PCORnet's Collaborative Research Groups.

The Patient-Centered Outcomes Research Institute (PCORI) launched a multi-institutional "network of networks" in 2013 - Patient-Centered Clinical Research Network (PCORnet) - that is designed to conduct clinical research that is faster, less expensive, and more responsive to the information needs of patients and clinicians. To enhance cross-network and cross-institutional collaboration and catalyze the use of PCORnet, PCORI has supported formation of 11 Collaborative Research Groups focusing on specific disease types (e.g., cardiovascular health and cancer) or particular patient populations (e.g., pediatrics and health disparities). PCORnet's Collaborative Research Groups are establishing research priorities within these focus areas, establishing relationships with potential funders, and supporting development of specific research projects that will use PCORnet resources. PCORnet remains a complex, multilevel, and heterogeneous network that is still maturing and building a diverse portfolio of observational and interventional people-centered research; engaging with PCORnet can be daunting, particularly for outside investigators. We believe the Collaborative Research Groups are stimulating interest and helping investigators navigate the complexity, but only time will tell if these efforts will bear fruit in terms of funded multicenter PCORnet projects

Organizational Financial Performance: Identifying and Testing Multiple Dimensions

This research addresses the measurement of organizational financial performance. Its primary purpose is to provide researchers and managers a better understanding of the implications of selecting the dependent variables that should be used in empirical studies and management practice where organizational financial performance is the criterion of interest. This is the first study that has undertaken to empirically identify both the different distinct dimensions of organizational financial performance and the measures that represent those dimensions. Since no prior research has empirically established the domain of organizational financial performance, this research is by necessity exploratory in nature. A two-part approach was adopted to address this problem. First, a model of overall organizational performance was inferred from empirical data that included the primary constructs of an organization\u27s financial performance and empirical measures of these constructs. Next, the validity and reliability of the constructs and measures were tested. The identification of different dimensions and measures of financial performance for both annual and three-year timeframes are unique contributions of this research

Composite mirror facets for ground based gamma ray astronomy

Composite mirrors for gamma-ray astronomy have been developed to fulfill the specifications required for the next generation of Cherenkov telescopes represented by CTA (Cherenkov Telescope Array). In addition to the basic requirements on focus and reflection efficiency, the mirrors have to be stiff, lightweight, durable and cost efficient. In this paper, the technology developed to produce such mirrors is described, as well as some tests that have been performed to validate them. It is shown that these mirrors comply with the needs of CTA, making them good candidates for use on a significant part of the array.Comment: 16 pages, 13 figures, accepted to be published on NIM

Ex-situ evaluation of PTFE coated metals in a proton exchange membrane fuel cell environment

Metallic-based bipolar plates exhibit several advantages over graphite-based plates, including higher strength, lower manufacturing cost and better electrical conductivity. However, poor corrosion resistance and high interfacial contact resistance (ICR) are major challenges for metallic bipolar plates used in proton exchange membrane (PEM) fuel cells. Corrosion of metallic parts in PEM fuel cells not only increases the interfacial contact resistance but it can also decrease the proton conductivity of the Membrane Electrode Assembly (MEA), due to catalyst poisoning phenomena caused by corrosive products. In this paper, a composite coating of polytetrafluoroethylene (PTFE) was deposited on stainless steel alloys (SS304, SS316L) and Titanium (G-T2) via a CoBlast™ process. Corrosion resistance of the coated and uncoated metals in a simulated PEM fuel cell environment of 0.5 M H2SO4 + 2 ppm HF at 70 °C was evaluated using potentiodynamic polarisation. ICR between the selected metals and carbon paper was measured and used as an indicator of surface conductivity. Scanning Electron Microscopy (SEM), 3D microscopy, Energy Dispersive X-ray (EDX), X-Ray Diffraction (XRD), and contact angle measurements were used to characterise the samples. The results showed that the PTFE coating improved the hydrophobicity and corrosion resistance but increased the ICR of the coated metals due to the unconductive nature of such coating. Thus, it was concluded that it is not fully feasible to use the PTFE alone for coating metals for fuel cell applications and a hybrid coating consisting of PTFE and a conductive material is needed to improve surface conductivity.Enterprise Irelan

Developing a framework for mobile payments integration

This paper derives a theoretical framework for consideration of both the technologically driven dimensions of mobile payment solutions, and the associated value proposition for customers. Banks promote traditional payment instruments whose value proposition is the management of risk for both consumers and merchants. These instruments are centralised, costly and lack decision support functionality. The ubiquity of the mobile phone has provided a decentralised platform for managing payment processes in a new way, but the value proposition for customers has yet to be elaborated clearly. This inertia has stalled the design of sustainable revenue models for a mobile payments ecosystem. Merchants and consumers in the meantime are being seduced by the convenience of on-line and mobile payment solutions. Adopting the purchase and payment process as the unit of analysis, the current mobile payment landscape is reviewed with respect to the creation and consumption of customer value. From this analysis, a framework is derived juxtaposing customer value, related to what is being paid for, with payment integration, related to how payments are being made. The framework provides a theoretical and practical basis for considering the contribution of mobile technologies to the payment industry. The framework is then used to describe the components of a mobile payments pilot project being run on a trial population of 250 students on a campus in Ireland. In this manner, weaknesses in the value proposition for consumers and merchants were highlighted. Limitations of the framework as a research tool are also discussed

Fluorescence and electron microscopy to visualize the intracellular fate of nanoparticles for drug delivery

