Explore the vast range of titles available.

Electric potential distributions can act as instructive pre-patterns for development, regeneration, and tumorigenesis in cell systems. The biophysical states influence transcription, proliferation, cell shape, migration, and differentiation through biochemical and biomechanical downstream transduction processes. A major knowledge gap is the origin of spatial patterns in vivo, and their relationship to the ion channels and the electrical synapses known as gap junctions. Understanding this is critical for basic evolutionary developmental biology as well as for regenerative medicine. We computationally show that cells may express connexin proteins with different voltage-gated gap junction conductances as a way to maintain multicellular regions at distinct membrane potentials. We show that increasing the multicellular connectivity via enhanced junction function does not always contribute to the bioelectrical normalization of abnormally depolarized multicellular patches. From a purely electrical junction view, this result suggests that the reduction rather than the increase of specific connexin levels can also be a suitable bioelectrical approach in some cases and time stages. We offer a minimum model that incorporates effective conductances ultimately related to specific ion channel and junction proteins that are amenable to external regulation. We suggest that the bioelectrical patterns and their encoded instructive information can be externally modulated by acting on the mean fields of cell systems, a complementary approach to that of acting on the molecular characteristics of individual cells. We believe that despite the limitations of a biophysically focused model, our approach can offer useful qualitative insights into the collective dynamics of cell system bioelectricity.

The University of Michigan (U-M) Dental Hygiene Program collaborated with the U-M School of Social Work in developing a course entitled \"Skills for Patient- and Family-Centered Care with Diverse Populations.\" Drawing upon disciplines including dentistry, social work, psychology, and sociology, this course transformed mandatory outreach rotations in safety-net dental settings from a freestanding senior-year experience to an integrated part of the dental hygiene curriculum. The course provided a space in which to discuss the interpersonal aspects of patient care, particularly those related to the social determinants of health. Among the students, a broad range of emotions, frustrations, and hopes were evident, suggesting that there is a need for forums through which students can connect their affective experiences to their practice of patient-centered care. While the course was designed for bachelor's level dental hygiene students, the content and process presented in this paper may be of interest to faculty housed within any allied health professional program, because core themes such as social justice, service-learning, and self-reflection transcend all health professions. J Allied Health 2016; 45(3):e43-e47.

Purpose: To investigate the effects of pattern visual evoked potential (pVEP) and sweep visual evoked potential (sVEP) on the accurate visual acuity (VA) measurement in adults.  Methods: Medical files of 282 eyes of 141 patients who underwent VA measurement in our electrophysiology laboratory and did not undergo simulation were retrospectively analyzed. The VA was measured using the Snellen chart. Only those with a VA of higher than 1/10 on the Snellen chart were included in the study. The VA was assessed and reported by the pVEP (VA-pVEP) and sVEP test (VA-sVEP). The correlation analysis was performed using the Pearson correlation analysis. Results: Of 141 patients, 92 were males and 49 were females with a mean age of 37.7±18.4 years. There was a strong positive correlation between the VA measured by the Snellen chart and the VA measured by pVEP (VA-pVEP) (r=0.858, p<0.001). There was a weak positive correlation (r=0.267, p<0.001) between the VA measured by the Snellen chart and the VA measured by the sVEP (VA-sVEP). A weak positive correlation was found for the VA-pVEP and VA-sVEP (r=0.313, p<0.001). Conclusions: For the measurement of the degree of the VA, it seems reasonable to use pVEP initially, while sVEP should be used in cases with short attention span and those who are noncooperative and in infants. 

AIMS: As interprofessional education (IPE) grows, more health professions programs have begun promoting it in their accreditation standards. A frequent challenge of large universities is how to include the large set of diverse students in their foundational offerings. A potential way would be to implement an online IPE asynchronous experience with an optional synchronous discussion. The purpose of this study was to: 1) describe implementation of that approach at a large multi-campus university; 2) explore the associations between IPE activities and students' reported level of usefulness; and 3) provide recommendations for online IPE experiences. METHODS: An IPE Module was developed that had 4 sequential online learning activities. After finishing the module, participants completed a self-administered questionnaire that included questions about demographics, retrospective pre and post assessment of key IPE concepts, and rating of the usefulness of the learning based on the module activities. RESULTS: 1,017 participants, representing 8 different health professional programs, completed the survey. The numbers of students were evenly distributed, with dentistry representing the highest number (21%), and most participants were first-year students (71.9%). The learning activities \"reading posts/messages of colleagues from other professions\" and \"watching the video\" were reported useful or very useful by 77.4% and 71.4% of participants, respectively. The self-reflection writing activity (67.1%) and the \"6-word message\" (59.4%) were rated as useful or very useful by over half of participants. DISCUSSION: Most participants reported that the learning activities in the online asynchronous IPE module were useful or very useful in achieving the learning objectives. Thus, an introductory experience based on an online program combining both asynchronous and decentralized optional synchronous instruction might be a viable method of delivering foundational IPE information.

Health care is increasingly delivered through team-based, collaborative strategies with interprofessional education as an important mechanism for building interprofessional practice competencies. This paper describes an Interprofessional Seminar on Integrated Primary Care (IS-IPC) designed to meet this educational need with interprofessional teambased learning as the foundation of an iterative process such that education and practice inform one another. The IS-IPC can be used to educate an interprofessional group of learners about key topics relevant to working together in integrated primary care. The IS-IPC describes steps in developing an interprofessional seminar, common challenges, and their solutions in creating interprofessional learning experiences, and eight foundational content modules containing an outline and curricular resources. The IS-IPC facilitates interprofessional educator partnerships at the local level and can be customized to fit the local environment, pedagogical philosophy, and learning objectives.

