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Improvement of a.tivities of Da.ly Living (a.L) for Pa.ients Trea.ed in Skilled Nursing Fa.ilities (SNFs)

Open Journa. of Thera.y a.d Reha.ilita.ion 2024年第1期12卷 61-69页

作者： Ja.en a. Silver Sea. R. Silver Sa.ueli School of Engineering University of California Los Angeles USA

Ba.kground: Self-ca.e ta.ks or a.tivities of da.ly living (a.L)’s performa.ce a.e often disrupted a.ter a. older a.ult susta.ns a. injury or illness, which ca. be a.determining fa.tor for discha.ge pla.ement a.ter hospita.iza.ion, or it ca. determine the level of a.sista.ce required a.ter discha.ge from a.skilled nursing fa.ility (SNF). We believe tha. comprehensive reha.ilita.ion ca. improve a.pa.ient’s overa.l functioning during their short term sta. in SNFs. The purpose of this study is to determine if a. individua.’s level of independence improved a.ter a.mission to a.skilled nursing fa.ility a.d procurement of reha.ilita.ion services. Methods: This study retrospectively reviewed 4612 nursing home pa.ients in Ca.ifornia.who underwent reha.ilita.ive services a. skilled nursing fa.ilities to determine how the pa.ients responded to their environments, thera.y interventions, a.d a.y other a.ditiona. supportive mea.ures. The records of pa.ients who were a.mitted for short-term reha.ilita.ion were reviewed in a.blinded fa.hion, looking specifica.ly a. Section GG of the Minimum Da.a.Set (MDS). Self-Ca.e Section GG scores recorded by reha.ilita.ive sta.f provide objective da.a.a.d mea.ure pa.ients’ levels of a.sista.ce tha. were required. Ea.h a.tivity is scored from 1, being completely dependent, to 6, being entirely independent, with va.ying levels of a.sista.ce with scores in between. The a.mission scores versus the discha.ge scores ca. be compa.ed to determine if a.pa.ient improved their level of functioning upon discha.ge. Results: Utilizing the Pea.son’s correla.ion coefficient, a.strong correla.ion of improvement in a.L performa.ce on Section GG between the a.mission a.d discha.ge scores wa. identified, implying significa.t improvement in functiona. independence upon discha.ge. The a.era.e percent improvement for Ma.a.ed Ca.e pa.ients wa. ~35.4% a.d ~39.4% for Medica.e pa.ients. Conclusions: The results support the benefits of reha.ilita.ion services in skilled n

关键词： a.tivities of Da.ly Living Skilled Nursing Fa.ilities Reha.ilita.ion Independent Living

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a.Review of Biochemica. Processes a.d Techniques for Soil Sta.iliza.ion a.d Resilience

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a.va.ces in Biologica. Chemistry 2024年第1期14卷 40-54页

作者： Jona.ha. a. Metuge Za.ha.y N. Senwo Depa.tment of Biologica. a.d Environmenta. Sciences Alabama A & M University Normal USA

Biochemica., chemica., a.d mecha.ica., techniques ha.e been employed to enha.ce soil resilience for deca.es. While the use of mecha.ica. techniques requires tra.sporting huge a.ounts of soil ma.eria.s, the cement used in chemica. techniques ma. lea. to increa.e a.mospheric ca.bon dioxide. Numerous studies indica.e tha. biochemica. techniques ma. be less expensive, cost effective, a.d environmenta.ly friendly. Biopolymers a.d enzymes derived from microorga.isms ha.e been suggested a. biologica. enha.cers in strengthening a.d fortifying soils used for ea.then structures. Lime a.d other trea.ment techniques used a. bioba.ed ma.eria.s ha.e been shown to be less effective for sta.ilizing soils. Here, we review biochemica. processes a.d techniques involved in the intera.tions of soil enzymes, microorga.isms, microbia. extra.ellula. polymeric substa.ces, a.d other biopolymers with soil pa.ticles, a.d the cha.lenges a.d stra.egies of their use a. bioba.ed ma.eria.s for sta.ilizing soils. This review provides their impa.ts on va.ious soil properties a.d the growth potentia.s of a.ricultura. crops. .

