What Patients Want to Know about Imaging Examinations: A Multiinstitutional U.S. Survey in Adult and Pediatric Teaching Hospitals on Patient Preferences for Receiving Information before Radiologic Examinations

Purpose To identify what information patients and parents or caregivers found useful before an imaging examination, from whom they preferred to receive information, and how those preferences related to patient-specific variables including demographics and prior radiologic examinations. Materials and Methods A 24-item survey was distributed at three pediatric and three adult hospitals between January and May 2015. The χ2 or Fisher exact test (categorical variables) and one-way analysis of variance or two-sample t test (continuous variables) were used for comparisons. Multivariate logistic regression was used to determine associations between responses and demographics. Results Of 1742 surveys, 1542 (89%) were returned (381 partial, 1161 completed). Mean respondent age was 46.2 years ± 16.8 (standard deviation), with respondents more frequently female (1025 of 1506, 68%) and Caucasian (1132 of 1504, 75%). Overall, 78% (1117 of 1438) reported receiving information about their examination most commonly from the ordering provider (824 of 1292, 64%), who was also the most preferred source (1005 of 1388, 72%). Scheduled magnetic resonance (MR) imaging or nuclear medicine examinations (P < .001 vs other examination types) and increasing education (P = .008) were associated with higher rates of receiving information. Half of respondents (757 of 1452, 52%) sought information themselves. The highest importance scores for pre-examination information (Likert scale ≥4) was most frequently assigned to information on examination preparation and least frequently assigned to whether an alternative radiation-free examination could be used (74% vs 54%; P < .001). Conclusion Delivery of pre-examination information for radiologic examinations is suboptimal, with half of all patients and caregivers seeking information on their own. Ordering providers are the predominant and preferred source of examination-related information, with respondents placing highest importance on information related to examination preparation

Norbornane: An investigation into its valence electronic structure using electron momentum spectroscopy, and density functional and Green's function theories

CIRCULATION & FULFILLMENT DIV, 2 HUNTINGTON QUADRANGLE, STE 1 N O 1, MELVILLE, USA, NY, 11747-450

Presidential Interpretation and War Powers

Judicial deference toward presidential decision making in national security has led to largely unencumbered presidential action in national security concerns. In this article, Matthew R. Trout and Tobias T. Gibson argue that presidential interpretation is a power of the president—a power that has enhanced an outsized presidential role in national security.https://scholarship.law.slu.edu/lawjournalonline/1097/thumbnail.jp

Macrophage Fusion into Multinucleated Giant Cells In Vitro

Multinucleated giant cells (MGC) have been observed in a variety of granulomatous conditions, including microbial infections (e.g., tuberculosis), foreign body reactions to implants (e.g., medical devices), foreign body reactions to inhaled particles (e.g., engineered nanomaterials), and disorders of unknown etiology (e.g., sarcoidosis). Generally, MGC are morphologically classified based on the number and arrangement of nuclei. The two major types of MGC are foreign body giant cells and Langhans giant cells. These MGC are formed by the fusion of macrophages, often in response to persistent, foreign microorganisms or materials. Although MGC are known to be associated with granulomas, their involvement in the development of these conditions has not been well described. This is in part due to a lack of well-characterized models of MGC populations. The objective of this study is to develop an in vitro model of macrophage fusion in order to study MGC function. Previous reports have shown that MGC formation is induced by interleukin-4 (IL-4). Therefore, we investigated a model of IL-4-induced fusion in murine bone marrow-derived macrophages (BMdM). As expected, IL-4 treatment resulted in increased percent fusion of BMdM. The formation of MGC was optimized by modification of culture conditions, including alteration of the growth surface and treatment with either macrophage colony-stimulating factor (M-CSF) or granulocyte-macrophage colony-stimulating factor (GM-CSF). Ongoing studies involve identification of molecules that regulate MGC formation. An increased understanding of this mechanism will provide additional targets to control fusion. Further development of this controlled in vitro model will facilitate future investigation of MGC inflammatory activity and contribution to pathogenesis of granulomas

Differential Plasmodium falciparum infection of Anopheles gambiae s.s. molecular and chromosomal forms in Mali

BACKGROUND: Anopheles gambiae sensu stricto (s.s.) is a primary vector of Plasmodium falciparum in sub-Saharan Africa. Although some physiological differences among molecular and chromosomal forms of this species have been demonstrated, the relative susceptibility to malaria parasite infection among them has not been unequivocally shown. The objective of this study was to investigate P. falciparum circumsporozoite protein infection (CSP) positivity among An. gambiae s.s. chromosomal and molecular forms. METHODS: Wild An. gambiae from two sites Kela (n = 464) and Sidarebougou (n = 266) in Mali were screened for the presence of P. falciparum CSP using an enzyme-linked immunosorbent assay (ELISA). Samples were then identified to molecular form using multiple PCR diagnostics (n = 713) and chromosomal form using chromosomal karyotyping (n = 419). RESULTS: Of 730 An. gambiae sensu lato (s.l.) mosquitoes, 89 (12.2%) were CSP ELISA positive. The percentage of positive mosquitoes varied by site: 52 (11.2%) in Kela and 37 (13.9%) in Sidarebougou. Eighty-seven of the positive mosquitoes were identified to molecular form and they consisted of nine Anopheles arabiensis (21.4%), 46 S (10.9%), 31 M (12.8%), and one MS hybrid (14.3%). Sixty of the positive mosquitoes were identified to chromosomal form and they consisted of five An. arabiensis (20.0%), 21 Savanna (15.1%), 21 Mopti (30.4%), 11 Bamako (9.2%), and two hybrids (20.0%). DISCUSSION: In this collection, the prevalence of P. falciparum infection in the M form was equivalent to infection in the S form (no molecular form differential infection). There was a significant differential infection by chromosomal form such that, P. falciparum infection was more prevalent in the Mopti chromosomal forms than in the Bamako or Savanna forms; the Mopti form was also the most underrepresented in the collection. Continued research on the differential P. falciparum infection of An. gambiae s.s. chromosomal and molecular forms may suggest that Plasmodium – An. gambiae interactions play a role in malaria transmission

