Using Human-Centered Design to Improve Serious Illness Care for Older Adults With Advanced Dementia.

Context: Older adults with advanced dementia increasingly receive potentially non-beneficial, high-intensity life-sustaining treatments and goal-discordant care in the United States. Interventions to address this issue have shown limited success.

Objectives: To use human-centered design (HCD) with clinicians caring for older adults with advanced dementia to develop intervention ideas to reduce high-intensity, goal-discordant treatments near the end of life.

Effect of Silica Nanoparticles Blocked with Epoxy Groups on the Crosslinking and Surface Properties of PEG Hydrogel Films.

Silica nanoparticles (G-SiNPs) blocked with 3-glycidoxypropyl trimethoxysilane (GPTS) were newly applied to hydrogel films for improving film coating properties and to distribute the epoxy groups on the film surface. The effects of the content of epoxy-functionalized G-SiNPs on the crosslinking features by photo-induced radical polymerization and the surface mechanical properties of the hydrogel films containing poly(ethylene glycol) dimethacrylate (PEGDMA) and glycidyl methacrylate (GMA) were investigated. The real-time elastic modulus of various PEG hydrogel mixtures with prepared particles was monitored using a rotational rheometer.

The active component of ginseng, ginsenoside Rb1, improves erythropoiesis in models of Diamond-Blackfan anemia by targeting Nemo-like kinase.

Nemo-like kinase (NLK) is a member of the mitogen-activated protein kinase family of kinases and shares a highly conserved kinase domain with other mitogen-activated protein kinase family members. The activation of NLK contributes to the pathogenesis of Diamond-Blackfan anemia (DBA), reducing c-myb expression and mechanistic target of rapamycin activity, and is therefore a potential therapeutic target. Unlike other anemias, the hematopoietic effects of DBA are largely restricted to the erythroid lineage.

Effect of Immiscible Secondary Fluid on Particle Dynamics and Coffee Ring Characteristics during Suspension Drying.

Particle motion and coffee ring patterns in water-borne suspensions of polystyrene (PS) particle added with small amounts of secondary hydrophobic decalin are investigated during the drying of the suspension droplets, mainly employing light scattering methods. Very tiny secondary fluid insertions via high-speed agitation effectively link the particles through hydrophobic dissolution leading to the formation of multimodal particulate clusters, with resistance to the outward capillary flow and suppression of coffee ring formation after drying. The impact of decalin on particles is corroborated by actual images acquired from an optical profiler and a scanning electron microscope (SEM).

A Modular and Practical Synthesis of Zwitterionic Hydrogels through Sequential Amine-Epoxy "Click" Chemistry and N-Alkylation Reaction.

In this work, the amine-epoxy "click" reaction is shown to be a valuable general tool in the synthesis of reactive hydrogels. The practicality of this reaction arises due to its catalyst-free nature, its operation in water, and commercial availability of a large variety of amine and epoxide molecules that can serve as hydrophilic network precursors. Therefore, hydrogels can be prepared in a modular fashion through a simple mixing of the precursors in water and used as produced (without requiring any post-synthesis purification step).

Arsenic Compromises Both p97 and Proteasome Functions.

Exposure to arsenic is a worldwide problem that affects more than 200 million people. The underlying mechanisms of arsenic toxicity have been difficult to ascertain due to arsenic's pleotropic effects. A number of recent investigations have shown that arsenic can compromise protein quality control through the ubiquitin proteasome system (UPS) or the endoplasmic reticulum associated protein degradation (ERAD) pathway.

Goober: a fully integrated and user-friendly microarray data management and analysis solution for core labs and bench biologists.

Despite the large number of software tools developed to address different areas of microarray data analysis, very few offer an all-in-one solution with little learning curve. For microarray core labs, there are even fewer software packages available to help with their routine but critical tasks, such as data quality control (QC) and inventory management. We have developed a simple-to-use web portal to allow bench biologists to analyze and query complicated microarray data and related biological pathways without prior training.

UCSD digital nursing: next generation healthcare.

Documentation computer tools for nursing homes are uncommon, with few nursing homes having access to electronic systems. At St. Paul's Nursing Home an UCSD student engineering team created a web based solution for the nursing staff progress notes.