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A Simple One‐Item Nursing Falls Assessment Predicts Outcomes for Patients with Stage D Heart Failure Undergoing Surgical Advanced Therapies
No full textIntroduction: Frailty portends worse outcomes for patients with advanced heart failure (HF) undergoing surgical advanced therapies. Falls are characteristic of frailty, but it is unknown if the history of falls predicts post-operative risk. We hypothesized that a one-item fall screening is associated with worse outcomes. Methods: We conducted a retrospective study of all patients undergoing orthotopic heart transplantation (OHT) or left ventricular assist device (LVAD) implantation at our institution between 2020 and 2023. Our primary exposure of interest was falls, as assessed by a nursing questionnaire within 12 months or less prior to surgery. We tracked hospital- and ICU-length of stay, duration of mechanical ventilator use, renal replacement therapy (RRT), and survival. Results: History of falls was associated with prolonged mechanical support (mean difference: +1.5 days, p = 0.002), prolonged ICU stay (mean difference: +13 days, p = 0.03), and prolonged hospital stay (mean difference: +17 days, p = 0.03). Patients with a history of falls also had a higher rate of needing RRT in the 90 days following surgery (adjusted HR: 4.7, 95% CI 1.1–20, p = 0.035). There were no differences in survival between the two groups. Conclusion: Among patients with advanced HF undergoing OHT or LVAD, a simple one-item nursing falls assessment is associated with clinically relevant worse outcomes
Digital Bibliography in the Age of Linked Data
No full textThe article explores how the interplay of ideological values and technological capacities have shaped the digital bibliography of British print history. Using a misgendering in the English Short Title Catalogue (ESTC) as a case study, the article explores how information flows through resources like Eighteenth Century Collections Online (ECCO), and Early English Books Online (EEBO), library catalogues, WorldCat, and retail outlets like Amazon. The article argues that as data from the ESTC is reproduced through linked data structures, information is ‘authorized’ far beyond what a single resource would do alone or what its original authors imagined or designed. While feminist, queer, and critical race scholarship has discursively created and revised new histories of textual production, in contrast foundational resources like the ESTC perpetuate old assumptions with unfixed errors and editorial practices that render the who and the why of their metadata choices opaque. The article concludes that radical revision is necessary if we are to disrupt centuries of a white and male norm in British print history
Association of Medicaid Expansion with Colon Cancer Care: Treatment Patterns and Survival in Non-Metastatic Cases from State Registry-Claims Data
No full textPurpose: Despite growing research on Medicaid expansion’s impact on cancer outcomes, there remains a critical need for a more nuanced understanding of how expansion affects cancer care and survival. This study assesses whether Medicaid expansion was associated with improved receipt of standard treatment, timely treatment initiation, and overall survival among colon cancer patients, while examining the specific factors influencing these outcomes. Methods: Using Ohio’s state cancer registry linked with Medicaid records, we analyzed 688 Medicaid-enrolled patients with non-metastatic colon cancer diagnosed between May 2011 and December 2017. We employed multivariable Poisson and Cox proportional hazard regression analyses to evaluate the impact of Medicaid expansion on treatment and survival outcomes, controlling for individual- and area-level factors. Results: We observed no significant changes in the likelihood of receipt of standard treatment or timely treatment initiation post-expansion vs. pre-expansion, and no significant differences in these outcomes by Medicaid eligibility criteria post-expansion. However, we observed significantly improved survival (hazard ratio, HR 0.49 [0.28, 0.88]) among patients who became newly eligible for Medicaid under the ACA vs. pre-expansion. Patients enrolled emergently (shortly after/upon diagnosis) were more likely to receive standard treatment (risk ratio, RR 1.14 [1.02, 1.27]). Conclusions: Our findings provide nuanced insights into Medicaid expansion’s impact on colon cancer care, showing that while expansion did not affect treatment measures, it improved survival among newly eligible patients. Higher standard treatment likelihood among emergently enrolled patients suggests complex post-expansion care dynamics. Further research should investigate mechanisms underlying improved survival and develop interventions to enhance treatment quality alongside observed survival benefits
Poor in Practical Capacity: How Environmental Alienation Is Really a Deficit of Political Know-How
Full text link“Alienation from nature” is a popular notion in Western environmental culture. Influential Anglophone critical theorist Steven Vogel claims that it makes no sense, unlike alienation from our productive capacity to dwell on Earth, called “alienation from the environment.” His criticism is accurate, but his view isn’t. The normative sets appropriate production and consists of social processes of arriving at norms. Politics is foremost among these processes, and it is fundamentally know-how. Given these assumptions, poor practical capacity ends up being the heart of “environmental alienation” – alienation from the built environment. Look at large-scale, anthropogenic, environmental change: a deficit of political know-how leaves people alienated from the planetary environment created by human engineering
Tales from Tin Pan Alley: Developing a Cross-Campus Library Event
Full text linkThis poster shows how three librarians fostered a cross-campus collaboration that welcomed our music collection into a new space, invited music faculty participation for a lecture recital, and engaged audiences with a digital exhibit
Plasmonic Enhancement of Photothermal Conversion Efficiency in Gold-Nanoparticle Hydrogels
No full textThis study investigates the photothermal properties of citrate-capped gold nanoparticles (Au NPs) dispersed in agarose gel, examining various sizes and concentrations, particularly within a low-concentration range (0.2–2.5 nM). Heat transfer measurements are conducted on Au NP hydrogels using laser-light induced heating, revealing a size- and concentration-dependent temperature increase compared to the plain agarose gel matrix. Experimental data, combined with finite-element analysis, demonstrate that photothermal energy conversion efficiencies are dependent on NP size and concentration, while the thermal conductivity (TC) of all Au NP hydrogels remains constant and independent of these parameters within the tested concentration range. UV-visible spectroscopy indicates that the observed photothermal heating arises from light absorption and scattering within the Au NP hydrogels. This work highlights the interplay between plasmonic Au NPs of varying sizes and hydrogels as host matrices, significantly impacting photothermal energy conversion properties. The findings herein aim to provide valuable insights for advancements in biomedical and energy-related applications
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