Patient Perceptions of Google Glass in the Outpatient Dermatology Setting

Background: The ubiquitous use of electronic health record (EHRs) during medical office visits using a computer monitor and keyboard can be distracting and disrupt patient-healthcare provider (HCP) non-verbal eye contact cues, which are integral to effective communication. Provider use of a remote medical scribe with face-mounted eyeglass technology, such as Google Glass (GG), may preserve patient-HCP communication in the healthcare setting by allowing providers to access other parts of the patient’s EHR (e.g. laboratory results, current medications, immunization records) all while maintaining direct eye contact with their patients. The medical scribe is able to chart patient encounters in real-time working on or off site, documenting the visit directly into the EHR and freeing the HCP to focus only on the patient. Objective: The purpose of this study was to examine patient perceptions of their interaction with a HCP who used GG with a remote medical scribe during office visits. Additionally, the author sought to identify any associations between patient privacy and trust in their HCP when GG is used in the medical office setting. Methods: For this descriptive, cross-sectional study, a convenience sample of patients was recruited from an outpatient dermatology clinic in Northern California. Participants provided demographic data and completed a 12-item questionnaire to assess their familiarity, comfort, privacy, and perceptions following routine office visits with a HCP where GG was used to document the clinical encounter. Data were analyzed using appropriate descriptive and inferential statistics. Results: Over half (59.4%, n = 102) of the 170 study participants were female, Caucasian (60%, n = 102), Asian (24.1%, n = 41), college-educated (89%, n = 151), and ranged between 18 and 90 years of age (M = 50.5, SD = 17.4). The majority of participants (69.4%, n = 118) were familiar with GG, not concerned with a privacy issues (77.6%, n = 132), and stated the use of GG did not affect their trust in the HCP (81.8%, n = 139). Moreover, participants comfortable with the use of GG were less likely to be concerned about privacy (p \u3c .001) and participants who trusted their HCP were less likely to be concerned about them using GG (p \u3c .009). Almost one third (29%, n = 49) stated they would likely adopt technology early on and 87% (n = 148) preferred their HCP use GG if it delivered better care. Conclusions: Study findings support the use of GG for outpatient dermatology visits. Future research should explore the use of GG in other areas of healthcare and strive to include a diverse socioeconomic patient population in study samples

Determining a Total Dissolved Solids Release Index from Overburden in Appalachian Coal Fields

The Appalachian coal industry has been very successful in developing technologies to identify, handle, treat and isolate potentially acid-forming overburden materials at coal mines in the region. However, the techniques to predict acid mine drainage potential may not adequately predict the release of total dissolved solids (TDS). High concentrations of TDS have been linked to a decrease in survival of aquatic macroinvertebrates. Our objective was to determine the effect of different solutions on overburden dissolution, and to develop a TDS release index. Forty-one overburden samples were collected from surface mines in West Virginia, Virginia, and Kentucky. Samples were grinded to a \u3e 2mm particle size and combined with dilute HNO3, EDTA, and digested in the microwave to obtain the most efficient laboratory experiment to determine an index for TDS released. Supernatants were analyzed for pH, Electrical Conductivity (EC), and other selected ions from the three solutions. Results were compared to Acid-Base Accounting parameters; i.e. maximum potential acidity and neutralization potential, as well as leaching column data from Virginia Tech to determine which parameter(s) were correlated to TDS release. EC was converted to TDS, and results showed that Maximum Potential Acidity (MPA) and TDS had the strongest relationship to TDS release. We determined a low, moderate, and high TDS release index using MPA ranging from 0.0--1.0, 1.0--3.0, and 3.0 +, respectively

Dynamic Simulation of active/inactive Chromatin Domains

In this thesis a new model is presented, which describes the formation of higher order chromatin structures with the help of polymer physics for the first time. It is a block-copolymer model for the compactification of the 30nm Chromatin fiber into higher order structures. The idea is that basically every condensing agent (HMG/SAR, HP1, cohesin, condensin, DNA-DNA interaction...) can be modelled as an effective attractive potential of specific chain segments. This way the formation of individual 1Mbp sized rosettes from a linear chain could be observed. Furthermore several Mbp of fiber were simulated, up to an entire chromosome and finally the entire nucleus of Drosophila Melanogaster. The simulation results were compared to experimental data and good agreement was found. The results have been published in the journals Eur. Biophys. J., Int. J. Mod. Phys. C, Int. J. Biol. Phys. and Biophys. Rev. Lett. A detailed list can be found in the appendix. Part of the computation was done on the IBM Blue Gene/L supercomputer at the Forschungszentrum Jülich

An examination of equal access in athletic programs throughout public high schools in the United States

The mission of the U.S. Department of Education is “to promote student achievement and preparation for global competitiveness by fostering educational excellence and ensuring equal access” (www.ed.gov).  As an extension of U.S. public education institutions, secondary afterschool programs involving physical activity are theoretically designed to enhance and support the educational mission of public schools.  Yet, due to the hyper-commodification of youth sports, “equal access” in sport and physical activity is becoming increasingly limited to parameters grounded in highly competitive environments reflecting broader sport trends in society.  An interesting paradox emerges in public school settings where the importance of physical activity for adolescents is also emphasized.  However, in reality, the majority of public tax dollars funding extracurricular opportunities to be physically active are only for those who are highly competitive, physically literate and have the financial means to assist in the funding of their sport experiences.  There are also issues related to gender in terms of who is being served.  Therefore, it is importance to examine how public resources relating to physical activity and health are being unequally allocated in the public school setting.

