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Glioma is one of the most refractory types of brain tumor. Accurate tumor boundary identification and complete resection of the tumor are essential for glioma removal during brain surgery. We present a method based on visible resonance Raman (VRR) spectroscopy to identify glioma margins and grades. A set of diagnostic spectral biomarkers features are presented based on tissue composition changes revealed by VRR. The Raman spectra include molecular vibrational fingerprints of carotenoids, tryptophan, amide I/II/III, proteins, and lipids. These basic in situ spectral biomarkers are used to identify the tissue from the interface between brain cancer and normal tissue and to evaluate glioma grades. The VRR spectra are also analyzed using principal component analysis for dimension reduction and feature detection and support vector machine for classification. The cross-validated sensitivity, specificity, and accuracy are found to be 100%, 96.3%, and 99.6% to distinguish glioma tissues from normal brain tissues, respectively. The area under the receiver operating characteristic curve for the classification is about 1.0. The accuracies to distinguish normal, low grade (grades I and II), and high grade (grades III and IV) gliomas are found to be 96.3%, 53.7%, and 84.1% for the three groups, respectively, along with a total accuracy of 75.1%. A set of criteria for differentiating normal human brain tissues from normal control tissues is proposed and used to identify brain cancer margins, yielding a diagnostic sensitivity of 100% and specificity of 71%. Our study demonstrates the potential of VRR as a label-free optical molecular histopathology method used for in situ boundary line judgment for brain surgery in the margins.

General education teachers are challenged with meeting the unique instructional needs of every learner in their classrooms, which increasingly include English learners (ELs) and students with learning disabilities (LD). This article uses vignettes to demonstrate how a middle school content teacher uses five strategies: building prior knowledge, building vocabulary, explicit instruction, visual representation, and opportunities to respond to support his students. Each strategy is evidence based for ELs and for students who have an identified LD. Research supports that ELs and students with LD benefit from specific instructional strategies that enhance the accessibility of course content and potentially improve learning outcomes. © 2019, © 2019 Taylor & Francis Group, LLC.

Purpose:As implementation and evaluation of research supported treatment (RST) expands across diverse mental health settings, it is essential to understand the facilitators and inhibitors of uptake. The current study examined the relationships between organizational readiness for change, attitudes toward RST, and use of RST among a sample primarily of social workers.Methods:Participants included 158 providers from public child mental health outpatient clinics in the New York metropolitan area. Data were analyzed using structural equation modeling.Results:Use of RST was greater among providers who were younger and had fewer years of professional experience. Both organizational need for change and climate directly and indirectly related to use of RST through attitudes toward RST (partial mediator).Discussion:The organizational context is an important factor that relates to attitudes toward and use of RST in practice. Future research is needed to continue examining factors of RST uptake and sustainability.

Produced in cooperation with the National Association of School Nurses, this text includes comprehensive coverage of the multiple facets of school nursing—from the foundations of practice and the roles and functions of a school nurse through episodic and chronic illness and behavioral issues, to legal issues and leading and managing within school settings. Written and edited by school nurses and pediatric experts, it features real-world-tested, best practices based on evidence and experience. There’s content here that you won’t find in other books, such as health assessments, individualized health plan development, mental health conditions including adolescent depression, contemporary legal issues, and current policy statements essential to school nursing.

