Patient Education Using the Cognitive Apprenticeship Model: A Study for Rehabilitation Specialists

Quality patient education has long been a concern for both patients and health care providers. While many clinicians support the importance of patient education, it is not known which theoretical education model supports best practice. The purpose of this study is to determine the effectiveness of the Cognitive Apprenticeship Model (CA) when compared to traditional patient education. There were 34 individuals receiving therapy who volunteered to be in a treatment group that received patient education using the CA model. There were 24 individuals who were assigned to a control group who received traditional patient education. While not all of the outcomes measured in this study showed significance as anticipated, several key outcomes showed statistical significances between the treatment group and the control group. Thus, supporting the hypotheses that the use of CA in patient education would improve patient outcomes, specifically in 1) Patient Specific function analysis outcomes questionnaire. 2) Pre-test vs post-test scores on patient’s knowledge about their condition and how to manage it. 3) Patient continued use of a home exercise program post discharge. This is important in that the use of CA as a theoretical educational model for patient education resulted in better patient compliance with home exercises four weeks after discharge from skilled therapy. Greater differences in pre-test vs post-test knowledge scores, indicating patient empowerment and greater understanding of the importance of their continued follow-up to care for themselves. This supports the concept that the teaching methods used in how patients are taught is relevant and equally important to what they are taught. As healthcare providers learn to become better teachers of their patients, engaging in the use of theoretically grounded teaching methods, patient outcomes are likely to improve. This results in best practice methods for the delivery of healthcare and improvements in patient outcomes

The effects of alloying additions in polycrystalline Co-Ni Superalloys

New Co-Ni superalloys are being considered as a potential replacement for current Ni superalloys used in gas turbine applications. Utilizing the stable L12 phase Co3(Al,W) discovered in 20061 M.Knop et al. developed the new γ/γ’ polycrystalline superalloy V208C, which exhibited favourable strength and oxidation performance when compared to existing Ni and Co superalloys2. Further work has now been done to evolve the alloy chemistry of V208C in order to make a step towards the next iteration of a potential candidate alloy. Using the nominal composition of V208C, 36Co-35Ni-15Cr-10Al-3W-1Ta-0.15C-0.2B-0.04Zr (at%), further additions of 1Cr, 1Al, 1Mo, 2Mo, 0.5Nb and a swap of the C/B content were investigated using a laboratory-scale cast and wrought process to produce a series of ingots for characterization. Differential scanning calorimetry (DSC) was used to determine the γ’ solvus temperatures of each alloy, with the 1Al addition providing the most significant increase from 1000°C to 1020°C. The oxidation performance of each alloy at 800°C for 100 hours was examined via a combination of thermogravimetric analysis (TGA) and focused ion beam (FIB) cross-sectioning of the oxide layers. The 1Al addition, again, exhibited the best oxidation performance, with the 1Mo addition also performing well. High-temperature tensile testing determined the yield strength of each specimen at room temperature and at 50°C intervals from 650-900°C. The alloys all displayed the flow stress anomaly; with 2Mo possessing the highest yield stress at room temperature and 1Al at the high-temperature peak. The γ’ fraction, size and distribution were observed using electron microscopy, indicating that the addition of 1Al caused the most significant rise in γ’ fraction from 50% to 53%. Special consideration was given to the C/B content swap in order to understand how it may effect the mechanisms of grain boundary precipitate formation, as well as the subsequent impact on strength performance. References: J. Sato, T. Omori, K. Oikawa, I Ohnuma, R. Kainuma and K. Ishida. Cobalt-base high-temperature alloys. Science, p90-91, 2007 M. Knop, P. Mulvey, F. Ismail, A. Radecka, K.M. Rahman, T.C. Lindley, B.A. Shollock, M.C. Hardy, M.P. Moody, T.L. Martin, P.A.J. Bagot and D. Dye. New Polycrystalline Co-Ni Superalloy. JOM, 201

Using Interactive Digital Wall (iWall) Technology to Promote Active Learning

Using Interactive Digital Wall (iWall) Technology to Promote Active Learning Garrat Cheryl Thompson (UNMC), Suhasini Kotcherlakota (UNMC), Patrick Rejda (UNMC), Paul Dye (UNMC) UNMC\u27s iWall technology bridges College of Nursing campuses across the state. The multi-taction iWall consists of from 9-12 high resolution video panels. These panels provide interactive monitor space on which to project class content and simultaneously allow instructor and student interaction with content. The iWalls across the state are connected, allowing interactions between students in different locations. Students at home or sites without iWall are able to view and participate in class activities via webinar technology. This presentation will discuss the use of iWall within the UNMC iEXCEL Visualization Hub to teach information mapping. Time will be allotted for questions and to discuss attendee proposals for use of such technology

Using Interactive Digital Wall (iWall) Technology to Promote Active Learning

Using Interactive Digital Wall (iWall) Technology to Promote Active Learning Garrat Cheryl Thompson (UNMC), Suhasini Kotcherlakota (UNMC), Patrick Rejda (UNMC), Paul Dye (UNMC) UNMC\u27s iWall technology bridges College of Nursing campuses across the state. The multi-taction iWall consists of from 9-12 high resolution video panels. These panels provide interactive monitor space on which to project class content and simultaneously allow instructor and student interaction with content. The iWalls across the state are connected, allowing interactions between students in different locations. Students at home or sites without iWall are able to view and participate in class activities via webinar technology. This presentation will discuss the use of iWall within the UNMC iEXCEL Visualization Hub to teach information mapping. Time will be allotted for questions and to discuss attendee proposals for use of such technology

