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New York City aiming to triple number of hospital beds for coronavirus patients by May
By Alejandra O'Connell-Domenech
REUTERS/Stefan Jeremiah
The city is actively working to triple the number of hospital beds for coronavirus patients by May, Mayor Bill de Blasio announced Thursday.
Before the coronavirus spread to New York, city public and private hospitals had a combined 20,000 beds. But as the number of New Yorkers infected with the novel coronavirus rapidly increases, the pressure to speed up hospital expansions grows as well.
As of 5 p.m. on March 26, the city reported 23,112 positive cases of the virus. The borough with the largest number of cases is still Queens, with 7,362 positive cases as of late Thursday. Brooklyn comes in a close second with 6,095, the Bronx third with 4,243 cases, followed by Manhattan with 4,046 and Staten Island with 1,330. At least 365 people have died in the city as a result of the virus and there are no updates on the number of New Yorkers hospitalized.
"I'm not going to look you in the eye and guarantee you that we can get there because we have so many challenges. The bed is only one part of the challenge. Location is only one part of the challenge," de Blasio said during his daily press briefing Thursday on the state of the novel coronavirus in the city.
The city expects to see the number of fully equipped hospital beds jump to 34,000 within the next few weeks given expansion of bed space in existing hospitals, revived hospitals like Colver and the transformation of non-medical facilities like the Javits Center into temporary hospitals.
As city medical personnel worry over the lack of supplies in the city, Mayor de Blasio assured doctors, nurses and other medical personnel that the city "will work every day" to provide them with enough equipment to handle the expected influx of coronavirus patients and spoke directly to the situation at Elmhurst Hospital, the "epicenter of the epicenter." In one day, 13 people died as a result of contracting the virus.
The mayor said that 40 ventilators were on their way to Elmhurst along with 56 additional staff members. Another 2,500 ventilators are on their way to city, about a sixth of the number of ventilators the city needs, the mayor said.
On your mark, get set, vaccinate: Aqueduct Racetrack becomes COVID-19 vaccination hub
Op-Ed: COVID-19 vaccine effort underway for NYC Transit workers


