303 research outputs found

    Avoiding the Insanity Defense Strait Jacket: The Mens Rea Route

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    NCAA Interdivisional Games: Are There More Injuries when David Plays Goliath?

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    All intercollegiate football carries a risk of injury in a collision sport. Schools from the Football Championship Subdivision (FCS) often play early-season games against schools from the Football Bowl Subdivision (FBS). FCS schools (David) often receive the largest payouts by playing FBS schools. FBS schools (Goliath) are able to schedule early-season games they are likely to win while providing the opportunity to tune up their teams. Our research question is whether FCS teams report more injuries when playing FBS opponents than they report when playing FCS opponents. We have received access to the NCAA injury dataset from Datalys

    Gray kingbird

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    The South Carolina Department of Natural Resources published guides to many threatened animals living in the state. This guide gives information about the Gray kingbird, including description, status, habitat, conservation challenges & recommendations, and measures of success

    International standardisation of the test of masticating and swallowing solids in children

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    The Test of Masticating and Swallowing Solids (TOMASS) is a validated assessment tool measuring the efficiency of solid bolus intake by four quantitative parameters: discrete bites, masticatory cycles, swallows and time to ingest a single cracker. A normative database for adults (20-80+ years) has previously been established. The objective of this study was to investigate the applicability and reliability of the TOMASS in children and adolescents (TOMASS-C) and to establish the normative database for this younger population. We collected data from 638 participants (male: 311, female: 327) in five age groups (4-18\ua0years) with five different but very similar test crackers in four countries. Significant effects of bolus type (cracker), age group and gender on the TOMASS parameters were identified, requiring stratification of the TOMASS-C database by these variables. Intra-rater reliability was excellent (ICC\ua0>\ua00.94) for all parameters; inter-rater reliability was moderate for "number of swallows" (ICC\ua0=\ua00.54), good for "bites" (ICC\ua0=\ua00.78) and "time" (ICC\ua0=\ua00.82), and excellent for "masticatory cycles" (ICC\ua0=\ua00.96). The "Test of Masticating and Swallowing Solids in Children (TOMASS-C)" was identified to be a reliable diagnostic tool for the comprehensive measurement of discrete oral stage components of solid bolus ingestion, standardised by a large normative database that covers age groups from preschoolers to young adults. While differences between gender groups were less pronounced than in the adult population, previous results relating to changes in masticatory and swallowing as a function of age are confirmed by our data

    BMQ

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    BMQ: Boston Medical Quarterly was published from 1950-1966 by the Boston University School of Medicine and the Massachusetts Memorial Hospitals

    Exercise is medicine in rural health centers and federally qualified health centers

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    The American College of Sports Medicine in collaboration with the American Medical Association developed the the Exercise is Medicine (EIM) initiative to promote physical activity as a vital sign among health care providers. The purpose of the study is to inform initiative advocacy efforts among Rural Health Centers and Federally Qualified Health Centers. An interview guide was developed through literature review and expert feedback. Provider responses will be recorded via field notes which are coded to extract common themes. The qualitative data collected from these interviews will be used to examine healthcare provider knowledge and awareness of the initiative current behaviors related to patient physical activity, assessment, counseling, prescription, referral and follow-up and the likelihood of these providers using existing Exercise is Medicine (EIM)materials and resources in the future. Our findings and recommendations will be communicated back to the American College of Sports Medicine through the Exercise is Medicine (EIM) Community Health Committee

    A multinational consensus on dysphagia in Parkinson's disease: screening, diagnosis and prognostic value

