Introduction: The study revealed that many healthcare professional students begin their academic studies with positive and high expectations towards interprofessional collaborative studies. Unfortunately, students los...Introduction: The study revealed that many healthcare professional students begin their academic studies with positive and high expectations towards interprofessional collaborative studies. Unfortunately, students lose interest if their initial expectations are not met with consistent opportunities to enhance their communication skills and better understand the different healthcare professions. The study aimed to explore health science and public health students’ attitudes toward IPE. The participants’ backgrounds and demographics were used as the variations for the study. Methods: A pre-post semi-quantitative anonymous survey was designed to assess health science and public health undergraduate students’ attitudes toward IPE. The reason for this design was to capture the participants’ attitudes toward IPE at the start of a semester when they had no academic exposure to IPE. Qualtrics was used to collect the research data. A valid and reliable scale was used to measure attitudes toward IPE. A post-survey was included to measure the participants’ change in attitude toward IPE during the semester. The goal was to measure the IPE curriculum effectiveness. There were 21 survey questions. The questions were divided into four validated subscales. The first seven questions (Questions 1 - 7) pertained to the participants’ demographics s, such as gender, age, race, ethnicity, major field of study, and prior education. Questions 8, 9, 16, & 20 were designed to determine how the participants perceived their roles and responsibilities in their future healthcare careers. Each IPE attitude question’s central tendency and demographic variations were measured. The correlation between demographics and IPE attitudes was measured. Results: The pre-survey had 192 participants, and the post-survey had 97 participants. The pre-survey had 87% of participants in the age group 17 - 25 years, while the post-survey had 82.5% in the same age group. Only 5.7% of the participants were 36 years or older in the pre-survey and 9.3% in the post-survey. The participants were 80.70% female in the pre-survey and 85.6% in the post-survey. The largest healthcare career field concentration was nursing, with 42.7% and 45.4% in the pre- and post-surveys. The other three larger career fields were healthcare administration, community health education, and physician assistant. The participants’ attitudes toward learning with different healthcare career students and becoming more effective members of a healthcare team increased from 4.36 (SD = 0.13) to 4.40 (SD = 0.17). Two negative IPE attitude questions showed an increased value: 1) The function of nursing therapists is mainly to provide support for doctors (3.51, SD = 0.19 to 3.12, SD = 0.24, p-value ≤ 0.004) and 2) Clinical and healthcare problem-solving skills could only be learned with students from the same career field (3.73, SD = 0.13 to 3.31, SD = 0.24, p-value ≤ 0.001). Conclusion: Interprofessional Education in an academic setting is essential to help healthcare students prepare and succeed in their future healthcare careers. The study results show that health science and public health students understand IPE and value academic exposure to the IPE process during their studies. Academic healthcare programs should continue integrating the IPE learning model and content throughout the student’s academic journey. The variations in IPE attitude do not significantly vary based on demographics and healthcare career fields. This study only represents a sample size of the many healthcare careers. Interprofessional communication and collaboration are essential to the future healthcare delivery challenges we face. For this reason, IPE should be integrated into healthcare education for all health science and public health students. It is recommended that more research should be done on creative curriculum design to get students more engaged in various healthcare IPE learning activities.展开更多
This study investigated the instructional preferences of full time adult credential students after they took a live course called Principles of Adult Education at California State University, Long Beach (CSULB) in the...This study investigated the instructional preferences of full time adult credential students after they took a live course called Principles of Adult Education at California State University, Long Beach (CSULB) in the fall semester of 2002. These full time adult credential students had been working on their adult teaching credentials to meet the competencies specified by the California Commission on Teacher Credentialing. The course introduced students to Andragogy developed by Malcolm Knowles out of the andragogical model developed by Lindeman (1926). The study used Principles of Adult Learning Scales (PALS), advanced by Gary Conti in 1983 to measure instructional preferences. Data were collected from 30 (100% of 30) full time adult credential students enrolled in a live course to determine their instructional preferences of helping adults learn. The results of the study showed in most cases these adult learning professionals taught adult students andragogically; in some cases they taught adult students pedagogically.展开更多
Wild-land fires are a dynamic and destructive force in natural ecosystems. In recent decades, fire disturbances have increased concerns and awareness over significant economic loss and landscape change. The focus of t...Wild-land fires are a dynamic and destructive force in natural ecosystems. In recent decades, fire disturbances have increased concerns and awareness over significant economic loss and landscape change. The focus of this research was to study two northern California wild-land fires: Butte Humboldt Complex and Butte Lightning Complex of 2008 and assessment of vegetation recovery after the fires via ground based measurements and utilization of Landsat 5 imagery and analysis software to assess landscape change. Multi-temporal and burn severity dynamics and assessment through satellite imagery were used to visually ascertain levels of landscape change, under two temporal scales. Visual interpretation indicated noticeable levels of landscape change and relevant insight into the magnitude and impact of both wild-land fires. Normalized Burn Ratio (NBR) and delta NBR (DNBR) data allowed for quantitative analysis of burn severity levels. DNBR results indicate low severity and low re-growth for Butte Humboldt Complex “burned center” subplots. In contrast, DNBR values for Butte Lightning Complex “burned center” subplots indicated low-moderate burn severity levels.展开更多
In this study, we present results from the CASA (Carnegie-Ames-Stanford Approach) model to estimate net primary production (NPP) in grasslands under different management (ranching versus unmanaged) on the Central Coas...In this study, we present results from the CASA (Carnegie-Ames-Stanford Approach) model to estimate net primary production (NPP) in grasslands under different management (ranching versus unmanaged) on the Central Coast of California. The latest model version called CASA Express has been designed to estimate monthly patterns in carbon fixation and plant biomass production using moderate spatial resolution (30 m to 250 m) satellite image data of surface vegetation characteristics. Landsat imagery with 30 m resolution was adjusted by contemporaneous Moderate Resolution Imaging Spectroradiometer (MODIS) data to calibrate the model based on previous CASA research. Results showed annual NPP predictions of between 300 - 450 grams C per square meter for coastal rangeland sites. Irrigation increased the predicted NPP carbon flux of grazed lands by 59 grams C per square meter annually compared to unmanaged grasslands. Low intensity grazing activity appeared to promote higher grass regrowth until June, compared to the ungrazed grassland sites. These modeling methods were shown to be successful in capturing the differing seasonal growing cycles of rangeland forage production across the area of individual ranch properties.展开更多
