cssi/SciSciGPT-SciSciNet huggingface dataset:
Measuring Consumer Perceptions of Business Ethical Behavior in Two Muslim Countries.

After measuring consumers’ sentiments toward business ethical practices in mostly Christian countries, the Business Ethics Index was expanded to two Muslim countries – Turkey and Egypt. The overall BEI for both countries was on the negative range, with Egypt exhibiting the widest gap between personal ethical perceptions and vicarious ones. No difference between genders was observed.
Beyond co-existence: Exploiting WiFi white space for Zigbee performance assurance

Recent years have witnessed the increasing adoption of ZigBee technology for performance-sensitive applications such as wireless patient monitoring in hospitals. However, operating in unlicensed ISM bands, ZigBee devices often yield unpredictable throughput and packet delivery ratio due to the interference from ever increasing WiFi hotspots in 2.4 GHz band. Our empirical results show that, although WiFi traffic contains abundant white space, the existing coexistence mechanisms such as CSMA are surprisingly inadequate for exploiting it. In this paper, we propose a novel approach that enables ZigBee links to achieve assured performance in the presence of heavy WiFi interference. First, based on statistical analysis of real-life network traces, we present a Pareto model to accurately characterize the white space in WiFi traffic. Second, we analytically model the performance of a ZigBee link in the presence of WiFi interference. Third, based on the white space model and our analysis, we develop a new ZigBee frame control protocol called WISE, which can achieve desired trade-offs between link throughput and delivery ratio. Our extensive experiments on a testbed of 802.11 netbooks and 802.15.4 TelosB motes show that, in the presence of heavy WiFi interference, WISE achieves 4× and 2× performance gains over B-MAC and a recent reliable transmission protocol, respectively, while only incurring 10.9% and 39.5% of their overhead.
Managing reindeer and wildlife on Alaska's Seward Peninsula

When reindeer (Rangifer tarandus tarandus) were introduced to Alaska's Seward Peninsula between 1892 and 1902, other ungulates were not present and large predators were either absent or less abundant than after reindeer were established. During the next 100 years reindeer numbers and distribution increased and declined precipitously on the Seward Peninsula; wildlife species repopulated this region through natural processes or translocations by man; the non-Native human population of Alaska increased dramatically and wildlife management became an issue of national concern creating diverse public desires regarding resource use; and both range and wildlife became intensively managed through complex, politicized processes. This paper provides an historical overview of reindeer and wildlife abundance on the Seward Peninsula during the 20th century and describes the effects of wildlife on the reindeer industry. Cooperative public processes have been initiated to bring diverse public interests together; meld indigenous, scientific and local knowledge of resources; and supplement governmental wildlife management programmes. Even so, the Seward Peninsula reindeer industry has been severely impacted by wildlife, especially caribou (R. t. granti).
Is adolescence a sensitive period for depression? Behavioral and neuroanatomical findings from a social stress model.

Objectives: Sex differences in depressive symptoms emerge during adolescence, with females more at risk than males. However, adverse life events dur- ing development have greater impact on males. An animal model that incorporates be- havioral and anatomical changes following adolescent stress is needed. Experimental Design: Sprague-Dawley rats were exposed to social stress (SS; isolation housing dur- ing P30-35) or remained group-housed (GRP) and tested in the forced swim test (FST), the triadic learned helplessness model (LH), and the elevated plus maze. West- ern immunoblots of myelin basic protein (MBP) and synaptophysin (SVP) and spino- phillin indexed synaptic and dendritic plasticity, respectively. Principal Observations: At P36, SS increased climbing behavior in both sexes, and decreased the latency to immobility in females following a 15 min inescapable swim in the FST. Depressive- like behaviors were differentially elevated in both sexes 24 h later. GRP females exhibited higher levels of depression-related behaviors than GRP males in both FST and LH paradigms. SS significantly increased depressive behaviors in the FST in males, and impaired their ability to escape shock previously conditioned to be control- lable. SS decreased open arm time in females only. The greatest reductions in synaptic plasticity proteins were observed in the prefrontal cortex: spinophillin (19.1%), SVP (7.9%), and MBP (48.7%, males only). Smaller reductions in spinophillin were observed in the hippocampus and amygdala. Conclusions: Adolescent separation pro- duces both behavioral and neural changes associated with stress-related depression and anxiety. Additional work is needed to improve our understanding of stress as it relates to depression during this vulnerable period of development. Synapse 62:22- 30, 2008. V C 2007 Wiley-Liss, Inc.
VAGINAL CALCULI SECONDARY TO PARTIAL VAGINAL OUTLET OBSTRUCTION IN PEDIATRIC PATIENTS

Vaginal calculi are classified as primary or secondary and they are rare, especially in children. Primary vaginal calculi are believed to originate from the stasis of urine in the vagina without an obvious nidus, whereas secondary vaginal calculi are the result of crystallization of urinary constituents around a foreign body in the vagina. The 2 previously described children with vaginal calculi had primary stones. Eton noted a large struvite stone associated with an ectopic ureter draining into the vagina of a 7-year-old child. Bissada and Hanash removed a struvite calculus from a 12-year-old patient with urinary incontinence secondary to spina bifida. We recently treated 2 children with primary vaginal stones associated with partial vaginal outlet obstruction.
Zero-Divisor Graphs of Nearrings and Semigroups

