Airway Assessment and Bag-Mask Ventilation: An Objective Structured Clinical Examination

Airway assessment and bag-mask ventilation are critical components to the foundation of an anesthesia provider’s airway management. The SRNA may find difficulty in efficiently providing these skills when entering the clinical atmosphere, which could potentially lead to delayed patient care, adverse patient outcomes, and loss of confidence in the SRNA’s abilities. USM’s nurse anesthesia faculty recognized the need for an OSCE in airway assessment and BMV. The OSCE was developed and targeted at first-year SRNAs prior to entering clinical, with aims to increase competence, prevent delays in care, and prevent adverse patient outcomes. The airway assessment and BMV OSCE was provided to four USM nurse anesthesia faculty, two clinical site preceptors, 19 first-year SRNAs, and 18 second-year SRNAs with an anonymous evaluation survey. There were 24 participants to complete the survey, and 100% of participants agreed that the OSCE was presented clearly, contained evidenced-based information that is relevant to current anesthesia practice, and addressed proficiencies necessary for first-year SRNAs entering clinical. Open-ended feedback resulted in common themes of the OSCE being informative and thorough, great for the transition into clinical, as well as a suggestion to edit the OSCE to make certain areas stand out better for importance. Based on the reviewed literature and survey results, it is concluded that the airway assessment and BMV OSCE could potentially positively impact first-year SRNAs and their transition into clinical, and ultimately impact the outcomes of patients

Variability of Urinary Phthalate Metabolite and Bisphenol A Concentrations before and during Pregnancy

Background: Gestational phthalate and bisphenol A (BPA) exposure may increase the risk of adverse maternal/child health outcomes, but there are few data on the variability of urinary biomarkers before and during pregnancy

The robust nature of the biopsychosocial model challenge and threat: A reply to Wright and Kirby

This article responds to Wright and Kirby's (this issue) critique of our biopsychosocial (BPS) analysis of challenge and threat motivation. We counter their arguments by re- Wright and Kirby (this issue) critiqued our challenge and threat theory and its supporting empirical data. We disagree with their assessment and believe their criticisms (a) are based on a misunderstanding and selective presentation of elements of our current theory and data; (b) are based on a rational-economic perspective entailing only objective comparison of the amount of effort individuals are willing and able to expend to the amount required by the situation, which fails to integrate contextual elements involved in social behavior, in general, and subjectivity and automatic processing, in particular; and (c) provide some interesting challenges for our theory that should be construed as research questions within an ongoing, evolving theoretical framework rather than fatal flaws. Here, we first provide a brief summary of our current challenge and threat theory and research. We then respond to Wright and Kirby's criticisms and finally provide our conclusions regarding their critique. Challenge and Threat: Is the Model Coherent and the Evidence Compelling? Our theory and research address how people evaluate, react to, and behave in goal-relevant performanc

MEMS deformable mirror CubeSat testbed

To meet the high contrast requirement of 1 × 10[superscript −10] to image an Earth-like planet around a Sun-like star, space telescopes equipped with coronagraphs require wavefront control systems. Deformable mirrors are a key element of these systems that correct for optical imperfections, thermal distortions, and diffraction that would otherwise corrupt the wavefront and ruin the contrast. However, high-actuator-count MEMS deformable mirrors have yet to fly in space long enough to characterize their on-orbit performance and reduce risk by developing and operating their supporting systems. The goal of the MEMS Deformable Mirror CubeSat Testbed is to develop a CubeSat-scale demonstration of MEMS deformable mirror and wavefront sensing technology. In this paper, we consider two approaches for a MEMS deformable mirror technology demonstration payload that will fit within the mass, power, and volume constraints of a CubeSat: 1) a Michelson interferometer and 2) a Shack-Hartmann wavefront sensor. We clarify the constraints on the payload based on the resources required for supporting CubeSat subsystems drawn from subsystems that we have developed for a different CubeSat flight project. We discuss results from payload lab prototypes and their utility in defining mission requirements.United States. National Aeronautics and Space Administration (Office of the Chief Technologist NASA Space Technology Research Fellowship)Jeptha and Emily Wade FundMassachusetts Institute of Technology. Undergraduate Research Opportunities Progra

The Grizzly, February 6, 1987

Residential Village Saluted: Ursinus Recipient of County Planning Award • Art Critic Kuspit Condemns Ursinus\u27 Acquisitions • Biology Dept. Offers Field Study • Letters: Pro Abortion Bias Suggested; Art Critic Elitist; Hoopsters Accomplish Goals Despite Poor Press; Kane Commends McCullough • News Notes: Weaver to Play on Heefner Organ Again; Board Member Jeffers Dies at 79; Health Promotion Project; Lorelei, a U.C. Tradition • The Coddling of College Students • Connolly Finds Berry Piece Arrogant, Rash and True • Grappling Bears Stun Opponents in Streaking to 9-2 • Ursinus Roars Back to Thrash Hopkins • Men\u27s Track Impressive Early in Season • Mer Men Waiting for Loyola • Lady Hoopsters Capture First Home Win • Sophomore Wrestler Seislove on a Roll • A Baby and the Ball - Two Plays Called at Once • Japanese Program Offered Again • Fishing Club Factshttps://digitalcommons.ursinus.edu/grizzlynews/1180/thumbnail.jp

