Providers’ Reports of Environmental Conditions and Resources at Births in the United States

2018 ◽  
Vol 41 (6) ◽  
pp. 854-871 ◽  
Author(s):  
Ann F. Minnick ◽  
Mavis N. Schorn ◽  
Mary S. Dietrich ◽  
Beth Donaghey
Keyword(s):  
Environmental Conditions ◽  
The United States ◽  
Provider Type ◽  
Cross Sectional ◽  
Certified Nurse Midwives ◽  
Phone Calls ◽  
New Directions ◽  
Family Practice Physicians ◽  
Cross Sectional Design ◽  
The Impact

Environmental conditions and resources that may influence provider’s behaviors have been investigated in birth environments focusing on location rather than conditions and available resources. Using a descriptive, cross sectional design, we surveyed a random sample of certified nurse-midwives (CNMs), obstetricians, family practice physicians, and certified professional midwives (CPMs) to describe conditions, resources, and workforce present during U.S. births. In all, 1,243 midwives and physicians reported most environmental resources were present at almost 100% of births they attended. Conditions varied: room noise acceptability restriction of phone calls/texts from any source and lighting kept to a minimum. Trainees were present at most births regardless of setting and provider type. The impact of room noise, phone calls/texting, and lighting on outcomes should be determined. The roles and impact of personnel, including trainees, should be described. The extent to which clusters of resources are associated with outcomes might provide new directions for interventions that improve care.

scholarly journals Impact of temperature and relative humidity on the transmission of COVID-19: a modelling study in China and the United States

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e043863
Author(s):  
Jingyuan Wang ◽  
Ke Tang ◽  
Kai Feng ◽  
Xin Lin ◽  
Weifeng Lv ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Relative Humidity ◽  
Human Mobility ◽  
The United States ◽  
Reproductive Number ◽  
Cross Sectional ◽  
The Usa ◽  
Higher Temperature ◽  
Potential Impact ◽  
The Impact

ObjectivesWe aim to assess the impact of temperature and relative humidity on the transmission of COVID-19 across communities after accounting for community-level factors such as demographics, socioeconomic status and human mobility status.DesignA retrospective cross-sectional regression analysis via the Fama-MacBeth procedure is adopted.SettingWe use the data for COVID-19 daily symptom-onset cases for 100 Chinese cities and COVID-19 daily confirmed cases for 1005 US counties.ParticipantsA total of 69 498 cases in China and 740 843 cases in the USA are used for calculating the effective reproductive numbers.Primary outcome measuresRegression analysis of the impact of temperature and relative humidity on the effective reproductive number (R value).ResultsStatistically significant negative correlations are found between temperature/relative humidity and the effective reproductive number (R value) in both China and the USA.ConclusionsHigher temperature and higher relative humidity potentially suppress the transmission of COVID-19. Specifically, an increase in temperature by 1°C is associated with a reduction in the R value of COVID-19 by 0.026 (95% CI (−0.0395 to −0.0125)) in China and by 0.020 (95% CI (−0.0311 to −0.0096)) in the USA; an increase in relative humidity by 1% is associated with a reduction in the R value by 0.0076 (95% CI (−0.0108 to −0.0045)) in China and by 0.0080 (95% CI (−0.0150 to −0.0010)) in the USA. Therefore, the potential impact of temperature/relative humidity on the effective reproductive number alone is not strong enough to stop the pandemic.

OHNS Residency Program and Applicant Social Media Presence During the COVID-19 Pandemic

2021 ◽  
pp. 000348942098797
Author(s):  
Shadi Ahmadmehrabi ◽  
Deborah X. Xie ◽  
Bryan K. Ward ◽  
Paul C. Bryson ◽  
Patrick Byrne
Keyword(s):  
Social Media ◽  
The United States ◽  
Cross Sectional Study ◽  
Application Process ◽  
Cross Sectional ◽  
Residency Programs ◽  
Social Media Presence ◽  
Residency Application ◽  
The Impact ◽  
Residency Match

