Digital Commons Network^™

Liveocean, Parker Maccready, Jilian Xiong, Roxanne Carini, Jan Newton

Benefits of Ocean Observing Catalog (BOOC)

LiveOcean is a realistic numerical model of ocean circulation and biogeochemistry for the coastal and estuarine waters of the Salish Sea and Pacific Northwest. Daily three-day forecasts are processed into different formats that provide useful information for a wide variety of stakeholders. Applications include predictions of hypoxia, ocean acidification, harmful algal bloom movement, and the effects of treated sewage discharge. The model also has an archive of over a decade of hindcasts which are used in several basic science research projects.

Persistent Lichenoid Reaction And Eruptive Keratoacanthomas Following Pd-1 Inhibitor Therapy, Paul Vance, Michael Hohnadel

HCA Healthcare Journal of Medicine

Background

Immune checkpoint inhibitors, such as nivolumab, have become integral in treating metastatic malignancies by enhancing immune responses against tumors. However, they are associated with immune-related adverse events (irAEs), including cutaneous reactions. We report a case of persistent lichenoid dermatitis during therapy and eruptive keratoacanthomas (KAs) following the cessation of nivolumab.

Case Presentation

A 77-year-old Caucasian man presented with a subcutaneous melanoma on the left lateral chest, treated with excision followed by adjuvant nivolumab. Seven weeks into therapy, he developed pruritic erythematous macules, forming patches on his forearms, later spreading to his trunk. Biopsy confirmed lichenoid dermatitis. Treatment with triamcinolone …

Unraveling The Threads: A Case Report On Confusional Migraine And The Intricate Dance Between Psychiatry And Neurology, Mabit C. Gonzalez, Manjula Kottapalli

HCA Healthcare Journal of Medicine

Background

Migraine affects about 1 billion people worldwide and is associated with a significant negative impact on personal and occupational functioning. Migraine accompanied by aura is seen in about 15% of migraineurs. Visual aura is the most common type of aura. Much less common though are auras that involve higher mental function, such as confusional state. The confusional state may manifest with a wide variety of cortical dysfunction, such as speech impairment, increased alertness, agitation, and amnesia, often lasting longer than a typical migraine aura.

Case Presentation

The authors present the unique case of a 29-year-old patient with episodic and …

Neurosarcoidosis Presenting As Cauda Equina Syndrome: Case Report And Review Of The Literature, Benjamin Millar, Lauren Carmody, Fnu Naintara, Tara Dutta, Abhinav Hoskote

Transformative Medicine

Background

Sarcoidosis is a systemic immune disease with an unknown trigger, identified histologically by non-caseating granulomas. Neurosarcoidosis is a subset in which granulomatous inflammation infiltrates the central or peripheral nervous system. Sarcoid myelopathy affects a very small fraction of sarcoidosis patients. We present here the case of a 35 year old male who presented primarily for cauda equina symptoms.

Case Presentation

A 35-year-old Caucasian male with past history of hypertension, Hashimoto's thyroiditis, and type II diabetes mellitus presented to the emergency department complaining of a headache with left sided face numbness and periorbital swelling. He reported two months of gradual, …

Assessing The Influence Of Afforestation On Soil Quality And Soil Organic Carbon: A Case Study In Rashaya District, Lebanon, Mohammad Saleh, Wael Mostafa, Safaa Baydoun, Hisham Salman, Jamilah Borjac

BAU Journal - Science and Technology

Afforestation is a promising strategy for improving soil quality and enhancing carbon sequestration, contributing to climate change mitigation efforts. This study assessed the impact of afforestation on soil parameters in two afforested areas and one natural forest, compared with adjacent non-forested sites in Rashaya al-Wadi, Lebanon. Soil samples (0–30 cm depth) were analyzed for texture, pH, electrical conductivity (EC), soil organic matter (SOM), soil organic carbon (SOC), organic nitrogen (ON), mineral nitrogen (MN), and available phosphorus (AP) using ISO and standardized protocols at the Lebanese Agricultural Research Institute (LARI). The findings indicate that afforestation significantly increased SOM, SOC, and ON, …

Phytochemical Analysis And Antimicrobial Activity Of Micromeria Barbata Leaf And Stem Extracts Against Pseudomonas Aeruginosa: Insights From Molecular Docking And In Vitro Assays, Shiraz Rawas, Dalia El-Badan, Nawal Al Hakawati