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    Background: Parkinson’s disease (PD) is a neurodegenerative disorder characterized by a combination of motor and non-motor dysfunction. Dysphagia is a common symptom in PD, though it is still too frequently underdiagnosed. Consensus is lacking on screening, diagnosis, and prognosis of dysphagia in PD. Objective: To systematically review the literature and to define consensus statements on the screening and the diagnosis of dysphagia in PD, as well as on the impact of dysphagia on the prognosis and quality of life (QoL) of PD patients. Methods: A multinational group of experts in the field of neurogenic dysphagia and/or PD conducted a systematic revision of the literature published since January 1990 to February 2021 and reported the results according to PRISMA guidelines. The output of the research was then analyzed and discussed in a consensus conference convened in Pavia, Italy, where the consensus statements were drafted. The final version of statements was subsequently achieved by e-mail consensus. Results: Eighty-five papers were used to inform the Panel’s statements even though most of them were of Class IV quality. The statements tackled four main areas: (1) screening of dysphagia: timing and tools; (2) diagnosis of dysphagia: clinical and instrumental detection, severity assessment; (3) dysphagia and QoL: impact and assessment; (4) prognostic value of dysphagia; impact on the outcome and role of associated conditions. Conclusions: The statements elaborated by the Consensus Panel provide a framework to guide the neurologist in the timely detection and accurate diagnosis of dysphagia in PD

    Consensus on the treatment of dysphagia in Parkinson's disease

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    BACKGROUND: Dysphagia is common in Parkinson's disease (PD). The effects of antiparkinsonian drugs on dysphagia are controversial. Several treatments for dysphagia are available but there is no consensus on their efficacy in PD. OBJECTIVE: To conduct a systematic review of the literature and to define consensus statements on the treatment of dysphagia in PD and related nutritional management. METHODS: A multinational group of experts in the field of neurogenic dysphagia and/or Parkinson's disease conducted a systematic evaluation of the literature and reported the results according to PRISMA guidelines. The evidence from the retrieved studies was analyzed and discussed in a consensus conference organized in Pavia, Italy, and the consensus statements were drafted. The final version of statements was subsequently achieved by e-mail consensus. RESULTS: The literature review retrieved 64 papers on treatment and nutrition of patients with PD and dysphagia, mainly of Class IV quality. Based on the literature and expert opinion in cases where the evidence was limited or lacking, 26 statements were developed. CONCLUSIONS: The statements developed by the Consensus panel provide a guidance for a multi-disciplinary treatment of dysphagia in patients with PD, involving neurologists, otorhinolaryngologists, gastroenterologists, phoniatricians, speech-language pathologists, dieticians, and clinical nutritionists

    SKYSURF-4: Panchromatic HST All-Sky Surface-Brightness Measurement Methods and Results

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    The diffuse, unresolved sky provides most of the photons that the Hubble Space Telescope (HST) receives, yet remains poorly understood. HST Archival Legacy program SKYSURF aims to measure the 0.2-1.6 μ\mum sky surface brightness (sky-SB) from over 140,000 HST images. We describe a sky-SB measurement algorithm designed for SKYSURF that is able to recover the input sky-SB from simulated images to within 1% uncertainty. We present our sky-SB measurements estimated using this algorithm on the entire SKYSURF database. Comparing our sky-SB spectral energy distribution (SED) to measurements from the literature shows general agreements. Our SKYSURF SED also reveals a possible dependence on Sun angle, indicating either non-isotropic scattering of solar photons off interplanetary dust or an additional component to Zodiacal Light. Finally, we update Diffuse Light limits in the near-IR based on the methods from Carleton et al. (2022), with values of 0.009 MJy sr−1^{-1} (22 nW m−2^{-2} sr−1^{-1}) at 1.25 μ\mum, 0.015 MJy sr−1^{-1} (32 nW m−2^{-2} sr−1^{-1}) at 1.4 μ\mum, and 0.013 MJy sr−1^{-1} (25 nW m−2^{-2} sr−1^{-1}) at 1.6 μ\mum. These estimates provide the most stringent all-sky constraints to date in this wavelength range. SKYSURF sky-SB measurements are made public on the official SKYSURF website and will be used to constrain Diffuse Light in future papers.Comment: Revised based on helpful comments from the reviewer, and accepted to AJ on April 12th, 2023. Main paper: 18 pages, 9 figures, 4 tables. Appendices: 16 pages, 10 figures, 1 table. Main results shown in Figure 7 and Table
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