Objectives: In addition to clinical and social disruption, the Coronavirus Disease 2019 (COVID-19) pandemic has affected many aspects of the otolaryngology residency application process. With delays in the 2021 Electronic Residency Applications Service (ERAS) timeline, students and programs have had more time to interact prior to the formal application process. This communication will report recent trends in social media presence by OHNS residency programs, and discuss mechanisms to compensate for decreased applicant-program interactions using social media ahead of the 2021 Match. Methods: In a cross-sectional study of the accredited otolaryngology residency programs in the United States, the number of social media profiles on Twitter, Instagram, and Facebook from 2009 to 2019 were recorded and compared. Results: Most programs (61%) have at least 1 social media profile. Over the past 10 years, the number of programs on social media has increased. During the COVID-19 pandemic, Twitter and Instagram showed higher rates of growth compared to Facebook. With the reduction of in-person opportunities for interactions, both applicants and programs are utilizing social media to showcase their values and their research. Twitter, in particular, also serves as a platform for professional networking. Conclusion: Both Twitter and Instagram are growing in popularity among programs and applicants to enhance networking. Social media is a powerful tool for networking and may help compensate for limitations imposed on the residency match process by the COVID-19 pandemic while maintaining professionalism considerations. The impact of social media on the 2021 otolaryngology residency match is an evolving phenomenon.

scholarly journals Physician beliefs about the impact of meaningful use of the EHR

2014 ◽  
Vol 05 (03) ◽  
pp. 789-801 ◽  
Author(s):  
D.Y. Ting ◽  
M. Healey ◽  
S.R. Lipsitz ◽  
A.S. Karson ◽  
J. S. Einbinder ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Primary Care Physicians ◽  
Meaningful Use ◽  
The United States ◽  
Improve Quality ◽  
Cross Sectional ◽  
Incentive Program ◽  
Physician Beliefs ◽  
The Impact

SummaryBackground: As adoption and use of electronic health records (EHRs) grows in the United States, there is a growing need in the field of applied clinical informatics to evaluate physician perceptions and beliefs about the impact of EHRs. The meaningful use of EHR incentive program provides a suitable context to examine physician beliefs about the impact of EHRs.Objective: Contribute to the sparse literature on physician beliefs about the impact of EHRs in areas such as quality of care, effectiveness of care, and delivery of care.Methods: A cross-sectional online survey of physicians at two academic medical centers (AMCs) in the northeast who were preparing to qualify for the meaningful use of EHR incentive program.Results: Of the 1,797 physicians at both AMCs who were preparing to qualify for the incentive program, 967 completed the survey for an overall response rate of 54%. Only 23% and 27% of physicians agreed or strongly agreed that meaningful use of the EHR will help them improve the care they personally deliver and improve quality of care respectively. Physician specialty was significantly associated with beliefs; e.g., 35% of primary care physicians agreed or strongly agreed that meaningful use will improve quality of care compared to 26% of medical specialists and 21% of surgical specialists (p=0.009). Satisfaction with outpatient EHR was also significantly related to all belief items.Conclusions: Only about a quarter of physicians in our study responded positively that meaningful use of the EHR will improve quality of care and the care they personally provide. These findings are similar to and extend findings from qualitative studies about negative perceptions that physicians hold about the impact of EHRs. Factors outside of the regulatory context, such as physician beliefs, need to be considered in the implementation of the meaningful use of the EHR incentive program.Citation: Emani S, Ting DY, Healey M, Lipsitz SR, Karson AS, Einbinder JS, Leinen L, Suric V, Bates DW. Physician beliefs about the impact of meaningful use of the EHR: A cross-sectional study. Appl Clin Inf 2014; 5: 789–801http://dx.doi.org/10.4338/ACI-2014-05-RA-0050

scholarly journals CORRELATION BETWEEN SMOKE-FREE AREAS AND SMOKING BEHAVIOR IN INDONESIA

2020 ◽  
Vol 8 (2) ◽  
pp. 117
Author(s):  
Mohamad Anis Fahmi
Keyword(s):  
Public Awareness ◽  
Smoking Behavior ◽  
Secondary Data ◽  
Computer Application ◽  
P Value ◽  
Cross Sectional ◽  
Positive Correlation ◽  
The Government ◽  
Cross Sectional Design ◽  
The Impact

