The Development of a Digital Patient Navigation Tool to Increase Colorectal Cancer Screening Among Federally Qualified Health Center Patients: Acceptability and Usability Testing.

Background: Federally Qualified Health Centers (FQHCs) are an essential place for historically underserved patients to access health care, including screening for colorectal cancer (CRC), one of the leading causes of cancer death in the United States. Novel interventions aimed at increasing CRC screening completion rates at FQHCs are crucial.

Objective: This study conducts user testing of a digital patient navigation tool, called eNav, designed to support FQHC patients in preparing for, requesting, and completing CRC screening tests.

Saturated buffers: Improvements and issues.

Saturated buffers are a newly developed agricultural best management practice used to redirect tile flow away from waterways, thereby mitigating nutrient losses and downstream eutrophication. This study evaluated the potential benefits of a novel saturated buffer design, which included pitchfork-shaped (PF) dispersion lines and a backflow check valve, that was installed alongside a traditional or standard (ST) buffer on a field in Moultrie County, Illinois, in the spring of 2019. Daily flow measurements and routine water samples were used to monitor the movement of water through both buffers and estimate nutrient loads.

Virtual Music Therapy for Substance Use Disorders in a Federally Qualified Health Center.

Background: Music therapy (MT) is an effective adjunctive treatment for substance use disorders (SUD), which is primarily available in inpatient treatment centers and rarely provided in outpatient primary care.

Methods: We evaluated the feasibility and acceptability of a virtual group MT program for SUD in a Federally Qualified Health Center (FQHC), and secondarily assessed patient perceptions of its effect. Feasibility was measured by implementation-related process measures, attendance and use of technology.

Core content for venous and Lymphatic Medicine: 2022 revision.

The core content for a medical specialty outlines the scope of the discipline as well as the categories of knowledge considered essential to practice in the field. It provides a template for the development of curricula for medical school, graduate, and postgraduate education, as well as for creating certification standards. Venous and Lymphatic Medicine (VLM) is a specialty that has benefitted from contributions from specialists from several medical disciplines.

Operational challenges that may affect implementation of evidence-based mobile market interventions.

Introduction: Mobile produce markets are becoming an increasingly prevalent, accepted, and effective strategy for improving fruit and vegetable (F&V) access and consumption across underserved and lower-income communities. However, there is limited published research on mobile market operations. The goal of this research is to identify the challenges mobile markets face and ways to potentially mitigate those challenges.

HTX-011 (bupivacaine and meloxicam) for the prevention of postoperative pain - clinical considerations.

HTX-011 is an extended-release, dual-acting local anesthetic consisting of bupivacaine (sodium-channel blocker) and low-dose meloxicam (non-steroidal anti-inflammatory drug [NSAID]) applied needle-free during surgery. Introducing low-dose meloxicam addresses the limited efficacy of liposomal bupivacaine in acidic inflamed tissues and allows enhanced analgesic effects over three days. It has great promise to be an extremely effective postoperative pain regimen and produce an opioid-free surgical recovery, as it has consistently significantly reduced pain scores and opioid consumption through 72 h.

Using common practices to establish a framework for mobile produce markets in the United States.

Access to affordable fruit and vegetables (F&V) remains a challenge within underserved communities across the United States. Mobile produce markets (mobile markets) are a well-accepted and effective strategy for increasing F&V consumption in these communities. Mobile market organizations share similar missions that focus on food, health, and empowerment, participate in incentive programs, offer nutrition education, utilize grassroots-based marketing strategies, prioritize local produce, and sell competitively priced produce through a market style.

Double Up Food Bucks: A Qualitative Evaluation of Usage, Impact, Barriers, and Facilitators.

Objective: Evaluate implementation of a farmers market-based fruit and vegetable incentive program.

Design: Four focus groups and 6 interviews with program participants from April through November 2017.

Setting: Double Up Food Bucks (DUFB) program in Western New York.

Watershed Vulnerability to Invasive N2-Fixing Autumn Olive and Consequences for Stream Nitrogen Concentrations.

Autumn olive ( Thunb.) is an invasive and exotic N-fixing plant species found throughout the United States. Proliferation and spread of autumn olive have displaced native plants and raised concerns about the effects of N fixation and cycling on water quality in invaded areas.

Giant Cane Vegetative Buffer for Improving Soil and Surface Water Quality.

Over the past four decades, riparian buffers have proven effective in retaining nutrients and sediment from agricultural runoff. Many grass species have been used with variable success in riparian buffers to improve the water quality of runoff. However, limited information is available on the effectiveness of giant cane [ (Walt.

Impact of Pharmacogenetics on Efficacy and Safety of Statin Therapy for Dyslipidemia.

Interindividual variability in response to 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors, or statins, with regard to both efficacy and safety is an obvious target for pharmacogenetic research. Many genes have been identified as possible contributors to variability in statin response and safety. Genetic polymorphisms may alter the structure or expression of coded proteins, with potential impacts on lipid and statin absorption, distribution, metabolism, and elimination as well as response pathways related to the pharmacologic effect.

Communication Services and Supports for Individuals With Severe Disabilities: Guidance for Assessment and Intervention.

The National Joint Committee for the Communication Needs of People With Severe Disabilities (NJC) reviewed literature regarding practices for people with severe disabilities in order to update guidance provided in documents originally published in 1992. Changes in laws, definitions, and policies that affect communication attainments by persons with severe disabilities are presented, along with guidance regarding assessment and intervention practices. A revised version of the Communication Bill of Rights, a powerful document that describes the communication rights of all individuals, including those with severe disabilities is included in this article.

