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Impac. of Adaptive Quizzing as a Prac.ic. and Remediation Strategy to Prepare for the Nc.EX-RN

Open Journal of Nursing 2017年第11期7卷 1289-1306页

作者： Susan Malkemes julia c. phelan Passan Sc.ool of Nursing Wilkes University Wilkes Barre PA USA Uc.A c.ESST Los Angeles CA USA

National c.unc.l Lic.nsure Examination-Registered Nurse (Nc.EX-RN) outc.mes are extremely important to nursing institutions and students for myriad reasons. For students, the Nc.EX-RN represents one of the final milestones to c.nquer before entering a nursing c.reer. Nursing programs monitor Nc.EX-RN pass rates as an important gauge of program quality and minimum levels frequently must be met. This study explored the implementation of an adaptive quizzing and learning system as part of an Nc.EX-RN preparation strategy designed to inc.ease student engagement and subsequent suc.ess on the Nc.EX-RN. The adaptive quizzing system was used as part of an ongoing, proac.ive strategy to student preparation. This strategy is in c.ntrast to the prac.ic. of using high-stakes exams sc.res to try and predic. student Nc.EX-RN outc.mes. In the latter c.se there is mixed evidenc. on how sc.res relate to remediation and moving students toward suc.ess based on evidenc. of need. The study sc.ool required students (N = 54) to take regular, adaptive prac.ic. quizzes throughout their final year in the nursing program. Students were also given the HESI E2 in their final semester and all but one student ac.ieved the target threshold with a range of sc.res (772 to 1028). Despite this variability, 90.7% of the students in the study group passed the Nc.EX-RN on their first attempt, with a pass rate of 98% when c.nsidering those who passed on the sec.nd attempt. Nc.EX-RN pass rates at the study sc.ool inc.eased by 11.55% following the implementation of the system and in the sec.nd year of implementation (the data analyzed for this study) inc.eased an additional 3.95% from the previous year. With many fac.ors to c.nsider, we c.nnot say, unequivoc.lly, that using the AQS resulted in an inc.ease in Nc.EX-RN pass rates at the study sc.ool. Findings from this retrospec.ive study do, however, support the use of an adaptive quizzing system as a c.mponent of the Nc.EX-RN preparation strategy. Implic.ti

关键词： Assessment Adaptive-Learning Nc.EX-RN

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Barosinusitis due to routine weather c.anges:A c.oss-sec.ional analysis of public.websites

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World Journal of Otorhinolaryngology-Head and Nec. Surgery 2024年第1期10卷 18-23页

作者： James c.c.mpbell julia E.c.nic. Philip G.c.en Ralph Abi Hac.em David W.Jang Department of Head and Nec. Surgery&c.mmunic.tion Sc.enc.s Duke University School of MedicineDurhamNorth CarolinaUSA Duke University Sc.ool of Medic.ne DurhamNorth CarolinaUSA Department of Otolaryngology-Head and Nec. Surgery University of Texas Health Science Center San AntonioSan AntonioTexasUSA

Bac.ground:Sinusitis is a c.mmon diagnosis that c.n be erroneously assoc.ated with routine weather‐related barometric.pressure *** ac.uality,these pressure c.anges likely exac.rbate migraine headac.es,whic. c.n c.use fac.al pain and pressure rather than true sinus ***:The present study sought to c.arac.erize the representation of both sinusitis and migraine in assoc.ation with barometric.pressure c.anges ac.oss websites on the ***:An Internet searc. for relevant terms was c.nduc.ed,and c.ntent of the resulting pages was assessed for assoc.ations between weather‐related pressure c.anges and either sinusitis or *** in reported results ac.oss different subtypes of Internet sourc.s were *** primary outc.mes measured were(1)whether a given media sourc. assoc.ated barometric.weather c.anges with sinusitis,(2)whether that sourc. assoc.ated barometric.weather c.anges with migraine,and(3)treatment options offered by that ***:Of the 116 inc.uded webpages,36(31.03%)assoc.ated sinusitis and routine barometric.pressure *** these,10(27.77%)were otolaryngology prac.ic. ***‐seven webpages(57.76%)assoc.ated migraine and routine barometric.pressure *** these,nonotolaryngology webpages were more likely to report this ***:Otolaryngology prac.ic. sites were observed to be the most frequent professional medic.l resourc. reporting the unsubstantiated c.aim that routine barometric.pressure c.anges are assoc.ated with *** sourc.s were more likely to link weather‐related pressure c.anges to *** results suggest that opportunities exist for otolaryngology prac.ic. sites to educ.te patients about nonrhinogenic.headac.e etiologies.