Zero-divisor graphs of rings have been developed and explored by D. F. Anderson and Livingston, Redmond, and others ([4], [5], [15], [17]). Additionally, these ideas have been adapted to semigroups by DeMeyer, McKenzie, and Schneider [10]. Results concerning the properties of graphs of semigroups are presented. All possible zero-divisor graphs of nearrings with identity in which the graph has less than five vertices are classified, and the additive group of each nonring is identified. Following the example of [7], we include a table of nearrings with identity of orders between sixteen and thirty-one.
Restating Employment Remedies

As far as Remedies is concerned, the new Restatement of Employment Law is very much a mixed bag. Perhaps the most obvious conclusion is one we did not need a Restatement to know: the law’s remedial scheme generally favors employers although this may largely stem from the reality that most employees are judgment proof or at least not worth pursuing for whatever money might be collected. That is, this may largely explain the law’s slant towards injunctive relief for employers. As for enhanced monetary remedies against faithless servants, the explanation is probably more historical than logical, stemming from an ill-defined “fiduciary” notion that transitioned from trust law through various confidential relationships into what we now know as employment law.The new Restatement, however, does not often tilt the playing field further towards employers and sometimes makes modest efforts to level it. Its disapproval of the inevitable-disclosure rule comes to mind. Further, some of its innovations — a new test for modifying overbroadly restrictive covenants — might be of some utility in this regard. Nevertheless, other policy choices — the adoption of the lowered-sights doctrine for mitigation efforts and the rejection of reinstatement for employees discharged in violation of public policy — seem very dubious. As for its reformulation of the rules about enforcing restrictive covenants, the blackletter might or might not do some good in curtailing the unconsidered spread of such covenants. Finally, Employment Law failed to address issues of potential importance where it could have made some improvements or at least offered useful guidance.
Blood Pressure Measurement Biases in Clinical Settings, Alabama, 2010-2011.

INTRODUCTION Blood pressure measurement in clinical care settings seldom follows the protocol recommended by national guidelines, potentially leading to overestimates or underestimates of blood pressure control. We evaluated blood pressure measurement methods as a source of bias in determining blood pressure control among community-dwelling adults with diabetes. METHODS In a community-based trial of patients with diabetes, we measured both "clinical blood pressure" (clinical BP) (taken by a community nurse or medical assistant instructed to "take the participant's blood pressure like you do in your own clinic") and "research blood pressure" (research BP) (research staff followed a guideline-concordant protocol). Each participant had both types of blood pressure assessment on the same day over the course of 2 hours. RESULTS The 227 participants had a mean age of 59 years; 86% were black and 74% were women. The mean clinical BP was 5 mm Hg higher than the mean research BP for systolic blood pressure (P < .001) and 2 mm Hg higher for diastolic blood pressure (P < .001). The proportion of participants whose clinical BP was 130/80 mm Hg or higher was 8 percentage points higher than the proportion whose research BP was 130/80 mm Hg or higher (P < .001), and the proportion whose clinical BP was 140/90 mm Hg or higher was 10 percentage points higher than the proportion whose research BP was 140/90 mm Hg or higher (P < .001). Among those aged 65 years or older, the proportion whose clinical BP was 130/80 mm Hg or higher was 10 percentage points higher than proportion whose research BP was 130/80 mm Hg or higher, and the proportion whose clinical BP was 140/90 mm Hg or higher was 14 percentage points higher than the proportion whose research BP was 140/90 mm Hg or higher. Whites and smokers had the greatest risk for having a clinical BP 5 mm Hg or more higher than their research BP. CONCLUSION Measurement biases in clinical settings may be a component of observed poor blood pressure control rates in real-world settings.
American Physical Therapy Students in Great Britain A Special Communication

This article presents a brief account of the University of Evansville's use of Harlaxton Manor, located in England. In 1984, an elective physical therapy course was established at Harlaxton to provide the American physical therapy student with an opportunity to study in Great Britain. The three primary objectives of the program were to introduce students to the National Health System as it operates in Great Britain, introduce students to some specialized physical therapy techniques of a British origin, and provide observational experiences in physiotherapy departments of both small local hospitals and larger district or teaching hospitals. The annual program admits physical therapy students from other universities, as well as from the University of Evansville. The students have responded enthusiastically to the program, which has enriched both their professional and personal lives.
Differential impairment of adherens-junction expression/phosphorylation after cardioplegia in diabetic versus non-diabetic patients

