Nursing Bed Side Report: Changing our Relationship with our Patients

To improve bed side shift reporting in order to standardize practices, to increase efficiency, to decrease RN late clock outs, and to increase patient satisfaction.https://digitalcommons.centracare.com/nursing_posters/1020/thumbnail.jp

Open All Hours!: Bariatric Surgery Patients Love CSC

During the fall and winter of 2020, St. Cloud Hospital saw a dramatic increase in the number of COVID-19 patients. Additionally, elective surgeries in Minnesota were on hold during the early months of the pandemic, and later in 2020 there was a significant backlog of these patients, waiting for their procedure. To serve patients and their families, St. Cloud Hospital teams planned for a way to safely and professionally offer surgical care needs to Central Minnesota.https://digitalcommons.centracare.com/nursing_posters/1121/thumbnail.jp

Utilizing a Protocol to Reduce Post-Operative Urinary Retention in Total Joint Arthroplasty

Foley catheters have not routinely been used for our total joint patients for many years, leading staff to bladder scan and straight catheterize patients postoperatively. Bladder scanning and catheterization were identified as an inconsistent practice. Patients were commonly straight catheterized when nurses determind bladder scan volume and time of last void; yet the amounts for both and decision to catheterize were inconsistent. Also, the clinical evaluation and treatment was inconsistent among physicians. Variations in practice included rationale for a urology consult, use of medications for urinary retention, and documentation. Baseline urinary retention condition codes ranged from 8-18%, which led our team to choose urinary retention as a performance meansure in 2012 for The Joint Commission Disease Specific Care Certification. Objective: Describe the clinical and cultural impact the total joint urinary protocol has on decreasing urinary retention.https://digitalcommons.centracare.com/nursing_posters/1054/thumbnail.jp

Blood Transfusion in Elective Total Hip and Total Knee Arthroplasty Patients

To standardize the use of blood transfusion in total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients.https://digitalcommons.centracare.com/nursing_posters/1008/thumbnail.jp

The Next Best Thing: Transferred Clients in a Legal Clinic

This article is a revised version of a presentation delivered to the Columbus Community Legal Services Anniversary Symposium on Clinical Legal Education, October 18, 1986

High-dimensional experiments for the downward continuation using the LRFMP algorithm

Time-dependent gravity data from satellite missions like GRACE-FO reveal mass redistribution in the system Earth at various time scales: long-term climate change signals, inter-annual phenomena like El Nino, seasonal mass transports and transients, e. g. due to earthquakes. For this contemporary issue, a classical inverse problem has to be considered: the gravitational potential has to be modelled on the Earth's surface from measurements in space. This is also known as the downward continuation problem. Thus, it is important to further develop current mathematical methods for such inverse problems. For this, the (Learning) Inverse Problem Matching Pursuits ((L)IPMPs) have been developed within the last decade. Their unique feature is the combination of local as well as global trial functions in the approximative solution of an inverse problem such as the downward continuation of the gravitational potential. In this way, they harmonize the ideas of a traditional spherical harmonic ansatz and the radial basis function approach. Previous publications on these methods showed proofs of concept. Here, we consider the methods for high-dimensional experiments settings with more than 500 000 grid points which yields a resolution of 20 km at best on a realistic satellite geometry. We also explain the changes in the methods that had to be done to work with such a large amount of data. The corresponding code (updated for big data use) is available at https://doi.org/10.5281/zenodo.8223771 under the licence CC BY-NC-SA 3.0 Germany

Additional interventions to enhance the effectiveness of individual placement and support: a rapid evidence assessment

Topic: Additional interventions used to enhance the effectiveness of individual placement and support (IPS). Aim: To establish whether additional interventions improve the vocational outcomes of IPS alone for people with severe mental illness. Method: A rapid evidence assessment of the literature was conducted for studies where behavioural or psychological interventions have been used to supplement standard IPS. Published and unpublished empirical studies of IPS with additional interventions were considered for inclusion. Conclusions. Six published studies were found which compared IPS alone to IPS plus a supplementary intervention. Of these, three used skills training and three used cognitive remediation. The contribution of each discrete intervention is difficult to establish. Some evidence suggests that work-related social skills and cognitive training are effective adjuncts, but this is an area where large RCTs are required to yield conclusive evidence