BAU Journal - Science and Technology

The present study provides the characterization of the phytochemical content and the antibacterial activity of ethanolic extracts from the leaves (LM) and stems (SM) of Micromeria barbata (M.barbata) against Pseudomonas aeruginosa . Important functional groups were determined by analyzing the FTIR spectra of LM and SM. The phytochemical profiles were analyzed by GC-MS, and these characterized the chemicals according to retention periods and peak regions. The binding affinities of discovered compounds with the P. aeruginosa LasR and PqsD proteins were evaluated using molecular docking approach. Assays for biofilm formation, MIC, MBC, and agar well diffusion were used to assess the …

Arum Palaestinum Extracts: A Natural Solution For Root-Knot Nematode Control, Samaher Ghaith, Michel Afram, Jamilah Borjac

BAU Journal - Science and Technology

Root-knot nematodes (RKNs), Meloidogyne spp., have a destructive effect on a wide range of the crops. Arum palaestinum is a wild plant in levant that has a lot of different phytochemicals. The aim of this study is to evaluate the nematicidal potential of A. palaestinum extracts against RKN. The nematicidal efficiency of three types of extracts (aqueous, ethanolic and chloroform) of leaves, flowers and rhizomes of A. palaestinum on second stage juveniles (J2s) and hatching egg rate (RHI) of RKNs were evaluated in vitro using 6 concentrations of each extract (50mg/mL, 37.5mg/mL, 25mg/mL, 12.5mg/mL, 5mg/mL and 2.5mg/mL) and compared …

The Medical Check Up Result Data Collection System Function To Determine The Health Condition Of Workers At Pt. Pertamina Region Iii, Shonia Fitriananda, Mohammad Ridha

Jurnal Administrasi Bisnis Terapan

Activities carried out at PT. Pertamina (Persero) is very diverse. One of the activities is Medical Check Up under the auspices of Pertamedika, which is a health facility in PT. Pertamina (Persero) which is intended for workers to be checked for health every year with physical examination in the form of heart examination, blood tests, eye tests, and ultrasonography (USG). With the activities, it is inseparable from direct communication between the administration and workers to confirm each other about the needs and desires of workers who can be helped by the medical administration. The preparation of this academic paper task …

Hubungan Penggunaan Jenis Bahan Bakar Untuk Memasak Dengan Kejadian Ispa Pada Balita Di Provinsi Kalimantan Utara Tahun 2017, Maharani Karina Setiawan, Salwa Zalfa Elyanto, Aisyah Muthia Darajat, M. Nanda Putra Pratama Sm

Jurnal Nasional Kesehatan Lingkungan Global

Acute respiratory infections (ARI) in toddlers are certainly still a significant public health problem with environmental factors affecting them, such as air pollution from the burning of the fuels used, namely charcoal, wood and kerosene. This study aims to analyze the relationship between household fuel use and the incidence of ISPA in toddlers, especially in North Kalimantan Province (Kaltara) using data from the Indonesian Health Demographic Survey (SDKI) in 2017. The research design used a cross-sectional study, data analysis was carried out descriptively using a table then followed by chi square data analysis to determine the relationship between the variable …

Nature-Based Solutions For Urban Stormwater Management, Nima Zafarmomen, Vidya Samadi, Susan Lunt

Forestry and Natural Resources

This paper explores Nature-based Solutions (NbS) for urban stormwater management, emphasizing their role in mitigating runoff, reducing flood risks, and improving water quality. Bioretention systems (BRS), green roofs, permeable pavements, and vegetated swales utilize natural processes such as infiltration, evapotranspiration, and filtration to manage stormwater while promoting urban resilience and supporting biodiversity effectively. The performance of these solutions depends on vegetation, soil, and climatic parameters, highlighting the need for context-specific design and implementation. While NbS present sustainable alternatives to conventional infrastructure, technical, economic, social, and institutional challenges require interdisciplinary collaboration and supportive policies to unlock their full potential.