OBJECTIVES Previous animal studies have demonstrated that endothelial adherens-junction molecules are significantly altered in animal myocardium and microvasculature after cardioplegia and cardiopulmonary bypass (CP/CPB). We investigated the effects of diabetes on expression/phosphorylation/localization of vascular endothelial (VE)-cadherin, β- and γ-catenin in human atrial myocardium and coronary vasculature in the setting of CP/CPB. METHODS Right atrial tissue was harvested pre- and post-CP/CPB from non-diabetic (ND) [haemoglobin A1c (HbA1c): 5.4 ± 0.15], controlled (CDM) (HbA1c: 6.3 ± 0.14) and uncontrolled diabetic (UDM) (HbA1c: 9.9 ± 0.72) patients (n = 10/group). Expression/phosphorylation/localization of VE-cadherin, β- and γ-catenin were assessed by immunoblotting, immunoprecipitation and immunohistochemistry. In vitro atrial microvascular reactivity was assessed by videomicroscopy in response to the endothelium-dependent vasodilator adenosine 5'-diphosphate (ADP). RESULTS There were no significant differences in VE-cadherin protein expression between pre- and post-CP/CPB among groups. There were significant decreases in VE-cadherin densities in vessels of the UDM group versus the ND group at baseline or post-CP/CPB, respectively (P < 0.05). The level of basal phosphorylated VE-cadherin tends to be higher in the UDM compared with the ND group (P < 0.05). CP/CPB induced more phosphorylation of VE-cadherin in all groups (versus pre-CP/CPB; P < 0.05, respectively) and this effect was more pronounced in the UDM group (P < 0.05 versus ND or CDM). The protein levels of both catenins (β and γ) were lower in post-CP/CPB in UDM than ND patients (P < 0.05). There were significant decreases in vasodilatory response to endothelial-dependent vasodilator ADP after CP/CPB (P < 0.05). This alteration was more pronounced in UDM patients (P < 0.05). CONCLUSIONS These data suggest that poorly controlled diabetes down-regulates endothelial adherens-junction protein activation/expression/localization in the setting of CP/CPB. The increased tyrosine phosphorylation and deterioration of VE-cadherin indicate the damage of the cell-cell endothelial junctions in the diabetic vessels undergoing CP/CPB and cardiac surgery. These alterations may lead to increase in vascular permeability and endothelial dysfunction and affect outcomes in diabetic patients after cardiac surgery.
Patent Law Essentials: A Concise Guide (Second Edition)

Patent Law Essentials: A Concise Guide offers a brief but thorough survey of United States patent law. It can be used by attorneys as a quick reference and source of authority, or by engineers, business managers, or other professionals seeking clear explanations of a complex, but increasingly important field of law. The revised Second Edition covers new developments in the law and includes footnote citations to recent Supreme Court and Federal Circuit authority.
Methods for Vesicular-Arbuscular Mycorrhiza Research in the Lowland Wet Tropics

Mycorrhizal associations influence plant growth (Janos, 1980a), nutrient cycling (Janos, 1983), succession (Janos, 1980b), and community composition (Janos, 1983) in the lowland wet tropics. Mycorrhizae have pervasive importance primarily because they improve the uptake of phosphorus (Bowen, 1980), a plant macronutrient which is only scantily available in most wet-tropical soils (Sanchez, Buol, 1975). Vesicular-arbuscular (VA) mycorrhizal fungi can be lost from tropical soils, however, as a consequence of land use (Janos, 1975, 1980b); practical techniques for their large-scale reintroduction are not available. Indigenous tropical ectomycorrhizal fungi regularly associate with the economically significant family Dipterocarpaceae (Janos, 1983), but the physiological ecology of these associations is virtually uninvestigated. Although research on tropical mycorrhizae is hampered by a lack of trained investigators, more is needed and is merited (Mikola, 1980).
Foundational Courses in Health Education Pathways for Linking Community Colleges to Baccalaureate Programs in Health Education

Community colleges educate a substantial proportion of future health professionals. In particular, they provide an important incubator for health education specialists who may pursue their foundational courses in a 2-year degree setting, with an opportunity to articulate to a 4-year degree program in health education. Community colleges also have strong connections to the communities they serve, a foundational element shared with health education, and enroll many students from underserved communities who could enhance the diversity of the future health education workforce. This article describes the development of three foundational courses in health education by the Society for Public Health Education, Inc. (SOPHE), working as part of The Framing the Future: The Second 100 Years of Public Health Task Force under the aegis of the Association of Schools and Programs in Public Health and the League for Innovation in Community College in the United States. Using the latest available competencies for the heal...
Lipid-free Fluoropolymer-based Propofol Emulsions and Lipid Reversal of Propofol Anesthesia in Rats.

Background:Propofol, as a lipid-based emulsion, is effective at inducing anesthesia. It does, however, suffer from several drawbacks, including microbial growth, hyperlipidemia, and pain on injection. In this study, the authors examined the ability of four lipid-free propofol nanoemulsions to induce
A novel bioreactor for continuous monitoring of force-displacement

Current bioreactors, although suitable for various functions, are often times costly, unreliable and difficult to set up [1,2]. Unlike standard tissue culture equipment, these systems are complex and difficult to operate [1,2]. Due to these limitations our aim was to develop a bioreactor that utilizes common cell culture equipment, is easy to set up and can interrogate mechanical properties of engineered tissue in culture. Additionally, a small footprint and the ability to grow tissue in replicate were desired due to space limitations of standard laboratory incubators. The end goal of this study was to develop a reliable, robust and reproducible bioreactor capable of continuously monitoring force-displacement characteristics.Copyright © 2009 by ASME
Preimaginal development and survival of Bemisia tabaci on cotton and cucumber

