The Great Transition of Scholarly Communication at the Thomas G. Carpenter Library

Many factors are changing the ways academic libraries are disseminating scholarly communication. Libraries must meet new expectations of how scholarly information is communicated and delivered to students and faculty. Due to shrinking budgets, Florida universities\u27 libraries are tasked with providing information within a defined monetary amount. Open access journals, institutional repositories, and libguides are a way to offset the cost of expensive subscriptions. We would like to present how the Thomas G. Carpenter Library at the University of North Florida contributes to the UNF community by providing and presenting alternative electronic resources while remaining within a limited budget

Nature Nurtures: Architectural Greenery Systems to Support Healing in Canadian Hospitals

How can living plant systems be combined with healthcare facility architecture to increase beneficial interactions with nature, while still maintaining healthcare standards of safety, efficiency, and control? Nature can provide healing benefits to hospital occupants by lifting their spirits and by counteracting the difficulties of fighting illness. Architectural designers can help to create more positive hospital environments by utilizing vegetation as a building material and in building systems. Vertical and raised greenery systems such as living walls, green façades, and green roofs can deliver more accessible green spaces in dense, urban hospital sites. Greenery systems can also create synergistic relationships between plant life and functional healthcare programs. This thesis analyzes the benefits, costs, and challenges of greenery system typologies and their various construction types. Demonstrated are architectural designs for key patient and visitor spaces in a hypothetical patient tower on an existing Canadian hospital redevelopment site. Within this design, greenery systems support long-term care patients of specialty units like rehabilitation, palliative care, acute elderly care, and mental health. By providing knowledge about the application of architectural greenery systems, this thesis promotes a sustainable design of greenery systems and a plant-based philosophy to the way hospitals are envisioned, and health care is achieved

Time series analysis of demographic and temporal trends of tuberculosis in Singapore

Background: Singapore is an intermediate tuberculosis (TB) incidence country, with a recent rise in TB incidence from 2008, after a fall in incidence since 1998. This study identified population characteristics that were associated with the recent increase in TB cases, and built a predictive model of TB risk in Singapore. Methods: Retrospective time series analysis was used to study TB notification data collected from 1995 to 2011 from the Singapore Tuberculosis Elimination Program (STEP) registry. A predictive model was developed based on the data collected from 1995 to 2010 and validated using the data collected in 2011. Results: There was a significant difference in demographic characteristics between resident and non-resident TB cases. TB risk was higher in non-residents than in residents throughout the period. We found no significant association between demographic and macro-economic factors and annual incidence of TB with or without adjusting for the population-at-risk. Despite growing non-resident population, there was a significant decrease in the non-resident TB risk (p < 0.0001). However, there was no evidence of trend in the resident TB risk over this time period, though differences between different demographic groups were apparent with ethnic minorities experiencing higher incidence rates. Conclusion: The study found that despite an increasing size of non-resident population, TB risk among non-residents was decreasing at a rate of about 3% per year. There was an apparent seasonality in the TB reporting

Fundamental of Entrepreneurship ENT 300: Alca Bridal Group /Aurella anak Gima... [et al.]

Our company name is ALCA Bridal Group. The business of our company has been decided on the form of partnerships. Each partner has contributes certain amount of capital as agreed in our agreement. Our main business activity is Photographers, Bridal Gown, Make-up, Hair Do, Bouquet, Car Decor and Wedding Card. All partners are encourage and entitled to participate in all business management

Prospectus, April 11, 1972

ACCREDITATION!: PARKLAND RECEIVES NORTH-CENTRAL APPROVAL; Deadlines set for allied Health Applications; Miss Whipple Soon to be Teacher Aide; Agricultural Mechanics Contest at Parkland; Watchmaker Assoc. Establishes Loan Fund; Parkland Sponsors Multi-Media Course; Community band and choir open; The Editor\u27s View: Quality Education Is Here At Parkland College, Speaking Out On Stereotypes; Letters to the Editor: A Rip-off?; Spring Quarter PCSG Election Information: Hours and the requirements, openings and responsibilities; Meet Your Candidates: For Vice President, For Treasurer, For Senator-Convocations, For Senator-Organizations, Senator-Student Svs.; Parkland\u27s Preparedness Program: A step towards success in higher education; The Program: An Introduction; Disadvantaged-Marginal Student is Focus of Conference-Workshop at Parkland; President presents certificates of completion to successful Preparedness Students; What\u27s Going On; Counselor\u27s Corner: Evening Counseling, Vocational Information, Sangamon State Representative; Parkland Notices: Nurse Refresher, Population Course Offered; Health Ed. Week, Public Aids, Women Scholars, Summer Information, Telephone Service; \u27Hospital\u27 Pokes Fun At Society; Ear Wax; Orpheus Reborn: Death At Sea, des sourires enfantin..., yet even so they all (hear)...; National Wildlife Week A Success; A Short History Of Parkland; National Collegiate News; Athletic Department Praisedhttps://spark.parkland.edu/prospectus_1972/1008/thumbnail.jp

