Assessment of the Implementation of AUC Dosing and Monitoring Practices With Vancomycin at Hospitals Across the United States

2021 ◽  
pp. 089719002110123
Author(s):  
Nicole Bradley ◽  
Yuman Lee ◽  
Muaz Sadeia
Keyword(s):  
The United States ◽  
Descriptive Statistics ◽  
Therapeutic Drug ◽  
User Friendliness ◽  
Electronic Survey ◽  
The Us ◽  
Institutional Adoption ◽  
American Society ◽  
Trough Levels ◽  
Do So

Introduction: The latest vancomycin therapeutic drug monitoring guidelines for serious MRSA infections have made a pivotal change in dosing, switching from targeting trough levels to AUC dosing. Because of these new recommendations, antimicrobial stewardship programs across the country are tasked with implementing AUC based dosing. Objectives: To assess plans for institutional adoption of vancomycin AUC dosing programs and perceptions of currently used programs in hospitals across the US. Methods: An electronic survey was distributed to members of the American College of Clinical Pharmacy IDprn Listserv and American Society of Health-System Pharmacists between May and June 2020 to assess current institutional vancomycin dosing. Institutional program use and multiple software user parameters were analyzed using descriptive statistics. Results: Two hundred two pharmacists responded to the survey with the majority practicing in institutions with 251-500 beds. Most respondents have yet to implement AUC dosing (142/202, 70.3%) with many of them planning to do so in the next year (81/142, 57.0%). Of those that already implemented AUC dosing programs, purchased Bayesian software (23/60, 38.3%) and homemade software (21/60, 35.0%) were the 2 methods most frequently utilized. Purchased Bayesian software users were more likely to recommend their software to other institutions and ranked user friendliness higher compared to non-purchased software. Conclusion: Most respondents have not made the switch to vancomycin AUC dosing, but there is a growing interest with many institutions looking to adopt a program within the next year.

scholarly journals A Survey of US Dental Practices’ use of Social Media

2012 ◽  
Vol 13 (2) ◽  
pp. 137-141 ◽  
Author(s):  
Rachel K Henry ◽  
Amy Molnar ◽  
Jon C Henry
Keyword(s):  
Social Media ◽  
Health Care Professionals ◽  
The United States ◽  
Descriptive Statistics ◽  
Dental Practice ◽  
Exact Test ◽  
Electronic Survey ◽  
The Us ◽  
Dental Practices ◽  
Use Of Social Media

ABSTRACT Aim Social media is becoming the way for businesses, including health care professionals, to communicate with consumers. The study examines the use of social media by dental practices in the US. Materials and methods An electronic survey was sent to 22,682 dentists in the United States. The survey consisted of questions related to the use of social media in the dental practice. Data was analyzed using descriptive statistics and comparisons were made using a Fisher's exact test. Results A total of 573 responses were received. Social media was used in 52% of dental practices, the most common being Facebook. The use of social media was most commonly for marketing purposes (91%). Dentists younger than 45 years old were more likely to use social media in their practice than dentists 45 years or older (p < 0.001). Conclusion Dental practices actively use social media for marketing and communication. Many dentists are unsure how to measure the success of social media in their practice. Additional research is needed to measure the success of social media in a dental practice. Clinical significance Social media is a common way practices market and interact with their patients. There are some difficulties in determining what appropriate content for social media is and how to evaluate the success. How to cite this article Henry RK, Molnar A, Henry JC. A Survey of US Dental Practices’ use of Social Media. J Contemp Dent Pract 2012;13(2):137-141.

