Digital Commons Network^™

Severity Of Sars-Cov-2 Illness In Patients With Type 1 And Type 2 Diabetes Mellitus, Anthony Shadiack, Alexis White, Prasad Munusamy, Jessica Oleske, Parisa Biazar, Serena Mitchell, Michael G. Flynn, Nayda Parisio Poldiak

HCA Healthcare Journal of Medicine

Background

Diabetes is a well-known risk factor for the severity of illness in patients with SARS-CoV-2 infection (COVID-19). However, there is less published data on illness severity differences between patients with type 1 (T1D) and type 2 (T2D) diabetes mellitus.

Methods

We performed a retrospective review of records of patients with COVID-19 (March 2020 - November 2020) extracted from a large, private hospital system database. Of the 76 467 patients with COVID-19, 54 007 (70.6%) did not have a diabetes diagnosis (NON), 22 084 (28.9%) had T2D, and 376 (0.49%) had T1D. We further subgrouped diabetic patients into groups with …

Portable Head Computed Tomography Protocol For Trauma, Christian Quinones, Alexander Bolufer, Cory Hewitt, Sagun Tuli

HCA Healthcare Journal of Medicine

The use of portable computed tomography (CT) scanners has been shown to reduce risks associated with intrahospital transport and to expedite imaging in critically ill patients. While their use is established in intensive care units, their utility on intraoperative trauma patients remains underexplored. This paper reviews existing literature on portable CT use, defines appropriate clinical indications, outlines contraindications, and identifies quality metrics and implementation challenges. It also presents a proposed protocol for integrating portable head CT imaging into trauma workflows, focusing on early identification of intracranial or spinal injuries in the operating room. The development and analysis of standardized protocols …

Opioid Epidemic In Maine: An Analysis Of Increasing Overdose-Related Deaths Following The Coronavirus, Aysel S. Hamlin

Thinking Matters Symposium

The rate of drug overdose resulting in death doubled in Maine following the COVID-19 pandemic from the onset of the COVID-19 pandemic in late 2019 through 2022. The correlation between increased isolation during the pandemic and overdose death rates sheds a concerning light on the insufficient resources for people struggling with Opioid Use Disorder (OUD) throughout Maine. The increasing trade and access to fentanyl following the pandemic accounted for the majority of drug-related deaths in Maine in 2021 and 2022. This study examines the need for long-term access to drug treatment in rural and urban Maine, both environments with varying …

Unf Housing And Residence Life, University Of North Florida

Student Affairs Printed Materials

Flyer: University housing informational flyer for Osprey Landing, Osprey Cove, Osprey Crossing, Osprey Hall, and Osprey Fountains. Circa 2025

Improving Patient Adherence To Medications With Pharmacist-Led Education Program In Primary Care, Kobi Griffith, Julie Waldroup, Corinn Normandin, Wendy Craig, Dylan Atchley

Journal of Maine Medical Center

No abstract provided.

Navigating Extended Reality Maps Using Large Language Models, Tony (Tuấn) Nguyễn, Chunpo Wang, Hiro Tsujino, Stiven Morvan

Defensive Publications Series

Map applications in extended reality (XR map-apps) immersively display map data and features within extended reality (XR) environments. Currently, users navigate within an XR map-app using hand tracking and/or gaze tracking, which can be inconvenient. This disclosure describes techniques that leverage large language models (LLMs) to enable users to query an XR map-app using voice commands. With user permission, the user’s XR environment, including the user’s real environment (under XR passthrough) and the user’s virtual environment (e.g., immersive screen, audio, etc.) is shared with the LLM. A question from the user can be answered by the LLM in the context …

Robust User Gaze Calibration In Head-Mounted Devices, Jake Popham, Ivana Tosic Rodgers

Defensive Publications Series

For optimal performance, gaze tracking systems are calibrated to match user characteristics. However, it can be difficult to collect accurate calibration data because human errors tend to dominate calibration data. This disclosure describes techniques of robust user gaze calibration for head-mounted devices (HMDs) using iteratively reweighted least squares (IRLS). A series of weighted least-squares fits of the data are performed, with the weight of a sample in an iteration being adjusted as a function of its residual error on the previous iteration. By re-weighting samples across iterations, IRLS enables the influence of a sample to vary continuously. The Cauchy loss …