Bemisia tabaci was collected in the Coachella and Imperial valleys of California and reared on cotton (‘Delta Pine 61’) and cucumber (‘Poinsett 76’) in temperature-controlled cabinets at 20.0, 25.5, 29.0, and 32.0∘C. Data were collected on preimaginal developmental period and mortality. Mean overall developmental periods varied from 38.2 d at 20∘C to 17.4 d at 32∘C. on cucumber and from 28.6 d at 20∘C to 17.7 d at 25SC on cotton. Development was slower at 20.0 and 25.5∘C on cucumber and slower at 29.0 and 32.0∘C on cotton. Immature survival was ≍50% on cotton at all temperatures, and on cucumber increased from 33 to 72% with increasing temperatures. Developmental periods and survival for each preimaginal stage also are presented.
Poly(3′,4′-dibutyl-α-terthiophene-phenylene-vinylene), and poly(3′,4′-dibutyl-α-terthiophene-phenylene-imine): synthesis and properties of two new isoelectronic soluble conjugated polymers

A new soluble and dopable copolymer consisting of 3',4'-dibutyl-2,2':5',2′-terthiophene and phenylene vinylene units has been designed and prepared via a Wittig reaction. This copolymer is soluble in common organic solvents such as THF and CHCl3, and can be doped with various oxidants increasing its electrical conductivity by several orders of magnitude. Its films are electrochromic and turn reversibly and rapidly from red to green-blue upon doping and undoping electrochemically. If the phenylene vinylene units are replaced with phenylene imine units, another interesting new polymer forms which is not readily dopable with the same oxidants but is dopable with acids. The new material exhibits strong chemochromism with dramatic shifts in its optical absorption spectra. In the undoped state both copolymers show strong photoluminescence.
Approach Behaviour, Stress and Substance Use in Young Adults

We investigated the interaction between approach behaviours (measured through performance on a resource-gathering task) and self-reported global life stress to predict substance use. Our hypothesis that high levels of approach behaviour in combination with high life stress would predict elevated substance use was guided by the reinforcement sensitivity theory (Gray & McNaughton, ). Ninety-three young adult students (61 women and 32 men) completed a computerized resource-gathering task and questionnaires assessing global life stress and substance use. Consistent with the hypothesis, approach behaviour was positively related to substance use for individuals with high life stress. The findings suggest that person by environment interactions are useful in understanding substance use and we discuss how approach-motivated individuals may arrive at different substance use outcomes as a function of stressful contexts. Copyright © 2016 John Wiley & Sons, Ltd.
417 TUMOR-LYMPHATIC INTERACTIONS IN VITRO: EFFECTS OF INTERSITIAL FLOW ON CHEMOTAXIS

The mechanisms leading to lymphatic metastasis remain poorly understood, despite the fact that many cancers spread through the lymphatics, and debate currently exists as to the primary mechanism of tumor invasion into the lymphatics: do tumors invade surrounding lymphatics or induce lymphangiogenesis? Recent studies have demonstrated that interstitial fluid flow contributes to lymphatic regeneration and organization, possibly by directed macrophage proteolysis. In addition, it is well established that tumors exhibit high interstitial fluid pressure, which leads to net outward radial convection from a tumor mass. Finally, tumors that have high expression levels of VEGF-C, a lymphatic growth factor, have higher incidence of lymphatic metastasis. Taken together, these concepts led us to hypothesize that interstitial fluid flow may facilitate lymphatic metastasis by these mechanisms in a synergistic way. To this end, we investigated the roles of the extracellular matrix and interstitial flow on tumor-lymphatic interactions by comparing chemotaxis and migration of lymphatic endothelial cells (LECs) towards tumor cells and vice-versa, and in fibrin matrices. We found that under static conditions without a matrix, LECs were chemoattracted to tumor cells, particularly those that overexpress VEGF-C. However, in the physiological context of an extracellular matrix, tumor cells were much more migratory than LECs (reflecting the fact that they are more proteolytically active), and that interstitial fluid flow synergized with VEGF-C to strongly enhance tumor cell migration towards LECs but not vice-versa.We further showed that this flow enhanced effect could be blocked with protease inhibitors. Thus, we conclude that the biophysical environment of the tumor and surrounding stroma strongly prefers tumor invasion into lymphatics as opposed to induction of lymphangiogenesis towards or into the tumor.
The diagnostic value of the fractional exhaled nitric oxide test for asthma in children

Objective:To explore the diagnostic value of the fractional exhaled nitric oxide(FeNO) for asthma in children.Methods:The patients with unkown-caused respiratory symptoms including wheezing,cough and breathlessness were enrolled from Jun to Sep in 2010.FeNO was measured by nitric oxide analyzer.Bronchial challenge test and bronchodilator test were defined as golden standard for asthma diagnosis in children.The diagnostic value of FeNO was assessed and the optimal operating point of FeNO testing was determined by the means of the receiver operating characteristic(ROC) curve.Results:A total of 87 patients were enrolled,in which 52 cases were diagnosed as asthma by positive result in bronchial challenge test or bronchodilator test,and the other 35 cases were non-asthma.The level of FeNO in asthma group was higher than non-asthma group[(59.77±42.48)ppb vs(25.26±22.60)ppb,P 0.05].The level of FeNO was correlated with the counts of eosinophile granulocyte(r=0.546,P 0.01) but not correlated with FEV1%(r=-0.151,P 0.05).Area under ROC curve was 0.818.The optimal diagnostic cut-off point was 34.5 ppb which was capable of differentiating asthma and non-asthma with sensitivity of 0.712,specificity of 0.686,positive predictive value of 0.755,negative predictive value of 0.605 and accuracy of 0.689.Conclusion:Determination fo FeNO may be helpful in the diagnosis of asthma in children.
Diagnostic and Therapeutic Approaches to Primary Hyperparathyroidism

