Meaningful inclusion of people living with HIV as a model for workplace policies: Key findings from the project PEER study.

Background: As a large number of people live with HIV, it is worthwhile to examine the integration of this group in the workplace.

Objective: To investigate how the operationalization of GIPA/MEPA supports workplace policies and practices for PLHIV. The study aims to explore what is being offered to support PLHIV in community-based agencies and what can be done to enhance the offerings.

Confusion among doctors regarding sports and exercise medicine as a specialty: an Australian multidisciplinary, cross-sectional survey.

Objectives: This cross-sectional study aims to characterise the understanding and attitudes medical practitioners have towards sports and exercise medicine (SEM). By identifying knowledge gaps, misunderstandings and barriers to SEM referral, interventions may be suggested to improve the integration of SEM within a multidisciplinary approach to healthcare.

Design: A survey was constructed with a multidisciplinary expert panel.

A digital twin ecosystem for additive manufacturing using a real-time development platform.

Additive manufacturing is often used in rapid prototyping and manufacturing, allowing the creation of lighter, more complex designs that are difficult or too expensive to build using traditional manufacturing methods. This work considers the implementation of a novel digital twin ecosystem that can be used for testing, process monitoring, and remote management of an additive manufacturing-fused deposition modeling machine in a simulated virtual environment. The digital twin ecosystem is comprised of two approaches.

Will the real relationship between lean and safety/ergonomics please stand up?

This paper provides a review of studies containing safety and ergonomic outcomes in lean manufacturing (LM) environments over the past 40 years. The aim is to identify effects from specific LM methods on specific safety/ergonomic outcomes, to understand the relationship in greater detail. One hundred and one studies containing one hundred and seventy outcomes were identified.

Promoting Neuronal Outgrowth Using Ridged Scaffolds Coated with Extracellular Matrix Proteins.

Spinal cord injury (SCI) results in cell death, demyelination, and axonal loss. The spinal cord has a limited ability to regenerate, and current clinical therapies for SCI are not effective in helping promote neurologic recovery. We have developed a novel scaffold biomaterial that is fabricated from the biodegradable hydrogel oligo(poly(ethylene glycol)fumarate) (OPF).

Collaborative practice in counselling: a scoping review.

Collaborative care (interdisciplinary/interprofessional teamwork) in mental health is emerging as best practice in primary care, hospitals, and government agencies. Counsellors have much to offer and benefit from working with other professions in service of their clients. While most health professions are well on their way integrating collaborating with one another in practice, it is yet unclear how often, and in what ways, counsellors are included in these teams.

Understanding Coding and Payment for Psychiatrists' Services: How We Got Here and Where We're Going.

Psychiatrists often have difficulty understanding how to document, code, and bill for their services in a way that expedites adequate payment and avoids billing problems or future issues. This is very understandable because many psychiatrists in small or solo practices do their own billing without any formal training in the vagaries of coding and reimbursement policies. For many years, the American Psychiatric Association (APA) has devoted substantial resources to guiding psychiatrists through this maze, with direct member assistance and resources publicly available at www.

Associations of Angiotensin Converting Enzyme-1 and Angiotensin II Blood Levels and Cognitive Function.

Background: Emerging evidence suggests a possible role of the renin angiotensin system in the pathophysiologic process of Alzheimer's disease, of which angiotensin converting enzyme-1 (ACE-1) and angiotensin II (ANGII) are important proteins. Few studies evaluated associations between blood ACE-1 and none between ANGII levels, and cognition.

Objective: Our pilot study was aimed to examine associations between blood ACE-1 and ANG II levels and cognitive function in non-demented participants at baseline and over a 1-year period.

Household Food Security Discordance Among Latino Adolescents and Parents.

Objectives: We determined the degree of parent-adolescent concordance in reported household food security, and delineated variation in concordance as a function of selected household and parent-adolescent relationship characteristics.

Methods: Cross-tabulations and Cohen's Kappa determined concordance. Multinomial logistic regressions delineated variation in concordance as a function of selected household and parent-adolescent relationship characteristics for Latino parent and adolescent dyads (N = 70).

Transhepatic venous approach to permanent pacemaker placement in a patient with limited central venous access.

The end-stage renal disease population poses a challenge for obtaining venous access required for life-saving invasive cardiac procedures. In this case report, we describe an adult patient with end-stage renal disease in whom the hepatic vein was the only available access to implant a single-lead permanent cardiac pacemaker. A 63-year-old male with end-stage renal disease on maintenance hemodialysis and permanent atrial fibrillation/atrial flutter presented with symptomatic bradycardia.

Alcohol use among university students: Considering a positive deviance approach.

Harmful alcohol consumption among university students continues to be a significant issue. This study examined whether variables identified in the positive deviance literature would predict responsible alcohol consumption among university students. Surveyed students were categorized into three groups: abstainers, responsible drinkers and binge drinkers.

Compression socks and functional recovery following marathon running: a randomized controlled trial.

Compression socks have become a popular recovery aid for distance running athletes. Although some physiological markers have been shown to be influenced by wearing these garments, scant evidence exists on their effects on functional recovery. This research aims to shed light onto whether the wearing of compression socks for 48 hours after marathon running can improve functional recovery, as measured by a timed treadmill test to exhaustion 14 days following marathon running.