Continuous Authentication To Devices In Field Of View Of A User Wearing An Xr Headset, Justin Eltoft

Defensive Publications Series

While wearing a head-mounted device (HMD), a user may want to access another device. However, providing biometric or other authentication input to such devices can be cumbersome for users that are wearing the HMD. This disclosure describes techniques to automatically provide user authentication on other user devices when a user is using a HMD. The user is determined to be authenticated to the HMD and remains authenticated as long as sensors on the HMD indicate that the headset is being worn by the user. When the user looks at another device, the HMD detects information displayed by the other device …

Enhancing The Accuracy And Performance Of Eye Tracking In Head-Mounted Displays, Jason Spencer

Defensive Publications Series

Eye tracking on head-mounted displays (HMDs) is computationally intensive and requires multiple illuminators. The wide gaze angles at which eye-tracking cameras are positioned on HMDs make it difficult to obtain optimally good views of the eye. Further, it is difficult to determine the optical axis of the eye with high accuracy since the human physique does not always conform perfectly with the geometric shapes used to model it. This disclosure describes techniques that can establish the optical axis of the eye by leveraging the refracted view of the pupil under general illumination to infer the shape and position of the …

Augmented Reality Glasses With Point To Screen-Share Gesture For Video Calls, Omar Estrada

Defensive Publications Series

Sharing screen content during a video call is a cumbersome, multi-step procedure that requires user action to initiate sharing, specify the window or screen area to share, and verify that the selected area is correctly shared. This disclosure describes techniques to simplify the sharing of on-screen content during video calls by leveraging camera-equipped smart glasses. Per the techniques, users wearing smart glasses can share on-screen content to others in a video call by simply pointing to the content with their finger, making content-sharing simple and intuitive. When the user's finger appears in the field-of-view, it is detected and a ‘point-to-share’ …

Product Documentation Updates Using Artificial Intelligence, Kayce Basques, Meggin Kearney

Defensive Publications Series

Keeping product documentation in synchronization with a product as the product is updated requires significant manual effort and can be prone to human error. This disclosure describes techniques to automatically update documentation when changes are made to a product or system covered by the documentation. Per the techniques, embeddings are generated for individual documents (or sections thereof) in the documentation corpus. As the product or system is updated, the corresponding changes are recorded, e.g., in an updated codebase for a software product, design and/or hardware specifications for a hardware product, etc. New embeddings are generated for the updated information based …

Method And System For Managing Micropayments Leveraging Blockchain Technology, Daos, And Stablecoins, Nandit Khosa

Defensive Publications Series

The present disclosure provides a method and system for processing micropayments to address the inefficiencies and high costs associated with traditional payment systems. The method involves creating Decentralized Autonomous Organizations (DAOs) for each individual or user that joins the network. Blockchain technology underpins the creation and operation of DAOs.Each DAO issues stablecoin tokens, which represent a stable value of assets or services, for the user to perform payment transactions. Whenever a user wishes to make a micropayment, the user sends the required number of stablecoin tokens to a smart contract. The smart contract automatically executes the transaction by transferring the …

Local Search Query Augmentation For Improved Online Retrieval Performance, Huy Thong Nguyen

Defensive Publications Series

This document describes a query augmentation technique designed to enhance machine learning performance in local search online retrieval. Online retrieval tasks in local search involve retrieving relevant information such as review snippets, images/videos, points of interest, merchant posts, and short videos in response to a user's query. The challenge lies in the need for substantial training data to effectively train machine learning models for these diverse retrieval tasks. This document details a solution that leverages the structure of local search queries and large language models to generate augmented training data, leading to improved retrieval performance.

