Inpatient Care versus Subacute Care for Long Term Intravenous Antibiotics : Cost from the Patient Perspective

Background: Treatment of osteomyelitis often requires antibiotics over an extended period. Underinsured patients are often kept in an acute care setting for the duration of treatment rather than a subacute care facility or at home for antibiotic administration due to difficulties with placement in lower-level care settings. This provides a significant financial burden on both the hospitalized patient and the hospital system. This report highlights the wide discrepancy between costs to the patient between care settings

Preliminary study of minimum performance approaches to automated Mars sample return missions Final report, 19 Oct. - 20 Nov. 1970

Alternative mission/system approaches to automated Mars surface sample return based on utilization of Titan 3 or Saturn Intermediate-20 launch vehicle

Features of Molecular Structure Beneficial for Optical Pumping

Fast and efficient state preparation of molecules can be accomplished by optical pumping. Molecular structure that most obviously facilitates cycling involves a strong electronic transition, with favorable vibrational branching (diagonal Franck-Condon factors, aka FCFs) and without any intervening electronic states. Here, we propose important adjustments to those criteria, based on our experience optically pumping SiO$^+$. Specifically, the preference for no intervening electronic states should be revised, and over-reliance on FCFs can miss important features. The intervening electronic state in SiO$^+$is actually found to be beneficial in ground rotational state preparation, by providing a pathway for population to undergo a parity flip. This contribution demonstrates the possibility that decay through intervening states may help state preparation of non-diagonal or polyatomic molecules. We also expand upon the definition of favorable branching. In SiO$^+$, we find that the off-diagonal FCFs fail to reflect the vibrational heating versus cooling rates. Since the branching rates are determined by transition dipole moments (TDMs) we introduce a simple model to approximate the TDMs for off-diagonal decays. We find that two terms, set primarily by the slope of the dipole moment function ($d\mu/dx$) and offset in equilibrium bond lengths ($\Delta x = r_e^g-r_e^e$), can add (subtract) to increase (decrease) the magnitude of a given TDM. Applying the model to SiO$^+$, we find there is a fortuitous cancellation, where decay leading to vibrational excitation is reduced, causing optical cycling to lead naturally to vibrational cooling

Determinants of anemia and hemoglobin concentration in haitian school-aged children

Anemia diminishes oxygen transport in the body, resulting in potentially irreversible growth and developmental consequences for children. Limited evidence for determinants of anemia exists for school-aged children. We conducted a cluster randomized controlled trial in Haiti from 2012 to 2013 to test the efficacy of a fortified school snack. Children (N = 1,047) aged 3–13 years were followed longitudinally at three time points for hemoglobin (Hb) concentrations, anthropometry, and bioelectrical impedance measures. Dietary intakes, infectious disease morbidities, and socioeconomic and demographic factors were collected at baseline and endline. Longitudinal regression modeling with generalized least squares and logit models with random effects identified anemia risk factors beyond the intervention effect. At baseline, 70.6% of children were anemic and 2.6% were severely anemic. Stunting increased the odds of developing anemia (adjusted odds ratio [OR]: 1.48, 95% confidence interval [CI]: 1.05–2.08) and severe anemia (adjusted OR: 2.47, 95% CI: 1.30–4.71). Parent-reported vitamin A supplementation and deworming were positively associated with Hb concentrations, whereas fever and poultry ownership showed a negative relationship with Hb concentration and increased odds of severe anemia, respectively. Further research should explore the full spectrum of anemia etiologies in school children, including genetic causes

Public perceptions of 'negging': lowering women’s self-esteem to increase the male attractiveness and achieve sexual conquest

Purpose: ‘Negging’ can be described as the purposeful lowering of a woman’s self-esteem to increase perceived attractiveness of the man in order to achieve sexual conquest. Negging has evolved over time. Whilst ‘Original’ negging was intended to be a harmless tool for attracting women, more recently dating companies have been teaching men ‘Evolved’ negging in a potentially damaging way, which could escalate into an abusive intimate relationship. Design: An online survey involving vignettes depicting negging between strangers with three conditions; ‘Original’, ‘Evolved’ and ‘Control’ was completed by 308 participants. Participants were asked how harmful, acceptable, and how likely to escalate each scenario was. A fourth vignette described ‘Evolved’ negging between partners. Results: Mixed methods ANOVA indicated that participants perceived all negging as being significantly more harmful than control ‘pick-up’ lines. ‘Evolved’ negging was considered to be more likely to escalate in seriousness than ‘Original’ negging. Conclusions: Despite the public viewing negging as harmful and with the potential to escalate in seriousness, women are still being targeted in this manner and the industry ‘teaching’ negging is growing despite controversy. This study aims to increase general awareness of negging in order to minimise harm caused to women who are ‘picked-up’ through this technique. To this end, directions for future research are highlighted. Originality: This paper is one of the first empirical studies in the area of negging. The perceived, and potential, harm caused can be studied in light of these novel findings with the aim of protecting women from harm