Sediment core samples were collected from the Salinas de San Pedro to assess the pollutant deposition processes in response to extensive human activities. Analysis of the sediment samples for heavy metals and some tra...Sediment core samples were collected from the Salinas de San Pedro to assess the pollutant deposition processes in response to extensive human activities. Analysis of the sediment samples for heavy metals and some trace elements was conducted with ICP-OES for 20 sites showing enrichment for some of trace and heavy metals. The results demonstrated that heavy metal concentrations in mud varied greatly for each metal, with concentration values (mg/g) ranging from 1.05 - 4.8 (Al);0.003 - 0.011(As);0.001 - 0.005 (Cd);0.02 to 0.82 (Cr);0.085 - 0.47 (Cu);5.98 - 14.22 (Fe);0.06 - 0.19 (Mn);0.03 - 0.67 (Ni);0.05 - 0.38 (Pb);- 0.069 (Se);0.18 - 0.63 (Ti);0.040 - 0.091 (V) and 0.149 - 0.336 (Zn). The Index of Geo-accumulation factor showed highest values for Pb, Mn, As, and Cu. Enrichment factors >1for these elements suggest anthropogenic inputs for most metals. The bioavailability of metals in lagoon sediments has the potential to be highly dynamic with local waste and natural H2S discharge from existing fault line.展开更多
Fog deposition is a notable component of the water budget of herbaceous-shrub ecosystems on the central and southern coastal regions of California. This paper presents an analysis of fog water deposition rates and met...Fog deposition is a notable component of the water budget of herbaceous-shrub ecosystems on the central and southern coastal regions of California. This paper presents an analysis of fog water deposition rates and meteorological controls in Big Sur, California. Mesh-screen fog collectors were installed the Brazil Ranch weather station sites to measure fog water during the summer seasons of 2010 and 2011. Fog deposition occurred during 73% of days recorded in 2010 and 87% of days recorded in 2011. The daily average deposition rate was 2.29 L/m2 in 2010 and 3.86 L/m2 in 2011. The meteorological variables which had the greatest influence on prediction of fog deposition were wind speed, wind direction, and the dew-point depression (difference between air temperature and dew point). Based on these results, we hypothesize that high rates of summer fog deposition help sustain the productivity of California coastal vegetation through periods of low rainfall.展开更多
Rice farmers occupy a potentially important intersection between economics and hydrology in Northern California. While drought makes water an increasingly precious commodity across California, the monetary worth of wa...Rice farmers occupy a potentially important intersection between economics and hydrology in Northern California. While drought makes water an increasingly precious commodity across California, the monetary worth of water is not uniform across different localities and uses. As a result, circumstances have given many Sacramento Valley rice farmers the option to sell their water to users elsewhere, in lieu of using it themselves. Because the sold water is typically surface water that would normally help recharge local aquifers when applied to a field;it is reasonable to suspect that transferring that water elsewhere could adversely affect local aquifers since that recharge would be reduced. This study performs numerical experiments using the United States Geological Survey’s Central Valley Hydrologic Model (CVHM) to better understand the temporal effects of a set of land idling scenarios. CVHM is capable of modeling the entire Central Valley, which encompasses the Sacramento and San Joaquin Valleys, and of representing rice field idling on a large scale. These experiments were executed using historical data to contrast recently typical amounts of rice field idling with scenarios reflecting varying degrees of hypothetical, increased idling. In doing so, this study aims to characterize the nature and potential magnitude of idling rice fields on groundwater storage in the Sacramento Valley. The impact of these scenarios on groundwater storage was quantified relative to an unaltered baseline model scenario. The results of this research show rice field idling will reduce recharge and groundwater storage levels;these results may provide useful information for future policy decisions and provide a basis for future study.展开更多
The coastal wetland, Ballona Lagoon in Southern California has experienced degradation and size reduction due to urbanization. This study analyzes nitrate concentrations in the lagoon to identify contamination sources...The coastal wetland, Ballona Lagoon in Southern California has experienced degradation and size reduction due to urbanization. This study analyzes nitrate concentrations in the lagoon to identify contamination sources and assess its impact. The study includes determining nitrate levels during high and low tides during wet and dry seasons, establishing concentration gradients, and examining the relationship between salinity and nitrate concentrations. The nitrate concentrations were found to be higher in locations closer to the head of the lagoon, particularly in urbanized areas, suggesting land-based sources during the dry season’s high tide (S2: 2.37 mg/l;S3: 3.85 mg/l;S4: 3.91 mg/l). Findings highlight the importance of managing nitrate contamination near urban areas. Monitoring nitrate levels over time are crucial for sustainability efforts. This research emphasizes the need for long-term monitoring and conservation strategies to mitigate nitrate contamination in Ballona Lagoon.展开更多
We investigated the effects of elevated carbon dioxide (CO2) on biogeochemistry of marsh sediment including speciation of selected heavy metals in Salinas de San Pedro mudflat in California. The Salinas de San Pedro m...We investigated the effects of elevated carbon dioxide (CO2) on biogeochemistry of marsh sediment including speciation of selected heavy metals in Salinas de San Pedro mudflat in California. The Salinas de San Pedro mudflat has higher carbon (C) content than the vast majority of fully-vegetated salt marshes even with the higher tidal action in the mudflat. Sources for CO2 were identified as atmospheric CO2 as well as due to local fault degassing process. We measured carbon dioxide, methane, total organic carbon, dissolved oxygen, salinity, and heavy metal concentration in various salt marsh locations. Overall, our results showed that CO2 concentration ranging from 418.7 to 436.9 (ppm), which are slightly different in various chambers but are in good agreement with some heavy metal concentrations values in mudflat at or around the same location. The selected metal concentration values (ppm) ranging from 0.003 - 0.011 (As);0.001 - 0.005 (Cd);0.04 - 0.02 (Cr);0.13 - 0.38 (Cu);0.11 - 0.38 (Pb);0.0009 - 0.020 (Se);and 0.188 - 0.321 (Zn). The low dissolved oxygen (ppm) in the pore water sediment indicated suboxic environment. Additionally, CO2 (ppm) and loss on ignition (LOI) (%) correlated inversely;the higher CO2 content, the lower was the LOI (%);that is to say the excess CO2 causes higher rates of decomposition and therefore it leads to lower LOI (%) on the mudflat surface. It appears that the elevated CO2 makes changes in salt marsh pore water chemistry for instance the free ionic metal (Cu2+, Pb2+, etc.) speciation is one of the most reactive form because simply assimilated by the non-decayed or alive organisms in sediment of salt marsh and/or in water. This means that CO2 not only is a sign of improvement in plant productivity, but also activates microbial decomposition through increases in dissolved organic carbon availability. CO2 also increases acidification processes such as anaerobic degradation of microorganism and oxidation of reduced components. The heavy metal concentrations in sediment samples were slightly higher in suboxic layer, yet it appears that salt marsh sediments in Salinas de San Pedro act like a sink for nutrient and carbon by maximizing carbon sequestration.展开更多