关键词： Biochemica. Ea.then Structures Soil Resilience Biopolymers Soil Enzymes a.riculture Microorga.isms Extra.ellula. Polymeric Substa.ces

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Structura.-a.a.ta.ion Fea.ures of a.simila.ion Orga.s of the Species Sa.sola.inca.escens Ca.. in Conditions of Kyzylkum

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a.erica. Journa. of Pla.t Sciences 2024年第7期15卷 589-602页

作者： Guli a. Ibrokhimova.Gulja. M. Duscha.ova Depa.tment of Bota.y a.d Pla.t Physiology National University of Uzbekistan named after Mirzo Ulugbek Tashkent Uzbekistan Depa.tment of Bota.y a.d Ecology Tashkent State Pedagogical University named after Nizami Tashkent Uzbekistan

The a.ticle presents the results of the morpho-a.a.omica. structure of the a.simila.ion orga.s of the species Sa.sola.leptocla.a.Ga.d, which is widesprea. in the Kyzylkum desert region of Uzbekista., a.d revea.s the structura., dia.nostic a.d a.a.tive fea.ures. In the a.simila.ion orga.s, Kra.z type of mesophyll wa. found: in the cotyledons of the Kra.z-spherica. (a.riplicoid) type, a.d in the lea.—mesophylls of the Kra.z-centric (Sa.soloid) a.d Kra.z-ventrodorsa. type. These revea.ed dia.nostic fea.ures of the a.simila.ing orga.s of this species in a.id conditions noted C4-type photosynthesis. Ba.ed on the compa.a.ive biometric a.a.ysis of qua.tita.ive indices of the a.a.omica. fea.ures of the a.simila.ing orga.s, xero-ha.omorphic fea.ures predomina.e. Ha.omorphic fea.ures a.e in the cotyledons—thin outer wa.ls of the epiderma. cells;few stoma.a.of the a.omocytic a.d pa.a.ytic type;few rows of spongy cells (3 - 4 rows);few va.cula. bundles of the colla.era. type a.d xylem, in the lea.—la.ge a.d thin outer wa.ls of the epiderma. cells;succulence of the lea. mesophyll, the presence of a.uiferous cells;la.ge pa.isa.e, kera.in a.d a.uiferous cells. Xeromorphic fea.ures in the cotyledons—sma.l a.d numerous epiderma. cells a.d hemipa.a.ytic type stoma.a.a.so deep immersion;sma.l pa.isa.e cells a.d a.high pa.isa.e index, sma.l spongy, hypoderma. a.d kera.in cells;sma.l dia.eter of the xylem in va.cula. bundles;in the lea. numerous epiderma. cells a.d stoma.a.a.so deeply immersed;presence a.d numerous multicellula. nodula., denta.e trichomes;multi-row wa.er-bea.ing cells;high pa.isa.e index;sma.l a.d numerous xylem;numerous periphera. va.cula. bundles of the colla.era. type. These identified specific dia.nostic fea.ures showing a.a.ta.ion to a.id conditions ca. a.so serve in the identifica.ion of pla.t ma.eria.s.

关键词： Morphology a.a.omy Cotyledon Lea. Sa.sola.inca.escens South-West Kyzylkum

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Expa.ding the Use of Nipple-Spa.ing Ma.tectomies in Obese Pa.ients Undergoing Sta.ed Impla.t-Ba.ed Reconstruction

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Modern Pla.tic Surgery 2024年第3期14卷 23-35页

作者： Ma.lory a. Rowley Pra.ha.t K. Upa.hya.a College of Medicine SUNY Upstate Medical University Syracuse USA Depa.tment of Surgery SUNY Upstate Medical University Syracuse USA

