Impact of CDE Referral on A1C Control in Adult Type 2 DM Patients.

Type II Diabetes Mellitus is a chronic health condition impacting many adults in Tennessee. Certified Diabetic Educators (CDEs) are specifically trained in educating and addressing the health care needs of patients with diagnoses of Type I or Type II Diabetes. Research has shown that education conducted by CDEs leads to improved outcomes and self- care in those with diabetes (Bowen, et al., 2016, King et al., 2019). Not only are CDEs cost effective services leading to a decrease in healthcare costs, but they also aid in the improvement of hemoglobin A1C (Hgb A1C) levels and decrease complications associated with Type II Diabetes Mellitus. The purpose of this project is to compare the impact of CDE referrals in adult patients with Type II Diabetes on their Hgb A1C levels with Type II diabetic patients who do not have a visit with a CDE. We hope to show a positive impact of CDE visits on Type II diabetic patients and their Hgb A1C level

Statistically validated networks in bipartite complex systems

Many complex systems present an intrinsic bipartite nature and are often described and modeled in terms of networks [1-5]. Examples include movies and actors [1, 2, 4], authors and scientific papers [6-9], email accounts and emails [10], plants and animals that pollinate them [11, 12]. Bipartite networks are often very heterogeneous in the number of relationships that the elements of one set establish with the elements of the other set. When one constructs a projected network with nodes from only one set, the system heterogeneity makes it very difficult to identify preferential links between the elements. Here we introduce an unsupervised method to statistically validate each link of the projected network against a null hypothesis taking into account the heterogeneity of the system. We apply our method to three different systems, namely the set of clusters of orthologous genes (COG) in completely sequenced genomes [13, 14], a set of daily returns of 500 US financial stocks, and the set of world movies of the IMDb database [15]. In all these systems, both different in size and level of heterogeneity, we find that our method is able to detect network structures which are informative about the system and are not simply expression of its heterogeneity. Specifically, our method (i) identifies the preferential relationships between the elements, (ii) naturally highlights the clustered structure of investigated systems, and (iii) allows to classify links according to the type of statistically validated relationships between the connected nodes.Comment: Main text: 13 pages, 3 figures, and 1 Table. Supplementary information: 15 pages, 3 figures, and 2 Table

Search for direct pair production of the top squark in all-hadronic final states in proton-proton collisions at s√=8 TeV with the ATLAS detector

The results of a search for direct pair production of the scalar partner to the top quark using an integrated luminosity of 20.1fb−1 of proton–proton collision data at √s = 8 TeV recorded with the ATLAS detector at the LHC are reported. The top squark is assumed to decay via t˜→tχ˜01 or t˜→ bχ˜±1 →bW(∗)χ˜01 , where χ˜01 (χ˜±1 ) denotes the lightest neutralino (chargino) in supersymmetric models. The search targets a fully-hadronic final state in events with four or more jets and large missing transverse momentum. No significant excess over the Standard Model background prediction is observed, and exclusion limits are reported in terms of the top squark and neutralino masses and as a function of the branching fraction of t˜ → tχ˜01 . For a branching fraction of 100%, top squark masses in the range 270–645 GeV are excluded for χ˜01 masses below 30 GeV. For a branching fraction of 50% to either t˜ → tχ˜01 or t˜ → bχ˜±1 , and assuming the χ˜±1 mass to be twice the χ˜01 mass, top squark masses in the range 250–550 GeV are excluded for χ˜01 masses below 60 GeV

Observation of associated near-side and away-side long-range correlations in √sNN=5.02 TeV proton-lead collisions with the ATLAS detector

Two-particle correlations in relative azimuthal angle (Δϕ) and pseudorapidity (Δη) are measured in √sNN=5.02  TeV p+Pb collisions using the ATLAS detector at the LHC. The measurements are performed using approximately 1  μb-1 of data as a function of transverse momentum (pT) and the transverse energy (ΣETPb) summed over 3.1<η<4.9 in the direction of the Pb beam. The correlation function, constructed from charged particles, exhibits a long-range (2<|Δη|<5) “near-side” (Δϕ∼0) correlation that grows rapidly with increasing ΣETPb. A long-range “away-side” (Δϕ∼π) correlation, obtained by subtracting the expected contributions from recoiling dijets and other sources estimated using events with small ΣETPb, is found to match the near-side correlation in magnitude, shape (in Δη and Δϕ) and ΣETPb dependence. The resultant Δϕ correlation is approximately symmetric about π/2, and is consistent with a dominant cos⁡2Δϕ modulation for all ΣETPb ranges and particle pT

UAB School of Nursing AI Taskforce: Transforming Nursing Education at UAB

Invited poster presentationhttps://digitalcommons.library.uab.edu/pp-nur/1002/thumbnail.jp