The definitive educational guide on the diagnosis and management of dysphagia across the full age continuumDysphagia presentation and treatment differs at various stages of life. Assessing and Treating Dysphagia: A Lifespan Perspective reflects significant knowledge and pearls from esteemed adult and pediatric swallowing disorders experts. Debra Suiter and Memorie Gosa have compiled a book of unique depth and breadth with contributions from communication science experts including speech-language pathologists and physicians. The textbook provides comprehensive coverage of swallowing disorders from birth to old age, including clinical, professional, and cultural ethical considerations.Key HighlightsAnatomy and physiology of swallowing, and compensatory, postural, and rehabilitation strategiesAdult and pediatric specific chapters on swallow screenings, clinical evaluations, and technologies such as videofluroscopic, fiberoptic endoscopic, and high-resolution manometryPediatric-specific dysphagia related to premature birth, craniofacial syndromes, congenital heart disease, and cerebral palsyAdult-specific dysphagia related to neurodegenerative disease, stroke, traumatic brain injury, head and neck cancer, esophageal disease, pulmonary disease, and end of lifeThis is the only textbook on the market featuring complete coverage of the diagnosis and management of dysphasia across the lifespan. With content following Master's-level course curriculum, this is essential reading for graduate students as well as practicing clinicians in the fields of otolaryngology and speech language pathology.This book includes complimentary access to a digital copy on https://medone.thieme.com.

The current study evaluated the benefits of free-recall, cognitive load, and closed-ended questions on children's (ages 6 to 11; N = 147) true and false eyewitness disclosures. Children witnessed an experimenter find a stranger's wallet and were then asked to make a false denial, false accusation, true denial, or true accusation regarding an alleged theft. Overall, the free-recall question resulted in longer, more forthcoming and more detailed disclosures from older children and those who made a truthful accusation; however, children under the age of 9 and lie-tellers mostly relied on the closed-ended questions to discuss the theft. Although the cognitive load questions resulted in newly recalled information, there were no significant narrative differences between true and false statements on these questions. These findings suggest that forensic professionals should consider a child's developmental level, statement veracity, and disclosure-type (denial vs. accusation) when examining the efficacy of these commonly used questioning strategies.

The Oxford Handbook of Charles Brockden Brown provides an up-to-date survey of the life of and full range of writings by Charles Brockden Brown (1771–1810), a key writer of the Atlantic revolutionary age and U.S. Early Republic. Through the late twentieth century, Brockden Brown was best known as an important author of political romances in the gothic mode that were widely influential in romantic era, and has generated large amounts of scholarship as a crucial figure in the history of the American novel. More recent work recognizes him likewise an influential editor, historian, and writer in other genres such as poetry, short fiction, and essays, and as a figure whose work resonated throughout the Atlantic world of the revolutionary age. The Oxford Handbook’s thirty-five chapters build on the research of the most recently scholarly generation to introduce readers to and explore Brown’s wide-ranging work. Its chapters focus on the author’s biography, romances, writings in a range of genres, his key concept of the romance as a form of engaged conjectural history, his engagements in the cultural-ideological struggles of the revolutionary and Napoleonic eras, as well as the aesthetic, political, scientific, and other key dimensions of his corpus. The volume concludes with a survey of Brown’s complex reception history and the state of Brown studies at present.

We report the energy dependence of mid-rapidity (anti-)deuteron production in Au+Au collisions at √sNN=7.7, 11.5, 14.5, 19.6, 27, 39, 62.4, and 200 GeV, measured by the STAR experiment at the BNL Relativistic Heavy Ion Collider. The yield of deuterons is found to be well described by the thermal model. The collision energy, centrality, and transverse momentum dependence of the coalescence parameter B2 are discussed. We find that the values of B2 for antideuterons are systematically lower than those for deuterons, indicating that the correlation volume of antibaryons is larger than that of baryons at √sNN from 19.6 to 39 GeV. In addition, values of B2 are found to vary with collision energy and show a broad minimum around √sNN=20–40 GeV, which might imply a change of the equation of state of the medium in these collisions.

