The extent and burden of high multimorbidity on older adults in the US: a descriptive analysis of Medicare beneficiaries.

Background: The impact of multimorbidity (≥ 2 chronic diseases) on the well-being of older adults is substantial but variable. The burden of multimorbidity varies by the number and kinds of conditions, and timing of onset. The impact varies by age, race, ethnicity, socioeconomic status, and health indicators.

Patient-Facing Clinical Decision Support for High Blood Pressure Control: Patient Survey.

Background: High blood pressure (HBP) affects nearly half of adults in the United States and is a major factor in heart attacks, strokes, kidney disease, and other morbidities. To reduce risk, guidelines for HBP contain more than 70 recommendations, including many related to patient behaviors, such as home monitoring and lifestyle changes. Thus, the patient's role in controlling HBP is crucial.

Provider Perspectives on Patient- and Provider-Facing High Blood Pressure Clinical Decision Support.

Background: Hypertension, persistent high blood pressures (HBP) leading to chronic physiologic changes, is a common condition that is a major predictor of heart attacks, strokes, and other conditions. Despite strong evidence, care teams and patients are inconsistently adherent to HBP guideline recommendations. Patient-facing clinical decision support (CDS) could help improve recommendation adherence but must also be acceptable to clinicians and patients.

The scope of nursing practice in a psychiatric unit: A time and motion study.

WHAT IS KNOWN ABOUT THE SUBJECT?: The evaluation of nurse care practices poses many challenges, including the identification of all the aspects of the care given. Few studies have looked at the scope of nursing practice in psychiatry. However, the evaluation of care practices in the mental health field poses many challenges, including the identification of all aspects of care.

"Broken-hearted" carbon bowl electron shuttle reaction: energetics and electron coupling.

Unprecedented one-step C[double bond, length as m-dash]C bond cleavage leading to opening of the buckybowl (π-bowl), that could provide access to carbon-rich structures with previously inaccessible topologies, is reported; highlighting the possibility to implement drastically different synthetic routes to π-bowls in contrast to conventional ones applied for polycyclic aromatic hydrocarbons. Through theoretical modeling, we evaluated the mechanistic pathways feasible for π-bowl planarization and factors that could affect such a transformation including strain and released energies. Through employment of Marcus theory, optical spectroscopy, and crystallographic analysis, we estimated the possibility of charge transfer and electron coupling between "open" corannulene and a strong electron acceptor such as 7,7,8,8-tetracyanoquinodimethane.

Recent advancements in the development of molecular organic photocatalysts.

Research in the development of molecular organic photocatalysts for applications in chemical syntheses has burgeoned in recent years. While organic photosensitizers have been known for over a century, tuning the properties of these molecules to increase photocatalytic efficiencies is now of growing importance. The properties that help improve the performance of organic photocatalysts include: a wider range of redox potentials, increased molar absorptivity (ε) in the visible spectrum, increased quantum yields (Φ), long-lived excited-state lifetimes (ns to μs), and increased chemical stability.

Towards universal coverage for nutrition services in children under five years-A descriptive analysis of the capacity of level one hospitals to provide nutrition services in five provinces of Zambia.

Background: Malnutrition continues to be a major public health challenge in Zambia. To effectively address this, health systems must be well strengthened to deliver an effective continuum of care. This paper examines health systems issues and services in relation to nutritional support to children under five years, in order to identify gaps and propose interventions towards universal coverage of essential nutrition services.

Bis-Cyclometalated Iridium Complexes Containing 4,4'-Bis(phosphonomethyl)-2,2'-bipyridine Ligands: Photophysics, Electrochemistry, and High-Voltage Dye-Sensitized Solar Cells.

In this report, the synthesis and characterization of two bis-cyclometalated iridium(III) complexes are presented. Single-crystal X-ray diffraction shows that [Ir(ppy)(4,4'-bis(diethylphosphonomethyl)-2,2'-bipyridine)]PF adopts a pseudooctahedral geometry. The complexes have an absorption feature in the near-visible-UV region and emit green light with excited-state lifetimes in hundreds of nanoseconds.

Fully Convolutional Neural Networks Improve Abdominal Organ Segmentation.