Groundwater comprises a large portion of irrigation for California's agriculture, and sustains a wide diversity of ecosystems as well as consumptive use, but pumping is occurring faster than replenishment. At the sam...Groundwater comprises a large portion of irrigation for California's agriculture, and sustains a wide diversity of ecosystems as well as consumptive use, but pumping is occurring faster than replenishment. At the same time, contaminants from fertilizers and pesticides are infiltrating into the groundwater, becoming increasingly concentrated as water is extracted. It compared space-based observations of groundwater anomalies from California's San Joaquin Valley using the GRACE (gravity recovery and climate experiment) against measurements of 42 organic and inorganic chemicals from 41,667 wells in the valley from 2003 to 2010. It compared Arsenic, Boron, Cadmium, Chloride, Selenium, Trichloroethylene, and TDS (total dissolved solid) concentrations with the groundwater storage anomaly from 2003 to 2010. The results show strong correlations for groundwater depletion against increasing chloride (r2= 0.78, p 〈 0.05) and boron (r2 = 0.88, p 〈 0.05). This indicates increasing contaminant concentrations while groundwater was depleting over the last eight years. Solubilization by complexation with Cl, CO3 and/or organic chelates may account for the increasing concentration of some heavy metals when groundwater depletion occurs. These results are the first to link space-based groundwater mass change with groundwater contaminant concentration change.展开更多
The growth of urban centers in Mexico and the consequent demand for services and overexploitation of their watersheds and aquifers, these being insufficient to cover the demand for drinking water in different cities, ...The growth of urban centers in Mexico and the consequent demand for services and overexploitation of their watersheds and aquifers, these being insufficient to cover the demand for drinking water in different cities, and areas with dry climates and poor rainfall are mostly affected. The case study where this research is concentrated is located in the city of Ensenada, where the demand for greater capacity in general basic services such as drinking water supply has created a greater problem when the availability of this resource is very limited by the climatic conditions and the natural environment in arid zones as it is in the North of Baja California. In this research we propose the design and installation of a rainwater collection system, with economic materials and common use that any inhabitant can acquire for their implementation in their own home. In this sense, dissemination has been promoted about the advantages of using natural resources based on collective awareness, emphasizing the scientific dissemination of knowledge. For this last point the moderation of the use of rainwater is made to cover the domestic demand for water through a rain collection system installed in a house of average family.展开更多
This study evaluates the feasibility of groundwater banking in the Central Basin. The Central Basin is located in Sacramento County in northern California, USA. The study basin is bounded by three rivers (the Sacramen...This study evaluates the feasibility of groundwater banking in the Central Basin. The Central Basin is located in Sacramento County in northern California, USA. The study basin is bounded by three rivers (the Sacramento, the American, the Consumes and Mokelumne rivers), and by the Sierra-Nevada mountain range. This study focuses on the potential for groundwater recharge in the Central Basin for three water years (critical, wet, above normal). For that purpose, a 3-D Groundwater Modeling System (GMS) with MODFLOW was created. Three recharge wells were added to the calibrated groundwater model to recharge the water table with 10,000 Acre-Feet (AF) of water to the Central Basin. The banking of 10,000 AF during the critical and wet years was effective in raising the water table elevation in the cone of depression area without causing any negative impact elsewhere in the basin. According to the findings of the Central Basin model, banking up to 10,000 AF of groundwater during any year type is feasible. More than 10,000 AF of groundwater banking might cause more negative impacts than positive benefits.展开更多
BACKGROUND Metastasis to the hyoid bone is an exceptionally rare occurrence,with documented cases limited to breast,liver,colon,skin,lung,and prostate cancers.This report highlights an unusual case involving the metas...BACKGROUND Metastasis to the hyoid bone is an exceptionally rare occurrence,with documented cases limited to breast,liver,colon,skin,lung,and prostate cancers.This report highlights an unusual case involving the metastasis of lung adenocarcinoma to the hyoid bone,accompanied by a distinctive headache.Previous documentation involved surgical resection of the hyoid mass.We present a case displaying the benefits of palliative radiotherapy.CASE SUMMARY A 72-year-old non-smoking,non-alcoholic woman,initially under investigation for a year-long elevation in absolute lymphocyte count,presented with a monthlong history of intermittent throat pain.Despite negative findings in gastroenterological and otolaryngologic examinations,a contrast-enhanced chest computed tomography scan revealed a mediastinal mass and questionable soft tissue thickening in her left anterolateral neck.Subsequent imaging and biopsies confirmed the presence of lung adenocarcinoma metastasis to the hyoid bone.The patient was treated with platinum-based chemo-immunotherapy along with pembrolizumab.Ultimately,the lung cancer was unresponsive.Our patient opted for palliative radiation therapy instead of surgical resection to address her throat pain.As a result,her throat pain was alleviated,and it also incidentally resolved her chronic headaches.This is the second documented case of lung adenocarcinoma metastasizing to the hyoid bone.CONCLUSION Palliative radiotherapy may add to the quality of life in symptomatic patients with cancer metastatic to the hyoid bone.展开更多
