262 research outputs found
Factors influencing adults’ immunization practices: a pilot survey study of a diverse, urban community in central Ohio
Abstract Background Adult vaccination rates in the United States are well below recommendations with disparities in race, ethnicity, and education level resulting in even lower rates for these populations. This study aimed to identify the barriers to and perceptions of immunizations in adults in an urban, underserved, multicultural community. Understanding the factors that influence adults’ decisions to receive routinely recommended vaccines will aid health care providers and public health officials to design programs to improve vaccination rates. Methods This cross-sectional, survey-based study was conducted in January 2014 in Columbus, Ohio. Participants were recruited from four urban federally-qualified health centers and four grocery stores affiliated with those clinics. The survey gathered self-reported receipt of immunizations, knowledge about indications for immunizations, and factors influencing decisions to receive an immunization. Data was analyzed in 2014. Descriptive statistics were generated for all survey items and Chi-Square or Fisher’s Exact tests were used as appropriate to test for associations between demographic characteristics and factors influencing immunization decisions. Results The top five factors likely to affect the decision to receive an immunization among the 304 respondents were: “doctor’s recommendation” (80.6 %), “knowing why I should get a vaccine” (78.2 %), “knowing which vaccines I need” (75.5 %), cost (54.2 %), and “concern about getting sick if I get a vaccine” (54.0 %). Significant differences in factors influencing the immunization decision exist among respondents based on ethnicity and education level. For those participants with self-identified diabetes, heart disease, or asthma, less than half were aware that certain immunizations could reduce the risk of complications associated with their disease(s). Conclusions Data from this study may inform and shape patient education programs conducted in clinics, retailers, and communities, as well as advocacy efforts for adult immunizations. Results from this study suggest that patients would respond to programs for promoting vaccine uptake if they focused on benefits and indications for vaccines. The results also highlighted the need for education regarding immunizations for patients with chronic diseases and special indications. The differences in perceptions found between groups can be used to create targeted interventions based on the needs of those patient populations
Photomyogenic response in Niemann–Pick type C: a case report
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Perceptions of Preparedness for Interprofessional Practice: A Survey of Health Professional Students at Three Universities
Objective: The purpose of this study was to evaluate health professions students’ understanding of their own and others’ roles on interprofessional (IP) teams, assess students’ perceptions of their preparedness to practice in an IP team, and determine differences by type of learning institution and participation in interprofessional education (IPE).
Methods: Medical, nursing, and pharmacy students at three Ohio universities with unique IP learning models were surveyed. Descriptive statistics, analysis of variance (ANOVA), chi-square, and two sample t- tests were used to compare measures of knowledge, IPE participation, and preparedness.
Results: Of the 981 invited students, 273 completed the survey (27.8% response). Overall, 70.7% of participants felt prepared to work on an IP team. Those who reported participation in IPE were more likely to feel prepared to practice on an IP team compared to those who did not (76.8% [149/194] vs. 55.3% [42/76], p=0.0005). Participation in IPE did not significantly affect knowledge scores (participators 79.6% vs. non-participators 81.0%, p=0.1731). Those who had higher profession-specific knowledge scores were more likely to feel prepared to work with that specific profession.
Conclusions: Participation in IPE activities in the representative institutions was high, as was knowledge of professional roles. Both participation in IPE and increased knowledge of roles were associated with increased student-assessed preparedness. Advancement of skills and behaviors including knowledge of roles and other competencies may all be important. Pharmacy in particular should prioritize IPE as a means to elucidate our role on the patient care team.
Type: Original Researc
First light of the VLT planet finder SPHERE. I. Detection and characterization of the sub-stellar companion GJ 758 B
GJ758 B is a brown dwarf companion to a nearby (15.76 pc) solar-type,
metal-rich (M/H = +0.2 dex) main-sequence star (G9V) that was discovered with
Subaru/HiCIAO in 2009. From previous studies, it has drawn attention as being
the coldest (~600K) companion ever directly imaged around a neighboring star.
