The EMS Deficit: A Study on the Excessive Staffing Shortages of Paramedics and its Impact on EMS Performance in the States of South Carolina and North Carolina and Interventions for Organizational Improvements.

This is a qualitative multi-case study on emergency medical services (EMS) paramedic shortages, their effects on ambulance responses, and the quality of patient care in the prehospital environment. A qualitative multi-case study was selected for this study because the nature of the methods’ design aligned with a systematic approach of life experiences (Creswell, 2015). Paramedics who participated in this study provided insight, from life experiences, as to why one prematurely leaves EMS; thus, creating a staffing shortage. The foundation of this study is the high staffing shortages of paramedics specifically in South Carolina (SC) and North Carolina (NC). Drastically reducing paramedic attrition is critical in reducing patient suffering, decreasing morbidity and mortality, and improving EMS key performance indicators. The conceptual framework for this study aligns with Fredrick Herzberg’s Two-Factor Theory of Motivation and Abraham Maslow’s Hierarchy of Needs. In conclusion, the findings from this study have shown that the number of ambulances that are unstaffed from the paramedic shortage has reached critical levels. Primarily, this review of the literature’s discovered themes has identified numerous challenges contributing to the increasing EMS paramedic shortages and their effects on patient care in the pre-hospital environment. Secondarily, the interview portion of this study solidifies the discoveries of the cited works and identifies further challenges through its semi-structured interview format. Thirdly, achievable data from previous studies, primarily from the South Carolina EMS Association, validate this study’s findings through triangulation; thus, instilling rigor on primary reasons for EMS paramedic shortages and their impact on patient outcomes

The Effects of Mnemonics to Increase Accuracy of Multiplication Facts in Upper-Elementary School Students with Mild to Moderate Disabilities

The intent of this project is to replicate a specific instructional method used in Wood et al.’s study focusing on the use of the pegword mnemonic strategy paired with stories and illustrations for 15 targeted multiplication facts remaining after mastering math facts in the zeros, ones, twos, fives, or nines groups. Three questions will be asked during this project on the effects of mnemonic instruction using pegword strategies on the percentage of multiplication facts answered correctly by third, fourth, and fifth grade students with learning disabilities? 1) Does pegword instruction paired with stories and illustrations result in immediate improvement for the specific multiplication facts taught? 2) Are students’ performances on previously taught multiplication facts maintained as new multiplication facts are introduced? 3) Do students maintain accuracy on 2 and 4 week follow-up tests

Resistance of Tripsacorn to \u3ci\u3eSitophilus zeamais\u3c/i\u3e and \u3ci\u3eOryzaephilus surinamensis\u3c/i\u3e

One strategy that has been used to find germplasm for developing improved plant varieties is to test ancestral germplasm for the desired traits. Although the progenitors of commercial maize are not known, a hybrid (called Tripsacorn) developed from a perennial teosinte, Zea diploperennis, and eastern gamagrass, Tripsacum dactyloides, resembles the earliest known samples of primitive domesticated maize. We tested resistance of whole Tripsacorn to the primary storage pest (primary storage pests can infest intact kernels) the maize weevil, Sitophilus zeamais Motschulsky (Coleoptera: Curculionidae), and resistance of ground Tripsacorn to the secondary storage pest (secondary pests usually cannot infest intact kernels) the sawtoothed grain beetle, Oryzaephilus surinamensis (L.) (Coleoptera: Silvanidae). Tripsacorn was immune to attack by S. zeamais. The weevils were unable to lay eggs in the Tripsacorn, and we hypothesized that the hardness of the fruitcase was responsible for lack of weevil oviposition. Oryzaephilus surinamensis were able to complete immature development on ground Tripsacorn, but duration of development was longer and weight of emerged adults was less than for beetles developing on wheat. Hardness of the fruitcase may have been a primitive mechanism of defense against insects and other pests, but probably would not be an acceptable trait in commercial varieties. It remains to be determined whether the possible antibiotic effect demonstrated in ground Tripsacorn would be a useful trait in commercial maize hybrids

