1,355 research outputs found

    Reducing Overtreatment of Urinalysis in Obstetric Triage Patients

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    Overtreatment of asymptomatic bacteriuria (ASB) is a major issue that has been coming to the forefront in recent decades. Studies have shown that it can lead to adverse side effects, extra costs and antimicrobial resistance. The purpose of this study was to determine the number of patients presenting to obstetric triage who were over treated for a urinalysis (UA), and if an educational intervention could reduce the incidence of overtreatment for suspected ASB. This was a retrospective chart review analyzing UA results and outcomes of OB triage patients that came through labor and delivery before and after an educational intervention.Two time periods were identified: Cohort 1 (Pre-intervention) included patients from March- May of 2017. Cohort 2 (Post-intervention) included patients from March – May 2018.These time periods were chosen to have similar training levels on labor and delivery triage. Based on UA criteria it was then determined if subjects were treated appropriately. 1312 charts were reviewed; 601 in Cohort 1 (pre-intervention) and 711 in Cohort 2 (post intervention). There was a significant reduction in subjects who were over-treated for UA following the intervention. In our study, a resident to resident didactic session appears to have reduced the incidence of overtreatment of bacteriuria. This type of intervention could lead to more cost-efficient care and reduce complications for individual pregnant patients

    Toward Culturally Competent Archival (Re)Description of Marginalized Histories

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    Influenced by the radical archives movement, panelists discuss their (re)processing projects for which they wrote or rewrote descriptions in culturally competent approaches. Their case studies include materials regarding underrepresented peoples and historically oppressed groups who are marginalized from or maligned in the archival record. Targeted to processors, this session aims to teach participants to apply their cultural competencies in writing finding aids through an introduction to cultural competency framework, the case study examples, and a short audience-participation exercise

    Biology and Biological Control of Exotic True Thistles

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    “Thistle” is an old English name for a large variety of weedy, prickly plants that grow throughout the world. The most notable characteristics of thistles are the prickly stems and leaves and the bracts around the flower head. While many different plants have “thistle” in their common name, only certain plant species fit the taxonomic requirements of being considered “true thistles.” True thistle species fall within the family Asteraceae, the tribe Cardueae, and the subtribe Carduinae. Examples of plants that are not true thistles include yellow starthistle (subtribe Centaureinae), sow thistle (subtribe Sonchinae), and Russian thistle (family Chenopodiaceae). Only true thistles in the subtribe Carduinae are discussed in this manual

    Biology and Biological Control of Exotic True Thistles

    Get PDF
    “Thistle” is an old English name for a large variety of weedy, prickly plants that grow throughout the world. The most notable characteristics of thistles are the prickly stems and leaves and the bracts around the flower head. While many different plants have “thistle” in their common name, only certain plant species fit the taxonomic requirements of being considered “true thistles.” True thistle species fall within the family Asteraceae, the tribe Cardueae, and the subtribe Carduinae. Examples of plants that are not true thistles include yellow starthistle (subtribe Centaureinae), sow thistle (subtribe Sonchinae), and Russian thistle (family Chenopodiaceae). Only true thistles in the subtribe Carduinae are discussed in this manual

    Investigating Graduate Education and Undergraduate Research Intentions of College Science Students

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    The current study examined predictors of undergraduate science students’ intentions to attend graduate school and participate in undergraduate research. We used social cognitive career theory to test our hypothesized model using a sample (N ¼ 411) of life science and physical science majors and examined basic interests in these disciplines as mediating variables. Among life science majors, results of structural equation modeling indicated that microbiology interest mediated the relationship between scientific self-efficacy (SSE) and graduate education intentions (GEIs) and the latter variable also mediated the relationship between microbiology interest and undergraduate research intentions (URIs). The model for physical science majors did not provide a good fit to the data, therefore path coefficients associated with this model were not interpreted. Implications for counseling interventions based on patterns of career intention formation in the life and physical sciences are discussed

    Simultaneous X-ray and radio observations of Young Stellar Objects in NGC 1333 and IC 348

