11 research outputs found
Endometrial ablation using hysteroscopic instillation of hot saline solution into the uterus
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Computational design and analysis of multi-scale polymer machines
No full textThis thesis discusses the computational analysis of multi-scale polymer systems for a variety of applications. Two geometries are analyzed, polymer sheets that fold into complex shapes due to a gradient in cross-linking throughout its volume, and a dome structure that experiences limit point buckling during inversion.
The first chapter of this work discusses an analysis of the self-assembly of thin, programmable Polydimethylsiloxane (PDMS)/SU-8 sheets, which fold due to complex swelling ratio gradients throughout their volume. These could be used as a fabrication technique for small polymer devices or as a means of actuation in a polymer machine. An analytical elasticity model and a computational model in ABAQUS/Standard are used to predict the direction of folding for different sheet specimens. The model is also used to analyze specimens with more complex time varying deformations.
Next a dome structure is investigated for its potential use as the scaffold of a biomechanical machine powered by cells. The machines are millimeter sized and are actuated by groups of cells cultured on the machine. These biological machines have important potential applications for drug delivery or chemical sensing. Finite element analysis is used to study these domes so that an optimal biological machine can be designed.Item withdrawn by Mark Zulauf ([email protected]) on 2014-04-30T13:50:18Z
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University of Illinois Theses & Dissertations (ID: 1)
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Cultural and Digital Health Literacy Appropriateness of App- and Web-Based Systems Designed for Pregnant Women With Gestational Diabetes Mellitus: Scoping Review
No full textBACKGROUND: The prevalence of women diagnosed with gestational diabetes mellitus (GDM) is increasing dramatically. Mobile technologies to enhance patient self-management offer many advantages for women diagnosed with GDM. However, to our knowledge, although mobile health (mHealth) and telemedicine systems for GDM management exist, evidence on their cultural and digital health literacy appropriateness levels is limited. OBJECTIVE: This review aimed to search and assess the literature on mHealth and telemedicine systems designed for women diagnosed with GDM. Our assessment of these technologies focused on their cultural and digital health literacy appropriateness as well as the systems’ effectiveness in improving glycemic control and maternal and infant outcomes. METHODS: We conducted a scoping review using a framework adapted from Arksey and O’Malley. Four electronic databases were searched for relevant studies: PubMed, MEDLINE (EBSCO), Web of Science, and Scopus. The databases were searched between January 2010 and January 2022. The inclusion criteria were pregnant women diagnosed with GDM, use of telemedicine for monitoring and management, and vulnerable or disadvantaged patients. We used terms related to mobile apps and telemedicine: GDM, vulnerable populations, periphery, cultural appropriateness, and digital health literacy. Studies were screened and selected independently by 2 authors. We extracted the study data on a Microsoft Excel charting table and categorized them into final themes. The results were categorized according to the cultural and digital health literacy features presented. RESULTS: We identified 17 studies that reported on 12 telemedicine and mHealth app interventions. We assessed the studies in three domains: cultural appropriateness, digital health literacy, and maternal and infant outcomes. In the literature, we found that existing digital technologies may improve glycemic control and diabetes self-management. However, there is a lack of assessment of cultural and digital health literacy appropriateness for pregnant women diagnosed with GDM. Considerations in app design regarding cultural appropriateness were found in only 12% (2/17) of the studies, and only 25% (3/12) of the interventions scored ≥3 out of 5 in our assessment of digital health literacy. CONCLUSIONS: mHealth and telemedicine can be an effective platform to improve the clinical management of women with GDM. Although studies published on the use of mHealth and telemedicine systems exist, there is a limited body of knowledge on the digital health literacy and cultural appropriateness of the systems designed for women diagnosed with GDM. In addition, as our study was restricted to the English language, relevant studies may have been excluded. Further research is needed to evaluate, design, and implement better tailored apps regarding cultural and digital literacy appropriateness for enhancing pregnant women’s self-management as well as the effectiveness of these apps in improving maternal and infant health outcomes
Accidental delivery through a vaginal incision (laparoelytrotomy) during caesarean section in the second stage of labour
No full textAccidental delivery through a vaginal incision (laparoelytrotomy) during caesarean section in the second stage of labour
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A comparison of enriched culture and Xpert polymerase chain reaction assay of Group B streptococcus carrier status at 35–37-week gestation to labor onset: a prospective controlled study
No full textPension reform, savings behavior and corporate governance
No full textFrance, Germany and Italy, to take the three largest economies in continental Europe, have large and ailing pay-as-you-go public pension systems, very thin capital markets, and low capital performance. This paper proposes to study these three issues together, taking Germany as an example. Specifically, we argue that pension reform, via a change in portfolio composition of households and a strengthening of corporate governance through institutional inves-tors, can have important beneficial side effects both in terms of capital efficiency. Discussions about pension reform should therefore be broader than the narrow debate on how to diffuse the future financial strain caused by population aging. We suggest that looking at pension reform and capital market problems together sheds additional and new light on the continuing debate about advantages and disadvantages of pay-as-you-go and fully funded pension systems.
