Current Knowledge of Occupational Therapists in Wyoming Regarding the Affordable Care Act: A Quantitative Pilot Study

There is little information and research addressing occupational therapists’ knowledge level and ability to implement the Affordable Care Act (ACA). This leads to the following problem statements: occupational therapists’ knowledge level of and ability to implement changes to practice is unknown; furthermore, it is unknown if there is a difference in knowledge level based on professional membership, years of practice, and area of practice; and it is also unknown which aspects or areas of the ACA occupational therapists would like to know more about, and if there is a difference based upon professional membership, years of practice or area of practice. The researchers created a quantitative, mail-based survey to gain insight to the problem statements. The researchers obtained approval from University of North Dakota’s Institutional Review Board (IRB) to administer this survey to occupational therapists licensed in Wyoming, and mailed the survey. The researchers utilized SPSS® version 22 to test correlational statistics and data. Independent samples t-tests and ANOVA were utilized to test significance and analyze possible correlations. The survey was sent to 281 Wyoming occupational therapists, with a total of 139 (49.47%) occupational therapists returning the survey. More of the occupational therapists (63 of 139 or 45.32%) rated their general knowledge of the ACA as a two on a scale of one to five than in any other area. When asked about specific areas of the ACA and its relationship to occupational therapy most occupational therapists (37%-46% or 52-64 of 139) rated themselves as having no knowledge or as a one out of five on each area. Additionally, most occupational therapists (approximately 49% or 67 of 139) rated their research habits at a one, indicating that they do not research current changes in legislation regarding the ACA. Furthermore, with the correlational statistics completed, relationships between variables were detected. Relationships were found with knowledge level of the ACA and occupational therapists working in orthopedics and geriatrics. Furthermore, pediatric practitioners reported a lower need for knowledge about the ACA than those in any other area (p\u3c.001); however, occupational therapists practicing in SNFs (33 of 130) reported a greater need for knowledge than those in other areas (p=.0465)

Anomaly mediated neutrino-photon interactions at finite baryon density

We propose new physical processes based on the axial vector anomaly and described by the Wess-Zumino-Witten term that couples the photon, Z-boson, and the omega-meson. The interaction takes the form of a pseudo-Chern-Simons term, $\sim \epsilon_{\mu\nu\rho\sigma}\omega^\mu Z^\nu F^{\rho\sigma}$. This term induces neutrino-photon interactions at finite baryon density via the coupling of the Z-boson to neutrinos. These interactions may be detectable in various laboratory and astrophysical arenas. The new interactions may account for the MiniBooNE excess. They also produce a competitive contribution to neutron star cooling at temperatures >10^9 K. These processes and related axion--photon interactions at finite baryon density appear to be relevant in many astrophysical regimes.Comment: 4 pages, 2 figures; references adde

Continuous Prediction with Experts' Advice

Prediction with experts' advice is one of the most fundamental problems in online learning and captures many of its technical challenges. A recent line of work has looked at online learning through the lens of differential equations and continuous-time analysis. This viewpoint has yielded optimal results for several problems in online learning. In this paper, we employ continuous-time stochastic calculus in order to study the discrete-time experts' problem. We use these tools to design a continuous-time, parameter-free algorithm with improved guarantees for the quantile regret. We then develop an analogous discrete-time algorithm with a very similar analysis and identical quantile regret bounds. Finally, we design an anytime continuous-time algorithm with regret matching the optimal fixed-time rate when the gains are independent Brownian Motions; in many settings, this is the most difficult case. This gives some evidence that, even with adversarial gains, the optimal anytime and fixed-time regrets may coincide.Comment: 30 pages, 1 figure. Version 2 diff: minor edits, reorganization for a journal submission, correct statement of Lemma 5.1 and a better formatted proof of the same lemm

uPAR promotes formation of the p130Cas–Crk complex to activate Rac through DOCK180

The urokinase-type plasminogen activator receptor (uPAR) drives tumor cell membrane protrusion and motility through activation of Rac; however, the pathway leading from uPAR to Rac activation has not been described. In this study we identify DOCK180 as the guanine nucleotide exchange factor acting downstream of uPAR. We show that uPAR cooperates with integrin complexes containing β3 integrin to drive formation of the p130Cas–CrkII signaling complex and activation of Rac, resulting in a Rac-driven elongated-mesenchymal morphology, cell motility, and invasion. Our findings identify a signaling pathway underlying the morphological changes and increased cell motility associated with uPAR expression