Effect Of Sorbitol Plasticizer On Bioplastics Properties Based On Oil Palm Empty Fruit Bunches (Opefb) And Jackfruit Seed Starch, Nia Sasria, Vita Nur Afifah, Gusti Umindya Nur Tajalla

Makara Journal of Science

In bioplastics, natural materials that are easily decomposed are used to minimize plastic waste. In this research, the compositions used were cellulose from oil palm empty fruit bunches (OPEFB), jackfruit seed starch, and carboxymethyl cellulose (CMC) as a filler with sorbitol as a plasticizer. This study aimed to analyze the effect of a sorbitol plasticizer on bioplastic properties. The study began by extracting jackfruit seed starch and OPEFB cellulose. Subsequently, bioplastics were prepared by varying sorbitol, namely 0 (S – 0), 0.5 mL (S – 0.5), 1 mL (S – 1), and 1.5 ml (S – 1.5), with CMC 20%. …

Effect Of Mercury Dose Variation On Growth And Nitrate Reductase Activity In Aquarius Palifolius (Nees & Mart.) Christenh. & Byng, Tsurayya Nurhanifah, Dwi Umi Siswanti

Makara Journal of Science

Mercury, a byproduct of mining, can harm the environment. One method to reduce this impact is through phytoremediation. This study used the Mexican sword (Aquarius palifolius), a plant with the potential to absorb and accumulate mercury. The aim of this study was to examine the effect of mercury stress on nitrate reductase activity, which plays a role in plant productivity, and to assess its impact on growth parameters, including plant height growth rate, leaf length, and number of leaves. Three-month-old A. palifolius plants obtained from rice fields in Sleman were treated with mercury at doses of 0, 14, …

Statistical Methods To Analyze Medical Images Radiomic Features: A Review, Emad Alsyed

Journal of King Abdulaziz University: Engineering Sciences

Radiomics refers to the quantitative extraction of features from medical images, which could potentially be introduced into clinical practice for improvement in diagnostic, prognostic, and predictive accuracy. Issues with regard to repeatability, reproducibility, and robustness challenge the reliability of radiomic features and their potential utility in clinical practice. This is a systematic review of the statistical methods employed in the analysis of features and their reliability cross studies. The databases reviewed were PubMed and Web of Science, with sources from January 2015 to January 2024. Critical identified statistical methods include the intraclass correlation coefficient (ICC), concordance correlation coefficient (CCC), means …

Design And Development Of Smart Wheelchair From Lecture Chair, Muhammad Sholihul Abdillah, Fauzan Masykur, Abdur Rohman Hasan

Journal of King Abdulaziz University: Engineering Sciences

Wheelchairs play a vital role in providing mobility for individuals with physical disabilities. Enhancing these devices with modern technology significantly improves user convenience and overall functionality. A key enhancement involves integrating smartphones into wheelchair systems. While conventional wheelchairs are generally operated manually, this research presents a smart wheelchair prototype adapted from a standard classroom chair, which is wirelessly controlled using a smartphone via Bluetooth and an Arduino Uno R3 microcontroller. The project involves developing both a mobile application and embedded software. The mobile app is created through a visual block-based programming interface, while the Arduino side is coded using C++. …

Synthesis And Characteristics Of Cerium Vanadate-Strontium Oxide: Exploring Novel Composite Material, Sunnia Shafiq, Adeeba Noshahi, Muhammad Shahid Shafique, Bushra Kanwal, Shavezah Nazeer, Zainab Javed, Rabia Zahoor

Journal of King Abdulaziz University: Engineering Sciences

The study describes the synthesis and characterization of Cerium Vanadate-Strontium Oxide (CeVO₄-SrO) nanocomposite. It emphasizes the importance of nanoparticles in various scientific applications, especially energy storage. The study used a hydrothermal approach with particular precursor components to synthesize the nanocomposite. The resultant materials are examined using X-ray diffraction (XRD) and scanning electron microscopy (SEM) to evaluate their crystallite sizes and structural characteristics. The study found that SrO has an irregular rough shape, CeVO₄ appears spherical, and the composites have a nanorod-like structure. UV-visible spectroscopy provides discrete absorbance peaks, which confirm the material's optical characteristics. The conclusion highlights …

Efficacy Of Azadirachta Indica Extract And The Green Synthesized Silver Nanoparticles Against The Aspergillus Spp. Causing Pomegranate Fruit Rot In Taif Governorate, Saudi Arabia, Abeer S. Alqurashi

Journal of King Abdulaziz University: Meteorology, Environment and Arid Land Agriculture

