Abstract Background Vancomycin represented the most used antibiotic at our academic medical center from 2014-2022. To enhance compliance with “antibiotic time out” part of CDC Core Elements for Stewardship, we designed an electronic record (EMR) best practice alert (BPA) to assist providers in identifying patients eligible vancomycin discontinuation. Methods This is a single center, retrospecti...

The short-headed stud connectors play a critical role on the interaction of orthotropic steel deck (OSD) and ultra-high performance concrete (UHPC) layer in steel-UHPC composite bridge deck. In this paper, fatigue behavior these was experimentally investigated beam test. failure modes were identified classified into 5 types. test results analyzed by linear regression analysis neglecting run-out...

Purpose This paper describes and discusses company spin-ins spin-outs as a means to understand growth in dynamic context. The following question is asked: How can be understood of innovative firms? suggests return on capabilities measure an open innovation Design/methodology/approach empirical part the consists single case study. Data was captured through interviews secondary data sources. Find...

Phase-out is rapidly gaining traction as a central part of practical efforts to address sustainability challenges. However, the way it has been conceived in policy debates and some academic work problematic that (1) tends be narrowly focused on substitution; (2) underexposes bi-directional relationship between phase-outs innovation; (3) pays insufficient attention political To fully reap potent...

BACKRGOUND Good progress is being made towards universal access to contraceptives, however stock-outs still jeopardize progress. A seldom considered but important building block in optimizing supply management is the degree to which health workers feel motivated and responsible for monitoring supply. We explored how and to what extent motivation can be improved, and the impact this can have on ...

Foramina parietalia permagna or enlarged parietal foramina are a rare variant estimated to be less than 1 in 25,000 cases. Out of 150 dry macerated skulls studied one skull showed 2 large parietal foramina measuring 17.38 x 27.67 mm (right) and 15.31 x 25.46 mm (left) in size. Between them, across the sagittal suture, was a transverse communicating suture interrupted by 3 very small wormia...

Several years ago, when panelist Mike Gion, senior vice president for Brookwood Group's Southwestern Operations, tried outsourcing, his bank employer was embarking on a cost savings initiative. With outsourcing a new concept and not really understood, he did a two-year study to find one service provider for all the skills needed. At the end of the study, his employer decided not to outsource. D...

Rust diseases caused by fungi of the order Pucciniales afflict a wide range of plants, including cereals, legumes, ornamentals, and fruit trees, and pose a serious threat to cropping systems and global food security. The obligate parasitic lifestyle of these fungi and their complex life cycles, often involving alternate hosts for the sexual and asexual stages, also make this group of pathogens ...