Sediment Dynamics Within Buffer Zone and Sinkhole Splay Areas Under Extreme Soil Disturbance Conditions.

Sedimentation dynamics were assessed in sinkholes within training areas at Ft. Knox Military Installation, a karst landscape subjected to decades of tracked vehicle use and extreme soil disturbance. Sinkholes sampled were sediment-laden and behaved as intermittent ponds.

Assessing the fate and effects of an insecticidal formulation.

A 3-yr study was conducted on a corn field in central Illinois, USA, to understand the fate and effects of an insecticidal formulation containing the active ingredients phostebupirim and cyfluthrin. The objectives were to determine the best tillage practice (conventional vs conservation tillage) in terms of grain yields and potential environmental risk, to assess insecticidal exposure using concentrations measured in soil and runoff water and sediments, to compare measured insecticidal concentrations with predicted concentrations from selected risk assessment exposure models, and to calculate toxicity benchmarks from laboratory bioassays performed on reference aquatic and terrestrial nontarget organisms, using individual active ingredients and the formulation. Corn grain yields were not significantly different based on tillage treatment.

Perceptions of traditional healing for mental illness in rural Gujarat.

Background: Despite the significant toll of mental illness on the Indian population, resources for patients often are scarce, especially in rural areas. Traditional healing has a long history in India and is still widely used, including for mental illnesses. However, its use has rarely been studied systematically.

Electronic structure of the water oxidation catalyst cis,cis-[(bpy)2(H2O)Ru(III)ORu(III)(OH2)(bpy)2]4+, the blue dimer.

The first designed molecular catalyst for water oxidation is the "blue dimer", cis,cis-[(bpy)(2)(H(2)O)Ru(III)ORu(III)(OH(2))(bpy)(2)](4+). Although there is experimental evidence for extensive electronic coupling across the μ-oxo bridge, results of earlier DFT and CASSCF calculations provide a model with magnetic interactions of weak to moderately coupled Ru(III) ions across the μ-oxo bridge. We present the results of a comprehensive experimental investigation, combined with DFT calculations.

Predicting water quality in unmonitored watersheds using artificial neural networks.

Land use and land cover (LULC) play a central role in fate and transport of water quality (WQ) parameters in watersheds. Developing relationships between LULC and WQ parameters is essential for evaluating the quality of water resources. In this paper, we present an artificial neural network (ANN)-based methodology to predict WQ parameters in watersheds with no prior WQ data.

Soil and groundwater nitrogen response to invasion by an exotic nitrogen-fixing shrub.

Autumn-olive (Elaeagnus umbellata Thunb.) is an invasive, exotic shrub that has become naturalized in the eastern United States and can fix nitrogen (N) via a symbiotic relationship with the actinomycete Frankia. Fixed N could potentially influence nutrient cycling rates and N leaching into soil water and groundwater.

3 alternatives to standard varicose vein treatment.

Discuss minimally invasive procedures with patients considering surgery for treatment of chronic venous insufficiency. Thermal ablation, in particular, has higher success rates than vein stripping. Consider endovenous chemical ablation for treatment of tortuous saphenous tributary varicosities that cannot be treated with thermal ablation.

Using photographic image analysis to assess ground cover: a case study of forest road cutbanks.

Road prisms, including cutbanks, road surfaces, and fillslopes, can be important contributors of sediment to streams in forested watersheds. Following road construction, cutbanks and fillslopes are often seeded, mulched, and sometimes fertilized to limit erosion and sedimentation. Assessing the success of vegetation establishment on cutbanks and fillslopes is a common task of forested land managers.

High-pressure Raman spectroscopy and X-ray diffraction studies of a terpolymer of tetrafluoroethylene-hexafluoropropylene-vinylidene fluoride: THV 500.

High-pressure Raman spectroscopy and X-ray diffraction of THV 500, a terpolymer of tetrafluoroethylene-hexafluoropropylene-vinylidene fluoride, were performed using diamond anvil cells (DAC). Changes in the interatomic spacing as well as shifts of several of the vibrational bands as a function of pressure were measured up to approximately 10 GPa. The changes in interatomic spacing and shifts of the vibrational bands are compared to those of polytetrafluoroethylene, showing the effects of copolymerization and reduced crystallinity.

Reactivity of an adsorbed Ru(VI)-oxo complex: oxidation of benzyl alcohol.

The phosphonated ruthenium complex, [Ru(tpy-PO(3)H(2))(OH(2))(3)](2+) (1) (tpy-PO(3)H(2) = 4'-phosphonato-2,2':6',2' '-terpyridine), was synthesized and attached to glass|ITO or glass|ITO|TiO(2) electrodes. After attachment to the metal oxide surface through the phosphonate linkage, 1 can be oxidized (either chemically or electrochemically) to the reactive Ru(VI)-dioxo complex, glass|ITO|[((HO)(2)OP)tpy)RuVI(O)(2)(OH(2))](2+), which remains attached to the surface. The attached Ru(VI) complex reacts with benzyl alcohol through mechanisms similar to those proposed for the solution analog.

Structure-activity relationship development of dihaloaryl triazole compounds as insecticides and acaricides. 1. Phenyl thiophen-2-yl triazoles.

An extended lipophilic system that incorporated some key elements of first-generation 2,6-dihaloaryl actives, such as 1, demonstrated desirable efficacy against chewing insects as well as sap-feeding insects. These four-ring systems, based on 2, were accessed primarily via Suzuki couplings of halothiophene derivatives with appropriately substituted boronic acids. In particular, phenylthiophene systems that incorporated haloxyether groups, such as those in 3, 4, and 5, had the broadest spectrum of activity across chewing and sap-feeding insect pests.