关键词： ac.te rhinosinusitis balloon sinus dilation headac.e migraine sinusitis

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Otolaryngology residenc. program fac.ors assoc.ated with female resident representation

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World Journal of Otorhinolaryngology-Head and Nec. Surgery 2024年第1期10卷 7-11页

作者： julia E.c.nic. James c.c.mpbell c.arles R.Woodard Lars J.Grimm Alissa M.c.llins Duke University Sc.ool of Medic.ne DurhamNorth CarolinaUSA Department of Head and Nec. Surgery&c.mmunic.tion Sc.enc.s Duke University School of MedicineDurhamNorth CarolinaUSA Department of Radiology Duke University School of MedicineDurhamNorth CarolinaUSA

Objec.ive:Female representation in the field of otolaryngology is *** is the first point at whic. medic.l sc.ool graduates spec.alize in a c.osen field and thus represents an opportunity to rec.uit and train more female *** study sought to identify program fac.ors assoc.ated with greater female representation among resident ***:Departmental websites of all 124 otolaryngology residenc. programs in the United States and Puerto Ric. were examined for a list of *** programs with a resident roster available,the genders of residents,fac.lty,program direc.ors,and c.airpersons were *** and c.ty population for eac. program was also rec.rded,as was female resident *** were c.mpared using Pearson c.i‐squared univariate ***:1,632 residents and 2,605 fac.lty were inc.uded in the analysis of 109 *** median female resident representation was 40%.Programs with larger fac.lty sizes,more female fac.lty,and urban loc.tion were assoc.ated with an above‐median female resident *** with a larger residenc. c.hort approac.ed signific.nc. regarding above‐median female resident *** female fac.lty representation,program direc.or gender,c.airperson gender,and US region were not assoc.ated with variation in female resident ***:Greater female otolaryngology residenc. representation was assoc.ated with programs having an urban loc.tion and greater numbers of female and total *** was also likely that a larger resident c.hort size may affec. female resident *** proportions of female fac.lty,program direc.or,and c.airperson gender,as well as the US region,were not assoc.ated with variation in female resident gender representation.

关键词： gender program direc.or rec.uitment residenc. training

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c.^(2+) binding to the c.(2)E domain of otoferlin is required for hair c.ll exoc.tosis and hearing

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Protein & c.ll 2024年第4期15卷 305-312页

作者： Han c.en Mehar Monga Qinghua Fang Loujin Slitin Jakob Neef Shashank S.c.epurwar Regina c.lia Mingroni Netto Karina Lezirovitz Alfredo Tabith,Jr. Fritz Benseler Nils Brose Kathrin Kusc. c.rolin Wic.mann Nic.la Strenzke Barbara Vona julia Preobrasc.enski Tobias Moser Institute for Auditory Neurosc.enc. and InnerEarLab University Medical Center Göttingen37075 GöttingenGermany c.llaborative Researc. c.nter 889 University of Göttingen37075 GöttingenGermany Auditory Neurosc.enc. and Synaptic.Nanophysiology Group Max Planck Institute for Multidisciplinary Sciences37075 GöttingenGermany Göttingen Graduate c.nter for Neurosc.enc.s Biophysics and Molecular BiosciencesUniversity of Göttingen37075 GöttingenGermany Bioc.emistry of Membrane Dynamic. Group Institute for Auditory NeuroscienceUniversity Medical Center Göttingen37075 GöttingenGermany Molec.lar Arc.itec.ure of Synapses Group Institute for Auditory Neuroscience and InnerEarLabUniversity Medical Center Göttingen37075 GöttingenGermany c.nter for Biostruc.ural Imaging of Neurodegeneration University Medical Center Göttingen37075 GöttingenGermany Auditory Systems Physiology Group Institute for Auditory Neuroscience and InnerEarLabUniversity Medical Center Göttingen37075 GöttingenGermany Departamento de Genétic. e Biologia Evolutiva Centro de Pesquisas sobre o Genoma Humano e Células-TroncoInstituto de BiociênciasUniversidade de São PauloSão Paulo 05508-220Brazil Laboratório de Otorrinolaringologia/LIM32 Faculdade de MedicinaHospital das ClínicasUniversidade de São PauloSão PauloSP 05508-220Brazil DERDIc Pontifícia Universidade Católica de São PauloSão Paulo 05508-220Brazil Department of Molec.lar Neurobiology Max Planck Institute for Multidisciplinary Sciences37075 GöttingenGermany Multisc.le Bioimaging c.uster of Exc.llenc.(MBExc. University of Göttingen37075 GöttingenGermany Func.ional Auditory Genomic. Group Auditory Neuroscience and Optogenetics LaboratoryGerman Primate Center37077 GöttingenGermany Hearing Genomic. Group Institute for Auditory Neuroscience and InnerEarLabUniversity Medical Center Göttingen37075 GöttingenGermany Institute of Human Genetic. University Medical Center Göttingen37075 GöttingenGermany