Regenerative Voice Coil

Defensive Publications Series

In implementations of the disclosure, the elastic energy is recovered from a spring of a VCM. There may be a low mechanical damping and friction of the VCM design that reduces the energy waste while using the VCM regenerative mode as a magnetic damper. The recovered energy can be stored temporarily and used to drive the actuator again when needed (short term energy recovery and storage). An energy recovery circuit, such as a rectifier circuit, can be retrofitted to the existing VCM driver or integrated in a new VCM driver. The recovered energy can be sent back to the battery …

Education For Young People In A World Full Of Uncertainty, Elizabeth Kristi Poerwandari

Psychological Research on Urban Society

Education for Young People in a World Full of Uncertainty

“Silence Is Golden:” Explaining The Silent Majority Based On Fatalism, Culture, And National Attachments, Ali Mashuri, Sukma Nurmala, Esti Zaduqisti

Psychological Research on Urban Society

Why do citizens tend to be silent about a country’s social, political, or economic problems? The silent majority refers to most members of society not support or engage in collective action to protest injustice. This study aimed to explain the silent majority’s psychosocial dynamics and fill the research gaps in the psychology literature that focuses on collective action and its determining factors. The study’s participants (N = 349), recruited using convenience sampling, were undergraduate and graduate students from several universities in Indonesia. In our study, the psychosocial characteristics of the silent majority included fatalism, cultural dimensions (i.e., power distance, …

Rapid Facial Enhancement Through Surgery-First Approach Correction For Class Iii Bimaxillary Protrusion And Asymmetry, Ting-Ying Wu, Liang-Chia Huang, Yu-Jen Chang

Taiwanese Journal of Orthodontics

The Surgery-First Approach (SFA) prioritizes surgical intervention before orthodontic treatment, offering a transformative strategy for managing dentofacial discrepancies. This innovative approach provides numerous advantages, including immediate enhancements in facial aesthetics, occlusion, and phonetic function while significantly reducing overall treatment duration. SFA is especially beneficial for patients exhibiting specific characteristics, such as well-aligned teeth and minimal occlusal discrepancies. In this case study, a patient presented with persistent facial asymmetry and lip protrusion despite previous orthodontic treatment. After a thorough evaluation, the patient was deemed suitable for SFA, leading to surgical intervention. Postoperative assessments demonstrated marked improvements in facial symmetry, although minor …

Modified Mma Technique For A Patient With Bimaxillary Protrusion And Osa, Chia-Shin Gan, Chia-Tze Kao, Chih-Chen Chou, Ching-Yi Tsai, Yi-Chieh Chen, Han-Hsin Ko, Wen-Ken Tai

Taiwanese Journal of Orthodontics

Bimaxillary protrusion is a common facial profile among Asians, typically managed through non-surgical orthodontic approaches. However, when an unfavorable facial profile is combined with obstructive sleep apnea (OSA), surgical intervention may become the primary treatment choice. This case report presents a modified maxillomandibular advancement (MMA) technique in a 31-year-old male patient who presented with lip protrusion and snoring. Polysomnography revealed severe OSA with an apnea-hypopnea index (AHI) of 39.7. Clinical examination showed increased lower facial height, skeletal Class II jaw relationship, and Angle Class I malocclusion with complete overbite. Through a combination of modified MMA technique and genioplasty, we successfully …

Correction Of Class Ii Malocclusion With Deep Bite And Functional Asymmetry Using Straight-Pull Headgear, Deo Develas, Chia-Tze Kao, Chun-Te Ho, Nia Ayu Ismaniati Noerhadi

Taiwanese Journal of Orthodontics

Treatment of Class II skeletal malocclusion in growing patient has the advantage of utilizing growth modification to correct skeletal and dental disharmony by altering the growth direction. Headgear is one of the orthopedic appliances which can modify the growth of maxilla while letting the mandible grow normally to correct Class II malocclusion. When used properly, Headgear can be a very useful method to correct disharmony in anteroposterior, vertical, and transversal plane as well as asymmetrical problem. This case report demonstrates the use of straight-pull headgear and orthodontic fixed appliance for treatment of Class II division 1 malocclusion with deep bite …

Evaluation Of The Accuracy And Reliability Of 3d Cameras For Craniofacial Anthropometry Compared To Conventional Methods: A Systematic Review, Akanksha Chandiwala, Kanhoba Keluskar

