What patients see online: assessing the online identities of Pennsylvania dermatologists

Introduction: Patients use the internet to search for health-related information. We sought to characterize the information that patients find when searching for dermatologists on Google. Methods: The Centers for Medicare and Medicaid Services (CMS) Physician Comparable Downloadable File was utilized to identify all Medicare-participating dermatologists practicing in Pennsylvania (PA). A custom Google-based search engine was used to search each dermatologist. Up to the top 10 results for each physician were then sorted into: (1) physician, hospital, or healthcare system, (2) third-party, (3) social media, (4) academic journal articles, or (5) other. Results: Within the CMS, 519 health care providers (53.9% male, 46.1% female) self-identified as dermatologists practicing in PA. At least one search result was obtained for each physician (4,963 total search results). About 30.6% (1,519) search results were hospital, health system, or physician-controlled websites, and 26.6% (1,318) were third-party websites (1,318; 26.6%). Social media websites accounted for 601 (12.1%) hits whereas peer-reviewed academic journal websites generated 135 (2.7%) results. One-way chi-square analysis showed domains were not randomly distributed across the five categories (P<0.0001). Conclusion: Dermatologists should be better aware of their digital presence and the strategies to better control their online identity

Proceedings of the first workshop on Peripheral Machine Interfaces: going beyond traditional surface electromyography

One of the hottest topics in rehabilitation robotics is that of proper control of prosthetic devices. Despite decades of research, the state of the art is dramatically behind the expectations. To shed light on this issue, in June, 2013 the first international workshop on Present and future of non-invasive PNS-Machine Interfaces was convened, hosted by the International Conference on Rehabilitation Robotics. The keyword PNS-Machine Interface (PMI) has been selected to denote human-machine interfaces targeted at the limb-deficient, mainly upper-limb amputees, dealing with signals gathered from the peripheral nervous system (PNS) in a non-invasive way, that is, from the surface of the residuum. The workshop was intended to provide an overview of the state of the art and future perspectives of such interfaces; this paper represents is a collection of opinions expressed by each and every researcher/group involved in it

社会的流動性と公平性: 米国と長崎での教育の目的

This brief study examines the purpose of schooling in the United States and offers a comparison with the observed purpose of schooling in Nagasaki, Japan. The author reflects on her experience as an Assistant Language Teacher and draws upon both her experiences in and research of the public schooling system to draw conclusions about the fundamental purposes of each respective education system. Through this process, the author outlines the importance of “21st century skills” as they relate to equity in education and socialmobility.本稿では、米国での教育の目的を検討し、筆者が日本の長崎市で教員として経験した教育の目的との比較 を行う。さらに、 「2 1世紀のスキル」が教育とソーシャルモビリティの公平性に関連していることの重要性 について概説する

Addressing inequities and meeting needs of Indigenous communities in floodplain management

Anthropogenic impacts have altered and degraded global ecosystems. Integrated resource management offers an important solution to enhance collaboration, holistic thinking, and equity by considering diverse perspectives in decision making. In Washington State, Floodplains by Design (FbD) is a floodplain management and habitat restoration program that emphasizes bringing together diverse stakeholders and supporting conversations between local, state, and Tribal governments while enhancing environmental justice in the region. Marginalized communities continue to be disproportionately impacted by environmental disturbances. Our project interviewed Tribal natural resource managers to assess the degree to which they felt FbD was supporting their community’s needs. Our research asked three questions: (1) What Tribal needs and inequities associated with floodplains are identified by Tribal natural resource managers? (2) Are these needs and inequities being addressed by FbD? and (3) How can FbD better address these needs and inequities moving forward? We found that while the integrated approach of FbD was driving solutions in some realms, there are ways in which the program could better support needs and address inequities in Tribal communities. Specifically, we found that conventional responses to environmental challenges are rooted in modernist paradigms that have created persistent dualities, including that of human-nature and human-nonhuman. Such a paradigm is in conflict with wellbeing and self-determination of Tribal cultures that are deeply connected to Pacific salmon. In closing, we provide insights on these mechanisms and offer solutions moving forward

Determinación de hierro mediante espectrofotometría de absorción atómica en aguas del río Amojú, 2023

Los compuestos férricos disueltos en las aguas son un problema de contaminación ambiental. El objetivo fue medir la presencia de hierro en el río Amojú-Jaén. Se tomaron muestras en tres lugares: El puente La Corona, el puente Comisaría y el sector La Granja. También se analizó la acidez y conductividad eléctrica del agua. En la metodología se utilizó un multi-parámetro para medir pH y conductividad y concentración de hierro un espectro-fotómetro de absorción atómica calibrado a 248.3 nm. Los resultados arrojaron, en el Puente La Corona, el pH fue de 7.225 a 7.463 y la conductividad de 380 a 265 μS/cm; en La Comisaría, el pH varió entre 7.695 y 7.716, y la conductividad de 172 a 173.1 μS/cm; en La Granja, el pH fue 7.848 y la conductividad de 169.2 a 264 μS/cm. Los promedios para el río Amojú fue pH: 7.63 y conductividad: 237.21 μS/cm. La concentración de hierro varió entre 0.3282 y 0.3340 ppm. El coeficiente de correlación fue 83.8584 % con un valor-P de 0.0184, indicando significancia. La concentración promedio de hierro fue 0.39 ppm. Las aguas del río Amojú se clasifican como Categoría 1: Poblacional y Recreacional, y Subcategoría A1. Pueden desinfectarse para consumo humano