Strongly magnetized pulsars: explosive events and evolution

Well before the radio discovery of pulsars offered the first observational confirmation for their existence (Hewish et al., 1968), it had been suggested that neutron stars might be endowed with very strong magnetic fields of $10^{10}$-$10^{14}$G (Hoyle et al., 1964; Pacini, 1967). It is because of their magnetic fields that these otherwise small ed inert, cooling dead stars emit radio pulses and shine in various part of the electromagnetic spectrum. But the presence of a strong magnetic field has more subtle and sometimes dramatic consequences: In the last decades of observations indeed, evidence mounted that it is likely the magnetic field that makes of an isolated neutron star what it is among the different observational manifestations in which they come. The contribution of the magnetic field to the energy budget of the neutron star can be comparable or even exceed the available kinetic energy. The most magnetised neutron stars in particular, the magnetars, exhibit an amazing assortment of explosive events, underlining the importance of their magnetic field in their lives. In this chapter we review the recent observational and theoretical achievements, which not only confirmed the importance of the magnetic field in the evolution of neutron stars, but also provide a promising unification scheme for the different observational manifestations in which they appear. We focus on the role of their magnetic field as an energy source behind their persistent emission, but also its critical role in explosive events.Comment: Review commissioned for publication in the White Book of "NewCompStar" European COST Action MP1304, 43 pages, 8 figure

Physics, Astrophysics and Cosmology with Gravitational Waves

Gravitational wave detectors are already operating at interesting sensitivity levels, and they have an upgrade path that should result in secure detections by 2014. We review the physics of gravitational waves, how they interact with detectors (bars and interferometers), and how these detectors operate. We study the most likely sources of gravitational waves and review the data analysis methods that are used to extract their signals from detector noise. Then we consider the consequences of gravitational wave detections and observations for physics, astrophysics, and cosmology.Comment: 137 pages, 16 figures, Published version <http://www.livingreviews.org/lrr-2009-2

No Place Like Home: Collaborative Process for Code Chemo

Background “Code Chemo” leverages nursing expertise to expedite care and ensures smooth interdepartmental collaboration. Project goals are to reduce hospital admissions for oncology patients with central lines presenting in ED with fever. Local Problem Previously, febrile pediatric oncology patients with central lines were directly admitted. To minimize unnecessary hospitalizations, this process maintained patient management in the emergency department (ED) and allowed patients to be discharged home for. “Code Chemo” increased bed capacity and minimized hospital cost while managing crucial bed and staff shortages. Method ED and IP nurses along with a multidisciplinary team executed this project using a multilayered communication strategy and an interdisciplinary flow map. Nursing education emphasized the importance of prompt evaluation, implanted port accessing, obtaining blood cultures and antibiotic administration to meet national benchmarks. Nurses developed “Code Chemo” carts stocked with essential supplies. Standing orders were modified to promote nurse autonomy in initiating care. Nurse navigators provided patient education on the new process in the ED. Nursing involvement was critical in ensuring improved patient care. Results/Conclusions We have had 80 patients discharged home from the ED, improving patient flow and patient satisfaction while reducing admissions/costs. We estimate that this process change has potentially facilitated $1,072,000 (80*$13,400 per average pediatric non-birth hospitalization) in cost savings, while opening beds for others. Our median time from arrival to antibiotic administration in the ED is less than the national benchmark of 60 min. Approximately 10% of our non-neutropenic febrile patients are admitted, which is down from 100% at the start of the project. Implications for Practice This work is a blueprint for translating a standardized pathway to a multi-tiered communication tool to protect patients from hospital-related risks. An engaged, inclusive team resulted in a shared patient-centered vision, with nursing at the heart of expedited care delivery. References Cohen C, King A, Lin CP, Friedman GK, Monroe K, Kutny M. Protocol for Reducing Time to Antibiotics in Pediatric Patients Presenting to an Emergency Department With Fever and Neutropenia: Efficacy and Barriers. Pediatric Emergency Care. 2016;32(11):739-745. doi:10.1097/PEC.0000000000000362 Geerlinks AV, Digout C, Bernstein M, et al. Improving Time to Antibiotics for Pediatric Oncology Patients With Fever and Suspected Neutropenia by Applying Lean Principles. Pediatric Emergency Care. 2020;36(11):509-514. doi:10.1097/PEC.0000000000001557 Keng MK, Thallner EA, Elson P, et al. Reducing Time to Antibiotic Administration for Febrile Neutropenia in the Emergency Department. J Oncol Pract. 2015;11(6):450-455. doi:10.1200/JOP.2014.002733 Monroe K, Cohen CT, Whelan K, et al. Quality Initiative to Improve time to Antibiotics for Febrile Pediatric Patients with Potential Neutropenia. Pediatr Qual Saf. 2018;3(4):e095. Published 2018 Aug 9. doi:10.1097/pq9.0000000000000095 Yoshida H, Leger KJ, Xu M, et al. Improving Time to Antibiotics for Pediatric Oncology Patients with Suspected Infections: An Emergency Department-Based Quality Improvement Intervention. Pediatr Emer Care. 2018;34(1):47-52. doi:10.1097/PEC.000000000000136