Post-Intensive Care Unit Psychiatric Comorbidity and Quality of Life

The prevalence of psychiatric symptoms ranges from 17% to 44% in intensive care unit (ICU) survivors. The relationship between the comorbidity of psychiatric symptoms and quality of life (QoL) in ICU survivors has not been carefully examined. This study examined the relationship between psychiatric comorbidities and QoL in 58 survivors of ICU delirium. Patients completed 3 psychiatric screens at 3 months after discharge from the hospital, including the Patient Health Questionnaire-9 (PHQ-9) for depression, the Generalized Anxiety Disorder-7 (GAD-7) questionnaire for anxiety, and the Post-Traumatic Stress Syndrome (PTSS-10) questionnaire for posttraumatic stress disorder. Patients with 3 positive screens (PHQ-9 ≥ 10; GAD-7 ≥ 10; and PTSS-10 > 35) comprised the high psychiatric comorbidity group. Patients with 1 to 2 positive screens were labeled the low to moderate (low-moderate) psychiatric comorbidity group. Patients with 3 negative screens were labeled the no psychiatric morbidity group. Thirty-one percent of patients met the criteria for high psychiatric comorbidity. After adjusting for age, gender, Charlson Comorbidity Index, discharge status, and prior history of depression and anxiety, patients who had high psychiatric comorbidity were more likely to have a poorer QoL compared with the low-moderate comorbidity and no morbidity groups, as measured by a lower EuroQol 5 dimensions questionnaire 3-level Index (no, 0.69 ± 0.25; low-moderate, 0.70 ± 0.19; high, 0.48 ± 0.24; P = 0.017). Future studies should confirm these findings and examine whether survivors of ICU delirium with high psychiatric comorbidity have different treatment needs from survivors with lower psychiatric comorbidity

Analysis of Causes of Icing Conditions Which Contributed to the Crash of Continental Flight 3407

On February 12, 2009, at 10:20 p.m. EST, Continental Connection Flight 3407 from Newark to Buffalo crashed 5 miles short of the runway at Buffalo, killing all 49 people on board and one person on the ground. The National Transportation Safety Board (NTSB) is still investigating the crash, but preliminary reports show the airplane was experiencing icing conditions before the crash. Preliminary reports indicate that the pilot did not respond properly to the icing conditions, which contributed to the crash. However, the presence of the icing conditions which were significant enough to cause aircraft problems needs further investigation to determine if pilots can be forewarned about these type of aircraft icing problems

Antidepressant Use and Depressive Symptoms in Intensive Care Unit Survivors

Nearly 30% of intensive care unit (ICU) survivors have depressive symptoms 2-12 months after hospital discharge. We examined the prevalence of depressive symptoms and risk factors for depressive symptoms in 204 patients at their initial evaluation in the Critical Care Recovery Center (CCRC), an ICU survivor clinic based at Eskenazi Hospital in Indianapolis, Indiana. Thirty-two percent (N = 65) of patients had depressive symptoms on initial CCRC visit. For patients who are not on an antidepressant at their initial CCRC visit (N = 135), younger age and lower education level were associated with a higher likelihood of having depressive symptoms. For patients on an antidepressant at their initial CCRC visit (N = 69), younger age and being African American race were associated with a higher likelihood of having depressive symptoms. Future studies will need to confirm these findings and examine new approaches to increase access to depression treatment and test new antidepressant regimens for post-ICU depression

An Importance-Performance Analysis of Local and Destination Visitors to Monocacy National Battlefield

The purpose of this study was to understand the evolving visitor experience at Monocacy National Battlefield (MONO) in Fredrick, Maryland and, specifically, the way this National Park Service site serves both its’ tourist and local visitors. MONO has two main demographics who utilize it: individuals seeking to learn about historical importance of the site in the Civil War and local recreational visitors from Frederick and surrounding communities. Due to MONO’s proximity to the more densely populated area of Fredrick and Civil War roots, it appeals to both of these populations, who find different uses in the park. Accordingly, we were asked to assist the Park, in better understanding the similarities or differences between visitors desired amenities, opportunities, and experiences at the Park to guide future investment, planning and management. To gauge visitors’ perceived importance and performance across different characteristics, an Importance-Performance questionnaire was developed. This process “provides businesses and organizations with a fairly clear assessment of where they are performing well and where improvements are required” (Draper, 2016; Martilla & James, 1977). Following survey design and approval, onsite sampling occurred over 21 visitor contact days in summer and fall of 2021. 469 visitors were contacted across five sites of interest identified by the park. 445 visitors agreed to participate, yielding an acceptance rate of 94.9 percent. Surveys were conducted online and completed by visitors following their visit. 287 visitors completed more than half of the survey yielding a 61.2 percent response rate. Emerging results suggest key differences and similarities across visitor types. References Draper, J. (2016). Applying importance-performance analysis to services of a visitor information center. Tourism and Hospitality Research, 18(1), 84–95. doi: 10.1177/1467358415627300 Martilla, J., & James, J. (1977). Importance-Performance Analysis. Journal of Marketing, 41(1), 77-79. doi:10.2307/1250495https://digitalcommons.odu.edu/gradposters2022_education/1007/thumbnail.jp

An Importance-Performance Analysis of Local and Destination Visitors to Monocacy National Battlefield

The purpose of this study was to understand the evolving visitor experience at Monocacy National Battlefield (MONO) in Fredrick, Maryland and, specifically, the way this National Park Service site serves both its’ destination and local visitors. Using an Importance-Performance Analysis, segmented by visitors’ county of residence, we demonstrate key differences in the visitor experience across visitor type. Following survey design with MONO managers and approval from the U.S. Office of Management and Budget, onsite sampling occurred over 21 visitor contact days, stratified by day of the week and time of day, in summer and fall of 2021. 469 visitors were contacted across five high-use sites of interest identified by the park (Best Farm, Gambrill Mill, Thomas House, Worthington House, and the MONO Visitors Center). 445 visitors agreed to participate in an online survey, yielding an acceptance rate of 94.9 percent. Surveys were conducted online and completed by visitors following their visit. 287 visitors completed more than 50 percent of the survey yielding a 61.2 percent response rate. Emerging results suggest key differences in the visitor experience across visitor type, as well as potential areas importance shared by diverse visitors to MONO. Results allow the park to use data-driven decision making to plan and manage across visitor type and add to the evolving understanding of how recent recreational trends impact park and historic area managemen

The OneOklahoma Cyberinfrastructure Initiative: A Model for Multi-institutional Collaboration

The OneOklahoma Cyberinfrastructure Initiative: A Model for Multi-institutional Collaboration A White Paper submitted by the OneOklahoma Cyberinfrastructure Initiative membership to the National Science Foundation Workshop on The Role of Regional Organizations in Improving Access to the National Computational Infrastructure The OneOklahoma Cyberinfrastructure Initiative (OneOCII) is a statewide all-inclusive advanced digital services collaboration that has been providing access to Cyberinfrastructure (CI) resources, as well as expertise and education, so far to over 100 institutions and organizations statewide (over 50 academic and almost 50 non-academic), including PhD-granting universities, primarily undergraduate institutions, community colleges, career techs and high schools, among them 10 Minority Serving Institutions (MSIs).The OneOklahoma Cyberinfrastructure Initiative OneOCIIN