Atención de reclamos realizados a través del libro de reclamaciones, en el Distrito de Iquitos, periodo 2016-2017

El incremento de los reclamos frente a productos o servicios adquiridos en establecimientos comerciales abiertos al público, refleja el problema de la insatisfacción de los consumidores, considerada ésta como aquél incumplimiento del proveedor sobre los derechos del consumidor, reflejados por ejemplo en la omisión de información, incumplimiento de contrato, cláusulas abusivas, falta de idoneidad del producto o servicio, consumos fraudulentos o trato discriminatorio en la relación de consumo de cualquier actividad o sector económico. Con el afán de mejorar tal situación, nació el Libro de Reclamaciones, como una herramienta que permite la interposición de quejas oreclamos frente a los productos o servicios ofrecidos por los proveedores, se hayan o no adquirido los mismos, y cuyo propósito jurídico-normativo, es dar una solución inmediata a corto plazo, a los problemas que surjan dentro de una relación de consumo. Así es, que aportando a la investigación en el campo jurídico-social, se pone a consideración la tesis titulada: “Atención de reclamos realizados a través del Libro de Reclamaciones, en el distrito de Iquitos, periodo 2016-2017”, una tesis mixta (cualitativa y cuantitativa), a través de la cual se pretende, a través de un resultado numérico porcentual, determinar si los proveedores en tiempo y lugar investigado, cumplieron con atender los reclamos que se interpusieron, conforme a las normas que regulan este mecanismo de protección al consumidor, verificando para tal efecto, si los proveedores atienden y responden los reclamos, si tal atención se realizó dentro del plazo estipulado por el Código de Protección y Defensa del Consumidor, y si estos son notificados válidamente a los consumidores reclamantes.The increase in claims against products or services acquired in commercial establishments open to the public, reflects the problem of consumer dissatisfaction, considered this as a breach by the supplier of consumer rights reflected, for example, in the omission of information, non-compliance of contract, abusive clauses, lack of suitability of the product or service, fraudulent consumption or discriminatory treatment in the consumption relationship of any activity or economic sector. With the aim of improving such situation, the Book of Claims was born, as a tool that allows the filing of complaints or claims against the products or services offered by suppliers, whether or not they have been acquired, and whose legal-normative purpose, is to provide an immediate or short-term solution to the problems that arise within a consumer relationship. Thus, contributing toresearch in the legal-social field, the thesis entitled: "Attention to complaints made through the Book of Complaints, in the district of Iquitos, 2016-2017 period", a mixed thesis is put to consideration (qualitative and quantitative), through which it is intended, through a percentage numerical result, to determine whether the suppliers in time and place investigated complied with the claims that were filed, in accordance with the rules that regulate this mechanism. consumer protection, verifying for that purpose, if the providers attend and respond to the claims, if such attention was made within the period stipulated by the Consumer Protection and Defense Code, and if these are validly notified to the claiming consumers.Tesi

Serum Galactose-Deficient IgA1 Level Is Not Associated with Proteinuria in Children with IgA Nephropathy

Introduction. Percentage of galactose-deficient IgA1 (Gd-IgA1) relative to total IgA in serum was recently reported to correlate with proteinuria at time of sampling and during follow-up for pediatric and adult patients with IgA nephropathy. We sought to determine whether this association exists in another cohort of pediatric patients with IgA nephropathy. Methods. Subjects were younger than 18 years at entry. Blood samples were collected on one or more occasions for determination of serum total IgA and Gd-IgA1. Gd-IgA1 was expressed as serum level and percent of total IgA. Urinary protein/creatinine ratio was calculated for random specimens. Spearman's correlation coefficients assessed the relationship between study variables. Results. The cohort had 29 Caucasians and 11 African-Americans with a male : female ratio of 1.9 : 1. Mean age at diagnosis was 11.7 ± 3.7 years. No statistically significant correlation was identified between serum total IgA, Gd-IgA1, or percent Gd-IgA1 versus urinary protein/creatinine ratio determined contemporaneously with biopsy or between average serum Gd-IgA1 or average percent Gd-IgA1 and time-average urinary protein/creatinine ratio. Conclusion. The magnitude of proteinuria in this cohort of pediatric patients with IgA nephropathy was influenced by factors other than Gd-IgA1 level, consistent with the proposed multi-hit pathogenetic pathways for this renal disease