Knowledge Assessment of Hospitalist Providers on Alcohol Withdrawal Risk Assessment Tools: A Quality Improvement Project

Background: Severe alcohol withdrawal can be life threatening, especially if not identified early. The Prediction of Alcohol Withdrawal Severity Score (PAWSS) is a validated tool shown to be best in predicting clinically significant alcohol withdrawal. Local problem: Hospital medicine providers (physicians and advanced practice providers including nurse practitioners and physician assistants), at an academic medical facility, are not utilizing a tool to assess risk of developing severe alcohol withdrawal. Lack of use of risk assessment tool leads to variable treatment decisions from providers and potential for adverse complications. Methods: A pre- and post-survey using mixed methodology will be obtained to evaluate knowledge gaps, current practice using risk assessment tools, and comfortability assessing risk for alcohol withdrawal. Interventions: An educational intervention will be implemented to translate knowledge to providers on the PAWSS tool and benefits of use, along with dissemination of data on alcohol withdrawal patients at study institution. Results: Providers will have increased knowledge and comfortability with use of PAWSS tool and report improved evidenced-based decision-making capability. Preliminary results will be presented. Conclusions/Implications: Evidence based treatment decisions, by using the PAWSS tool for alcohol withdrawal severity risk, will improve quality of care, appropriate use of mediation regimen, and healthcare resource utilization, while decreasing length of stay and possibility of adverse events

'The rats are still with us': Constructing Everyday Life at the Anacostia Museum in Washington, DC

How did the black cultural politics of the 1960s prompt the Smithsonian to break with tradition and establish the first experimental black community-based museum in Washington DC? Using a historical perspective, I examine how political-economic and institutional forces combine with more ideological concerns to construct flexible representations of race, urbanism, and community over time. I follow these developments across three decades to examine how internal and external factors shape the exhibition of group identity and collective pasts. Drawing on primary and secondary sources, including interviews with museum staff, newspaper articles, and Smithsonian archives, I illustrate how activist-minded staff at a local museum worked to construct an image of group identity and urban culture through curation, while negotiating symbolic, political, economic, and institutional pressures on cultural production.Key words: community museums, racial identity, memory, urban, everyday lif

An Educational Audiology Model for Mississippi: Telepractice for Direct Service Provision

Hearing loss among school-aged children is becoming increasingly prevalent (CDC, 2019). Having hearing loss in a classroom setting can negatively affect a child’s language development, academic achievement, and social communication. Educational audiology plays a vital role in the academic success of children with hearing loss by providing a full range of audiology services to students, as part of a multidisciplinary team, to facilitate listening, learning, and communication access. By performing specialized assessments, monitoring personal hearing instruments, recommending, fitting, and managing hearing assistive technology, providing support services, and advocating on behalf of students with hearing loss, educational audiologists help to bridge the academic gap between students with hearing loss and their peers. In Mississippi, however, educational audiology services are severely lacking, with only two known working educational audiologists in the state who cannot feasibly provide services to every child with hearing loss in Mississippi schools. To meet the increasing need, this pilot study establishes an educational audiology model in which both telehealth and direct educational audiology service provision are delivered to one school district within the state. As technology advances, audiologists have successfully delivered services to students remotely (Steuerwald et al., 2018, Lancaster et al., 2008, Govender & Mars, 2017), saving both parties time and resources while effectively providing necessary care to students with hearing loss. The author intends to identify a new model for educational audiology service provision which will work to serve a greater number of students with hearing loss in the state