Background: Low public awareness of the impact of smoking makes the implementation of smoke-free areas (KTR) difficult. Smoke-free areas aim to protect the public from the direct and indirect effects of smoking. Purpose: This study aimed to analyze the correlation between the application of smoke-free areas and the prevalence of active and ex-smokers in Indonesia. Method: This study implemented a cross-sectional design, using secondary data from the Riskesdas 2018 on active and ex-smokers. KTR application data were obtained from the Profile of Non-Communicable Diseases in 2016. A Pearson product-moment test was conducted by a computer application to determine the correlation coefficient (r). This coefficient was used to describe the level of correlation between the two variables; significance was determined as a p value of 5%. Results: This study showed that the average application of KTR throughout Indonesia was 50.83%, active smokers comprised 23.49% of the population, and ex-smokers comprised 4.94%. Most active smokers were in Java and Sumatra, while the majority of ex-smokers were in Java and Sulawesi and the majority of KTR was in Java. This study shows that there is a positive correlation between KTR application and the percentage of ex-smokers (r = 0.46; p value = 0.01). Conclusion: There is a positive correlation between the application of KTR and an increase in ex-smokers. The government needs to increase the application of KTR policies.

scholarly journals DAMPAK OVERCAPACITY TERHADAP TINGKAT STATUS GIZI NARAPIDANA

2020 ◽  
Vol 15 (1) ◽  
pp. 60-66
Author(s):  
Faiz Fakhri Isjwara
Keyword(s):  
Body Weight ◽  
Nutritional Status ◽  
Negative Impact ◽  
Sampling Technique ◽  
Ideal Body Weight ◽  
Correctional Institution ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
Unbalanced Diet ◽  
The Impact

The principle of the organization of prisons (Lembaga Pemasyarakatan/ LAPAS) must prioritize a humane approach so that prisoners and prisoners receive their rights. If the implementation is good, the objective of LAPAS is to carry out social reintegration, namely the restoration of the unity of life, life and livelihood of prisoners and correctional students both prisoners as individuals, social beings and God's creatures with society can be achieved. However, this organization faces obstacles, namely the problem of overcapacity. This can have implications for suboptimal and can even lead to failure to function as a correctional institution. The problem of over capacity will also have an impact on the health conditions of prisoners. Sleep conditions, eating patterns, health services that are less than the maximum due to over capacity will certainly have a negative impact on the nutritional status of prisoners. This study aims to determine the impact of Overcapacity Impacts on the Nutritional Status Level of Prisoners in Class II A Penitentiary, Sidoarjo. This type of research is a quantitative correlational analytic survey with a cross-sectional design. The number of samples was 91 inmates. The sampling technique is by random sampling. Data is collected by weighing body weight and height and comparing with ideal body weight. The results showed that the more overcapacity, the nutritional status of prisoners decreased. Room conditions can affect the provision of an unbalanced diet. Thus, that this causes the prisoners to experience malnutrition.

scholarly journals A cross sectional study of contact dermatitis among chicken farmers

2020 ◽  
Vol 12 (2) ◽  
pp. 232
Author(s):  
Tika Nela Sirait ◽  
Helen Kartika Hasianna Sinaga
Keyword(s):  
Contact Dermatitis ◽  
Environmental Conditions ◽  
Animal Feed ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Farm Workers ◽  
Personal Hygiene ◽  
Cross Sectional ◽  
Chicken Farm ◽  
Cross Sectional Design

Occupational diseases can be caused by several factors of work and environmental conditions of workers. Poor environmental conditions and worker behavior are some of the triggers for the emergence of dermatitis in workers. Contact dermatitis in chicken farm workers can be caused by exposure to chemicals from animal feed. The purpose of this study was to determine the factors that influence the occurrence of dermatitis in chicken farmworkers. This research is a quantitative study with a cross-sectional design. The population in this study was a total sample of 35 people. The results showed that there was no relationship between the use of personal protective equipment, working period, and personal hygiene with the appearance of symptoms of dermatitis in workers. However, this study found that workers who have worked for more than 12 months and practice good personal hygiene tend to avoid symptoms of dermatitis. This study provides a recommendation that the longer a person has worked, personal hygiene improvement needs to be done to avoid dermatitis.