In order to design valid protocols for drug release via nanocarriers, it is essential to know the mechanisms of cell internalization, the interactions with organelles, and the intracellular permanence and degradation of nanoparticles (NPs) as well as the possible cell alteration or damage induced. In the present study, the intracellular fate of liposomes, polymeric NPs and mesoporous silica NPs (MSN) has been investigated in an in vitro cell system by fluorescence and transmission electron microscopy. The tested nanocarriers proved to be characterized by specific interactions with the cell: liposomes enter the cells probably by fusion with the plasma membrane and undergo rapid cytoplasmic degradation; polymeric NPs are internalized by endocytosis, occur in the cytoplasm both enclosed in endosomes and free in the cytosol, and then undergo massive degradation by lysosome action; MSN are internalized by both endocytosis and phagocytosis, and persist in the cytoplasm enclosed in vacuoles. No one of the tested nanocarriers was found to enter the nucleus. The exposure to the different nanocarriers did not increase cell death; only liposomes induced a reduction of cell population after long incubation times, probably due to cell overloading. No subcellular damage was observed to be induced by polymeric NPs and MSN, whereas transmission electron microscopy revealed cytoplasm alterations in liposome-treated cells. This important information on the structural and functional relationships between nanocarriers designed for drug delivery and cultured cells further proves the crucial role of microscopy techniques in nanotechnology

Infrastructureless pedestrian navigation to assess the response of Alzheimer's patients to visual cues

The aim of the study was to understand how patients with dementia were able to navigate in a domestic environment, and whether the presence of visual cues could assist in route finding. A simulated domestic environment was created in the Pedestrian Accessibility and Movement Environment Laboratory (PAMELA) comprising three different types of corridors and an open room with three doors. Three groups of subjects were studied: i) posterior cortical atrophy; ii) typical Alzheimer’s disease; iii) age- and gender matched controls. Foot-mounted inertial measurement units (IMUs) were used to measure accelerations in 3D. Data from the sensors was transmitted wirelessly to a laptop computer. Local accelerations were converted to global accelerations, and double integration was performed to calculate displacement; corrections for sensor drift were performed during this process

Occupational exposure to solvents and risk of head and neck cancer in women: a population-based case–control study in France

Objective Our objective was to investigate the association between head and neck cancer and occupational exposure to chlorinated, oxygenated and petroleum solvents in women. Methods Investigation of occupational and environmental CAuses of REspiratory cancers (ICARE), a French population-based case–control study, included 296 squamous cell carcinomas of the head and neck (HNSCC) in women and 775 female controls. Lifelong occupational history was collected. Job-exposure matrices allowed to assess exposure to 5 chlorinated solvents (carbon tetrachloride; chloroform; methylene chloride; perchloroethylene; trichloroethylene), 5 petroleum solvents (benzene; special petroleum product; gasoline; white spirits and other light aromatic mixtures; diesel, fuels and kerosene) and 5 oxygenated solvents (alcohols; ketones and esters; ethylene glycol; diethyl ether; tetrahydrofuran). OR and 95% CIs, adjusted for smoking, alcohol drinking, age and geographical area, were estimated with logistic models. Results Elevated ORs were observed among women ever exposed to perchloroethylene (OR=2.97, 95% CI 1.05 to 8.45) and trichloroethylene (OR=2.15, 95% CI 1.21 to 3.81). These ORs increased with exposure duration (OR=3.75, 95% CI 0.64 to 21.9 and OR=4.44, 95% CI 1.56 to 12.6 for 10 years or more, respectively). No significantly increased risk of HNSCC was found for occupational exposure to the other chlorinated, petroleum or oxygenated solvents. Conclusions These findings suggest that exposure to perchloroethylene or trichloroethylene may increase the risk of HNSCC in women. In our study, there is no clear evidence that the other studied solvents are risk factors for HNSCC

The Building Blocks of Interoperability. A Multisite Analysis of Patient Demographic Attributes Available for Matching.

BackgroundPatient matching is a key barrier to achieving interoperability. Patient demographic elements must be consistently collected over time and region to be valuable elements for patient matching.ObjectivesWe sought to determine what patient demographic attributes are collected at multiple institutions in the United States and see how their availability changes over time and across clinical sites.MethodsWe compiled a list of 36 demographic elements that stakeholders previously identified as essential patient demographic attributes that should be collected for the purpose of linking patient records. We studied a convenience sample of 9 health care systems from geographically distinct sites around the country. We identified changes in the availability of individual patient demographic attributes over time and across clinical sites.ResultsSeveral attributes were consistently available over the study period (2005-2014) including last name (99.96%), first name (99.95%), date of birth (98.82%), gender/sex (99.73%), postal code (94.71%), and full street address (94.65%). Other attributes changed significantly from 2005-2014: Social security number (SSN) availability declined from 83.3% to 50.44% (p<0.0001). Email address availability increased from 8.94% up to 54% availability (p<0.0001). Work phone number increased from 20.61% to 52.33% (p<0.0001).ConclusionsOverall, first name, last name, date of birth, gender/sex and address were widely collected across institutional sites and over time. Availability of emerging attributes such as email and phone numbers are increasing while SSN use is declining. Understanding the relative availability of patient attributes can inform strategies for optimal matching in healthcare

Nanocarriers for neuromuscular diseases

Overview of the results obtained so far in the frame of a research on suitable nanocarriers for treating myotonic dystroph