Creation of a clinical exam form

Documentation of a primary care eye exam serves many important functions. It serves as a history of test results, assessments, treatment plans and a defense against litigation. Additionally, examination documentation serves as the foundation to patient and insurance billing. The initial goal of this project focused on creating an ideal optometric exam form that would provide adequate space for documentation and be accepted among the faculty and attending doctors for use throughout the Pacific University College of Optometry (PUCO) clinics. The PUCO clinics are cunently using a clinic exam form that could benefit from an update. Increasing the amount of usable recording space was a high priority when updating the form. The basic format of the cunent exam was most easily improved by reorganizing the separate sections of the form. No perfect exam form exists; however, the exam form that has been created can offer greater ease of documentation for the examiner, a more organized flow of information, greater standardization of documentation from examiner to examiner and assist with proper billing. Proper billing and documentation are important aspects of any clinic operation. The use of ergonomically formatted exam forms can ultimately save time and money. The cunent exam form served as the foundation for the new exam form created. Whenever possible the more positive elements of Pacific University\u27s cunent exam form were incorporated into the new exam form. The updated exam form retains elements that support the didactic curriculum at PUCO. This project is to review, compare and contrast the elements of several exam forms. With the help of Dr. Elizabeth Wyles, a compilation of the good elements of each form was incorporated into the final form. Results of this work will be submitted to Dr. Kenneth Eakland (Associate Dean for Clinical Programs) for review and possible use in the Pacific University College of Optometry Clinics

Growth and transformation of a Mexican Village : Ixpantepec Nieves, Oaxaca

Thesis (M. Arch.)--Massachusetts Institute of Technology, Dept. of Architecture, 1982.MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH.Bibliography: p. 69-71.In Mexico today there is an accelerated migration of skilled organized labor from urban centers to rural settlements. This is primarily due to the increased exploitation of natural resources in rural regions and the establishment of new highway networks required to transport the goods. This thesis deals with the growth problems of the settlements resulting from the additional population and new functional demands. The major thrust of this work concentrates on a feasible proposal for a dwelling type that accommodates the new expansion and insures the architectural character of the existing village is preserved. The design decisions are based on information obtained through my on-site research and documentation of the physical form of a specific village, Ixpantepec Nieves, Oaxaca, Mexico. Constancy and change elements of the physical environment were major concerns in providing the design alternative. How can a place adapt to changing needs of public and private life and still retain its identity? My investigation of this question resulted in the ensuing alternative, having generic potential as it interprets the character of the settlement, brings about meaningful change and relates to local values. After studying the context of an existing village, projected physical growth assumptions were applied and architectural design principles were implemented to produce a design integrating the theme and variation of the repetitive rectangular building form found throughout the settlement allowing for individual identity and conservation of the "spirit of the place."by Rafael G. Olguin.M. Arch

Diagnosis and control of Equine Infectious Anemia in a horse farm located in Buenos Aires province, Argentina

Inst.de VirologíaFil: Vissani, Aldana. Instituto Nacional de Tecnología Agropecuaria (INTA). Instituto de Virología; ArgentinaFil: Reynal O'Connor, J. Laboratorio Equino S.R.L.; ArgentinaFil: Olguin Perglione, Cecilia. Instituto Nacional de Tecnología Agropecuaria (INTA). Instituto de Virología; ArgentinaFil: Traverso, S. Laboratorio Equino S.R.L.; ArgentinaFil: Gutierrez, G. Instituto Nacional de Tecnología Agropecuaria (INTA). Instituto de Virología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Alvarez, Irene. Instituto Nacional de Tecnología Agropecuaria (INTA). Instituto de Virología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Barrandeguy, Maria Edith. Instituto Nacional de Tecnología Agropecuaria (INTA). Instituto de Virología; Argentina. Universidad del Salvador. Escuela de Veterinaria; Argentin

Modelling Tropical Deforestation: A Comparison of Approaches

International audienceTropical deforestation, as an important factor in global change, is a topic that recently has received considerable attention. GIS-based spatially explicit models that intend to predict the location of land use/cover change (LUCC) can help scientists and policy makers to understand, anticipate and possibly prevent the adverse effects of land-use change. There are many approaches and softwares to model LUCC such as CLUE-S, DINAMICA GEOMOD and IDRISI. This study intends to compare these four modelling approaches. First, a review of methods and tools employed by each software to carry out the simulation was done. Then, the four packages were applied to a "virtual" case which involves a map of deforestation, which comprises two types of deforestation (forest to shifting agriculture and forest to pasture lands), along with several explanatory variables (drivers). Deforestation was modelled using the four approaches and the output maps were compared