Careful metabolic evaluation of patients with primary hyperparathyroidism has provided a partial explanation for the differences in clinical presentations of patients with this disease. These methods also allow discrimination among various types of hypercalciuria and increase the accuracy of diagnostic and therapeutic efforts.
A Review of Available Techniques for Cardiac Output Monitoring

The main objective of fluid therapy is to increase cardiac output (CO). Large, rapidly administered volumes of fluids are the cornerstone of treating patients in shock to restore circulating volume and improve tissue perfusion. However, determining exactly how much fluid a given patient requires can be challenging. If enough fluid is not given, poor tissue perfusion can lead to ischemia, anaerobic metabolism, and ultimately cell and patient death. Conversely, increased morbidity and mortality associated with excessive intravenous fluid administration has been reported in the human literature in a wide variety of conditions. This review focuses on types of available CO monitoring, their application in veterinary medicine as well as current research trends in noninvasive evaluation of CO.
Treatment of Recurrent Primary Central Nervous System Lymphoma Patients with anti-PD1 Antibody Nivolumab (P6.280)

OBJECTIVE: To describe outcomes of patients with recurrent Primary Central Nervous System Lymphoma (PCNSL) treated with PD-1 (programmed cell death protein 1) inhibitor nivolumab. BACKGROUND: PCNSL, a variant of extranodal non-Hodgkin’s lymphoma (NHL), accounts for approximately 3[percnt] of all primary brain tumors. Standard therapy with high-dose methotrexate (HD-MTX) can lead to median survival of 30-50 months and nearly 50[percnt] of patients relapse within 2 years of diagnosis. There are no standard of care treatment options for relapsed/refractory PCNSL. Salvage therapies have demonstrated limited benefit with poor survival and substantial treatment-associated toxicities. PD-1 blockade has shown safety and encouraging results in the treatment of Hodgkin’s lymphoma patient and is promising in the treatment of non-Hodgkin’s lymphoma. PD-1/PD-L1 (programmed death ligand 1) and tumor infiltrating lymphocytes have been detected in surgical specimens of PCNSL. DESIGN/METHODS: We describe 3 patients with recurrent PCNSL that have been treated with the anti-PD1 antibody nivolumab. RESULTS: Patient 1 is a 59 year old man initially treated with whole brain radiotherapy (WBRT) and then HD-MTX-based chemotherapy for relapse. He started treatment for refractory disease with rituximab and nivolumab to which he had a complete response radiographically after 2 cycles of treatment. Patient 2 is a 54 y/o woman with PCNSL refractory to HD-MTX-based treatment underwent WBRT with nivolumab followed by adjuvant treatment with anti-PD1 antibody to which she has had a partial radiographic response so far. Patient 3 is a 78 y/o man with multiply recurrent PCNSL currently undergoing treatment with nivolumab for relapsed disease. All 3 patients have demonstrated a clinical response and 2 had a radiographic response. No patients have had ≥ grade 3 toxicities. CONCLUSIONS: PD1 immune checkpoint blockade is a novel strategy for treatment of PCNSL and preliminarily we have seen anti tumor activity; early phase clinical trials are ongoing. Disclosure: Dr. Nayak has received personal compensation for activities with Amgen Inc. Dr. Iwamoto has received research support from Novocure, Celldex, Northwest Biotherapeutics, BTTC.
Primary mesenchymal liver tumors of childhood

Primary mesenchymal tumors of the liver represent a significant proportion of liver tumors among neonates, infants and young children. They may be discovered incidentally or present with an alarmingly large, rapidly growing abdominal mass. One third of pediatric liver tumors are benign with hemangioma and mesenchymal hamartoma being the commonest in that order. Infantile hemangioendothelioma and mesenchymal hamartoma represent the commonest liver tumors among neonates and infants. Mesenchymal hamartoma may even present in utero. A biopsy is often required for definitive diagnosis due to considerable overlap in clinical presentation and radiological findings amongst these tumors, as well as with hepatoblastoma.
Student perceptions of cloud applications effectiveness in higher education

Abstract Cloud computing technology use in higher education institutions is rapidly expanding and becoming a more integral part of the collegiate experience. This expansion of the use of cloud applications comes with some significant learning and adoption challenges to the end users along with the technical advantages that allow greater accessibility and ease of use. The influence of individual user perceptions toward these technologies is an issue that merits further investigation. Several technology acceptance models have demonstrated some degree of success in predicting adoption behaviors utilizing individual user traits and beliefs. However, there have been limited investigations of variables after the technology has been implemented and used. This paper focuses on the associations between variables identified in the literature that are considered to be influencing use and perceptions of technology for undergraduate students of technology at a mid-sized university in Southeast Michigan. The results statistically present significant correlations between each measured variable and support the interaction between perceived ease of use, computer anxiety, computer self-efficacy, and internet self-efficacy with the perceived usefulness of cloud applications in a higher education setting.
Hunter-Prey Discourse: A Critical Discourse Analysis of the Online Posts of Men Who Buy Sex.

