NICU Discharge Readiness

After days, weeks or months in the neonatal intensive care unit (NICU), families can be overwhelmed by the discharge preparation and the transition to home. Literature supports that inadequate preparation for discharge from the NICU increases family anxiety, risk for hospital readmission and emergency room visits, as well as infant care issues at home such as feeding difficulty. This quality improvement project was identified to improve and enhance discharge readiness in the NICU. The project started with the development of a discharge readiness committee. After reviewing the literature, the committee met to identify areas in need of improvement which included improving communication of discharge plan, family/caregiver preparedness, completion of education before day of discharge and nursing documentation of completed education. Initial actions items incorporated the initiation of weekly interdisciplinary health team rounds, development of a standardized discharge teaching tool, inclusion of requested circumcision awareness in OB morning huddle, creation of a badge backer to include a QR code for easy access to required discharge videos, and identification/education of necessary educational documentation required within first 24-48 hours of admission in NICU. The committee plans to measure length of stay, parent satisfaction and documentation of education to determine the impact of the identified action items. The goal of this quality improvement project is for families to be feel supported during their NICU journey and prepared for discharge well before the discharge day, resulting in increased patient satisfaction, decreased length of stay and decrease nursing workload on the day of discharge.https://scholar.rochesterregional.org/nursingresearchday/1004/thumbnail.jp

Analysis of methods

Information is one of an organization's most important assets. For this reason the development and maintenance of an integrated information system environment is one of the most important functions within a large organization. The Integrated Information Systems Evolution Environment (IISEE) project has as one of its primary goals a computerized solution to the difficulties involved in the development of integrated information systems. To develop such an environment a thorough understanding of the enterprise's information needs and requirements is of paramount importance. This document is the current release of the research performed by the Integrated Development Support Environment (IDSE) Research Team in support of the IISEE project. Research indicates that an integral part of any information system environment would be multiple modeling methods to support the management of the organization's information. Automated tool support for these methods is necessary to facilitate their use in an integrated environment. An integrated environment makes it necessary to maintain an integrated database which contains the different kinds of models developed under the various methodologies. In addition, to speed the process of development of models, a procedure or technique is needed to allow automatic translation from one methodology's representation to another while maintaining the integrity of both. The purpose for the analysis of the modeling methods included in this document is to examine these methods with the goal being to include them in an integrated development support environment. To accomplish this and to develop a method for allowing intra-methodology and inter-methodology model element reuse, a thorough understanding of multiple modeling methodologies is necessary. Currently the IDSE Research Team is investigating the family of Integrated Computer Aided Manufacturing (ICAM) DEFinition (IDEF) languages IDEF(0), IDEF(1), and IDEF(1x), as well as ENALIM, Entity Relationship, Data Flow Diagrams, and Structure Charts, for inclusion in an integrated development support environment

Judges, Juries, and Punitive Damages: Empirical Analyses Using the Civil Justice Survey of State Courts 1992, 1996, and 2001 Data

We analyze thousands of trials from a substantial fraction of the nation\u27s most populous counties. Evidence across ten years and three major datasets suggests that: (1) juries and judges award punitive damages in approximately the same ratio to compensatory damages, (2) the level of punitive damages awards has not increased, and (3) juries\u27 and judges\u27 tendencies to award punitive damages differ in bodily injury and no-bodily-injury cases. Jury trials are associated with a greater rate of punitive damages awards in financial injury cases. Judge trials are associated with a greater rate of punitive damages awards in bodily injury cases

Juror First Votes in Criminal Trials

Our analysis of the voting behavior of over 3,000 jurors in felony cases tried in Los Angeles, Maricopa County, the District of Columbia, and the Bronx reveals that only in D.C. does a juror\u27s race appear to relate to how he or she votes. African-American jurors in D.C. appear more apt to vote not guilty on the jury\u27s first ballot in cases involving minority defendants charged with drug offenses. We find no evidence, however, that this effect survives into the jury\u27s final verdict

Juror First Votes in Criminal Trials

Our analysis of the voting behavior of over 3,000 jurors in felony cases tried in Los Angeles, Maricopa County, the District of Columbia, and the Bronx reveals that only in D.C. does a juror\u27s race appear to relate to how he or she votes. African-American jurors in D.C. appear more apt to vote not guilty on the jury\u27s first ballot in cases involving minority defendants charged with drug offenses. We find no evidence, however, that this effect survives into the jury\u27s final verdict

Juror First Votes in Criminal Trials

Our analysis of the voting behavior of over 3,000 jurors in felony cases tried in Los Angeles, Maricopa County, the District of Columbia, and the Bronx reveals that only in D.C. does a juror\u27s race appear to relate to how he or she votes. African-American jurors in D.C. appear more apt to vote not guilty on the jury\u27s first ballot in cases involving minority defendants charged with drug offenses. We find no evidence, however, that this effect survives into the jury\u27s final verdict

Juror First Votes in Criminal Trials

Our analysis of the voting behavior of over 3,000 jurors in felony cases tried in Los Angeles, Maricopa County, the District of Columbia, and the Bronx reveals that only in D.C. does a juror\u27s race appear to relate to how he or she votes. African-American jurors in D.C. appear more apt to vote not guilty on the jury\u27s first ballot in cases involving minority defendants charged with drug offenses. We find no evidence, however, that this effect survives into the jury\u27s final verdict

SDSS J134441.83+204408.3: A Highly Asynchronous Short-period Magnetic Cataclysmic Variable with a 56 MG Field Strength

When the accreting white dwarf in a magnetic cataclysmic variable star (mCV) has a field strength in excess of 10 MG, it is expected to synchronize its rotational frequency to the binary orbit frequency, particularly at small binary separations, due to the steep radial dependence of the magnetic field. We report the discovery of an mCV (SDSS J134441.83+204408.3, hereafter J1344) that defies this expectation by displaying asynchronous rotation (Pspin/Porb = 0.893) in spite of a high surface field strength (B = 56 MG) and a short orbital period (114 minutes). Previously misidentified as a synchronously rotating mCV, J1344 was observed by Transiting Exoplanet Survey Satellite during sector 50, and the resulting power spectrum shows distinct spin and orbital frequencies, along with various sidebands and harmonics. Although there are several other asynchronous mCVs at short orbital periods, the presence of cyclotron humps in J1344's Sloan Digital Sky Survey spectrum makes it possible to directly measure the field strength in the cyclotron-emitting region, and while a previously study estimated 65 MG based on its identification of two cyclotron humps, we revise this to 56 ± 2 MG based on the detection of a third hump and on our modeling of the cyclotron spectrum. Short-period mCVs with field strengths above 10 MG are normally expected to be synchronous, so the highly asynchronous rotation in J1344 presents an interesting challenge for theoretical studies of spin-period evolution