Impact of Race and Insurance on Door-to-Appendectomy Time among Pediatric Patients

Racial and ethnic disparities in the rate of appendiceal rupture have been widely reported among the pediatric population. The main reasons for this remain largely unknown given that previous explanations pointing to signs of poor health care access have recently been shown to account for only a small percentage of the difference in perforation rates between white and minority children. Because the risk of perforation increases with time, racial disparities in time delay from emergency department presentation to OR appendectomy may help account for the higher appendiceal perforation rates observed among minority children. This is the first study dedicated to analyzing racial differences in door-to-appendectomy time. Insurance status and language barriers were also considered as variables of interest. Retrospective, observational study using admission and treatment data of 607 consecutive children less than or equal to 18 years of age with surgical confirmation of appendicitis. Patients were admitted from February 2, 2013 (start of electronic medical record use) to April 27, 2017. A significant association was found between race and perforation rate (p0.05 for all). Door-to-appendectomy times were also not significantly longer for Medicaid/uninsured patients (613 minutes) compared to private insurance patients (597 minutes) (p=0.60), nor for patients with language barriers (545 minutes) compared to patients without (612 minutes) (p=0.23). While there was a higher appendiceal perforation rate among minority children, it was not due to differences in door-to-appendectomy time. Insurance status and language barriers also did not lead to differential treatment among pediatric patients

Conclusiones provisionales en un sistema argumentativo

En primer lugar se aclararan nociones generales del sistema de Vreeswijk,Juego veremos qué entiende este autor por debate y qué por argumentos. Intentaremos ver cómo es posible detener un diálogo y qué implicancias tiene el tratar de obtener una conclusión aceptada racionalmente. Finalmente, realizaremos algunas críticas a la postura de Vreeswijk con respecto a las conclusiones provisionales

AFM user manual

WHAT IS AN AFM AFM COMPONENTS SAMPLE REQUIREMENTS AFM SETUP CANTILEVER CALIBRATION EXPERIMENTAL PROCEDURES Force Extension Experiments Force Clamp Experiments FINISHING THE EXPERIMENTS DATA ANALYSIS Trace Selection Selected Trace Analysis TROUBLESHOOTING REFERENCESN

Fall Protection Training: A Case Study Using Cbt for Latino Construction Workers

Latino construction workers are at an increased risk of worksite injuries and fatalities due to language, cultural barriers, and ineffective training. This case-study investigated computer-based video training (CBT) for scaffold safety. The CBT training was developed using a participatory approach involving direct input from Latino roofers and framers. This paper focuses on evaluation-improvement of training that combined workers’ ideas of a safe work environment with OSHA standards. Researchers investigated the appropriateness and effectiveness of a brief CBT presentation addressing fall protection and scaffold use among Latino roofers. The results indicated that Latino construction workers at a roofing company in Colorado gained knowledge (p-value \u3c0.05) and liked the use of a culturally appropriate educational video as a method of training. The positive reactions to the training intervention are encouraging and support information and communication technologies (ICTs) for training Latino construction workers with lessons learned for follow-up training and evaluation

Concert recording 2021-11-10b

[Track 1]. Se pietà di me non senti, giusto ciel / George Frideric Handel -- [Track 2]. Saper vorreste / Guiseppe Verdi -- [Track 3]. 8 Gedichte aus \u27Letzte Blätter, op. 10. No. 1. Zueignung ; [Track 4]. No. 3. Die Nacht / Richard Strauss -- [Track 5]. Der Hölle Rache / Wolfgang Amadeus Mozart -- [Track 6]. Deux poèmes. C ; Fêtes galantes / Francis Poulenc -- [Track 7]. Les chemins del\u27amour / Poulenc

Students\u27 use of personal technology in the classroom: analyzing the perceptions of the digital generation

