Text Messaging in the Patient-Centered Medical Home to Improve Glucose Control and Retinopathy Screening.

Purpose: To evaluate the effectiveness of a text messaging program (TMP) to improve glucose control, retinopathy screening (RS) rates, and self-care behaviors in patients with uncontrolled type 2 diabetes. Methods: A single-group design with a quasi-systematic random sample (n=20) received educational/exhortational text messages on their cellular phones for 3 months. Subjects, 12 of whom identified as a minority ethnicity, were mostly male, aged 27-73 years. Results: Glucose control and RS rates improved significantly. Subjects (\u3e70%) reported changes in self-care behaviors. Conclusion: Leveraging ubiquitous technology, a TMP for patients with limited access to healthcare education, holds promis

Confirming a Taxonomy of Decision Constructs in Business-to-Consumer Commercial Transactions

One might assume information systems (IS) are developed so systems enhance the user experience and facilitate a satisfying, productive interaction. From prior research, the authors established this assumption was not safe and certain design features amongst some online retailers were atypical of ‘good’ design elsewhere. It was apparent the transactional process was being used to present consumers with optional extras (and other decisions) that not only slowed the process down, but also stressed and agitated users. The research identified some new and unusual decision constructs such as the ‘must-opt’. The objective of the research presented herein is two-fold: to make an incremental contribution in first theorizing and then identifying and categorizing into a taxonomy some new decision constructs alongside established ones encountered throughout on-line Business-to-Consumer (B2C) transactional processes followed by a preliminary study confirming their existence

Properties of the Fractured Glacial Till at the Madison County, Ohio, Field Workshop Pit Site

Author Institution: USDA/ARS, Soil Drainage Research Unit ; School of Natural Resources, The Ohio State University ; Department of Food, Agricultural and Biological Engineering, The Ohio State UniversityWater and contaminants obviously do move through the so-called impermeable glacial tills in Ohio. This study was conducted to illustrate the extensive presence of fractures in the till and to quantify the differences in hydraulic conductivity and physical and chemical properties between the fractureaffected zones and the till matrix. In situ measurements of the saturated hydraulic conductivity were made in small boreholes positioned either in the matrix or intersecting the fractures. Soil samples from both the fracture faces and the matrix were analyzed for particle size distribution, clay mineralogy, calcite, dolomite, and iron content. Hydraulic conductivity measured in boreholes intersecting fractures was 1.25 x 105 cm/sec (0.018 in/hr), one order of magnitude greater than in boreholes in the matrix. Particle size distribution was the same for the fracture faces and the matrix. The fracture faces showed no significant change in total clay content and a slight increase in expandable clay. Calcite content was 62% greater, dolomite content was 6% lower, and iron content was 73% lower on the fracture faces as compared to the matrix. The fractures affected approximately 7% of the soil volume

Two-photon-absorption-based OSNR monitor for NRZ-PSK transmission systems

A two-photon absorption microcavity-based technique for monitoring in-band optical signal-to-noise ratio (OSNR) in nonreturn-to-zero phase-shift-keying systems is presented. Experiments using a 10-Gb/s differential phase-shift-keying system showed that accurate measurements ( 1 dB) were possible for OSNRs in excess of 20 dB

Institutional tensions, corporate social responsibility and district-level governance of tobacco industry interference:Analysing challenges in local implementation of Article 5.3 measures in Karnataka, India

INTRODUCTION: Accelerating progress on tobacco control will require Article 5.3 of the WHO Framework Convention on Tobacco Control to be systematically integrated into policies and practices of sectors beyond health at diverse government levels. However, no study has explored implementation challenges of Article 5.3 within multilevel systems such as India, where political decisions on tobacco control occur at diverse government levels, which may constrain action at local level. METHODS: Based on 33 semi-structured interviews with diverse government and civil society stakeholders across four districts in Karnataka, India (Mysore, Mangalore, Bengaluru (rural) and Udupi), this study examines challenges to implement Article 5.3 arising from competing agendas and policies of different actors at multiple levels. RESULTS: Our analysis reveals generally low levels of awareness of Article 5.3 and its guideline recommendations, even among those directly involved in tobacco control at district level. Efforts to implement Article 5.3 were also challenged by competing views on the appropriate terms of engagement with industry actors. Scope to reconcile tensions across competing health, agriculture and commercial agendas was further constrained by the policies and practices of the national Tobacco Board, thereby undermining local implementation of Article 5.3. The most challenging aspect of Article 5.3 implementation was the difficulties in restricting engagement by government officials and departments with tobacco industry corporate social responsibility initiatives given national requirements for such activities among major corporations. CONCLUSIONS: Promoting effective implementation of Article 5.3 in Karnataka will require policymakers to work across policy silos and reconcile tensions across India’s national health and economic priorities