Taiwanese Journal of Orthodontics

Objectives: To assess the reliability and accuracy of three-dimensional (3D) camera for Craniofacial Anthropometry in comparison with direct measuring methods. Materials and methods: A comprehensive search of the specialized databases Pubmed/ MEDLINE, Science Direct, Google Scholar, OpenGrey, and other institutional repositories was performed for including the studies which assess the reliability and accuracy of various 3D Cameras for Craniofacial Anthropometry in comparison with direct Anthropometric measurements. Quality assessment was carried out with JBI critical appraisal checklist for analytical cross sectional studies. Results: Seven studies evaluating the accuracy and reliability of 3D cameras were included in this study. Studies comparing 3D …

Investigation Of Factors Influencing Craniofacial And Dental Morphological Changes In Skeletal Class Iii Orthognathic Surgery With Machine Learning Approach: Literature Review, Muhammad Izzah Abdillah, Johnson Hsin-Chung Cheng, Daniel De-Shing Chen, Sam Li-Sheng Chen, Baharuddin M Ranggang, Ardiansyah S Pawinru

Taiwanese Journal of Orthodontics

Objective Orthognathic surgery is a transformative solution for skeletal Class III malocclusion. This review explores factors affecting skeletal, dental, and soft tissue changes in these patients and examines the integration of machine learning (ML) in treatment management to uncover patterns within large datasets. Materials and Methods Studies were selected from Google Scholar, PubMed, and ScienceDirect using keywords such as "(affecting factor OR predisposition) AND (skeletal class III OR skeletal class 3) AND (orthognathic surgery OR surgical orthodontics)," "Morphology changes in skeletal class III orthognathic surgery," "Machine learning in dentistry," and "Machine learning in orthodontics." Most reviewed articles were published in …

Timing Of Orthodontic Treatment (Part Ii), Ib Leth Nielsen

Taiwanese Journal of Orthodontics

The best time for orthodontic treatment of a particular malocclusion is an often-debated topic. There is great disagreement in the literature with respect to the ideal treatment time for certain malocclusions that we shall discuss in this review. Much has been said about the timing and in recent years several studies have addressed this challenging problem. In this review we shall look at several common types of malocclusions and suggest the most appropriate time for their correction based on several important factors that we aim to discuss in the following. It is our experience that in some cases treatment is …

Predicting Healthcare Service Quality Based On A Kalman-Optimized Bi-Lstm-Inspired Deep Learning Model, Mohammed K. Al-Khafaji, Eman S. Al-Shamery

Karbala International Journal of Modern Science

Health is one of the most important aspects of human well-being, and access to high-quality healthcare is essential for a good quality of life. Providing top-level health services at all times is crucial. However, the research in healthcare poses significant challenges due to the diversity and variations of medical practices across different hospitals. This paper aims to tackle the challenge of data missing and scattering during data collection. Then, the quality of services (QoS) offered by healthcare facilities will be analyzed and predicted from the patient's perspective. The model begins preprocessing data by data cleaning, handling missing values, and scattering …

Spiral Under Interlocked Armor In Unbonded Flexible Pipe Of The Api 17j Type, Baker Hughes Company

Defensive Publications Series

Typical structures of unbonded flexible pipes all revolve around a common sequence of layers.

By changing the typical sequence and placing a flat metallic spiral back-up pressure armor layer) under the interlocked pressure armor, it has been identified that this reduces the nub to nub contact travel distance on the interlocked pressure armor, allowing for higher normal operating pressure before the onset of fretting fatigue and the risk of failure of the reinforcements as a result.

Analytic Hierarchy Process Based Interpretable Decision-Making Structure Of Gpt In Unified Developer Efficiency Modeling, Fuming Guo, Biju Abraham

Defensive Publications Series

The present disclosure relates to a method and a system for Analytic Hierarchy Process (AHP) based interpretable decision-making structure of Generative Pre-trained Transformer (GPT) in unified developer efficiency modeling. The method includes receiving and preprocessing a plurality of metrics from one or more data sources. The method further generates pairwise comparison scores for each metric of the plurality of metrics. Additionally, an AHP comparison matrix is constructed based on the generated comparison scores. The method further includes performing a consistency check on the comparison matrix to confirm the reliability of the pairwise comparisons. When inconsistencies are identified, the method includes …

