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The study investigated the relationships among quality dimensions, three types of interactions (i.e. learner-content, learner-instructor, and learnerlearner interaction), perceived learning and learning satisfaction with flipped courses in the context of the flipped classroom based on the information system (IS) success model. In this study, the quality dimensions in the original IS success model were replaced by flipped learning platform quality, instructional video content quality, and teaching quality (i.e. instructor monitoring and instructor facilitation). The data from 70 participants were analyzed using partial least squares structural equation modeling. The results indicate that all the quality dimensions have the influences on both learning satisfaction with flipped courses and perceived learning through the mediation of learner-content interaction or learner-instructor interaction. Moreover, learner-learner interaction significantly influences perceived learning, but not learning satisfaction with flipped courses. Finally, a positive and direct link between perceived learning and learning satisfaction with flipped courses was found. [ABSTRACT FROM AUTHOR]

Background and Objectives: This study aimed to explore the effect of functional foods on aphasia related to a previous ischemic stroke. When stroke-related neurological deficits result in physical dependency and poor selfcare that persists longer than 6 months, full recovery is almost impossible and the patient often requires long-term care. The functional foods, EASE123 and BioBalance#6, include numerous plant and marine-based nutrient supplements that could prove beneficial for such patients.Methods and Study Design: This open-labelled study included 10 patients diagnosed with prior ischemic stroke and aphasia lasting longer than 6 months. Each patient was administered 6 tablets of EASE123 at 10:30 AM and at 90 minutes before sleeping, and 3 tablets of BioBalance# 6 at 2:30 PM. After a treatment period of 12 weeks, the patients were followed during a 4-week withdrawal period. Functional improvement was assessed by scores and subscores on the Concise Chinese Aphasia Test (CCAT) at weeks 4, 8, 12, and 16.Results: Average total CCAT scores and matching ability improved significantly at weeks 4, 8, 12, and 16 (p<0.05). Simple response scores improved significantly at weeks 8 and 12 (p<0.05). Auditory comprehension improved significantly at weeks 4 and 12 (p<0.05), and reading comprehension, at week 12 (p<0.05). Repetition ability improved significantly at weeks 8, 12, and 16 (p<0.05), and spontaneous writing, at weeks 4, 12, and 16 (p<0.05).Conclusions: Matching, repetition, and average total CCAT scores improved over the course of the study. Therefore, 6 months after ischemic stroke, EASE123 and BioBalance# 6 administration may improve stroke-related aphasia. [ABSTRACT FROM AUTHOR]

Multiple sclerosis (MS) is a chronic autoimmune disease that targets myelinated axons in the central nervous system. Headache has been reported as a subtle symptom of the onset of MS, with a variable frequency of 1.6–28.5%; however, it remains unclear whether headache is a true symptom of MS onset. Here, we report the case of a female patient who had a history of migraine without aura and experienced worsening of migraine-headache symptoms as the initial manifestation of MS. Three similar cases were reported previously; however, unlike this case, those cases had no history of migraine without aura. In our case, we excluded factors that could trigger migraine attacks, such as changes in weather, drugs, alcohol, caffeine withdrawal, stress, fatigue, lack of sleep, hormonal therapy, diet, and hunger. The patient had one episode of MS attack with the simultaneous presence of asymptomatic gadoliniumenhancing and non-enhancing lesions, including hyperintense lesions in the bilateral periventricular white matter, body of the corpus callosum, and periaqueductal grey matter, as observed on the T2-weighted images obtained at the first brain magnetic resonance imaging. In addition, after the injection of gadolinium contrast, ring enhancement over these lesions was noted in T1-weighted images, which was suggestive of active demyelination. MS was diagnosed according to the McDonald criteria (2010 revision). We conclude that MS with periaqueductal grey matter involvement may present with worsening migraine. It is important to be cautious if any secondary causes exist, especially when the patient has a history of migraine without aura. MS should be one of the differential diagnoses in young women showing a change in headache pattern or poor clinical drug response to migraine treatment accompanied by episodes of focal neurological deficit. Failure to recognize MS may lead to inappropriate treatment and worse prognosis; early diagnosis in patients with MS is essential to improve their clinical outcomes and quality of life. [ABSTRACT FROM AUTHOR]

A unipolar charger with multiple discharging wires has been developed and investigated to enhance the extrinsic charging efficiency of nanoparticles by using sheath air near the wall of the charger. The applied voltage of the charger ranged from +4.0 to +10 kV, corresponding to corona current from 0.02 to 119.63 μA. Monodisperse NaCl particles of 10 ∼ 50 nm and Ag particles of 2.5 ∼ 10 nm in diameter were produced to test the performance of the charger with multiple discharging wires and to investigate the particle loss at different sheath flow rates, corona voltages and sheath air velocities. Results showed that the optimal efficiency in the charger was obtained at +9 kV applied voltage, 10 L/min aerosol flow rate and 20 L/min sheath air flow rate. The extrinsic charging efficiency increased from 2.86% to 86.3% in the charger as the particle diameter increasing from 2.5 to 50 nm. The TDMA (tandem-differential mobility analyzer) technique was used to investigate the charge distribution, and the charge distributions in the exit were obtained at the optimal operating condition. [ABSTRACT FROM AUTHOR]

