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Genuine Economic Progress in the United States: A Fifty State Study and Comparative Assessment
No full textThe Genuine Progress Indicator (GPI) was designed to reveal the economic, social, and environmental trade-offs associated with conventional economic growth as traditionally measured by Gross Domestic Product (GDP). Although originally designed for use at the national scale, an interest has developed in the United States in a state-level uptake of the GPI to inform and guide policy. This study presents the first fifty-state estimate for U.S. GPI in order to address questions over its design, implementation, and ultimate potential as a tool to guide state-level economic policy. Following a review of the current state of analysis and critique of GPI, we provide an overview of methodology and database development. Results are then presented, including discussion of lessons learned through a fifty-state application. The paper concludes with suggestions for further research and next steps to consolidating a consistent methodology
Prediction of FFR from IVUS images using machine learning
No full textWe present a machine learning approach for predicting fractional flow reserve (FFR) from intravscular ultrasound images (IVUS) in coronary arteries. IVUS images and FFR measurements were collected from 1744 patients and 1447 lumen and plaque segmentation masks were generated from 1447 IVUS images using an automatic segmentation model trained on separate 70 IVUS images and minor manual corrections. Using total 114 features from the masks and general patient informarion, we trained random forest (RF), extreme gradient boost (XGBoost) and artificial neural network (ANN) models for a binary classification of FFR-80 threshold (FFR \u3c 0.8 v.s. FFR ≥ 0.8) for comparison. The ensembled XGBoost models evaluated in 290 unseen cases achieved 81% accuracy and 70% recall
Patients with sacroiliac joint dysfunction exhibit altered movement strategies when performing a sit-to-stand task
No full textSummary of Background Data: The ability to rise from a chair is a basic functional task that is frequently compromised in individuals diagnosed with orthopedic disorders in the low back and hip. There is no published literature that describes how this task is altered by sacroiliac joint dysfunction (SIJD). Purpose: The objective of this study was to compare lower extremity biomechanics and the onset of muscle activity when rising from a chair in subjects with SIJD and in healthy persons. Study Design: Six women with unilateral SIJD and six age-matched healthy controls performed a sit-to-stand task while we measured kinematics, kinetics, and muscle activity. Materials and Methods: Subjects stood up at a preferred speed from a seated position on an armless and backless adjustable stool. We measured kinematics with a 10-camera motion capture system, ground reaction forces for each leg with force plates, and muscle activity with surface electromyography. Joint angles and torques were calculated using inverse dynamics. Leg-loading rate was quantified as the average slope of vertical ground reaction (VGRF) force during the 500-millisecond interval preceding maximal knee extension. Results: Between-leg differences in loading rates and peak VGRFs were significantly greater for the SIJD group than for the control group. Maximal hip angles were significantly less for the SIJD group (p=.001). Peak hip moment in the SIJD group was significantly greater in the unaffected leg (0.75±0.22 N⋅m/kg) than in the affected leg (0.47±0.29 N⋅m/kg, p=.005). There were no between-leg or between-group differences for peak knee or ankle moments. The onset of activity in the latissimus dorsi muscle on the affected side was delayed and the erector spinae muscles were activated earlier in the SIJD group than in the control group. Conclusions: Subjects with SIJD have a greater VGRF on the unaffected leg, generate a greater peak hip moment in the unaffected leg, use a smaller range of motion at the hip joint of the affected leg, and delay the onset of a key muscle on the affected side when rising from a seated position
Interprofessional education
No full textInterprofessional education (IPE) is recognized as an important component in the education of healthcare students. The goal of bringing students together to learn with, from, and about each other is to ultimately impact collaborative practice and improve patient care. Over the last 20 years there has been increased focus on the design and implementation of IPE experiences. Several IPE collaborative organizations and IPE centers have been formed to provide evidence-based recommendations and guidelines. Strategies have been created for designing and implementing high quality IPE activities, developing faculty in IPE, overcoming student stereotypes, determining assessment strategies, and identifying barriers to IPE. This chapter will focus on each of these elements and provide specific recommendations on how to create and implement IPE that improves student learning
Skin assessment
