Development and Implementation of an Evidence-Based Practice Guideline Regarding Cricoid Pressure

Cricoid pressure (CP) has been a standard of practice since the 1960s. The purpose is to reduce aspiration of gastric content into the lungs in high-risk patients undergoing induction of general anesthesia. Aspiration has been identified as the most common cause of airway-related mortality for patients undergoing general anesthesia. The cause of airway-related mortality can be correlated to the application of CP. Incorrect application of CP may lead to adverse clinical events and outcomes. It has been demonstrated that when administering CP in a simulation-based environment, providers are applying pressure to the incorrect anatomical location and/or applying the incorrect amount of force. The project\u27s primary purpose is the development of an evidence-based practice (EBP) guideline which can be utilized to possibly reduce anesthesia related aspiration mortality for patients undergoing general anesthesia. This will be achieved by improving the quality of the application of CP through adopting an EBP approach to educate providers on the correct application. The project also includes a plan for implementing these EBP guidelines through education and training, monitoring the outcomes, and providing changes to the guidelines if the outcomes are less than desirable. The Plan-Do-Study-Act model was used as a framework to guide this scholarly project

William Wilson (1690-1741): churchman and theologian

The purpose of this biographer, as stated in the Preface, is to endeavor to pay tribute to one who, in a period of severe storm, witnessed for the truth as he understood the truth, and utilized his gifts, experiences, and labors in order that God might "have all the glory". Our subject appeared upon the stage of history at tile close of an explosive century - the 17th, Although he was not born until two years following the Revolution, yet the effects of this - and other events - served to mould his life, his teaching, his ministry. The Introduction sets forth the condition of the Church and State at the time of his birth. Your author leans heavily upon Andrew Ferrier and John Eadie for biographical data. But Wilson's ministry is mentioned in a number of other publications, as a close examination of the Bibliography will reveal. Although the writings of the Pastor of Perth manifest deep theological convictions, he is afforded a niche among his colleagues of the Scottish Church because of his quality of leadership. He, more than any of his fellow Seceders, was best able to frame cogently and succinctly, the arguments and principles of the Secession Movement, Many of these principles find their roots in the devotional and academic disciplines which he formulated at the outset of his commitment to the ministry. His boundless zeal and unwearied efforts as a servant of Christ - in the Established Church and in the Secession Church - are treated in the three chapters relating to his life. The characteristics which give Wilson a noteworthy position among his Brethren are these: a power of calm, clear reasoning; an eminent, judicial cast of mind; his limitless persistency in application. These qualities impart a marked value to his contribution to Secession literature, which that portion of the Thesis treating his Churchmanship seeks to express. Wilson was the pen of the Seceders, As an Apologist he set his writings over against those of his chief antagonist - John Currie of Kinglassie. This literary c©ntroversy labels Wilson as a leading exponent of the Secession cause, and places his writings among the historic documents of the Church

Understanding COVID-19

The SARS-CoV-2 outbreak has changed the lives of many. To combat the disease referred to as COVID- 19, anesthesia providers must be educated on specific topics. Understanding of a brief history of previous strands of the disease details the need for measures to reduce healthcare providers exposure. As patients present to the operating room (OR), viral and antibody testing combined provides identification and prognosis of the disease with infected patients who can transmit the disease. Anesthesia providers encounter transmission entry points frequently increasing possibility of exposure. The disease process of COVID-19 can lead to progression of complications necessitating interventions from anesthesia providers. Specific care instructions can limit the possibility of provider exposure. The extensive viral plume that is produced by tracheostomy procedures amplify the probability of exposure. lf tracheostomy is in the best interest of the patient, the use the acronym CORONA for guidance of care and the use of a designated team in the OR should be utilized to reduce exposure

Alien Registration- Carson, William J. (Caribou, Aroostook County)

https://digitalmaine.com/alien_docs/26143/thumbnail.jp

Lightning return stroke electromagnetics - time domain evaluation and application

A dissertation submitted to the Faculty of Engineering and the Built Environment, University of the Witwatersrand, Johannesburg, in fulfilment of the requirements for the degree of Master of Science in Engineering, 2016The work presented extends and contributes to the research of modelling lightning return stroke (RS) electromagnetic (EM) fields in the time domain. Although previous work in this area has focused on individual lightning electromagnetic pulse (LEMP) modelling techniques, there has not been an investigation into the strengths and weaknesses of different methods, as well as the implementation considerations of the models. This work critically compares three unique techniques (Finite Antenna, FDTD, and Single Cell FDTD) under the same ideal simulation parameters. The research presented will evaluate the EM fields in the range of 50m to 500m from the lightning channel. This range, often referred to as the near field distance, has a significant effect on lightning induced overvoltages on distribution lines, which are primarily created by the horizontal EM fields of the RS channel. These close distances have a significant effect on the model implementations, especially with the FDTD method. Each of these modelling methods is explained and tested through examples. The models are implemented in C++ and have been included in the Appendix to aid in future implementation. From the model simulations it is clear that the FDTD method is the most comprehensive model available. It allows for non-ideal ground planes, as well as complex simulation environments. However, FDTD has a number of numerical related errors that the Finite Antenna method does not suffer from. The Single Cell FDTD method is simple to implement and does not suffer from the same numerical errors as a full FDTD implementation, but is limited to simple simulation environments. This work contributes to the research field by comparing and evaluating three techniques and giving consideration to the implementation and the applicability to lightning EM simulations.MT201

Cognitive Warfare and Young Black Males in America

The result was a veritable feedback loop whose cognitive output, the mental imprint of morally impoverished super- predators, 14 continually fed its input. [...]even as crime rates among black youth have dropped steadily since the mid-1990s, these selfreinforcing associations and dissociations have prompted lawmakers and their constituents to continue to support laws and policies that they know disproportionately punish and incapacitate young black males. [...]is the apparent extent to which even subliminal racial primes can influence our perceptions of individuals

Recent Data Show Continued Growth in Supplemental Nutrition Assistance Program Use

The Great Recession had profound effects on families across the United States, and economic recovery has been slow. Poverty and unemployment remained high in 2011, and job growth was stagnant. Amid these signs of a sluggish recovery, social safety net programs have played a key role in supporting vulnerable families. Perhaps one of the most efficient and effective safety net programs, the Supplemental Nutrition Assistance Program, or SNAP (formerly known as food stamps), has remained particularly important for providing families and children with  utritious foods and alleviating poverty. For example, if SNAP benefits were counted as income, 4.4 percent fewer families would have been considered poor between 2000 and 2009. SNAP funding also has a multiplicative economic effect on communities, and research shows that every $5 increase in benefits generates$9 of economic activity

Histone methylation is critical in monocyte to macrophage differentiation

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136760/1/febs14074_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136760/2/febs14074.pd