Progressive Catholicism in the United States

2018 ◽  
Author(s):  
Matthew A. Shadle
Keyword(s):  
Common Good ◽  
The United States ◽  
Economic Life ◽  
Ethical Framework ◽  
Social Teaching ◽  
American Catholicism ◽  
The Common Good ◽  
The Us ◽  
The Common ◽  
American Society

American Catholicism has long adapted to US liberal institutions. Progressive Catholicism has taken the liberal values of democratic participation and human rights and made them central to its interpretation of Catholic social teaching. This chapter explores in detail the thought of David Hollenbach, S.J., a leading representative of progressive Catholicism. Hollenbach has proposed an ethical framework for an economy aimed at the common good, ensuring that the basic needs of all are met and that all are able to participate in economic life. The chapter also looks at the US Catholic bishops’ 1986 pastoral letter Economic Justice for All, which emphasizes similar themes while also promoting collaboration between the different sectors of American society for the sake of the common good.

scholarly journals Representing, commemorating, and memorizing terrorist attacks: Discussing the US and French experiences

2021 ◽  
pp. 263300242110244
Author(s):  
Alice M. Greenwald ◽  
Clifford Chanin ◽  
Henry Rousso ◽  
Michel Wieviorka ◽  
Mohamed-Ali Adraoui
Keyword(s):  
Historical Context ◽  
The United States ◽  
Terrorist Attacks ◽  
The Political ◽  
Modes Of Operation ◽  
The Us ◽  
Places Of Memory ◽  
Similarities And Differences ◽  
Set Up ◽  
Do So

How do societies and states represent the historical, moral, and political weight of the terrorist attacks they have had to face? Having suffered in recent years from numerous terrorist attacks on their soil originating from jihadist movements, and often led by actors who were also their own citizens, France and the United States have set up—or seek to do so—places of memory whose functions, conditions of creation, modes of operation, and nature of the messages sent may vary. Three of the main protagonists and initiators of two museum-memorial projects linked to terrorist attacks have agreed to deliver their visions of the role and of the political, social, and historical context in which these projects have emerged. Allowing to observe similarities and differences between the American and French approach, this interview sheds light on the place of memory and feeling in societies struck by tragic events and seeking to cure their ills through memory and commemoration.

Is Vascularized Composite Allograft Transplantation Experimental or an Accepted Surgical Procedure: Results from a National Survey

2020 ◽  
Vol 36 (04) ◽  
pp. 276-280
Author(s):  
Salih Colakoglu ◽  
Seth Tebockhorst ◽  
David Woodbridge Mathes
Keyword(s):  
Clinical Investigation ◽  
The United States ◽  
Representative Sampling ◽  
Electronic Survey ◽  
Internal Review ◽  
Vascularized Composite Allograft ◽  
American Society ◽  
Question Survey ◽  
Internal Review Board

Abstract Background More than 85 patients have received over 100 hand/arm transplants and more than 35 patients have received full or partial face transplants at institutions around the world. Given over two decades of experience in the field and in the light of successful outcomes with up to 17 years follow up time, should we still consider vascularized composite allograft (VCA) as a research/clinical investigation? We present the results of a nationwide electronic survey whose intent was to gather institutional bias with regard to this question. Methods An 11 question survey that was developed by VCA advisory committee of American Society of Transplantation was sent to all identified Internal Review Board chairs or directors in the United States. Results We received a total of 54 responses (25.3%) to the survey. The majority (78%) of responses came from either the chairperson, director, or someone who is administratively responsible for an IRB. Conclusion Though certainly not an exhaustive investigation into each institution's preference, we present a representative sampling. The results of which favor VCA as an accepted clinical procedure given the appropriate setting. Further research is needed to fully ascertain practices at each individual institution.

Censuses in the USA and statistics of immigration from Poland – methodological-historical perspective

2021 ◽  
Vol 66 (6) ◽  
pp. 27-49
Author(s):  
Włodzimierz Okrasa
Keyword(s):  
Census Data ◽  
The United States ◽  
Federal Funds ◽  
The Us ◽  
Lower Chamber ◽  
The Usa ◽  
History Of ◽  
Us Constitution ◽  
American Society ◽  
Dynamic Population