In this study, an efficient parallel-plate single-stage wet electrostatic precipitator (wet ESP) with a width of 75 mm, effective precipitation length of 48 mm and gap of 9.0 mm was designed and tested to control fine and nanosized particles without the need of rapping. The collection plates are made of sand-blasted copper plates coated with TiO2 nanopowder instead of hydrophilic membranes. Three gold wires (diameter: 100 μ m) were used as the discharge electrodes and a pulse jet valve was used to regularly purge the wires. The design of the present wet ESP is aimed at solving the problems of traditional dry ESPs: reduction of the collection efficiency due to particle deposition on the discharge electrodes and collection electrodes, back corona, and particle re-entrainment. The collection efficiency at initially clean and heavy particle loading conditions was tested and compared to a similar dry ESP. Experimental results showed that when the wet ESP was initially clean, the particle collection efficiency ranged from 96.9-99.7% for particles ranging from 16.8 to 615 nm in electrical mobility diameter at an aerosol flow rate of 5 L/min (residence time of 0.39 s) and an applied voltage of 4.3 kV. After heavy loading with TiO2 nanopowder about 1.2 ± 0.06 g/plate, the collection efficiency of the present wet ESP for corn oil particles was shown to reduce only slightly to 94.7-99.0% for particles from 16.8 to 615 nm in diameter. [ABSTRACT FROM AUTHOR]

Objective To evaluate cardiovascular and respiratory effects and pharmacokinetics of a 24-hour intravenous constant rate infusion (CRI) of dexmedetomidine (DMED) during and after propofol (PRO) or isoflurane (ISO) anaesthesia in dogs. Study design Prospective, randomized, cross-over study. Animals Ten healthy adult Beagles. Methods Instrumented dogs received a DMED-loading bolus (25 μg m−2) at time 0 followed by a 24-hour CRI (25 μg m−2 hour−1), with PRO or ISO induction/maintenance of anaesthesia during the first 2 hours (PRO and ISO treatment groups, respectively). Cardiovascular, respiratory, blood gas, airway gas, serum chemistry variables and DMED plasma concentration data were collected at -15, 5, 15, 30, 45, 60, 90 and 120 minutes. A number of cardiorespiratory and tissue oxygenation variables were calculated from the above data. After the 2-hours of anaesthesia, heart and respiratory rates and electrocardiograms were recorded and DMED plasma concentrations were determined for up to 26 hours. Results Vasopressor effects and the decrease in heart rate (HR) and cardiac index induced by DMED were greater for PRO than ISO, but were within clinically acceptable ranges. Adequate oxygenation was maintained above the critical O2 delivery level. The overall incidence of unfavourable arrhythmias was low and tended to vary inversely with HR. Mean DMED plasma concentration ranged from 0.23 to 0.47 ng mL−1 for both groups during the 24-hour CRI with a mean elimination half-life of approximately 0.46 hour. Conclusion and/clinical relevance DMED CRI resulted in typical α2-agonist induced haemodynamic changes with minimal respiratory effects, and appeared to be an efficacious adjunct during and after PRO or ISO anaesthesia in healthy dogs. [ABSTRACT FROM AUTHOR]

A metabolomics-based approach to data analysis is required for drug metabolites to be identified quickly. This study developed such an approach based on high-resolution mass spectrometry. Our approach is a two-stage one that combines a time-course experiment with stable isotope tracing. Pioglitazone (PIO) was used to improve glycemic management for type 2 diabetes mellitus. Consequently, PIO was taken as a model drug for identifying metabolites. During Stage I of data analysis, 704 out of 26626 ions exhibited a positive relationship between ion abundance ratio and incubation time in a time-course experiment. During Stage II, 25 isotope pairs were identified among the 704 ions. Among these 25 ions, 18 exhibited a dose-response relationship. Finally, 14 of the 18 ions were verified to be PIO structurerelated metabolite ions. Otherwise, orthogonal partial least squares-discriminant analysis (OPLS-DA) was adopted to mine PIO metabolite ions, and 10 PIO structure-related metabolite ions were identified. However, only four ions were identified by both our developed approach and OPLS-DA, indicating that differences in the designs of metabolomicsbased approaches to data analysis can result in differences in which metabolites are identified. A total of 20 PIO structure-related metabolites were identified by our developed approach and OPLS-DA, and six metabolites were novel. The results demonstrated that our developed two-stage data analysis approach can be used to effectively mine data on PIO metabolite ions from a relatively complex matrix. [ABSTRACT FROM AUTHOR]

The article discusses a case study of 49‑year old woman who was presented with chronic headache for several years and developing left lower limb monoparesis, paresthesia, and gait instability. Large mass in the right medial temporal lobe with compression of the midbrain was shown by Computed tomography (CT) scan of the head. Magnetic resonance imaging (MRI) revealed thrombosed aneurysm with residual flow within its thrombosed portion. She was treated with coil embolization of the aneurysm.

This study explores the changes in electroencephalographic (EEG) activity associated with the performance of solving an optics maze problem. College students (N = 37) were instructed to construct three solutions to the optical maze in a Web-based learning environment, which required some knowledge of physics. The subjects put forth their best effort to minimize the number of convexes and mirrors needed to guide the image of an object from the entrance to the exit of the maze. This study examines EEG changes in different frequency bands accompanying varying demands on the cognitive process of providing solutions. Results showed that the mean power of θ, α1, α2, and β1 significantly increased as the number of convexes and mirrors used by the students decreased from solution 1 to 3. Moreover, the mean power of θ and α1 significantly increased when the participants constructed their personal optimal solution (the least total number of mirrors and lens used by students) compared to their non-personal optimal solution. In conclusion, the spectral power of frontal, frontal midline and posterior theta, posterior alpha, and temporal beta increased predominantly as the task demands and task performance increased. [ABSTRACT FROM AUTHOR]