Perioperative Glycemic Management

Proposals and Goals: 1. We propose creating a standard easy to use and safe protocol for glycemic management for same day/elective surgical patients. 2. Following implementation in same day and elective surgical procedures, we propose expanding the protocol to be effective in urgent and emergent inpatient surgical procedures.https://jdc.jefferson.edu/patientsafetyposters/1068/thumbnail.jp

A spatial analysis of the relationship between violent neighborhood crime rates and alternative gentrification indicators in Louisville, KY (2010-2016).

This study analyzes recent findings analyzing coffee shops as alternative indicators of gentrification and the spatial relationship to violent crime. This thesis seeks to add to this literature by providing additional alternative gentrification indicators such as breweries, distilleries and wineries. The change in number of coffee shops, breweries, distilleries and wineries may impact crime rates and multiyear average incidences of homicide and robbery in the city of Louisville, KY. The first hypothesis states that gentrification decreases multiyear average robberies per census tract from 2010 to 2016. The second hypothesis states that gentrification decreases multiyear average homicides per census tract from 2010 to 2016. Described by three criminological theories: routine activities theory, social disorganization theory and broken window theory. Multiyear averages for robberies and homicides were spatially analyzed with these alternative gentrification indicators and their change over time. This thesis found that multiyear average robberies have a higher negative relationship with alternative gentrification indicators in census tracts found in lower income neighborhoods. There was no significant relationship between multiyear average homicides and alternative gentrification indicators

Alternative dispute resolution: opportunities

Approximately one year ago, the researcher became affiliated with United States Arbitration and Mediation, a nationwide network of attorneys and retired judges offering primarily mediation services for insurance and business litigants. United States Arbitration and Mediation of Wisconsin, Inc. (USA) is the local officeholder providing such services within the state of Wisconsin. The researcher is the sole owner of this entity. Currently, our local panel of mediators includes two judges and five attorneys providing primarily mediation services to insurance litigants. Some of the insurance companies currently referring cases are Allstate, American Family, Travelers, Liberty Mutual, John Deere and The Hartford. This service business is a part-time endeavor for both the researcher as an adjunct to a small law firm and the outside independent panel of mediators. Presently, USA\u27s function is to provide the business administration of this service. The issue is whether or not this business can survive independent from this writer\u27s law firm. Currently, U.S.A. of Wisconsin, Inc. uses offices machines, equipment and space provided by the law firm

2004-2005 Survey Of International Law In The Second Circuit

This survey reviews significant case law from the United States Court of Appeals for the Second Circuit, the Federal District Courts in New York, and the New York Court of Appeals decided from July 1, 2003 through June 30, 2004. Those cases which overturned old law and/or broke new ground were included in this survey. Consequently, cases that simply reaffirmed previous decisions were not reported

Standardized Consent Forms for Surgical Procedures: An Intervention to Improve the Resident-led Informed Consent Process

Objectives and Goals: To provide high quality, consistent consent forms for common surgical procedures and improve resident workflow by creating and implementing standardized printed consents for common surgical procedures. These consents will be used by residents consenting patients in the ED or inpatient setting. Consents shall include standardized procedure descriptions, risks and benefits of the procedure, and alternative treatment option descriptions, risks and benefitshttps://jdc.jefferson.edu/patientsafetyposters/1057/thumbnail.jp

Darjeeling

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Factors Associated with Smokeless Tobacco Use and Dual Use among Blue Collar Workers

Objectives To examine demographic and substance use factors associated with exclusive smokeless tobacco use ( SLT ) and dual use of both cigarettes and SLT among blue‐collar workers. Design and Sample This cross‐sectional study used data from the United States 2009 National Survey on Drug Use and Health. The sample ( n  = 5,392) was restricted to respondents who were classified as blue collar workers by self‐report primary job title. Measures Various demographic variables, tobacco use and other substance use variables were examined. Results Respondents in this blue collar sample were 87% male and 64% Non‐Hispanic White. An estimated 9.5% ( SE  = 0.6) of respondents were current SLT users; 5.3% ( SE  = 0.4) were current exclusive SLT users, and 4.2% ( SE  = 0.4) were current dual users of both SLT and cigarettes. Factors related to exclusive SLT use were gender, marital status, age, race/ethnicity, type of blue‐collar occupation, current binge drinking, and current marijuana use. Significant factors related to dual use were gender, marital status, age, race/ethnicity, type of blue‐collar occupation, current cigar smoking, current binge drinking, and current illicit drug use. Conclusions Rates of SLT use and dual use are high among U.S. blue‐collar workers, indicating a need for targeted, workplace cessation interventions. These interventions may also serve as a gateway for addressing other substance use behaviors in this population.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/102204/1/phn12095.pd

Monitoring of Potential N Losses from Dairy and Organic Farming Systems

End of Project ReportThe project was carried out at Johnstown Castle and was concerned with monitoring potential nitrogen (N) leaching losses from organic and dairy farming systems. Some plots were cut for silage in year one; only grazed plots were used in year two. There were low input manure N plots in the organic system with low and high input fertiliser N plots in the dairy system. Soil samples, in 15 cm intervals from the surface to 90cm deep, were taken in triplicate from one plot of each treatment on three successive days per month from October to March in year 1 and from September to March in year 2. Extraction of nitrate-N (NO3-N) and ammonium-N (NH4- N) was carried out on un-bulked soil cores by taking a 20 g sub-sample and using 100 ml 2 molar KCl. A 20 g sub-sample of each day`s bulked replicates was dried at 105 degrees C overnight for moisture determination. The concentrations of NO3-N and NH4-N in the extracts were determined on an automatic analyser and the results were converted to kg per ha using the following bulk densities for the soil layers: 0-15, 15-30, 30-60, 60-90, 1.3, 1.4, 1.6, 1.75 g per cm3, respectively. In year 1 the results showed no significant difference between treatments in the level of NO3-N, NH4-N and total mineral N in the soil layers and total amounts to 90 cm. On four of the six dates, November, December, January, early-March, the level of total mineral N was lowest in the low N treatment. Among treatments, NH4-N was lowest in the low N treatment on four dates, November, December, January, early-March while NO3-N was also lowest on four dates, November, December, early-March and late-March. At the November, December, January and early-March sampling, the organic farm NH4-N data to 90 cm was highest which was reflected in the total mineral N results to 90 cm for November, December and early-March. In year 2 the results showed no significant difference between treatments in the level of NO3- N, NH4-N and total mineral N in the soil layers and total amounts to 90 cm. In September, October, November, December and February, total mineral N to 90 cm was highest in the high N treatment. This was a reflection of high NO3-N levels in that treatment for those sampling dates. Among treatments, total mineral N to 90 cm was lowest in the organic farm samples in September, October, November, December and February. This result reflected, among treatments, lowest NH4-N levels in September, October, November, December, February and lowest NO3- N levels in November and December. Estimates of the amounts of applied N leached, averaged over the two years of the experiment, were 22% for the Low N treatment and 12% for the High N treatment. An equation, developed from studies carried out in County Cork (Richards, 1999), gave predictions of N available for leaching in November from the N treatments in year 2 which were in very good agreement at low N and within 23% of those actually recorded at high N. Assessment of available N leaching models led to the conclusion that the relatively simple UK `N Cycle` model was most adaptable to Irish conditions since other European and US models require input parameters not readily available including those for soil texture, soil hydrology and soil organic matter.European Union Structural Funding (EAGGF