An Assessment of Exposure Models for Bioengineered Microorganisms

Environmental risk assessment performed for chemicals involves exposure assessment, effects assessment, and risk integration. The nature of living microorganisms (growth, replication. and survival), as compared to chemicals, requires that their biological attributes be integrated into risk assessment. Biological attributes have generally been dealt with in effects assessment and not exposure assessment models. Thus, exposure assessment models that characterize source, transport, transformation, and fate (effective environmental concentration, area, and duration of exposure) of genetically engineered microorganisms must incorporate biological factors along with physicochemical factors. A study to assess the state of the art of exposure models for organisms and microorganisms in air, soil, and water was undertaken. Mathematical models developed during the past 15 years were organized into three categories: organism population dynamics, source features and transport, and management and control. One hundred forty-eight models were examined, and 56 were judged to have potential as exposure models. These 56 were screened to 31 models that were then evaluated against eight components that the ideal biotechnology model should have: (a) five state/process components (organism population, source application, exposure site, movement, and imposed management) and (b) three software components (user friendliness, availability/implementability, and flexibility). Each model was rated by individual components, combinations of two components, and total state/process components. An ideal exposure assessment model with high scores in all components was not found. Combining two or more models so that the strong components of one compensate for the weak components of another was concluded to be the best approach for obtaining a predictive model for microorganisms. Potential couplings were ascertained from among the 31 models. Most of these couplings would combine an organism population dynamics model with a model from the U. S. Environmental Protection Agency\u27s Graphical Exposure Modeling System (source and transport oriented models)

Extraordinary optical transmission with coaxial apertures

Recently it has been predicted that “cylindrical” surface plasmons (CSP’s) on cylindrical interfaces of coaxial ring apertures produce a different form of extraordinary optical transmission that extends to ever increasing wavelengths as the dielectric ring narrows. This letter presents experimental confirmation of this CSP assisted extraordinary transmission. Nanoarrays of submicron coaxial apertures are fabricated in a thin silverfilm on a glass substrate and far-field transmission spectra are measured. The experimental spectrum is in close agreement with predictions from finite-difference time-domain simulations and CSP dispersion theory. The role of cylindrical surface plasmons in producing extraordinary transmission is thus confirmed.This work was partially supported by the Office of Naval Research. Computations were carried out under the Department of Defense High Performance Computation Modernization Project. The support of the Australian Research Council through its Centers of Excellence, Federation Fellow and Discovery programs is gratefully acknowledged

A macroinvertebrate assessment of Ozark streams located in lead–zinc mining areas of the Viburnum Trend in southeastern Missouri, USA

The Viburnum Trend lead–zinc mining subdistrict is located in the southeast Missouri portion of the Ozark Plateau. In 2003 and 2004, we assessed the ecological effects of mining in several watersheds in the region. We included macroinvertebrate surveys, habitat assessments, and analysis of metals in sediment, pore water, and aquatic biota. Macroinvertebrates were sampled at 21 sites to determine aquatic life impairment status (full, partial, or nonsupport) and relative biotic condition scores. Macroinvertebrate biotic condition scores were significantly correlated with cadmium, nickel, lead, zinc, and specific conductance in 2003 (r = −0.61 to −0.68) and with cadmium, lead, and pore water toxic units in 2004 (r = −0.55 to −0.57). Reference sites were fully supporting of aquatic life and had the lowest metals concentrations and among the highest biotic condition scores in both years. Sites directly downstream from mining and related activities were partially supporting, with biotic condition scores 10% to 58% lower than reference sites. Sites located greater distances downstream from mining activities had intermediate scores and concentrations of metals. Results indicate that elevated concentrations of metals originating from mining activities were the underlying cause of aquatic life impairment in several of the streams studied. There was a general concurrence among the adversely affected sites in how the various indicators responded to the mining activities during the overall study