Malden Public Schools

A variety of methods are described in the literature for sampling oral microbiota, including their advantages and disadvantages. The aim of this study was to assess which method (swab, paper point, and oral fluid collection) for sampling oral microbiota is most favourable for use on a geriatric population. The oral microbiota of geriatric patients who visited the Geriatric Department of the University Medical Center Groningen (The Netherlands), because of memory complaints, were assessed between April 2022 and April 2023. The samples were collected using three methods: swab, paper point, and oral fluid collection. The participants had to have at least one natural tooth. The samples were checked for 11 oral bacteria commonly associated with oral and general diseases. Of the 30 potentially eligible participants, 28 could be enrolled. A 100% bacteria match was achieved by all 3 sampling techniques between 64% of the cases (18/28) and a 91% match between another 25% (7/28). The swab had the highest positivity rate in this population, as it was easy to perform and usable on edentulous individuals, even on those with (severe) disabilities. Overall, the sampling methods showed comparable microbiota in most cases but differed in the complexity of use. The swab seemed to be the most favourable method among the geriatric participants.

Background: Intensive care units (ICUs) admit high-risk patients whose physiological parameters are continuously monitored to provide timely care. However, traditional ICU monitors are known to generate high rate of false alarms (FAs) resulting in alarm fatigue. In this work, we investigate the use of a hybrid convolutional neural network (CNN) architecture aiming to reduce the burden of FAs. Methods and Results: We retrospectively analyzed 953 independent life threatening alarms from the streaming data of 410 ICU patients. Specifically, we used four channels of electrocardiographic (ECG), arterial blood pressure (BP) and photoplethysmographic (PPG) signals to detect noise in each of the physiological signals, as well as the onset of an arrhythmia. To this end, we developed a hybrid CNN architecture that fuses the information from multiple physiological signals as well as the handcrafted features (Figure 1). Using 5-fold cross validation repeated for 5 times, we obtained an arrhythmia detection accuracy of 87.5% with a standard deviation of 0.5% (Table 1). In practice, the proposed hybrid-CNN algorithm would have suppressed 77.05% of the FA generated by an existing monitoring system, without prior knowledge of the underlying alarm, which is superior to any other published algorithm. Evaluation on the PhysioNet 2015 Challenge database achieved an overall classification accuracy of 93.9%, indicating its efficacy and generalizability. Further, our method remains adaptable to various arrhythmic conditions as well as multiple physiological signals. Conclusions: A hybrid CNN architecture can significantly reduce FA burden and hence improve the quality of care in ICUs

Journal of Counseling & DevelopmentVolume 99, Issue 2 p. 117-118 Issue InformationFree Access TOC First published: 08 March 2021 https://doi.org/10.1002/jcad.12276AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Volume99, Issue2Special Issue: Advancing the Counseling Profession Through Research and PublicationApril 2021Pages 117-118 RelatedInformation

Purpose–This paper aims to identify the most commonly used E-learning resources in the classroom among Elementary Education students in one of the Local University and Colleges (LUCs) in Batangas, Philippines and evaluates the use of mobile technology and E-Learning System in terms of functionality, usability, efficiency, and reliability based on ISO 9126 evaluation standard.Method–The researchers utilized a self-made questionnaire to gather necessary data to evaluate the E-Learning system based on the ISO 9126 software quality metrics. The questionnaires consisted of three parts: profile of the participants; E-Learning System and E-Learning resources; evaluation of E-Learning System in terms of functionality, reliability, usability, and efficiency.The participants were ninety-three students: nondisabled and students with hearing and speaking problems. 460Results–The most commonly used E-Learning resources in the classroom by the students were laptop computers,smartphones, mobile applications, internet, and video tutorials. It was found out that the E-learning system is highly functional, highly usable, highly efficient, and reliable through the use of mobile technology. This study also shows that there is no significant difference between the assessments of nondisabled students and students with disabilities using the E-Learning System.The participants statedthat E-learning system increases the quality of learning because it integrates all forms of media.Conclusion–Students and teachers were willing to embrace the E-Learning system, there is still a need of access other E-Learning resources, and ICT platforms. As depicted in the result of the study, since the computed values of all variables did not exceed the tabular value, the null hypotheses are hereby accepted. This implies that there is no significant difference between the assessments of nondisabled students and students with disabilities with regards to the E-Learning System.Recommendations–Internet connectivity should be a priority to be established to benefit all the delivery models such as face-to-face, self-paced, and individualized learning along with virtual interactions. Integrating mobile learning may help overcome the concerns with connectivity and convenience to a great extent. Leveraging on the utilization of mobile phones, there should beregular capacity-building activities and skills enhancements on E-Learning System and other related software and tools among the professors, and students.E-learning designers may consider the existence of the users with hearing and speaking disabilities to develop an e-learning environment that may be effective to all users generally.Practical Implications–Academic institutions would be able to adopt the same approach of using E-learning system though mobile technology to handle students with speaking and hearing problems in delivering teaching and learning.

