COVID-19: The Impact on Small Businesses in Nevada

This Fact Sheet presents data on the number of small businesses (fewer than 250 employees) considered at risk due to the COVID-19 outbreak. The data collected originates from the Brookings Institution, and reports the economic effect of COVID-19 on small businesses in states and counties throughout the nation. Understanding this data can help policymakers and business owners alike make strategic decisions about navigating this crisis. This Fact Sheet focuses specifically on the State of Nevada and its 17 counties

Use of the turbulence kinetic energy equation in prediction of nonequilibrium turbulent boundary layers

A differential method is proposed for the prediction of a broad range of turbulent boundary layers of engineering and scientific interest. A digital computer program is presented which is applicable to boundary layers with positive, negative, and zero pressure gradient in the main-stream direction as well as boundary layers with suction, blowing or zero mass addition at the wall. The turbulence kinetic energy equation is solved simultaneously with the longitudinal momentum and continuity equations to provide an independent means for determining the effective viscosity which makes allowance for history effects in the flow. It is shown that the prediction method may be easily extended to cover the energy and species equations when the need arises to predict boundary layers with thermal gradients and/or those comprised of a mixture of gases. Mathematical models have been found which adequately close the system of governing equations as evident by the successful prediction of the behavior of a wide range of equilibrium and non-equilibrium turbulent boundary layers --Abstract page ii

Seven steps to successful change: How a large academic medical center prepared patients for organizational change

Vanderbilt University Medical Center (VUMC) launched a new electronic health record (EHR) in a “big bang” implementation that saw the new software go live across multiple hospitals, clinics and geographic locations in a single morning. The organization rightly focused most of its energy on preparing its nearly 25,000 employees for the impacts of the transition, but it also considered the effects that would be felt by its patients and families. Survey data indicate that patient satisfaction scores demonstrably dip before, during and after an EHR implementation, and take approximately a year to recover. A team at DMC employed a seven-step approach to preparing patients for the impacts of the transition, which led to a return to pre-implementation patient satisfaction scores in about half the time of its peer institutions. The article explores these seven steps in detail and offers recommendations for how healthcare organizations facing large-scale change can use a similar structured approach to mitigate negative impacts to patients. Experience Framework This article is associated with the Culture & Leadership lens of The Beryl Institute Experience Framework. (http://bit.ly/ExperienceFramework) Access other PXJ articles related to this lens. Access other resources related to this len

Reconceptualizing Mies\u27 Glass House

Our team used the glass house studio to explore class stratification, particularly using the glass as a reflection of class dichotomy in our society. The glass and Miesian design approach glorifies the clean cut, picture-perfect utopia only accessible to the wealthy few. But reality proves that there is more to this. As architects and engineers, we should strive to create environments that may uphold our values of equity and diversity and ultimately serve all sectors of society

Allostatic Load Markers as Predictors of Melanoma Outcomes

https://openworks.mdanderson.org/sumexp23/1046/thumbnail.jp

Vaccine Hesitancy Within Nevada Counties, June 2021

This fact sheet highlights estimated rates of vaccine hesitancy, vaccination rates, the index of social vulnerability, and the level of concern for 17 Nevada counties as of June, 2021. The data are reported in the U.S. Department of Health and Human Services, Assistant Secretary for Planning and Evaluation (ASPE) estimates

Raccoons (\u3ci\u3eProcyon lotor\u3c/i\u3e) Show Higher \u3ci\u3eTrypanosoma cruzi\u3c/i\u3e Detection Rates than Virginia Opossums (\u3ci\u3eDidelphis virginiana\u3c/i\u3e) in South Carolina, USA

Chagas disease, a significant public health concern in the Americas, is caused by a protozoan parasite, Trypanosoma cruzi. The life cycle of T. cruzi involves kissing bugs (Triatoma spp.) functioning as vectors and mammalian species serving as hosts. Raccoons (Procyon lotor) and opossums (Didelphis virginiana) have been identified as important reservoir species in the life cycle of T. cruzi, but prevalence in both species in the southeastern United States is currently understudied. We quantified T. cruzi prevalence in these two key reservoir species across our study area in South Carolina, USA, and identified factors that may influence parasite detection. We collected whole blood from 183 raccoons and 126 opossums and used PCR to detect the presence of T. cruzi. We then used generalized linear models with parasite detection status as a binary response variable and predictor variables of land cover, distance to water, sex, season, and species. Our analysis indicated that raccoons experienced significantly higher parasite detection rates than Virginia opossums, with T. cruzi prevalence found to be 26.5% (95% confidence interval [CI], 20.0–33.8) in raccoons and 10.5% (95% CI, 5.51–17.5) in opossums. Overall, our results concur with previous studies, in that T. cruzi is established in reservoir host populations in natural areas of the southeastern United States

Traffic-Related Pedestrian Deaths in the Sun Belt Region

This Fact Sheet presents data from Smart Growth America on the number of pedestrian fatalities in U.S. states and congressional districts. For the purpose of this fact sheet, the data included focus on the Sun Belt region between 2008 and 2017, highlighting areas with the highest rates of traffic-related pedestrian deaths