Monitoring of Five PV Systems in the South of Algeria: Early Results

Regional surgical quality Collaboratives are improving surgical quality and cutting costs by building regional relationships that leverage information sharing to improve outcomes. The South Carolina Surgical Quality Collaborative (SCSQC) is a new regional surgical quality Collaborative focused on improving general surgery outcomes in South Carolina. It is a joint effort which brings together the skills and resources of Health Sciences South Carolina, the South Carolina Hospital Association, and the Blue Cross Blue Shield of SC Foundation to create a web-based data collection system to provide real-time outcomes data to participating surgeons, and establishing a supportive network for sharing best practices and promoting data driven quality improvement. Members of the SCSQC abstracted more than 8000 general surgery cases from eight participating hospitals in its first year. These facilities are spread across the state of South Carolina and range from large academic referral centers to small community hospitals. The resulting data should be representative of much of the surgical care provided in South Carolina. Monthly conference calls and quarterly face-to-face meetings occur with site Surgeon Leads, site Surgical Clinical Quality Reviewer, and Collaborative leaders. Each site is pursuing a quality improvement project addressing issues identified from analysis of their initial data. Early results on these efforts are encouraging. The SCSQC is a new regional surgical quality Collaborative, which leverages multiple state resources, builds on the successes of similar Collaboratives in Michigan and Tennessee, with the goal to improve the quality and value of general surgical care for South Carolinians.

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Assisted colonisation trials for the western swamp turtle show that juveniles can grow in cooler and wetter climates

Endangered Species Research ◽

10.3354/esr01053 ◽

2020 ◽

Vol 43 ◽

pp. 75-88

Author(s):

A Bouma ◽

G Kuchling ◽

SY Zhai ◽

N Mitchell

Keyword(s):

Early Summer ◽

Reproductive Capacity ◽

The South ◽

Seasonal Wetlands ◽

Early Results ◽

Generation Times ◽

Southern Site ◽

Limited Opportunity ◽

Future Loss ◽

Better Than

Species with restricted ranges and long generation times are vulnerable to climate change due to limited opportunity to disperse or adapt. Australia’s rarest reptile, the western swamp turtle Pseudemydura umbrina, persists naturally in only one seasonal swamp that holds water in the Austral winter and spring. A marked reduction in winter rainfall in recent decades has shortened the swamp hydroperiod, restricting when turtles are able to feed, grow and reproduce. To mitigate possible future loss of reproductive capacity in the native habitat, assisted colonisation was trialled in 2016 using 35 captive-bred juveniles. Here, we report the outcomes of this 6 mo trial, which compared the growth of turtles released approximately 300 km south of the species’ indigenous range with growth of turtles released at an existing northern translocation site. We showed that growth rates comparable to those at warmer northern translocation sites can be achieved in the south, even in an atypically cool spring as occurred in 2016. Microclimates available to P. umbrina at 2 southern sites were suitable for foraging and growth in late spring and early summer, but juvenile growth at one southern site was significantly better than at the other, likely due to higher prey biomass when water temperatures were suitable for foraging. These early results suggest that introduction of P. umbrina to seasonal wetlands near the south coast of Western Australia could be considered in the immediate future, but further trials are recommended to assess growth and survivorship over longer periods.

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Presidential Republicanism in the South, 1960

The Journal of Politics ◽

10.1017/s002238160001656x ◽

1962 ◽

Vol 24 (2) ◽

pp. 303-322 ◽

Cited By ~ 3

Author(s):

Bernard Cosman

Keyword(s):

The South

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Long-term Cyclic Variations of Prominences, Green and Red Coronae over Solar Cycles

International Astronomical Union Colloquium ◽

10.1017/s0252921100064496 ◽

2000 ◽

Vol 179 ◽

pp. 201-204

Author(s):

Vojtech Rušin ◽

Milan Minarovjech ◽

Milan Rybanský

Keyword(s):

Emission Lines ◽

High Latitudes ◽

Green Line ◽

Solar Cycles ◽

The South ◽

Coronal Emission ◽

Local Maxima ◽

The North ◽

Cyclic Variations

AbstractLong-term cyclic variations in the distribution of prominences and intensities of green (530.3 nm) and red (637.4 nm) coronal emission lines over solar cycles 18–23 are presented. Polar prominence branches will reach the poles at different epochs in cycle 23: the north branch at the beginning in 2002 and the south branch a year later (2003), respectively. The local maxima of intensities in the green line show both poleward- and equatorward-migrating branches. The poleward branches will reach the poles around cycle maxima like prominences, while the equatorward branches show a duration of 18 years and will end in cycle minima (2007). The red corona shows mostly equatorward branches. The possibility that these branches begin to develop at high latitudes in the preceding cycles cannot be excluded.

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Clinical Update: Assessing Maximum Medical Improvement in Carpal Tunnel Syndrome

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2003.julaug02 ◽

2003 ◽

Vol 8 (4) ◽

pp. 4-5

Author(s):

Christopher R. Brigham ◽

James B. Talmage

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Proper Time ◽

Carpal Tunnel Release ◽

Hand Function ◽

Factors Affecting ◽

Early Results ◽

Medical Evaluation ◽

Nerve Recovery ◽

Tunnel Syndrome

Abstract Permanent impairment cannot be assessed until the patient is at maximum medical improvement (MMI), but the proper time to test following carpal tunnel release often is not clear. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) states: “Factors affecting nerve recovery in compression lesions include nerve fiber pathology, level of injury, duration of injury, and status of end organs,” but age is not prognostic. The AMA Guides clarifies: “High axonotmesis lesions may take 1 to 2 years for maximum recovery, whereas even lesions at the wrist may take 6 to 9 months for maximal recovery of nerve function.” The authors review 3 studies that followed patients’ long-term recovery of hand function after open carpal tunnel release surgery and found that estimates of MMI ranged from 25 weeks to 24 months (for “significant improvement”) to 18 to 24 months. The authors suggest that if the early results of surgery suggest a patient's improvement in the activities of daily living (ADL) and an examination shows few or no symptoms, the result can be assessed early. If major symptoms and ADL problems persist, the examiner should wait at least 6 to 12 months, until symptoms appear to stop improving. A patient with carpal tunnel syndrome who declines a release can be rated for impairment, and, as appropriate, the physician may wish to make a written note of this in the medical evaluation report.

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