O'Donnell Park: Enhancing Downtown Milwaukee’s Economic, Environmental and Social Networks through Sustainable Design

This thesis begins to address, how does a city provide essential resources for a city in a public urban space? A question designers have asked themselves since the beginning of urban design. In this day and age currently, we are getting better at answering this issue, providing urban society with food water, power in ways that have never been done before. However, is what is society doing currently enough? Research begs to differ showing two major problems: First current trends are unsustainable and will not last. Secondly, if fallowing areas of resources are not appealing, users will not use them. Fortunately, there also are a set of solutions or applications, from organic agriculture to integrated sustainable solutions such as Aquaponics that could be applied to the problems. Functioning in an aesthetically appealing way that people will flock to, creating a sustainable ecosystem that is both operational and visual appealing. Asking the question, how might an urban community facilitate a sustainable ecosystem with regards and allocations to community needs both physically and aesthetically

Patterns of Engagement with Youth Savings Groups in Four African Countries

This report details findings of research undertaken under the Banking on Change Academic Partnership, which was established in 2014 between the Banking on Change (BoC) programme (a partnership of Plan UK, CARE International UK and Barclays Bank) and the Institute of Development Studies (IDS). The research sought to identify and explore different patterns of engagement with the programme’s youth savings groups, and how those patterns relate to members’ socio-economic characteristics, income-generating activities, and the training they had received. BoC, whose last phase focused on youth savings groups and ran from 2013 to 2015, operated in seven countries: Egypt, Ghana, India, Kenya, Tanzania, Uganda and Zambia. Field work took place between April and August 2015 in Tanzania, Uganda, Zambia and Ghana. The research team engaged with two savings groups in each country. Information was gathered through group discussions, 57 detailed interviews with individual savings group members, and analysis of individuals’ savings and borrowing activities as recorded in ledger books and passbooks. The strategy used for identifying savings groups and group members for interview was not meant to yield a representative sample of BoC participants, but rather to capture the range of savings and borrowing patterns

Management of endophthalmitis while preserving the uninvolved crystalline lens

The purpose of this work is to report on the management of endophthalmitis in phakic eyes in which the crystalline lens was preserved. The current study is a noncomparative consecutive case series of patients who developed culture-proven endophthalmitis and were treated between January 1995 and June 2009. The study included only phakic patients whose infection was managed without removal of the crystalline lens. Using a computerized search of Microbiology Department records, patients were identified with phakic lens status and clinically diagnosed endophthalmitis. A total of 12 phakic eyes from 11 patients met the study criteria. The etiology of infection was endogenous (n = 6), postoperative (n = 5), and post-traumatic (n = 1). Pars plana vitrectomy and injection of intravitreal antimicrobials was performed in seven eyes (58%), and vitreous tap and injection of antimicrobials was performed in five eyes (42%). All eyes showed progression of lens opacification after treatment. Overall, nine (75%) achieved visual acuity outcomes ≥20/80, including five of seven (71%) eyes treated with vitrectomy and four of five eyes (80%) treated with injection of antibiotics alone. One of seven eyes (14%) treated with vitrectomy had a poor visual outcome (defined as <20/400) compared with one of five (20%) eyes treated with intravitreal antimicrobials alone. During follow-up, all 12 eyes had progression of lens opacification and five of 12 (42%) eyes underwent cataract surgery with posterior chamber intraocular lens placement. In phakic patients, successful treatment of endophthalmitis can be achieved while preserving the uninvolved crystalline lens. Future cataract surgery with posterior chamber intraocular lens placement can be accomplished in many of these patients

Reversible DNA micro-patterning using the fluorous effect

We describe a new method for the immobilisation of DNA into defined patterns with sub-micron resolution, using the fluorous effect. The method is fully reversible via a simple solvent wash, allowing the patterning, regeneration and re-patterning of surfaces with no degradation in binding efficiency following multiple removal/attachment cycles of different DNA sequences

Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: Do they serve organizations, staff, or patients?