Resistance of Tripsacorn-introgressed maize lines to \u3ci\u3eSitophilus zeamais\u3c/i\u3e

The maize weevil, Sitophilus zeamais Motschulsky (Coleoptera: Curculionidae), is one of the major pests of maize worldwide. We tested one Tripsacorn-introgressed inbred maize line and 42 hybrid combinations between eleven public inbred lines and 16 different Tripsacorn-introgressed inbreds for resistance to the maize weevil to investigate if there is a genetic basis for resistance to the maize weevil that can be conferred to maize. No progeny were produced in 21 of the entries, and only eight entries had progeny production significantly greater than zero. All the lines that exhibited complete resistance (no progeny produced) are F1 hybrids between 10 different Tripsacorn-introgressed inbred lines combined with 8 different public maize inbreds. Results indicate that all 16 Tripsacorn-introgressed inbred lines confer resistance in F1 hybrids. In some of the Tripsacorn-introgressed lines, the degree of resistance expressed varied according to combining ability and heterotic group background. Based on the results, we hypothesize a dominant gene for weevil resistance is inherited from Tripsacorn. The data indicate that Tripsacorn provides a valuable tool for conferring native weevil resistance to maize

Water Quality Modeling for the ACT and ACF River Basins Using BASINS and HEC-5Q

Proceedings of the 1999 Georgia Water Resources Conference, March 30 and 31, Athens, Georgia.This paper describes a joint effort between the U.S. Army Corps of Engineers (Corps) and U.S. Environmental Protection Agency (USEPA), and various contractors to assess the impacts of water allocation on the water quality of the Alabama-Coosa-Tallapoosa (ACT) and Apalachicola-Chattahoochee-Flint (ACF) River Basins. The BASINS and HEC-5Q water quality models were used to assess water quality effects on a basinwide approach for these two large river basins. These analyses are being conducted to support preparation of the environmental impact statements (EISs) for each basin.Sponsored and Organized by: U.S. Geological Survey, Georgia Department of Natural Resources, The University of Georgia, Georgia State University, Georgia Institute of TechnologyThis book was published by the Institute of Ecology, The University of Georgia, Athens, Georgia 30602-2202 with partial funding provided by the U.S. Department of Interior, geological Survey, through the Georgia Water Research Insttitute as authorized by the Water Research Institutes Authorization Act of 1990 (P.L. 101-397). The views and statements advanced in this publication are solely those of the authors and do not represent official views or policies of the University of Georgia or the U.S. Geological Survey or the conference sponsors

Team dynamics in virtual, partially distributed teams:optimal role fulfillment

In this study, we explored team roles in virtual, partially distributed teams, or vPDTs (teams with at least one co-located subgroup and at least two subgroups that are geographically dispersed but that collaborate virtually). Past research on virtual teams emphasizes the importance of team dynamics. We argue that the following three roles are particularly important for high functioning virtual teams: Project Coordinator, Implementer and Completer-Finisher. We hypothesized that the highest performing vPDTs will have 1) a single Project Coordinator for each subgroup, 2) multiple Implementers within the team, and 3) fewer Completer-Finishers within the team. A sample of 28 vPDTs with members working on two different continents provides support for the second and third hypothesized relationships, but not the first

Contributions of the Hippocampal CA3 Circuitry to Acute Seizures and Hyperexcitability Responses in Mouse Models of Brain Ischemia

The hippocampal circuitry is widely recognized as susceptible to ischemic injury and seizure generation. However, hippocampal contribution to acute non-convulsive seizures (NCS) in models involving middle cerebral artery occlusion (MCAO) remains to be determined. To address this, we occluded the middle cerebral artery in adult C57 black mice and monitored electroencephalographic (EEG) discharges from hippocampal and neocortical areas. Electrographic discharges in the absence of convulsive motor behaviors were observed within 90 min following occlusion of the middle cerebral artery. Hippocampal discharges were more robust than corresponding cortical discharges in all seizure events examined, and hippocampal discharges alone or with minimal cortical involvement were also observed in some seizure events. Seizure development was associated with ipsilateral hippocampal injuries as determined by subsequent histological examinations. We also introduced hypoxia-hypoglycemia episodes in mouse brain slices and examined regional hyperexcitable responses ex vivo. Extracellular recordings showed that the hippocampal CA3 region had a greater propensity for exhibiting single/multiunit activities or epileptiform field potentials following hypoxic-hypoglycemic (HH) episodes compared to the CA1, dentate gyrus, entorhinal cortical (EC) or neocortical regions. Whole-cell recordings revealed that CA3 pyramidal neurons exhibited excessive excitatory postsynaptic currents, attenuated inhibitory postsynaptic currents and intermittent or repetitive spikes in response to HH challenge. Together, these observations suggest that hippocampal discharges, possibly as a result of CA3 circuitry hyperexcitability, are a major component of acute NCS in a mouse model of MCAO

