196 research outputs found

    The Role of Noncredit Continuing Education as a Workforce Revitalization Partner

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    The purpose of this qualitative study was to examine the partnership role of noncredit continuing education in revitalizing the workforce during the economic crisis that started in 2008 in selected communities in East Tennessee. This research synthesized meaningful information regarding how the leaders of business and industry perceived the role of noncredit service providers as economic development partners. This qualitative study was conducted using interviews of chamber of commerce officials in 9 of the 10 counties served by Walters State Community College. The participants indicated that they were interested in partnering with the noncredit department to accomplish the goal of helping displaced workers be retrained and employable. In order to meet this goal, the respondents stated that communication is essential. The perceptions of the participants could serve as a catalyst for the community college to implement the specific changes identified by the respondents to the interview questions. The synthesis of data collected from a microcosm of communities in East Tennessee and their relationship with Walters State Community College suggested that there was a perceived role of noncredit continuing education as a workforce revitalization partner. The data suggested 2 barriers negating the effectiveness of this partnership: communication and awareness. This may or may not be universally applicable to other colleges in other communities. Further research could synthesize meaningful information regarding noncredit programs in other communities and identify additional barriers between colleges and business and industry

    Matching Grants and Public Goods: A Closed-Ended Contingent Valuation Experiment

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    Matching grants are commonly used to influence the bundle of public goods provided by governments. We design a contingent valuation experiment to determine the value individuals place on improved recreational facilities under a matching grant proposal. The experiment provides an opportunity to examine preferences given the public good exists in an active and well-defined market, and the valuation experiment is perceived as meaningful to public policy. We estimate a mean willingness-to-pay for park improvements of 8.30,farlessthantheimpliedtaxincreaseof8.30, far less than the implied tax increase of 21 provided by local politicians opposed to the project, but nearly doubled the actual tax increase for the average property owner

    Mechanical Thrombectomy for Acute Stroke: Early versus Late Time Window Outcomes

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    BACKGROUND AND PURPOSERecent trials have shown benefit of thrombectomy in patients selected by penumbral imaging in the late (>6 hours) window. However, the role penumbral imaging is not clear in the early (0‐6 hours) window. We sought to evaluate if time to treatment modifies the effect of endovascular reperfusion in stroke patients with evidence of salvageable tissue on CT perfusion (CTP).METHODSWe retrospectively analyzed consecutive patients who underwent thrombectomy in a single center. Demographics, comorbidities, National Institute of Health Stroke Scale (NIHSS), rtPA administration, ASPECTS, core infarct volume, onset to skin puncture time, recanalization (mTICI IIb/III), final infarct volume were compared between patients with good and poor 90‐day outcomes (mRS 0‐2 vs. 3‐6). Multivariable logistic regression analyses were used to identify independent predictors of a good (mRS 0‐2) 90‐day outcome.RESULTSA total of 235 patients were studied, out of which 52.3% were female. Univariate analysis showed that the groups (early vs. late) were balanced for age (P = .23), NIHSS (P = .63), vessel occlusion location (P = .78), initial core infarct volume (P = .15), and recanalization (mTICI IIb/III) rates (P = .22). Favorable outcome (mRS 0‐2) at 90 days (P = .30) were similar. There was a significant difference in final infarct volume (P = .04). Shift analysis did not reveal any significant difference in 90‐day outcome (P = .14). After adjustment; age (P < .001), NIHSS (P = .01), recanalization (P = .008), and final infarct volume (P < .001) were predictive of favorable outcome.CONCLUSIONSPenumbral imaging‐based selection of patients for thrombectomy is effective regardless of onset time and yields similar functional outcomes in early and late window patients.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/155458/1/jon12698_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155458/2/jon12698.pd

    Assessing potential of biochar for increasing water-holding capacity of sandy soils

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    Increasing the water-holding capacity of sandy soils will help improve efficiency of water use in agricultural production, and may be critical for providing enough energy and food for an increasing global population. We hypothesized that addition of biochar will increase the water-holding capacity of a sandy loam soil, and that the depth of biochar incorporation will influence the rate of biochar surface oxidation in the amended soils. Hardwood fast pyrolysis biochar was mixed with soil (0%, 3%, and 6% w/w) and placed into columns in either the bottom 11.4 cm or the top 11.4 cm to simulate deep banding in rows (DBR) and uniform topsoil mixing (UTM) applications, respectively. Four sets of 18 columns were incubated at 30 °C and 80% RH. Every 7 days, 150 mL of 0.001 M calcium chloride solution was added to the columns to produce leaching. Sets of columns were harvested after 1, 15, 29, and 91 days. Addition of biochar increased the gravity-drained water content 23% relative to the control. Bulk density of the control soils increased with incubation time (from 1.41 to 1.45 g cm−3), whereas bulk density of biochar-treated soils was up to 9% less than the control and remained constant throughout the incubation period. Biochar did not affect the CEC of the soil. The results suggest that biochar added to sandy loam soil increases water-holding capacity and might increase water available for crop use

