Pediatric Streptococcal Pharyngitis Testing and Treatment Practices

Objective: The purpose of this pilot quality improvement study was to implement SmartPhrases and assess its impact on adherence to the Infectious Disease Society of America (IDSA) guideline for Group A Streptococcus (GAS) pharyngitis testing and treatment in pediatric patients ages 1-16 years old. The aim was to use SmartPhrases to improve adherence with the IDSA guideline by 30% for GAS pharyngitis swabbing and 10% for appropriate antibiotic prescribing in three months. Methods: A retrospective data analysis approach was used, in reviewing SmartPhrases data from the electronic health records (EHR) in a metropolitan Urgent Care. This data were collected from October 2022 and April 2023. The IOWA Model of Evidence-Based Practice was applied to evaluate the use of SmartPhrases. Sampling was done by convenience method. Results: There were (N=116) met criteria for the pre and post-timeframe.Timeframe data was compared using the Chi-Square Goodness of Fit test, revealing a significant difference (p Conclusion: The impact of SmartPhrases on IDSA guideline usage was inconclusive. Recommendations for future studies is to investigate interventions to help improve guideline adherence, such as SmartPhrases, education, and protocols. Implications for practice are education and SmartPhrases may be able to improve guideline utilization

Beck-type companion identities for Franklin's identity

In 2017, Beck conjectured that the difference in the number of parts in all partitions of $n$ into odd parts and the number of parts in all strict partitions of $n$ is equal to the number of partitions of $n$ whose set of even parts has one element, and also to the number of partitions of $n$ with exactly one part repeated. Andrews proved the conjecture using generating functions. Beck's identity is a companion identity to Euler's identity. The theorem has been generalized (with a combinatorial proof) by Yang to a companion identity to Glaisher's identity. Franklin generalized Glaisher's identity, and in this article, we provide a Beck-type companion identity to Franklin's identity and prove it both analytically and combinatorially. Andrews' and Yang's respective theorems fit naturally into this very general frame. We also discuss how Franklin's identity and the companion Beck-type identities can be further generalized to Euler pairs of any order

Does a nonlinear mating preference predict nonlinear benefits to offspring?: Avoiding bad mates to obtain good genes

Abstract only availableFemale Hyla versicolor (gray tree frogs) strongly prefer choosing mates with long or medium call lengths, avoiding the shorter callers. The development of their offspring is hypothesized to mirror this nonlinear preference, in that the long and medium caller progeny will develop at a similar rate that is faster than that of the short callers. Using past data, twenty-seven males with long, medium, and short call lengths were chosen and mated (in vitro) with random field-caught females. Five hundred and forty tadpoles were raised in individual containers. The tadpoles were subjected to high and low food treatments to test an environmental effect on their development. At three weeks, the tadpoles were weighed. These data were compared for the offspring of the long, medium, and short father's call according to food treatment as well as tadpole growth according to food treatment. Both the long calling and the medium calling progeny developed at a faster rate then the short calling progeny, but at a similar rate compared to each other. Tadpoles subjected to high food treatments developed at a faster rate than the low food treatment tadpoles. The dates of metamorphosis will also be recorded and later compared in the future. As the tadpoles of shorter calling fathers develop at a slower rate than the longer calling progeny, they are more at risk for environmental dangers and predation before they undergo metamorphosis. By researching female choices regarding length of calls and its effect on offspring development, we can examine how natural selection affects the evolution of female mating behavior.NSF grant to A. Welc

Homomesies on permutations -- an analysis of maps and statistics in the FindStat database

In this paper, we perform a systematic study of permutation statistics and bijective maps on permutations in which we identify and prove 122 instances of the homomesy phenomenon. Homomesy occurs when the average value of a statistic is the same on each orbit of a given map. The maps we investigate include the Lehmer code rotation, the reverse, the complement, the Foata bijection, and the Kreweras complement. The statistics studied relate to familiar notions such as inversions, descents, and permutation patterns, and also more obscure constructs. Beside the many new homomesy results, we discuss our research method, in which we used SageMath to search the FindStat combinatorial statistics database to identify potential homomesies

Nebraska Child Care Market Rate Survey Report 2019

The Child Care and Development Block Grant (CCDBG) Act of 2014 was reauthorized with renewed emphasis placed on the Child Care and Development Fund (CCDF) program, which seeks to provide equal access to quality child care for families. The CCDF program is necessary to ensure children from low-income families have the opportunity to experience stable, high-quality early experiences while their parents experience a pathway to economic stability. A primary goal of the CCDF program is to ensure that low-income families receive CCDF funds to help them access quality child care in the same manner as families that pay the full rate for child care services (Davis et al., 2017). The CCDBG Act requires Lead Agencies to engage in a number of activities designed to inform families receiving CCDF assistance, the general public, and child care providers of various aspects of the new law. This includes a requirement for Lead Agencies to conduct a market rate survey or alternative methodology to establish provider payment rates. Various factors should be considered when provider payment rates are established to ensure children from low-income families have equal access to highquality child care. Federal regulations indicate that the 75th percentile payment rate is a benchmark for gauging equal access for families receiving subsidy. However, States/ Territories are given the freedom to determine their own rates and eligibility requirements for families and programs. The Nebraska Department of Health and Human Services (NDHHS) is the CCDF Lead Agency in Nebraska. While the reauthorized CCDBG allows states to conduct a market rate survey every three years, state legislation requires that NDHHS adjust the reimbursement rate for child care every odd numbered year. For 2019, NDHHS contracted with the Buffett Early Childhood Institute (referred to as Institute throughout the remainder of this manuscript) at the University of Nebraska to conduct a market rate survey (MRS) for child care in the state of Nebraska. The 2019 MRS was designed to meet the following federal benchmarks: (a) includes the priced child care market; (b) provides complete and current data; (c) represents geographic variations; (d) uses rigorous data collection procedures; and (e) analyzes data in a manner that captures market differences as a function of age group, provider type, and geographic location (45 CFR § 98.4)

Coding Severe Behaviors in Children with Autism Spectrum Disorder to Train Machine Learning Algorithms

https://digitalcommons.unmc.edu/surp2022/1003/thumbnail.jp