Visual evoked potentials (VEPs) can provide important diagnostic information regarding the functional integrity of the visual system. This document updates the ISCEV standard for clinical VEP testing and supersedes the 2009 standard. The main changes in this revision are the acknowledgment that pattern stimuli can be produced using a variety of technologies with an emphasis on the need for manufacturers to ensure that there is no luminance change during pattern reversal or pattern onset/offset. The document is also edited to bring the VEP standard into closer harmony with other ISCEV standards. The ISCEV standard VEP is based on a subset of stimulus and recording conditions that provide core clinical information and can be performed by most clinical electrophysiology laboratories throughout the world. These are: (1) Pattern-reversal VEPs elicited by checkerboard stimuli with large 1 degree (°) and small 0.25° checks. (2) Pattern onset/offset VEPs elicited by checkerboard stimuli with large 1° and small 0.25° checks. (3) Flash VEPs elicited by a flash (brief luminance increment) which subtends a visual field of at least 20°. The ISCEV standard VEP protocols are defined for a single recording channel with a midline occipital active electrode. These protocols are intended for assessment of the eye and/or optic nerves anterior to the optic chiasm. Extended, multi-channel protocols are required to evaluate postchiasmal lesions.

The purpose of this study was to examine student's perceptions of the iPad applications-assisted instruction as part of their learning. In this study, multiple features and applications were evaluated as an instructional tool. Fifteen participants responded to the survey indicating their perceptions of the iPad and applications used as part of their course delivery. Overall, participants favored the use of this technology as an instructional tool in their learning and indicated several aspects that could be improved. J Allied Health 2016; 45(3):e49-e57.

How climate change affects the plants on the Qinghai-Tibet Plateau (QTP) has become a hot research topic in recent years. It was widely recognized that Larix. are sensitive to climate change, while the corresponding research of Larix. on the QTP has been rare. Using the maximum entropy (MaxEnt) model, we predicted the potential distribution patterns of Larix potaninii Batalin, Larix griffithii and Larix speciosa on the QTP in this study under different future climate scenarios. The results demonstrated that the area of suitable habitat for Larix potaninii Batalin (Larix griffithii) presented a loss (gain) trend, while that for Larix speciosa remained unchanged on the whole. The centroids of their suitable habits all migrated to the high-altitude and high-latitude areas, suggesting the three species may take the same survival strategy in response to climate change. Annual Precipitation was the most significant environmental factor influencing the distribution pattern of Larix potaninii Batalin, while Temperature Annual Range was the most significant for Larix griffithii and Larix speciosa. The overlapping potential suitable area for the three Larix species was the maximum under the 2041–2060 SSP126 future climate scenarios and decreased with the increasing emission concentration, suggesting that the niches of these species may step towards separation. This study suggested the survival strategies of the Larix species in response to climate change and the findings may provide a reliable basis for conserving the endangered Larix species under different future climate scenarios.

Improvement in the provision of health care is essential in a complex, diverse and changing system. Studies are beginning to indicate that interprofessional (IP) collaboration can be a means to help address this issue. Institutions that have programs in health professions develop Interprofessional Education (IPE) programs as a way to introduce and nurture the knowledge, skills, and attitudes necessary for IP collaboration. It is expected that health professionals with this training will serve patients/clients and communities with safe, effective, timely, efficient, equitable and patient/client-centered care that leads to decreased medical errors, reduced fragmentation of care, and optimal health outcomes. Saint Louis University developed an IPE Program that utilizes a sophisticated integrated curriculum featuring courses that intentionally address teamwork in patient/client-centered care. There were challenges in integrating the IPE curriculum into the University's many diverse programs in the health professions. The purpose of this paper is to present the process by which IPE was integrated into the curricula of 8 different health professional programs. Benefits, opportunities, challenges and strategies of this process are presented and discussed. It is expected that this change in culture will produce improved patient/client outcomes.

BACKGROUND: Preparing students for today's healthcare environment requires visionary leadership and strategic implementation at the grassroots level. This paper describes the process used in physical therapy (PT) to gather information about regional clinical education consortia, enhance networking, and improve connectivity with national initiatives. PROCESS: Twenty consortia shared information about their structures, processes, and outcomes during small-group discussions using a mixed methods approach. Two additional consortia were later identified and interviewed. FINDINGS: Consortia structure varied, but an average lifespan of 27 yrs with limited turnover was noted. Most consortia included both academic/clinical educators and PT/PTA educators. Commonly reported processes included holding meetings, serving as peer network, mentoring new members, and collaborating on research. The most frequent outcome was education of stakeholders. Consortia supported national initiatives but voiced need for more engagement at the grassroots level. DISCUSSION: Regional consortia play a vital role in shaping the future of clinical education but increased coordination between top-down and bottom-up efforts is needed. Recommendations were developed to use technologies, develop systematic communications, facilitate regional and national networks, and promote inclusion of all stakeholders. CONCLUSION: A systematic process engaging grassroots organizations can prove valuable for coordinating top-down and bottom-up efforts in all health professions.