Despite being prone to fungal diseases, particularly those caused by Aspergillus species, the pomegranate fruit is greatly esteemed for its nutritional value and health benefits. Fungal infections can inflict significant damage and may produce mycotoxins, which pose serious risks to human health. Species of Aspergillus are responsible for causing diseases that affect pomegranate fruit in Taif, Saudi Arabia. This study aims to assess the efficacy of neem extract and its silver nanoparticles as antifungal agents against these infections. Upon reviewing their morphological and genetic traits, the predominant species identified were Aspergillus niger, Aspergillus versicolor and Aspergillus tubingensis. Laboratory-based …

Faktor-Faktor Yang Berhubungan Dengan Massa Otot, Kekuatan Otot, Dan Performa Fisik Pada Lansia, Nur Riviati, Taufik Indrajaya, Rukiah Chodilawati, Ridzqie Dibyantari, Bima Indra

Jurnal Penyakit Dalam Indonesia

Introduction. Despite its high prevalence and significant impact on health, comprehensive studies are still needed to explore the factors affecting sarcopenia parameters, such as muscle mass, muscle strength, and physical performance. This study aimed to identify the factors influencing sarcopenia parameters in the elderly, including muscle mass, muscle strength, and physical performance.

Methods. A cross-sectional study was conducted from July to December 2022 on elderly individuals (>60 years old) at the Geriatric Polyclinic, Moh. Hoesin General Hospital, Palembang, selected through consecutive sampling. Muscle mass was measured using bioimpedance analysis, expressed in ASMI values; muscle strength was measured …

Green Practices On Sustainability Performance: The Moderating Role Of Slack Resources, Mariska Ramadana, Julia Julia, Erna Wati

Jurnal Akuntansi dan Keuangan Indonesia

Background: The growing urgency of environmental issues and economic imperatives has made sustainability a critical component of corporate strategy, particularly in developing countries like Indonesia. This study examines how green CEOs, green innovations, and green investments affect the sustainability performance of Indonesian companies listed in the Sri Kehati Index. Methods: Data from 2019 to 2023 were analyzed using regression analysis in STATA. The study also examined the moderating effect of absorbed and unabsorbed slack resources. Findings: The results show that a green CEO has no proven positive impact on sustainability performance, while green innovation has a negative …

Transitioning From Microfluidic-Based To Bioprinted Decellularized Extracellular Matrix In Vitro Blood–Brain Barrier Models, Connor O. Mowen

Theses and Dissertations

The blood–brain barrier (BBB) regulates transport between the vasculature and central nervous system but limits therapeutic delivery. In vitro BBB models are essential for studying barrier function, disease mechanisms, and drug transport, yet traditional systems often lack biological relevance. This thesis aimed to improve model fidelity and scalability by refining a PDMS-based microfluidic fabrication protocol and developing a spinal cord-derived decellularized extracellular matrix (dECM) bioink for bioprinting applications. A multi-step protocol was optimized to decellularize bovine spinal cord tissue, followed by enzymatic digestion to generate a printable dECM solution. UV–Vis spectroscopy confirmed protein retention, and DNA quantification revealed residual nucleic …

Spatially Resolved Transcriptomic Profiles Of Placental Cell Populations In Placental Malaria, Corina A. Mong

Undergraduate Honors Theses

Malaria remains a prevalent infectious disease that continues to cause disease-related morbidity and mortality. Despite preventative efforts, malarial pregnancies still cause birth complications, therefore emphasizing the necessity to study these adverse outcomes in malarial pregnancy. Malaria in pregnancy can lead to placental malaria (PM), which is the presence and accumulation of Plasmodium-infected red blood cells in the placental intervillous space (IVS). Even after treatment, past PM (presence of hemozoin crystals from the parasite in the placenta) can cause a chronic inflammatory response. We predicted that the activation states of the maternal monocytes and fetal macrophages differ within the placenta and …

Sex-Dependent Modulation Of Behavioral Allocation Via Ventral Tegmental Area-Nucleus Accumbens Shell Circuitry, Kristen A. Mclaurin, Jessica M. Illenberger, Hailong Li, Rosemarie M. Booze, Charles F. Mactutus

