Evaluation of Antibiotic Prescribing Patterns for Community Acquired Pneumonia

Purpose: To evaluate duration of antibiotic therapy and prescribing patterns for non-ICU CAP at St Cloud Hospital, a tertiary community hospital.https://digitalcommons.centracare.com/pharmacy_posters/1000/thumbnail.jp

Housing, Health and Well-Being: An International Perspective

At present around 1,000 million people live in grossly inadequate housing, and 100 million have no shelter whatsoever. Adverse trends in housing status and environmental conditions threaten the health and well-being of additional millions of people world-wide. The relationships between housing and health are reviewed, with an emphasis on the house structure, sanitation, pollution, and overcrowding. Possible approaches to improved housing and municipal planning are examined, and the key requirements include new policies of municipal and national governments, intersectoral coordination, the mobilization and enabling of communities, and strengthened environmental health services

Evaluation of Heparin-Induced Thrombocytopenia Antibody Laboratory Use and Anticoagulation Prescribing Patterns

Introduction Heparin-induced thrombocytopenia (HIT) is a rare adverse reaction Calculating a 4T score prior to ordering a heparin-PF4 immunoassay is recommended. For a score \u3c 4, HIT probability is low and an assay is not advised If high suspicion of HIT (4T greater than or equal to 4), an assay should be ordered, all heparin products discontinued, and a non-heparin anticoagulant initiated. Purpose Determine if heparin immunoassay ordering was indicted according to retrospective 4T score Assess anticoagulation prescribing depending on the result of the assay Serve as a pre-group for a planned perverse post-HIT order set implementation analysishttps://digitalcommons.centracare.com/pharmacy_posters/1007/thumbnail.jp

Ruptured Splenic Artery Aneurysm: Rare Cause of Shock Diagnosed with Bedside Ultrasound

Splenic artery aneurysm rupture is rare and potentially fatal. It has largely been reported in pregnant patients and typically not diagnosed until laparotomy. This case reports a constellation of clinical and sonographic findings that may lead clinicians to rapidly diagnose ruptured splenic artery aneurysm at the bedside. We also propose a rapid, but systematic sonographic approach to patients with atraumatic hemoperitoneum causing shock. It is yet another demonstration of the utility of bedside ultrasound in critically ill patients, specifically with undifferentiated shock

NASA Ground and Launch Systems Processing Technology Area Roadmap

In 2010, NASA developed a set of 14 draft roadmaps to guide the development of space technologies under the leadership of the NASA Office of the Chief Technologist. Each of these roadmaps focused on a particular technology area. The roadmaps are intended to foster the development of advanced technologies and concepts that address NASA’s needs and contribute to other aerospace and national needs. NASA contracted with the National Research Council (NRC) to perform an independent critique of the draft roadmaps. NASA assessed the NRC’s prioritizations and recommendations and developed the Strategic Space Technology Investment Plan (SSTIP) to outline the future investment strategy. The Ground and Launch Systems Processing (GLSP) Technology Area Roadmap was developed to identify ground, launch and mission technologies that would dramatically transform future space operations, with significant improvement in life-cycle costs and the quality of life on earth, increasing reliability and mission availability, and enhancing methods to assess safety and mission risk posture. Since operations costs can constitute roughly 40% of the total mission costs, by realizing savings in this technology area, NASA could redirect significant investments toward supporting a broader customer base with robust exploration missions

UV excess measures of accretion onto young very low-mass stars and brown dwarfs

Low-resolution spectra from 3000-9000 AA of young low-mass stars and brown dwarfs were obtained with LRIS on Keck I. The excess UV and optical emission arising in the Balmer and Paschen continua yields mass accretion rates ranging from 2e-12 to 1e-8 Mo/yr. These results are compared with {\it HST}/STIS spectra of roughly solar-mass accretors with accretion rates that range from 2e-10 to 5e-8 Mo/yr. The weak photospheric emission from M-dwarfs at <4000 A leads to a higher contrast between the accretion and photospheric emission relative to higher-mass counterparts. The mass accretion rates measured here are systematically 4-7 times larger than those from H-alpha emission line profiles, with a difference that is consistent with but unlikely to be explained by the uncertainty in both methods. The accretion luminosity correlates well with many line luminosities, including high Balmer and many He I lines. Correlations of the accretion rate with H-alpha 10% width and line fluxes show a large amount of scatter. Our results and previous accretion rate measurements suggest that accretion rate is proportional to M^(1.87+/-0.26) for accretors in the Taurus Molecular Cloud.Comment: 13 pages text, 15 tables, 14 figures. Accepted by Ap