scholarly journals Effect of Core Mass and Alloy on Cyclic Fatigue Resistance of Different Nickel-Titanium Endodontic Instruments in Matching Artificial Canals

Materials ◽  
2021 ◽  
Vol 14 (19) ◽  
pp. 5734
Author(s):  
Sebastian Bürklein ◽  
Lennart Zupanc ◽  
David Donnermeyer ◽  
Karsten Tegtmeyer ◽  
Edgar Schäfer
Keyword(s):  
Fatigue Resistance ◽  
Cyclic Fatigue ◽  
Nickel Titanium ◽  
The Other ◽  
Design Parameters ◽  
Core Mass ◽  
Cross Sectional ◽  
Significance Level ◽  
Cross Sectional Design ◽  
The Impact

Instrument failure during root canal preparation is still a concern among endodontists. However, it remains unclear whether the use of more martensitic alloys or the cross-sectional design parameters (i.e., core mass) significantly improve fracture resistance. The aim of the study was to evaluate the impact of core mass and alloy on dynamic cyclic fatigue resistance of nickel-titanium endodontic instruments in matching artificial canals at body temperature. Two groups were tested. (A) taper 0.04: F360 (Komet, Lemgo, Germany), Twisted file (Sybron Endo, Glendora, CA, USA) (=TF), JIZAI (Mani, Tochigi, Japan) (=J_04) (all size #25) and the variable tapered TruNatomy (Dentsply, Ballaigues, Switzerland) (size #26) (=TN). (B) size #25; taper 0.06: (Mtwo (VDW, Munich, Germany), JIZAI (Mani) (=J_06), and variable tapered Hyflex EDM OneFile (Coltene Whaledent, Altstätten, Switzerland) (=HF). Time, number of cycles to fracture (NCF), and number and length of fractured fragments were recorded and statistically analysed using ANOVA Student-Newman-Keuls, Kruskal–Wallis or Chi-square test (significance level = 0.05). (A) TN showed the significantly shortest time until fracture, followed by TF, F360 and J_04 which also differed significantly, while NCF showed the following order: F360 < TN < TF < J_04 (p < 0.05). Only one J_04 but all instruments of the other groups fractured within the test-limit of 10 min. (B) Mtwo was significantly inferior concerning time until fracture and NCF, compared to J_06 and HF (p < 0.05), which did not differ significantly (p > 0.05). While all Mtwo instruments fractured, only four instruments failed in the other groups (p < 0.05). Within the limitations of this study, alloy and cross-sectional design (i.e., core mass) were critical factors regarding instrument failure, but none of these factors could be determined as a main parameter for increased or decreased time, and cycles to fracture. Rather, it seemed to be the interaction of multiple factors (e.g., longitudinal and cross-sectional design, alloy, and rotational speed) that was responsible for differences in the time and cycles to fracture. Nonetheless, all instruments had lifetimes that allow safe clinical use. However, the superiority or inferiority of an instrument with regard to cyclic fatigue based on laboratory results—even when identical trajectories are guaranteed—may be considered questionable, as the characteristics and design parameters of the instruments vary considerably, and the experimental setups lack additional clinical parameters and thus clinical relevance.