Faculty Publications

Diagnostic criteria for substance use disorder, cocaine type (i.e., cocaine use disorder), outlined in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders, imply that the disorder arises, at least in part, from the maladaptive allocation of behavior to drug use. To date, however, the neural circuits involved in the allocation of behavior have not been systematically evaluated. Herein, a chemogenetics approach (i.e., designer receptors exclusively activated by designer drugs (DREADDs)) was utilized in combination with a concurrent choice self-administration experimental paradigm to evaluate the role of the mesolimbic neurocircuit in the allocation of behavior. Pharmacological activation …

Determinants Of Food Management Behavior On Food Waste Reduction And Household Food Security Through Expenditure Efficiency And Energy Consumption, Prita Dhyani Swamilaksita, Yayuk Farida Baliwati, Drajat Martianto, Dodik Briawan

Media Kesehatan Masyarakat Indonesia

Food Waste (FW) in urban households remains a serious issue as it contributes to economic losses, reduced dietary quality, and weakened food security. This study aims to identify the dominant factors influencing food management behavior, FW generation, and their implications for household food security in urban settings. A cross-sectional design was applied with urban households as the study population, and samples were selected using purposive sampling. Data were analyzed using Structural Equation Modeling (SEM) within the framework of the Theory of Planned Behavior (TPB) and Nudge Theory. The results indicate that attitude (β = 0.42; p < 0.01), subjective norm (β = 0.31; p < 0.05), and perceived behavioral control (β = 0.36; p < 0.01) significantly influence intention toward food management. Furthermore, intention strongly predicts actual food management behavior (β = 0.55; p < 0.001), which subsequently reduces FW (β = –0.47; p < 0.001). Reduced FW positively affects both food expenditure efficiency (β = 0.39; p < 0.01) and energy intake adequacy (β = 0.34; p < 0.05), two critical indicators of urban household food security. Behavioral factors play a crucial role in reducing FW and strengthening food security in urban households. Therefore, behavior-based interventions using TPB and Nudge Theory are recommended to be integrated into food education programs, household assistance, and urban food security policies to ensure effectiveness and sustainability.

Life Beneath The Tides: Seagrass Meadows In Surigao Del Sur, Philippines, Giselle B. Ramos, Roxan E. Caray

Journal of King Abdulaziz University: Marine Science

Seagrasses are a valuable component of global blue carbon ecosystems yet are also endangered due to natural and man-made pressures. This study assessed the seagrass resources regarding species community structure and diversity using a transect-quadrat design along the intertidal coastlines of selected towns of Surigao del Sur. Of the 19 recorded species in the Philippines, seven common species were observed: Cymodocea rotundata, Enhalus acoroides, Halodule pinifolia, Halodule uninervis, Thalassia hemprichii, Syringodium isoetifolium, and Halophila ovalis. Across study sites, the most evident species are T. hemprichii, C. rotundata, and S. isoetifolium; the existence …

Steric Sea Level Variability Over The Red Sea, Turki Alraddadi

Journal of King Abdulaziz University: Marine Science

The current paper analyzes the steric sea level (SSL) variability over the Red Sea (RS) and linked it with climate modes namely, North Atlantic Oscillation (NAO) and East Atlantic West Russian (EAWR) patterns using a reanalysis dataset. Long-term (1993--2015) profile temperature and salinity data acquired from Simple Ocean Data Assimilation (SODA) was used to compute the SSL. The results show that the SSL is out of phase comparing to the total sea level, which may reduce fluctuations of water level within the sea. Furthermore, it accounts for only 10% of the total sea level variations. The first and second Empirical …

Machine Learning Applications For Berth Allocation Optimization In Major Red Sea Ports: A Multi-Port Analysis, Mohammed H. Alshareef

Journal of King Abdulaziz University: Marine Science

Efficient berth allocation remains a critical challenge in Red Sea port operations, particularly given the diverse operational capabilities across the region's ports. The research utilized historical operational data from 147,892 berth allocation instances across these ports spanning 2019--2023. A deep learning model was developed using four dense layers with ReLU activation functions, incorporating vessel characteristics, weather patterns, and operational constraints. The model's performance was validated through comparison with traditional allocation methods using real-time port operation data. Port selection criteria included geographical distribution along the Red Sea, varying levels of technological adoption, and willingness to share operational data for research purposes. …

Dynamic Model Of Stunting Incidents And Policies In Padang City, Elsa Yuniarti, Yulhendri Yulhendri, Fitra Arya Dwi Nugraha, Nurhasan Syah, Iswandi Umar, Heldi Heldi, Nabila Azzahra