A metropolitan city such as Los Angeles (LA) is an ideal study site with a very high population density, and it houses at least 3 treatment plants where sewage is treated preliminarily and then progressing to tertiary...A metropolitan city such as Los Angeles (LA) is an ideal study site with a very high population density, and it houses at least 3 treatment plants where sewage is treated preliminarily and then progressing to tertiary treatment before discharging into the LA River. We will gain a better understanding of the water quality in the LA River and the nitrate load in the watershed system by examining the influence of waste water treatment plants (WWTPs). The goal of this study is to pinpoint the exact source of nitrate in the LA River using the isotope signatures. We have selected sampling locations both upstream and downstream of the WWTP. This serves to monitor nitrate levels, aiding in the assessment of treatment plant effectiveness, pinpointing nitrate pollution sources, and ensuring compliance with environmental regulations. The research explores the isotopic composition of NO3 in relation to atmospheric nitrogen and Vienna Standard Mean Ocean Water, shedding light on the contributions from various sources such as manure, sewage, soil organic nitrogen, and nitrogen fertilizers. Specifically, there is a change in the δ15NAir value between the dry and wet seasons. The isotope values in the Tillman WWTP sample changed between dry and wet seasons. Notably, the presence of nitrate originating from manure and sewage is consistent across seasons, emphasizing the significant impact of anthropogenic and agricultural activities on water quality. This investigation contributes to the broader understanding of nitrogen cycling in urban water bodies, particularly in the context of wastewater effluent discharge. The findings hold implications for water quality management and highlight the need for targeted interventions to mitigate the impact of nitrogen-containing compounds on aquatic ecosystems. Overall, the study provides a valuable framework for future research and environmental stewardship efforts aimed at preserving the health and sustainability of urban water resources. This data informs decisions regarding additional treatment or mitigation actions to safeguard downstream water quality and ecosystem health.展开更多
Tetracycline and analogues are among the most used antibiotics in the dairy industry. Besides the therapeutic uses, tetracyclines are often incorporated into livestock feed as growth promoters. A considerable amount o...Tetracycline and analogues are among the most used antibiotics in the dairy industry. Besides the therapeutic uses, tetracyclines are often incorporated into livestock feed as growth promoters. A considerable amount of antibiotics is released unaltered through milk from dairy animals. The presence of antibiotic residues in milk and their subsequent consumption can lead to potential health impacts, including cancer, hypersensitivity reactions, and the development of antibiotic resistance. Thus, it is important to monitor residual levels of tetracyclines in milk. The purpose of this study is to develop a quick and simple method for simultaneously extracting five tetracycline analogues from bovine milk. Specifically, five tetracycline analogues: Chlortetracycline (CTC), demeclocycline (DEM), doxycycline (DC), minocycline (MC), and tetracycline (TC) were simultaneously extracted from milk using trifluoroacetic acid. Subsequently, the extracted analogues were separated by reverse-phase high-performance liquid chromatography (RP-HPLC) and detected at 355 nm using UV/Vis. Calibration curves for all five tetracycline analogues show excellent linearity (r2 value > 0.99). Percent recovery for MC, TC, DEM, CTC, and DC were: 31.88%, 96.91%, 151.29, 99.20%, and 85.58% respectively. The developed extraction method has good precision (RSD < 9.9% for 4 of the 5 analogues). The developed method with minimal sample preparation and pretreatment has the potential to serve as an initial screening test.展开更多
Dexamethasone is classified as a corticosteroid and is commonly used among cancer patients to decrease the amount of swelling around the tumor. Among patients with cancer, in particular brain tumors, seizures can beco...Dexamethasone is classified as a corticosteroid and is commonly used among cancer patients to decrease the amount of swelling around the tumor. Among patients with cancer, in particular brain tumors, seizures can become a daily routine in their everyday lives. To counteract the seizures, an antiepileptic drug such as phenytoin is administered to act as an anticonvulsant. Phenytoin and dexamethasone are frequently administrated concurrently to brain cancer patients. A previous study has shown that phenytoin serum concentration decreases when administrated concurrently with dexamethasone. Thus, it is important to monitor the concentration of these two drugs in biological samples to ensure that the proper dosages are administrated to the patients. This study aims to develop an effective extraction and detection method for dexamethasone and phenytoin. A reverse-phase high-performance liquid chromatography (HPLC) method with UV/Vis detection has been developed to separate phenytoin and dexamethasone at 219 nm and 241 nm respectively from urine samples. The mobile phase consists of a mixture of 0.01 M KH2PO4, acetonitrile, and methanol adjusted to pH 5.6 (48:32:20) and is pumped at a flow rate of 1.0 mL/min. Calibration curves were prepared for phenytoin and dexamethasone (r2 > 0.99). An efficient solid-phase extraction (SPE) method for the extraction of dexamethasone and phenytoin from urine samples was developed with the use of C-18 cartridges. The percent recovery for phenytoin and dexamethasone is 95.4% (RSD = 1.15%) and 81.1% (RSD = 3.56%) respectively.展开更多
This paper delves into the intricate interplay between artificial intelligence(AI)systems and the perpetuation of Anti-Black racism within the United States medical industry.Despite the promising potential of AI to en...This paper delves into the intricate interplay between artificial intelligence(AI)systems and the perpetuation of Anti-Black racism within the United States medical industry.Despite the promising potential of AI to enhance healthcare outcomes and reduce disparities,there is a growing concern that these technologies may inadvertently/advertently exacerbate existing racial inequalities.Focusing specifically on the experiences of Black patients,this research investigates how the following AI components:medical algorithms,machine learning,and natural learning processes are contributing to the unequal distribution of medical resources,diagnosis,and health care treatment of those classified as Black.Furthermore,this review employs a multidisciplinary approach,combining insights from computer science,medical ethics,and social justice theory to analyze the mechanisms through which AI systems may encode and reinforce racial biases.By dissecting the three primary components of AI,this paper aims to present a clear understanding of how these technologies work,how they intersect,and how they may inherently perpetuate harmful stereotypes resulting in negligent outcomes for Black patients.Furthermore,this paper explores the ethical implications of deploying AI in healthcare settings and calls for increased transparency,accountability,and diversity in the development and implementation of these technologies.Finally,it is important that I prefer the following paper with a clear and concise definition of what I refer to as Anti-Black racism throughout the text.Therefore,I assert the following:Anti-Black racism refers to prejudice,discrimination,or antagonism directed against individuals or communities of African descent based on their race.It involves the belief in the inherent superiority of one race over another and the systemic and institutional practices that perpetuate inequality and disadvantage for Black people.Furthermore,I proclaim that this form of racism can be manifested in various ways,such as unequal access to opportunities,resources,education,employment,and fair treatment within social,economic,and political systems.It is also pertinent to acknowledge that Anti-Black racism is deeply rooted in historical and societal structures throughout the U.S.borders and beyond,leading to systemic disadvantages and disparities that impact the well-being and life chances of Black individuals and communities.Addressing Anti-Black racism involves recognizing and challenging both individual attitudes and systemic structures that contribute to discrimination and inequality.Efforts to combat Anti-Black racism include promoting awareness,education,advocacy for policy changes,and fostering a culture of inclusivity and equality.展开更多