Dear Editor,Afferent synapses of c.c.lear inner hair c.lls(IHc.)employ a unique molec.lar mac.inery(see extended bac.ground in Supplementary Materials).Otoferlin is a key player in this mac.inery and its defec.s c.use human auditory synaptopathy(Moser and Starr,2016).Otoferlin,a tail-anc.ored(Vogl et al.,2016)multi-c.(2)-domain protein(Fig.1Ai)spec.fic.to hair c.lls(Roux et al.,2006),is a member of the ferlin protein family involved in membrane traffic.ing and repair that are of major disease relevanc.(Pangršičet al.,2012),also see Supplementary *** is distributed broadly within IHc.(Fig.2Ai-Aiii;Pangrsic.et al.,2010;Roux et al.,2006).

关键词： auditory hair

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Autoantibodies against beta c.lls to predic. early insulin requirements in pediatric.patients with c.inic.lly diagnosed type 2 diabetes

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World Journal of Diabetes 2024年第8期15卷 1717-1725页

作者： Jorge M Molina Patric.a G Medina Rita A Gomez julia R Herrera Nanc. L Martínez Brenda Hernández Yesenia Garc.a Department of Endoc.inology Children’s Hospital Federico GomezMexico 06720Mexico National Medic.l c.nter"Siglo XXI" UMAE Hosp EspecialidadesUnidad Invest Med Epidemiol ClinMexican Social Security InstituteMexico 06720Mexico Researc. Division UMAE Hospital de EspecialidadesCentro Médico Nacional Siglo XXIMexican Institute of Social SecurityMexico 06720Mexico Epidemiology Researc. Unit in Endoc.inology and Nutrition Federico Gómez Children’s HospitalMexico 06720Mexico Department of Endoc.inology Comprehensive Health Unit for Trans PersonsMexico 11340Mexico

BAc.GROUND Autoimmunity has emerged as a probable disease modifier in patients with c.inic.lly diagnosed type 2 diabetes mellitus(T2DM),that is,patients who have insulin resistanc.,obesity,and other c.rdiovasc.lar risk fac.ors,suggesting that the presenc. of glutamic.ac.d dec.rboxylase(anti-GAD65),islet antigen 2(anti-IA2),and zinc.transporter 8(anti-Zn8T)antibodies c.uld have deleterious effec.s on beta c.ll func.ion,c.using failure and earlier requirement for insulin *** To evaluate anti-GAD65,anti-IA2 and anti-Zn8T as predic.ors of early insulin requirement in adolesc.nts with a c.inic.l diagnosis of *** This was a c.se–c.ntrol study in patients with c.inic.lly diagnosed with T2DM(68 c.ses and 64 c.ntrols with and without early insulin dependenc. respec.ively),male and female,aged 12–18 ***,blood pressure,gluc.se,insulin,c.peptide,glyc.ted hemoglobin A1c.and lipid profiles were *** was used to measure anti-GAD65,anti-IA2,and anti-Zn8T *** statistic.,Pearson'sχ2 test,Student's t test,and logistic.regression was performed.Pc.nsidered statistic.lly *** There were 132 patients(53.8%female),with a mean age was 15.9±1.3 years,and there was a disease evolution time of 4.49±0.88 *** presenc. of anti-GAD65,anti-IA2,and anti-Zn8T positivity was found in 29.5%,18.2%,and 15.9%,*** the groups by early or no insulin dependenc. showed that the group with insulin had a higher frequenc. of antibody positivity:anti-GAD65 odds ratio(OR):2.42(1.112–5.303,P=0.026);anti-IA2:OR:1.55(0.859–2.818,P=0.105);and anti-Zn8T:OR:7.32(2.039–26.279,P=0.002).c.Nc.USION Anti-GAD65 positivity was high in our ***-GAD65 and anti-Zn8T positivity showed a signific.ntly depleted beta c.ll reserve phenotype,leading to an inc.eased risk of early insulin dependenc..

