State Legislative Update

The State Legislative Update is compiled and written annually by the Journal of Dispute Resolution’s Associate Members under the direction of the Associate Editor in Chief. It is designed to provide readers with a listing of pertinent legislation affecting the field of alternative dispute resolution (“ADR”) and a more detailed look at certain bills because of their importance or novelty within the field. This year’s State Legislative Update is especially important because the operations of state legislatures were altered due to the COVID-19 Pandemic.*

CAEP 2015 Academic Symposium: Leadership within the emergency medicine academic community and beyond

OBJECTIVES: A panel of emergency medicine (EM) leaders endeavoured to define the key elements of leadership and its models, as well as to formulate consensus recommendations to build and strengthen academic leadership in the Canadian EM community in the areas of mentorship, education, and resources

A Ray-Tracing Algorithm for Spinning Compact Object Spacetimes with Arbitrary Quadrupole Moments. II. Neutron Stars

A moderately spinning neutron star acquires an oblate shape and a spacetime with a significant quadrupole moment. These two properties affect its apparent surface area for an observer at infinity, as well as the lightcurve arising from a hot spot on its surface. In this paper, we develop a ray-tracing algorithm to calculate the apparent surface areas of moderately spinning neutron stars making use of the Hartle-Thorne metric. This analytic metric allows us to calculate various observables of the neutron star in a way that depends only on its macroscopic properties and not on the details of its equation of state. We use this algorithm to calculate the changes in the apparent surface area, which could play a role in measurements of neutron star radii and, therefore, in constraining their equation of state. We show that whether the spinning neutron star appears larger or smaller than its non-rotating counterpart depends primarily on its equatorial radius. For neutron stars with radii ~10 km, the corrections to the Schwarzschild spacetime cause the apparent surface area to increase with spin frequency. In contrast, for neutron stars with radii ~15 km, the oblateness of the star dominates the spacetime corrections and causes the apparent surface area to decrease with increasing spin frequency. In all cases, the change in the apparent geometric surface area for the range of observed spin frequencies is < 5% and hence only a small source of error in the measurement of neutron star radii.Comment: 9 pages, 6 figures, published in Ap

The effects of orange juice clarification on the physiology of Escherichia coli; growth-based and flow cytometric analysis

Orange juice (OJ) is a food product available in various forms which can be processed to a greater or lesser extent. Minimally-processed OJ has a high consumer perception but presents a potential microbiological risk due to acid-tolerant bacteria. Clarification of OJ (such as removal of cloud) is a common processing step in many OJ products. However, many of the antimicrobial components of OJ such as essential oils are present in the cloud fraction. Here, the effect of clarification by filtration on the viability and physiology of Escherichia coli K-12 was tested using total viable count (TVC) and flow cytometric (FCM) analysis. The latter technique was also used to monitor intracellular pH during incubation in OJ. Removal of the OJ cloud fraction was shown to have dramatic effects on bacterial viability and physiology during storage at a range of incubation temperatures. For instance, at 4°C, a significantly lower number of healthy cells and a significantly higher number of injured cells were observed in 0.22μm-filtered OJ at 24h post-inoculation, compared to filtered OJ samples containing particles between 0.22μm and 11μm in size. Similarly, there was a significant difference between the number of healthy bacteria in the 0.7μm-filtered OJ and both 0.22μm-filtered and 1.2μm-filtered OJ after 24hour incubation at 22.5°C. This indicated that OJ cloud between 0.7μm and 0.22μm in size might have an adverse effect on the viability of E. coli K-12. Furthermore, FCM allowed the rapid analysis of bacterial physiology without the requirement for growth on agar plates, and revealed the extent of the viable but non-culturable (VBNC) population. For example, at 4°C, while the FCM viable count did not substantially decrease until 48h, decreases in TVC were observed between 0 and 48hour incubation, due to a subset of injured bacteria entering the VBNC state, hence being unable to grow on agar plates. This study highlights the application of FCM in monitoring bacterial physiology in foods, and potential effects of OJ clarification on bacterial physiology

Hospital Preparedness and SARS

On May 23, 2003, Toronto experienced the second phase of a severe acute respiratory syndrome (SARS) outbreak. Ninety cases were confirmed, and >620 potential cases were managed. More than 9,000 persons had contact with confirmed or potential case-patients; many required quarantine. The main hospital involved during the second outbreak was North York General Hospital. We review this hospital’s response to, and management of, this outbreak, including such factors as building preparation and engineering, personnel, departmental workload, policies and documentation, infection control, personal protective equipment, training and education, public health, management and administration, follow-up of SARS patients, and psychological and psychosocial management and research. We also make recommendations for other institutions to prepare for future outbreaks, regardless of their origin

Evaluation of an emergency department lean process improvement program to reduce length of stay

Study objective In recent years, lean principles have been applied to improve wait times in the emergency department (ED). In 2009, an ED process improvement program based on lean methods was introduced in Ontario as part of a broad strategy to reduce ED length of stay and improve patient flow. This study seeks to determine the effect of this program on ED wait times and quality of care. Methods We conducted a retrospective cohort study of all ED visits at program and control sites during 3 program waves from April 1, 2007, to June 30, 2011, in Ontario, Canada. Time series analyses of outcomes before and after the program and difference-in-differences analyses comparing changes in program sites with control sites were conducted. Results In before-after models among program sites alone, 90th percentile ED length of stay did not change in wave 1 (–14 minutes [95% confidence interval {CI} –47 to 20]) but decreased after wave 2 (–87 [95% CI –108 to –66]) and wave 3 (–33 [95% CI –50 to –17]); median ED length of stay decreased after wave 1 (–18 [95% CI –24 to –12]), wave 2 (–23 [95% CI –27 to –19]), and wave 3 (–15 [95% CI –18 to –12]). In all waves, decreases were observed in time to physician assessment, left-without-being-seen rates, and 72-hour ED revisit rates. In the difference-in-difference models, in which changes in program sites were compared with controls, the program was associated with no change in 90th percentile ED length of stay in wave 2 (17 [95% CI –0.2 to 33]) and increases in wave 1 (23 [95% CI 0.9 to 45]) and wave 3 (31 [95% CI 10 to 51]), modest reductions in median ED length of stay in waves 2 and 3 alone, and a decrease in time to physician assessment in wave 3 alone. Conclusion Although the program reduced ED waiting times, it appeared that its benefits were diminished or disappeared when compared with that of control sites, which were exposed to system-wide initiatives such as public reporting and pay for performance. This study suggests that further evaluation of the effectiveness of lean methods in the ED is warranted before widespread implementation

Aerodynamic Drag of Heavy Vehicles (Class 7-8): Simulation and Benchmarking

This paper describes research and development for reducing the aerodynamic drag of heavy vehicles by demonstrating new approaches for the numerical simulation and analysis of aerodynamic flow. Experimental validation of new computational fluid dynamics methods are also an important part of this approach. Experiments on a model of an integrated tractor-trailer are underway at NASA Ames Research Center and the University of Southern California (USC). Companion computer simulations are being performed by Sandia National Laboratories (SNL), Lawrence Livermore National Laboratory (LLNL), and California Institute of Technology (Caltech) using state-of-the-art techniques