    Human mesenchymal stem cells exert potent antitumorigenic effects in a model of Kaposi's sarcoma

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    Emerging evidence suggests that both human stem cells and mature stromal cells can play an important role in the development and growth of human malignancies. In contrast to these tumor-promoting properties, we observed that in an in vivo model of Kaposi's sarcoma (KS), intravenously (i.v.) injected human mesenchymal stem cells (MSCs) home to sites of tumorigenesis and potently inhibit tumor growth. We further show that human MSCs can inhibit the in vitro activation of the Akt protein kinase within some but not all tumor and primary cell lines. The inhibition of Akt activity requires the MSCs to make direct cell–cell contact and can be inhibited by a neutralizing antibody against E-cadherin. We further demonstrate that in vivo, Akt activation within KS cells is potently down-regulated in areas adjacent to MSC infiltration. Finally, the in vivo tumor-suppressive effects of MSCs correlates with their ability to inhibit target cell Akt activity, and KS tumors engineered to express a constitutively activated Akt construct are no longer sensitive to i.v. MSC administration. These results suggest that in contrast to other stem cells or normal stromal cells, MSCs possess intrinsic antineoplastic properties and that this stem cell population might be of particular utility for treating those human malignancies characterized by dysregulated Akt

    Epigenetic Differences in Cortical Neurons from a Pair of Monozygotic Twins Discordant for Alzheimer's Disease

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    DNA methylation [1], [2] is capable of modulating coordinate expression of large numbers of genes across many different pathways, and may therefore warrant investigation for their potential role between genes and disease phenotype. In a rare set of monozygotic twins discordant for Alzheimer's disease (AD), significantly reduced levels of DNA methylation were observed in temporal neocortex neuronal nuclei of the AD twin. These findings are consistent with the hypothesis that epigenetic mechanisms may mediate at the molecular level the effects of life events on AD risk, and provide, for the first time, a potential explanation for AD discordance despite genetic similarities

    Prospective risk of stillbirth and neonatal complications in twin pregnancies: systematic review and meta-analysis.

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    OBJECTIVE: To determine the risks of stillbirth and neonatal complications by gestational age in uncomplicated monochorionic and dichorionic twin pregnancies. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Medline, Embase, and Cochrane databases (until December 2015). REVIEW METHODS: Databases were searched without language restrictions for studies of women with uncomplicated twin pregnancies that reported rates of stillbirth and neonatal outcomes at various gestational ages. Pregnancies with unclear chorionicity, monoamnionicity, and twin to twin transfusion syndrome were excluded. Meta-analyses of observational studies and cohorts nested within randomised studies were undertaken. Prospective risk of stillbirth was computed for each study at a given week of gestation and compared with the risk of neonatal death among deliveries in the same week. Gestational age specific differences in risk were estimated for stillbirths and neonatal deaths in monochorionic and dichorionic twin pregnancies after 34 weeks' gestation. RESULTS: 32 studies (29 685 dichorionic, 5486 monochorionic pregnancies) were included. In dichorionic twin pregnancies beyond 34 weeks (15 studies, 17 830 pregnancies), the prospective weekly risk of stillbirths from expectant management and the risk of neonatal death from delivery were balanced at 37 weeks' gestation (risk difference 1.2/1000, 95% confidence interval -1.3 to 3.6; I(2)=0%). Delay in delivery by a week (to 38 weeks) led to an additional 8.8 perinatal deaths per 1000 pregnancies (95% confidence interval 3.6 to 14.0/1000; I(2)=0%) compared with the previous week. In monochorionic pregnancies beyond 34 weeks (13 studies, 2149 pregnancies), there was a trend towards an increase in stillbirths compared with neonatal deaths after 36 weeks, with an additional 2.5 per 1000 perinatal deaths, which was not significant (-12.4 to 17.4/1000; I(2)=0%). The rates of neonatal morbidity showed a consistent reduction with increasing gestational age in monochorionic and dichorionic pregnancies, and admission to the neonatal intensive care unit was the commonest neonatal complication. The actual risk of stillbirth near term might be higher than reported estimates because of the policy of planned delivery in twin pregnancies. CONCLUSIONS: To minimise perinatal deaths, in uncomplicated dichorionic twin pregnancies delivery should be considered at 37 weeks' gestation; in monochorionic pregnancies delivery should be considered at 36 weeks. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42014007538
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