelphia public school classroom to foster unity, support attitudes toward academics and participation, redefine failure, and reframe challenges. Before this intervention, most of the students lacked self-regulation, self-awareness, and relationship skills needed to thrive. This study investigates how and to what effect the opportunities for growth approach shifts students’ language and mindset about academic and social challenges. Qualitative data was …

Enterobacter Cloacae As A Rare Cause Of Cerebral Abscesses In A Neonatal Late-Onset Sepsis – A Case Report And Literature Review With Focus On Risk Factors, Diagnostics And Treatment, Yıldız Yıldırım, Ruy Perez, Rüdiger Wentzell, Clemens Andrée, Martin Weinzierl, Norbert Utz, Tim Niehues

Journal of Pediatric Infectious Diseases

Late-onset sepsis (LOS; sepsis occurring after the first 72 hours of life) increases the morbidity and mortality of premature neonates, especially those with very-low-birth weight (≤1500g). In LOS, Enterobacter cloacae has been rarely described as a cause of secondary brain abscesses. Our case report summarizes important aspects of cerebral abscesses due to an E. cloacae sepsis in a preterm neonate. Our patient received surgical abscess drainage and rational antibiotic treatment employing prolonged meropenem infusions plus fosfomycin and subsequent treatment with oral trimethoprim/sulfamethoxazole. Furthermore, we present a review of the current literature from 2009-2022, comparing cases similar to our case.

Modulation Of Dendritic Cell Phenotypes By Cd4+ Effector Memory T Cell Via Ikzf1-Regulated Il16/Cd4 Signaling In Covid-19 And Kawasaki Disease, Seyan Yan, Kaiming Zheng, Zicheng Zhen, Tianfu Xu

Journal of Pediatric Infectious Diseases

Objective: Kawasaki Disease (KD) is the primary cause of acquired heart disease among children in developed countries and is identified by systemic vasculitis of unknown origin. This research explores the possible common pathogenesis between KD and coronavirus disease 2019 (COVID-19), focusing on the roles of peripheral blood mononuclear cell (PBMC) subpopulations. Methods: We utilized single-cell and bulk RNA sequencing data from COVID-19 and KD patients, as well as healthy controls. Our comprehensive analysis included cell-type identification, pseudotime analysis, cell-cell communication, and transcription factor analysis. Results: Our results show the critical role of CD4+ effector memory T cells and dendritic cells …

Magnitude And Factors Associated With Mortality Of Neonates Admitted To Intensive Care Unit In Northern Ethiopia: Hospital-Based Cross-Sectional Study, Gebrhud Berihu Haile, Tensay Kahsay Weldegebreal, Desta Hailu Aregawi, Daniel Birhane Berhe, Tomas Amare Abraha

Journal of Pediatric Infectious Diseases

Objectives: Neonatal mortality is a global burden both in developed and developing countries. Marked disparities exist across countries. In Ethiopia, the neonatal mortality rate is unacceptably high. Even though some published research exists, there is a lack of data regarding the magnitude and factors associated with mortality in neonates. The aim of this study was to assess the magnitude and factors associated with mortality in neonates admitted to intensive care units in northern Ethiopia. Methods: A cross-sectional study was employed among 325 neonates admitted to intensive care units in public hospitals from October 2021 to May 2022. Systematic random sampling …

Investigating Respiratory Viral Pathogens In Pediatric Age Groups, Yaser Ali Hussein Musawa, Fatma Esenkaya Taşbent, Mehmet Özdemir

Journal of Pediatric Infectious Diseases

Objective: Respiratory viral infections are the leading causes of morbidity and mortality in children. Acute respiratory infections account for approximately 20% of childhood fatalities. This study aimed to retrospectively investigate the respiratory viral agents and epidemiological characteristics, in pediatric patients. Methods: The study included pediatric patients, aged 0-18 years. A retrospective analysis was conducted on 5,253 samples sent to the microbiology laboratory with suspected respiratory tract infection between January 1, 2020 and December 31, 2023. Sixteen different viral agents were investigated in samples using multiplex PCR. The enrolled patients were divided into three groups. Positive results were examined in terms …

Epidemiological Characteristics Of Mycoplasma Pneumoniae Epidemic Among Children In Ningbo, China, 2022-2023, Fei Xu, Yefang Ke, Fei Li, Wenbo Lu, Junhua Wu, Wenyuan Liu