My decision to skip NUE race #7 The Fools Gold and transfer my entry to Sue Haywood, so that she could have a hard race to get ready for Shenandoah, turned out to be a good one. After two miserable rainy 100 mile races at Cohutta and Mohican, I really didn't want to endure another 100 mile mud-fest. It's not that I don't like racing in mud, because I actually do, but replacing bearings, cables and brake pads after every race gets expensive. As bad luck would have it, horrible conditions for The Fools Gold forced a shortened race. Specifically, the gritty crystalline structure known as fools gold has an unusually abrasive effect on brake pads when muddy racing conditions spread it around. With 14,000 feet of fast descending, the racers had no brakes after 30 miles or so… In hind sight, no thanks.
I instead joined 29er Crew teammates Chris Beck and Travis Saeler, stayed in town and raced the Mid Atlantic Super Series Rattling Creek MTB Marathon in Weiser State Forest. Like Sue, I was looking for a long hard effort to prepare for the Shenandoah Mountain 100 early September. Since my 2010 results have been lacking and I was looking for a win, I opted for my geared Superfly and the Masters 45+ division rather than duking it out with what looked to be a pretty competitive Single Speed category.
We stage at the bottom of a hill on a short road section. I line up next to 2009 NUE Masters Series champion John Williams who rides for Bike Line. I also see Mike Laub in the 2nd row on the other side of the road. Since we're doing a mass-start, other than John and Mike, I have no idea who the 22 other registered Masters racers are.
Bang! we're off on the short road section before a long three mile double-track climb to the top of the ridge. Since this is a mass-start with 100 riders and there's a gate at the beginning of the double-track climb that forces riders down to single file, I gunned it on the road. I was through the gate in 5th place. Mission accomplished. Ahead of me was at least Beck and PaValleys.com riders Brandon Draugelis and Rob Lictenwalner. We stayed tight for a short while, but I needed to settle down a bit for the climb and so I let the leaders slip away. 3 or 4 riders went by and I did not chase. I glance back and see the line of 90 followers. After ten minutes of climbing I'm passed by eventual single speed winner Mark the Elk Elsasser. He's running what looks like 32×18 which is a huge gear for the climb we're on. Elk is known for being hard on equipment and I'm sure is considered to be his sponsor's (Independent Fabrications) most valuable rider because of his extreme product testing ability. He just breaks stuff… kind of a lot. I'm thinking Mark is going to be tough in two weeks at SM100 with legs like that! After another 10 minutes, I'm caught and passed by my good friend Jed Prentice, a Bike Doctor rider who turned pro last year.
We're close to the top of the climb, so I gas it a little to stay with Jed. We stay together on the road section after the climb but once in the single track, Jed gets around a guy who I think is moving at a fine pace and he's gone. The Rattling 50 is mostly single track and the single track that's there ranges from medium rocky to full-on rock gardens. There's nothing buff about this race which is why it's so fun. If you're good in rocky single-track, you're going to do well at the Rattling 50. Since there's really only the one major climb in the very beginning of the race, I fully expect to be caught and passed a few more times by riders who's technical rock riding skills outweigh their climbing ability.
About 15 minutes into single track, I stab-n-dab a couple of the nastier rock gardens and I notice the rider behind me is voicing words of encouragement. It's Trek Mountain Coop rider Jon the Poz Posner. Wow, he's made it up the climb in good time and this boy and ride the rocks. I let him go by because I know he can crush it on the nasty stuff. We ride together for awhile till he drops me after one of my more major goof-ups.
The ride to CP1 is relatively uneventful. A couple more riders get by but I'm holding my own somewhere between 10th and 15th overall. I stop at CP1 to fill a bottle and notice super strong single speeder Dan Bonara working on his bike with a mechanic from the aid station. As I'm filling, two riders go right on by including Mike Laub. I jump on that train not wanting to loose the wheel of Laub. Mike stops for some unknown reason and lets me by. I say hello but don't ask any questions.
Two other geared riders catch us over the next mile or two. We change positions a few times through the rock gardens but end up riding together in the rocky single track. On the climbs, I try to get clear and do but end up being caught by tall skinny single speeder Tim Dickson from Guy's Racing. Tim has a Ti Moots with a Carbon Lefty fork… very gucci setup. Tim and I ride together for a long while on the fire roads. He's dropping me on the climbs and I pass him on the flats and downhills. Because I'm a single speed racer sometimes too, I don't try to drop him when I'm ahead. We were riding so long together, I asked him the standard single speeder question: What gear you running? 30×18 was the answer. Eventually he gets tired on one of the climbs and I pass. Shortly after that, I catch back up with Elk. Since I helped the 2nd place single speeder nearly catch up with Elk, I try to help Elk in the same way by offering a wheel in the faster sections… gotta keep it fair. It works till we get to the non-checkpoint aid station between CP1 and CP2. I ride right through and suddenly our group is smaller.
The new smaller train eventually jumps back into single track and passes Poz on the side of the trail eating some food. He jumps on. I again let him by …hey I might learn something! I ride probably the best I do all day on the wheel of Poz… It certainly was the most fun, till we hit a double track section. Everybody kindof sits up. I take that as my queue to hit the gas and to try to form a gap that might stick. It is a race after all and in racing, all alliances are temporary.
Riding alone, I blow through CP3 and do the 4 mile loop solo. I fill another bottle at CP4 and ride the last 15 miles alone. I try to keep the effort high, but it's difficult with nobody around. The last 15 miles are the first 15 miles backwards. So the first climb becomes a long fast descent to the finish. I cross the line just under 5 hours. Good enough for first place in Masters, my first win of the year! John Williams comes across the line 4 minutes later running with his bike having flatted on the final descent… yikes! I didn't see him all day, but he must have been pretty close before the flat. Nice riding John! Talking with the normally strong Mike Laub afterwards, he said tire problems kept him from riding as fast as he could have.
In the men's open, Branden Draugelis led with Chris Beck on his wheel all day until Branden got away very near the end. Chris crossed the line and everyone told him that he was the winner! Apparently Brandon somehow got off-course shortly after the separation. While it would have been great to see a real finish-line shootout with these two titans, I'm psyched my rock star teammate Chris Beck was able to win the overall with a time of 4:08. Wow, that's fast! Les Leach, Dustin Manotti, Rob Lichtenwalner and Jed Prentice all crossed the line within 10 minutes of each other starting at 4:28 to round out the top-5. 29er Crew teammate Travis Saeler just missed the open podium by 1 minute in 6th. Elk crossed at 5:03 to win the single speed followed by Tim Dickson in 2nd at 5:07. Staying true-to-form, Elk showed me two broken spokes on his rear wheel. Travis Coldsmith, Chris Fallon, Nick Mccormick and Nate big air Shearer rounded out single speed 3rd through 6th all crossing within 1:40 of each other…. pretty close after 5 hours of racing. Super kid Dan Bonara apparently led the single speed for a good while before bending his surly stainless steel chainring which led to the lengthly repair at CP1. I noticed the bent chainring was being worn as jewelry during the post-race feast.
Big thanks to Mike Kuhn, Zach Adams and all of the race volunteers for putting together a great race and making the 2010 Rattling 50 a success. It was a good day for 29er Crew with Chris Beck and I winning our respective categories. I'm surprised there weren't more people there. There aren't that many long races in the mid-atlantic and this is a really good one. It's a solid technical course that has well supported aid stations. With complimentary food and beer available afterwards, It's definitely on my todo list for 2011.
This entry was posted on August 26, 2010 at 9:33 pm and is filed under Must do Races.	You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.
sweet race report! I am in such a painful fog the whole time during those things…I don't know how you remember such detail.
Thanks for the compliments, but I have to say, one of my highlights during the race was riding on your wheel in some of the tricky stuff – the rider ahead of you got jammed up – and I remember you pulling this ice dancing ballet move with a pause in the middle, something straight out of the dictionary under "graceful riding," and get yourself from all kinked up to straightened back out in a blink – that was awesome. Congrats on the 2010 victory! See you at SM100.
You've really stepped it up a notch this year… quite a feat as a new dad. I think you're ready for Shenandoah. See you and the rest of your clan this weekend.


