Utilizing the electronic medical record (EMR) to increase referrals to diabetes self-management education & support (DSMES) : a quality improvement project

"The purpose of this quality improvement (QI) project was to bridge the gap from acute hospitalization of the patient with diabetes using communication within the EMR to the HCP for a referral order to OP DSMES. Increasing the number of DSMES referrals to the OP clinic was the primary project goal. Project objectives were related to the following question: In hospitalized adults with diabetes mellitus referred to Inpatient Diabetes Education (P), does utilizing the EMR for outpatient DSMES referral (I), compared with none – current practice (C), affect the number of referrals for outpatient DSMES (O) over three months (T)? A 5% increase in OP DSMES referrals was the primary objective; further objectives included OP clinic follow-through of 75% patient contact for appointment scheduling and OP clinic scheduling of 75% of appointments within three months of hospital discharge." (p. 2, "Statement of Purpose"

Sofia’s story in translation. Leaving Shanghai:translation and commentary

The article analyzes the French short story "Sofia's Story. Leaving Shanghai," by Isabelle Charpentier. The characters and plot are explored. It discusses the author's unique writing style which is the use of long and detailed lists that appear at interval's throughout. It presents the story's translation in English language. Also cited is a list of a different sort towards the end that encapsulates the juxtaposition and contrast that centers on Sofia's experiences

Connecting Claims and Outcomes: Applying Accessibility Criteria to Alternate Assessments

The study’s purpose was to evaluate how accessibility is forwarded through technical test specification and how specifications are influenced by policy guidance. Although universal design (UD) is frequently identified as a guiding principle in test development, Johnson, Trantham, and Usher-Tate (2019) found many assessment programs neither realize these promises, nor ensure the necessary steps for optimal accessibility. We reviewed assessment development approaches and features in light of UD principles by conducting a qualitative review of relationships between UD elements and Peer Review Critical Elements (2018), and the relationships between UD elements and “Criteria for Procuring Evaluating High-Quality Assessments (CCSSO, 2014) using expert judgment (Patton, 2002). Results illustrated where raters identified UD elements within policy guidance and showed a concentration of references to UD in test development processes, consistent with findings from previous studies (Davidson, 2019). Results suggest the limited definition of fairness and a view that accessibility is only a consideration at the item level may contribute to the lack of connection to these UD elements in Peer Review guidance

Selected Precision Agriculture studies in oil palm: a 10-year summary

Precision Agriculture (PA) embodies a holistic field management strategy that allows adjustment of crop input use and cultivation methods, including seed, fertilizer, pesticide and water application, variety selection, planting, tillage and harvesting, to match varying soil, crop and other field attributes. PA involves mapping and analyzing field variability, and linking such variability to management actions. This contrasts with conventional agriculture that is based on uniform treatment(s) across a field. Oil palm is an excellent candidate for PA implementation simply because it consumes a large amount of chemical and physical inputs. However, a major constraint in implementing PA strategies on a detailed scale for oil palm is the typically large plantation size. The agronomic challenge of increasing oil palm yield productivity hinges on three primary issues: 1) fertilization, 2) cropping practices such as planting density, ground cover, pruning and drainage, and 3) pest and disease management. This paper presents a 10-year Abstract of selected PA studies carried out in Malaysian and Indonesian oil palm plantations. These studies are: spatial variability of soil fertility across topography, removal of spatial effects to improve interpretation of data from fertilizer trials, development of a non-destructive oil yield and oil quality estimation protocol, stand density assessment using remote sensing, spatial variability of soil organic carbon across different crop ages, spatial variability of orange spotting disease, discriminating between potassium deficiency and orange spotting disease symptoms using remote sensing, estimating fresh fruit bunch yields using remote sensing, and estimating palm oil quality and yield using proximal sensing