BRBF(buckling restrained braced frame)is a relatively new lateral force resisting system for building structures.BRBFs are used mostly to resist seismic force due to their high ductility after yielding and the ability...BRBF(buckling restrained braced frame)is a relatively new lateral force resisting system for building structures.BRBFs are used mostly to resist seismic force due to their high ductility after yielding and the ability to absorb higher strain energy.ASCE(American Society of Civil Engineers)first permits the use of BRBFs as a single seismic force-resisting system by quantifying the seismic parameters such as response modification coefficient(R),over-strength factor(Ωo)and deflection amplification factor(Cd)for a structure built with BRBF,in their 2010 code(ASCE 7-10).But it has not been investigated how a structure built with BRBF,which is primarily designed to resist seismic force,and behaves under sudden occurrence of a blast load.This research investigates the performance of a BRBF subjected to blast loading.In other words,this paper focuses on the effect of blast loading on BRBF.The architype for this investigation is a chevron type braced frame.The frame is subjected to a short duration blast load that lasts only 21.7 mili-second(ms).Blast loading effects on the braced frame are assessed by identifying the weakest plane of failure,deformation characteristics and out of plane bending.The research investigates how the properties of the surrounding concrete,especially compressive strength,affect the overall strength of the BRBF on resisting blast loading.It is observed that the compressive strength of the surrounding concrete plays a significant role in reducing the deformation characteristics,both in-plane and out-of-plane.展开更多
文摘Introduction: The study revealed that many healthcare professional students begin their academic studies with positive and high expectations towards interprofessional collaborative studies. Unfortunately, students lose interest if their initial expectations are not met with consistent opportunities to enhance their communication skills and better understand the different healthcare professions. The study aimed to explore health science and public health students’ attitudes toward IPE. The participants’ backgrounds and demographics were used as the variations for the study. Methods: A pre-post semi-quantitative anonymous survey was designed to assess health science and public health undergraduate students’ attitudes toward IPE. The reason for this design was to capture the participants’ attitudes toward IPE at the start of a semester when they had no academic exposure to IPE. Qualtrics was used to collect the research data. A valid and reliable scale was used to measure attitudes toward IPE. A post-survey was included to measure the participants’ change in attitude toward IPE during the semester. The goal was to measure the IPE curriculum effectiveness. There were 21 survey questions. The questions were divided into four validated subscales. The first seven questions (Questions 1 - 7) pertained to the participants’ demographics s, such as gender, age, race, ethnicity, major field of study, and prior education. Questions 8, 9, 16, & 20 were designed to determine how the participants perceived their roles and responsibilities in their future healthcare careers. Each IPE attitude question’s central tendency and demographic variations were measured. The correlation between demographics and IPE attitudes was measured. Results: The pre-survey had 192 participants, and the post-survey had 97 participants. The pre-survey had 87% of participants in the age group 17 - 25 years, while the post-survey had 82.5% in the same age group. Only 5.7% of the participants were 36 years or older in the pre-survey and 9.3% in the post-survey. The participants were 80.70% female in the pre-survey and 85.6% in the post-survey. The largest healthcare career field concentration was nursing, with 42.7% and 45.4% in the pre- and post-surveys. The other three larger career fields were healthcare administration, community health education, and physician assistant. The participants’ attitudes toward learning with different healthcare career students and becoming more effective members of a healthcare team increased from 4.36 (SD = 0.13) to 4.40 (SD = 0.17). Two negative IPE attitude questions showed an increased value: 1) The function of nursing therapists is mainly to provide support for doctors (3.51, SD = 0.19 to 3.12, SD = 0.24, p-value ≤ 0.004) and 2) Clinical and healthcare problem-solving skills could only be learned with students from the same career field (3.73, SD = 0.13 to 3.31, SD = 0.24, p-value ≤ 0.001). Conclusion: Interprofessional Education in an academic setting is essential to help healthcare students prepare and succeed in their future healthcare careers. The study results show that health science and public health students understand IPE and value academic exposure to the IPE process during their studies. Academic healthcare programs should continue integrating the IPE learning model and content throughout the student’s academic journey. The variations in IPE attitude do not significantly vary based on demographics and healthcare career fields. This study only represents a sample size of the many healthcare careers. Interprofessional communication and collaboration are essential to the future healthcare delivery challenges we face. For this reason, IPE should be integrated into healthcare education for all health science and public health students. It is recommended that more research should be done on creative curriculum design to get students more engaged in various healthcare IPE learning activities.
文摘This study investigated the instructional preferences of full time adult credential students after they took a live course called Principles of Adult Education at California State University, Long Beach (CSULB) in the fall semester of 2002. These full time adult credential students had been working on their adult teaching credentials to meet the competencies specified by the California Commission on Teacher Credentialing. The course introduced students to Andragogy developed by Malcolm Knowles out of the andragogical model developed by Lindeman (1926). The study used Principles of Adult Learning Scales (PALS), advanced by Gary Conti in 1983 to measure instructional preferences. Data were collected from 30 (100% of 30) full time adult credential students enrolled in a live course to determine their instructional preferences of helping adults learn. The results of the study showed in most cases these adult learning professionals taught adult students andragogically; in some cases they taught adult students pedagogically.
文摘Wild-land fires are a dynamic and destructive force in natural ecosystems. In recent decades, fire disturbances have increased concerns and awareness over significant economic loss and landscape change. The focus of this research was to study two northern California wild-land fires: Butte Humboldt Complex and Butte Lightning Complex of 2008 and assessment of vegetation recovery after the fires via ground based measurements and utilization of Landsat 5 imagery and analysis software to assess landscape change. Multi-temporal and burn severity dynamics and assessment through satellite imagery were used to visually ascertain levels of landscape change, under two temporal scales. Visual interpretation indicated noticeable levels of landscape change and relevant insight into the magnitude and impact of both wild-land fires. Normalized Burn Ratio (NBR) and delta NBR (DNBR) data allowed for quantitative analysis of burn severity levels. DNBR results indicate low severity and low re-growth for Butte Humboldt Complex “burned center” subplots. In contrast, DNBR values for Butte Lightning Complex “burned center” subplots indicated low-moderate burn severity levels.
