A Performance Improvement Project to Improve Hand-off Communication Documentation within the Surgical Services Department

Over 80% of adverse events in healthcare are due to miscommunication. To improve patient safety, The Joint Commission recommended the use of standardized hand-off communication tools in 2012. One acute care hospital in Southeast Florida implemented standardized handoff reports in 2014 with few revisions since that time. The COVID-19 pandemic brought to light additional critical information was needed to keep patients and staff safe, such as laboratory results indicating the need for isolation precautions. The nurses within the surgical services noticed this critical information was not sufficiently included in the handoff report. The lack of this information led to unnecessary staff exposures and delays in treatment. The quality improvement nurse noticed a significant drop in the use of the standardized hand-off report form used during this time. This drop in compliance lead to concerns for patient and staff safety. The purpose of this performance improvement project was to improve the quality of handoff reports as measured by the level of documentation using the standardized handoff report. The project followed the Plan-Do-Check-Act model for performance improvement, monitoring documentation compliance and reporting the results to the leaders and staff. The handoff report form was revised with input from the staff, resulting in improved efficiency. The nurses’ level of satisfaction with the form improved resulting in improved compliance and reducing miscommunications

The physiology of ex vitro pineapple ( Ananas comosus L. Merr. var MD-2) as CAM or C3 is regulated by environmental conditions: proteomic and transcriptomic profiles

Pineapple is one of the most important tropical crops worldwide. The use of Temporary Immersion Bioreactors (TIB) for the first stages of pineapple propagation enables precise control of plant growth, increases the rate of plant multiplication, decreases space, energy and labor requirements for pineapple plants in commercial micropropagation. Once the plantlets are ready to be taken from the reactors, they are carefully acclimatized to adapt to natural environmental conditions, and a facultative C3/CAM metabolism in the first two months of growth is characteristic of pineapple plants, depending on environmental conditions. We subjected two sets of micropropagated pineapple plants to C3 and CAM-inducing environmental conditions, determined by light intensity/relative humidity (respectively 40μmol.m-2s-1/85% and 260μmol.m-2.s-1/50%). Leaves of pineapple plants grown under CAM inducing conditions showed higher leaf thickness and more developed cuticles and hypodermic tissue. Proteomic profiles of several proteins, isoenzyme patterns and transcriptomic profiles were also measured. Five major spots were isolated and identified, two of them for the first time in Ananas comosus (OEE 1; OEE 2) and the other three corresponding to small fragments of the large subunit of Rubisco (LSU). PEPC and PEPCK were also detected by immunobloting of 2DE at the end of both ex vitro treatments (C3/CAM) during the dark period. Isoenzymes of SOD and CAT were identified by electrophoresis and the transcript levels of OEE 1 and CAT were associated with CAM metabolism in pineapple plants

CERVANTES: A Model-Based Approach for Service-Oriented Systems Development

Context: The benefits of the Model-Driven Software Engineering application for Service-Oriented Computing. Objective: This paper proposes a Model-Based approach for Service-Oriented Systems Development. Method: Following the Model-Driven Reverse Engineering process, from the models discovery, to the generation of the current Model-Based Approach for Service-Oriented Systems Development. Results: The CERVANTES metamodel is presented and compared to other initiatives. Conclusions: This study shows how Model-Driven Engineering can be used to develop Service Oriented Systems in practice

A Model-Driven Approach for Business Process Management

The Business Process Management is a common mechanism recommended by a high number of standards for the management of companies and organizations. In software companies this practice is every day more accepted and companies have to assume it, if they want to be competitive. However, the effective definition of these processes and mainly their maintenance and execution are not always easy tasks. This paper presents an approach based on the Model-Driven paradigm for Business Process Management in software companies. This solution offers a suitable mechanism that was implemented successfully in different companies with a tool case named NDTQ-Framework.Keywords/Index Terms: Model-Driven Web Engineering, Web Engineering, Web Development Methodologies, Business Process Managemen

Vortices and domain walls in a Chern-Simons theory with magnetic moment interaction

We study the structure and properties of vortices in a recently proposed Abelian Maxwell-Chern-Simons model in $2 +1$ dimensions. The model which is described by gauge field interacting with a complex scalar field, includes two parity and time violating terms: the Chern-Simons and the anomalous magnetic terms. Self-dual relativistic vortices are discussed in detail. We also find one dimensional soliton solutions of the domain wall type. The vortices are correctly described by the domain wall solutions in the large flux limit.Comment: To be published in Phys RevD 23 pages, RevTex, 5 figure

