Risk of Hospitalization Among Assisted Living Residents Dually Enrolled in Medicare and Medicaid.

Objectives: To examine how risk of hospitalization among assisted living (AL) residents differs by dual enrollment in Medicare and Medicaid and by the percent of dually enrolled individuals in an AL community.

Design: Retrospective cohort study.

Setting And Participants: We used Medicare data from 2008 to 2018 and a national directory of licensed AL communities to identify Medicare beneficiaries with a change in their ZIP+4 code suggesting a new residence in an AL.

Therapeutic Arthroscopy for Noninfectious Stiffness and Anterior Shoulder Pain After Reverse Shoulder Arthroplasty Leads to Clinical Improvement in Most Patients with a Low Complication Rate.

Hypothesis And Background: Reverse shoulder arthroplasty (RSA) exhibits favorable outcomes in managing rotator cuff arthropathy, primary glenohumeral arthritis, and complex proximal humeral fractures. Despite its success and reliability, certain patients experience persistent pain and stiffness. The clinical utility of therapeutic arthroscopy in RSA patients remains an area for investigation.

The Needs and Experiences of Black Families in the Neonatal Intensive Care Unit.

Objectives: To identify opportunities for improvement in quality of care, we explore Black families' experiences of family support in the neonatal intensive care unit (NICU) during their infant's hospital stay.

Methods: Semistructured qualitative interviews or focus groups (FGs) were conducted to explore Black families' experiences of NICU hospitalization. Inclusion criteria were self-identification as a Black family member and infant admission to our NICU between January 2020 and February 2022.

Effect of fumigation, cover crops, and potato growth on shifts in soil microbial communities.

Fumigation as a broad-spectrum pesticide can affect both pathogenic and non-target microorganisms in the soil. As microbial communities are critical within the soil ecosystem, depletion of or changes in these communities can result in negative implications for soil health. Because cover crops are used to enhance soil health physically, chemically, and biologically, they might recover the soil health of the fumigated soil.

A global comparison of surface and subsurface microbiomes reveals large-scale biodiversity gradients, and a marine-terrestrial divide.

Subsurface environments are among Earth's largest habitats for microbial life. Yet, until recently, we lacked adequate data to accurately differentiate between globally distributed marine and terrestrial surface and subsurface microbiomes. Here, we analyzed 478 archaeal and 964 bacterial metabarcoding datasets and 147 metagenomes from diverse and widely distributed environments.

The feasibility of a visuo-cognitive training intervention using a mobile application and exercise with stroboscopic glasses in Parkinson's: Findings from a pilot randomised controlled trial.

Background: There is currently no pharmacological treatment for visuo-cognitive impairments in Parkinson's disease. Alternative strategies are needed to address these non-motor symptoms given their impact on quality of life. Novel technologies have potential to deliver multimodal rehabilitation of visuo-cognitive dysfunction, but more research is required to determine their feasibility in Parkinson's.

In People with Subacute Mild Traumatic Brain Injury, earlier Physical Therapy Improved Symptoms at a Faster Rate than Later Physical Therapy: Randomized Controlled Trial.

Importance: There is unclear evidence on when to initiate physical therapy after mild traumatic brain injury (mTBI) in non-athlete, adult population.

Objective: The objective of this study was to investigate physical therapy timing after mTBI through changes in patient-reported and clinically-assessed tools and objective and mechanism measurements of sensorimotor balance control.

Design: This study was an investigator-blinded randomized control trial (NCT03479541).

Consensus Recommendations for Studies of Outflow Facility and Intraocular Pressure Regulation Using Ex Vivo Perfusion Approaches.

Intraocular pressure (IOP) elevation is the primary risk factor and currently the main treatable factor for progression of glaucomatous optic neuropathy. In addition to direct clinical and living animal in vivo studies, ex vivo perfusion of anterior segments and whole eyes is a key technique for studying conventional outflow function as it is responsible for IOP regulation. We present well-tested experimental details, protocols, considerations, advantages, and limitations of several ex vivo model systems for studying IOP regulation.

A Tale of Two Tails: Tail Ordering of Stoichiometric 1:1 DTAB:SDS Pairs Adsorbed at the Oil-Water Interface.

Cationic:anionic surfactant mixtures adsorbed at an oil-water interface stabilize foams in the presence of oil, making them essential to the oil, gas, and firefighting industries. The oil tolerance of foams stabilized by surfactant mixtures, relative to pure (unmixed) cationic and anionic surfactants, results from the mixtures' enhanced flexibility in tailoring the physicochemical properties of the interface. To judiciously employ these mixtures, it is necessary to characterize the structure-function property relationship of their surfactant monolayers that lend to oil-tolerant/intolerant foams.

Summary of Keynote Speeches from the 2024 Voice AI Symposium, presented by the Bridge2AI-Voice Consortium.

Introduction: The 2024 Voice AI Symposium, hosted by the Bridge2AI-Voice Consortium in Tampa, FL, featured two keynote speeches that addressed the intersection of voice AI, healthcare, ethics, and law. Dr. Rupal Patel and Dr.

