Objective: Individuals with chronic conditions have long-term needs which can be addressed by maintenance rehabilitation. The 2013 settlement in the United States (US) clarified the Medicare coverage of maintenance rehabilitation as a skilled service, even when no improvement is expected. A scoping review was conducted to describe maintenance rehabilitation.
View Article and Find Full Text PDFSafe drinking water availability is a concern in Haiti. Public systems have limited coverage and reliability. Private wells and local water sources are often of unknown or poor quality.
View Article and Find Full Text PDFBackground: Psychoeducational interventions are a critical aspect of supporting adults with attention-deficit hyperactivity disorder (ADHD). The Understanding and Managing Adult ADHD Programme (UMAAP) is a six-session, group-based webinar intervention that incorporates psychoeducation with acceptance and commitment therapy. UMAAP relies on self-referrals and is facilitated by a charity, to promote accessibility.
View Article and Find Full Text PDFKenneth Keown, MD, was a forward-thinking anesthesiologist who developed techniques to allow the safe practice of cardiac anesthesia and opened the door for the future development of more complex intracardiac surgical procedures. His early successful protocols for cardiac anesthesiology and his wide-reaching education of others on these methods earned him the designation of "the grand old man of anesthesia for inside-the-heart surgery" at a young age. His contributions also extended to groundbreaking research in hypothermia, lidocaine uses as an antiarrhythmic, and advocacy for anesthesiology as a specialty.
View Article and Find Full Text PDFThe first Lewis acid base adducts of MoF and an organic base have been synthesized, i. e., MoF(NCH) and MoF(NCH).
View Article and Find Full Text PDFJ Health Care Poor Underserved
August 2024
Emergency medical retrieval services (EMRS) in remote Indigenous islands is rarely investigated. We analyzed the characteristics of patients who underwent EMRS in Lanyu, an offshore island of Taiwan, from January 1, 2014 to December 31, 2021. The need for EMRS for Lanyu Indigenous residents (N=132, 3.
View Article and Find Full Text PDFImportance: Veterans receiving inpatient psychiatric services with limitations in activities of daily living (ADLs) benefit from occupational therapy, yet disparities in access are unknown.
Objective: To investigate whether ADL limitations, an indicator of occupational therapy need, was associated with inpatient psychiatric occupational therapy utilization in the Veterans Health Administration (VHA) and whether this relationship differs by facility characteristics.
Design: Secondary analysis of VHA data.
Objective: The authors sought to investigate whether utilization of inpatient occupational therapy (OT) was associated with reduced risk for 30-day psychiatric readmission in the Veterans Health Administration (VHA).
Methods: The authors conducted a secondary analysis of VHA medical record data for veterans who received inpatient psychiatric care from 2015 to 2020 (N=176,889). Mixed-effects logistic regression was used to model psychiatric readmission within 30 days of discharge (yes or no) as a function of inpatient psychiatric OT utilization (none, one, two, three, or four or more encounters) and other care utilization (e.
Arsenic pentafluoride undergoes ligand-induced autoionization in the presence of 1,10-phenanthroline (phen) in a SOClF solution to form the donor-stabilized [AsF(phen)][AsF] salt. Reacting [AsF(phen)][AsF] with the strong Lewis acid SbF·SO yields the mixed arsenic-antimony salt [AsF(phen)][SbF]. These salts are the first examples of crystallographically characterized donor-stabilized [AsF] cations.
View Article and Find Full Text PDFObjective: To investigate whether participation restrictions, an indicator of need for occupational therapy (OT), was associated with outpatient OT utilization in the Veterans Health Administration (VHA) among Veterans with mild traumatic brain injury (mTBI), and whether this relation differs by facility characteristics.
Design: In a secondary analysis of national VHA data, we used modified Poisson regression to model OT utilization (yes/no) as a function of participation restrictions (Mayo-Portland Adaptability Inventory Participation Index [M2PI]), facility characteristics, and covariates. Facility characteristics included complexity, geographic region, and self-reported access to specialty care.
Interactions between ketones and SF are studied for the simplest ketone, acetone, and the bulky polycyclic 2-adamantanone. Acetone forms the 1 : 2 adduct SF ⋅ [O=C(CH ) ] as well as the dimeric 1 : 1 adducts [SF ⋅ O=C(CH ) ] as identified by low-temperature Raman spectroscopy and, for the latter, X-ray crystallography. In both adducts, SF acts as a double chalcogen-bond donor to two keto groups.
View Article and Find Full Text PDFIn April 2022, The Company of Biologists hosted their first post-pandemic in-person Workshop at Buxted Park Country House in the Sussex countryside. The Workshop, entitled 'Cell size and growth: from single cells to the tree of life', gathered a small group of early-career and senior researchers with expertise in cell size spanning a broad range of organisms, including bacteria, yeast, animal cells, embryos and plants, and working in fields from cell biology to ecology and evolutionary biology. The programme made ample room for fruitful discussions and provided a much-needed opportunity to discuss the most recent findings relating to the regulation of cell size and growth, identify the emerging challenges for the field, and build a community after the pandemic.