2030 agenda and its considerations in the framework of artisanal fishing cooperatives in Mexico

Objective: Analyze the objectives proposed by the UN, linking them in a theoretical and practical way with the real situation of artisanal fishing cooperativism in Mexico, opposing the theoretical scope of the 2030 Agenda vs. the real praxis of artisanal fishing communities. Design/methodology/approach: Through the application of a Participatory Rapid Assessment Workshop, the points of the 2030 Agenda were discussed with three artisanal fishing communities in Mexico. The participants got to know in a theoretical way the objectives presented by the UN, they selected those that, in their opinion, are an important and punctual part of their fishing activity, to later analyze these objectives and compare them with their practical reality.   Results: Conclusions, proposals and points were obtained by the social subjects recognizing as a general argument that for the Mexican artisanal fishing cooperativism the objectives of the 2030 Agenda are possible as long as the action strategy promotes a cooperative culture with community values ??and social bond, respect for their environment and way of life, as well as the sustainability of the sea as an object of work. Limitations of the study/implications: The main implication was the enormous importance that exists in bringing the theoretical considerations of international organizations and decision makers to the social base where these proposals operate. , since these spaces create discussions that allow the necessary theoretical-practical analysis in the social sciences. Finding/conclusions: The neoliberal global economic system is the main disagreement of the 2030 Agenda. The Agenda encourages developed countries to support underdeveloped countries with knowledge, technology and investments to achieve sustainability, but it does not recognize local knowledge, uses and customs of developing countries as an effective alternative.Objective: To analyze the objectives proposed by the UN, linking them in a theoretical and practical way with the real condition of artisanal fishing cooperatives in Mexico, contrasting the theoretical scope of the 2030 Agenda vs. the real praxis of the communities of artisanal fishermen. Design / Methodology / Approach: Through the application of a Participatory Rapid Appraisal Workshop (PRAW) points of the Agenda 2030 were discussed with three artisanal fishing communities in Mexico. The participants learned in a theoretical way the objectives presented by the UN; selected those that in their opinion are important and punctual parts of their fishing activity; and then analyzed these objectives comparing them with their practical daily reality. Results: Conclusions and clarifications were obtained from the social subjects in which it was recognized as a general argument that for the Mexican artisanal fishing cooperatives framework the objectives of the 2030 Agenda are possible as long as the action strategy promotes a cooperative culture with community values and social bonds; respect for their environment and way of life; as well as the sustainability of the ocean as their means of work. Limitations / Implications of the study: the main implication noticed was the enormous importance that exists towards delivering theoretical considerations from international organizations and decision makers, to the social base who operates these proposals. These spaces create discussions that allow the theoretical analysis of practical needs which is mandatory in the social sciences. Findings / Conclusions: The neoliberal globalized economic system is the main disagreement for the 2030 Agenda. The 2030 Agenda encourages developed countries to support under-developed countries with knowledge, technology and investments to achieve sustainability. However, the Agenda does not recognize local knowledge, use forms and customs in those developing countries, as effective operational alternatives

Aplicación del paradigma MDE para la generación de pruebas funcionales: Experiencia dentro del proyecto AQUA-WS

La fase de pruebas es uno de las más críticas en Ingeniería de Software. Durante esta fase, el equipo de desarrollo tiene que asegurar que el sistema cubre las necesidades y las expectativas del cliente y de los usuarios finales. Este trabajo presenta una visión global de NDT (Navigational Development Techniques) que usa el paradigma MDE (Model-Driven Engineering, ingeniería Guiada por Modelos) para generar casos de pruebas a partir la definición de los requisitos funcionales del proyecto. Este trabajo analiza este proceso y expone cómo se ha aplicado en el proyecto AQUA-WS: un proyecto real que actualmente usa este proceso.Ministerio de Educación y Ciencia TIN2007-67843-C06_03Ministerio de Ciencia e Innovación TIN2010-20057-C03-02Ministerio de Ciencia e Innovación TIN2010-12312-

Midday measurements of leaf water potential and stomatal conductance are highly correlated with daily water use of Thompson Seedless grapevines