Symptom Responses to a Continuum of Sexual Trauma

2013 ◽  
Vol 28 (2) ◽  
pp. 248-258 ◽  
Author(s):  
Carrie M. Carretta ◽  
Ann W. Burgess
Keyword(s):  
Sexual Trauma ◽  
The United States ◽  
Symptom Presentation ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Web Based ◽  
Significant Difference ◽  
Different Types ◽  
Cross Sectional Design ◽  
Post Hoc

This study reports the findings of an anonymous web-based survey to test differences in symptom presentation (depression, anxiety, posttraumatic stress disorder [PTSD]) among women who experienced different types of sexual trauma (forcible, pressured, sex stress). The study used a descriptive cross-sectional design with an online convenience sample of 243 adult females living primarily in the United States. The findings revealed that there was a statistically significant difference among type of sexual trauma groups for depression (p = .013) and PTSD (p = .044) but not for anxiety (p = .183). Post hoc analysis of the overall difference in depression revealed that the multiple rape type group (p = .010) and the forcible sex group (p = .016) had higher levels of depression.

Impact of nurses' emotional intelligence on the implementation of a professional practice model in cancer care

2021 ◽  
Vol 30 (19) ◽  
pp. 1110-1116
Author(s):  
Majeda A Al-Ruzzieh ◽  
Omar Ayaad
Keyword(s):  
Emotional Intelligence ◽  
Professional Practice ◽  
Sampling Technique ◽  
Mean Value ◽  
Cancer Center ◽  
Practice Model ◽  
Cross Sectional ◽  
Effective Implementation ◽  
Cross Sectional Design ◽  
The Impact

Aim: To examine the impact of emotional intelligence on the effective implementation of a professional practice model in a specialised cancer centre. Methods: The study used a cross-sectional design with 580 frontline nurses at King Hussein Cancer Center, Jordan. The sample was selected using a convenience sampling technique. Data were collected using two self-administered questionnaires to measure emotional intelligence and professional practice. Results: The overall mean value of emotional intelligence was 5.60 out of 6 (SD=0.78), while the overall mean value for the implementation of the professional practice model was 4.76/5 (SD=0.59). The results showed that the overall mean value of emotional intelligence had a significant positive correlation with the effective implementation of the professional practice model (r=0.580, P<0.001), even after adjusting for the participants' demographics (P<0.001). Conclusion: Emotional intelligence can be considered a predictor for the effective implementation of a professional practice model.

scholarly journals Impact of Gulfstream-IV Dropsondes on Tropical Cyclone Prediction in a Regional OSSE System

2019 ◽  
Vol 147 (8) ◽  
pp. 2961-2977 ◽  
Author(s):  
Kelly Ryan ◽  
Lisa Bucci ◽  
Javier Delgado ◽  
Robert Atlas ◽  
Shirley Murillo
Keyword(s):  
Tropical Cyclone ◽  
Real Time ◽  
Environmental Conditions ◽  
The United States ◽  
Track Forecast ◽  
Deterministic Models ◽  
Research Division ◽  
Sensitivity Studies ◽  
Potential Impact ◽  
The Impact

Abstract Aircraft reconnaissance missions remain the primary means of collecting direct measurements of marine atmospheric conditions affecting tropical cyclone formation and evolution. The National Hurricane Center tasks the NOAA G-IV aircraft to sample environmental conditions that may impact the development of a tropical cyclone threatening to make landfall in the United States or its territories. These aircraft data are assimilated into deterministic models and used to produce real-time analyses and forecasts for a given tropical cyclone. Existing targeting techniques aim to optimize the use of reconnaissance observations and partially rely on regions of highest uncertainty in the Global Ensemble Forecast System. Evaluating the potential impact of various trade-offs in the targeting process is valuable for determining the ideal aircraft flight track for a prospective mission. AOML’s Hurricane Research Division has developed a system for performing regional observing system simulation experiments (OSSEs) to assess the potential impact of proposed observing systems on hurricane track and intensity forecasting. This study focuses on improving existing targeting methods by investigating the impact of proposed aircraft observing system designs through various sensitivity studies. G-IV dropsonde retrievals were simulated from a regional nature run, covering the life cycle of a rapidly intensifying Atlantic hurricane. Results from sensitivity studies provide insight into improvements for real-time operational synoptic surveillance targeting for hurricanes and tropical storms, where dropsondes released closer to the vortex–environment interface provide the largest impact on the track forecast. All dropsonde configurations provide a positive 2-day impact on intensity forecasts by improving the environmental conditions known to impact tropical cyclone intensity.

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