Faculty frequently express concerns about students’ personal use of information and communication technologies in today’s university classrooms. As a requirement of a graduate research methodology course in a university in Ontario, Canada, the authors conducted qualitative research to gain an in-depth understanding of students’ perceptions of this issue. Their findings reveal students’ complex considerations about the acceptability of technology use. Their analysis of the broader contexts of students’ use reveals that despite a technological revolution, university teaching practices have remained largely the same, resulting in ‘cultural lag’ within the classroom. While faculty are technically ‘in charge’, students wield power through course evaluations, surveillance technologies and Internet postings. Neoliberalism and the corporatisation of the university have engendered an ‘entrepreneurial student’ customer who sees education as a means to a career. Understanding students’ perceptions and their technological, social and political contexts offers insights into the tensions within today’s classrooms

A Framework for Objectively Determining Alternative Contracting Method Best Practices

Alternative Contracting Methods (ACM) usage has grown to the point where the industry has sufficient experience to provide a definitive set of best practices to both promote consistency in the nation’s procurement system and to leverage the lessons learned by early ACM adopters. The barrier to achieving this goal is that there is no uniform agreement on the definition of what constitutes a best practice. This paper proposes both an objective definition and a framework for identifying and analyzing ACM practices that have been found to be effective by peer-reviewed research to determine if a given practice deserves to be termed as best practice. The framework is based on the series of indexes that are used to rank candidate practices in order of their importance and their effectiveness. The 24 ACM practices evaluated were identified from 6 National Cooperative Highway Research Program (NCHRP) Synthesis reports on ACM topics. The paper finds that only 4 of the 24 candidates meet the objective criteria to be termed a best practice. These were 1) Formalizing and institutionalizing agency ACM procedures, 2) Use of 2-step best-value award procedures, 3) Appointing an agency ACM champion, and 4) Offering stipends for unsuccessful competitors

Centro de equinoterapia en base a patrones de la arquitectura biofílica para personas con retraso intelectual y psicomotor, Cajamarca 2022

La presente investigación está enfocada al diseño de un centro de Equinoterapia para personas con retraso Intelectual y Psicomotor , para el año 2022; este tiene como objetivo el generar espacios seguros y de confort aptos para la rehabilitación de los distintos tipo de usuarios, partiendo de la aplicación de los patrones de la arquitectura Biofílica, a través de la conexión con la naturaleza, con la iluminación y la materialidad, los cuales son considerados para el diseño de dicho objeto, cuya ubicación es en el Departamento de Cajamarca. El diseño de la investigación de dicho objeto arquitectónico se presenta a través del diseño no experimental de manera descriptiva – explicativo, en relación con la características espaciales y funcionales del proyecto. Es así como la biofilia toma protagonismo para el desarrollo de dicho objeto arquitectónico, considerando cada una de sus relaciones e incidencias naturales para así generar espacios seguros y aptos, para con el usuario y su entorno inmediato. Dicho objeto arquitectónico llega a ser esencial y de gran importancia para abastecer y obtener espacios adecuados para la rehabilitación intelectual y motora, a su vez cada uno de estos se van complementando con patrones y criterios naturales tomando en cuenta patrones de su mismo entorno para generar los espacios de confort y rehabilitación para dichos usuarios

La función estructural y narrativa de los puntos de giro en las series de televisión: Mr. Robot y The Leftovers

La estructura de los contenidos audiovisuales está en constante cambio. No es extraño que cada vez nos encontremos con conceptos nuevos no sólo en la manera de mostrar dicho contenido, sino también en la forma en que se cuentan las historias. Esto hace del mundo de la narrativa algo completamente mágico y, como no, innovador. Este trabajo hace un pequeño estudio sobre el muy amplio y complejo mundo de los puntos de giro dentro de los guiones en las series de televisión con la finalidad de esclarecer, en la medida de lo posible, los recursos que usan, concretamente, dos series actuales: Mr. Robot y The Leftovers.The structure of the audiovisual content is constantly changing . It’s common that every time we meet new concepts about how to display the content, but also see it in the way stories are told . This makes the world of narrative something completely magical and innovative. This work makes a small study on the vast and complex world of the turning points on the scripts in the television series in order to clarify the extent possible, the resources that use, specifically, two current series : Mr. Robot and The Leftovers.Donet Lopez, C. (2016). La función estructural y narrativa de los puntos de giro en las series de televisión: Mr. Robot y The Leftovers. Universitat Politècnica de València. http://hdl.handle.net/10251/72592TFG