Predicting Ambulance Diverson

2010 ◽  
Vol 2 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Abey Kuruvilla ◽  
Suraj M. Alexander
Keyword(s):  
Kansas City ◽  
Real Data ◽  
The United States ◽  
Time Of Day ◽  
Multinomial Regression ◽  
Predictive Tool ◽  
Persistent Problem ◽  
Cascading Effect ◽  
The One ◽  
Predictive Instrument

The high utilization level of emergency departments in hospitals across the United States has resulted in the serious and persistent problem of ambulance diversion. This problem is magnified by the cascading effect it has on neighboring hospitals, delays in emergency care, and the potential for patients’ clinical deterioration. We provide a predictive tool that would give advance warning to hospitals of the impending likelihood of diversion. We hope that with a predictive instrument, such as the one described in this article, hospitals can take preventive or mitigating actions. The proposed model, which uses logistic and multinomial regression, is evaluated using real data from the Emergency Management System (EM Systems) and 911 call data from Firstwatch® for the Metropolitan Ambulance Services Trust (MAST) of Kansas City, Missouri. The information in these systems that was significant in predicting diversion includes recent 911 calls, season, day of the week, and time of day. The model illustrates the feasibility of predicting the probability of impending diversion using available information. We strongly recommend that other locations, nationwide and abroad, develop and use similar models for predicting diversion.

Predicting Ambulance Diverson

2011 ◽  
pp. 1393-1402
Author(s):  
Abey Kuruvilla ◽  
Suraj M. Alexander
Keyword(s):  
Kansas City ◽  
Real Data ◽  
The United States ◽  
Time Of Day ◽  
Multinomial Regression ◽  
Cascading Effect ◽  
Ambulance Diversion ◽  
The One ◽  
Predictive Instrument ◽  
Available Information

The high utilization level of emergency departments in hospitals across the United States has resulted in the serious and persistent problem of ambulance diversion. This problem is magnified by the cascading effect it has on neighboring hospitals, delays in emergency care, and the potential for patients’ clinical deterioration. We provide a predictive tool that would give advance warning to hospitals of the impending likelihood of diversion. We hope that with a predictive instrument, such as the one described in this article, hospitals can take preventive or mitigating actions. The proposed model, which uses logistic and multinomial regression, is evaluated using real data from the Emergency Management System (EM Systems) and 911 call data from Firstwatch® for the Metropolitan Ambulance Services Trust (MAST) of Kansas City, Missouri. The information in these systems that was significant in predicting diversion includes recent 911 calls, season, day of the week, and time of day. The model illustrates the feasibility of predicting the probability of impending diversion using available information. We strongly recommend that other locations, nationwide and abroad, develop and use similar models for predicting diversion.

Predicting Ambulance Diverson

2012 ◽  
pp. 1-10
Author(s):  
Abey Kuruvilla ◽  
Suraj M. Alexander
Keyword(s):  
Kansas City ◽  
Real Data ◽  
The United States ◽  
Time Of Day ◽  
Multinomial Regression ◽  
Cascading Effect ◽  
Ambulance Diversion ◽  
The One ◽  
Predictive Instrument ◽  
Available Information

The high utilization level of emergency departments in hospitals across the United States has resulted in the serious and persistent problem of ambulance diversion. This problem is magnified by the cascading effect it has on neighboring hospitals, delays in emergency care, and the potential for patients’ clinical deterioration. We provide a predictive tool that would give advance warning to hospitals of the impending likelihood of diversion. We hope that with a predictive instrument, such as the one described in this paper, hospitals can take preventive or mitigating actions. The proposed model, which uses logistic and multinomial regression, is evaluated using real data from the Emergency Management System (EM Systems) and 911 call data from Firstwatch® for the Metropolitan Ambulance Services Trust (MAST) of Kansas City, Missouri. The information in these systems that was significant in predicting diversion includes recent 911 calls, season, day of the week, and time of day. The model illustrates the feasibility of predicting the probability of impending diversion using available information. We strongly recommend that other locations, nationwide and abroad, develop and use similar models for predicting diversion.