Background: Reading difficulties often present as a consequence of aphasia. The specific nature of reading deficits varies widely in manifestation, and the cause of these deficits may be the result of a phonological, lexical semantic, or cognitive impairment. Several treatments have been developed to address a range of impairments underlying reading difficulty.Aims: The purpose of this review is to describe the current research on reading comprehension treatments for persons with aphasia, assess the quality of the research, and summarize treatment outcomes.Methods & Procedures: A systematic review of the literature was conducted based on a set of a priori questions, inclusion/exclusion criteria, and pre-determined search parameters. Results were summarized according to treatment type, methodologic rigor, and outcomes.Outcomes & Results: Fifteen studies meeting criteria were identified. A variety of reading comprehension treatments was implemented including: oral reading, strategy-based, cognitive treatment, and hierarchical reading treatments. Quality ratings were highly variable, ranging from 3 to 9 (on a 12-point scale). Overall, 14 of the 18 individuals for whom individual data were provided demonstrated some degree of improvement (oral reading 4/5 participants, strategy based 4/6, and cognitive treatment 6/7). Gains were also evident for hierarchical reading treatment administered to participant groups via computer; however, the degree to which improvement reached statistical significance varied among studies.Conclusions: Reading comprehension treatments have the potential to improve reading comprehension ability in persons with aphasia; however, outcomes were variable within and among treatment methods. We suggest focusing future research on factors such as participant candidacy and treatment intensity using increased methodological rigor.

Abstract. Roman exempla, or moralizing anecdotes, appear frequently in the English literature of the early Tudor period. Textual, authorial, and historical exe

In this article, I apply Alain Badiou's theory of the event to make sense of the beliefs of an anti-sanction activist in Germany. Sanctions are deductions to unemployment benefits imposed by jobs counselors on their unemployed clients. Ethnographic research with Renate shows how her beliefs about the welfare state and her own personal life are examined by her as conditions for the abolition of sanctions in Germany, which is considered here as an event within Badiou’s ontological framework.

Abstract The purpose of this paper is the estimation of a production function for retail stores in the Philippines. A generalized Cobb-Douglas production function is utilized for this purpose. Ordinary Least Squares is used in obtaining the coefficients for labor and capital. The results show that the marginal product of labor to be higher than the marginal product of capital and the hypothesis of constant returns to scale is not rejected.

In this article, I introduce a new interpretation of the puzzling thesis “bai 白 (white) ma 馬 (horse) fei 非 (is not) ma 馬 (horse)” argued by Gongsun Long 公孫龍 in his essay “On White Horse (Bai Ma Lun 白馬論).” I argue that previous interpretations, which can be grouped under the name of “attribute-object interpretations,” are not satisfactory, and that the thesis on the new interpretation is not about attributes or objects, but about names. My argument focuses on the disagreement over inseparability of white (shou bai zhi zheng 守白之爭) between Gongsun Long and his interlocutor in the text of “On White Horse.” On my interpretation or the name interpretation, the disagreement is about whether constituents of a syntactically complex or multi-term name are separable or have their contextually independent meanings. Gongsun Long’s thesis makes perfect sense on my interpretation, and is supported by the text and other preserved texts collected in GongsunLong Zi 公孫龍子. The name interpretation can also make sense of some puzzling expressions of sophists in the classic period.

Background/ObjectiveMany adolescents with type 1 diabetes do not achieve 60 minutes of daily moderate-to-vigorous intensity physical activity (MVPA). Recognizing the importance of peer influence during adolescence, we evaluated the feasibility and safety of a group MVPA intervention for this population. MethodsEighteen adolescents with type 1 diabetes (age 14.12 .3 years, female 67%, black or Latino 67%, median body mass index 92%ile, A1c 79.925.1 mmol/mol, 9.5 +/- 2.3%). Intervention sessions (35minutes MVPA and 45minutes discussion) occurred 1x/week for 12weeks. Feasibility and safety metrics were enrollment, completion of intervention and assessments, cost, and hypoglycemia rates. Participants completed MVPA (accelerometry), and exploratory nutritional, psychosocial, clinical, and fitness variable assessments at baseline, 3 months, and 7 months. Hedges' effect sizes were calculated. ResultsEnrollment was 16%, and intervention completion was 56%. Assessment completion at 7 months was 67% for MVPA, nutrition, and fitness, 83% for psychosocial assessments, and 94% for clinical assessments. Cost was $1241 per completing participant. One episode of mild hypoglycemia occurred during the sessions (0.6%). Self-reported daily fruit/vegetable servings (d=-0.72) and diabetes self-management behaviors decreased over time (d=-0.40). In the 10 completers, endurance run score improved (d=0.49) from low baseline levels, while systolic blood pressure decreased (d=-0.75) and low-density lipoprotein increased (d=0.49) but stayed within normal ranges. ConclusionsThe protocol for the group MVPA intervention was safe and had some feasibility metrics meriting further investigation. MVPA levels and glycemic control remained suboptimal, suggesting the need for more intensive interventions for this population.