Effect of Carbohydrate Supplementation on Investment into Offspring Number, Size, and Condition in a Social Insect

Resource availability can determine an organism's investment strategies for growth and reproduction. When nutrients are limited, there are potential tradeoffs between investing into offspring number versus individual offspring size. In social insects, colony investment in offspring size and number may shift in response to colony needs and the availability of food resources. We experimentally manipulated the diet of a polymorphic ant species (Solenopsis invicta) to test how access to the carbohydrate and amino acid components of nectar resources affect colony investment in worker number, body size, size distributions, and individual percent fat mass. We reared field-collected colonies on one of four macronutrient treatment supplements: water, amino acids, carbohydrates, and amino acid and carbohydrates. Having access to carbohydrates nearly doubled colony biomass after 60 days. This increase in biomass resulted from an increase in worker number and mean worker size. Access to carbohydrates also altered worker body size distributions. Finally, we found a negative relationship between worker number and size, suggesting a tradeoff in colony investment strategies. This tradeoff was more pronounced for colonies without access to carbohydrate resources. The monopolization of plant-based resources has been implicated in the ecological success of ants. Our results shed light on a possible mechanism for this success, and also have implications for the success of introduced species. In addition to increases in colony size, our results suggest that having access to plant-based carbohydrates can also result in larger workers that may have better individual fighting ability, and that can withstand greater temperature fluctuations and periods of food deprivation

Early-onset convulsive seizures induced by brain hypoxia-ischemia in aging mice: effects of anticonvulsive treatments

Sherpa Romeo green journal. Open access article. Creative Commons Attribution License applies.Aging is associated with an increased risk of seizures/epilepsy. Stroke(ischemic or hemorrhagic) and cardiac arrest related brain injury are two major causative factors for seizure development in this patient population. With either etiology, seizures area poor prognostic factor. In spite of this, the underlying pathophysiology of seizure development is not well understood. In addition, a standardized treatment regimen with anticonvulsants and outcome assessments following treatment has yet to be established for these post-ischemic seizures. Previous studies have modeled post-ischemic seizures in adult rodents, but similar studies in aging/aged animals, a group that mirrors a higher risk elderly population, remain sparse. Our study therefore aimed to investigate early-onset seizures in aging animals using a hypoxia-ischemia (HI) model. Male C57 black mice18-20-month-old underwent a unilateral occlusion of the common carotid artery followed by a systemic hypoxic episode (8% O2 for 30 min). Early-onset seizures were detected using combined behavioral and electroencephalographic (EEG) monitoring. Brain injury was assessed histologically at different times post HI. Convulsive seizures were observed in 65% of aging mice post-HI but not in control aging mice following either sham surgery or hypoxiaalone. These seizures typically occurred within hours of HI and behaviorally consisted of jumping, fast running, barrel-rolling, and/or falling (loss of the righting reflex) with limb spasms. No evident discharges during any convulsive seizures were seen on cortical-hippocampal EEG recordings. Seizure development was closely associated with acute mortality and severe brain injury on brain histological analysis. Intra-peritoneal injections of lorazepam and fosphenytoin suppressed seizures and improved survival but only when applied prior to seizure onset and not after. These findings together suggest that seizures are a major contributing factor to acute mortality in aging mice following severe brain ischemia and that early anticonvulsive treatment may prevent seizure genesis and improve overall outcomes.Ye