Equivalency of near infrared transmission instruments for grain analyzers

The Grain Inspection Packers and Stockyard Administration (GIPSA) has one approved near infrared transmission (NIRT) instrument for the official inspection of grains. This is believed to be more accurate multiple makes and models used. This study focused on determining if more than one make and model of transmission instruments can be used. Three National Type Evaluation Program (NTEP) approved NIRT instruments coded A, B, and C were evaluated for equivalence. To be equivalent, the variation of results of all the instruments would be less than or equal to that of one instrument make and model on a population of samples. The study used 5 copies of each instrument, for a total of 15 machines. The number of samples used were, 250 wheat, 100 barley, 145 soybeans, and 149 corn. The samples were passed through all 15 machines three times each. Results for wheat (protein), barley (protein), soybean (protein and oil), and corn (protein and oil) were collected using the NTEP approved calibrations for each unit, with and without slope-bias standardization. A least mean squares analysis partitioned the variance by A-A, A-B, B-B, B-C, and C-C. The instruments as set up were not equivalent because A-B, A-C, and B-C were significantly larger than the within brand comparisons A-A, B-B, and C-C (p\u3c0.0001)

Arthur\u27s Heir

Arthur’s Heir is a coming-of-age fantasy novella, in a pseudo-Medieval world, that follows teenage Hew as he leaves his home for a new employment opportunity— at the king’s castle in the bustling capital city. The story follows Hew and his friend Saerlaith as he navigates the hurdles thrust upon him in an uncertain world, his important relationships, and his own identity. Readers will be challenged to consider each of our potentials for bravery, heroism, and evil. What do we believe about our forefathers, our heroes, and ourselves? Who do we trust and how far will we go for the ones we love—and who are they? The work uses suspense, intrigue, and humor to describe Hew’s life and relationships in a setting rife with political turmoil, crafted to push back against a contrived view of the European Middle Ages

Alien Registration- Mcginnis, Elizabeth I. (Sanford, York County)

https://digitalmaine.com/alien_docs/3922/thumbnail.jp

Empirical research on Polycentric Governance: Critical gaps and a framework for studying long-term change

Polycentric governance (PG) describes governance systems characterized by multiple, interdependent centers of decision making, offering an alternative to centralized governance models. PG is often assumed to be effective at helping policy actors address complex collective action problems, but a burgeoning empirical literature on PG shows that it is not a panacea – PG is associated with both positive and negative governance outcomes. In this article, we ask: what do we know about why PG performs well in some cases but not in others? We start with a systematic review, synthesizing findings that provide empirical support for positive and negative features that are theorized to accompany PG. Our review reveals a critical gap in relation to our understanding of polycentric governance: the existing empirical literature largely fails to address change and evolution over time in PG systems, undermining our understanding of why PG works – or does not– across different contexts and over time. To fill this gap, we propose a “Context – Operations – Outcomes – Feedbacks” (COOF) framework that draws explicit attention to the interplay between context, operational arrangements, outcomes, and identifies feedback pathways and adjustment mechanisms that drive dynamic change and evolution over time

Offloading devices for the prevention of heel pressure ulcers: a realist evaluation

Background Heel pressure ulcers can cause pain, reduce mobility, lead to longer hospital stays and in severe cases can lead to sepsis, amputation, and death. Offloading boots are marketed as heel pressure ulcer prevention devices, working by removing pressure to the heel, yet there is little good quality evidence about their clinical effectiveness. Given that evidence is not guiding use of these devices, this study aims to explore, how, when, and why these devices are used in hospital settings. Objective To explore how offloading devices are used to prevent heel pressure ulcers, for whom and in what circumstances. Methods A realist evaluation was undertaken to explore the contexts, mechanisms, and outcomes that might influence how offloading devices are implemented and used in clinical practice for the prevention of heel pressure ulcers in hospitals. Eight Tissue Viability Nurse Specialists from across the UK (England, Wales, and Northern Ireland) were interviewed. Questions sought to elicit whether, and in what ways, initial theories about the use of heel pressure ulcers fitted with interviewee's experiences. Results Thirteen initial theories were refined into three programme theories about how offloading devices are used by nurses ‘proactively’ to prevent heel pressure ulcers, ‘reactively’ to treat and minimise deterioration of early-stage pressure ulcers, and patient factors that influence how these devices are used. Conclusions Offloading devices were used in clinical practice by all the interviewees. It was viewed that they were not suitable to be used by every patient, at every point in their inpatient journey, nor was it financially viable. However, the interviewees thought that identifying suitable ‘at risk’ patient groups that can maintain use of the devices could lead to proactive and cost-effective use of the devices. This understanding of the contexts and mechanisms that influence the effective use of offloading devices has implications for clinical practice and design of clinical trials of offloading devices. Tweetable abstract How, for whom, and in what circumstances do offloading devices work to prevent heel pressure ulcers? Tissue viability nurses' perspectives

What Do Students Have to Say About Ecology and Evolution? Using Podcasting to Apply Integrative Biology Themes Across the Tree of Life