Experimental infection with equid herpesvirus 3 in seronegative and seropositive mares

peer reviewe

The JCMT Plane Survey: First complete data release - emission maps and compact source catalogue

We present the first data release of the James Clerk Maxwell Telescope (JCMT) Plane Survey (JPS), the JPS Public Release 1 (JPSPR1). JPS is an 850-µm continuum survey of six fields in the northern inner Galactic Plane in a longitude range of ℓ = 7°–63°, made with the Sub-millimetre Common-User Bolometer Array 2 (SCUBA-2). This first data release consists of emission maps of the six JPS regions with an average pixel-to-pixel noise of 7.19 mJy beam−1, when smoothed over the beam, and a compact-source catalogue containing 7,813 sources. The 95 per cent completeness limits of the catalogue are estimated at 0.04 Jy beam−1 and 0.3 Jy for the peak and integrated flux densities, respectively. The emission contained in the compact-source catalogue is 42 ± 5 per cent of the total and, apart from the large-scale (greater than 8 arcmin) emission, there is excellent correspondence with features in the 500-µm Herschel maps. We find that, with two-dimensional matching, 98 ± 2 per cent of sources within the fields centred at ℓ = 20°, 30°, 40° and 50° are associated with molecular clouds, with 91 ± 3 per cent of the ℓ = 30° and 40° sources associated with dense molecular clumps. Matching the JPS catalogue to Herschel 70-µm sources, we find that 38 ± 1 per cent of sources show evidence of ongoing star formation. The images and catalogue will be a valuable resource for studies of star formation in the Galaxy and the role of environment and spiral arms in the star formation process

SINTESIS MAGNETIT (Fe3O4) NANOPARTIKEL DENGAN NATRIUM DODESIL SULFAT

Telah dilakukan sintesis magnetit (Fe3O4) nanopartikel dengan Natrium Dodesil Sulfat (NaDS). Penelitian ini bertujuan untuk mengetahui pengaruh NaDS terhadap karakter kimia dan fisik magnetit nanopartikel hasil sintesis dengan metode kopresipitasi. Sintesis magnetit nanopartikel dilakukan dengan mereaksikan FeSO4.7H2O dan FeCl3.6H2O dengan perbandingan mol 1:2 serta natrium hidroksida (NaOH) sebagai presipitan dengan proses pengadukan pada suhu 60 °C selama 2 jam. Kajian pengaruh surfaktan pada sintesis magnetit nanopartikel dilakukan dengan variasi konsentrasi NaDS dari 1%, 3% dan 6% (b/v). Material hasil sintesis dikarakterisasi dengan spektrofotometer X-ray diffraction (XRD), Fourier Transform Infrared Spectrometer (FTIR), Scanning Electron Microscope-Energy Dispersive X-ray (SEM-EDX) dan Surface Area Analyzer (SAA). Hasil penelitian menunjukkan bahwa magnetit nanopartikel berhasil disintesis. Magnetit ditunjukkan oleh puncak difraksi utama pada 2θ 30,43o; 35,53o; 43,46o; 57,32o dan 62,84o. Ikatan Fe–O ditunjukkan dengan puncak serapan 565 cm-1 yang dianalisa lebih lanjut menggunakan EDX menunjukkan adanya unsur Fe dan O. Adanya surfaktan NaDS menaikkan ukuran partikel dan ukuran kristal magnetit dengan meningkatnya konsentrasi NaDS yang ditambahkan. Morfologi magnetit-NaDS semakin homogen berbentuk butiran-butiran kecil (grain) dengan ukuran partikel sekitar 30-100 nm. Ukuran kristal magnetit sebesar 11,07 nm (magnetit tanpa surfaktan); 13,62 nm (magnetit-NaDS 1%); 16,12 nm (magnetit-NaDS 3%) dan 11,17 nm (magnetit-NaDS 6%). Luas permukaan magnetit nanopartikel berturut-turut sebesar 89,67 m2/g (magnetit tanpa surfaktan); 102,50 m2/g (magnetit-NaDS 1%); 98,45 m2/g (magnetit-NaDS 3%) dan 82,92 m2/g (magnetit-NaDS 6%)

ALMA-IMF. VII. First release of the full spectral line cubes: Core kinematics traced by DCN J=(3-2)