BACKGROUND: The Internet has emerged as a major expediter of the commercial sex (CS) industry. While use of web-based CS industry sites is brisk, the full extent of their impact remains unclear par...
Local Inflammatory Cues Regulate Differentiation and Persistence of CD8 + Tissue-Resident Memory T Cells.

Many pathogens initiate infection at mucosal surfaces, and tissue-resident memory T (Trm) cells play an important role in protective immunity, yet the tissue-specific signals that regulate Trm differentiation are poorly defined. During Yersinia infection, CD8+ T cell recruitment to areas of inflammation within the intestine is required for differentiation of the CD103-CD69+ Trm subset. Intestinal proinflammatory microenvironments have elevated interferon (IFN)-β and interleukin-12 (IL-12), which regulated Trm markers, including CD103. Type I interferon-receptor- or IL-12-receptor-deficient T cells functioned similarly to wild-type (WT) cells during infection; however, the inability of T cells to respond to inflammation resulted in defective differentiation of CD103-CD69+ Trm cells and reduced Trm persistence. Intestinal macrophages were the main producers of IFN-β and IL-12 during infection, and deletion of CCR2+ IL-12-producing cells reduced the size of the CD103- Trm population. These data indicate that intestinal inflammation drives phenotypic diversity and abundance of Trm cells for optimal tissue-specific immunity.
Associations of Maternal Testosterone and Cortisol Levels With Health Outcomes of Mothers and Their Very-Low-Birthweight Infants:

Objective:Although the roles of testosterone and cortisol in various health problems have been extensively investigated, little is known about their associations with health outcomes in mothers and...
Abstract WP379: Mode of Arrival Effects tPA Timeliness: a Retrospective Review

Background: Baptist Health System (BHS) became Primary Stroke Certified in May, 2009. BHS admits approximately 2,000 stroke patients annually. Applying LEAN methodology and the AHA/ASA Target Strok...
Microencapsulation of docosahexaenoic acid (DHA) with four wall materials including pea protein-modified starch complex

Omega-3 fatty acids, specifically docosahexaenoic acid (DHA, 22 carbons and 6 double bonds) are fundamental compounds for a healthy diet. However, due to their unsaturated nature, omega fatty acid-rich oils are chemically unstable and susceptible to oxidative deterioration. The oxidation results in production of free radicals and unpleasant tastes, negatively impacting the shelf-life, sensory properties, and acceptability of food products. This study was conducted to examine the effect of wall materials on protection of DHA in canola oil against oxidation. A total of 4 wall materials including pea protein isolate (PPI), pea protein isolate - modified starch complex (PPI-MS), Tween 20, and SDS were used for microemulsion preparation with canola oil containing DHA. The freeze-dried powders were analyzed with respect to physicochemical characteristics, oxidative stability, and release properties. The results showed that the PPI-MS as a natural polymeric wall material exhibited similar or better encapsulation efficiency and acceptable level of peroxide value compared to the synthetic surfactants (Tween 20 and SDS). The utilization of protein-polysaccharide complexes enabled the incorporation of specific properties of each biopolymer to further improve emulsion stability for the production of capsules with improved oxidative stability.
Fitness Attributes of Pythium aphanidermatum with Dual Resistance to Mefenoxam and Fenamidone.

Pythium aphanidermatum is the predominant species causing Pythium root rot on commercially grown poinsettias in North Carolina. Resistance to mefenoxam is common in populations of P. aphanidermatum...
Arthroscopic Repair of Lateral Ankle Ligament for Chronic Lateral Ankle Instability: A Systematic Review.

Purpose The purpose of this systematic review was to evaluate the current studies on arthroscopic lateral ankle ligament repair for chronic lateral ankle instability. Methods A systematic search of MEDLINE, EMBASE, and Cochrane Library databases was performed during August 2017. Included studies were evaluated with regard to level of evidence (LOE) and quality of evidence (QOE) using the Coleman Methodology Score. Variable reporting outcome data, clinical outcomes, and percentage of patients who returned to sport at previous level were also evaluated. Results Eight studies for a total of 269 ankles were included; 87.5% of studies were LOE III or IV, and the QOE in all studies was of poor or fair quality. Preoperative American Orthopaedic Foot and Ankle Society (AOFAS) scores ranged from 41.2 to 69.9, and postoperative AOFAS scores ranged from 90.2 to 98. All studies using AOFAS score showed an increase in postoperative outcome score of 22.8 to 54.2 at a mean follow-up of 17.1 months. Five studies used Karlsson-Peterson scores with mean postoperative score of 88.5 (range, 76.2-93.6) at a mean follow-up of 21.2 months. The comparative studies showed similar clinical outcomes between arthroscopic and open procedures. The overall complication rate was 11.6% in the included studies. The overall rate of return to sport was 100%. Conclusions The current systematic review demonstrated that arthroscopic lateral ankle ligament repair yields favorable clinical outcomes in the short term. However, there is no clinical evidence to support the advantages of the arthroscopic procedure over the open procedure, and there are no long-term data currently available for the arthroscopic procedure. There was a relatively high complication rate (11.5%) associated with the arthroscopic procedures, although recent comparative studies demonstrated similar complication rates for both open and arthroscopic techniques. Level of Evidence Level IV, systematic review of Level I, III, and IV studies.
Theory of Three-Dimensional Topological Insulators

