Marshall University Music Department Presents a Senior Recital, Stephen Jarrett, Viola, Janice Bragg, Piano, Judith Cremeans Gibson, Mezzo-soprano

https://mds.marshall.edu/music_perf/1171/thumbnail.jp

The Use of 4G Android Tablets for Enhanced Patient Activation of Chronic Disease Self-Management in People with Heart Failure

Problem: The purpose of this research was to evaluate the impact of an advanced practice nurse-directed patient education approach to heart failure treatment integrating the use of an interactive 4G android tablet, will enable patients to experience enhanced patient activation and engagement in chronic disease self-management and fewer 30-day rereadmissions. Data source: This was a prospective patient randomization, multi-center quasi-experimental design study of 50 patients comparing an advanced practice nurse-directed education of disease self-management and use of a 4G android tablet (TC) group (n = 25) and routine medical management (MC) group. The study length was 12 months. Conclusions: Descriptive statistics were computed, and the intervention and control groups were compared for differences. Descriptive statistics using ANOVA was conducted to calculate for statistical significance of readmissions between the two groups at 30 days. T-tests showed that the 30-day readmissions rate was significantly lower for the tablet groups compared to the medical group at 30 days (8% and 28% respectively; P=0.010). Implications for Practice: The results support that integrating 4G android tablet technology does have a significant impact on enhancing patient activation and engagement in chronic disease self-management and correlated to reduced 30-day readmissions in people with heart failure

Caltech Faint Field Galaxy Redshift Survey IX: Source detection and photometry in the Hubble Deep Field Region

Detection and photometry of sources in the U_n, G, R, and K_s bands in a 9x9 arcmin^2 region of the sky, centered on the Hubble Deep Field, are described. The data permit construction of complete photometric catalogs to roughly U_n=25, G=26, R=25.5 and K_s=20 mag, and significant photometric measurements somewhat fainter. The galaxy number density is 1.3x10^5 deg^{-2} to R=25.0 mag. Galaxy number counts have slopes dlog N/dm=0.42, 0.33, 0.27 and 0.31 in the U_n, G, R and K_s bands, consistent with previous studies and the trend that fainter galaxies are, on average, bluer. Galaxy catalogs selected in the R and K_s bands are presented, containing 3607 and 488 sources, in field areas of 74.8 and 59.4 arcmin^2, to R=25.5 and and K_s=20 mag.Comment: Accepted for publication in ApJS; some tables and slightly nicer figures available at http://www.sns.ias.edu/~hogg/deep

Caltech Faint Galaxy Redshift Survey. IX. Source Detection and Photometry in the Hubble Deep Field Region

Detection and photometry of sources in the U_n, G, ℛ, and K_s bands in a 9 × 9 arcmin^2 region of the sky, centered on the Hubble Deep Field, are described. The data permit construction of complete photometric catalogs to roughly U_n = 25, G = 26, ℛ = 25.5, K_s = 20 mag and significant photometric measurements somewhat fainter. The galaxy number density is 1.3 × 10^5 deg^(-2) to ℛ = 25.0 mag. Galaxy number counts have slopes d log N/dm = 0.42, 0.33, 0.27, and 0.31 in the U_n, G, ℛ, and K_s bands, consistent with previous studies and the trend that fainter galaxies are, on average, bluer. Galaxy catalogs selected in the ℛ and K_s bands are presented, containing 3607 and 488 sources in field areas of 74.8 and 59.4 arcmin^2, to ℛ = 25.5 and K_s = 20 mag

O3‐06‐01: Nih Toolbox Cognition Tablet Battery In Identification Of Early Cognitive Impairment

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/152934/1/alzjjalz2019064654.pd

Na +/H + Antiport Is Essential for Yersinia pestis Virulence

Na⁺/H⁺ antiporters are ubiquitous membrane proteins that play a central role in the ion homeostasis of cells. In this study, we examined the possible role of Na⁺/H⁺ antiport in Yersinia pestis virulence and found that Y. pestis strains lacking the major Na⁺/H⁺ antiporters, NhaA and NhaB, are completely attenuated in an in vivo model of plague. The Y. pestis derivative strain lacking the nhaA and nhaB genes showed markedly decreased survival in blood and blood serum ex vivo. Complementation of either nhaA or nhaB in trans restored the survival of the Y. pestis nhaA nhaB double deletion mutant in blood. The nhaA nhaB double deletion mutant also showed inhibited growth in an artificial serum medium, Opti-MEM, and a rich LB-based medium with Na⁺ levels and pH values similar to those for blood. Taken together, these data strongly suggest that intact Na⁺/H⁺ antiport is indispensable for the survival of Y. pestis in the bloodstreams of infected animals and thus might be regarded as a promising noncanonical drug target for infections caused by Y. pestis and possibly for those caused by other blood-borne bacterial pathogens.Keywords: Vibrio cholerae, Inhibitors, Expression, Ph, Escherichia coli, nhaB, Low calcium response, Homeostasis, Bacteria, resistanc

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

Cost-effectiveness of nurse-led self-help for recurrent depression in the primary care setting: design of a pragmatic randomized trial

<p>Abstract</p> <p>Background</p> <p>Major Depressive Disorder is a leading cause of disability, tends to run a recurrent course and is associated with substantial economic costs due to increased healthcare utilization and productivity losses. Interventions aimed at the prevention of recurrences may reduce patients' suffering and costs. Besides antidepressants, several psychological treatments such as preventive cognitive therapy (PCT) are effective in the prevention of recurrences of depression. Yet, many patients find long-term use of antidepressants unattractive, do not want to engage in therapy sessions and in the primary care setting psychologists are often not available. Therefore, it is important to study whether PCT can be used in a nurse-led self-help format in primary care. This study sets out to test the hypothesis that usual care plus nurse-led self-help for recurrent depression in primary care is feasible, acceptable and cost-effective compared to usual care only.</p> <p>Design</p> <p>Patients are randomly assigned to ‘nurse-led self-help treatment plus usual care’ (134 participants) or ‘usual care’ (134 participants). Randomisation is stratified according to the number of previous episodes (2 or 3 previous episodes versus 4 or more). The primary clinical outcome is the cumulative recurrence rate of depression meeting DSM-IV criteria as assessed by the Structured-Clinical-Interview-for-DSM-IV- disorders at one year after completion of the intervention. Secondary clinical outcomes are quality of life, severity of depressive symptoms, co-morbid psychopathology and self-efficacy. As putative effect-moderators, demographic characteristics, number of previous episodes, type of treatment during previous episodes, age of onset, self-efficacy and symptoms of pain and fatigue are assessed. Cumulative recurrence rate ratios are obtained under a Poisson regression model. Number-needed-to-be-treated is calculated as the inverse of the risk-difference. The economic evaluation is conducted from a societal perspective, both as a cost-effectiveness analysis (costs per depression free survival year) and as a cost-utility analysis (costs per quality adjusted life-year).</p> <p>Discussion</p> <p>The purpose of this paper is to outline the rationale and design of a nurse-led, cognitive therapy based self-help aimed at preventing recurrence of depression in a primary care setting. Only few studies have focused on psychological self-help interventions aimed at the prevention of recurrences in primary care patients.</p> <p>Trial registration</p> <p>NTR3001 (<url>http://www.trialregister.nl</url>)</p