KINE 4700 EKG Interpretation and Stress Testing

The attached document is a draft of the syllabus for the KINE 4600 EKG Interpretation and Stress Testing class. As a group, we decided what the course learning outcomes will be along with the course outline. Required textbooks along with supplemental textbooks we also established. We decided what activities would be most conducive to enhance learning for the lab portion and how the lecture portion should proceed. We also established how the practical exams should be implemented and what procedures need to be taken in order for external subjects to participate in a stress test. The next steps to complete this process include creating both the lecture and practical exams, the distribution of points, and how many external subjects each group member needs to recruit

The Importance of Long Term Vocational Support for Persons with M.I

Employment is an essential function in the process of recovery for persons with serious and persistent mental illness. Unfortunately the SPMI population has had a static unemployment rate of 90% since the 1970’s. This rate appears to be as such due to the difficulty many people have in retaining their employment and managing their symptoms. An intervention that has been shown to be successful is the integration of mental health supports in vocational programming for the mentally ill. With such supports clients have shown a higher likelihood to be able to maintain their job. Many mental illnesses are chronic and symptoms can be cyclical, due to this factor long term support without time limitation has shown to be the most successful model in supportive employment. The purpose of this project was to evaluate long term supportive employment from a professional’s opinion. This project evaluated the opinions of professionals who were employed at a long term supportive vocational program. The project asked the mental health workers if they feel that their client’s job retention had increased due to the support. It also asked the workers if they felt the client’s reliance on other supports has changed since entering their program. The project evaluated on whether their clients appear to have improved feelings of self-efficacy and autonomy. In closing the project discussed how the professionals felt their client’s opinions were valued in their roles as workers

Oops I Did It Again: Preventing Medication Errors Using BCMA

This is literature review of current studies to answer the question “What effect does the use of electronic scanners have on medication administration errors in hospitalized patients as compared to manual MAR methods?” Current evidence shows that errors in the medication administration step pose to be the most problematic of the entire medication process in hospital settings. It is also known that less than 2% of medication errors are intercepted and corrected at the bedside. Traditional medication administration records (MAR) using pen and paper have dominated the hospital setting for the past several decades but could be largely responsible for the majority of medication errors. With the increasing use of technology, a bar code medication administration (BCMA) system has been implemented to overcome this common problem. Seven research studies were examined to determine whether an implemented BCMA system into hospital settings continuously proves to lower medication administration errors. Not only has BCMA shown to lower medication administration errors, but it has also shown to decrease turn-around time to process medication doses in the pharmacy as well as increase accuracy of patient identification, inventory, and staffing of nurses and pharmacists. Abandonment of traditional MAR systems and implementation of BCMA systems in hospital settings increases patient safety and saves money. Keywords: medication administration, bar code scanning, technology, prevention, and erro

Secondary Prevention Among Uninsured Stroke Patients: A Free Clinic Study

OBJECTIVES: Free clinics manage a diversity of diseases among the uninsured. We sought to assess the medical management of stroke in a population of uninsured patients. METHODS: A retrospective chart review was conducted to collect chronic disease statistics from 6558 electronic medical records and paper charts at nine free clinics in Tampa, Florida, from January 2016 to December 2017. Demographics and risk factors were compared between stroke patients and non-stroke patients. Medication rates for several comorbidities were also assessed. RESULTS: Two percent (107) of patients had been diagnosed with a stroke. Stroke patients were older (mean (M) = 56.0, standard deviation (SD) = 11.2) than the rest of the sample (M = 43.3, SD = 15.4), p \u3c 0.001 and a majority were men (n = 62, 58%). Of the stroke patients with hypertension (n = 79), 81% (n = 64) were receiving anti-hypertensive medications. Of the stroke patients with diabetes (n = 43), 72% (n = 31) were receiving diabetes medications. Among all stroke patients, 44% were receiving aspirin therapy (n = 47). Similarly, 39% of all stroke patients (n = 42) were taking statins. CONCLUSIONS: Uninsured patients with a history of stroke may not be receiving adequate secondary prevention highlighting the risk and vulnerability of uninsured patients. This finding identifies an area for improvement in secondary stroke prevention in free clinics

Quantum Hamilton-Jacobi equation

The nontrivial transformation of the phase space path integral measure under certain discretized analogues of canonical transformations is computed. This Jacobian is used to derive a quantum analogue of the Hamilton-Jacobi equation for the generating function of a canonical transformation that maps any quantum system to a system with a vanishing Hamiltonian. A formal perturbative solution of the quantum Hamilton-Jacobi equation is given.Comment: 4 pages, RevTe

The No-Pole Condition in Landau gauge: Properties of the Gribov Ghost Form-Factor and a Constraint on the 2d Gluon Propagator