文摘In this study, we present results from the CASA (Carnegie-Ames-Stanford Approach) model to estimate net primary production (NPP) in grasslands under different management (ranching versus unmanaged) on the Central Coast of California. The latest model version called CASA Express has been designed to estimate monthly patterns in carbon fixation and plant biomass production using moderate spatial resolution (30 m to 250 m) satellite image data of surface vegetation characteristics. Landsat imagery with 30 m resolution was adjusted by contemporaneous Moderate Resolution Imaging Spectroradiometer (MODIS) data to calibrate the model based on previous CASA research. Results showed annual NPP predictions of between 300 - 450 grams C per square meter for coastal rangeland sites. Irrigation increased the predicted NPP carbon flux of grazed lands by 59 grams C per square meter annually compared to unmanaged grasslands. Low intensity grazing activity appeared to promote higher grass regrowth until June, compared to the ungrazed grassland sites. These modeling methods were shown to be successful in capturing the differing seasonal growing cycles of rangeland forage production across the area of individual ranch properties.
文摘Sediment core samples were collected from the Salinas de San Pedro to assess the pollutant deposition processes in response to extensive human activities. Analysis of the sediment samples for heavy metals and some trace elements was conducted with ICP-OES for 20 sites showing enrichment for some of trace and heavy metals. The results demonstrated that heavy metal concentrations in mud varied greatly for each metal, with concentration values (mg/g) ranging from 1.05 - 4.8 (Al);0.003 - 0.011(As);0.001 - 0.005 (Cd);0.02 to 0.82 (Cr);0.085 - 0.47 (Cu);5.98 - 14.22 (Fe);0.06 - 0.19 (Mn);0.03 - 0.67 (Ni);0.05 - 0.38 (Pb);- 0.069 (Se);0.18 - 0.63 (Ti);0.040 - 0.091 (V) and 0.149 - 0.336 (Zn). The Index of Geo-accumulation factor showed highest values for Pb, Mn, As, and Cu. Enrichment factors >1for these elements suggest anthropogenic inputs for most metals. The bioavailability of metals in lagoon sediments has the potential to be highly dynamic with local waste and natural H2S discharge from existing fault line.
文摘Fog deposition is a notable component of the water budget of herbaceous-shrub ecosystems on the central and southern coastal regions of California. This paper presents an analysis of fog water deposition rates and meteorological controls in Big Sur, California. Mesh-screen fog collectors were installed the Brazil Ranch weather station sites to measure fog water during the summer seasons of 2010 and 2011. Fog deposition occurred during 73% of days recorded in 2010 and 87% of days recorded in 2011. The daily average deposition rate was 2.29 L/m2 in 2010 and 3.86 L/m2 in 2011. The meteorological variables which had the greatest influence on prediction of fog deposition were wind speed, wind direction, and the dew-point depression (difference between air temperature and dew point). Based on these results, we hypothesize that high rates of summer fog deposition help sustain the productivity of California coastal vegetation through periods of low rainfall.
文摘Rice farmers occupy a potentially important intersection between economics and hydrology in Northern California. While drought makes water an increasingly precious commodity across California, the monetary worth of water is not uniform across different localities and uses. As a result, circumstances have given many Sacramento Valley rice farmers the option to sell their water to users elsewhere, in lieu of using it themselves. Because the sold water is typically surface water that would normally help recharge local aquifers when applied to a field;it is reasonable to suspect that transferring that water elsewhere could adversely affect local aquifers since that recharge would be reduced. This study performs numerical experiments using the United States Geological Survey’s Central Valley Hydrologic Model (CVHM) to better understand the temporal effects of a set of land idling scenarios. CVHM is capable of modeling the entire Central Valley, which encompasses the Sacramento and San Joaquin Valleys, and of representing rice field idling on a large scale. These experiments were executed using historical data to contrast recently typical amounts of rice field idling with scenarios reflecting varying degrees of hypothetical, increased idling. In doing so, this study aims to characterize the nature and potential magnitude of idling rice fields on groundwater storage in the Sacramento Valley. The impact of these scenarios on groundwater storage was quantified relative to an unaltered baseline model scenario. The results of this research show rice field idling will reduce recharge and groundwater storage levels;these results may provide useful information for future policy decisions and provide a basis for future study.
文摘The coastal wetland, Ballona Lagoon in Southern California has experienced degradation and size reduction due to urbanization. This study analyzes nitrate concentrations in the lagoon to identify contamination sources and assess its impact. The study includes determining nitrate levels during high and low tides during wet and dry seasons, establishing concentration gradients, and examining the relationship between salinity and nitrate concentrations. The nitrate concentrations were found to be higher in locations closer to the head of the lagoon, particularly in urbanized areas, suggesting land-based sources during the dry season’s high tide (S2: 2.37 mg/l;S3: 3.85 mg/l;S4: 3.91 mg/l). Findings highlight the importance of managing nitrate contamination near urban areas. Monitoring nitrate levels over time are crucial for sustainability efforts. This research emphasizes the need for long-term monitoring and conservation strategies to mitigate nitrate contamination in Ballona Lagoon.
文摘We investigated the effects of elevated carbon dioxide (CO2) on biogeochemistry of marsh sediment including speciation of selected heavy metals in Salinas de San Pedro mudflat in California. The Salinas de San Pedro mudflat has higher carbon (C) content than the vast majority of fully-vegetated salt marshes even with the higher tidal action in the mudflat. Sources for CO2 were identified as atmospheric CO2 as well as due to local fault degassing process. We measured carbon dioxide, methane, total organic carbon, dissolved oxygen, salinity, and heavy metal concentration in various salt marsh locations. Overall, our results showed that CO2 concentration ranging from 418.7 to 436.9 (ppm), which are slightly different in various chambers but are in good agreement with some heavy metal concentrations values in mudflat at or around the same location. The selected metal concentration values (ppm) ranging from 0.003 - 0.011 (As);0.001 - 0.005 (Cd);0.04 - 0.02 (Cr);0.13 - 0.38 (Cu);0.11 - 0.38 (Pb);0.0009 - 0.020 (Se);and 0.188 - 0.321 (Zn). The low dissolved oxygen (ppm) in the pore water sediment indicated suboxic environment. Additionally, CO2 (ppm) and loss on ignition (LOI) (%) correlated inversely;the higher CO2 content, the lower was the LOI (%);that is to say the excess CO2 causes higher rates of decomposition and therefore it leads to lower LOI (%) on the mudflat surface. It appears that the elevated CO2 makes changes in salt marsh pore water chemistry for instance the free ionic metal (Cu2+, Pb2+, etc.) speciation is one of the most reactive form because simply assimilated by the non-decayed or alive organisms in sediment of salt marsh and/or in water. This means that CO2 not only is a sign of improvement in plant productivity, but also activates microbial decomposition through increases in dissolved organic carbon availability. CO2 also increases acidification processes such as anaerobic degradation of microorganism and oxidation of reduced components. The heavy metal concentrations in sediment samples were slightly higher in suboxic layer, yet it appears that salt marsh sediments in Salinas de San Pedro act like a sink for nutrient and carbon by maximizing carbon sequestration.