Abstract The theory of the topological insulator phase that emerges via spin-orbit coupling in three-dimensional materials is introduced, stressing its relationship to earlier topological phases in two dimensions. An unusual surface state with an odd number of “Dirac points” appears as a consequence of bulk topological invariants of the band structure. A different theoretical approach is then presented, based on the Berry phase of Bloch electrons, in order to illustrate a deep connection to the orbital contribution to the magnetoelectric polarizability in all materials. The unique features of transport in the topological insulator surface state are reviewed with an emphasis on possible experiments. The final section discusses briefly connections to interacting phases including topological superconductors and some recent efforts to construct fractional topological insulators in three dimensions.
Abstract TP341: Pericyte Derived Laminin Play a Beneficial Role in Intracerebral Hemorrhage

Introduction: Laminin, a major component of the basement membrane, exists in many isoforms. Although loss of laminin is found in intracerebral hemorrhage (ICH), the exact biological function of lam...
Risk Factors for Recurrent Acute Kidney Injury in a Large Population-Based Cohort.

Rationale & Objective Acute kidney injury (AKI) has numerous sequelae. Repeated episodes of AKI may be an important determinant of adverse outcomes, including chronic kidney disease and death. In a population-based cohort study, we sought to determine the incidence of and predictors for recurrent AKI. Study Design Retrospective cohort study. Setting & Participants 38,659 hospitalized members of Kaiser Permanente Northern California who experienced an episode of AKI from 2006 to 2013. Predictors Demographic, clinical, and laboratory data, including baseline kidney function, proteinuria, hemoglobin level, comorbid conditions, and severity of AKI. Outcomes Incidence and predictors of recurrent AKI. Analytical Approach Multivariable Cox proportional hazard regression. Results 11,048 (28.6%) experienced a second hospitalization complicated by AKI during follow-up (11.2 episodes/100 person-years), with the second episode of AKI occurring a median of 0.6 (interquartile range, 0.2-1.9) years after the first hospitalization. In multivariable analyses, older age, black race, and Hispanic ethnicity were associated with recurrent AKI, along with lower estimated glomerular filtration rate, proteinuria, and anemia. Concomitant conditions, including heart failure, acute coronary syndrome, diabetes, and chronic liver disease, were also multivariable predictors of recurrent AKI. Those who had higher acuity of illness during the initial hospitalization were more likely to have recurrent AKI, but greater AKI severity of the index episode was not independently associated with increased risk for recurrent AKI. In multivariable analysis of matched patients, recurrent AKI was associated with an increased rate of death (HR, 1.66; 95% CI, 1.57-1.77). Limitations Analyses were based on clinically available data, rather than protocol-driven timed measurements of kidney function. Conclusions Recurrent AKI is a common occurrence after a hospitalization complicated by AKI. Based on routinely available patient characteristics, our findings could facilitate identification of the subgroup of patients with AKI who may benefit from more intensive follow-up to potentially avoid recurrent AKI episodes.
Peaks of People: Using Topographic Prominence as a Method for Determining the Ranked Significance of Population Centers

This article borrows a statistical method from physical geography—topographical prominence—to suggest a new technique for measuring the relative significance or rank of population centers. Unlike r...
Epidemiology of Penile Fractures in United States Emergency Departments: Access to Care Disparities May Lead to Suboptimal Outcomes.

Abstract Introduction The epidemiology of penile fractures in the emergency setting is not well described. Aim Examine the incidence, evaluation, management, risk factors predicting surgical repair or hospital transfer, and use of financial resources in patients presenting with penile fractures to the emergency departments (ED) nationwide in the Unites States. Methods ED visits with a primary diagnosis of penile fractures (International Classification of Diseases, Ninth Edition codes) between 2010-2014 were abstracted from the Nationwide Emergency Department Sample. Main Outcome Measure Penile fracture incidence, disposition, hospital, and clinical factors which were associated with immediate surgical repair or transfer to another institution, and cost were investigated. Results 8,029 ED visits for penile fracture in the United States were observed, which represents a national incidence of 1.02 per 100,000 male subjects per year. No meaningful trends in incidence were observed over the 5-year period. 63.9% were treated non-surgically or discharged from the ED, 25.7% underwent surgical repair, and 10.3% were transferred to other institutions. Hospital factors which predicted surgical repair included Northeast region, teaching hospital status, trauma hospital status, high volume ED, and urban location. Clinical risk factors which predicted surgical repair included hypertension, smoking, alcohol dependence, drug abuse, erectile dysfunction, hematuria, urethral injury, and urinary retention. Factors leading to patient transfers included non-academic, rural and non-trauma hospitals, low economic income and low emergency department volume. In addition, weekend and spring presentation were associated with higher transfer rates, while summer presentation was associated with surgical repair. Clinical Implications A large proportion of penile fractures are discharged from the ED, indicating possible health care access disparity. Strengths & Limitations This is one of the first population-based study of penile fracture incidence, disposition, risk factors which predict surgery or transfer, and cost in the US ED setting. The unexpected high number of discharges may be a result of misdiagnosis; alternatively these data may reveal previously under-reported management patterns in the community. Conclusion This large retrospective study of penile fractures in the US ED setting demonstrates a stable incidence of penile fractures presenting to the US emergency departments. A quarter of patients undergo immediate surgical repair, 10% are transferred to other institutions and 63.9% of patients are discharged home. The high proportion of ED discharges may be due to access to health care disparities. Rodriguez D, Li K, Apoj M, et al. Epidemiology of Penile Fractures in United States Emergency Departments: Access to Care Disparities May Lead to Suboptimal Outcomes. J Sex Med 2019;16:248–256.
Intraorbital Dermoid Cyst With Zygomaticofrontal Suture Erosion in an Adult.

