Perioperative Glycemic Management

Proposals and Goals: 1. We propose creating a standard easy to use and safe protocol for glycemic management for same day/elective surgical patients. 2. Following implementation in same day and elective surgical procedures, we propose expanding the protocol to be effective in urgent and emergent inpatient surgical procedures.https://jdc.jefferson.edu/patientsafetyposters/1068/thumbnail.jp

Tracking and Improving Bedside Procedures Through Standardized Documentation

Proposal and Goals: We propose to create a standardized electronic procedure note that will replace all documentation for bedside procedures without sedation. ◦Makes notes legible and easily identified ◦Allows uniform tracking of metrics necessary to identify outcomes from a procedure (blood loss, specimens, post-procedure studies, complications) 2.The procedure note will be created in such a way as to allow specialized procedures to be added over time with minor customization to improve physician/nursing work flows and increase efficiency ◦Allows procedures to be sorted and tracked by type ◦Will be constructed to allow attaching CPT codes to patient charts via documentation 3. We propose using this procedure note to create a running database of all bedside procedures ◦Can be utilized by existing software (Qlik) to query all procedure notes to create large anonymized patient listshttps://jdc.jefferson.edu/patientsafetyposters/1071/thumbnail.jp

Standardized Consent Forms for Surgical Procedures: An Intervention to Improve the Resident-led Informed Consent Process

Objectives and Goals: To provide high quality, consistent consent forms for common surgical procedures and improve resident workflow by creating and implementing standardized printed consents for common surgical procedures. These consents will be used by residents consenting patients in the ED or inpatient setting. Consents shall include standardized procedure descriptions, risks and benefits of the procedure, and alternative treatment option descriptions, risks and benefitshttps://jdc.jefferson.edu/patientsafetyposters/1057/thumbnail.jp

Geostationary Operational Environmental Satellite (GOES) Gyro Temperature Model

The geostationary Operational Environmental Satellite (GOES) 1/M series of spacecraft are geostationary weather satellites that use the latest in weather imaging technology. The inertial reference unit package onboard consists of three gyroscopes measuring angular velocity along each of the spacecraft's body axes. This digital integrating rate assembly (DIRA) is calibrated and used to maintain spacecraft attitude during orbital delta-V maneuvers. During the early orbit support of GOES-8 (April 1994), the gyro drift rate biases exhibited a large dependency on gyro temperature. This complicated the calibration and introduced errors into the attitude during delta-V maneuvers. Following GOES-8, a model of the DIRA temperature and drift rate bias variation was developed for GOES-9 (May 1995). This model was used to project a value of the DIRA bias to use during the orbital delta-V maneuvers based on the bias change observed as the DIRA warmed up during the calibration. The model also optimizes the yaw reorientation necessary to achieve the correct delta-V pointing attitude. As a result, a higher accuracy was achieved on GOES-9 leading to more efficient delta-V maneuvers and a propellant savings. This paper summarizes the: Data observed on GOES-8 and the complications it caused in calibration; DIRA temperature/drift rate model; Application and results of the model on GOES-9 support

A Characterisation of Strong Wave Tails in Curved Space-Times

A characterisation of when wave tails are strong is proposed. The existence of a curvature induced tail (i.e. a Green's function term whose support includes the interior of the light-cone) is commonly understood to cause backscattering of the field governed by the relevant wave equation. Strong tails are characterised as those for which the purely radiative part of the field is backscattered. With this definition, it is shown that electromagnetic waves in asymptotically flat space-times and fields governed by tail-free propagation have weak tails, but minimally coupled scalar fields in a cosmological scenario have strong tails.Comment: 17 pages, Revtex, to appear in Classical and Quantum Gravit

A Comparison of 1978 and 2006 Peak Pollen Seasons and Sampling Methods in Missoula, Montana

A study was conducted in Missoula, Montana to compare local pollen counts from 1978 with those measured nearly 30 years later in 2006 using two different measurement techniques (Durham gravimetric sampler and a Burkard volumetric sampler). Trends in peak pollen times measured during the spring, summer and autumn, respectively, were compared between the two years by Pearson’s correlation and frequency of occurrence of plant genus. Meteorological conditions were also examined during each of the two study periods. In comparing the two years, there was a statistically significant linear association between the different counts for the months of April through August, with similar levels of pollen types for any given month. The five predominant pollen types (based on counts) identified in each study were Pinus, Poaceae, Populus, Alnus, and Betula for 2006 and Pinus, Poaceae, Populus, Acer and Artemisia for 1978. In summary most of the genera displayed similar peak pollination timing between the two years, suggesting that results from the Durham (gravimetric) and Burkard (volumetric) sampling methods are comparable when reporting relative frequency of occurrence