A Program Evaluation of Violence Prevention Task Force to Address Type

Aim: The primary aim of this project was to complete a program evaluation of the institution’s Violence Prevention Task Force. Evaluation allowed for assessment of outcomes including 1). decrease in assaultive incidents; 2). decrease in assaults leading to injury; 3). increase in team member reporting of assaultive incidents; and 4). demonstrate the program’s adherence to published guidelines on workplace violence prevention. Background: Violence against healthcare workers has been an increasing problem in our nation’s healthcare system. Type II workplace violence is defined as patient, family member, or visitor as the perpetrator directing violent/aggressive behavior towards healthcare worker and is described as the “assailant being a customer or a patient of the workplace or employee” (Stephens, 2019). Healthcare workers, in general, are five times more likely to be victims of nonfatal assaults than any other profession (Strickler, 2018). Although statistics are alarming, rates of violence against healthcare workers is likely much higher due to underreporting. Institutions must identify causal factors and utilize governmental and national healthcare agency guidelines to implement successful prevention strategies. Methods: Utilizing the PRECEDE/PROCEED Model, a program evaluation was completed on a healthcare institution’s Violence Prevention Task Force. This institution recognized specific issues and needs related to Type II workplace violence and implemented a task force to address the problem and causes. This evaluation of processes and outcomes allowed for a thorough description and demonstration of effectiveness and adherence to published guidelines on a workplace violence prevention program

Letter, 1980 March 31, from Gene Autry to Gene DeGruson

1 page, Autry is a famous country singer and actor. DeGruson was the Special Collections Director for Pittsburg State University. Carson Robison, Frank Luther, and Vernon Dalhart are meantioned in this letter

Diagonal Slice Four-Wave Mixing: Natural Separation of Coherent Broadening Mechanisms

We present an ultrafast coherent spectroscopy data acquisition scheme that samples slices of the time domain used in multidimensional coherent spectroscopy to achieve faster data collection than full spectra. We derive analytical expressions for resonance lineshapes using this technique that completely separate homogeneous and inhomogeneous broadening contributions into separate projected lineshapes for arbitrary inhomogeneous broadening. These lineshape expressions are also valid for slices taken from full multidimensional spectra and allow direct measurement of the parameters contributing to the lineshapes in those spectra as well as our own

Farewell Medicine

Development and positive action born of grief and loss are themes throughout this study of the historical cultural and spiritual significance of Adinkra symbolism and art. I\u27ve taken an inter-disciplinary approach to the subject. This work involves creative writing, textile art and historical and cultural studies. In this work, Adinkra\u27s association with funerals and mourning is emphasized in order to provide a medium and conceptual framework for processing and representing aspects of the legacy of suffering and resistance created by the Trans-Atlantic Slave Trade. The art of Adinkra provides fertile ground for this exploration of the links between image and narrative and personal memory and collective history

Stand Risk Rating for the Southern Pine Beetle: Integrating Pest Management with Forest Management

Stand risk rating for the southern pine beetle. Dendroctonus frontalis Zimm., is a first step toward dealing with a serious but sporadic insect problem. Two approaches, one utilizing readily available resource data, the other employing data obtained from aerial photographs, illustrate application of current knowledge to meet the protection needs of resource management-the primary role of integrated pest management. During a 36-month period in Louisiana, high-risk stands accounted for 13.4 infestations per 1,000 acres, four times the rate of low-risk stands; in Texas high-risk stands accounted for 9 .9 infestations per 1 ,000 acres during 1973-1978, almost five times the number for low

Cyber Bullying and Social Support in a College Population

Research has shown that bullying has detrimental effects for both bullies and victims. Data also indicates that bullying, especially chronic levels of bullying, during childhood may lead to lasting negative effects in adulthood. The recent introduction of bullying through electronic media has sparked interest in examining bullying with older adolescents and young adults, as early research on cyber bullying suggests that this is a growing problem in the young adult population. The purpose of this study is to examine how perceived social support influences the relationship between cyber bullying and psychological functioning cyber bullying in the college population. A sample of undergraduate students was administered measures of cyber bullying victimization and perpetration, perceived social support, and psychological distress. Correlations suggested that cyber bullying victimization and perpetration were related to greater levels of depression, anxiety, and stress, and that higher levels of perceived social support were related to lower levels of cyber bullying victimization and perpetration. Moderation analyses revealed that for participants categorized as having high social support, as cyber bullying involvement increased (for both victims and perpetrators), stress also increased. This was not found for low social support participants. These findings suggest that cyber bullying is comin the college student experience and social support alone may not adequately buffer against negative psychological effects