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Rochester, NY, United States

Heavey E.,New York University | Maher M.D.,Nazareth College

Placental abruption, or detachment of the placenta from the uterine wall before delivery, can result in severe frank or concealed hemorrhage. This article describes the nurse's role in caring for a woman experiencing a severe placental abruption threatening the lives of mother and infant alike. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. Source

O'brien S.R.,Nazareth College | Xue Y.,University of Rochester
Disability and Rehabilitation

Purpose: Few studies have investigated the ability of treatment teams to predict functional improvement and whether an association between predicted goals and discharge function in patients with stroke exists. This study investigated goal prediction during stroke rehabilitation delivered in inpatient rehabilitation facilities (IRF) and the factors associated with goal prediction. Methods: A serial, cross-sectional design analyzing the Medicare IRF Patient Assessment Instrument dataset. The sample included 179 479 admissions for stroke aged over 65 years in 968 IRFs. Generalized estimating equations (GEE) controlled for facility cluster effects were used for analysis of time trends for length of stay (LOS), predicted Functional Independence Measure (FIM) scores, discharge FIM scores and predicted-discharge difference FIM scores (goal FIM scores minus discharge FIM scores). GEE models were employed to determine the correlation between predicted FIM and discharge FIM scores and factors associated with goal achievement. Results: Mean LOS, predicted FIM scores and discharge FIM scores decreased 1.8 d, 2.2 points and 3.6 points, respectively, while predicted-discharge difference FIM scores increased 1.3 points. Discharge goals were not met 78.9% of the time. After controlling for patient characteristics, each predicted FIM point was associated with 0.6 discharge FIM points (p < 0.0001). Factors associated with not meeting or exceeding goals were: age (odds ratio; OR = 0.997), African Americans (OR = 0.905), number of comorbidities (OR = 0.970), number of complications (OR = 0.932) and right brain stroke (OR = 0.869). Factors associated with meeting or exceeding goals were: LOS (OR = 1.03), admission FIM score (OR = 1.02) and females (OR = 1.05). Conclusions: Trends for lower goals and lower discharge function occurred over time. A correlation existed between predicted FIM scores and discharge FIM scores. Patient factors were associated with goal achievement. © 2014 Informa UK Ltd. Source

Kinuthia J.N.,Nazareth College
2015 Americas Conference on Information Systems, AMCIS 2015

The purpose of this study was to determine the differences between organizations that adopted Cloud Enterprise Resource Planning (Cloud ERP) systems and organizations that did not adopt Cloud ERP systems based on the Technological, Organizational, and Environmental (TOE) factors. Using an online survey, data were collected from individuals throughout the United States of America who identified themselves as working in an Information Technology (IT) job. Analysis from 159 respondents indicated that all the proposed TOE factors were significant predictors of Cloud ERP systems. In comparison to organizations that did not adopt Cloud ERP systems, organizations that adopted Cloud ERP systems had the following characteristics: higher level of relative advantage, higher level of compatibility, higher level of security concern, higher top management support, higher level of organization readiness, bigger sizes, more centralized, more formalized, higher competitive pressure, and perceived Cloud ERP system vendors as offering more support. Source

Riek L.M.,Nazareth College | Ludewig P.M.,University of Minnesota | Nawoczenski D.A.,Ithaca College
Journal of Rehabilitation Research and Development

The purpose of the study was to determine whether wheelchair-based circuit resistance training (CRT) exercises place the shoulder at risk for mechanical impingement. Using a novel approach, we created a mechanical impingement risk score for each exercise by combining scapular and glenohumeral kinematic and exposure data. In a case series design, 18 individuals (25-76 yr old) with paraplegia and without substantial shoulder pain participated. The mean mechanical impingement risk scores at 45-60 degrees humerothoracic elevation were rank-ordered from lowest to highest risk as per subacromial mechanical impingement risk: overhead press (0.6 +/- 0.5 points), lat pulldown (1.2 +/- 0.5 points), chest press (2.4 +/- 2.8 points), row (2.7 +/- 1.6 points), and rickshaw (3.4 +/- 2.3 points). The mean mechanical impingement risk scores at 105-120 degrees humerothoracic elevation were rank-ordered from lowest to highest risk as per internal mechanical impingement risk: lat pulldown (1.2 +/- 0.5 points) and overhead press (1.3 +/- 0.5 points). In conclusion, mechanical impingement risk scores provided a mechanism to capture risk associated with CRT. The rickshaw had the highest subacromial mechanical risk, whereas the overhead press and lat pulldown had the highest internal mechanical impingement risk. The rickshaw was highlighted as the most concerning exercise because it had the greatest combination of magnitude and exposure corresponding with increased subacromial mechanical impingement risk. Source

Ek B.,Rochester Institute of Technology | Verschneider C.,Nazareth College | Narayan D.A.,Rochester Institute of Technology
Physica A: Statistical Mechanics and its Applications

The distance d(i,j) between any two vertices i and j in a graph is the number of edges in a shortest path between i and j. If there is no path connecting i and j, then d(i,j)=∞. In 2001, Latora and Marchiori introduced the measure of efficiency between vertices in a graph (Latora and Marchiori, 2001) [1]. The efficiency between two vertices i and j is defined to be â̂̂i,j=j. In this paper, we investigate the efficiency of star-like networks, and show that networks of this type have a high level of efficiency. We apply these ideas to an analysis of the Metropolitan Atlanta Rapid Transit Authority (MARTA) Subway system, and show this network is 82% as efficient as a network where there is a direct line between every pair of stations. © 2013 Elsevier B.V. All rights reserved. Source

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