A study was conducted to determine the relationship between midday measurements of vine water status and daily water use of grapevines measured with a weighing lysimeter. Water applications to the vines were terminated on August 24th for 9 days and again on September 14th for 22 days. Daily water use of the vines in the lysimeter (ETLYS) was approximately 40 L vine−1 (5.3 mm) prior to turning the pump off, and it decreased to 22.3 L vine−1 by September 2nd. Pre-dawn leaf water potential (ΨPD) and midday Ψl on August 24th were −0.075 and −0.76 MPa, respectively, with midday Ψl decreasing to −1.28 MPa on September 2nd. Leaf g s decreased from ~500 to ~200 mmol m−2 s−1 during the two dry-down periods. Midday measurements of g s and Ψl were significantly correlated with one another (r = 0.96) and both with ETLYS/ETo (r = ~0.9). The decreases in Ψl, g s, and ETLYS/ETo in this study were also a linear function of the decrease in volumetric soil water content. The results indicate that even modest water stress can greatly reduce grapevine water use and that short-term measures of vine water status taken at midday are a reflection of daily grapevine water us

Evaluación del efecto de tres condiciones de cultivo in vitro en la calidad de plántulas de caña de azúcar propagadas en Biorreactores de Inmersión Temporal

Structural and functional deficiencies that affect survival during acclimatization are present in micropropagated plants. The current study was carried out to determine the effect of three in vitro culture conditions (autotrophic, mixotrophic and moderate mixotrophic) on the morph-physiological and biochemical behavior of plantlets of sugar cane propagated in Temporary Immersion Bioreactors (BIT). Morphological and physiological indicators and key enzymes of carbon metabolism were evaluated. Plantlets that were subjected to autotrophic conditions did not survive due to the stress caused by the absence of sucrose in the culture medium. For this reason it could not be evaluated. The best results were obtained for the condition of moderate mixotrofical. In this case, the morphological variables, height of the plants, fresh weight and dry weight, responded positively. It was minimum the answer of the net photosynthesis in vitro and increased it notably from the second week of acclimatization. Plants with a mixotrophic growth showed very high values of transpiration and estomatic conductance at the beginning of the elongation and during the first week of acclimatization. This group of plants took a longer time than the rest in achieving the control of the loss of water and in reaching a functional stability. Plants that showed a bigger activity of pyruvate kinase were those coming from mixotrophic conditions. An inverse behavior was observed in the phosphoenolpyruvate carboxylase. The activities of syntase sucruse and the neutral invertase were superior for the mixotrofic conditions.Key words: autotrofic, enzymes, mixotrofic, photosynthesisLas plantas micropropagadas poseen deficiencias estructurales y funcionales que comprometen su supervivencia durante la aclimatización. El objetivo de este trabajo fue determinar el efecto de tres condiciones de cultivo in vitro (autotrófica, mixotrófica y de mixotrofismo moderado) en el comportamiento morfo-fisiológico y bioquímico de plántulas de caña de azúcar propagadas en Biorreactores de Inmersión Temporal (BIT). Se evaluaron indicadores morfológicos, fisiológicos y enzimas clave del metabolismo del carbono. Las plántulas que se sometieron a condiciones autotróficas no lograron sobrevivir debido al estrés propiciado por la ausencia de sacarosa en el medio de cultivo. Por esta razón no pudieron ser evaluadas. Los mejores resultados se obtuvieron para la condición de mixotrofismo moderado. En este caso, las variables morfológicas altura de las plantas, masas fresca y seca respondieron positivamente. La respuesta de la fotosíntesis neta fue muy baja in vitro y aumentó notablemente a partir de la segunda semana de aclimatización. Para las plántulas con un desarrollo mixotrófico se observaron valores de transpiración y conductancia estomática muy elevados al inicio de la elongación y durante la primera semana de aclimatización. Este grupo de plántulas se tardó más que el resto en lograr el control de la pérdida de agua y en alcanzar una estabilidad funcional. Las plantas que mostraron una mayor actividad de la Piruvato Quinasa fueron provenientes de condiciones mixotróficas. La Fosfoenol Piruvato Carboxilasa tuvo un comportamiento totalmente inverso. Las actividades de la Sacarosa Sintasa y la Invertasa Neutra, al igual que la Piruvato Quinasa, fueron superiores para las condiciones mixotróficas.Palabras clave: autotrofismo, enzimas, fotosíntesis, mixotrofism