Issues using COTS simulation software packages for the interoperation of models

This paper intends to examine the interoperation of simulation models from the viewpoint of a simulation engineer who uses standard tools and methods to create these models. The paper will look at the models in the context of COTS (commercially available off-the shelf) simulation packages with a view to applying distributed simulation (DS) theory to the subject. By studying current methods employed which enable COTS simulation packages to interoperate, this paper will discuss the tools currently used and examine their appropriateness. The paper will also suggest how an example COTS simulation package could be modified to provide the necessary functions and interoperability required to allow full distributed simulation

Case Report of Myopericarditis post COVID-19 Vaccinations in the first female young adult in MS

Background: The advent of COVID-19 vaccinations saw a rise in myopericarditis cases among young adults all over the United States, especially among males. As of June 11, 2021, 21.5 million second doses of COVID-19 vaccines have been administered in the age group 12 to 29, with 455 reported cases of myocarditis. Purpose: This report outlines a case of myopericarditis diagnosed in the first female young adult in the state of Mississippi after administering the second dose of the Pfizer- BioNTech BNT162b2 mRNA COVID-19 vaccine. The purpose of this case report is to discuss the presentation of myocarditis in a female patient, and the implications of vaccine use in the future. Conclusion: Myocarditis was found to be a rare occurrence among those vaccinated (risk of 0.0021%) compared to those who contract the COVID-19 infection (risk of 0.098%). ACIP recommends COVID-19 vaccinations to be administered in all age groups given the high risk-benefit ratio. In the meantime, CDC continues to investigate myocarditis cases post COVID-19 vaccinations and have found majority of these individuals to have recovered completely. However, the long-term effects of myopericarditis post vaccinations have yet to be determined

Correspondence: From G. Dekle Taylor to Faris S. Monsour, Jr. with handwritten notes, 1969-02-13

Dr. G. Dekle Taylor proposed to the Planning and Development committee of the Duval Medical Center some issues regarding the extent of care and the future of the hospital

Correspondence: From G. Dekle Taylor o Robert A. Cunningham, 1968-04-17

This letter contains a discussion about the Ad Hoc committee to improve the Duval Medical Cente

Memo: From G. Dekle Taylor to Members of the Executive Staff of Duval Medical Center on Duval Medical Center letterhead, 1969-02-05

This memo discusses the challenges facing the Duval Medical Center and asks for the hospital staff to offer criticisms and suggestions in subsequent meetings

Presentation: Remarks University Hospital of Jacksonville Meeting, 1973-08-08

Dr. G Dekle\u27s Remarks on the difficulties and responsibilities the Duval Medical Center has to serving lower income communitie

Presentation: Typescript Presentation with handwritten notes, 1970-01-20

Dr. G. Dekle Taylor\u27s draft of his retirement presentation and handwritten note

Correspondence: From G. Dekle Taylor to Clarence King, 1968-04-02

G. Dekle Taylor relates the Ad Hoc committee\u27s meeting on the improvement of the Duval Medical center and the recommendations that the committee made concerning improving the Duval Medical Cente

Medical Respite Care Services for Homeless Patients Discharged from Thomas Jefferson University Hospital: A Needs Based Assessment

Introduction: Medical respite programs have been proposed as a temporary solution to address the increased hospital readmission rates and lack of appropriate discharge options that exist for homeless patients. Objective: This study examines the 90-day readmission rate and discharge locations of patients experiencing homelessness. Methods: We conducted a retrospective chart review of homeless patients discharged from Thomas Jefferson University Hospital (TJUH) between April 30th 2017 to April 30th 2018. Homelessness was identified as any patient with 1 of the following locations listed for residency: 833 Chestnut Street, Broad Street Ministry, St. John’s Hospice, shelter as address, no address listed. The primary outcome was 90-day hospital readmission rate to TJUH. The secondary outcome was discharge location. Data regarding patient age and insurance status were also collected. Descriptive statistics were performed using SPSS, version 23. Results: Out of a sample of n=14233, data was separated by hospitalization type documented as emergency department (n=2283), observation (n=98) and inpatient (n=202). Inpatient data was examined. The mean age was 46 years and 58.4% of patients had Medicaid. 70.8% of patients were discharged to home/residence and 15.8% left against medical advice (AMA). 20.8% of patients experienced ≥1 hospital readmission in 90-days. Conclusion: Gaps exist in the discharge disposition options in EPIC (an electronic medical record system). Homeless patients have higher AMAs compared to the general population. Future efforts should focus on integrating medical respite care into the comprehensive discharge planning programs by TJUH, and educating healthcare providers on discharge options available for homeless patients