View Article and Find Full Text PDFPurpose: The American Board of Medical Genetics and Genomics (ABMGG) certifying examinations (CEs) are designed to assess relevant basic knowledge, clinical knowledge, and diagnostic skills of board-eligible candidates in primary specialty areas. The ABMGG in-training examinations (ITEs) provide formative feedback regarding knowledge and learning over time and assess readiness to attempt board certification. This study addresses the validity of the ABMGG ITE by evaluating its relationship with performance on CE utilizing established psychometric approaches.
View Article and Find Full Text PDFAntimony pentafluoride is a strong Lewis acid and fluoride-ion acceptor that has not previously demonstrated any discreet fluoride-ion donor properties. The first donor-stabilised [SbF ] cations were prepared from the autoionisation of SbF in the presence of bidentate N-donor ligands 2,2'-bipyridine (bipy) and 1,10-phenanthroline (phen) as their [SbF ] salts. The [SbF (N-N)][Sb F ] (N-N=bipy, phen) salts were synthesised by the addition of one equivalent of SbF ⋅SO to [SbF (N-N)][SbF ] in liquid SO The salts show remarkable stability and were characterised by Raman spectroscopy and multinuclear NMR spectroscopy.
View Article and Find Full Text PDFRobustness and resilience are widely used in the biological sciences and related disciplines to describe how systems respond to change. Robustness is the ability to tolerate change without adapting or moving to another state. Resilience refers to the ability for a system to sustain a perturbation and maintain critical functions.
View Article and Find Full Text PDFTreatment of the new methanediide-methanide complex [Dy(SCS)(SCSH)(THF)] (, SCS = {C(PPhS)}) with alkali metal alkyls and auxillary ethers produces the bis-methanediide complexes [Dy(SCS)][Dy(SCS)(K(DME))] (), [Dy(SCS)][Na(DME)] () and [Dy(SCS)][K(2,2,2-cryptand)] (). For further comparisons, the bis-methanediide complex [Dy(NCN)][K(DB18C6)(THF)(toluene)] (, NCN = {C(PPhNSiMe)}, DB18C6 = dibenzo-18-crown-6 ether) was prepared. Magnetic susceptibility experiments reveal slow relaxation of the magnetisation for , with open magnetic hysteresis up to 14, 12, 15, and 12 K, respectively (∼14 Oe s).
View Article and Find Full Text PDFVibrio cholera, the bacteria that cause cholera, is endemic in Haiti with a presence in both cities and remote areas. Improved access to drinking water testing and treatment in remote areas may reduce the impact of the disease. This case study uses correlation and regression analysis to identify the main factors that hinder access to water testing and that lead to high cholera infection rates among communities in the Northern Corridor of Haiti.
View Article and Find Full Text PDFThis report summarizes data from electronic reports of reportable medical events (RMEs) to examine the incidence of vector-borne infectious diseases among members of the U.S. Armed Forces during a recent 5-year period.
View Article and Find Full Text PDFCarnosine is an endogenous dipeptide composed of β-alanine and L-histidine. This naturally occurring molecule is present at high concentrations in several mammalian excitable tissues such as muscles and brain, while it can be found at low concentrations in a few invertebrates. Carnosine has been shown to be involved in different cellular defense mechanisms including the inhibition of protein cross-linking, reactive oxygen and nitrogen species detoxification as well as the counteraction of inflammation.
View Article and Find Full Text PDFThe has been publishing the results of surveillance studies of malaria since 1995. The standard case definition uses Medical Event Reports and records of hospitalizations in counting cases of malaria. This report summarizes the performance of the standard case definition in estimating incident cases of malaria from 2015 through 2017.
View Article and Find Full Text PDFClimate change and wildfire are interacting to drive vegetation change and potentially reduce water quantity and quality in the southwestern United States, Forest restoration is a management approach that could mitigate some of these negative outcomes. However, little information exists on how restoration combined with climate change might influence hydrology across large forest landscapes that incorporate multiple vegetation types and complex fire regimes. We combined spatially explicit vegetation and fire modeling with statistical water and sediment yield models for a large forested landscape (335,000 ha) on the Kaibab Plateau in northern Arizona, USA.
View Article and Find Full Text PDFDuring 2007-2016, 18.1% of all active component service members were diagnosed with at least one of the five risk factors for cardiovascular disease (CVD) studied in this analysis. In addition, 0.
View Article and Find Full Text PDFThis report summarizes available health record information about the occurrence of vector-borne infectious diseases among members of the U.S. Armed Forces during a recent 7-year surveillance period.
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