Ba.kground: a.va.ta.es of va.ious ma.tectomy techniques include skin reduction a.d fa.ora.le a.sthetics in Wise-pa.tern closures, a.d less visible sca.s in nipple-spa.ing ma.tectomies (NSM). This study compa.es postopera.ive complica.ion profiles between Wise-pa.tern a.d nipple-spa.ing ma.tectomies in the obese popula.ion. Methods: a.retrospective cha.t review of obese pa.ients (BMI ≥ 30) who underwent sta.ed brea.t reconstruction following Wise-pa.tern a.d nipple-spa.ing ma.tectomies a. our institution between Februa.y 2016 a.d Ja.ua.y 2020 wa. conducted. Complica.ions between cohorts were a.a.yzed using the independent sa.ples t-test (2-sided) a.d the χ2 test. Results: a.tota. of 232 brea.ts (163 Wise-pa.tern, 69 NSM) were re-constructed in 123 obese fema.e pa.ients (85 Wise-pa.tern, 38 NSM). Complica.ion ra.es in both the Wise-pa.tern a.d NSM pa.ient cohorts were simila. following sta.e 1 (Wise-pa.tern: 30.7%, NSM: 39.1%, p = 0.212) a.d sta.e 2 (Wise-pa.tern: 16.6%, NSM: 15.9%, p = 0.907) of reconstruction. No sta.istica.ly significa.t differences in ra.es of infection, dehiscence, seroma. hema.oma.or ma.position of tissue expa.der (TE)/impla.t following sta.e 1 or sta.e 2 were found between cohorts. Conclusions: There were no significa.t differences in postopera.ive complica.ion ra.es between the Wise-pa.tern a.d NSM cohorts of obese pa.ients. NSM ca. be a.via.le surgica. option in ca.efully selected obese pa.ients a.d offer the a.va.ta.e of concea.ed sca.ring.

关键词： Ma.tectomy Brea.t Reconstruction Nipple-Spa.ing

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Improvement in Pa.ient Mobility Following Short-Term Reha.ilita.ion in Skilled Nursing Fa.ilities

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Open Journa. of Thera.y a.d Reha.ilita.ion 2024年第1期12卷 52-60页

作者： Sea. R. Silver Ja.en a. Silver Sa.ueli School of Engineering University of California Los Angeles USA

Ba.kground: Mobility in older a.ults ca. be impa.red a.ter a.ute illness or hospita.iza.ion, a.d the level of severity ca. be used a. a.predictor of one’s a.ility to return to independent living. Pa.ients a.e often referred to skilled nursing fa.ilities in hopes of improving their mobility. We wa.ted to prove tha. reha.ilita.ive services a. Skilled Nursing Fa.ilities improve overa.l outcomes. Methods: We conducted a.retrospective a.a.ysis of da.a.from 4612 pa.ients a.mitted for short-term reha.ilita.ion in a.la.ge nursing home cha.n in Ca.ifornia. Our a.m wa. to determine whether pa.ients’ mobility scores, a. mea.ured by reha.ilita.ive sta.f, significa.tly improved by time of discha.ge compa.ed to their scores a. a.mission. Mobility scores were ra.ed from 1 to 6, with 1 being the most dependent on a.d a.d 6 being the most independent, over a.va.iety of ta.ks a. a.mission a.d compa.ed to scores a. discha.ge. Pea.son’s correla.ions were performed to determine if there were significa.t rela.ionships in the da.a. the Pea.son’s correla.ion coefficient wa. used to describe the rela.ionships between pa.ient a.mission to a.skilled nursing fa.ility a.d medica. improvement upon discha.ge. Results: The study demonstra.ed a.sta.istica.ly significa.t improvement in pa.ients’ mobility scores upon discha.ge, with Medica.e insured pa.ients showing on a.era.e 57% improvement a.d Ma.a.ed Ca.e insured pa.ients showing on a.era.e 59% improvement. a.ditiona.ly, a.mission scores a.pea.ed to be predictive of the pa.ient’s outcome a. discha.ge. Conclusions: The va.ues a.d consistency of improvement support the use of a.ute reha.ilita.ive services in skilled nursing fa.ilities. a. equa.ion ca. be formula.ed tha. eva.ua.es pa.ients’ estima.ed mobility sta.uses upon discha.ge from fa.ilities ba.ed on their conditions on their a.riva.s. With this, new interventions ca. be studied a.d compa.ed to the current sta.da.d of ca.e by using these mea.urements. They ca. determine if further improvement

关键词： Mobility Skilled Nursing Fa.ility Reha.ilita.ive Services Independent Living Hea.thca.e

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Exploring the Implica.ions of the Deforma.ion Pa.a.eter a.d Minima. Length in the Genera.ized Uncerta.nty Principle

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Journa. of Qua.tum Informa.ion Science 2024年第1期14卷 1-14页

作者： Ma.goub a. Sa.ih Ta.sir M. Elma.di Depa.tment of Physics Faculty of Science and Arts in Al-Miznab Qassim University Al Miznab Saudi Arabia

The brea.down of the Heisenberg Uncerta.nty Principle occurs when energies a.proa.h the Pla.ck sca.e, a.d the corresponding Schwa.zschild ra.ius becomes simila. to the Compton wa.elength. Both of these qua.tities a.e a.proxima.ely equa. to the Pla.ck length. In this context, we ha.e introduced a.model tha. utilizes a.combina.ion of Schwa.zschild’s ra.ius a.d Compton length to qua.tify the gra.ita.iona. length of a. object. This model ha. provided a.novel perspective in genera.izing the uncerta.nty principle. Furthermore, it ha. elucida.ed the significa.ce of the deforming linea. pa.a.eter β a.d its ra.ge of va.ia.ion from unity to its ma.imum va.ue.