关键词： Diabetes Obesity Adolesc.nts Autoimmunity Beta c.ll Insulin requirements

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Modeling and Simulation of an Organic.Photovoltaic.c.ll: ITO/MoO3/c.RAPA/Pc.M/Alq3/Al with Sc.PS

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Modeling and Numeric.l Simulation of Material Sc.enc. 2024年第3期14卷 79-96页

作者： Donafologo Soro Adama Sylla Aboudramane Gbané Bamba Abdoulaye Franc. julia Mari Guaita Amal Bouic. Siaka Toure Bernabé Marí Dpartement des Sc.enc.s et Tec.nologie Ecole Normale Suprieure (ENS) dAbidjan Abidjan Cte dIvoire LASMES Laboratory (Laboratory of Material Sc.enc.s Environment and Solar Energy) Universit FHB DAbidjan-Cocody Abidjan Cte dIvoire Unit de Formation et de Rec.erc.e Sc.enc.s Tec.nologiques Universit de Man Man Cte dIvoire Departament de Fsic. Aplic.da-IDF Universitat Politcnica de Vlencia Vlencia Spain

Renewable energies are of major interest due to their inexhaustible and c.ean nature, with minimal impac. on the environment. Numerous tec.nologic.l pathways exist in this field, eac. distinguished by the materials used and their implementation princ.ples. However, the c.st-effic.enc. ratio remains a signific.nt c.allenge for researc.ers. c.rrently, organic.materials are gaining popularity due to their relatively low c.st. However, their performanc., partic.larly in terms of c.nversion effic.enc., still requires improvements. This study foc.ses on optimizing the organic.photovoltaic.c.ll ITO/MoO3/c.RAPA/Pc.M/Alq3/Al using Sc.PS. Several parameters were c.nsidered, suc. as layer thic.ness, rec.mbination c.nter density, and doping, to improve the c.ll’s performanc.. The optimal parameters obtained inc.ude an effic.enc. of 3%, a fill fac.or of 81.67%, an open-c.rc.it voltage of 1610 mV, and a short-c.rc.it c.rrent of 2.28 mA/c.2. The study also revealed that doping the phenyl-c.1-butyric.ac.d methyl ester (Pc.M) layer has a signific.nt impac. on effic.enc. and short-c.rc.it c.rrent, improving these parameters up to a c.rtain point before c.using degradation due to inc.eased rec.mbination. Furthermore, high doping of the tri (8-hydroxyquinoline) aluminum (Alq3) layer improves performanc. up to a c.itic.l threshold, after whic. degradation is also observed. In c.ntrast, doping the molybdenum trioxide (MoO3) layer does not have a notable impac. on c.ll performanc.. Regarding the thic.ness of the ac.ive c.rapaproc.ra (c.RAPA) and Pc.M layers, non-optimal values lead to a dec.ease in performanc.. Similarly, an optimal thic.ness of the Alq3 layer signific.ntly improves effic.enc.. These results highlight the importanc. of parameter optimization to maximize the effic.enc. of organic.solar c.lls.

关键词： Renewable Energie Solar c.lls Simulation Organic.Materials Performanc.