Pannexin 1 inhibition delays maturation and improves development of Bos taurus oocytes

© 2020 The Author(s). Background: Intercellular exchange between the oocyte and its surrounding cells within the follicular environment is critical for oocyte maturation and subsequent development. In vertebrates this exchange is facilitated through gap junctions formed by connexin membrane proteins. Another family of membrane proteins called pannexins are able to form single membrane channels that allow cellular exchanges with the extracellular environment. The most ubiquitously expressed and studied member, pannexin 1 (PANX1), has yet to be described thoroughly in female reproductive tissues or functionally studied during oocyte maturation. Here, we look into the expression of pannexin 1 in bovine cumulus-oocyte complexes (COCs), as well as, its potential role in oocyte maturation and development. Results: We show that pannexin 1 is expressed in bovine COCs and that the expression of PANX1 was significantly lower in COCs isolated from large antral follicles (\u3e 5 mm) compared to those isolated from small antral follicles (\u3c 2 mm). Supporting this we also found lower expression of PANX1 in oocytes with higher developmental potential when compared to oocytes with lower developmental potential. We further found that PANX1 channel inhibition during in vitro maturation resulted in temporarily delayed meiotic maturation and improved in vitro developmental outcomes while decreasing intercellular reactive oxygen species. Conclusions: These data suggests PANX1 is differentially expressed at a critical stage of follicular development when oocytes are acquiring developmental competence, and may play a role in the timing of oocyte maturation

Development of reverse-transcription PCR techniques to analyse the density and sex ratio of gametocytes in genetically diverse Plasmodium chabaudi infections

We have developed cross-genotype and genotype-specific quantitative reverse-transcription PCR (qRT-PCR) assays to detect and quantify the number of parasites, transmission stages (gametocytes) and male gametocytes in blood stage Plasmodium chabaudi infections. Our cross-genotype assays are reliable, repeatable and generate counts that correlate strongly (R(2)s > 90%) with counts expected from blood smears. Our genotype-specific assays can distinguish and quantify different stages of genetically distinct parasite clones (genotypes) in mixed infections and are as sensitive as our cross-genotype assays. Using these assays we show that gametocyte density and gametocyte sex ratios vary during infections for two genetically distinct parasite lines (genotypes) and present the first data to reveal how sex ratio is affected when each genotype experiences competition in mixed-genotype infections. Successful infection of mosquito vectors depends on both gametocyte density and their sex ratio and we discuss the implications of competition in genetically diverse infections for transmission success

Risk Indicators for Periodontitis in US Adults: NHANES 2009 to 2012

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142205/1/jper1174.pd

The dust budget crisis in high-redshift submillimetre galaxies

We apply a chemical evolution model to investigate the sources and evolution of dust in a sample of 26 high-redshift (z > 1) submillimetre galaxies (SMGs) from the literature, with complete photometry from ultraviolet to the submillimetre. We show that dust produced only by low–intermediate-mass stars falls a factor 240 short of the observed dust masses of SMGs, the well-known ‘dust-budget crisis’. Adding an extra source of dust from supernovae can account for the dust mass in 19 per cent of the SMG sample. Even after accounting for dust produced by supernovae the remaining deficit in the dust mass budget provides support for higher supernova yields, substantial grain growth in the interstellar medium or a top-heavy IMF. Including efficient destruction of dust by supernova shocks increases the tension between our model and observed SMG dust masses. The models which best reproduce the physical properties of SMGs have a rapid build-up of dust from both stellar and interstellar sources and minimal dust destruction. Alternatively, invoking a top-heavy IMF or significant changes in the dust grain properties can solve the dust budget crisis only if dust is produced by both low-mass stars and supernovae and is not efficiently destroyed by supernova shocks

Gametocytes: insights gained during a decade of molecular monitoring

In vertebrate hosts, malaria parasites produce specialized male and female sexual stages (gametocytes). Soon after being taken up by a mosquito, gametocytes rapidly produce gametes and, once mated, they infect their vector and can be transmitted to new hosts. Despite being the parasite stages that were first identified (over a century ago), gametocytes have remained elusive, and basic questions remain concerning their biology. However, the postgenomic era has substantiated information on the specialized molecular machinery of gametocytogenesis and expedited the development of molecular tools to detect and quantify gametocytes. The application of such highly sensitive and specific tools has opened up novel approaches and provided new insights into gametocyte biology. Here, we review the discoveries made during the past decade, highlight unanswered questions and suggest new directions

Book Reviews

Book Reviews: Overthrow: America's Century of Regime Change From Hawaii to Iraq by Stephen Kinzer ; Longitude and Empire: How Captain Cook's Voyages Changed the World by Brian W. Richardson ; Pacific Encounters: Art & Diversity in Polynesia 1760-1860 by Steven Hooper ; All Men Are Brothers: The Life & Times of Francis Williams Damon by Paul Berry ; Broken Trust: Greed, Mismanagement, & Political Manipulation at America's Largest Charitable Trust by Samuel P. King and Randall W. Roth ; Crowning the Nice Girl: Gender, Ethnicity, and Culture in Hawai'i's Cherry Blossom Festival by Christine R. Yano ; Combat Chaplain: The Personal Story of the World War II Chaplain of the Japanese American 100th Battalion by Israel A. S. Yost ; Hawaiian Volcanoes by Clarence Edward Dutton ; Reworking Race: The Making of Hawaii's Interracial Labor Movement by Moon-Kie Jung ; Islands in a Far Sea: The Fate of Nature in Hawai'i by John L. Culliney