Using Person-Centered Scheduling with Geriatric Patients to Reduce Anxiety with Telepsychiatry

This study explored using person-centered scheduling with telepsychiatry for rural community geriatric patients. Quantitative research approaches were used to determine the level of satisfaction participants experienced with person-centered scheduling and geriatric telepsychiatry. Quantitative data were collected by using the Zung Self-Rating Anxiety Scale (SAS) before scheduling the first appointment and to assess the intervention’s effectiveness after the telepsychiatry session. Person-centered telepsychiatry scheduling decreased geriatric patients’ anxiety as evidenced by Zung SAS scores. Conclusion: Older adult patients saw telepsychiatry as a viable means of treatment. Future research with geriatrics from different regions is needed. Implications and future directions include exploring patient responses from different regions such as rural areas vs. urban metropolitan areas. Qualitative data from different age categories, 65 to 75 and over 75 may yield different perspectives. The results of this study are consistent with the benefits of person-centered approaches and the benefits of telepsychiatry

Effectiveness of Gloves and Infection Control in Dentistry: Student and Provider Perspectives

The objectives of this study were to explore dental and dental hygiene students’, graduate students’, and dental professionals’ preferences for certain types of gloves and the reasons for these preferences (Aim 1), as well as determining their knowledge, attitudes, and behavior concerning the use of dental gloves as a means of barrier protection (Aim 2). Data were collected from 198 dental and forty-six dental hygiene students, thirty-five graduate students, and seventy-nine dental professionals (twenty-eight dentists and fifty-one dental hygienists in private practice). The subjects responded to a self-administered anonymous survey. Professionals (dentists: 96.4 percent and dental hygienists: 92.2 percent) were found to be more likely to have a preference for certain types of gloves than students (dental students: 79.2 percent and dental hygiene students: 76 percent) and graduate students (77.1 percent; p=.033). “Comfort” was most frequently reported as a reason for glove preference. Large percentages of respondents wrongly believed that gloves provide full protection (students: 50.8 percent; graduate students: 25.7 percent; professionals: 30.4 percent), thought that gloves provide protection as long as there is no visible tear (students: 39.7 percent; graduate students: 28.6 percent; professionals: 18.2 percent), and reported that they would not change gloves during an uninterrupted three-hour long procedure (students: 32.2 percent; graduate students: 23.5 percent; professionals: 22.7 percent). These findings should alert dental educators about the importance of educating their students as well as practicing professionals clearly and comprehensively about infection control and the science and rationale supporting recommended guidelines

Effectiveness of Gloves and Infection Control in Dentistry: Student and Provider Perspectives

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/153686/1/jddj002203372009735tb04732x.pd

A Comparison of Tandem Walk Performance Between Bed Rest Subjects and Astronauts

Astronauts experience a microgravity environment during spaceflight, which results in a central reinterpretation of both vestibular and body axial-loading information by the sensorimotor system. Subjects in bed rest studies lie at 6deg head-down in strict bed rest to simulate the fluid shift and gravity-unloading of the microgravity environment. However, bed rest subjects still sense gravity in the vestibular organs. Therefore, bed rest isolates the axial-unloading component, thus allowing for the direct study of its effects. The Tandem Walk is a standard sensorimotor test of dynamic postural stability. In a previous abstract, we compared performance on a Tandem Walk test between bed rest control subjects, and short- and long-duration astronauts both before and after flight/bed rest using a composite index of performance, called the Tandem Walk Parameter (TWP), that takes into account speed, accuracy, and balance control. This new study extends the previous data set to include bed rest subjects who performed exercise countermeasures. The purpose of this study was to compare performance during the Tandem Walk test between bed rest subjects (with and without exercise), short-duration (Space Shuttle) crewmembers, and long-duration International Space Station (ISS) crewmembers at various time points during their recovery from bed rest or spaceflight

A community convention for ecological forecasting: output files and metadata

This document summarizes the open community standards developed by the Ecological Forecasting Initiative (EFI) for the common formatting and archiving of ecological forecasts and the metadata associated with these forecasts. Such open standards are intended to promote interoperability and facilitate forecast adoption, distribution, validation, and synthesis. For output files EFI has adopted a three-tiered approach reflecting trade-offs in forecast data volume and technical expertise. The preferred output file format is netCDF following the Climate and Forecast Convention for dimensions and variable naming, including an ensemble dimension where appropriate. The second-tier option is a semi-long CSV format, with state variables as columns and each row representing a unique issue date time, prediction date time, location, ensemble member, etc. The third-tier option is similar to option 2, but each row represents a specific summary statistic (mean, upper/lower CI) rather than individual ensemble members. For metadata, EFI expands upon the Ecological Metadata Language (EML), using additional Metadata tags to store information designed to facilitate cross-forecast synthesis (e.g. uncertainty propagation, data assimilation, model complexity) and setting a subset of base EML tags (e.g. temporal resolution, output variables) to be required. To facilitate community adoption we also provides a R package containing a number of vignettes on how to both write and read in the EFI standard, as well as a metadata validator tool.First author draf