We present new high-contrast data obtained during the commissioning of the
SPHERE instrument at the VLT. The data was obtained in Y-, J-, H-, and Ks-bands
with the dual-band imaging (DBI) mode of IRDIS, providing a broad coverage of
the full near-infrared (near-IR) range at higher contrast and better spectral
sampling than previously reported. In this new set of high-quality data, we
report the re-detection of the companion, as well as the first detection of a
new candidate closer-in to the star. We use the new 8 photometric points for an
extended comparison of GJ758 B with empirical objects and 4 families of
atmospheric models. From comparison to empirical object, we estimate a T8
spectral type, but none of the comparison object can accurately represent the
observed near-IR fluxes of GJ758 B. From comparison to atmospheric models, we
attribute a Teff = 600K 100K, but we find that no atmospheric model can
adequately fit all the fluxes of GJ758 B. The photometry of the new candidate
companion is broadly consistent with L-type objects, but a second epoch with
improved photometry is necessary to clarify its status. The new astrometry of
GJ758 B shows a significant proper motion since the last epoch. We use this
result to improve the determination of the orbital characteristics using two
fitting approaches, Least-Square Monte Carlo and Markov Chain Monte Carlo.
Finally, we analyze the sensitivity of our data to additional closer-in
companions and reject the possibility of other massive brown dwarf companions
down to 4-5 AU. [abridged]Comment: 20 pages, 15 figures. Accepted for publication in A&
Exclusive Leptoproduction of rho^0 Mesons from Hydrogen at Intermediate Virtual Photon Energies
Measurements of the cross section for exclusive virtual-photoproduction of
rho^0 mesons from hydrogen are reported. The data were collected by the HERMES
experiment using 27.5 GeV positrons incident on a hydrogen gas target in the
HERA storage ring. The invariant mass W of the photon-nucleon system ranges
from 4.0 to 6.0 GeV, while the negative squared four-momentum Q^2 of the
virtual photon varies from 0.7 to 5.0 GeV^2. The present data together with
most of the previous data at W > 4 GeV are well described by a model that
infers the W-dependence of the cross section from the dependence on the Bjorken
scaling variable x of the unpolarized structure function for deep-inelastic
scattering. In addition, a model calculation based on Off-Forward Parton
Distributions gives a fairly good account of the longitudinal component of the
rho^0 production cross section for Q^2 > 2 GeV^2.Comment: 10 pages, 6 embedded figures, LaTeX for SVJour(epj) document class.
Revisions: curves added to Fig. 1, several clarifications added to tex
Characterization of the Interaction and Cross-Regulation of Three Mycobacterium tuberculosis RelBE Modules
RelBE represents a typical bacterial toxin-antitoxin (TA) system. Mycobacterium tuberculosis H37Rv, the pathogen responsible for human tuberculosis, contains three RelBE-like modules, RelBE, RelFG, and RelJK, which are at least partly expressed in human macrophages during infection. RelBE modules appear to be autoregulated in an atypical manner compared to other TA systems; however, the molecular mechanisms and potential interactions between different RelBE modules remain to be elucidated. In the present study, we characterized the interaction and cross-regulation of these Rel toxin-antitoxin modules from this unique pathogen. The physical interactions between the three pairs of RelBE proteins were confirmed and the DNA-binding domain recognized by three RelBE-like pairs and domain structure characteristics were described. The three RelE-like proteins physically interacted with the same RelB-like protein, and could conditionally regulate its binding with promoter DNA. The RelBE-like modules exerted complex cross-regulation effects on mycobacterial growth. The relB antitoxin gene could replace relF in cross-neutralizing the relG toxin gene. Conversely, relF enhanced the toxicity of the relE toxin gene, while relB increased the toxicity of relK. This is the first report of interactions between different pairs of RelBE modules of M. tuberculosis
SPHERE: the exoplanet imager for the Very Large Telescope
Observations of circumstellar environments to look for the direct signal of
exoplanets and the scattered light from disks has significant instrumental
implications. In the past 15 years, major developments in adaptive optics,
coronagraphy, optical manufacturing, wavefront sensing and data processing,
together with a consistent global system analysis have enabled a new generation
of high-contrast imagers and spectrographs on large ground-based telescopes
with much better performance. One of the most productive is the
Spectro-Polarimetic High contrast imager for Exoplanets REsearch (SPHERE)
designed and built for the ESO Very Large Telescope (VLT) in Chile. SPHERE
includes an extreme adaptive optics system, a highly stable common path
interface, several types of coronagraphs and three science instruments. Two of
them, the Integral Field Spectrograph (IFS) and the Infra-Red Dual-band Imager
and Spectrograph (IRDIS), are designed to efficiently cover the near-infrared
(NIR) range in a single observation for efficient young planet search. The
third one, ZIMPOL, is designed for visible (VIR) polarimetric observation to
look for the reflected light of exoplanets and the light scattered by debris
disks. This suite of three science instruments enables to study circumstellar
environments at unprecedented angular resolution both in the visible and the
near-infrared. In this work, we present the complete instrument and its on-sky
performance after 4 years of operations at the VLT.Comment: Final version accepted for publication in A&
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