文摘Groundwater comprises a large portion of irrigation for California's agriculture, and sustains a wide diversity of ecosystems as well as consumptive use, but pumping is occurring faster than replenishment. At the same time, contaminants from fertilizers and pesticides are infiltrating into the groundwater, becoming increasingly concentrated as water is extracted. It compared space-based observations of groundwater anomalies from California's San Joaquin Valley using the GRACE (gravity recovery and climate experiment) against measurements of 42 organic and inorganic chemicals from 41,667 wells in the valley from 2003 to 2010. It compared Arsenic, Boron, Cadmium, Chloride, Selenium, Trichloroethylene, and TDS (total dissolved solid) concentrations with the groundwater storage anomaly from 2003 to 2010. The results show strong correlations for groundwater depletion against increasing chloride (r2= 0.78, p 〈 0.05) and boron (r2 = 0.88, p 〈 0.05). This indicates increasing contaminant concentrations while groundwater was depleting over the last eight years. Solubilization by complexation with Cl, CO3 and/or organic chelates may account for the increasing concentration of some heavy metals when groundwater depletion occurs. These results are the first to link space-based groundwater mass change with groundwater contaminant concentration change.
文摘The growth of urban centers in Mexico and the consequent demand for services and overexploitation of their watersheds and aquifers, these being insufficient to cover the demand for drinking water in different cities, and areas with dry climates and poor rainfall are mostly affected. The case study where this research is concentrated is located in the city of Ensenada, where the demand for greater capacity in general basic services such as drinking water supply has created a greater problem when the availability of this resource is very limited by the climatic conditions and the natural environment in arid zones as it is in the North of Baja California. In this research we propose the design and installation of a rainwater collection system, with economic materials and common use that any inhabitant can acquire for their implementation in their own home. In this sense, dissemination has been promoted about the advantages of using natural resources based on collective awareness, emphasizing the scientific dissemination of knowledge. For this last point the moderation of the use of rainwater is made to cover the domestic demand for water through a rain collection system installed in a house of average family.
文摘This study evaluates the feasibility of groundwater banking in the Central Basin. The Central Basin is located in Sacramento County in northern California, USA. The study basin is bounded by three rivers (the Sacramento, the American, the Consumes and Mokelumne rivers), and by the Sierra-Nevada mountain range. This study focuses on the potential for groundwater recharge in the Central Basin for three water years (critical, wet, above normal). For that purpose, a 3-D Groundwater Modeling System (GMS) with MODFLOW was created. Three recharge wells were added to the calibrated groundwater model to recharge the water table with 10,000 Acre-Feet (AF) of water to the Central Basin. The banking of 10,000 AF during the critical and wet years was effective in raising the water table elevation in the cone of depression area without causing any negative impact elsewhere in the basin. According to the findings of the Central Basin model, banking up to 10,000 AF of groundwater during any year type is feasible. More than 10,000 AF of groundwater banking might cause more negative impacts than positive benefits.
文摘BACKGROUND Metastasis to the hyoid bone is an exceptionally rare occurrence,with documented cases limited to breast,liver,colon,skin,lung,and prostate cancers.This report highlights an unusual case involving the metastasis of lung adenocarcinoma to the hyoid bone,accompanied by a distinctive headache.Previous documentation involved surgical resection of the hyoid mass.We present a case displaying the benefits of palliative radiotherapy.CASE SUMMARY A 72-year-old non-smoking,non-alcoholic woman,initially under investigation for a year-long elevation in absolute lymphocyte count,presented with a monthlong history of intermittent throat pain.Despite negative findings in gastroenterological and otolaryngologic examinations,a contrast-enhanced chest computed tomography scan revealed a mediastinal mass and questionable soft tissue thickening in her left anterolateral neck.Subsequent imaging and biopsies confirmed the presence of lung adenocarcinoma metastasis to the hyoid bone.The patient was treated with platinum-based chemo-immunotherapy along with pembrolizumab.Ultimately,the lung cancer was unresponsive.Our patient opted for palliative radiation therapy instead of surgical resection to address her throat pain.As a result,her throat pain was alleviated,and it also incidentally resolved her chronic headaches.This is the second documented case of lung adenocarcinoma metastasizing to the hyoid bone.CONCLUSION Palliative radiotherapy may add to the quality of life in symptomatic patients with cancer metastatic to the hyoid bone.
文摘A metropolitan city such as Los Angeles (LA) is an ideal study site with a very high population density, and it houses at least 3 treatment plants where sewage is treated preliminarily and then progressing to tertiary treatment before discharging into the LA River. We will gain a better understanding of the water quality in the LA River and the nitrate load in the watershed system by examining the influence of waste water treatment plants (WWTPs). The goal of this study is to pinpoint the exact source of nitrate in the LA River using the isotope signatures. We have selected sampling locations both upstream and downstream of the WWTP. This serves to monitor nitrate levels, aiding in the assessment of treatment plant effectiveness, pinpointing nitrate pollution sources, and ensuring compliance with environmental regulations. The research explores the isotopic composition of NO3 in relation to atmospheric nitrogen and Vienna Standard Mean Ocean Water, shedding light on the contributions from various sources such as manure, sewage, soil organic nitrogen, and nitrogen fertilizers. Specifically, there is a change in the δ15NAir value between the dry and wet seasons. The isotope values in the Tillman WWTP sample changed between dry and wet seasons. Notably, the presence of nitrate originating from manure and sewage is consistent across seasons, emphasizing the significant impact of anthropogenic and agricultural activities on water quality. This investigation contributes to the broader understanding of nitrogen cycling in urban water bodies, particularly in the context of wastewater effluent discharge. The findings hold implications for water quality management and highlight the need for targeted interventions to mitigate the impact of nitrogen-containing compounds on aquatic ecosystems. Overall, the study provides a valuable framework for future research and environmental stewardship efforts aimed at preserving the health and sustainability of urban water resources. This data informs decisions regarding additional treatment or mitigation actions to safeguard downstream water quality and ecosystem health.