1960: Abilene Christian College Lectures - Full Text

Table of Contents: Theme Speeches: Christian Faith in the Modern World Basis of Faith - Leonard Mullens - 9 Authority in Christianity - John T. Smithson, Jr. - 27 Origin and Preservation of the Bible - Neil R. Lightfoot - 44 Alleged Discrepancies of the Bible - David H. Bobo - 62 The Unity of the Bible - Jack Meyer - 91 Faith and Reason - Joe Sanders - 115 The Reasonableness of Supernaturalism - Virgil Trout - 126 The Present Statue of the Doctrine of Organic Evolution - J.D. Thomas - 146 The Nature of Man - Roy F. Osborne, Jr. - 181 Modern Challenges to Christian Morals - Carl Spain - 199 The Christ, Whose Son is He? - Gordon Teel - 232 Special Speeches Teaching the Word of God in Korea - L. Haskell Chessfire - 255 The Influence of Christian Education - Judge Jack Pope - 276 Mission Opportunities in the Far East - Harry Robert Fox - 288 Mission Work in Austria - Robert Skelton - 303 Report from Switzerland - Heinrich Blum - 313 The Work in Nigeria - Rees Byrant - 320 The Training of Evangelists in Foreign Fields - Reiner Kallus - 331 Christian Scholarships - Everett Ferguson - 340 Evangelizing the World - A.R. Holton - 349 Panel Discussions The Significance of the Dead Sea Scrolls The Scrolls and the Text of the Bible - Paul Rotenberry - 357 The Relation between the Religion of the Essenes and that of Early Christians - Jay Smith - 366 Biblical Interpretation Expediency and Pattern Authority - J.W. Roberts - 381 Examples in Pattern Authority - Thomas B. Warren - 392 Mental Health and Sin The Present State of Mental Health Knowledge - Donald R. Sime - 409 The Relationship of Mental Health Problems to Sin - Paul Easley - 421 The Teenager The Problems of Youth - Mack Wayne Craig - 432 Influences for Good - Wyatt Sawyer - 443 The Benefits of Abilene Christian College To the Church - Hulen Jackson - 451 To The Home - Robert S. Bell - 459 \u27To the Community - Louie Welch - 465 Expenses At Abilene Christian College - James C. Kerr - 469 The Graduate School at Abilene Christian College What I Am Getting Now in the ACC Graduate Program - Harold Vanderpool - 475 How the ACC Graduate Program Has Stood Up - Everett Ferguson - 481 What the ACC Graduate Program Ought To Be - Frank Pack - 486 The Importance to the Church of the ACC Graduate Program A.R. Holton - 490 Beware: Large File Size Uploaded by Jackson Hage

Asian Longhorned Tick

The Asian longhorned tick (Haemophysalis longicorns Neumann; alternative names include Asian longhorned tick, Asian tick, bush tick, New Zealand cattle tick) is a species of hard tick in the family Ixodidae. It is native to eastern China, Japan, the Russian Far East and Korea. It has also established in Australia, New Zealand and several Pacific islands, where it is considered a severe exotic pest of livestock. In late 2017, the United States Department of Agriculture’s National Veterinary Services Laboratories (NVSL) confirmed the presence of the Asian longhorned tick in the United States. These ticks were first identified in New Jersey, but have since been found in archival samples from West Virginia as far back as 2010. The origin of the tick in the US remains unknown. Some possible routes of entry include entering on domestic pets, horses, livestock or humans. The real impact of the introduction of this tick into the US is not clear at this time, but animal health officials are concerned about potential detrimental impacts on livestock and wildlife

Marshall Space Flight Center Electromagnetic Compatibility Design and Interference Control (MEDIC) handbook

The purpose of the MEDIC Handbook is to provide practical and helpful information in the design of electrical equipment for electromagnetic compatibility (EMS). Included is the definition of electromagnetic interference (EMI) terms and units as well as an explanation of the basic EMI interactions. An overview of typical NASA EMI test requirements and associated test setups is given. General design techniques to minimize the risk of EMI and EMI suppression techniques at the board and equipment interface levels are presented. The Handbook contains specific EMI test compliance design techniques and retrofit fixes for noncompliant equipment. Also presented are special tests that are useful in the design process or in instances of specification noncompliance