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Quality of worklife programs in union and non-union settings : an exploration of outcome identification from the individual participants\u27 point of view.
ManagementDoctor of Philosophy (Ph.D.
Analysis of the linearized supersonic flow about pointed bodies of revolution by the method of characteristics
Linearized supersonic flow about pointed bodies of revolution by method of characteristic
Antibody localization in horse, rabbit, and goat antilymphocyte sera
The localization of antibodies was studied in rabbit, goat, and horse ALS raised by weekly immunization with canine or human spleen cells for 4 to 12 weeks. A combination of analytic techniques was used including column chromatography, electrophoresis, immunoelectrophoresis, determination of protein concentration, and measurement of antibody titers. In the rabbit and goat ALS, virtually all of the leukoagglutinins and lymphocytotoxins were in the easily separable IgG; accidentally induced thromboagglutinins were in the same location. In the rabbit hemagglutinins were found in both the IgG and IgM, whereas in the goat these were almost exclusively in the IgM. The antiwhite cell antibodies were most widely distributed in the horse. The cytotoxins were primarily in the IgG, but the leukoagglutinins were most heavily concentrated in the T-equine globulin which consists mostly of IgA. By differential ammonium sulfate precipitation of a horse antidoglymphocyte serum, fractions were prepared that were rich in IgG and IgA. Both were able to delay the rejection of canine renal homografts, the IgA-rich preparation to a somewhat greater degree. The findings in this study have been discussed in relation to the refining techniques that have been used for the production of globulin from heterologous ALS. © 1970
Clinical Trial Simulation to Evaluate Population Pharmacokinetics and Food Effect: Capturing Abiraterone and Nilotinib Exposures
The objectives of this study were to determine (1) the accuracy with which individual patient level exposure can be determined and (2) whether a known food effect can be identified in a trial simulation of a typical population pharmacokinetic trial. Clinical trial simulations were undertaken using NONMEM VII to assess a typical oncology pharmacokinetic trial design. Nine virtual trials for each compound were performed for combinations of different level of between-occasion variability, number of patients in the trial and magnitude of a food covariate on oral clearance. Less than 5% and 20% bias and precision were obtained in individual clearance estimated for both abiraterone and nilotinib using this design. This design resulted biased and imprecise population clearance estimates for abiraterone. The between-occasion variability in most trials was captured with less than 30% of percent bias and precision. The food effect was detectable as a statistically significant covariate on oral clearance for abiraterone and nilotinib with percent bias and precision of the food covariate less than 20%. These results demonstrate that clinical trial simulation can be used to explore the ability of specific trial designs to evaluate the power to identify individual and population level exposures,covariate and variability effects
Scaling violation in hadron-nucleus interaction
The scaling violation within the pionization region in the energy range of 0.2 to 2.0 TeV is shown on the basis of the analysis of angular characteristics in the interactions of the cosmic radiation hadrons with the nuclei of various substances (CH2, Al, Cu, Pb)
VRContour: Bringing Contour Delineations of Medical Structures Into Virtual Reality
Contouring is an indispensable step in Radiotherapy (RT) treatment planning.
However, today's contouring software is constrained to only work with a 2D
display, which is less intuitive and requires high task loads. Virtual Reality
(VR) has shown great potential in various specialties of healthcare and health
sciences education due to the unique advantages of intuitive and natural
interactions in immersive spaces. VR-based radiation oncology integration has
also been advocated as a target healthcare application, allowing providers to
directly interact with 3D medical structures. We present VRContour and
investigate how to effectively bring contouring for radiation oncology into VR.
Through an autobiographical iterative design, we defined three design spaces
focused on contouring in VR with the support of a tracked tablet and VR stylus,
and investigating dimensionality for information consumption and input (either
2D or 2D + 3D). Through a within-subject study (n = 8), we found that
visualizations of 3D medical structures significantly increase precision, and
reduce mental load, frustration, as well as overall contouring effort.
Participants also agreed with the benefits of using such metaphors for learning
purposes.Comment: C. Chen, M. Yarmand, V. Singh, M.V. Sherer, J.D. Murphy, Y. Zhang and
N. Weibel, "VRContour: Bringing Contour Delineations of Medical Structures
Into Virtual Reality", 2022 IEEE International Symposium on Mixed and
Augmented Reality (ISMAR), 2022, pp. 1-10, doi: 10.1109/ISMAR55827.2022.0002
Disorders of Consciousness due to Traumatic Brain Injury: Functional Status Ten Years Post-Injury
Few studies have assessed the long-term functional outcomes of patients with a disorder of consciousness due to traumatic brain injury (TBI). This study examined functional status during the first 10 years after TBI among a cohort with disorders of consciousness (i.e., coma, vegetative state, minimally conscious state). The study sample included 110 individuals with TBI who were unable to follow commands prior to inpatient rehabilitation and for whom follow-up data were available at 1, 2, 5, and 10 years post-injury. The sample was subdivided into those who demonstrated command-following early (before 28 days post-injury) versus late (≥ 28 days post-injury or never). Functional Independence Measure (FIM) at 1, 2, 5, and 10 years following TBI was used to measure functional outcomes. Measureable functional recovery occurred throughout the 10-year period, with more than two thirds of the sample achieving independence in mobility and self-care, and about one quarter achieving independent cognitive function by 10 years. Following commands prior to 28 days was associated with greater functional independence at all outcome time-points. Multi-trajectory modeling of recovery of three FIM subscales (self-care, mobility, cognition) revealed four distinct prognostic groups with different temporal patterns of change on these subscales. More than half the sample achieved near-maximal recovery by 1 year post-injury, while the later command-following subgroups recovered over longer periods of time. Significant late functional decline was not observed in this cohort. Among a cohort of patients unable to follow commands at the time of inpatient rehabilitation, a substantial proportion achieved functional independence in self-care, mobility, and cognition. The proportion of participants achieving functional independence increased between 5 and 10 years post-injury. These findings suggest that individuals with disorders of consciousness may benefit from ongoing functional monitoring and updated care plans for at least the first decade after TBI
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