1,797 research outputs found

    Dual Eligibility and LTC: Consequences for Medicare and Medicaid

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    Comparing Medicaid Long-Term Care Waiver Programs

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    LTC Interface

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    A portion of a four-year study concentrating on the design and implementation of long-term care service arrays and peer-support mechanisms

    The Effect of Peer Support on Recidivism Rates for Mental Health Hospital Admissions and Crisis stabilization episodes

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    Telephone survey with urban/rural Georgians over age 55 to provide public input into the planning for the future of aging services in Georgia

    The nonlinear electromigration of analytes into confined spaces

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    We consider the problem of electromigration of a sample ion (analyte) within a uniform background electrolyte when the confining channel undergoes a sudden contraction. One example of such a situation arises in microfluidics in the electrokinetic injection of the analyte into a micro-capillary from a reservoir of much larger size. Here the sample concentration propagates as a wave driven by the electric field. The dynamics is governed by the Nerst-Planck-Poisson system of equations for ionic transport.A reduced one dimensional nonlinear equation describing the evolution of the sample concentration is derived.We integrate this equation numerically to obtain the evolution of the wave shape and determine how the the injected mass depends on the sample concentration in the reservoir.It is shown that due to the nonlinear coupling of the ionic concentrations and the electric field, the concentration of the injected sample could be substantially less than the concentration of the sample in the reservoir.Comment: 14 pages, 5 Figures, 1 Appendi

    Modeling for the Control of the Laser Aided Manufacturing Process (LAMP)

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    Many state-of-the-art Rapid Prototyping (RP) technologies adopt lasers to fabricate 3-D solid parts by material deposition in layers. The ability of these RP technologies to control the process requires a thorough understanding of the process mechanics. This paper presents the analysis of an analytical, dynamic model explaining the complex phenomenon of Laser Aided Manufacturing Process (LAMP). The equilibrium of the dynamic model is analyzed and dynamic simulations are performed to determine its stability characteristics. This model forms the basis for the real-time control of the LAMP

    Brood patch and sex-ratio observations indicate breeding provenance and timing in New Zealand storm petrel (Fregetta maoriana)

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    We used measurements of brood patch and moult status to estimate the breeding phenology of New Zealand Storm-Petrel, using birds caught at sea within the Hauraki Gulf Marine Park near Auckland, New Zealand. Birds caught October–January had completely downy brood patches, whereas birds caught February–April had bare brood patches with an observed male bias in the February sex-ratio, consistent with a female pre-laying exodus typical of petrels and with the existence of an unknown colony in the region. No birds captured exhibited primary moult, which is known to occur in storm-petrels during their non-breeding season. Our data support the conclusion that the New Zealand storm-petrel breeds during January–June in northern New Zealand and that field surveys for the species on offshore islands in this region during this period are warrante

    Targeted Genetic Screen in Amyotrophic Lateral Sclerosis Reveals Novel Genetic Variants with Synergistic Effect on Clinical Phenotype

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    Amyotrophic lateral sclerosis (ALS) is underpinned by an oligogenic rare variant architecture. Identified genetic variants of ALS include RNA-binding proteins containing prion-like domains (PrLDs). We hypothesized that screening genes encoding additional similar proteins will yield novel genetic causes of ALS. The most common genetic variant of ALS patients is a G4C2-repeat expansion within C9ORF72. We have shown that G4C2-repeat RNA sequesters RNA-binding proteins. A logical consequence of this is that loss-of-function mutations in G4C2-binding partners might contribute to ALS pathogenesis independently of and/or synergistically with C9ORF72 expansions. Targeted sequencing of genomic DNA encoding either RNA-binding proteins or known ALS genes (n = 274 genes) was performed in ALS patients to identify rare deleterious genetic variants and explore genotype-phenotype relationships. Genomic DNA was extracted from 103 ALS patients including 42 familial ALS patients and 61 young-onset (average age of onset 41 years) sporadic ALS patients; patients were chosen to maximize the probability of identifying genetic causes of ALS. Thirteen patients carried a G4C2-repeat expansion of C9ORF72. We identified 42 patients with rare deleterious variants; 6 patients carried more than one variant. Twelve mutations were discovered in known ALS genes which served as a validation of our strategy. Rare deleterious variants in RNA-binding proteins were significantly enriched in ALS patients compared to control frequencies (p = 5.31E-18). Nineteen patients featured at least one variant in a RNA-binding protein containing a PrLD. The number of variants per patient correlated with rate of disease progression (t-test, p = 0.033). We identified eighteen patients with a single variant in a G4C2-repeat binding protein. Patients with a G4C2-binding protein variant in combination with a C9ORF72 expansion had a significantly faster disease course (t-test, p = 0.025). Our data are consistent with an oligogenic model of ALS. We provide evidence for a number of entirely novel genetic variants of ALS caused by mutations in RNA-binding proteins. Moreover we show that these mutations act synergistically with each other and with C9ORF72 expansions to modify the clinical phenotype of ALS. A key finding is that this synergy is present only between functionally interacting variants. This work has significant implications for ALS therapy development

    Influence of silver electrochemically deposited onto zinc oxide seed nanoparticles on the photoelectrochemical performance of zinc oxide nanorod films

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    Sem informaçãoThe present article examines the synthesis and characterization of zinc oxide nanorods grown on zinc oxide and silver nanoparticle seeds. Zinc oxide seeds were electrodeposited on a support of fluorine-doped tin oxide glass and heat-treated at 380 degrees C. Silver nanoparticles were then deposited on this substrate, which was heat-treated at 160 degrees C. Their presence was confirmed using ultraviolet-visible spectroscopy, by observing an absorption peak around 400 nm, corresponding to surface plasmon resonance. Growth of zinc oxide nanorods was achieved in a chemical bath at 90 degrees C. The obtained films were analyzed by cyclic voltammetry, X-ray diffraction, and scanning electron microscopy. They consisted of zinc oxide with a Wurtzite-type crystal structure, arranged as nanorods of 50 nm. X-ray photoelectron spectroscopy exhibits peaks attributed to silver (0) and to the formation of silver oxide on the silver nanoparticle surface. In addition, two types of oxygen (O 1 s) were observed: oxygen from the crystalline network (O-2) and chemisorbed oxygen (-OH), for the seed and the nanorod films, respectively. The nanorods grown on zinc oxide seeds with silver deposits had a round shape and greater photoactivity than those grown without silver. This difference is attributed to the additional reflection that silver provides to the light reaching the film, thereby increasing the photogeneration from the charge carriers.919Sem informaçãoSem informaçãoSem informaçãoThe author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the project no. 133-FINCYT-IB-2015 and no. 113-INNOVATE PERU-ISASS-2018. This work is partially supported by PICT 2014 2386
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