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    Young Stellar Objects (YSOs) and in particular protostars are known to show a variety of high-energy processes. Observations in the X-ray and centimetric radio wavelength ranges are thought to constrain some of these processes, e.g., coronal-type magnetic activity. There is a well-known empirical correlation of radio and X-ray luminosities in active stars, the so-called Guedel-Benz relation. Previous evidence whether YSOs are compatible with this relation remains inconclusive for the earliest evolutionary stages. The main difficulty is that due to the extreme variability of these sources, simultaneous observations are essential. Until now, only few YSOs and only a handful of protostars have been observed simultaneously in the X-ray and radio range. To expand the sample, we have obtained such observations of two young clusters rich in protostars, NGC 1333 and IC 348. While the absolute sensitivity is lower for these regions than for more nearby clusters like CrA, we find that even in deep continuum observations carried out with the NRAO Very Large Array, the radio detection fraction for protostars in these clusters is much lower than the X-ray detection fraction. Very few YSOs are detected in both bands, and we find the radio and X-ray populations among YSOs to be largely distinct. We combine these new results with previous simultaneous Chandra and VLA observations of star-forming regions and find that YSOs with detections in both bands appear to be offset toward higher radio luminosities for given X-ray luminosities when compared to the Guedel-Benz relation, although even in this sensitive dataset most sources are too weak for the radio detections to provide information on the emission processes. The considerably improved sensitivity of the Expanded Very Large Array will provide a better census of the YSO radio population as well as better constraints on the emission mechanisms.Comment: Accepted for publication in Ap

    A clustered randomised trial examining the effect of social marketing and community mobilisation on the age of uptake and levels of alcohol consumption by Australian adolescents

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    IntroductionThroughout the world, alcohol consumption is common among adolescents. Adolescent alcohol use and misuse have prognostic significance for several adverse long-term outcomes, including alcohol problems, alcohol dependence, school disengagement and illicit drug use. The aim of this study was to evaluate whether randomisation to a community mobilisation and social marketing intervention reduces the proportion of adolescents who initiate alcohol use before the Australian legal age of 18, and the frequency and amount of underage adolescent alcohol consumption.Method and analysisThe study comprises 14 communities matched with 14 non-contiguous communities on socioeconomic status (SES), location and size. One of each pair was randomly allocated to the intervention. Baseline levels of adolescent alcohol use were estimated through school surveys initiated in 2006 (N=8500). Community mobilisation and social marketing interventions were initiated in 2011 to reduce underage alcohol supply and demand. The setting is communities in three Australian states (Victoria, Queensland and Western Australia). Students (N=2576) will complete school surveys in year 8 in 2013 (average age 12). Primary outcomes: (1) lifetime initiation and (2) monthly frequency of alcohol use. Reports of social marketing and family and community alcohol supply sources will also be assessed. Point estimates with 95% CIs will be compared for student alcohol use in intervention and control communities. Changes from 2006 to 2013 will be examined; multilevel modelling will assess whether random assignment of communities to the intervention reduced 2013 alcohol use, after accounting for community level differences. Analyses will also assess whether exposure to social marketing activities increased the intervention target of reducing alcohol supply by parents and community members

    Re-Gendering the Libertine; or, The Taming of the Rake: Lucy Vestris as Don Giovanni on the Early Nineteenth-Century London Stage

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    When Luigi Bassi entered the stage of the Prague National Theatre in 1787 to create the title role of Mozart and Da Ponte's Don Giovanni, he could have drawn inspiration from a rich tradition of theatrical, pantomimic and marionette representations of the legendary Don Juan, to which this new opera was the latest contribution. Previous incarnations had been shaped by the likes of Tirso de Molina, Molière, Shadwell, Purcell and Gluck; yet it is Mozart and Da Ponte's version that has for us become the definitive: the Don as paradox; an uncomfortable blend of the despicable and the admirable, hero and anti-hero. Lecher, rapist, liar, cheat, murderer, he is the brutal epitome of macho striving for power and domination, yet clothed with a seductive panache, conviction and bravado — the reckless-heroic libertine phallocrat who would rather face the fires of eternal damnation than curb his appetites
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