The first image above is a very rare Rolex Submariner Ref. 6536 White Dial (Mercedes hands, waterproof rating printed on dial, Circa 1955-1958). I cannot verify the value, or if one if available for sale, but I've read that there may only be two of this particular variation that are known to still exist, making it highly collectible.
I also found a similar white dial Submariner Ref/ 6536/1 (no waterproof rating printed on dial, Mercedes hands, Circa 1955) which sold at auction in 2002 for approximately $23,000.
"Rolex Oyster Perpetual "Submariner" with white dial, Ref. 6536/1. Second version, produced in 1955. Fine, and extremely rare center-seconds, self-winding, stainless steel, water-resistant, gentleman's wristwatch, with black bezel.
C. three-body, polished and brushed, screwed-down case back and crown, graduated revolving bezel in Arabic numerals for the decompression times. D. white with radium-coated bâton, triangular and dot indexes. "Skeleton" radium-coated hands. M. Cal. 1030, rhodium-plated, 25 jewels, straight line lever escapement, monometallic balance adjusted to temperatures and 5 positions, shock-absorber, self-compensating Breguet balance-spring. Dial, case and movement signed. Diam. 38 mm. Approx. overall length 195 mm.


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SpaceX successfully landed another rocket on a drone ship
Emily Calandrelli	5 years
SpaceX successfully launched the Japanese communications satellite, JCSAT-14 on their Falcon 9 rocket at 1:22am EST today from Cape Canaveral, Florida. After the launch, the company soft-landed the first stage of the rocket on their drone ship "Of Course I Still Love You" – the second time this has ever been done.
Landing confirmed. Second stage continuing to carry JCSAT-14 to a Geosynchronous Transfer Orbit. pic.twitter.com/HfHI5cwoYX
— SpaceX (@SpaceX) May 6, 2016
On April 8th, SpaceX made their first rocket recovery on that same drone ship. Tonight's landing, however, was even more impressive. The odds of a successful soft-landing were slim due to the mission requirements for this particular launch.
Rocket reentry is a lot faster and hotter than last time, so odds of making it are maybe even, but we should learn a lot either way
— Elon Musk (@elonmusk) May 6, 2016
JCSAT-14, which is designed to last 15 years, needed to be placed into geosynchronous orbit at an altitude of 22,000 miles. This is much higher than SpaceX's last launch when they successfully recovered their rocket on a drone ship after sending space station supplies to low earth orbit (LEO) at around 250 miles.
JCSAT-14 / Image courtesy of Space Systems Loral
The SpaceX co-hosts noted that because today's rocket needed to travel to such a high altitude, the first stage was coming in much hotter, at around 2 km/s, than standard LEO launches where the rocket will return at about 1 km/s.
Successful JCSAT-14 deployment from Falcon 9 / Screenshot from SpaceX live feed
JCSAT-14 is a satellite from the SKY Perfect JSAT Group, the largest satellite operator in Asia. Once in orbit, the satellite will be used to provide television and communication services.
Illustration of JCSAT-14 / Image courtesy Space Systems Loral
Tonight's launch was the fourth successful flight for SpaceX so far this year. To date, SpaceX has completed two successful rocket recoveries on a drone ship and one rocket recovery on a landing pad on stable ground.
The next important step, of course, is reusing a recovered rocket, which Musk has stated they hope to do in the next three or four months.
@dannysparker Aiming for relaunch in 3 to 4 months, pending detailed examination and 10X refiring of a returned booster
— Elon Musk (@elonmusk) April 20, 2016

redpajama_set_name: RedPajamaCommonCrawl


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We're delighted to now provide the stunningly sporty Abarth 595 as our customer courtesy cars! With a 1.4 turbo t jet engine, it's going to put a big smile on your face! Courtesy cars with a difference at Greens.