文摘Tetracycline and analogues are among the most used antibiotics in the dairy industry. Besides the therapeutic uses, tetracyclines are often incorporated into livestock feed as growth promoters. A considerable amount of antibiotics is released unaltered through milk from dairy animals. The presence of antibiotic residues in milk and their subsequent consumption can lead to potential health impacts, including cancer, hypersensitivity reactions, and the development of antibiotic resistance. Thus, it is important to monitor residual levels of tetracyclines in milk. The purpose of this study is to develop a quick and simple method for simultaneously extracting five tetracycline analogues from bovine milk. Specifically, five tetracycline analogues: Chlortetracycline (CTC), demeclocycline (DEM), doxycycline (DC), minocycline (MC), and tetracycline (TC) were simultaneously extracted from milk using trifluoroacetic acid. Subsequently, the extracted analogues were separated by reverse-phase high-performance liquid chromatography (RP-HPLC) and detected at 355 nm using UV/Vis. Calibration curves for all five tetracycline analogues show excellent linearity (r2 value > 0.99). Percent recovery for MC, TC, DEM, CTC, and DC were: 31.88%, 96.91%, 151.29, 99.20%, and 85.58% respectively. The developed extraction method has good precision (RSD < 9.9% for 4 of the 5 analogues). The developed method with minimal sample preparation and pretreatment has the potential to serve as an initial screening test.
文摘Dexamethasone is classified as a corticosteroid and is commonly used among cancer patients to decrease the amount of swelling around the tumor. Among patients with cancer, in particular brain tumors, seizures can become a daily routine in their everyday lives. To counteract the seizures, an antiepileptic drug such as phenytoin is administered to act as an anticonvulsant. Phenytoin and dexamethasone are frequently administrated concurrently to brain cancer patients. A previous study has shown that phenytoin serum concentration decreases when administrated concurrently with dexamethasone. Thus, it is important to monitor the concentration of these two drugs in biological samples to ensure that the proper dosages are administrated to the patients. This study aims to develop an effective extraction and detection method for dexamethasone and phenytoin. A reverse-phase high-performance liquid chromatography (HPLC) method with UV/Vis detection has been developed to separate phenytoin and dexamethasone at 219 nm and 241 nm respectively from urine samples. The mobile phase consists of a mixture of 0.01 M KH2PO4, acetonitrile, and methanol adjusted to pH 5.6 (48:32:20) and is pumped at a flow rate of 1.0 mL/min. Calibration curves were prepared for phenytoin and dexamethasone (r2 > 0.99). An efficient solid-phase extraction (SPE) method for the extraction of dexamethasone and phenytoin from urine samples was developed with the use of C-18 cartridges. The percent recovery for phenytoin and dexamethasone is 95.4% (RSD = 1.15%) and 81.1% (RSD = 3.56%) respectively.
文摘This paper delves into the intricate interplay between artificial intelligence(AI)systems and the perpetuation of Anti-Black racism within the United States medical industry.Despite the promising potential of AI to enhance healthcare outcomes and reduce disparities,there is a growing concern that these technologies may inadvertently/advertently exacerbate existing racial inequalities.Focusing specifically on the experiences of Black patients,this research investigates how the following AI components:medical algorithms,machine learning,and natural learning processes are contributing to the unequal distribution of medical resources,diagnosis,and health care treatment of those classified as Black.Furthermore,this review employs a multidisciplinary approach,combining insights from computer science,medical ethics,and social justice theory to analyze the mechanisms through which AI systems may encode and reinforce racial biases.By dissecting the three primary components of AI,this paper aims to present a clear understanding of how these technologies work,how they intersect,and how they may inherently perpetuate harmful stereotypes resulting in negligent outcomes for Black patients.Furthermore,this paper explores the ethical implications of deploying AI in healthcare settings and calls for increased transparency,accountability,and diversity in the development and implementation of these technologies.Finally,it is important that I prefer the following paper with a clear and concise definition of what I refer to as Anti-Black racism throughout the text.Therefore,I assert the following:Anti-Black racism refers to prejudice,discrimination,or antagonism directed against individuals or communities of African descent based on their race.It involves the belief in the inherent superiority of one race over another and the systemic and institutional practices that perpetuate inequality and disadvantage for Black people.Furthermore,I proclaim that this form of racism can be manifested in various ways,such as unequal access to opportunities,resources,education,employment,and fair treatment within social,economic,and political systems.It is also pertinent to acknowledge that Anti-Black racism is deeply rooted in historical and societal structures throughout the U.S.borders and beyond,leading to systemic disadvantages and disparities that impact the well-being and life chances of Black individuals and communities.Addressing Anti-Black racism involves recognizing and challenging both individual attitudes and systemic structures that contribute to discrimination and inequality.Efforts to combat Anti-Black racism include promoting awareness,education,advocacy for policy changes,and fostering a culture of inclusivity and equality.
基金The authors are acknowledging the contributions and support from:(a)Department of Civil Engineering&Construction Management,California State University,Northridge,and(b)Star Seismic Inc.
文摘BRBF(buckling restrained braced frame)is a relatively new lateral force resisting system for building structures.BRBFs are used mostly to resist seismic force due to their high ductility after yielding and the ability to absorb higher strain energy.ASCE(American Society of Civil Engineers)first permits the use of BRBFs as a single seismic force-resisting system by quantifying the seismic parameters such as response modification coefficient(R),over-strength factor(Ωo)and deflection amplification factor(Cd)for a structure built with BRBF,in their 2010 code(ASCE 7-10).But it has not been investigated how a structure built with BRBF,which is primarily designed to resist seismic force,and behaves under sudden occurrence of a blast load.This research investigates the performance of a BRBF subjected to blast loading.In other words,this paper focuses on the effect of blast loading on BRBF.The architype for this investigation is a chevron type braced frame.The frame is subjected to a short duration blast load that lasts only 21.7 mili-second(ms).Blast loading effects on the braced frame are assessed by identifying the weakest plane of failure,deformation characteristics and out of plane bending.The research investigates how the properties of the surrounding concrete,especially compressive strength,affect the overall strength of the BRBF on resisting blast loading.It is observed that the compressive strength of the surrounding concrete plays a significant role in reducing the deformation characteristics,both in-plane and out-of-plane.