Journal of Pediatric Infectious Diseases

Objective Following the full relaxation of COVID-19 control measures in China at the end of 2022, there was a resurgence of pediatric Mycoplasma pneumoniae pneumonia (MMP) outbreaks. Methods We performed a retrospective study of children with M. pneumoniae pneumonia who were admitted to the Women and Children's Hospital of Ningbo University between January 2022 and December 2023. Demographic and clinical characteristics and proportion of A2063G/A2064G mutant train were compared between 2022 and 2023. Results Among the 13013 children hospitalized with pneumonia in 2022 and 2023, M. pneumoniae infections were identified in 4889 cases (37.57%). Notably, the positive rate of M. …

Dynamics Of Human Adenovirus In Hospitalized Children With Acute Respiratory Tract Infection During 2014-2022 In Hubei Province, China, Song Yi, Juan Du, Wan-Xue Zhang, Xin-Rui Wang, Yi-Guo Zhou, Xing-Wen Hu, Qing-Bin Lu

Journal of Pediatric Infectious Diseases

Objective: The study mainly aimed to explore the impact of Human adenovirus (HAdV) detection by two-child policy and coronavirus disease 2019 (COVID-19) epidemic in China. Methods: Hospitalized children with ARTI were enrolled in Maternal and Child Health Hospital of Hubei Province from January 2014 to June 2022, whose clinical data were collected retrospectively. The effects of two-child policy and COVID-19 pandemic on the detection of HAdV were analyzed. Results: Among 100215 hospitalized children with ARTI, the positive rate of HAdV was 1.93% with the peak in 2019. After the implementation of two-child policy, the positive rate of HAdV during 2017-2019 …

Prognostic Nutritional Index For Predicting Late-Onset Sepsis And Mortality In Late Preterm Infants: A Retrospective Study, Nurdan Dinlen Fettah, Nihan Yıldırım Yıldız, Seda Aydoğan, Meltem Aksu, Ferit Kulalı, Nur Aycan

Journal of Pediatric Infectious Diseases

Objective: Neonatal sepsis is a critical condition with considerable mortality and morbidity. The prognostic nutritional index (PNI), calculated from serum albumin level and lymphocyte count, is a marker for assessing nutritional and inflammatory states. This study evaluates the clinical value of PNIs in predicting late-onset sepsis and mortality in late-preterm neonates. Methods: This retrospective single-center study included 210 neonates with suspected sepsis. Clinical and laboratory data were collected, and PNI was calculated using the formula: serum albumin (g/L) + 5 × total lymphocyte count (10^9/L). Of the total cohort, 130 neonates with confirmed sepsis were assigned to the sepsis group, …

Association Of Respiratory Viruses With Febrile Seizures: A Two-Year Observational Study, Ivana Clara Trittler-Ugidos, Fernando Paredes-Carmona, Núria Visa-Reñé

Journal of Pediatric Infectious Diseases

Objective: This study aims to explore the association between respiratory viruses and febrile seizures (FS), and to analyze the impact of these viruses on the type and management of FS. Methods: We conducted a retrospective, single-center study of 49,445 emergency cases from September 2021 to December 2023. Among these, 266 patients with FS were identified. Nasopharyngeal swabs were performed to detect respiratory viruses. We categorized FS into simple febrile seizures (SFS) and complex febrile seizures (CFS) based on established criteria. Results: Of the 266 FS cases, 150 had a nasopharyngeal swab and 76.6% were positive for respiratory viruses. The most …

Prognostic Value And Clinical Influence Of Long Non-Coding Rna Small Nucleolar Rna Host Gene 1 Expression In Pediatric Pneumonia, Xin Wang, Jiajia Xu, Jingjing Han

Journal of Pediatric Infectious Diseases

Objective: Severe pediatric pneumonia is characterized by acute onset and rapid progression, posing a serious threat to patients' lives. Accurate assessment of the severity of pneumonia is essential for clinical decision-making and prognostication. Studies of acute lung injury and lung cancer have revealed a significant increase in the expression of the long non-coding RNA (lncRNA) small nucleolar RNA host gene 1 (SNHG1) in cells, suggesting that SNHG1 is likely to play an important role in the progression of lung disease. Methods: 72 children with mild pneumonia, 58 children with severe pneumonia and 135 healthy children were selected as study subjects. …