No full textAssessment of the skin is an important element of the newborn physical examination. A complete examination of the skin involves both inspection and palpation. Most skin variations can be noted by inspection alone, but palpation is essential to avoid missing less obvious problems and is an important aspect of the examination. Palpation is important for determining the thickness, turgor, and consistency of the skin. It is also necessary to determine the size or configuration of certain lesions or variations that may be observed during the examination. The more immature the skin, the thinner and more permeable it is. Careful assessment of the skin gives the examiner insight into the overall health of the newborn as well as any underlying pathology. Although numerous other anomalies may occur in newborn skin, the most common variations presented here should aid the healthcare professional in performing a complete and thorough newborn skin examination
Preparation bootcamp for pharmacy residency application and interviews
No full textDescription: A six-hour Residency Bootcamp, offered to interested students, provided review and individualised feedback on student Curriculum Vitae, letters of intent, topic presentations, case-based critical thinking skills, and interview skills. Questionnaire data were used to evaluate student perceptions. School-reported match results were used to determine the residency match rates of participants of the Bootcamp. Evaluation: A total of 24 students participated in the Bootcamp. When asked how valuable the Residency Bootcamp was for residency preparation on a scale of 1-10 (1 = not valuable and 10 = extremely valuable), students reported an average of 9.28 for the Bootcamp. A total of 23 students participated in the match and 21 students secured match for residency (91.3%). Conclusion: A six-hour Residency Bootcamp was perceived as valuable to students in preparing for residency applications and training. Participants in the Bootcamp had a high match rate
Aquilegia Volume 42 No. 1 Winter 2018
Get PDFhttps://epublications.regis.edu/aquilegia/1203/thumbnail.jp
Ethics of Patient Records: Understanding the Tool of Electronic Medical Records in a Clinical Setting and How They Impact the Patient-Physician Relationship
Get PDFThe author argues that a better understanding of how to utilize and find a justification for the use of electronic medical records in necessary, it should be more than a way to communicate within the system
Living with the Dead: A Sociological Analysis of Japanese and American Zombie Media
Get PDF1 Introduction Zombies are a household name. In recent years, they have taken over the media, leading to zombie walks, television shows, and even exercise apps created in their likeness. Zombies, no matter the type, have been a source of cultural intrigue and fear. However, what exactly is it about zombies that make them so horrifying? While the immediate threat of death is a large factor, there are other fears elicited by a zombie incursion. This paper aims to examine three visual medias via primary source analysis in order to figure out what other fears are incurred with zombie-based societal collapse. This paper aims to analyze The Walking Dead, Zombieland, and I Am A Hero, while providing cultural context regarding the creation of zombies so as to better understand these fears. Additionally, on top of being a primary source analysis regarding social fears, this paper aims to analyze it’s visual media cross-culturally, comparing whether or not the fears shown in the films are the same in both American and Japan. Each visual media was chosen for a specific purpose. The Walking Dead was chosen for its longevity and the country it was produced in. The show’s run time increases the amount of information to draw from, leading to more substantial conclusions that of a movie. Zombieland was chosen specifically for how “American” it is in the scenes, characters, and plot. Lastly, I Am A Hero was chose due to the fact that there is very little information on Japanese zombie movies. This movie, however, not only got good reviews, but it also was a serious film, as opposed to the various parodies that were found while searching for source material. Additionally, because there is so little about Japanese zombie movies, I Am A Hero was also chosen due to its country of origin, allowing for a cross-cultural analysis between American and Japanese zombie movies. Furthermore, the first section of the paper takes a look at the cultural origins of zombies, tracing their origins back to West African religions and Haitian Vodou, which referred to zombies as nzumbi and zombi respectively. However, the zombi was eventually adapted to a different culture, gaining its own unique form as different cultures interacted and information spread. Depictions of zombies can be seen in these various cultures, which begs the question on whether or not the fear invoked by zombies has been changed by these cultures. Additionally, what is it that makes zombies such a visceral monster? By taking an in depth look into The Walking Dead, Zombieland, and I Am A Hero, I looked at what sort of fears zombies evoke on a sociocultural level and whether or not those fears differ based on the country in which the media is produced; specifically, America and Japan