A gathering place : an action plan for downtown Plainfield, Indiana

PAGES: 89 This project addresses the problem of minimal meeting places, in small linear downtowns. It uses qualitative analysis to compare downtown public spaces and civic amenities, specifically the downtown Plainfield historic theater. Qualitative research produces knowledge necessary for determining successful downtown public uses while also recognizing community concerns. For this study five comparison communities were chosen according to four criteria: population of thirty to fifty-thousand people, within close proximity to a metropolitan area, linear commercial development/corridor, and city or town in Indiana. This information was mapped and from there examined in terms of a 0.5, 1.0, and 1.5 mile radius. The intent is to measure success and in turn create an action plan that activates the Downtown Plainfield theater space. Reinventing the space and forming a central gathering place, to draws individuals to interact in the town center.Department of Urban Plannin

Farmers’ Voices: Concerns within the Agricultural Advertiser-Media-Reader Triad

This study continues an examination of power relationships within the agricultural publishing triad: advertisers, periodicals, and producer readers. It focuses on the views of farmers about the farm periodicals they read and the agricultural marketers that advertise in those periodicals. A mail survey was used to learn the opinions and observations of farmers in a nationwide sample. The sample of 497 was randomly drawn from a government database by a commercial data supply service. Three waves of letters were used along with a $1 incentive. The 198 completed responses came from 29 states. Results indicate that producers are quite discerning and insightful in what they read. Furthermore, a majority expressed concern about advertiser-editorial relationships. Most said they see evidence of advertiser influence in the form of editorial trade-offs and bias in what stories are covered (or not covered) and how topics are handled. Results of a credibility index indicate there is much room for improvement. Authors suggest that farm publishers and advertisers should reconsider their relationships if they wish to address readers’ concerns and improve their credibility. In a highly competitive environment, increased credibility has positive bottom-line implications for all partners in the triad

Counting Room Voices in the Farm Publisher-Reader-Advertiser Triad

This study is part of a series that examines changing power relationships among commercial farm periodicals, their readers, and advertisers. The series focuses upon the health, vigor, and credibility of a complex information system in which the U.S. food enterprise and society in general have an important stake. Authors employed a “contractualist model” in which power requires mutual agreement by all parties. Two previous studies in the series identified concerns of farm periodical journalists and readers about advertiser-related pressures on editorial content. Through qualitative research methods, the study reported here examined related views among a sample of agricultural publishers and advertisers. Both groups expressed the most concern about the consolidation taking place among producers, marketers, and publishers, but they focused on different sectors. All three kinds of consolidation have the effect of giving the advertiser more power within the triad. Publishers and advertisers emphasized the need to maintain editorial credibility of commercial farm periodicals, acknowledged advertiser-related pressures, but shared a feeling that such pressures can be controlled and should not influence the independent stance of editorial content. They differed somewhat, however, in views on managing the editorial-advertising “wall.” Publishers also identified ways in which they are adapting, through diversification, to changing strategies of advertisers in an era of consolidation and new information technologies. By revealing perspectives of all partners in the triad, findings provide a useful staging point for interactions and understandings

Fading Voices: A 10-Year Trend Within an Agricultural Advertiser-Media-Reader Triad

Research reported here addresses effective communications within agriculture by examining power relationships within the agricultural publishing triad: advertisers, periodicals and producer readers. A 10-year analysis using mail surveys among agricultural print journalists explores recent changes within this triad, including perceptions of trends in the levels, kinds, and effects of advertiser influence on editorial content of U.S. commercial farm periodicals. Results reveal increasing advertiser-related pressure on the journalists. Other findings examine perceived harm to the profession, publication policies used, and differences in response related to gender and age. Authors discuss implications and offer steps for follow-up through research and professional education

Experiences in Youth Sports: A Comparison Between Players’ and Parents’ Perspectives

vol. 2, no.

Why, When and How Should Clinicians Use Physiology in Patients with Acute Coronary Syndromes?

Current data support the use of coronary physiology in patients with acute coronary syndrome (ACS). In patients with ST-elevation MI, the extent of myocardial damage and microvascular dysfunction create a complex conundrum to assimilate when considering clinical management and risk stratification. In this setting, the index of microcirculatory resistance emerged as an accurate tool to identify patients at risk of suboptimal myocardial reperfusion after primary percutaneous coronary intervention who may benefit from novel adjunctive therapies. In the context of non-ST-elevation ACS, coronary physiology should be carefully interpreted and often integrated with intracoronary imaging, especially in cases of ambiguous culprit lesion. Conversely, the functional assessment of bystander coronary disease is favoured by the available evidence, aiming to achieve complete revascularisation. Based on everyday clinical scenarios, the authors illustrate the available evidence and provide recommendations for the functional assessment of infarct-related artery and non-culprit lesions in patients with ACS