We study the Landau-gauge Gribov ghost form-factor sigma(p^2) for SU(N) Yang-Mills theories in the d-dimensional case. We find a qualitatively different behavior for d=3,4 w.r.t. d=2. In particular, considering any (sufficiently regular) gluon propagator D(p^2) and the one-loop-corrected ghost propagator G(p^2), we prove in the 2d case that sigma(p^2) blows up in the infrared limit p -> 0 as -D(0)\ln(p^2). Thus, for d=2, the no-pole condition \sigma(p^2) 0) can be satisfied only if D(0) = 0. On the contrary, in d=3 and 4, sigma(p^2) is finite also if D(0) > 0. The same results are obtained by evaluating G(p^2) explicitly at one loop, using fitting forms for D(p^2) that describe well the numerical data of D(p^2) in d=2,3,4 in the SU(2) case. These evaluations also show that, if one considers the coupling constant g^2 as a free parameter, G(p^2) admits a one-parameter family of behaviors (labelled by g^2), in agreement with Boucaud et al. In this case the condition sigma(0) <= 1 implies g^2 <= g^2_c, where g^2_c is a 'critical' value. Moreover, a free-like G(p^2) in the infrared limit is obtained for any value of g^2 < g^2_c, while for g^2 = g^2_c one finds an infrared-enhanced G(p^2). Finally, we analyze the Dyson-Schwinger equation (DSE) for sigma(p^2) and show that, for infrared-finite ghost-gluon vertices, one can bound sigma(p^2). Using these bounds we find again that only in the d=2 case does one need to impose D(0) = 0 in order to satisfy the no-pole condition. The d=2 result is also supported by an analysis of the DSE using a spectral representation for G(p^2). Thus, if the no-pole condition is imposed, solving the d=2 DSE cannot lead to a massive behavior for D(p^2). These results apply to any Gribov copy inside the so-called first Gribov horizon, i.e. the 2d result D(0) = 0 is not affected by Gribov noise. These findings are also in agreement with lattice data.Comment: 40 pages, 2 .eps figure

A long-acting formulation of the integrase inhibitor raltegravir protects humanized BLT mice from repeated high-dose vaginal HIV challenges

Pre-exposure prophylaxis (PrEP) using antiretroviral drugs (ARVs) has been shown to reduce HIV transmission in people at high risk of HIV infection. Adherence to PrEP strongly correlates with the level of HIV protection. Long-acting injectable ARVs provide sustained systemic drug exposures over many weeks and can improve adherence due to infrequent parenteral administration. Here, we evaluated a new long-acting formulation of raltegravir for prevention of vaginal HIV transmission

High-precision determination of the critical exponents for the lambda-transition of 4He by improved high-temperature expansion

We determine the critical exponents for the XY universality class in three dimensions, which is expected to describe the $\lambda$-transition in ${}^4$He. They are obtained from the analysis of high-temperature series computed for a two-component $\lambda\phi^4$ model. The parameter $\lambda$ is fixed such that the leading corrections to scaling vanish. We obtain $\nu = 0.67166(55)$, $\gamma = 1.3179(11)$, $\alpha=-0.0150(17)$. These estimates improve previous theoretical determinations and agree with the more precise experimental results for liquid Helium.Comment: 8 pages, revte

Uncovering the essential genes of the human malaria parasite Plasmodium falciparum by saturation mutagenesis

Malaria is caused by eukaryotic Plasmodium spp. parasites that classically infect red blood cells. These are difficult organisms to investigate genetically because of their AT-rich genomes. Zhang et al. have exploited this peculiarity by using piggyBac transposon insertion sites to achieve saturation-level mutagenesis for identifying and ranking essential genes and drug targets (see the Perspective by White and Rathod). Genes that are current candidates for drug targets were identified as essential, in contrast to many vaccine target genes. Notably, the proteasome degradation pathway was confirmed as a target for developing therapeutic interventions because of the several essential genes involved and the link to the mechanism of action of the current frontline drug, artemisinin

N-vector spin models on the sc and the bcc lattices: a study of the critical behavior of the susceptibility and of the correlation length by high temperature series extended to order beta^{21}

High temperature expansions for the free energy, the susceptibility and the second correlation moment of the classical N-vector model [also known as the O(N) symmetric classical spin Heisenberg model or as the lattice O(N) nonlinear sigma model] on the sc and the bcc lattices are extended to order beta^{21} for arbitrary N. The series for the second field derivative of the susceptibility is extended to order beta^{17}. An analysis of the newly computed series for the susceptibility and the (second moment) correlation length yields updated estimates of the critical parameters for various values of the spin dimensionality N, including N=0 [the self-avoiding walk model], N=1 [the Ising spin 1/2 model], N=2 [the XY model], N=3 [the Heisenberg model]. For all values of N, we confirm a good agreement with the present renormalization group estimates. A study of the series for the other observables will appear in a forthcoming paper.Comment: Revised version to appear in Phys. Rev. B Sept. 1997. Revisions include an improved series analysis biased with perturbative values of the scaling correction exponents computed by A. I. Sokolov. Added a reference to estimates of exponents for the Ising Model. Abridged text of 19 pages, latex, no figures, no tables of series coefficient