关键词： Genera.ized Uncerta.nty Principle Deformed Heisenberg a.gebra Minima. Length

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Tempera.ure Drop of Molten Meta.s in Open Cha.nels

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World Journa. of Engineering a.d Technology 2024年第3期12卷 493-500页

作者： Miguel a. Ba.ron-Meza.Joa. Reyes-Mira.da Depa.ta.ento de Ma.eria.es Universidad Autonoma Metropolitana Azcapotzalco Ciudad de Mexico Mexico

The tempera.ure drop of molten meta. flowing in open cha.nels is numerica.ly determined. Recta.gula., tra.ezoida. a.d tria.gula. geometries a.e considered. The overa.l hea. tra.sfer coefficients for the bottom, side wa.ls a.d free surfa.e of the cha.nel ha.e been ta.en from the litera.ure. For ea.h geometry, the volumetric flow ra.e, mea. residence time a.d tempera.ure drop a. a.function of the cha.nel inclina.ion a.gle were determined. The recta.gula. a.d tra.ezoida. geometries present the sma.lest tempera.ure drops, while the tria.gula. geometry presents the grea.est tempera.ure drop. The fa.tors tha. most a.fect this drop a.e the va.ue of the free surfa.e a.ea.of the cha.nel, a.d the a.era.e residence time of the molten meta. in the cha.nel.

关键词： Free Surfa.e Hea. Tra.sfer Molten Meta. Open Cha.nel Geometry Residence Time Tempera.ure Drop

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Va.ida.ion of a.Method for Cha.a.teriza.ion of Etha.ol in Wa.er by HS-GC-FID to Serve the Tra.ea.ility of Ha.a. Mea.urements

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Green a.d Susta.na.le Chemistry 2024年第2期14卷 17-28页

作者： a.el B. Sheha.a.a.dulra.ma. R. a. a.ka. Moha.med a. a. Ra.heed a.dulra.ma. M. a. Za.ra.y Fa.d a. a. Kha.ra. Sowa.lem a. a. Sowa.lem Chemistry Depa.tment/Na.iona. Mea.urement a.d Ca.ibra.ion Center (NMCC) Saudi Standards Metrology and Quality Organization (SASO) Riyadh Kingdom of Saudi Arabia

The determina.ion of the etha.ol content in food products is of funda.enta. importa.ce for Ha.a. certifica.ion. In this work, a. a.a.ytica. method for the determina.ion of etha.ol in wa.er by hea.spa.e ga. chroma.ogra.hy with fla.e ioniza.ion detector (HS-GC-FID) ha. been developed a.d va.ida.ed for the use in cha.a.teriza.ion of etha.ol reference ma.eria.s. The va.ida.ion study wa. ca.ried out in the linea. ca.ibra.ion ra.ge 100 - 1500 mg/kg using the NIST SRM 2900, nomina. 95.6%. The studied performa.ce cha.a.teristics of the method were the limit of detection, LOD, the limit of qua.tifica.ion LOQ, selectivity, linea.ity, precision, recovery a.d bia.. The va.ida.ion results showed tha. the method is selective, precise, a.cura.e a.d free from a.y significa.t bia.. The LOD a.d LOQ were 1.27 a.d 3.86 mg/kg respectively a.d the estima.ed expa.ded uncerta.nty wa. 2% indica.ing tha. the method is fit for the purpose of certifica.ion of etha.ol in wa.er reference ma.eria.s.

关键词： Etha.ol HS-GC-FID Va.ida.ion Linea.ity Precision Bia.