Censuses of population and housing in the United States are of particular interest to experts in many disciplines – in addition to statisticians, also to demographers, political scientists, sociologists, historians, and even psychologists and anthropologists. This is so not only because of the long history of US censuses (the first census in the US was carried out in 1790) or methodological innovations, but due to immigration responsible for the dynamic population growth, and to the specific purpose of the census, which is ensuring the proportional (according to the numer of inhabitants) distribution of seats in the lower chamber of Congress and federal funds (apportionment), guaranteed by the US Constitution. The heterogeneity of the American society, both in the racial-ethnic and religious-cultural sense, in addition to the above considerations, raise questions about the purposes of those changes and directions for improvement in subsequent censuses. The aim of the article is to present the problems and challenges related to censuses in the USA. The paper focuses on methodological and operational solutions that can be implemented thanks to several improvements, including the progress in the fields of statistics and technology. The paper also discusses the issues of credibility of the census data, based on the example of immigration from Poland and the Polish diaspora in the USA.

Exploring the Implications of Culturally Relevant Teaching: Toward a Pedagogy of Liberation

2019 ◽  
Vol 49 (3) ◽  
pp. 371-389
Author(s):  
Dari Green
Keyword(s):  
Education Reform ◽  
Premature Death ◽  
The United States ◽  
Social Emotional ◽  
Freedom Schools ◽  
Common Trend ◽  
The Social ◽  
The Us ◽  
Academic Enrichment ◽  
American Society

Schools in America may provide opportunities for upward mobility while also perpetuating social inequality. The inequities found in the US public school system probably result in such a highly stratified society. Conditions found in many schools and classrooms are often a microcosm of the same conditions and factors present in the broader American society. Scholars and education reform activists often use the term school-to-prison pipeline to describe what they view as a widespread pattern in the United States of pushing students, especially those who are already at a disadvantage, out of school, and into the criminal justice system. This research explored whether mentorship in the lives of these very students can affect the trajectory that these students take in life by moving toward a pedagogy of liberation that challenges the inequities and contradictions in the institution of education. Building from a model similar to CDF Freedom Schools, but targeting academic enrichment, Farrah and her colleague Hope developed the Sankofa Project at Yin Elementary School (YES). Embracing both the social-emotional and pedagogical aspects of CDF Freedom Schools, the Sankofa Project moved from a mission that sought to instill a love for reading to actually teaching children to read. This aspect was pivotally important to Farrah and Hope as they sought to dismantle the “cradle to prison pipeline,” the concept of funneling masses of people into marginalized lives, imprisonment, and often premature death. Farrah believed that all her predecessors had done “was spot on, but academic enrichment was a key to steering children away from the pipeline.” With the rebirth of a caste-like system in America, black and brown bodies are disproportionately locked behind bars, relegated permanent second-class status if declared a felon and an increasingly common trend toward annihilation at the hands of those of who are designated to serve and protect them.

US Foreign Policy and the War on Drugs: Analysis of a Policy Failure

1988 ◽  
Vol 30 (2-3) ◽  
pp. 189-212 ◽  
Author(s):  
Bruce Michael Bagley
Keyword(s):  
Chief Executive ◽  
Ronald Reagan ◽  
War On Drugs ◽  
The United States ◽  
Control Programs ◽  
Public Media ◽  
The Us ◽  
Narcotics Control ◽  
Drugs Analysis ◽  
American Society

US Chief Executive Ronald Reagan Declared WAR on drugs in February 1982, and pledged his administration to the task of curtailing the burgeoning drug epidemic in the United States. To accomplish this urgent “national security” objective, the federal government rapidly increased expenditures for narcotics control programs during the ensuing seven years of his two-term presidency, reaching $4.3 billion annually in 1988. Enthusiastically backing the president's initiative, the US Congress approved tougher national drug legislation, widened the US military's involvement in the war, supported the administration's drive to intensify interdiction efforts along US borders, and expanded USdesigned eradication, crop substitution, and law enforcement programs in foreign source and transit countries. First Lady Nancy Reagan launched her “Just Say No” campaign, flooding the American educational system and the public media with anti-drug messages. Ostensibly, all sectors of American society enlisted in the war on drugs and the country began mobilizing for battle.

