Improving patient flow through the implementation of a results pending treatment area

Abstract The purpose of this research study is to retrospectively evaluate whether the implementation of a Results Pending Treatment Area (RPTA) altered patient flow patterns and therefore reduced patient length of stay (LOS) for ambulatory patients in a Level One Trauma Center Emergency Department. The research is justified because a reduction in the length of stay for patients is shown to decrease overcrowding, ED wait times, loss of revenue, and diversion while improving patient safety and patient satisfaction. The Roy Adaptation Model was the overarching theoretical conceptual framework utilized to support the research, with a more detailed emphasis on Swanson\u27s Theory of Caring. The research shows that much has been done that supports the need to reduce constraints in the Emergency Department as well as to curtail the loss of revenue related to lengthy patient stays. Despite all of this, the implementation of a Results Pending Treatment Area has not been implemented and entered into the current body of literature. The study utilized a retrospective descriptive comparative design, and data analysis was conducted utilizing the independent student\u27s t-test. The results showed a statistically significant (p = 0.0016) decrease in total length of stay for patients treated in the Results Pending Treatment Area as compared to those not treated in the Results Pending Treatment Area

Workshop - Low Code Application Development Mendix

This is a recording from the Mendix Low Code Application Development Workshop during the AIS 2021 Student Chapter Leadership Conference (SCLC)

Unlearning Introductions: Problematizing Pedagogies of Inclusion, Diversity, and Experience in the Gender and Women’s Studies Introductory Course

This article interrogates the ways in which the ideas of diversity, experience, and inclusion became central to the introductory Gender and Women’s Studies (GWS) course at one institution and the way that various stakeholders define and interpret these terms. After providing a short local history and analyzing current and former instructors’ understandings of these concepts as they function in the GWS introductory classroom, the authors further explore these themes with two case studies: transgender inclusion and Native American feminisms.RésuméCet article s’interroge sur la manière dont les idées sur la diversité, l’expérience, et l’inclusion sont devenues centrales au cours d’introduction Études sur le genre et les femmes (EGF) dans un établissement d’enseignement et sur la manière dont les divers intervenants définissent et interprètent ces termes. Après avoir fourni un bref historique local et analysé la compréhension de ces concepts par les professeurs actuels et anciens lorsqu’ils exercent dans le cours d’introduction EGF, les auteurs explorent ces thèmes plus avant dans le cadre de deux études de cas : l’inclusion transgenre et les féminismes autochtones

Effects of accelerated or delayed maturation on growth and quality of cod (Gadus morhua) farmed 67°N at a commercial scale

Abstract Atlantic cod (Gadus morhua) farming has received considerable attention in recent years, and is now becoming a rapid growing industry in Norway. This industry has shown approximately 2,000 tons harvested in 2003 compared with approximately 13,500 tons in 2008. The harvest quantity is expected to increase by another 50% in 2009. The major bottleneck for economical cod farming is with early maturation. In Atlantic salmon (Salmo salar), light manipulation has been a successful method for avoiding early maturation, but this has not been as effective in cod farming to date. Two different light manipulation regimes were tried in commercial-scale cod production in the north of Norway. The first regime (delayed group) had additional lights installed in the netpens from August 17, 2007 until June 1, 2008. This treatment postpones the maturation by 2-3 months, with a peak spawning in June. In the second regime (accelerated group), additional light was installed in the netpens from November 23, 2007 until June 1, 2008. This treatment resulted in an accelerated spawning with a peak in February approximately 2 months before the untreated group. The maturation peak occurs approximately 4-6 weeks earlier in males than in females. The impact on growth and quality is also substantially larger among female cod. The accelerated maturation resulted in a decreased gutted weight in February and an enhanced increase in gutted weight from April. The lowest protein content (17.7%) in the muscle tissue was also found in female cod in February. The mean HSI in females increased from ~17% in December/February to ~20% in June. In female cod, the delayed maturation showed an increase in gutted weight during the winter, with no further growth from the start of maturation in April. The delayed group did not experience a decrease in muscle protein content during maturation (19.7% in June), but instead a significant decrease in the HSI content from ~17% in December/February to ~15% in June

Empowering Primary Caregivers to Employ Dialogic Reading Techniques: A Systematic Review of Dialogic Reading Interventions When Implemented by Primary Caregivers, Teachers, and Clinicians

The purpose of this systematic literature review is to compare results of dialogic reading interventions when implemented by primary caregivers versus when implemented in schools either in small group or classroom settings

The Life Cycle Stages of \u3cem\u3ePneumocystis murina\u3c/em\u3e Have Opposing Effects on the Immune Response to This Opportunistic Fungal Pathogen

The cell wall β-glucans of Pneumocystis cysts have been shown to stimulate immune responses in lung epithelial cells, dendritic cells, and alveolar macrophages. Little is known about how the trophic life forms, which do not have a fungal cell wall, interact with these innate immune cells. Here we report differences in the responses of both neonatal and adult mice to the trophic and cystic life cycle stages of Pneumocystis murina. The adult and neonatal immune responses to infection with Pneumocystis murina trophic forms were less robust than the responses to infection with a physiologically normal mixture of cysts and trophic forms. Cysts promoted the recruitment of nonresident innate immune cells and T and B cells into the lungs. Cysts, but not trophic forms, stimulated increased concentrations of the cytokine gamma interferon (IFN-γ) in the alveolar spaces and an increase in the percentage of CD4+ T cells that produce IFN-γ. In vitro, bone marrow-derived dendritic cells (BMDCs) stimulated with cysts produced the proinflammatory cytokines interleukin 1β (IL-1β) and IL-6. In contrast, trophic forms suppressed antigen presentation to CD4+ T cells, as well as the β-glucan-, lipoteichoic acid (LTA)-, and lipopolysaccharide (LPS)-induced production of interleukin 1β (IL-1β), IL-6, and tumor necrosis factor alpha (TNF-α) by BMDCs. The negative effects of trophic forms were not due to ligation of mannose receptor. Our results indicate that optimal innate and adaptive immune responses to Pneumocystis species are dependent on stimulation with the cyst life cycle stage. Conversely, trophic forms suppress β-glucan-induced proinflammatory responses in vitro, suggesting that the trophic forms dampen cyst-induced inflammation in vivo

Terrapin technologies manned Mars mission proposal

A Manned Mars Mission (M3) design study is proposed. The purpose of M3 is to transport 10 personnel and a habitat with all required support systems and supplies from low Earth orbit (LEO) to the surface of Mars and, after an eight-man surface expedition of 3 months, to return the personnel safely to LEO. The proposed hardware design is based on systems and components of demonstrated high capability and reliability. The mission design builds on past mission experience, but incorporates innovative design approaches to achieve mission priorities. Those priorities, in decreasing order of importance, are safety, reliability, minimum personnel transfer time, minimum weight, and minimum cost. The design demonstrates the feasibility and flexibility of a Waverider transfer module

The TLR4 D299G and T399I SNPs Are Constitutively Active to Up-Regulate Expression of Trif-Dependent Genes

Peer reviewedPublisher PD