Utility And Impact Analysis Of Inpatient Pediatric Physiologic Monitoring, Anand Gourishankar, Monaliza Evangelista, Misti Ellsworth, Jean Hsu

Journal of Pediatric Intensive Care

Objective: This study aimed to study the practice and effect of monitoring pediatric patients in the length of stay (LOS). Methods: We performed a prospective, observational study of pediatric patients in the general ward from October to December 2016. We have recorded the use of cardiac, pulse-oximeter, or both, and as per physician order at time of patient admission. We have studied the proportions of monitoring at different patient groups. We have applied linear regression model to investigate the relationship between LOS and cardiopulmonary monitoring, orders, and medical complexity. Results: Among 399 patients, patients with cardiac and pulse oximeter monitoring …

A Decade Of Pediatric Intensive Care Outreach And The Deteriorating Child—The Relationship Between Dose And Outcomes In A Tertiary Children's Hospital, Lynette Kirby, Jayshan Chagan, Catherine Adams, Natalie Duns, Michael Haddad, Sarah Pearson, Oliver Tegg, Chong Tien Goh

Journal of Pediatric Intensive Care

Objectives: The aim of this study is to evaluate the amalgamation and maturation of a Paediatric Intensive Care Outreach Service (PICOS) with a Rapid Response System (RRS) and associated outcomes over a ten year period. Methods: Single centre retrospective study analysing patient outcomes within the context of significant organisational changes introducing a track & trigger RRS called Between the Flags (BTF), and evolution of this system to electronic observation charting and alerts (eBTF) in a tertiary metropolitan children’s hospital. Children on inpatient wards who required urgent activation of the RRS and admission to the Paediatric Intensive Care Unit (PICU) between …

Incidence And Risk Factors For Hyponatremia In Hospitalized Children With Lower Respiratory Tract Infections, Anshul Bhargava, Vikram Patra, Priyanka Amonkar, Jeetendra Gavhane

Journal of Pediatric Intensive Care

Objectives: Lower respiratory tract infection (LRTI) is an important cause of hospitalization in pediatric population. Hyponatremia is frequently present in children hospitalized with pneumonia and bronchiolitis and is associated with poorer outcomes. We conducted a study to identify the risk factors for hyponatremia in hospitalized children with LRTI and to evaluate the relationship between serum sodium levels and severity of respiratory distress. Methods: 147 patients between 2 months – 12 years of age, admitted with the diagnosis of LRTI at Mahatma Gandhi Mission’s Hospital & Medical College, a tertiary hospital in Navi Mumbai, India, between December 2017 to November 2019 …

Use Of Continuous Eeg Monitoring And Short-Term Outcomes In Critically Ill Children, Xiuhua Liang Bozarth, Pin-Yi Ko, Hao Bao, Nicholas S. Abend, R. Scott Watson, Pingping Qu, Leslie A. Dervan, Lindsey A. Morgan, Mark Wainwright, John K. Mcguire, Edward Novotny

Journal of Pediatric Intensive Care

Objectives: This study aimed to compare short-term outcomes at pediatric intensive care unit (PICU) discharge in critically ill children with and without continuous EEG (cEEG) monitoring. Methods: We retrospectively compared 234 patients who underwent cEEG with 2294 patients without cEEG. Propensity score matching was used to compare patients with seizures and status epilepticus between cEEG cohort and historical cohort. Results: The EEG cohort had higher in-hospital mortality, worse Pediatric Cerebral Performance Category (PCPC) scores, and greater PCPC decline at discharge. In patients with status epilepticus, PCPC decline was higher in the cEEG cohort. Conclusions: PCPC decline at PICU discharge was …

Multisystem Inflammatory Syndrome In Children Associated With Covid-19 Infection: A Comprehensive Review, Alejandra Isabel Meza-Contreras, Marcelo Nicolas Galdos-Bejar, Raffo Escalante-Kanashiro