Paper Session II-B - Strategies for Conducting Life Science Experiments Beyond Low Earth Orbit

Human exploration beyond low Earth orbit will require terrestrial life to survive and ultimately flourish in environments fundamentally different to those in which it has evolved. The effects of deep space and conditions on the surface of other planets must be studied to understand and reduce the risks to explorers, provide bioregenerative life support, and make full use of the broad research opportunities and scientific benefits offered by such unique environments. Though much is already known about biological adaptations to the space environment, key changes in terrestrial life may only be revealed over complete life cycles and across multiple generations living beyond Earth. The demands and potential risks of exploring and inhabiting other worlds necessitate a detailed understanding of these changes at all levels of biological organization, from genetic alterations to impacts on critical elements of reproduction, development, and aging. Results from experiments conducted beyond low Earth orbit will contribute to the safety of space exploration and address fundamental questions of life\u27s potential beyond its planet of origin. Research campaigns will include a combination of core studies and innovative, Pl-driven investigations. Multiple flight platforms-including free flyers and planetary bases-may support a range of manned and unmanned mission opportunities

CASTER - a concept for a Black Hole Finder Probe based on the use of new scintillator technologies

The primary scientific mission of the Black Hole Finder Probe (BHFP), part of the NASA Beyond Einstein program, is to survey the local Universe for black holes over a wide range of mass and accretion rate. One approach to such a survey is a hard X-ray coded-aperture imaging mission operating in the 10--600 keV energy band, a spectral range that is considered to be especially useful in the detection of black hole sources. The development of new inorganic scintillator materials provides improved performance (for example, with regards to energy resolution and timing) that is well suited to the BHFP science requirements. Detection planes formed with these materials coupled with a new generation of readout devices represent a major advancement in the performance capabilities of scintillator-based gamma cameras. Here, we discuss the Coded Aperture Survey Telescope for Energetic Radiation (CASTER), a concept that represents a BHFP based on the use of the latest scintillator technology.Comment: 12 pages; conference paper presented at the SPIE conference "UV, X-Ray, and Gamma-Ray Space Instrumentation for Astronomy XIV." To be published in SPIE Conference Proceedings, vol. 589

Risk Factors for Colonization of E. coli in Atlantic Bottlenose Dolphins (Tursiops truncatus) in the Indian River Lagoon, Florida

Opportunistic pathogens related to degradation in water quality are of concern to both wildlife and public health. The objective of this study was to identify spatial, temporal, and environmental risk factors for E. coli colonization among Atlantic bottlenose dolphins (Tursiops truncatus) inhabiting the Indian River Lagoon (IRL), FL between 2003 and 2007. Age, gender, capture location, coastal human population density, proximity of sewage treatment plants, number of septic tanks, cumulative precipitation 48 hrs and 30 days prior to capture, salinity, and water temperature were analyzed as potential risk factors. Highest E. coli colonization rates occurred in the northern segments of the IRL. The risk of E. coli colonization was the highest among the youngest individuals, in counties with the highest cumulative rainfall 48 hrs and in counties with the highest number of septic systems during the year of capture. The prevalence of colonization was the highest during 2004, a year during which multiple hurricanes hit the coast of Florida. Septic tanks, in combination with weather-related events suggest a possible pathway for introduction of fecal coliforms into estuarine ecosystems. The ability of E. coli and related bacteria to act as primary pathogens or cause opportunistic infections adds importance of these findings