Media Kesehatan Masyarakat Indonesia

Stunting remains a significant public health challenge with complex, interconnected causative factors. Traditional static approaches fail to capture the dynamic relationships between environmental, health, and socioeconomic determinants. Dynamic modeling is essential for understanding these multifaceted interactions and developing effective prevention policies. Despite declining trends, Padang City's high prevalance of stunting necessitates urgent, targeted interventions to achieve national targets. This study aims to develop a dynamic model analyzing stunting factors in Padang City and formulate effective prevention policies. A quantitative descriptive method with a dynamic systems approach was employed. Primary data were obtained through stakeholder questionnaires, while secondary data were obtained …

Mapping Trends And Patterns In Tuberculosis And Tobacco Use: Insights From A Bibliometric Analysis Of 25 Years Of Research, Meyi Yanti, Erwani Erwani, Radian Ilmaskal, Masrizal Masrizal, Sohel Rana

Media Kesehatan Masyarakat Indonesia

Tuberculosis (TB) and tobacco use represent two of the most pervasive global health challenges, with a particularly profound impact in Low and Middle-Income Countries (LMICs). Although numerous reviews have explored the clinical and epidemiological associations between TB and smoking. A systematic analysis of publication trends is lacking. This study aims to address this gap by providing a comprehensive bibliometric analysis of the intersection between TB and tobacco use, mapping its evolution, key research themes, collaboration networks, and underexplored areas. This study utilized a bibliometric method. Data from 13,876 articles indexed in Scopus were analyzed using RStudio, VOSViewer, and OpenRefine. PLOS …

Lifestyle Activities That Contribute To The Risk Of Stroke In Indonesia: Smoking, Consuming Fatty Foods And Soft Drinks, Janu Purwono, Irwan Budiono, Oktia Woro Kasmini Handayani

Media Kesehatan Masyarakat Indonesia

Stroke is the leading cause of death and disability in Indonesia, with a high prevalence reported in the Indonesian Health Survey (IHS) 2023. Smoking, consumption of fatty foods, and intake of soft drinks are major risk factors contributing to the increasing incidence of both ischemic and hemorrhagic stroke. This study aims to analyze the effects of smoking habits, fatty food consump-tion, and soft drink intake on stroke incidence in Indonesia using secondary data from IHS 2023. A quantitative design was applied, with chi-square test analysis performed using SPSS. The study population comprised all individuals recorded in the IHS 2023, which …

Hubungan Persepsi Pola Asuh Orang Tua Dan Karakteristik Siswa Dengan Kecemasan Siswa Kelas 7 - 12 Di Sekolah X Jakarta, Andi Rika Apryanti, Ella Nurlaella Hadi, Rita Damayanti

Perilaku dan Promosi Kesehatan : Indonesian Journal of Health Promotion and Behavior

Background. Anxiety is a negative emotional response that is subjective with physical symptoms. Anxiety is influenced by various factors such as parenting styles and student characteristics.

Objective. The purpose of this study was to determine the relationship between perceived parenting styles and student characteristics with anxiety in 7^th – 12^th grade students at School X Jakarta.

Method. This research is a quantitative study using a cross-sectional design. Data from 220 of 486 students who were willing to take part of this study and had permission from their parents were collected by filling out a questionnaire independently. Data were …

Age-Friendly Care And Mobility In Hospitalized Older Adults With Cognitive Impairment: A Feasibility Quality Improvement Initiative, Jasmine K. Vickers, Richard E. Kennedy, Shari Harrell, David H. James, Katrina Booth, Emily Simmons, Cynthia J. Brown, Kellie L. Flood

School of Medicine Faculty Publications

BACKGROUND: Hospitalized older adults with cognitive impairment (CI) have an increased risk for adverse outcomes. Acute Care for Elders (ACE) Units were developed to reduce functional decline in hospitalized older adults. INTERVENTION: We developed a quality improvement (QI) initiative to disseminate ACE care processes to non-ACE units, converting them into "Virtual ACE" units. The aim of this evaluation is to examine the impact of this intervention on the mobilization of patients with CI. POPULATION: Older adults with CI admitted to a study unit (ACE Unit or seven Virtual ACE units). METHODS: We conducted a pre/post-intervention evaluation of the proportion of …