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The inclusion of patients as partners in research is a key link in the delivery of patient-centred care in healthcare systems. check details Despite genuine intentions to engage patients in authentic partnerships, efforts can result in tokenism and benefits of engagement are missed. Understanding how patient engagement provides value along the research to patient-care continuum and how to best engage patients as partners are key. This document describes the method taken by the Canadian Cancer Trials Group (CCTG) to implement meaningful patient centricity and engagement and the benefits realized. Originally, Patient Representatives were recruited and assigned to CCTG Committees. Lacking guidance, the role was one of a passive meeting attendee. A gap analysis identified a need for clarity in expectations, understanding of the linkage to CCTG strategic objectives, and supporting tools and training. A plan was developed and successfully implemented in three phases, each phase building on the previous, the level of patient engagement simultaneously changing from "Inform" to "Involve" to "Collaborate" on the International Association for Public Participation (IAP2) scale. Results include significant contributions to increased patient accrual in CCTG trials, to increased CCTG grant funding, as well as recognition and adoption of these practices within Canada and internationally.The health detection of lithium ion batteries plays an important role in improving the safety and reliability of lithium ion batteries. When lithium ion batteries are in operation, the generation of bubbles, the expansion of electrodes, and the formation of electrode cracks will produce stress waves, which can be collected and analyzed by acoustic emission technology. By building an acoustic emission measurement platform of lithium ion batteries and setting up a cycle experiment of lithium ion batteries, the stress wave signals of lithium ion batteries were analyzed, and two kinds of stress wave signals which could characterize the health of lithium ion batteries were obtained a continuous acoustic emission signal and a pulse type acoustic emission signal. The experimental results showed that during the discharge process, the amplitude of the continuous acoustic emission signal decreased with the increase of the cycle times of batteries, which could be used to characterize performance degradation; there were more pulse type acoustic emission signals in the first cycle of batteries, less in the small number of cycles, and slowly increased in the large number of cycles, which was in line with the bathtub curve and could be used for aging monitoring. The research on the health of lithium ion batteries by acoustic emission technology provides a new idea and method for detecting the health lithium ion batteries.Calcium-dependent protein kinase (CDPK or CPK) and CDPK-related kinase (CRK) play an important role in plant growth, development, and adaptation to environmental stresses. However, their gene families had been yet inadequately investigated in Medicago truncatula. In this study, six MtCRK genes were computationally identified, they were classified into five groups with MtCDPKs based on phylogenetic relationships. Six pairs of segmental duplications were observed in MtCDPK and MtCRK genes and the Ka/Ks ratio, an indicator of selection pressure, was below 0.310, indicating that these gene pairs underwent strong purifying selection. Cis-acting elements of morphogenesis, multiple hormone responses, and abiotic stresses were predicted in the promoter region. The spatial expression of MtCDPKs and MtCRKs displays diversity. The expression of MtCDPKs and MtCRKs could be regulated by various stresses. MtCDPK4, 14, 16, 22, and MtCRK6 harbor both N-myristoylation site and palmitoylation site and were anchored on plasma membrane, while MtCDPK7, 9, and 15 contain no or only one N-acylation site and were distributed in cytosol and nucleus, suggesting that the N-terminal acylation sites play a key role in subcellular localization of MtCDPKs and MtCRKs. In summary, comprehensive characterization of MtCDPKs and MtCRKs provide a subset of candidate genes for further functional analysis and genetic improvement against drought, cold, salt and biotic stress.The purpose of this study was to build on existing qualitative to quantitative approaches to develop a new quantitative method for evaluating pelvic and trunk rotational pitching mechanics. Thirty pitchers were divided into two groups ("Pattern1" closed "hip-to-shoulder separation"; "Pattern2" open "hip-to-shoulder separation"). Several parameters were analyzed. Higher ball speeds were found in group of Pattern1, four key characteristics of which were identified. Based on the results, a new evaluation method was developed. Pelvic and trunk rotational mechanics were classified into four types. Type1 (proper mechanics) enabled significantly higher ball speed than the other three types and was thought to involve proper energy transfer from the stride foot to the throwing upper limb. Types 2-4, however, were regarded as "improper mechanics", which could result in slower ball speeds and less efficient energy transfer. A qualitative approach, based on "expert opinion", can specify optimal pelvis and trunk rotational mechanics. However, quantitative analysis is more precise in identifying three improper types of pelvis and trunk rotational mechanics. Furthermore, special programs, such as core strengthening and flexibility training, can be developed for various improper practices in order to improve pitching mechanics.

Cardiac surgery patients are at increased risk for post-operative complications and prolonged length of stay. Perioperative goal directed therapy (GDT) has demonstrated utility for non-cardiac surgery, however, GDT is not common for cardiac surgery. We initiated a quality improvement (QI) project focusing on the implementation of a GDT protocol, which was applied from the immediate post-bypass period into the intensive care unit (ICU). Our hypothesis was that this novel GDT protocol would decrease ICU length of stay and possibly improve postoperative outcomes.

This was a historical prospective, QI study for patients undergoing cardiac surgery requiring cardiopulmonary bypass (CPB). Integral to the QI project was education towards all associated providers on the concepts related to GDT. The protocol involved identifying patient specific targets for cardiac index and mean arterial pressure. These targets were maintained from the post-CPB period to the first 12 h in the ICU. Statistical comparisons were performed between the year after GDT therapy was launched to the last two years prior to protocol implementation.