Low-intensity daily walking activity is associated with hippocampal volume in older adults.

Hippocampal atrophy is associated with memory impairment and dementia and serves as a key biomarker in the preclinical stages of Alzheimer's disease. Physical activity, one of the most promising behavioral interventions to prevent or delay cognitive decline, has been shown to be associated with hippocampal volume; specifically increased aerobic activity and fitness may have a positive effect on the size of the hippocampus. The majority of older adults, however, are sedentary and have difficulty initiating and maintaining exercise programs.

Feasibility study to quantify the auditory and social environment of older adults using a digital language processor.

Objective: To investigate the feasibility of using a digital language processor (DLP) to objectively quantify the auditory and social environment of older adults.

Design: Thirty-seven participants aged 64 to 91 years residing in a retirement community were asked to wear a DLP to record their auditory and language environment during 1 waking day. Recordings were analyzed with specialized software to derive quantitative estimates such as the number of spoken words heard and percentage of time spent around meaningful speech versus television/radio.

Patterns and correlates of cannabis use among individuals with HIV/AIDS in Maritime Canada.

Background: The prevalence of cannabis use in HIV-infected individuals is high and its long-term effects are unclear.

Methods: The prevalence, perceived benefits and consequences, and predictors of cannabis use were studied using a cross-sectional survey in two immunodeficiency clinics in Maritime Canada.

Results: Current cannabis use was identified in 38.

Cardiovascular risks and brain function: a functional magnetic resonance imaging study of executive function in older adults.

Cardiovascular (CV) risk factors, such as hypertension, diabetes, and hyperlipidemia are associated with cognitive impairment and risk of dementia in older adults. However, the mechanisms linking them are not clear. This study aims to investigate the association between aggregate CV risk, assessed by the Framingham general cardiovascular risk profile, and functional brain activation in a group of community-dwelling older adults.

Correlates of protection following vaccination of mice with gene deletion mutants of Francisella tularensis subspecies tularensis strain, SCHU S4 that elicit varying degrees of immunity to systemic and respiratory challenge with wild-type bacteria.

Francisella tularensis subspecies tularensis is an extremely virulent facultative intracellular bacterial pathogen capable of causing significant mortality in humans when inhaled. Consequently, subspecies tularensis was developed as a biological weapon more than 50 years ago. To counter this threat the US Army empirically developed a live vaccine strain, F.

Hyponatremia is associated with higher NT-proBNP than normonatremia after prolonged exercise.

Objective: To determine the incidence of and risk factors for exercise-associated hyponatremia (EAH) in cyclists completing a long-distance bike ride and to assess whether postexercise serum NT-proBNP concentration (brain natriuretic protein precursor) differed between riders with and without EAH.

Design: Observational study.

Setting: "Around the Bay in a Day" cycle event, October 2010.

BALB/c mice, but not C57BL/6 mice immunized with a ΔclpB mutant of Francisella tularensis subspecies tularensis are protected against respiratory challenge with wild-type bacteria: association of protection with post-vaccination and post-challenge immune responses.

Francisella tularensis subspecies tularensis is highly virulent for humans especially when it is inhaled. Therefore, it has the potential to be used as a biothreat agent. Vaccines against F.

Blunted diurnal decline of cortisol among older adults with low socioeconomic status.

Low socioeconomic status (SES) is associated with increased risk for adverse health outcomes; those with low SES are thought to experience greater environmental disadvantage and exposure to chronic stress over the life course. The effects of chronic stress on health have been measured by cortisol levels and variations in their diurnal pattern. However, the patterns of association between SES and cortisol have been equivocal in older adults.

Molecular immune responses to aerosol challenge with Francisella tularensis in mice inoculated with live vaccine candidates of varying efficacy.

Background: Francisella tularensis is a facultative intracellular bacterial pathogen and the etiological agent of tularemia. The subspecies F. tularensis tularensis is especially virulent for humans when inhaled and respiratory tularemia is associated with high mortality if not promptly treated.

Urotensin II alters vascular reactivity in animals subjected to volume overload.

Congestive heart failure (CHF) alters vascular reactivity and up regulates in urotensin II (UTII), a potent vasoactive peptide. The aim of this study was to investigate the interaction between CHF and UTII in altering vascular reactivity in a rat model of volume overload heart failure. Animals were divided into 4 groups: control, UTII infused (UTII), volume overload only (VO) or volume overload+UTII (VO+UTII).

Fully automated analysis using BRAINS: AutoWorkup.

The BRAINS (Brain Research: Analysis of Images, Networks, and Systems) image analysis software has been in use, and in constant development, for over 20 years. The original neuroimage analysis pipeline using BRAINS was designed as a semiautomated procedure to measure volumes of the cerebral lobes and subcortical structures, requiring manual intervention at several stages in the process. Through use of advanced image processing algorithms the need for manual intervention at stages of image realignment, tissue sampling, and mask editing have been eliminated.

Outcomes of static and dynamic facial nerve repair in head and neck cancer.

Objectives/hypothesis: Determine outcomes associated with nerve grafting versus static repair following facial nerve resection.

Study Design: Retrospective chart review.

Methods: Charts from 105 patients who underwent facial nerve reconstruction between January 1999 and January 2009 were reviewed.