Use of covariances between predicted breeding values to assess the genetic correlation between expressions of a trait in 2 environments

International audienc

Castro\u27s Cuba: Quo Vadis?

The United States, particularly the Army, has a long history of involvement with Cuba. It has included, among others, the Spanish-American War of 1898, military interventions in 1906 and 1912, the 1961 Bay of Pigs Invasion, the 1962 Missile Crisis, counterinsurgency, and low intensity warfare in Latin America and Africa against Cuban supported guerrilla movements. After almost 5 decades of authoritarian one-man rule, Fidel Castro remains firmly in power. On July 31, his brother, Raul Castro, assumed provisional presidential power after an official announcement that Fidel was ill and would undergo surgery. What would be the strategic and political implications attendant to Castro’s eventual demise or incapacitation? The author suggests some possible transition or succession scenarios and examines the consequences that might follow and the role that the United States might be called to play.https://press.armywarcollege.edu/monographs/1363/thumbnail.jp

Anesthetic Management of Patients with Post COVID-19 Syndrome: A Quality Improvement Project

Background: Millions of people have been infected with the novel Coronavirus 2019, creating a global pandemic. Despite the high mortality rate of this viral infection, millions of people have recovered, and are now presenting for surgical procedures with a history of COVID-19 infection. Residual effects of COVID-19 infection have been observed for several after diagnosis and are referred to as post COVID-19 syndrome. Post COVID-19 sequela can alter multisystem physiological processes that may alter anesthetic care throughout the perioperative period. Objectives: The purpose of this quality improvement project is to improve anesthesia provider knowledge on the management of patients who have post COVID-19 syndrome. Methods: The primary methodology of the proposed quality improvement project is to administer an educational intervention to anesthesia providers which discusses the management of patients undergoing elective surgery and have a history of COVID-19 infection. Pre- and post- assessment surveys will be used to measure the effectiveness of the educational intervention. Results: Overall, there was an improvement in anesthesia provider knowledge following the educational intervention. Participants also answered they would “always” or “often” consider additional pre-operative testing compared to “sometimes” prior to the educational intervention

Lavender Aromatherapy Compared to Midazolam For Quality Improvement Of Preoperative Anxiety In Elderly Surgical Patients: An Educational Module

Impact: Investigation into the anxiolytic effects of lavender aromatherapy across several patient populations, application types, and outcome measures establish that lavender oil relieves anxiety, reduces mental stress, provides sedation, and promotes good sleep. Background: Studies have investigated the link between age and the occurrence of undesired responses to premedication with agents of the benzodiazepine drug class. This link is explained by age-related pathophysiologic changes that occur as a function of aging. Despite numerous knowledge-based concerns, benzodiazepines prevail among the top psychotropic medications prescribed in elderly patients aged between 65 and 80 years. Objective: This quality improvement project aims to enhance anesthesia providers\u27 knowledge, beliefs, and attitude regarding the value of aromatherapy with lavender oil as an affordable, safe, and effective alternative to midazolam administration for preoperative anxiolysis in elderly surgical patients. Methods: An extensive literature search was conducted to synthesize studies relevant to the PICO question and create an evidence-based educational module for virtual presentation. An anonymous online platform was used to distribute the project’s intervention and survey components to a sample of anesthesia providers working at a South Florida level-1 trauma center and to record and statistically analyze data. Results: Collectively, the evidence-based literature presented by this project positively impacts the perioperative care of older adults, as it demonstrates lavender aromatherapy as a beneficial alternative to midazolam administration for improved management of preoperative anxiety in elderly surgical patients. Discussion: Analysis of the pre-and post-survey results reveals that this quality improvement project met the objective of expanding anesthesia providers’ knowledge and understanding of the use of lavender oil aromatherapy to optimize preoperative anxiety and care outcomes in elderly surgical patients. As a result, they will be more competent and effective in helping elderly patient populations achieve relief from anxiety before surgery and improved perioperative care outcomes. The small sample size, short project duration, and online delivery platform were limitations of this project

Pola Komunikasi Karyawan Baru terhadap Karyawan Lama (Studi Deskriptif Kualitatif di RS PKU Muhammadiyah Kartasura Dilihat dari Sudut Pandang Teori Pengurangan Ketidakpastian)

As social beings, humans are inevitable from interacting with others. The process of interaction or communication usually starts between two people who meet each other or know each other. There are several contexts where someone meets others firstly, such as family, friendship, marriage, and organization. To start an interaction with a newly encountered person, there will be a sense of anxiety or uncertainty in a person. The sense of uncertainty often makes it difficult for a person to decide what to do when dealing with a new person. As the response, that person will try to reduce that sense of uncertainty. That situation also occurs to the new employees at the Hospital of PKU Muhammadiyah Kartasura who have just met with old or senior employees. They will 2 feel the uncertainty in them. To overcome uncertainty, there are three strategies: (1) passive strategy. (2) active strategies, and (3) interactive strategies. The method used in this study is descriptive qualitative with 5 resource persons who are still categorized as new employees in RS PKU Muhammadiyah Kartasura. The results of this study indicate that the strategies employed by new employees to overcome uncertainty vary widely, but the uncertainty experienced by new employees in the hospital is a type of cognitive uncertainty, ie they are not sure how to behave, and they are not sure what they think about senior employees and vice versa

Analisis Penerimaan Daerah Dari Sektor Pariwisata Di Kabupaten Pacitan Dan Faktor - Faktor Yang Mempengaruhinya

Tourism sector is a sector that plays an important role especially in the formation of regional economic growth, this study aims to analyze the factors that affect the regional income tourism sector Pacitan Regency, based on literature and previous research note that the variable number of attractions, the number of tourists, and the number of hotel rooms are the factors that affect the regional income of the tourism sector. The data used in this study is secondary data in the form of time series data with the observation period 1997- 2013 taken from literature study of Central Bureau of Statistics (BPS), Journal and previous research. The analysis method used in this research is descriptive analysis and multiple liniear regression analysis with Ordinary Least Squares (OLS) method. The results showed that the variable number of tourist objects, the number of tourists, the number of hotel rooms significantly influenced the regional income of tourism sector in Pacitan regency at the level of 0.05 significance

Pengaruh Pendapatan Asli Daerah, Dana Alokasi Umum, Dana Alokasi Khusus, Dana Bagi Hasil Dan Pertumbuhan Ekonomi Terhadap Pengalokasian Belanja Modal (Studi Empiris Pada Provinsi Jawa Tengah, tahun 2013-2015)

This research aimed to find out the effect of Local Revenue, General Allocation Funds,Special Allocation Funds and Profit Sharing Funds to capital expenditure distric on Province of Central Java from 2013 to 2015. The type of data in this research is secondary data which collected from the report document realization of Local Government Revenues and Expenditures (APBD) district or urban on Province of Central Java and variable of PDRB from Statistic Indonesia (BPS) of Central Java from 2013 to 2015. The population in this research is all the distric or urban on Province of Central Java and the research sample was determined by the method of purposive sampling. The result of this research shows that The Local Revenue, General Allocation Funds and Special Allocation Funds has influence to capital expenditure distric, but The Profit Sharing Funds and local economic growth has no influence to capital expenditure distric