Objective The aim of the study was to analyze content of incident reports during patient transitions in the context of care of older people, cardiology, orthopedics, and stroke. Methods A structured search strategy identified incident reports involving patient transitions (March 2014–August 2014, January 2015–June 2015) within 2 National Health Service Trusts (in upper and lower quartiles of incident reports/100 admissions) in care of older people, cardiology, orthopedics, and stroke. Content analysis identified the following: incident classifications; active failures; latent conditions; patient/relative involvement; and evidence of individual or organizational learning. Reported harm was interpreted with reference to National Reporting and Learning System criteria. Results A total 278 incident reports were analyzed. Fourteen incident classifications were identified, with pressure ulcers the modal category (n = 101,36%), followed by falls (n = 32, 12%), medication (n = 31, 11%), and documentation (n = 29, 10%). Half (n = 139, 50%) of incident reports related to interunit/department/team transfers. Latent conditions were explicit in 33 (12%) reports; most frequently, these related to inadequate resources/staff and concomitant time pressures (n = 13). Patient/family involvement was explicit in 61 (22%) reports. Patient well-being was explicit in 24 (9%) reports. Individual and organizational learning was evident in 3% and 7% of reports, respectively. Reported harm was significantly lower than coder-interpreted harm (P < 0.0001). Conclusions Incident report quality was suboptimal for individual and organizational learning. Underreporting level of harm suggests reporter bias, which requires reducing as much as practicable. System-level interventions are warranted to encourage use of staff reflective skills, emphasizing joint ownership of incidents. Co-producing incident reports with other clinicians involved in the transition and patients/relatives could optimize organizational learning

Meson spectral functions at nonzero momentum in hot QCD

We present preliminary results for meson spectral functions at nonzero momentum, obtained from quenched lattice QCD simulations at finite temperature using the Maximal Entropy Method. Twisted boundary conditions are used to have access to many momenta p~T. For light quarks, we observe a drastic modification when heating the system from below to above Tc. In particular, for the vector spectral density we find a nonzero spectral weight at all energies.Comment: 4 pages, talk presented at Strong & Electroweak Matter (SEWM2006), BNL, United States, May 10-13 200

Content Analysis of Patient Safety Incident Reports for Older Adult Patient Transfers, Handovers, and Discharges:Do They Serve Organizations, Staff, or Patients?

Objectives: Analyse content of incident reports during patient transitions in the context of care of older people, cardiology, orthopaedics and stroke. Methods: A structured search strategy identified incident reports involving patient transitions (March 2014 – August 2014, January 2015 – June 2015) within two NHS Trusts (in upper and lower quartiles of incident reports/100 admissions) in care of older people, cardiology, orthopaedics and stroke. Content analysis identified: incident classifications; active failures; latent conditions; patient/relative involvement; and evidence of individual or organisational learning. Reported harm was interpreted with reference to National Reporting and Learning System criteria. Results: A total 278 incident reports were analysed. Fourteen incident classifications were identified, with pressure ulcers the modal category (n=101; 36%) followed by falls (n=32, 12%), medication (n=31, 11%) and documentation (n=29, 10%). Half (n=139; 50%) of incident reports related to inter-unit/department/team transfers. Latent conditions were explicit in 33 (12%) reports; most frequently, these related to inadequate resources/staff and concomitant time pressures (n=13). Patient/family involvement was explicit in 61 (22%) reports. Patient well-being was explicit in 24 (9%) reports. Individual and organisational learning was evident in 3% and 7% of reports respectively. Reported harm was significantly lower than coder-interpreted harm (p<0.0001). Conclusions: Incident report quality was sub-optimal for individual and organisational learning. Under-reporting level of harm suggests reporter bias, which requires reducing as much as practicable. System-level interventions are warranted to encourage use of staff reflective skills, emphasising joint ownership of incidents. Co-producing incident reports with other clinicians involved in the transition and patients/relatives could optimise organisational learning