Evaluation of rice genotypes for resistance to Diatraea saccharalis (Fabricius) using phenotyping methods.

The sugar cane borer, Diatraea saccharalis (Fabricius) is a pest of rice in Brazil and several American countries. An increase in D. saccharalis frequency of occurrence in recent years has emphasized the necessity to develop more effective stem-borer management strategies for the Brazilian rice growers. Control borers with insecticides after larvae penetrate into the rice stalk is difficult. The search for resistance to D. saccharalis is very important to identify source of resistance for breeding programs. Since 2010, we have conducted a series of experiments in greenhouse conditions, to identify genotypes with resistance to borers in the Brazilian rice genebank. The ultimate goal of our study is to use selected accessions as donor parents with the aim to produce rice cultivars with enhanced resistance to sugarcane borer via conventional methods of plant breeding, and in the future, through the use of molecular markers using genetic engineering methods.Editores: Paulo Sérgio de Paula Herrmann Junior, Paulino Ribeiro Villas Boas

The relationship between fetal hemoglobin and disease severity in children with sickle cell anemia

A study was conducted in a sample of 140 children with sickle cell anemia to evaluate the relationship between hematological variables (%HbF, %HbA2, %Hb, and mean cell volume) and disease severity. A patient's severity status was determined by whether he/she was hospitalized, had a transfusion, and/or had a pain crisis at 2 evaluation periods; the first was based on a patient's history taken at the initial assessment visit to the Wayne State Comprehensive Sickle Cell Center, and the second was based on a 1–3 year follow-up at the center. Fetal hemoglobin was a strong predictor of a patient's hospitalization and transfusion status. A decrease in %HbF of 4.76% (one SD of %HbF) was associated with a 3.58 fold (95% confidence interval, 1.18–7.28) greater odds of being hospitalized both prior to initial assessment and on follow-up, compared to not being hospitalized at either evaluation. Similarly, a decrease in %HbF of 4.76% was associated with a 5.56 fold (95% confidence interval, 1.67–18.96) greater odds of having a transfusion both prior to initial assessment and on follow-up compared to not having a transfusion at either evaluation. Patients who were both hospitalized and transfused at initial assessment and on follow-up (n = 12) had a mean %HbF of 7.59%, while patients who were not hospitalized or transfused at either evaluation (n = 19) had a mean %HbF of 13.61%. Fetal hemoglobin was not a significant predictor of pain crises in this sample of patients. None of the other hematological variables were significant predictors of disease severity in this study. The strong relationship between %HbF and disease severity identified in this study suggests that a single %HbF measurement may be useful in predicting important aspects of the clinical course of children with sickle cell anemia.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/38246/1/1320270305_ftp.pd

The influence of the cylindrical shape of the nucleosomes and H1 defects on properties of chromatin

We present a model improving the two-angle model for interphase chromatin (E2A model). This model takes into account the cylindrical shape of the histone octamers, the H1 histones in front of the nucleosomes and the vertical distance $d$ between the in and outgoing DNA strands. Factoring these chromatin features in, one gets essential changes in the chromatin phase diagram: Not only the shape of the excluded-volume borderline changes but also the vertical distance $d$ has a dramatic influence on the forbidden area. Furthermore, we examined the influence of H1 defects on the properties of the chromatin fiber. Thus we present two possible strategies for chromatin compaction: The use of very dense states in the phase diagram in the gaps in the excluded volume borderline or missing H1 histones which can lead to very compact fibers. The chromatin fiber might use both of these mechanisms to compact itself at least locally. Line densities computed within the model coincident with the experimental values

The Ursinus Weekly, April 9, 1951

Exams speeded for army tests scheduled here • Operetta cancelled • Forum to feature archaeologist in final program • Committee heads named • Weekly staff named; Banquet planned • MSGA, class election system Ok\u27d; Women\u27s groups nominate candidates • Fuhrman to play at Junior Prom; Queen will reign • New Cub and Key members discussed • Bloodmobile to visit Ursinus campus again • Reviewer notes variance in dramatic play-bill presented by Curtain Club • Next Lantern planned • Editorials: Broad outlook; Tribute • Y plans professors\u27 panel • Stolen stone in Scotland? • Students\u27 worries traced • Letters to the editor • Library boasts several rare books; Also Brazilian pamphlets • Friend gives 3,500 postals to college • Don\u27t pity the campus nobody; He\u27s divinely happy • Fords trounce Bears 10-4 in baseball season opener • Kramer undefeated in Inquirer tourney • Leety, Jones selected as sports aids • Coach Whiting eyes successful season for \u2751 tennis team • W. Helfferich takes fifth in NCAA wrestling meet • Schedule released for softball games • Varsity Club to give production • Five senior coeds play final games at Ursinus • Lions hand Grizzly nine second straight defeat 6-5 • Belles prepare for opener at Albright • May Day program progresses as committees are announced • Woman scientist to address society • Y political action group visits capitol • Rental fee for caps, gowns set for graduating class • YMCA announces nominations for 1951-1952 term offices • 4 students represent Ursinus as Yugoslavia in UN delegates • Deafness is topic of pre-med meeting • Pi Gamma Mu to vote • Glessner to speakhttps://digitalcommons.ursinus.edu/weekly/1564/thumbnail.jp