Impacts of high sensitivity troponin T reporting on care and outcomes in clinical practice:Interactions between low troponin concentrations and participant sex within two randomized clinical trials

Background: The impacts of high sensitivity cardiac troponin (hs-cTn) reporting on downstream interventions amongst suspected acute coronary syndrome (ACS) in the emergency department (ED), especially amongst those with newly identified hs-cTn elevations and in consideration of well-established sex-related disparities, has not been critically evaluated to date. This investigation explores the impact of hs-cTnT reporting on care and outcomes, particularly by participant sex. Methods: Two similarly ED-based randomized controlled trials conducted between July 2011 to March 2013 (n = 1988) and August 2015 to April 2019 (n = 3378) were comparatively evaluated. Clinical outcomes were adjudicated to the Fourth Universal Definition of MI. Changes in practice were assessed at 30 days, and death or MI were explored to 12 months. Results: The HS-Troponin study demonstrated no difference in death or MI with unmasking amongst those with hs-cTnT &lt;30 ng/L, whereas the RAPID TnT study demonstrated a significantly higher rate. In RAPID TnT, there was significant increase in death or MI associated with unmasking for females with hs-cTnT &lt;30 ng/L (masked: 11[1.5%], unmasked: 25[3.4%],HR: 2.27,95%C.I.:1.87–2.77,P &lt; 0.001). Less cardiac stress testing with unmasking amongst those &lt;30 ng/L was observed in males in both studies, which was significant in RAPID TnT (masked: 92[12.0%], unmasked: 55[7.0%], P = 0.008). In RAPID TnT, significantly higher rates of angiography in males were observed with unmasking, with no such changes amongst females &lt;30 ng/L (masked: 28[3.7%], unmasked: 51[6.5%],P = 0.01). Conclusion: Compared with males, there were no evident impacts on downstream practices for females with unmasking in RAPID TnT, likely representing missed opportunities to reduce late death or MI.</p

Isolated Cervical Dystonia: Diagnosis and Classification

This document presents a consensus on the diagnosis and classification of isolated cervical dystonia (iCD) with a review of proposed terminology. The International Parkinson and Movement Disorder Society Dystonia Study Group convened a panel of experts to review the main clinical and diagnostic issues related to iCD and to arrive at a consensus on diagnostic criteria and classification. These criteria are intended for use in clinical research, but also may be used to guide clinical practice. The benchmark is expert clinical observation and evaluation. The criteria aim to systematize the use of terminology as well as the diagnostic process, to make it reproducible across centers and applicable by expert and non-expert clinicians. Although motor abnormalities remain central, increasing recognition has been given to nonmotor manifestations, which are incorporated into the current criteria. Three iCD presentations are described in some detail: idiopathic (focal or segmental) iCD, genetic iCD, and acquired iCD. The relationship between iCD and isolated head tremor is also reviewed. Recognition of idiopathic iCD has two levels of certainty, definite or probable, supported by specific diagnostic criteria. Although a probable diagnosis is appropriate for clinical practice, a higher diagnostic level may be required for specific research studies. The consensus retains elements proven valuable in previous criteria and omits aspects that are no longer justified, thereby encapsulating diagnosis according to current knowledge. As understanding of iCD expands, these criteria will need continuous revision to accommodate new advances. © 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society

Impacts of high sensitivity troponin T reporting on care and outcomes in clinical practice:Interactions between low troponin concentrations and participant sex within two randomized clinical trials