Gender Disparities in Authorships and Citations in Transplantation Research

Background: Over the past decades, there has been a rapid change in the gender ratio of medical doctors, whereas gender differences in academia remain apparent. In transplantation research, a field already understaffed with female doctors and researchers, there is little published data on the development in proportion, citations, and funding of female researchers over the past years. Methods: To evaluate the academic impact of female doctors in transplantation research, we conducted a bibliometric analysis (01 January 1999 to 31 December 2018) of high-impact scientific publications, subsequent citations, and funding in this field. Web of Science data was used in combination with software R-Package "Gender," to predict gender by first names. Results: For this study, 15 498 (36.2% female; 63.8% male) first and 13 345 (30.2% female; 69.8% male) last author gender matches were identified. An increase in the percentage of female first and last authors is seen in the period 1999-2018, with clear differences between countries (55.1% female authors in The Netherlands versus 13.1% in Japan, for example). When stratifying publications based on the number of citations, a decline was seen in the percentage of female authors, from 34.6%-30.7% in the first group (≤10 citations) to 20.8%-23.2% in the fifth group (>200 citations), for first (P < 0.001) and last (P = 0.014) authors, respectively. From all first author name-gender matches, 6574 (41.6% female; 58.4% male, P < 0.001) publications reported external funding, with 823 (35.5% female; 64.5% male, P = 0.701) reported funding by pharmaceutical companies and 1266 (36.6% female; 63.4% male, P < 0.001) reporting funding by the National Institutes of Health. Conclusions: This is the first analysis of gender bias in scientific publications, subsequent citations, and funding in transplantation research. We show ongoing differences between male and female authors in citation rates and rewarded funding in this field. This requires an active approach to increase female representation in research reporting and funding rewarding

The Effect of Frailty on Outcome After Vascular Surgery

OBJECTIVES: Frailty is a state of increased vulnerability and is a stronger predictor for post-operative outcome than age alone. The aim of this study was to determine whether frailty is associated with adverse 30 day outcome in vascular surgery patients. METHODS: This was a prospective cohort study. All electively operated vascular surgery patients between March 2010 and October 2017 (n = 1201), aged ≥ 60 years were evaluated prospectively. Exclusion criteria were arteriovenous access surgery, percutaneous interventions and minor amputations, resulting in 825 patients for further analysis whereas 195 had incomplete data on Groningen Frailty Indicator (GFI) and were excluded. Frailty was measured using the GFI, a screening tool covering 16 items in the domains of functioning. Patients with a total score of ≥4 were classified as frail. The primary outcome parameter was 30 day morbidity (based on the Comprehensive Complication Index). Secondary outcome measures were 30 day mortality, hospital readmission, and type of care facility after discharge. Outcomes were adjusted for sex, body mass index, smoking status, hypertension, Charlson Comorbidity Index, and type of intervention. RESULTS: There was an unequal sex distribution (77.6% male). The mean age was 72.1 years. One hundred and eighty-four patients (22.3%) were considered frail. The mean Comprehensive Complication Index was 8.5. Frail patients had a significantly higher Comprehensive Complication Index (3.7 point increase, p = .005). Patients with impaired cognition and reduced psychosocial condition, two domains of the GFI, had a significantly higher Comprehensive Complication Index. Also, the 30 day mortality rate was higher in frail patients (2.7 point increase; p = .05), and they were discharged to a care facility more often (7.7 point increase; p < .001). There was no significant difference in readmission rates between frail and non-frail patients. CONCLUSIONS: Frailty is associated with a higher risk of post-operative complications and discharge to a nursing home after vascular surgery. Some frailty domains (mobility, nutrition, cognition and psychosocial condition) appear to have a more pronounced impact

Variation in emergency percutaneous coronary intervention in ventilated patients in the UK: insights from a national database

Aims Pre-procedural ventilation is a marker of high risk in PCI patients. Causes include out-of-hospital cardiac arrest (OHCA) and cardiogenic shock. OHCA occurs in approximately 60,000 patients in the UK per annum. No consensus exists regarding the need/timing of coronary angiography ± revascularization without ST elevation. The aim was to describe the national variation in the rate of emergency PCI in ventilated patients. Methods and Results Using the UK national database for PCI in 2013, we identified all procedures performed as ‘emergency’ or ‘salvage’ for whom ventilation had been initiated before the PCI. Of the 92,589 patients who underwent PCI, 1342 (5.5%) fulfilled those criteria. There was wide variation in practice. There was no demonstrable relationship between the number of emergency PCI patients with pre-procedure ventilation per annum and (i) total number of PPCIs in a unit (r = −0.186), and (ii) availability of 24 h PCI, (iii) on-site surgical cover. Conclusion We demonstrated a wide variation in practice across the UK in rates of pre-procedural ventilation in emergency PCI. The majority of individuals will have suffered an OHCA. In the absence of a plausible explanation for this discrepant practice, it is possible that (a) some patients presenting with OHCA that may benefit from revascularization are being denied treatment and (b) procedures may be being undertaken that are futile. Further prospective data are needed to aid in production of guidelines aiming at standardized care in OHCA