Reading for refusal in UK maternity care: entangling struggles for border and reproductive justice

esearch has shown that women with insecure immigration statuses in the United Kingdom (UK) are more likely to register later in their pregnancy with National Health Service (NHS) maternity care providers. This late engagement with healthcare services is framed in academic debates as one of the key reasons for poor outcomes for these women and their children during and after birth. Interventions, therefore, have focused on how to remove barriers to accessing maternity care for these women. In this paper, we argue that this approach fails to account for the agency of the women adequately, which needs to be understood in the context of state harms and violence towards women with insecure immigration statuses and, in particular, their reproductive lives.We seek to shift these debates by framing this lack of early engagement with state-provided maternity services as a form of refusal that denotes an active disengagement by bordered women from intersecting structures of harm and oppression that are embedded in the UK’s National Health Service, particularly through the charging regime. We argue that the politics of refusal in this case are embedded in struggles not only for border but also reproductive justice. Drawing on participant observation and data from secondary sources, we illustrate how refusal of early antenatal care opens pathways for bordered women to seek the care-ful conditions they need and want during pregnancy

Nutrients in the nexus

Synthetic nitrogen (N) fertilizer has enabled modern agriculture to greatly improve human nutrition during the twentieth century, but it has also created unintended human health and environmental pollution challenges for the twentyfirst century. Averaged globally, about half of the fertilizer-N applied to farms is removed with the crops, while the other half remains in the soil or is lost from farmers’ fields, resulting in water and air pollution. As human population continues to grow and food security improves in the developing world, the dual development goals of producing more nutritious food with low pollution will require both technological and socioeconomic innovations in agriculture. Two case studies presented here, one in sub-Saharan Africa and the other in Midwestern United States, demonstrate how management of nutrients, water, and energy is inextricably linked in both small-scale and large-scale food production, and that science-based solutions to improve the efficiency of nutrient use can optimize food production while minimizing pollution. To achieve the needed large increases in nutrient use efficiency, however, technological developments must be accompanied by policies that recognize the complex economic and social factors affecting farmer decision-making and national policy priorities. Farmers need access to affordable nutrient supplies and support information, and the costs of improving efficiencies and avoiding pollution may need to be shared by society through innovative policies. Success will require interdisciplinary partnerships across public and private sectors, including farmers, private sector crop advisors, commodity supply chains, government agencies, university research and extension, and consumers

Nutrients in the nexus

Synthetic nitrogen (N) fertilizer has enabled modern agriculture to greatly improve human nutrition during the twentieth century, but it has also created unintended human health and environmental pollution challenges for the twentyfirst century. Averaged globally, about half of the fertilizer-N applied to farms is removed with the crops, while the other half remains in the soil or is lost from farmers’ fields, resulting in water and air pollution. As human population continues to grow and food security improves in the developing world, the dual development goals of producing more nutritious food with low pollution will require both technological and socioeconomic innovations in agriculture. Two case studies presented here, one in sub-Saharan Africa and the other in Midwestern United States, demonstrate how management of nutrients, water, and energy is inextricably linked in both small-scale and large-scale food production, and that science-based solutions to improve the efficiency of nutrient use can optimize food production while minimizing pollution. To achieve the needed large increases in nutrient use efficiency, however, technological developments must be accompanied by policies that recognize the complex economic and social factors affecting farmer decision-making and national policy priorities. Farmers need access to affordable nutrient supplies and support information, and the costs of improving efficiencies and avoiding pollution may need to be shared by society through innovative policies. Success will require interdisciplinary partnerships across public and private sectors, including farmers, private sector crop advisors, commodity supply chains, government agencies, university research and extension, and consumers

Inhibition of Interleukin-1-Induced Effects in Synoviocytes Transduced with the Human IL-1 Receptor Antagonist cDNA Using an Adenoviral Vector

Overview summary Adenovirus-mediated gene transfer into the cells of the synovial membrane may provide a means to deliver therapeutically active proteins for the local modification of the immune response in inflammatory arthropathies. In this study, we infected type B human synoviocytes in vitro and rabbit synovial lining membrane in vivo with a recombinant human adenovirus containing the cDNA for the human interleukin-1 receptor antagonist protein (IL-1ra). Expression of human IL-1ra was observed both in the transduced synoviocytes in vitro and in the microenvironment of the transduced rabbit synovial membrane in vivo, and the functional activity of the transgenic IL-1ra was suggested by in vitro inhibition of interleukin-1 (IL-1)-induced prostaglandin E2 (PGE2) production and by in vivo inhibition of IL-1-induced glycosaminoglycan (GAG) degradation.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/63124/1/hum.1995.6.3-307.pd