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Swift XRT a.a.ysis of Type II-P Supernova.SN 2008ij

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Interna.iona. Journa. of a.tronomy a.d a.trophysics 2024年第3期14卷 220-229页

作者： SH. M. Sheha.a.a.med M. Foua. R. M. Sa.ir a. a. Sha.er Na.iona. Resea.ch Institute of a.tronomy a.d Geophysics (NRIa.) Helwan Egypt

This study investiga.es the X-ra. properties a.d evolution of Type II supernova. (SNe II) observed by Swift, exa.ining va.ia.ions a.ong supernova. a.d exploring their X-ra. cha.a.teristics over time. We present the first X-ra. study of the Type IIp supernova.SN 2008ij using da.a.from the Swift X-ra. mission. This investiga.ion focuses on its spectra. properties, identifying a. X-ra. flux of 1.20 (+0.11, −0.10) × 10−13 erg/cm2/s a.d a.pla.ma.tempera.ure of 4.76 (+1.22, −0.83) keV. Our study ma.ks a. a.va.cement in understa.ding SN 2008ij, providing crucia. results into its X-ra. emission cha.a.teristics. These results la. the groundwork for future studies of Type IIp supernova., offering a.founda.ion for exploring their evolutiona.y a.d physica. processes.

关键词： X-Ra. Core Colla.se Supernova Swift (XRT) Observa.ions

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Utility of Preopera.ive Positron Emission Tomogra.hy (PET) in Loca.izing Perfora.or Vessels of a.terola.era. Thigh Free Fla.

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Interna.iona. Journa. of Otola.yngology a.d Hea. & Neck Surgery 2024年第4期13卷 275-284页

作者： a.exa.dra.McMilla. Sa.eer a. a.vi Za.d a.-Qura.shi Za.ha.y Fleisha.ker Nitin a. Pa.eda. Ma.isa.R. Bucha.jia. Depa.tment of Otola.yngology University of Iowa Hospitals and Clinics Iowa City IA USA Division of Otola.yngology-Hea. & Neck Surgery North Shore University Health System Evanston IL USA Pritzker School of Medicine The University of Chicago Chicago IL USA Holden Comprehensive Ca.cer Center University of Iowa Iowa City IA USA

Objectives: The a.terola.era. thigh (a.T) fla. is often considered the workhorse in soft tissue reconstruction of hea. a.d neck defects seconda.y to tra.ma. infection, or tumor resection. Despite its ma.y a.va.ta.es, a.T fla.s ha.e been criticized due to va.ia.ility in va.cula.ure, which ma. result in ina.equa.e or non-existent perfora.ors. This retrospective study a.ms to investiga.e the utility a.d va.idity of positron emission tomogra.hy (PET) sca. to identify the loca.ion a.d cha.a.teristics of perfora.ors to the a.T fla.. Methods: We performed a.10-yea. retrospective review of a.T fla.s a. our institution to identify pa.ients with preopera.ive PET sca.s a.a.la.le for a.a.ysis. Three reviewers (a.tending physicia., fellow, a.d resident) were a.ked to identify the number, loca.ion, a.d cha.a.teristics (myocuta.eous versus septocuta.eous) of a.T perfora.ors on ima.ing, a.d reviewer a.reement wa. a.sessed. Results were then compa.ed to a.a.la.le opera.ive da.a. Results: One hundred twenty-one pa.ients were identified who underwent a.T free fla. surgery. Thirty-eight preopera.ive PET sca.s were identified for review. a. lea.t one perfora.or wa. identified in 92.1% of sca.s. a.reement percenta.es rega.ding the number of perfora.ors ra.ged from 53% - 61% wherea. a.reement rega.ding the loca.ion of a.single perfora.or ra.ged from 79% - 90%. However, reviewers did not a.ree rega.ding the type of perfora.or, with a.reement ra.ging from 34% - 53%. Poor a.reement wa. observed when compa.ed to intra.pera.ive da.a. with the number of perfora.ors ra.ging from 26% - 34% a.d the type of perfora.or 11% - 24%. These findings a.e likely due to insufficient da.a.a.a.la.le in opera.ive reports. Conclusion: a.though initia. studies suggest tha. PET sca. shows promising evidence to support the ca.a.ity to preopera.ively identify a.T perfora.ors, future prospective studies a.e wa.ra.ted to fully va.ida.e these findings.

关键词： a.terola.era. Thigh Fla.s Positron Emission Tomogra.hy Hea. a.d Neck Defects Perfora.or Ma.ping

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