Background: The impacts of high sensitivity cardiac troponin (hs-cTn) reporting on downstream interventions amongst suspected acute coronary syndrome (ACS) in the emergency department (ED), especially amongst those with newly identified hs-cTn elevations and in consideration of well-established sex-related disparities, has not been critically evaluated to date. This investigation explores the impact of hs-cTnT reporting on care and outcomes, particularly by participant sex. Methods: Two similarly ED-based randomized controlled trials conducted between July 2011 to March 2013 (n = 1988) and August 2015 to April 2019 (n = 3378) were comparatively evaluated. Clinical outcomes were adjudicated to the Fourth Universal Definition of MI. Changes in practice were assessed at 30 days, and death or MI were explored to 12 months. Results: The HS-Troponin study demonstrated no difference in death or MI with unmasking amongst those with hs-cTnT &lt;30 ng/L, whereas the RAPID TnT study demonstrated a significantly higher rate. In RAPID TnT, there was significant increase in death or MI associated with unmasking for females with hs-cTnT &lt;30 ng/L (masked: 11[1.5%], unmasked: 25[3.4%],HR: 2.27,95%C.I.:1.87–2.77,P &lt; 0.001). Less cardiac stress testing with unmasking amongst those &lt;30 ng/L was observed in males in both studies, which was significant in RAPID TnT (masked: 92[12.0%], unmasked: 55[7.0%], P = 0.008). In RAPID TnT, significantly higher rates of angiography in males were observed with unmasking, with no such changes amongst females &lt;30 ng/L (masked: 28[3.7%], unmasked: 51[6.5%],P = 0.01). Conclusion: Compared with males, there were no evident impacts on downstream practices for females with unmasking in RAPID TnT, likely representing missed opportunities to reduce late death or MI.</p

Isolated Cervical Dystonia:Diagnosis and Classification

This document presents a consensus on the diagnosis and classification of isolated cervical dystonia (iCD) with a review of proposed terminology. The International Parkinson and Movement Disorder Society Dystonia Study Group convened a panel of experts to review the main clinical and diagnostic issues related to iCD and to arrive at a consensus on diagnostic criteria and classification. These criteria are intended for use in clinical research, but also may be used to guide clinical practice. The benchmark is expert clinical observation and evaluation. The criteria aim to systematize the use of terminology as well as the diagnostic process, to make it reproducible across centers and applicable by expert and non-expert clinicians. Although motor abnormalities remain central, increasing recognition has been given to nonmotor manifestations, which are incorporated into the current criteria. Three iCD presentations are described in some detail: idiopathic (focal or segmental) iCD, genetic iCD, and acquired iCD. The relationship between iCD and isolated head tremor is also reviewed. Recognition of idiopathic iCD has two levels of certainty, definite or probable, supported by specific diagnostic criteria. Although a probable diagnosis is appropriate for clinical practice, a higher diagnostic level may be required for specific research studies. The consensus retains elements proven valuable in previous criteria and omits aspects that are no longer justified, thereby encapsulating diagnosis according to current knowledge. As understanding of iCD expands, these criteria will need continuous revision to accommodate new advances.</p

Impacts of high sensitivity troponin T reporting on care and outcomes in clinical practice:Interactions between low troponin concentrations and participant sex within two randomized clinical trials

Background: The impacts of high sensitivity cardiac troponin (hs-cTn) reporting on downstream interventions amongst suspected acute coronary syndrome (ACS) in the emergency department (ED), especially amongst those with newly identified hs-cTn elevations and in consideration of well-established sex-related disparities, has not been critically evaluated to date. This investigation explores the impact of hs-cTnT reporting on care and outcomes, particularly by participant sex. Methods: Two similarly ED-based randomized controlled trials conducted between July 2011 to March 2013 (n = 1988) and August 2015 to April 2019 (n = 3378) were comparatively evaluated. Clinical outcomes were adjudicated to the Fourth Universal Definition of MI. Changes in practice were assessed at 30 days, and death or MI were explored to 12 months. Results: The HS-Troponin study demonstrated no difference in death or MI with unmasking amongst those with hs-cTnT &lt;30 ng/L, whereas the RAPID TnT study demonstrated a significantly higher rate. In RAPID TnT, there was significant increase in death or MI associated with unmasking for females with hs-cTnT &lt;30 ng/L (masked: 11[1.5%], unmasked: 25[3.4%],HR: 2.27,95%C.I.:1.87–2.77,P &lt; 0.001). Less cardiac stress testing with unmasking amongst those &lt;30 ng/L was observed in males in both studies, which was significant in RAPID TnT (masked: 92[12.0%], unmasked: 55[7.0%], P = 0.008). In RAPID TnT, significantly higher rates of angiography in males were observed with unmasking, with no such changes amongst females &lt;30 ng/L (masked: 28[3.7%], unmasked: 51[6.5%],P = 0.01). Conclusion: Compared with males, there were no evident impacts on downstream practices for females with unmasking in RAPID TnT, likely representing missed opportunities to reduce late death or MI.</p