Decoupled Polynomial Graph Filters For Enhanced Adaptability In Gnns

Defensive Publications Series

Graph Neural Networks (GNNs) are powerful tools for learning on graph-structured data, often designed with an underlying assumption of homophily—that connected nodes share similar characteristics. This assumption, however, limits their effectiveness on heterophilic datasets where connected nodes tend to differ. We introduce a novel GNN architecture, Decoupled Polynomial Graph Filter GCN (DPGF-GCN), specifically designed to operate effectively across varying levels of graph homophily. Our approach leverages learnable polynomial graph filters but uniquely decouples the learning of feature transformation weights from the hop-wise aggregation coefficients. This design enhances model expressivity for heterophilic settings while maintaining robustness on homophilic graphs and mitigating …

Adaptgraph: Adaptive Graph Augmentation Via Consistency-Diversity Balancing For Homophilic And Heterophilic Graphs

Defensive Publications Series

Current graph topology augmentation methods are mostly static and heavily rely on the assumption of homophily, where connected nodes are presumed to share the same labels by default. Due to the complexity of real-world graphs, the underlying assumption is often disrupted, thus performance declines, demonstrating their limited adaptability. Although learnable methods flexibly change augmentation strategies based on data, ignorance of balancing consistency and diversity leads to suboptimal performance. This gap highlights the need for universally applicable graph augmentation strategies that ensure these two aspects, thereby enhancing model robustness. To address these challenges, we propose the ADAPTGRAPH framework as an adaptive …

Hope Experience Essentials: The Next Generation Of Service Standards At Mayo Clinic, Jennifer Packard, Richard M. Elias, Thomas J. (Tripp) Welch, Karee A. Munson, Jonathan A. Leighton

Patient Experience Journal

Engaging employees in providing exemplary patient experience has been challenging for healthcare leaders in recent years given the pressures of the regulatory environment, increases in staff burnout and rising patient expectations. Amid these challenges, addressing patient experience remains a top priority for healthcare organizations. A novel intervention has been applied at Mayo Clinic with the goal of improving both employee engagement and patient experience. Previous efforts to teach service excellence involved customer service trainings, sometimes purchased through outside vendors. This new initiative is based on our organizational culture and values, input from our employees and patients, and considers the changing …

Cancer Partnerships Hub (Cph) Model: Implementing An Organizational Innovation To Enhance Engagement Of Patient-Partner In Cancer Care Services, Deborah Pascale, Sandie Oberoi, Charlotte Gélinas-Gagné, Pegah Torabi, Ludovic Tamaro, Karine Bilodeau

Patient Experience Journal

Patient partnership is rapidly becoming a cornerstone of effective care, with healthcare professionals recognizing the immense value of collaboration. This case study delves into the innovative Cancer Partnership Hub (CPH) model implemented at the Integrated University Health and Social Services Center of East Montreal Island (CIUSSS-EMTL) in Quebec, Canada. The CPH model exemplifies the integration of patients as active agents within the cancer program. The CPH Model is designed to offer comprehensive support and information services, providing a diverse array of resources crafted ``by and for'' people living with and beyond cancer (PLC). Rooted in the project's motto ``Engage. Share. …

Contrasting Patients' And Healthcare Professionals' Experience In Hematological Cancer Care Pathway: A Narrative Study, Karine Bilodeau, Cynthia Henriksen, Camilia Aloisio Alves, Charlotte Gélinas-Gagné, Lynda Piché, Jacinthe Pepin, Virginia Lee, Marie-France Vachon, Nathalie Folch, Marie-Pascale Pomey, Nicolas Fernandez

Patient Experience Journal

Hematological cancers represent 10% of cancers diagnosed in Canada. Treatments involve complex care pathways and various modalities as well as the management and monitoring of multiple side effects. There is limited understanding of these pathways from the perspectives of the people living with cancer (PLC) and the healthcare professional (HCP). The aim of this article is to contrast the experiences of PLCs and HCPs in the context of hematological cancer care pathway. Narrative study approach was chosen for this exploratory study. Twenty-one narratives were co-created with PLCs (n = 12) and HCPs (n = 9). A structural and comparative analysis …