Empirical Analysis of Firearm-Related Deaths in the United States Based on Sex, Race, and Age

This empirical study examines firearm deaths via sex, race, and age in the United States. They have a look at making use of information from dependable assets such as the Centers for Disease Control and Prevention and the National Vital Statistics System. Descriptive and theoretical statistical analyzes are used to look at the relationship between those elements and firearm-associated mortality throughout agencies inside the US. The effects display that gun homicides have persisted to rise over the years, with guys and African Americans most tormented by gun violence Suicide is the main motive of gun deaths, observed through homicide and random shootings. Gun violence in the US has crucial implications for policymakers and practitioners in public health

Modélisation stochastique des débits journaliers : une nouvelle approche adaptée aux écoulements sahéliens

Sécheresses, sécheresses hydrologiques et étiages -- Études des sécheresses en zone ouest-africaine -- Les processus intermittents -- Modélisation des débits journaliers -- Méthodologie des modélisation des débits journaliers -- Modélisation des impulsions -- Modélisation des décrues -- Procédure de simulation des débits journaliers -- Le fleuve Sénégal et son bassin versant -- Les données de l'étude -- Analyse exploratoire des données de l'étude -- Détermination des événements secs -- Détermination des corbes donnant le coefficient de tarissement en fonction du temps -- Simulation des débits journaliers

Educational needs in families of pediatric liver and kidney transplant recipients: A quality improvement project

Parents of pediatric liver and kidney transplant recipients were surveyed regarding their current education plans (eg, Individualized Education Program, 504), satisfaction with these plans, and interest in educational support from the psychosocial transplant team. Survey results indicate high rates of IEP and 504 plans, academic and related services, and accommodations among this population. The majority of parents/guardians reported satisfaction with their child’s current school plan and did not report need for additional transplant team support specific to school services on the survey measure. However, other information highlights the importance for pediatric transplant teams to consider other ways to support this population’s educational needs.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/149505/1/petr13412_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/149505/2/petr13412.pd

A Human Factors Analysis of Work in Food Pantries: A Case Study of Two Local Pantries

A Human Factors Analysis of Work in Food Pantries: A Case Study of Two Local Pantries Nicholas A. Higgins, B.S., Danielle S. Vanderhill, Keshia D. Pierre, Jeremy DaCruz, Nicholas W. Fraulini & Andrew B. Talone University of Central Florida ABSTRACT The goal of the present study was to investigate the work environment and main work processes in two small food pantries from a human factors perspective. Current research on enhancing food pantries in general is very limited, especially with a focus on human factors improvements. This study specifically aimed to understand and evaluate food pantry design (i.e., the environment and workflow), potential physical demands on worker performance (e.g., heavy lifting), and cognitive components of human-machine interaction for main tasks (e.g., perceptual-motor skills, disuse or misuse of the equipment, mental workload, decision-making, and error-recovery strategies). Findings were then used to identify improvements for current procedures and optimize the work environment and worker performance (i.e., increased comfort and efficiency) for both pantries through the application of human factors principles. The study was conducted over the course of six months. Across both locations, 37 workers were observed in total (16 volunteers and 1 supervisor, 18 student volunteers and 2 supervisors; respectively). Two investigators for each location observed daily tasks and procedures within the pantry and conducted interviews with the pantry supervisors using techniques of ethnography (c.f., Wimmer & Dominick, 2006) and task analysis (c.f., Mayhew, 1999). Interviews addressed which tasks were the most or least common, the easiest or most difficult to perform, any issues workers had in general or specifically with the equipment, and clarification of observation notes. Then a more in-depth analysis was conducted on what were determined to be the main tasks for each pantry (i.e., obtaining pantry items, organizing pantry items, distributing pantry items to clients). Suggestions for enhancing the human-machine interaction (e.g., enhancing the interface used for inputting volunteer and food information) and work environment (e.g., reducing clutter) are provided. It should be noted that sustainable improvement may be difficult to implement in small food pantries given the often transitional nature of the workers. Additional investigations should be implemented to further support small non-profit organizations such as these where there is a great need. Contact Information Nicholas A. Higgins 3609 Stonefield Drive Orlando, FL, 32826 Phone: 850-524-1875 Email: [email protected] University Affiliation: University of Central Florida, Orlando, FL Danielle S. Vanderhill Department of Psychology 4000 Central Florida Blvd Orlando, FL, 32816 Phone: 407-371-7077 Email: [email protected] University Affiliation: University of Central Florida, Orlando, FL Keshia D. Pierre Department of Psychology 4000 Central Florida Blvd Orlando, FL, 32816 Phone: 407-361-8035 Email: [email protected] University Affiliation: University of Central Florida, Orlando, FL Jeremy DaCruz Department of Psychology 4000 Central Florida Blvd Orlando, FL, 32816 Phone: 434-213-0345 Email: [email protected] University Affiliation: University of Central Florida, Orlando, FL Nicholas W. Fraulini Department of Psychology 4000 Central Florida Blvd Orlando, FL, 32816 Phone: 617-968-0496 Email: [email protected] University Affiliation: University of Central Florida, Orlando, FL Andrew B. Talone Department of Psychology 4000 Central Florida Blvd Orlando, FL, 32816 Phone: 407-362-8492 Email: [email protected] University Affiliation: University of Central Florida, Orlando, F