Geostationary Operational Environmental Satellite (GOES)-8 mission flight experience

The Geostationary Operational Environmental Satellite (GOES)-8 spacecraft was launched on April 13, 1994, at 06:04:02 coordinated universal time (UTC), with separation from the Atlas-Centaur launch vehicle occurring at 06:33:05 UTC. The launch was followed by a series of complex, intense operations to maneuver the spacecraft into its geosynchronous mission orbit. The Flight Dynamics Facility (FDF) of the Goddard Space Flight Center (GSFC) Flight Dynamics Division (FDD) was responsible for GOES-8 attitude, orbit maneuver, orbit determination, and station acquisition support during the ascent phase. This paper summarizes the efforts of the FDF support teams and highlights some of the unique challenges the launch team faced during critical GOES-8 mission support. FDF operations experience discussed includes: (1) The abort of apogee maneuver firing-1 (AMF-1), cancellation of AMF-3, and the subsequent replans of the maneuver profile; (2) The unexpectedly large temperature dependence of the digital integrating rate assembly (DIRA) and its effect on GOES-8 attitude targeting in support of perigee raising maneuvers; (3) The significant effect of attitude control thrusting on GOES-8 orbit determination solutions; (4) Adjustment of the trim tab to minimize torque due to solar radiation pressure; and (5) Postlaunch analysis performed to estimate the GOES-8 separation attitude. The paper also discusses some key FDF GOES-8 lessons learned to be considered for the GOES-J launch which is currently scheduled for May 19, 1995

Scaling of Self-Avoiding Walks in High Dimensions

We examine self-avoiding walks in dimensions 4 to 8 using high-precision Monte-Carlo simulations up to length N=16384, providing the first such results in dimensions $d > 4$ on which we concentrate our analysis. We analyse the scaling behaviour of the partition function and the statistics of nearest-neighbour contacts, as well as the average geometric size of the walks, and compare our results to $1/d$-expansions and to excellent rigorous bounds that exist. In particular, we obtain precise values for the connective constants, $\mu_5=8.838544(3)$, $\mu_6=10.878094(4)$, $\mu_7=12.902817(3)$, $\mu_8=14.919257(2)$ and give a revised estimate of $\mu_4=6.774043(5)$. All of these are by at least one order of magnitude more accurate than those previously given (from other approaches in $d>4$ and all approaches in $d=4$). Our results are consistent with most theoretical predictions, though in $d=5$ we find clear evidence of anomalous $N^{-1/2}$-corrections for the scaling of the geometric size of the walks, which we understand as a non-analytic correction to scaling of the general form $N^{(4-d)/2}$ (not present in pure Gaussian random walks).Comment: 14 pages, 2 figure

Household reporting of childhood respiratory health and air pollution in rural Alaska Native communities

Background. Air pollution is an important contributor to respiratory disease in children. Objective. To examine associations between household reporting of childhood respiratory conditions and household characteristics related to air pollution in Alaska Native communities. Design. In-home surveys were administered in 2 rural regions of Alaska. The 12-month prevalence of respiratory conditions was summarized by region and age. Odds ratios (ORs) were calculated to describe associations between respiratory health and household and air quality characteristics. Results. Household-reported respiratory health data were collected for 561 children in 328 households. In 1 region, 33.6% of children aged/or bronchitis. Children with these conditions were 2 times more likely to live in a wood-heated home, but these findings were imprecise. Resident concern with mould was associated with elevated prevalence of respiratory infections in children (ORs 1.6–2.5), while reported wheezing was associated with 1 or more smokers living in the household. Reported asthma in 1 region (7.6%) was lower than national prevalence estimates. Conclusions. Findings suggest that there may be preventable exposures, including wood smoke and mould that affect childhood respiratory disease in these rural areas. Additional research is needed to quantify particulate matter 2.5 microns in aerodynamic diameter or less and mould exposures in these communities, and to objectively evaluate childhood respiratory health