Business Process Redesign in the Perioperative Process: A Case Perspective for Digital Transformation

This case study investigates business process redesign within the perioperative process as a method to achieve digital transformation. Specific perioperative sub-processes are targeted for re-design and digitalization, which yield improvement. Based on a 184-month longitudinal study of a large 1,157 registered-bed academic medical center, the observed effects are viewed through a lens of information technology (IT) impact on core capabilities and core strategy to yield a digital transformation framework that supports patient-centric improvement across perioperative sub-processes. This research identifies existing limitations, potential capabilities, and subsequent contextual understanding to minimize perioperative process complexity, target opportunity for improvement, and ultimately yield improved capabilities. Dynamic technological activities of analysis, evaluation, and synthesis applied to specific perioperative patient-centric data collected within integrated hospital information systems yield the organizational resource for process management and control. Conclusions include theoretical and practical implications as well as study limitations

Nosocomial Transmission of Trichophyton tonsurans Tinea Corporis in a Rehabilitation Hospital

Abstract Objective: Investigate the nosocomial transmission of Trichophyton tonsurans tinea corporis. Design: Descriptive study of a nosocomial epidemic of tinea corporis. Setting: A free-standing inpatient rehabilitation facility. Participants: Patients and healthcare workers present on an inpatient rehabilitation ward at the time of transmission of tinea corporis. Results: T tonsurans tinea corporis was transmitted from one patient to four healthcare workers despite early diagnosis and treatment. Infection rates for healthcare workers having major, moderate, and minor contact with the index case were 30%, 17%, and 0%, respectively (overall rate, 25%). Conclusions: This study identifies rehabilitation inpatients as another population in which nosocomial transmission of T tonsurans tinea corporis can occur. The high attack rate and transmission, despite early diagnosis and treatment, emphasizes the need for isolation precaution

Associations between dietary added sugar intake and micronutrient intake: a systematic review

Original article can be found at: http://journals.cambridge.org/ Copyright The Authors. DOI: 10.1017/S0007114507617206There is increasing concern that high intakes of added sugars might compromise intakes of micronutrients. The objectives of this systematic review were (1) to determine whether dietary added sugar intake was associated with micronutrient intakes, and if so, whether there was evidence of micronutrient dilution as a result of higher dietary added sugar intake and (2) if micronutrient dilution was present, to determine whether there was sufficiently robust evidence to support a threshold effect above which there was a significant decline in micronutrient intake or status relative to the recommended intakes. A systematic computerised literature search was undertaken, limited to studies written in English published from 1980 onwards and further studies identified through hand searching papers. Fifteen studies that assessed associations between intakes of added sugars or non-milk extrinsic sugars and micronutrients were included. Overall, there are insufficient data and inconsistency between studies in relationships between added sugars and micronutrient intakes, with no clear evidence of micronutrient dilution or a threshold for a quantitative amount of added sugar intake for any of the micronutrients investigated. The current evidence base is considerably constrained by methodological issues. Further research is required to determine which food products high in added sugars might adversely affect micronutrient intakes by displacing other food items from the diet. Analyses should take into account the magnitude of any observed associations to determine their true biological significance.Peer reviewe

Functional Fault Modeling of a Cryogenic System for Real-Time Fault Detection and Isolation

The purpose of this paper is to present the model development process used to create a Functional Fault Model (FFM) of a liquid hydrogen (L H2) system that will be used for realtime fault isolation in a Fault Detection, Isolation and Recover (FDIR) system. The paper explains th e steps in the model development process and the data products required at each step, including examples of how the steps were performed fo r the LH2 system. It also shows the relationship between the FDIR req uirements and steps in the model development process. The paper concl udes with a description of a demonstration of the LH2 model developed using the process and future steps for integrating the model in a live operational environment

Mixed Methodology Approaches to Exploring Spiritual Transformation

Research suggests that spiritual transformation, a change in the way a person considers the sacred, can change medical outcome (Pargament, 2006) Psychometric studies have failed to identify specific factors, but qualitative reports detail an experience that can be reliably shown to have an impact. We report on the development of a rubric for quantifying levels of spiritual transformation. Narrative analysis techniques were used to quantify levels of spiritual transformation from participants’ life stories, experience with traditional healers, and subsequent medical status. A quantification rubric was developed and 111 assistants rated the stories after a three - hour training session. Inter - observer reliability was 0.87 (95% CI, 0.72 to 0.97, p \u3c 0.001). Findings suggest it is possible to develop reliable coding scenarios that independent raters can follow to use in research to quantifiably assess spiritual transformation

Watermelon bacterial fruit blotch (2002)

"New 1/02/5M.""Integrated pest management.

Usage of Fault Detection Isolation & Recovery (FDIR) in Constellation (CxP) Launch Operations

This paper will explore the usage of Fault Detection Isolation & Recovery (FDIR) in the Constellation Exploration Program (CxP), in particular Launch Operations at Kennedy Space Center (KSC). NASA's Exploration Technology Development Program (ETDP) is currently funding a project that is developing a prototype FDIR to demonstrate the feasibility of incorporating FDIR into the CxP Ground Operations Launch Control System (LCS). An architecture that supports multiple FDIR tools has been formulated that will support integration into the CxP Ground Operation's Launch Control System (LCS). In addition, tools have been selected that provide fault detection, fault isolation, and anomaly detection along with integration between Flight and Ground elements

HB 69 Grocery Investment Program and Fund

In the 2018 session of the Virginia General Assembly, multiple pieces of legislation were brought to committee, proposing the creation of a fund to catalyze public-private partnerships to expand access to Virginians residing in food deserts. Through the creation of the fund, underserved communities would see the construction, rehabilitation and expansion of food retailers in their communities ameliorate food desserts