To address pervasive measurement biases in sexual and reproductive health (SRH) research, our interdisciplinary team created an affirming, customizable electronic survey to measure experiences with contraceptive use, pregnancy, and abortion for transgender and gender nonbinary people assigned female or intersex at birth and cisgender sexual minority women. Between May 2018 and April 2019, we developed a questionnaire with 328 items across 10 domains including gender identity; language used for sexual and reproductive anatomy and events; gender affirmation process history; sexual orientation and sexual activity; contraceptive use and preferences; pregnancy history and desires; abortion history and preferences; priorities for sexual and reproductive health care; family building experiences; and sociodemographic characteristics. Recognizing that the words people use for their sexual and reproductive anatomy can vary, we programmed the survey to allow participants to input the words they use to describe their bodies, and then used those customized words to replace traditional medical terms throughout the survey. This process-oriented paper aims to describe the rationale for and collaborative development of an affirming, customizable survey of the SRH needs and experiences of sexual and gender minorities, and to present summary demographic characteristics of 3,110 people who completed the survey. We also present data on usage of customizable words, and offer the full text of the survey, as well as code for programming the survey and cleaning the data, for others to use directly or as guidelines for how to measure SRH outcomes with greater sensitivity to gender diversity and a range of sexual orientations.

Rest of World), €452 (Europe), £357 (UK

, US$649 (Rest of World), 427 (Europe), 334 (UK

Background: Roux-en-Y gastric bypass offers excellent long-term results in obese patients. However, it is associated with gastrointestinal complications, which have various morbidity and mortality risks. Bezoars are one of the unusual underlying causes of gastric outlet obstruction after bypass surgery. Among them, phytobezoars are the most common form.1 They can also occur after laparoscopic Rouxen-Y bypass surgery.2 Case report: A 56-year-old morbidly obese female presented to the emergency with aphagia, poor oral tolerance and postprandial vomiting. She underwent gastric bypass surgery in 2004 and lost 100 lbs. She regained some weight over the years and in view of dilated gastric pouch, a lap band was placed in 2009. Later on, she complained of epigastric pain with inability to eat or drink for which the lap band was removed in Jan 2016. However, she did not get any relief which led to the current admission. An Upper GI series showed non-passage of contrast beyond the gastric pouch, (Fig 1) with debris at GJ anastomotic site. EGD showed a narrow gastric outlet with an impacted 2.5 cm phytobezoar, (Fig 2). It was successfully removed with roth basket along with dilation of the stenosed GJ anastomotic site, (Fig 3). A follow up UGI series showed full relief of obstruction. The patient was subsequently discharged with resolution of her symptoms.Figure 1Figure 2Figure 3Conclusion: Bezoar formation is a rare late complication of gastric bypass surgery although Bezoarinduced gastric outlet obstruction is uncommon. While these lesions are often treatable, there is a risk of postoperative obstruction with perforation and death.3 In our case, the patient continued to have obstructive symptoms despite lap band removal, which was presumed to be the cause of her symptoms. The etiology turned out to be a phytobezoar having ball valve effect, intermittently plugging the narrowed gastric outlet, which was removed. The purpose of this report is to increase awareness of this problem when bariatric patients present with obstructive symptoms to facilitate early recognition and prompt intervention to minimize the morbidity.