Higher Serum Vitamin D Concentrations Are Longitudinally Associated with Better Global Quality of Life and Less Fatigue in Colorectal Cancer Survivors up to 2 Years after Treatment

BACKGROUND: Vitamin D status may be an important determinant of health-related quality of life of colorectal cancer survivors. The current study investigated longitudinal associations between serum 25-hydroxyvitamin D3 (25OHD3) concentrations and quality of life in stage I-III colorectal cancer survivors up to 2 years after treatment. METHODS: Patients with colorectal cancer (n = 261) were included upon diagnosis. Home visits (including blood sampling) were performed at diagnosis and at 6 weeks, 6 months, 1 year, and 2 years after treatment. Serum 25OHD3 concentrations were measured using LC/MS-MS and adjusted for season. Validated questionnaires were used to assess global quality of life and cognitive functioning (EORTC-QLQ-C30), fatigue (EORTC-QLQ-C30 and Checklist Individual Strength, CIS), and depression and anxiety (Hospital Anxiety and Depression Scale). Statistical analyses were performed using linear mixed models and adjusted for sex, age, time since diagnosis, therapy, comorbidities, physical activity, and body mass index. RESULTS: At diagnosis, 45% of patients were vitamin D deficient (<50 nmol/L). After treatment, 25OHD3 concentrations increased on average with 3.1 nmol/L every 6 months. In confounder-adjusted models, 20 nmol/L increments in 25OHD3 were longitudinally associated with increased global quality of life [β 2.9; 95% confidence interval (CI), 1.5-4.3] and reduced fatigue (EORTC-QLQ-C30 subscale: β -3.5; 95% CI, -5.3 to -1.8 and CIS: β -2.8; 95% CI, -4.7 to -0.9). Observed associations were present both within and between individuals over time. CONCLUSIONS: Higher concentrations of 25OHD3 were longitudinally associated with better global quality of life and less fatigue in colorectal cancer survivors. IMPACT: This study suggests that higher 25OHD3 concentrations may be beneficial for colorectal cancer survivors. Future intervention studies are needed to corroborate these findings

Statistically-Estimated Tree Composition for the Northeastern United States at Euro-American Settlement

We present a gridded 8 km-resolution data product of the estimated composition of tree taxa at the time of Euro-American settlement of the northeastern United States and the statistical methodology used to produce the product from trees recorded by land surveyors. Composition is defined as the proportion of stems larger than approximately 20 cm diameter at breast height for 22 tree taxa, generally at the genus level. The data come from settlement-era public survey records that are transcribed and then aggregated spatially, giving count data. The domain is divided into two regions, eastern (Maine to Ohio) and midwestern (Indiana to Minnesota). Public Land Survey point data in the midwestern region (ca. 0.8-km resolution) are aggregated to a regular 8 km grid, while data in the eastern region, from Town Proprietor Surveys, are aggregated at the township level in irregularly-shaped local administrative units. The product is based on a Bayesian statistical model fit to the count data that estimates composition on the 8 km grid across the entire domain. The statistical model is designed to handle data from both the regular grid and the irregularly-shaped townships and allows us to estimate composition at locations with no data and to smooth over noise caused by limited counts in locations with data. Critically, the model also allows us to quantify uncertainty in our composition estimates, making the product suitable for applications employing data assimilation. We expect this data product to be useful for understanding the state of vegetation in the northeastern United States prior to large-scale Euro-American settlement. In addition to specific regional questions, the data product can also serve as a baseline against which to investigate how forests and ecosystems change after intensive settlement. The data product is being made available at the NIS data portal as version 1.0

Discovery of a novel iflavirus sequence in the eastern paralysis tick Ixodes holocyclus

Ixodes holocyclus, the eastern paralysis tick, is a significant parasite in Australia in terms of animal and human health. However, very little is known about its virome. In this study, next-generation sequencing of I. holocyclus salivary glands yielded a full-length genome sequence which phylogenetically groups with viruses classified in the Iflaviridae family and shares 45% amino acid similarity with its closest relative Bole hyalomma asiaticum virus 1. The sequence of this virus, provisionally named Ixodes holocyclus iflavirus (IhIV) has been identified in tick populations from northern New South Wales and Queensland, Australia and represents the first virus sequence reported from I. holocyclus

Expressions 1986

https://openspace.dmacc.edu/expressions/1007/thumbnail.jp