ALMA-IMF is an Atacama Large Millimeter/submillimeter Array (ALMA) Large Program designed to measure the core mass function (CMF) of 15 protoclusters chosen to span their early evolutionary stages. It further aims to understand their kinematics, chemistry, and the impact of gas inflow, accretion, and dynamics on the CMF. We present here the first release of the ALMA-IMF line data cubes (DR1), produced from the combination of two ALMA 12m-array configurations. The data include 12 spectral windows, with eight at 1.3mm and four at 3mm. The broad spectral coverage of ALMA-IMF (~6.7 GHz bandwidth coverage per field) hosts a wealth of simple atomic, molecular, ionised, and complex organic molecular lines. We describe the line cube calibration done by ALMA and the subsequent calibration and imaging we performed. We discuss our choice of calibration parameters and optimisation of the cleaning parameters, and we demonstrate the utility and necessity of additional processing compared to the ALMA archive pipeline. As a demonstration of the scientific potential of these data, we present a first analysis of the DCN (3-2) line. We find that DCN traces a diversity of morphologies and complex velocity structures, which tend to be more filamentary and widespread in evolved regions and are more compact in the young and intermediate-stage protoclusters. Furthermore, we used the DCN (3-2) emission as a tracer of the gas associated with 595 continuum cores across the 15 protoclusters, providing the first estimates of the core systemic velocities and linewidths within the sample. We find that DCN (3-2) is detected towards a higher percentage of cores in evolved regions than the young and intermediate-stage protoclusters and is likely a more complete tracer of the core population in more evolved protoclusters. The full ALMA 12m-array cubes for the ALMA-IMF Large Program are provided with this DR1 release.Comment: 75 pages (21 main body; 54 appendix), 37 figures. The ALMA-IMF DR1 line release is hosted at https://dataverse.harvard.edu/dataverse/alma-im

Close Encounters in a Pediatric Ward: Measuring Face-to-Face Proximity and Mixing Patterns with Wearable Sensors

International audienceBackground Nosocomial infections place a substantial burden on health care systems and represent one of the major issues in current public health, requiring notable efforts for its prevention. Understanding the dynamics of infection transmission in a hospital setting is essential for tailoring interventions and predicting the spread among individuals. Mathematical models need to be informed with accurate data on contacts among individuals. Methods and Findings We used wearable active Radio-Frequency Identification Devices (RFID) to detect face-to-face contacts among individuals with a spatial resolution of about 1.5 meters, and a time resolution of 20 seconds. The study was conducted in a general pediatrics hospital ward, during a one-week period, and included 119 participants, with 51 health care workers, 37 patients, and 31 caregivers. Nearly 16,000 contacts were recorded during the study period, with a median of approximately 20 contacts per participants per day. Overall, 25% of the contacts involved a ward assistant, 23% a nurse, 22% a patient, 22% a caregiver, and 8% a physician. The majority of contacts were of brief duration, but long and frequent contacts especially between patients and caregivers were also found. In the setting under study, caregivers do not represent a significant potential for infection spread to a large number of individuals, as their interactions mainly involve the corresponding patient. Nurses would deserve priority in prevention strategies due to their central role in the potential propagation paths of infections. Conclusions Our study shows the feasibility of accurate and reproducible measures of the pattern of contacts in a hospital setting. The obtained results are particularly useful for the study of the spread of respiratory infections, for monitoring critical patterns, and for setting up tailored prevention strategies. Proximity-sensing technology should be considered as a valuable tool for measuring such patterns and evaluating nosocomial prevention strategies in specific settings

Gene Transcription and Splicing of T-Type Channels Are Evolutionarily-Conserved Strategies for Regulating Channel Expression and Gating

T-type calcium channels operate within tightly regulated biophysical constraints for supporting rhythmic firing in the brain, heart and secretory organs of invertebrates and vertebrates. The snail T-type gene, LCav3 from Lymnaea stagnalis, possesses alternative, tandem donor splice sites enabling a choice of a large exon 8b (201 aa) or a short exon 25c (9 aa) in cytoplasmic linkers, similar to mammalian homologs. Inclusion of optional 25c exons in the III–IV linker of T-type channels speeds up kinetics and causes hyperpolarizing shifts in both activation and steady-state inactivation of macroscopic currents. The abundant variant lacking exon 25c is the workhorse of embryonic Cav3 channels, whose high density and right-shifted activation and availability curves are expected to increase pace-making and allow the channels to contribute more significantly to cellular excitation in prenatal tissue. Presence of brain-enriched, optional exon 8b conserved with mammalian Cav3.1 and encompassing the proximal half of the I–II linker, imparts a ∼50% reduction in total and surface-expressed LCav3 channel protein, which accounts for reduced whole-cell calcium currents of +8b variants in HEK cells. Evolutionarily conserved optional exons in cytoplasmic linkers of Cav3 channels regulate expression (exon 8b) and a battery of biophysical properties (exon 25c) for tuning specialized firing patterns in different tissues and throughout development