Multicenter Evaluation of the BIOFIRE Blood Culture Identification 2 Panel for Detection of Bacteria, Yeasts, and Antimicrobial Resistance Genes in Positive Blood Culture Samples

Diagnostic tools that can rapidly identify and characterize microbes growing in blood cultures are important components of clinical microbiology practice because they help to provide timely information that can be used to optimize patient management. This publication describes the bioMerieux BIOFIRE Blood Culture Identification 2 (BCID2) Panel clinical study that was submitted to the U.S. Food & Drug Administration. Results obtained with the BIOFIRE BCID2 Panel were compared to standard-of-care (SoC) results, sequencing results, PCR results, and reference laboratory antimicrobial susceptibility testing results to evaluate the accuracy of its performance. Results for 1,093 retrospectively and prospectively collected positive blood culture samples were initially enrolled, and 1,074 samples met the study criteria and were included in the final analyses. The BIOFIRE BCID2 Panel demonstrated an overall sensitivity of 98.9% (1,712/1,731) and an overall specificity of 99.6% (33,592/33,711) for Gram-positive bacteria, Gram-negative bacteria and yeast targets which the panel is designed to detect. One hundred eighteen off-panel organisms, which the BIOFIRE BCID2 Panel is not designed to detect, were identified by SoC in 10.6% (114/1,074) of samples. The BIOFIRE BCID2 Panel also demonstrated an overall positive percent agreement (PPA) of 97.9% (325/332) and an overall negative percent agreement (NPA) of 99.9% (2,465/2,767) for antimicrobial resistance determinants which the panel is designed to detect. The presence or absence of resistance markers in Enterobacterales correlated closely with phenotypic susceptibility and resistance. We conclude that the BIOFIRE BCID2 Panel produced accurate results in this clinical trial

The Care Work of Access

Current approaches to AI and Assistive Technology (AT) often foreground task completion over other encounters such as expressions of care. Our paper challenges and complements such task-completion approaches by attending to the care work of access—the continual affective and emotional adjustments that people make by noticing and attending to one another. We explore how this work impacts encounters among people with and without vision impairments who complete tasks together. We find that bound up in attempts to get things done are concerns for one another and how well people are doing together. Reading this work through emerging disability studies and feminist STS scholarship, we account for two important forms of work that give rise to access: (1) mundane attunements and (2) noninnocent authorizations. Together these processes work as sensitizing concepts to help HCI scholars account for the ways that intelligent ATs both produce access while sometimes subverting people with disabilities

<b>Message Journal, Issue 4</b>: DESIGN POLITICS What are the politics of your design and what is the design of your politics?

In the Message journal issue 4 we wanted to create an arena where our discipline could discuss the nature and context of its role from an overtly political perspective. Whilst we felt in our bones there was an appetite for this, we were far from certain about its nature, scope and size. Consequently, the call for Message 4 was, to say the least, somewhat of a gamble. Thankfully, our hunches and speculations seem to have been close to the mark. We received more submissions for this call than the previous three issues combined. There was also an anticipation (albeit in hindsight a rather naive one) that some submissions might be positioned around conventional left, right and/or sustainable ecological perspectives. This did not really transpire. Nonetheless, we are very happy to say that the creative, eclectic and diverse nature of the responses has resulted in a range of exemplars that reflect the varied nature, concerns and foci of our vibrant discipline. These extend from John Calvelli’s philosophical dialectic on the fundamental nature and origin of images, their use and effects, to Elizabeth Herrmann’s self-initiated craft-based approach, to do good locally and make a social contribution. Both of these papers are also examples of the higher than usual number of submissions from North America, a substantial proportion of which relate to the politics of cultural and/or racial identity, such as Omari Souza’s, ‘Racist Motifs in Everyday Branding’. Message is dedicated to the development of Graphic Communication Design research. Particularly (although not exclusively) through authors’ analysis of and reflection on their own practice-based research. Through peer reviewed submissions and occasional commissioned essays, Message explores, discusses and challenges the boundaries, roles, practices and outputs of Graphic Communication Design. Past, present and future.Introduction – Peter Jones Rethinking Graphic Design and the Design of Historical Arguments– Camila Afanador-Llach The Intersection of Electoral Politics and Design Education - Anne Berry & Sarah Rutherford Ecological Mourning and the Work of Graphic Communication Design – John Calvelli From High to Low and High Again – Kristen Coogan Speculative Graphic Design: The Idiot’s-Eye-View – James Dyer Free!* Reclaiming ‘freedom’ from the neoliberal lexicon - Cathy Gale Countering ‘Fake News’ in the Design Classroom - Anne M. Giangiulio Cards for Humanity: Constructing Meaningful Communities Through Unsolicited Do-Good Design - Elizabeth Herrmann Political Awareness and Engagement Through Banknote Design - Chae Ho Lee Personal value thinking in graphic communication design education – The introduction of a clarification tool for students - Gwen Lettis, Pamela Napier, Adam de Eyto & Muireann McMahon Passive, Brutish, or Civil? Racist Motifs in Everyday Branding - Omari Souza Countering the Othering of Others: Illustration Facilitating Empathy - Dave Wood Re-contextualising Illustration to Inform Sexual Consent – #JustSoYouKnow - Dave Woo