Reactive Protection? Fear, Victimization, and Fighting Among U.S. High School Students

2016 ◽  
Vol 34 (17) ◽  
pp. 3666-3690
Author(s):  
Leslie J. Sattler ◽  
Kristie A. Thomas ◽  
Tamara L. Cadet
Keyword(s):  
High School ◽  
High School Students ◽  
Interpersonal Relationships ◽  
Teen Dating Violence ◽  
The United States ◽  
Female Students ◽  
Multinomial Regression ◽  
School Students ◽  
Persistent Problem ◽  
The Relationship

Youth violence in high schools is a pervasive and persistent problem in the United States. Students engage in physical fights, experience bullying and teen dating violence (TDV), are threatened with weapons, and miss school due to safety concerns. However, despite theoretical support, research has not sufficiently addressed the relationship between students’ fear and fighting at school. This secondary analysis used data from the 2013 Youth Risk Behavior Survey ( n = 13,583) to examine the relationship between fear at school, victimization, and engagement in fighting at school among high school students. We created a 3-item composite fear variable, conducted logistic regression to examine likelihood of fighting, and multinomial regression to examine risk for multiple fights, and stratified all models by gender. Findings indicate that both male and female students who experienced fear were more likely to engage in fights at school than peers who did not experience fear, even when controlling for other factors. Likewise, the more fear incidents a student experienced, the more at risk they were for engaging in multiple fights. Findings on victimization indicate that the relationship with fighting is more straightforward for male students than for female students. For males, being bullied and experiencing multiple incidents of physical and sexual TDV were all associated with fighting at school. For females, however, only one type of victimization was associated with fighting at school: experiencing multiple incidents of physical TDV. Overall, findings suggest that fear may be more than merely a by-product of fighting, but rather—as the extant research supports—fear also can be generalized across situations and displayed through patterns of aggression. Findings support the need for interventions aimed at skill-building in areas of communication, emotion regulation, conflict resolution, and healthy relationships to help youth—particularly those in younger grades—negotiate interpersonal relationships without the use of violence.

From Scarcity to Abundance: Achieving Quality-Assured Mass Higher Education

2011 ◽  
Vol 15 (2) ◽  
Author(s):  
Peter P. Smith
Keyword(s):  
Higher Education ◽  
Knowledge Economy ◽  
Good Practice ◽  
The United States ◽  
The Other ◽  
Secondary System ◽  
Mass Higher Education ◽  
Post Secondary ◽  
One Year ◽  
The One

The United States is in a bind. On the one hand, we need millions of additional citizens with at least one year of successful post-secondary experience to adapt to the knowledge economy. Both the Gates and Lumina Foundations, and our President, have championed this goal in different ways. On the other hand, we have a post-secondary system that is trapped between rising costs and stagnant effectiveness, seemingly unable to respond effectively to this challenge. This paper analyzes several aspects of this problem, describes changes in the society that create the basis for solutions, and offers several examples from Kaplan University of emerging practice that suggests what good practice might look like in a world where quality-assured mass higher education is the norm.

Looking for Something to Signify

Screen Bodies ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 22-37
Author(s):  
David Yagüe González
Keyword(s):  
United States ◽  
Social Norms ◽  
Daily Life ◽  
The United States ◽  
The One

The behaviors and actions that an individual carries out in their daily life and how they are translated by their society overdetermine the gender one might have—or not—according to social norms. However, do the postulates enounced by feminist and queer Western thinkers still maintain their validity when the context changes? Can the performances of gender carry out their validity when the landscape is other than the one in Europe or the United States? And how can the context of drag complicate these matters? These are the questions that this article will try to answer by analyzing the 2015 movie Viva by Irish director Paddy Breathnach.

Muslims, Islamic Law, and the Sociopolitical Reality in the United States

2000 ◽  
Vol 17 (2) ◽  
pp. 1-28
Author(s):  
Sherman A. Jackson
Keyword(s):  
Islamic Law ◽  
The United States ◽  
The Other ◽  
Double Consciousness ◽  
American Muslims ◽  
Way Of Life ◽  
Subjective Responses ◽  
Self Image ◽  
The One ◽  
Politics And Law

Native born African-American Muslims and the Immigrant Muslimcommunity foxms two important groups within the American Muslimcommunity. Whereas the sociopolitical reality is objectively the samefor both groups, their subjective responses are quite different. Both arevulnerable to a “double Consciousness,” i.e., an independently subjectiveconsciousness, as well as seeing oneself through the eyes of theother, thus reducing one’s self-image to an object of other’s contempt.Between the confines of culture, politics, and law on the one hand andthe “Islam as a way of life” on the other, Muslims must express theircultural genius and consciously discover linkages within the diverseMuslim community to avoid the threat of double consciousness.