Spatiotemporal variation in population dynamics of a narrow endemic, Ranunculus austro-oreganus.

Premise: Understanding how population dynamics vary in space and time is critical for understanding the basic life history and conservation needs of a species, especially for narrow endemic species whose populations are often in similar environments and therefore at increased risk of extinction under climate change. Here, we investigated the spatial and temporal variation in population dynamics of Ranunculus austro-oreganus, a perennial buttercup endemic to fragmented prairie habitat in one county in southern Oregon.

Methods: We performed demographic surveys of three populations of R.

Phase separation in ordered polar active fluids: A completely different universality class from that of equilibrium fluids.

It has recently been shown that large collections of self-propelled entities (a.k.a.

Planar network statistics for two-dimensional rupturing foams.

We conduct experiments on a class of two-dimensional semiwet foams generated through compressing a three-dimensional soap foam between two glass plates. To induce a spatially uniform rupturing process on foam boundaries, an additional plate is heated and placed on top of the unheated plates. For 30 separate foam samples, we record network statistics related to cell side numbers and areas as the foam coarsens over a half-minute.

Publicly Insured Hispanic Families' Perspectives on Well-Being and Challenges During the COVID-19 Pandemic.

Previous studies have identified negative impacts of the COVID-19 pandemic on the mental and physical health of children in the United States, including exacerbation of previously existing disparities according to income, race, and ethnicity. However, a knowledge gap exists regarding the experience of minority families who were disproportionately affected by the pandemic. This qualitative study explores publicly insured Hispanic families' experiences with school, physical, and sedentary activities and overall health and well-being during the pandemic and subsequent lifting of stay-at-home orders.

Benefits and challenges of the integration of haptics-enhanced virtual reality training within dental curricula.

Background: Haptics-enhanced virtual reality (VR-haptic) simulation in dental education has evolved considerably during the past decade, representing a promising resource of simulation-based training opportunities to support conventional practice. We aim to summarize current literature on the applications of VR-haptics in learning, practicing, and teaching dental education.

Methods: A literature search was performed using PubMed, focusing on research articles published between January 2010 and January 2024.

Assessing Wildfire Impact on Diffusive Flux of Parent and Alkylated PAHs: A Pilot Study of Soil-Air Chemical Movement before, during, and after Wildfires.

The global wildfire risk is predicted to rise due to contributing factors of historical fire management strategies and increases in extreme weather conditions. Thus, there is a need to better understand contaminant movement and human exposure to wildfire smoke. Vapor-phase polycyclic aromatic hydrocarbons (PAHs) are elevated during wildfires, but little is known about how these chemicals move during and after wildfire events for exposure risk assessment.

You….. And Me…..and a Cup of Tea: Eight insights we've gleaned from enlightened masters.

This Reflection piece offers eight insights that have been gleaned from enlightened masters related to the nature of consciousness, awareness and experience. These insights are elucidated in ways that can help in the evaluation of the usefulness of our values and beliefs, and how these dictate the way we respond to our life experiences. In this way the essay points to the importance of cultivating and refining one's own awareness because it is the level of our awareness that controls the flow of creativity and experience, both into and out of our lives.

Multiomic profiling of chronically activated CD4+ T cells identifies drivers of exhaustion and metabolic reprogramming.

Repeated antigen exposure leads to T-cell exhaustion, a transcriptionally and epigenetically distinct cellular state marked by loss of effector functions (e.g., cytotoxicity, cytokine production/release), up-regulation of inhibitory receptors (e.

Evidences of radioresistance in from Northeastern Brazil.

Background: Ionizing radiation can inflict cellular damage, the severity of which is determined by the dose, exposure duration, and its capacity to penetrate cells. Some studies have demonstrated that genetic and epigenetic mechanisms have enabled organisms to develop adaptive traits and enhance their ability to repair DNA damage. Northeastern Brazil, a region containing rocky outcrops rich in uranium and thorium, is an ideal scenario to study natural radiation and its effects on natural populations.

Intervention and Sampling Trends in Literacy Research for Young Augmentative and Alternative Communication Users: A Scoping Review.

Purpose: This scoping review aims to characterize the body of literature addressing literacy interventions involving young children (ages 2-8 years) who use or would benefit from aided augmentative and alternative communication (AAC).

Method: A systematic search was conducted in six databases. The search yielded 33 intervention studies.

Physical Activity Engagement After Tai Ji Quan Intervention Among Older Adults With Mild Cognitive Impairment or Memory Concerns: A Secondary Analysis of a Randomized Clinical Trial.

Importance: The effect of exercise interventions on increasing and sustaining moderate to vigorous physical activity (MVPA) among older adults with mild cognitive impairment (MCI), who are at heightened risk of dementia, remains unclear.

Objective: To examine whether participation in a 6-month, supervised, home-based tai ji quan intervention increases MVPA among US community-dwelling older adults at 1 year.

Design, Setting, And Participants: This study was a secondary analysis of a parallel-group, outcome assessor-blinded, randomized clinical trial conducted virtually at participants' homes.