Amorphous oxygen-containing hydrogenated carbon films formed by plasma enhanced chemical vapor deposition

Films were deposited from glow discharge plasmas of acetylene-oxygen-argon mixtures in a deposition system fed with radio frequency power. The principal variable was the proportion of oxygen in the gas feed, X(ox). The chemical structure and elemental composition of the films were investigated by transmission infrared spectrophotometry and x-ray photoelectron spectroscopy. Optical properties-refractive index, absorption coefficient, and optical gap-were determined from transmission ultraviolet-visible spectroscopy data. The latter also allowed the determination of film thicknesses and hence deposition rates. It was found that the oxygen content of the films and, within limits, the refractive index are controllable by the selection of X(ox). (C) 1996 American Vacuum Society.14111812

Non-operative treatment of common finger injuries

Finger fractures are common injuries with a wide spectrum of presentation. Although a vast majority of these injuries may be treated non-operatively with gentle reduction, appropriate splinting, and careful follow-up, health care providers must recognize injury patterns that require more specialized care. Injuries involving unstable fracture patterns, intra-articular extension, or tendon function tend to have suboptimal outcomes with non-operative treatment. Other injuries including terminal extensor tendon injuries (mallet finger), stable non-articular fractures, and distal phalanx tuft fractures are readily treated by conservative means, and in general do quite well. Appropriate understanding of finger fracture patterns, treatment modalities, and injuries requiring referral is critical for optimal patient outcomes

A Quality Assurance Evaluation of Hydromorphone Adverse Events Post-Implementation of a Safety Initiative

Purpose: Hydromorphone is a potent opioid that may lead to respiratory and central nervous system depression prompting naloxone use. The primary objective of this study was to evaluate whether a safety initiative implemented at Windsor Regional Hospital involving interchanging hydromorphone intravenous or subcutaneous doses of 1 mg or greater to low dose (0.5 mg) in opioid naïve, medical and surgical patients was associated with naloxone events. The secondary objective was to assess whether there was a compromise in patient pain control with the low dose. Methods: We conducted a retrospective, multicenter, observational study of medical and surgical opioid-naïve patients admitted to Windsor Regional Hospital who received intravenous or subcutaneous hydromorphone within an eighteen-month timeframe. To determine if there is an association between naloxone events and implementation of the safety initiative, we compared patients who experienced a naloxone event (cases) with patients who did not experience a naloxone event (controls) in approximately 1:4 ratio. Efficacy outcomes assessed changes in patient pain control before and after interchange policy implementation (i.e. need for increase in dose, frequency or additional analgesics). Results: Of the 4343 patients who received hydromorphone, 143 opioid naïve patients were included in the final analysis. Of the 27 patients who experienced a naloxone event, 0% of patients were interchanged. In contrast, of the 116 patients who did not experience a naloxone event, 52% were interchanged (OR = 0, 95% 0 to 0.13, p<0.01). There were no significant differences in terms of patient pain control before and after interchange policy implementation. Conclusions: The pharmacist-led safety initiative of interchanging all opioid naïve patients to low dose hydromorphone was not associated with naloxone events and did not compromise patient pain control