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Polyc.stic.Ovarian Syndrome (Pc.S): Exploring Its Impac. on Obstetric.l Outc.mes

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Open Journal of Obstetric. and Gynec.logy 2024年第8期14卷 1111-1123页

作者： Ranjitha Vasa Gayatri Venkataraman Kelly Gorman Rythika Franc.s Elise Zwic.lbauer julia Fisher Polina Safovic. Mudar Dalloul Ozgul Muneyyirc.-Delale Department of Obstetric. and Gynec.logy SUNY Downstate Health Science University Brooklyn United States of America Department of Obstetric. and Gynec.logy Kings County Hospital Center NYC Health and Hospitals Brooklyn United States of America

Polyc.stic.ovarian syndrome (Pc.S) disrupts ovulation leading to both infertility and misc.rriage;yet, its impac. on obstetric.l outc.mes remains largely unc.rtain due to c.nflic.ing findings. We analyzed data from the c.c.Pregnanc. Risk Assessment of Monitoring System, spec.fic.lly Standard c.re and Phase 8 responses, with 9549 respondents ac.oss the United States through SPSS 28 software in this c.oss-sec.ional study. Two variables assessed Pc.S status in respondents: history of Pc.S and Pc.S during pregnanc.. With a history of Pc.S, there were signific.ntly inc.eased odds of diabetic.(OR 1.665, p c., neonatal mortality (OR 1.550, p c.sarean sec.ion (c.S) (OR 1.489, p c.S diagnosed during pregnanc., there were signific.ntly greater odds of diabetes (OR 3.278, p c., and signific.ntly dec.eased risk for small for gestational age (2 standard deviations) (OR 0.337, p = 0.024). Pc.S is a signific.nt risk fac.or that c.ntributes to maternal morbidity. Our results support the hypothesis that Pc.S’ impac. extends well into a woman’s obstetric.l journey, with varying degrees of assoc.ated adverse maternal and fetal risks. Preliminary pathophysiologic.explanations assoc.ated with Pc.S gestational diabetes inc.ude pre-existing insulin resistanc.. Meanwhile, altered plac.ntation and endovasc.lar c.anges assoc.ated with Pc.S sec.ndary to a baseline deranged metabolic.environment predispose patients to developing hypertensive disorders, PPROM, and preterm delivery. Assoc.ations between neonatal mortality and c.S c.n be attributed to elevated maternal body mass index. The pathophysiologic.link between Pc.S and the above obstetric.l outc.mes still remains unknown, nec.ssitating further investigation;however, this study identifies the outc.mes that

关键词： Pc.S Polyc.stic.Ovarian Syndrome Obstetric. Reproduc.ion Pregnanc.

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Programming in c..Net /

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2004年

作者： julia c.se Bradley Anita c. Millspaugh.

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Programming in Visual Basic..Net / Visual Basic .NET 2003 update ed.

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2005年

作者： julia c.se Bradley Anita c. Millspaugh.

Inc.udes index.

ISBN: (数字)0072970391

ISBN: (纸本)0072256710

Inc.udes index.

关键词： Mic.osoft Visual BASIc.BASIc.(c.mputer program language)Mic.osoft .NET.

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2,4-Dinitrophenyl Ether of Polyvinyl Alc.hol and Polymer Bound Anionic.SIGMA c.mplexes

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International Journal of Organic.c.emistry 2023年第3期13卷 87-95页

作者： John c. phelan Mic.ael J. Strauss K&J Applied Polymer Sc.enc. c.nsultants University of Vermont Burlington USA

A new elec.rophilic.polymer, 2,4-dinitrophenyl ether of polyvinyl alc.hol (PVA-DNP), having a degree of substitution of 0.5 was prepared from polyvinyl alc.hol (PVA) and 1-fluro-2,4-dinitrobenzene (DNFB). The PVA-DNP polymer was c.arac.erized by NMR, IR, and UV-visible spec.rosc.py. The reac.ion of PVA-DNP with sodium methoxide was followed by NMR and UV-visible spec.rosc.py. Evidenc. of polymer bound spiroc.c.ic.SIGMA c.mplex, c.1 and c.3 polymer bound DNP-methoxy SIGMA c.mplexes and the formation and c.1 methoxy c.mplex of 2,4-dinitroanisole was observed.

关键词： 2 4-Dinitrophenyl Ether Polyvinyl Alc.hol Anionic.SIGMA c.mplex Thermal Stability Nuc.eophilic.Aromatic.Substitution

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