Characteristics of office-based providers associated with secure electronic messaging use: Achieving meaningful use.

OBJECTIVES: To identify characteristics of office-based provider used as a usual source of care (USC) associated with secure electronic messaging (SM) use. DATA SOURCE: 2015 Medical Expenditure Panel Survey Household Component and the supplemental Medical Organizations Survey. STUDY DESIGN: Cross-sectional analysis. EXTRACTION METHODS: Patients are linked to characteristics of their usual source of care provider. MAIN FINDINGS: We found that 89 percent of patients whose USC had electronic health records were able to exchange secure messages with their provider. Patients whose USC reported being patient-centered medical homes (PCMHs) or that used other health information technology (HIT) were also more likely to have been able to exchange SM with their provider. Patients of independent group or solo practices were less likely to have been able to exchange SM relative to patients whose USC practice was hospital owned. CONCLUSIONS: Patients were more likely to have visited a USC that exchanged SMs if that practice also used other electronic health records functionalities. Study findings suggest that while patients' USC practices were likely to exchange secure messages, there is a disparity in SM use between physician-owned practices, and hospital-owned practices.

Structures of two major histocompatibility complex class I genes of the rainbow trout (Oncorhynchus mykiss).

Here we describe two rainbow trout major histocompatibility complex (MHC) class I genes characterized from lambda phage genomic clones prepared from a single fish. Clone GC71 contains all exons except a leader peptide-encoding exon. An open reading frame is maintained, and thus the gene MhcOnmy-U71 could be expressed in this individual. The class I gene found on clone GC41 lacks exons encoding the leader peptide and cytoplasmic domain. This gene, MhcOnmy-U41p, is a pseudogene due to a deletion in the alpha(2) domain-encoding exon causing premature termination. Both the Onmy-U71 and Onmy-U41p genes are distinguished by long introns between the exons encoding the alpha(1) and alpha(2) domains. Clone GC41 also contains the 3' exons of the LMP7/ PSMB8 gene encoding the gamma-interferon-induced proteosome subunit of rainbow trout.

Use of Multiple Cues by Children in Memory Retrieval Situations.

Twenty grade 3 and 20 grade 6 children were asked to identify a concealed target word (e.g., Banana) on the basis of four successively presented related cues (e.g., "It's a fruit" "It comes in a bunch"). Grade 6 children were more adept at using multiple cues to retrieve the target words than were grade 3 children, although practically all of the latter seemed to have the skills to do so. Younger children's failure to check spontaneously the consistency of answers to later presented cues with attributes indicated by the preceding cues appears to be the major source of their poor performance on retrieval tasks involving multiple cues.