We describe a versatile podcasting assignment that requires students to (i) review primary and secondary literature relating to an assigned organism with the goal of identifying the main features of its ecology and evolution, (ii) prepare an enhanced podcast about their organism, and (iii) critique peer podcasts. The goal of this assignment is for each student to gain a fuller appreciation for and understanding of biological diversity. This assignment will enhance students\u27 research, technology, and communication skills while reinforcing the main themes of integrative biology

Comparative effectiveness of heel-specific medical devices for the prevention of heel pressure ulcers: a systematic review

Background Pressure ulcers (PUs) impact on patient's quality of life and are costly for healthcare providers. Heels are a particular concern due to specific risk factors. Relative effectiveness of medical devices, e.g., dressings, off-loading devices, heel cushioning devices, to reduce PU development is unknown. Methods Systematic review of the effectiveness of heel-specific medical devices for the prevention of heel PU (HPU)s. Database searches were performed from inception to June 2021 for RCTs. The primary outcome was incidence of new HPUs. Trials were assessed for risk of bias and data analysed with risk ratios, mean difference or hazard ratios as appropriate. Results Fifteen RCTs (4724 participants) were identified. Dressings, as constant low pressure (CLP) devices vs standard care: eight trials (very low quality) showed no-significant difference in effectiveness (RR 0.31, 95%CI 0.10 to 1.01). Off-loading devices vs standard care: three trials (low quality), showed significant reduction in development of Category≥1 HPUs (RR 0.20, 95%CI 0.05 to 0.80) two trials (medium quality), showed significant reduction in development of Category≥2 HPUs (RR 0.08, 95%CI 0.01 to 0.67). Comparisons between off-loading devices: two trials (low quality) showed no clear difference in HPU incidence. In a paediatric post-surgical population, one trial of off-loading device and one of a dressing (CLP device), both versus standard care, showed no clear difference in HPU incidence (RR 0.19 95%CI 0.02 to 1.55 and RR 0.89 95%CI 0.56 to 1.42 respectively). Conclusions Off-loading devices may reduce HPU incidence, from low-quality evidence. There is insufficient evidence to suggest that dressings reduce HPU incidence

Exploring the role of pain as an early predictor of category 2 pressure ulcers: a prospective cohort study

Objective To explore pressure area related pain as a predictor of category ≥2 pressure ulcer (PU) development. Design Multicentre prospective cohort study. Setting UK hospital and community settings. Participants inclusion Consenting acutely ill patients aged ≥18 years, defined as high risk (Braden bedfast/chairfast AND completely immobile/very limited mobility; pressure area related pain or; category 1 PU). Exclusion Patients too unwell, unable to report pain, 2 or more category ≥2 PUs. Follow-up Twice weekly for 30 days. Primary and secondary outcome measures Development and time to development of one or more category ≥2 PUs. Results Of 3819 screened, 1266 were eligible, 634 patients were recruited, 32 lost to follow-up, providing a 602 analysis population. 152 (25.2%) developed one or more category ≥2 PUs. 464 (77.1%) patients reported pressure area related pain on a healthy, altered or category 1 skin site of whom 130 (28.0%) developed a category ≥2 PU compared with 22 (15.9%) of those without pain. Full stepwise variable selection was used throughout the analyses. (1) Multivariable logistic regression model to assess 9 a priori factors: presence of category 1 PU (OR=3.25, 95% CI (2.17 to 4.86), p<0.0001), alterations to intact skin (OR=1.98, 95% CI (1.30 to 3.00), p=0.0014), pressure area related pain (OR=1.56, 95% CI (0.93 to 2.63), p=0.0931). (2) Multivariable logistic regression model to account for overdispersion: presence of category 1 PU (OR=3.20, 95% CI (2.11 to 4.85), p<0.0001), alterations to intact skin (OR=1.90, 95% CI (1.24 to 2.91), p=0.0032), pressure area related pain (OR=1.85, 95% CI (1.07 to 3.20), p=0.0271), pre-existing category 2 PU (OR=2.09, 95% CI (1.35 to 3.23), p=0.0009), presence of chronic wound (OR=1.66, 95% CI (1.06 to 2.62), p=0.0277), Braden activity (p=0.0476). (3) Accelerated failure time model: presence of category 1 PU (AF=2.32, 95% CI (1.73 to 3.12), p<0.0001), pressure area related pain (AF=2.28, 95% CI (1.59 to 3.27), p<0.0001). (4) 2-level random-intercept logistic regression model: skin status which comprised 2 levels (versus healthy skin); alterations to intact skin (OR=4.65, 95% CI (3.01 to 7.18), p<0.0001), presence of category 1 PU (OR=17.30, 95% CI (11.09 to 27.00), p<0.0001) and pressure area related pain (OR=2.25, 95% CI (1.53 to 3.29), p<0.0001). Conclusions This is the first study to assess pain as a predictor of category ≥2 PU development. In all 4 models, pain emerged as a risk factor associated with an increased probability of category ≥2 PU development