Perspectives of US and Australian Hand Therapists About Pediatric Hand Transplantation

2016 ◽  
Vol 27 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Nitin Mukesh ◽  
Katrina A. Bramstedt
Keyword(s):  
United States ◽  
The United States ◽  
Exclusion Criterion ◽  
Exclusion Criteria ◽  
Hand Transplantation ◽  
International Perspectives ◽  
The Us ◽  
Research Questions ◽  
Ethical Complexity ◽  
American Society

Introduction: Pediatric hand transplantation (PHT), an investigational therapy, was recently performed in the United States. Research Questions: Perspectives of hand therapists about PHT patient selection (inclusion and exclusion criteria), team configuration, patient assent, and patient compliance were explored. Design: Quantitative survey. We used a research ethics committee–approved 18-question e-link anonymous questionnaire to survey members of the American Society of Hand Therapists and the Australian (AU) Hand Therapy Association for their perspectives on PHT. Results: All surveyed hand therapists work with children (n = 18 Australia [AU], n = 85 United States) and some had been involved in adult hand transplant rehabilitation (28% AU, 21% United States; P = .543, not significant (NS)). The US and AU therapists differ regarding their opinions on multidisciplinary team membership, smoking as an exclusion criterion, and risk of posttransplant rehabilitation noncompliance. Discussion: This research opens a dialogue on the clinical and ethical complexity of PHT, including team configuration, inclusion/exclusion criteria, the assent process, and rehabilitation access/compliance. Furthermore, international perspectives are informative as they highlight funding and access issues and can potentially guide global professional society policy.

Rehabilitation Needs of Refugees with Disabilities in the United States: Implications for Vocational Rehabilitation Counselors

2017 ◽  
Vol 48 (2) ◽  
pp. 5-14
Author(s):  
Benson Kinyanjui ◽  
Veronica I. Umeasiegbu ◽  
Malachy L. Bishop
Keyword(s):  
United States ◽  
The United States ◽  
Rehabilitation Counselors ◽  
Rehabilitation Services ◽  
Global Instability ◽  
Research And Practice ◽  
Vocational Rehabilitation Counselors ◽  
The Us ◽  
American Society ◽  
Rehabilitation Needs

The global instability caused by natural and human-made disasters has resulted in increased numbers of refugees who seek shelter in other countries. The United States admits refugees and provides services that enable these refugees to resettle in a new environment. Among these refugees are individuals with various disabilities who require specialized rehabilitation services. This paper reviews the challenges faced by refugees with disabilities before, during and after their resettlement in the US and explores how counselors can better serve this population in order to facilitate more effective and timely integration into American society. Implications for research and practice are discussed.

scholarly journals A Suitable Paradigm: the Indian Founding and the world

Jus Cogens ◽  
2022 ◽  
Author(s):  
James Fowkes
Keyword(s):  
United States ◽  
South Africa ◽  
The United States ◽  
Constitutional Democracy ◽  
Paradigm Case ◽  
Post Colonial ◽  
South Africans ◽  
The Us ◽  
The World ◽  
Do So

AbstractWhat is the relevance of the Indian case for South Africa? And what should South Africans, and the rest of the world, make of the claim in Madhav Khosla’s India’s Founding Moment that we should recognize India as ‘the’ paradigm case for modern constitutional democracy? The constitutional projects of India and South Africa are naturally connected, but Khosla’s book helps to bring out what is perhaps the most important of the connections. Both are founded on an insistently democratic constitutionalism, in places where most inhabitants had long been told they were not suited or ready for democracy. Both display the conviction that boldly giving the vote to all, in these circumstances, is a powerful way to construct a democracy. This idea is crucial for understanding many aspects of both constitutions. This makes India a natural paradigm case for South Africa and many others. The stronger claim, that it is ‘the’ paradigm case and should succeed the United States to this status, can become more complicated once one tests it out globally (like the US claim). Finland and Ireland are especially strong and earlier examples of what Khosla sees as ground-breaking in India. Latin America’s somewhat different post-colonial trajectory makes India a more imperfect paradigm there. But that said, treating India and its founding as paradigmatic may well be the single best step to take for a more balanced view of the constitutional world, and this book’s elegant erudition makes it a real scholarly pleasure to do so.

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