Journal of Pediatric Intensive Care

Objectives: The Multisystem Inflammatory Syndrome in Children (MIS-C) is a post-infectious syndrome associated with COVID-19 disease in children. The aim of this study is to conduct a thorough review to assist healthcare professionals in diagnosis and management of this complication of COVID-19 disease in children Material and Methods: A thorough systematic review was conducted through an on-line search based on MIS-C with the primary focus on epidemiology, clinical characteristics, diagnosis, pathophysiology, management and long-term follow-up. Results: This syndrome is characterized by an exaggerated and uncontrolled release of pro-inflammatory cytokines involving dysfunction of both innate and adaptive immunity. In this review, …

Post-Intensive Care Syndrome In A Cohort Of School-Aged Children And Adolescent Icu Survivors: The Importance Of Follow-Up In The Acute Recovery Phase, Trevor A. Hall, Rachel K. Greene, Justin B. Lee, Skyler Leonard, Kathryn R. Bradbury, Kurt Drury, Grace Recht, Julie Randall, Megan E. Norr, Cydni N. Williams

Journal of Pediatric Intensive Care

Objectives: Pediatric ICU survivors experience a collection of physical, cognitive, emotional, and social symptoms named post-intensive care syndrome (PICS). We aimed to quantify PICS morbidities from multiple stakeholder perspectives across domains. Methods: Using physician, neuropsychologist, and parent/caregiver completed outcome measures across domains in a cross-sectional analysis of 186 children between the ages of 8 and 19 years with data from a PICU follow-up clinic 1-3 months after PICU discharge, we quantified PICS morbidities and used Spearman correlation to evaluate interdependence of PICS domains. Results: Compared to pre-hospitalization functioning, new PICS related morbidities were observed and significant correlations were identified between …

Impact Of The Covid-19 Pandemic On Children And Families In Picu Follow-Up Clinic, Lucile Barcat, Genevieve Du Pont-Thibodeau, Camille Jutras, Karen Harrington, Simon Macdonald, Laurence Ducharme-Crevier

Journal of Pediatric Intensive Care

Objective: The novel coronavirus disease 2019 (COVID-19) pandemic disrupted the lives of many families, especially those of children with chronic health problems. Little is known about the impact of this pandemic on the health and well-being of critically ill children and their families after their discharge from pediatric intensive care unit (PICU) hospitalization. This study describes the repercussions of the COVID-19 related lockdown on the physical and psychological wellbeing, quality of life, and access to resources of PICU survivors and their families. Method: Prospective cohort study. Telephone encounter. Children and families followed at the Centre Hospitalier Universitaire Ste- Justine PICU …

Randomized Trial To Compare Nasoduodenal Tube And Nasogastric Tube Feeding In Infants With Bronchiolitis On High-Flow Nasal Cannula, Raymond L. Parlar- Chun, Meaghan Lafferty-Prather, Veronica M. Gonzalez, Hanna S. Huh, Guenet H. Degaffe, Monaliza S. Evangelista, Sheela Gavvala, Sofia Khera, Anand Gourishankar

Journal of Pediatric Intensive Care

Objectives: We aim to determine if there is a difference in length of respiratory support between nasoduodenal (NDT) and nasogastric tube (NGT) feedings in patients with bronchiolitis on high flow nasal cannula (HFNC). Methods: A single-center non-blinded parallel randomized control trial at a tertiary care hospital was designed. Pediatric patients ≤ 12 months old with bronchiolitis, on HFNC, requiring nutrition via a feeding tube were eligible. Patients were randomized to NGT or NDT and stratified into low- and high-risk groups. Length of respiratory support was the primary outcome. Secondary outcomes included length of stay, number of emesis events, maximum level …

Adult Admissions To A Canadian Picu During The Covid-19 Pandemic, Tanya Holt, Leanne Smith, Gregory Hansen

Journal of Pediatric Intensive Care

Introduction: In response to the burden of COVID-19 and overwhelmed ICU resources, some PICUs have had to adapt. The purpose of this study was to assess criticality, scope of diagnosis and outcomes of an adult cohort admitted to a Canadian PICU. Methods: A retrospective chart review was completed on all patients between 17-50 years admitted to the PICU between June 2020 and December 2021. Admission data included body mass index, admission Sequential Organ Failure Assessment score (SOFA), COVID-19 status, diagnosis and comorbidities. The duration of ventilatory support, PICU and hospital admission, mortality and discharge disposition were assessed. Discrete variables were …