BACKGROUND Dermoid cysts are squamous epithelium-lined sacs that result from abnormal migration of ectodermal cells. They are typically superficial and present in children. This study reviews a rare patient with a congenital dermoid cyst occurring as a superolateral intraorbital and extraconal mas. METHOD Clinical report and review of the literature. RESULTS A 27-year-old male presented with progressive left hypoglobus, proptosis, and diplopia. On computed tomography, a 2.0 × 2.1 × 1.1 cm well circumscribed mass centered on, and extended into, the frontozygomatic suture with smooth remodeling of the frontal bone. Magnetic resonance imaging showed heterogeneous T1 and T2 hyperintensity with hypointensity on fat suppression. A dermoid cyst originating from the frontozygomatic suture was suspected. Excision was performed through a left orbitocranial approach with a lateral orbitotomy through an upper eyelid crease incision. The mass occurred in the superior-lateral portion of the left orbit and originated from the intraorbital surface of the zygomaticofrontal suture line with significant bony remodeling without osseous transgression. The mass was removed completely including the lateral portion of the zygomaticofrontal suture. Pathologic examination was consistent with a dermoid cyst. Postoperative examination revealed resolution of his presenting headaches and diplopia. CONCLUSION Congenital dermoid cysts occurring within the craniofacial region occur most commonly in the lateral orbit involving the superficial surface of the frontozygomatic suture. This patient represents the rare occurrence of a dermoid cyst originating from the deep surface of the frontozygomatic suture, resulting in delayed presentation and orbital symptoms of hypoglobus and diplopia. Definitive treatment remains complete surgical excision.
Abstract P365: Restless Leg Symptoms Predicts Adverse Cardiovascular Outcomes in Patients Undergoing Cardiac Catheterization

Introduction: The association between restless leg syndrome (RLS) and CV outcomes remains controversial in the general population, and the impact of RLS among patients with coronary artery disease ...
Effect of splenectomy on the immune response of the blue gourami Trichogaster trichopterus, to infectious pancreatic necrosis (IPN) virus

Abstract The effects of splenectomy on the immune response of the blue gourami, Trichogaster trichopterus , to infectious pancreatic necrosis (IPN) virus was studied. The mortality rate recorded in the splenectomized fish was approximately 50%. Of the survivors (9 fish), five had regenerated splenic tissues and four had not. Neutralization tests using sera from these fish indicated that the sera from fish with regenerated spleens protected RTG-2 cells against IPN virus while the other group did not. These findings suggested that the spleen in the blue gourami is the major lymphoid organ involved in the production of antibodies. The possible site of production of these antibodies in the spleen was discussed.
Consultation with the Mind: The Power of Reflective Writing for Deepened Learning and Self-Knowledge in Teacher Education

"The second principle [of education] is that the mind has to be consulted in its own growth. The idea of hammering the child into the shape desired by the parent or the teacher is a barbarous and ignorantsuperstition. It is he himself who must be induced to expand in accordance with his own nature."Sri Aurobindo, 1910, A System of National Education Aurobindo's educational ideas resonate and have much relevance in today's complex educational arena. His second principle follows his first, which simply stated that "nothing can be taught." What Aurobindo means is that as teachers, all that we can do is provide quality learning opportunities for students. The work of learning requires an active partnership between teacher and student. Teaching is not just relaying information; teaching is not telling. A teacher cannot make a student learn. Here is where Aurobindo's second principle becomes very important. As teachers, we must help students find constructive ways to consult their own minds in the service of learning. And, as Aurobindo reminds us, this consultation with the mind must be done in accordance with one's "own nature."
Addressing Bullying and Lateral Violence in the Workplace: A Quality Improvement Initiative.

Background Bullying and lateral violence are pervasive in the nursing workforce and have profound psychosocial, physical, safety, and financial consequences for nurses, their patients, and the overall health care organization. Problem Unit-based nursing leaders may be aware of bullying and lateral violence but be unsure of the best approaches to address it. Approach An iterative, multimodal quality improvement initiative was crafted on the basis of the available evidence and principles of transformational, adult learning. Six units were designed to foster didactic, affective, and psychomotor learning specific to bullying and lateral violence and their prevention. Each unit consisted of formal lecture content, practice exercises, and reflection. Outcomes This quality improvement project was well received by participants; a unit-based action plan resulted. Project materials are being reworked and new evidence integrated for deployment across the department. Conclusions This initiative has demonstrated the necessary properties and is appropriate for adoption by other nursing units.