Abdominal image segmentation is a challenging, yet important clinical problem. Variations in body size, position, and relative organ positions greatly complicate the segmentation process. Historically, multi-atlas methods have achieved leading results across imaging modalities and anatomical targets.

Tobacco use prevalence--disentangling associations between Alaska Native race, low socio-economic status and rural disparities.

Background: Tobacco use rates are exceptionally high among indigenous people in North America. Alaska Native, low socio-economic status (SES) and rural communities are high-priority populations for Alaska's Tobacco Control program.

Design: For the purpose of better informing tobacco control interventions, we conducted a descriptive study to describe high-priority groups using prevalence-based and proportion-based approaches.

Effect of parenteral nutrition on nutrition status after bariatric surgery for morbid obesity.

Background: To evaluate the influence of nutrition support (parenteral nutrition [PN] vs no parenteral nutrition [nPN]) on nutrition outcome, complications, and hospital stay after bariatric surgery (BS).

Methods: Sixty-seven consecutive BS patients (17 gastric bypass and 50 biliopancreatic diversion). The first 38 received PN and the next 29 did not (nPN) during the fasting postoperative (PO) period.

Predicting the risk of Lyme disease: habitat suitability for Ixodes scapularis in the north central United States.

The distribution and abundance of Ixodes scapularis were studied in Wisconsin, northern Illinois, and portions of the Upper Peninsula of Michigan by inspecting small mammals for ticks and by collecting questing ticks at 138 locations in state parks and natural areas. Environmental data were gathered at a local level (i.e.

Education, outreach and the future of remote sensing in human health.

The human health community has been slow to adopt remote sensing technology for research, surveillance, or control activities. This chapter presents a brief history of the National Aeronautics and Space Administration's experiences in the use of remotely sensed data for health applications, and explores some of the obstacles, both real and perceived, that have slowed the transfer of this technology to the health community. These obstacles include the lack of awareness, which must be overcome through outreach and proper training in remote sensing, and inadequate spatial, spectral and temporal data resolutions, which are being addressed as new sensor systems are launched and currently overlooked (and underutilized) sensors are newly discovered by the health community.

The effects of long-term aerobic dance on agility and flexibility.

Background: The benefits of aerobic dance toward the contribution to overall wellness have been studied in a skewed manner. Numerous studies in the past have examined the cardiorespiratory benefits of aerobic dance. Fewer studies have reported the effects on agility, flexibility and coordination.

Self-induced displacement of a maxillary molar into the lateral pharyngeal space.

A possible complication of exodontia is accidental tooth displacement. This unusual case presents a 59-year-old man, who displaced a maxillary molar into the lateral pharyngeal space during self-extraction. Management issues are considered.

The physiologic response of exercising in the water and on land with and without the X1000 Walk'N Tone Exercise Belt.

Study of the physiological effects of exercise that decreases lower joint impact is needed. Participants (N = 18) were exposed to either land or water exercise that included or did not include wearing a belt. Physiological variables of caloric expenditure, net oxygen cost, net oxygen pulse, and heart rate were assessed.

Wood preservative leachates from docks in an estuarine environment.

Environmental concentrations and biological effects of certain metals and organic compounds found in wood preservatives were examined. The study focused on leachates from private residential docks in South Carolina tidal creeks. Copper, chromium, arsenic, and polynuclear aromatic hydrocarbons (PAHs) were measured in composite samples of surficial sediments and naturally occurring oyster populations (Crassostrea virginica) from creeks with high densities of docks, and from nearby reference creeks with no docks.

Effect of pinaverium and other calcium channel blockers on contraction of isolated gastric antral smooth muscle cells caused by gastrointestinal hormones.

Gastrointestinal hormones, gastrin, cholecystokinin (CCK), and motilin, are known to induce contraction of digestive smooth muscle cells from various species. In this paper, we studied the effect of calcium channel blockers, diltiazem, nicardipine, and pinaverium on the hormone-dependent contraction of smooth muscle cells isolated from rabbit antrum. Gastrin, CCK-8, and motilin caused dose-dependent contraction with EC-50 values in the physiological range (10-100 pM).