Can India Balance China in Asia?

2017 ◽  
Author(s):  
Jonathan Holslag
Keyword(s):  
United States ◽  
Central Asia ◽  
Economic Reforms ◽  
The United States ◽  
The Other ◽  
Military Power ◽  
Regional Power ◽  
Political Fragmentation ◽  
Strong Interest ◽  
The One

The chapter argues that India has a strong interest to balance China and that the two Asian giants will not be able grow together without conflict. However, India will not be able to balance China’s rise. The chapter argues that India remains stuck between nonalignment and nonperformance. On the one hand, it resists the prospect of a new coalition that balances China from the maritime fringes of Eurasia, especially if that coalition is led by the United States. On the other hand, it has failed to strengthen its own capabilities. Its military power lags behind China’s, its efforts to reach out to both East and Central Asia have ended in disappointment, and its economic reforms have gone nowhere. As a result of that economic underachievement, India finds itself also torn between emotional nationalism and paralyzing political fragmentation, which, in turn, will further complicate its role as a regional power.

Raanan Rein, Fútbol, Jews and the Making of Argentina, trans. Marsha Grenzeback. Stanford: Stanford University Press, 2014. 166 pp.

2018 ◽  
Keyword(s):  
United States ◽  
Jewish Identity ◽  
The United States ◽  
Orthodox Jewish ◽  
Literary Representations ◽  
Stanford University ◽  
Common Theme ◽  
American Jews ◽  
The Common ◽  
The One

This chapter reviews the books Fútbol, Jews and the Making of Argentina (2014), by Raanan Rein, translated by Marsha Grenzeback, and Muscling in on New Worlds: Jews, Sport, and the Making of the Americas (2014), edited by Raanan Rein and David M.K. Sheinin. Rein’s book deals with the “making” of Argentina through football (soccer), while Muscling in on New Worlds focuses on the “making” of the Americas (mainly the one America, called the United States) through sports. Muscling in on New Worlds is a collection of essays that seeks to advance the common theme of sport as “an avenue by which Jews threaded the needle of asserting a Jewish identity.” Topics include Jews as boxers, Jews and football, Jews and yoga, Orthodox Jewish athletes, and American Jews and baseball. There are also essays about the cinematic and literary representations of Jews in sports.

Maximus

2018 ◽  
Author(s):  
Mark Byers
Keyword(s):  
United States ◽  
Political Action ◽  
American Art ◽  
The United States ◽  
The Self ◽  
Postwar Period ◽  
Avant Garde ◽  
The Enlightenment ◽  
Art Practices ◽  
The One

This concluding chapter charts the continuing significance of the early postwar moment in Olson’s later work, particularly The Maximus Poems. The philosophical and political concerns of the American avant-garde between 1946 and 1951 play out across The Maximus Poems just as they inform later American art practices. The search of the early postwar American independent left for a source of political action rooted in the embodied individual is seen, on the one hand, to have been personified in the figure of Maximus. At the same time, Maximus’s radical ‘practice of the self’ charts a sophisticated alternative to the Enlightenment humanist subject widely critiqued in the United States in the immediate postwar period.

The Center of the World

2018 ◽  
Author(s):  
June Howard
Keyword(s):  
United States ◽  
Literary History ◽  
World Literature ◽  
The United States ◽  
Local Color ◽  
American Literary History ◽  
The World ◽  
Literary Regionalism ◽  
Multiple Media ◽  
The One

The Center of the World: Regional Writing and the Puzzles of Place-Time is a study of literary regionalism. It focuses on but is not limited to fiction in the United States, also considering the place of the genre in world literature. It argues that regional writing shapes ways of imagining not only the neighborhood, the province, and nation, but also the world. It argues that thinking about place always entails imagining time. It demonstrates the importance of the figure of the schoolteacher and the one-room schoolhouse in local color writing and subsequent place-focused writing. These representations embody the contested relation between localities and the knowledge they produce, and books that carry metropolitan and cosmopolitan learning, in modernity. The book undertakes analysis of how concepts work across disciplines and in everyday discourse, coordinating that work with proposals for revising American literary history and close readings of particular authors’ work. Works from the nineteenth, twentieth, and twenty-first centuries are discussed, and the book’s analysis of the form is extended into multiple media.

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