Wise quotes carry advice about how to navigate life's difficult decisions or feelings, allowing cultures to pass wisdom through generations. Qualities of wisdom have been identified by careful examination of wise individuals. Similarly, wise sayings and quotations can be analyzed and interpreted as emblematic of cultural beliefs about wisdom. The present research examines thematic and linguistic qualities of 157 wise quotes nominated as wise by 194 undergraduates. Thematic analysis of wise quotes centered on five dimensions of wisdom: Humor, Emotion, Review, Openness and Experience. Humor and Emotion were found to be the least represented while Review and Experience were the most represented. Linguistic analysis compared strong (n = 101) versus weak (n = 56) wise quotes and found that strong wise quotes were more linguistically complex and less likely to use the first-person pronouns. Analyzing the language of wisdom through quotes can provide additional insight into cultural representations of wisdom.

A smartphone-based fall detection system has two major advantages over a traditional fall detection system that comes as a separate device: (1) the phone can automatically send messages to or call the emergency contact person when a fall is detected and (2) a user does not need to carry an extra device. This paper presents a novel two-step fall detection method which uses data extracted from smartphone sensors to detect falls. A fall can happen in many ways. A person can fall while he/she is walking, jogging, sitting, or even sleeping. Patterns of all falls are not the same. It is important to identify the type of falls to precisely distinguish it from non-falls (normal activities). Hence, our method first identifies the correct type of falls by performing multi-class classification. In the second step, this method produces a binary decision based on the multiclass prediction. We collected data from 10 users to evaluate our proposed fall detection method. Each user performed five normal activities-namely, walking, jogging, standing, sitting, lying, and also fell after performing each activity. We performed experiments with five common smartphone sensors: accelerometer, gyroscope, magnetometer, gravity, and linear acceleration. We tested five machine learning classifiers-namely, Support Vector Machine, K-Nearest Neighbor, Decision Tree, Random Forest, and Naive Bayes. Our two-step fall detection method achieved the maximum accuracy of 95.65% and the maximum area under ROC curve (AUC) of 0.93, both with the gyroscope sensor and Support Vector Machine classifier.

The sensitivities of radial velocity (RV) surveys for exoplanet detection are extending to increasingly longer orbital periods, where companions with periods of several years are now being regularly discovered. Companions with orbital periods that exceed the duration of the survey manifest in the data as an incomplete orbit or linear trend, a feature that can either present as the sole detectable companion to the host star, or as an additional signal overlain on the signatures of previously discovered companion(s). A diagnostic that can confirm or constrain scenarios in which the trend is caused by an unseen stellar rather than planetary companion is the use of high-contrast imaging observations. Here, we present RV data from the Anglo-Australian Planet Search (AAPS) for 20 stars that show evidence of orbiting companions. Of these, six companions have resolved orbits, with three that lie in the planetary regime. Two of these (HD 92987b and HD 221420b) are new discoveries. Follow-up observations using the Differential Speckle Survey Instrument (DSSI) on the Gemini South telescope revealed that 5 of the 20 monitored companions are likely stellar in nature. We use the sensitivity of the AAPS and DSSI data to place constraints on the mass of the companions for the remaining systems. Our analysis shows that a planetary-mass companion provides the most likely self-consistent explanation of the data for many of the remaining systems.