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Quick Solutions
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~~Quick Solutions, Inc. (QSI) was founded in 1991 in response to a growing demand for outsourced Information Technology consulting services. QSI has continued to grow and we now have over 190 consultants engaged at over 70 client sites in a wide range of industries.
QSI is a preferred supplier for multiple Fortune 100 companies. We are a Microsoft® Managed Partner and a Microsoft® Cloud Accelerate Partner. QSI is the only partner in North America of Scrum.org.
As a premier IT consulting firm, Quick Solutions has made the Inc. 500 list four times, was a U.S. Small Business Administration's Small Business of the Year runner-up, made the Columbus "Fast Fifty" list five consecutive years, and voted Best Information Technology Consultants by Columbus C.E.O. Magazine three years in a row. Proudly an ESOP (Employee Stock Ownership Program) company, QSI is an active member of the ESOP Association and TechServe Alliance.
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Ring and Ride provide specialist, accessible transport to thousands of disabled people and pensioners in the Black Country. This service is now under threat after the operator collapsed in to administration.
Austin urged Justin Tomlinson MP, Parliamentary Under Secretary of State for the Department of Work and Pensions, and representatives from the Department of Transport to meet with him to discuss how the service can be saved for thousands of people in the Black Country who rely on the service for transport.
"Ring and Ride is a lifeline for thousands of people in the Black Country. It helps disabled people to get to projects, socialise and help to boost their skills & confidence. For pensioners it can be their only transport, helping them to get out the house and combat loneliness & isolation.
"I think it would have a devastating effect on those who rely on it if the service was to collapse.


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A Background Reading List
Ask the Society
Catholic Family History Society CD/DVD-ROM Publications
Catholic Family History Society Print Publications
Catholic Family History
~ Hints and tips for researching your Catholic ancestors in England and Wales
A Book List for Catholic Family History in England
Posted by Lawrence Gregory in General Information, History, Publications
biography, civil war, education, estates, jacobites, martyrs, memorial inscriptions, MIs, nuns, prisoners, religious, wills
A revision, with additions, of Michael Gandy's
A Basic Bibliography for Catholic Family History
by Sylvia J. Dibbs 2013
The Catholic Family History Society prepared the following list of standard histories, which may be available through your library system or from the Catholic National Library. See www.catholic-history.org.uk/cfhs and www.catholic-library.org.uk. Most of the books are out of print, but www.archive.org has useful out of print works.
Aveling, J.C.H. The Handle and the Axe, 1976
Beck, G.A. * The English Catholics 1850-1950, 1950
Bennett, Canon Father Nugent of Liverpool, 1949; reprinted 1993
Bossy, J. The English Catholic Community 1570-1850, 1975
Caraman, P. The Other Face: Catholic Life under Elizabeth I, 1960
Caraman, P. The Years of Siege: Catholic Life from James I to Cromwell, 1966
Duffy, E. The Stripping of the Altars: Traditional Religion in England 1400-1580, 1992.
Greenslade, M Catholic Staffordshire 1500-1850, 2006
Guilday, P. The English Catholic Refugees on the continent 1558-1795, 1914
Gwynn, D. The Second Spring 1818-1852, n/d
Gwynn, D. Hundred Years of Catholic Emancipation 1829-1929, 1929
Havran, M.J. The Catholics in Caroline England 1962
Hibbert, C. King Mob, 1959
Hodgetts, M. Secret Hiding Places, 1989
Kenyon, J. The Popish Plot, 1972
Leys, M.D.R. Catholics in England 1559-1829: A Social History, 1961
Loomie, A.J. The Spanish Elizabethans, 1963
Magee, B. The English Recusants, 1938
Mathew, D. Catholicism in England 1535-1935, 1936
Norman, E. Roman Catholicism in England from the Elizabethan Settlement to the Second Vatican Council, 1986
Watkin, E.I. Roman Catholicism in England from the Reformation to 1950, 1957
Leys is probably the best on the lives of ordinary Catholics over the penal period. Magee has many interesting statistics and lists all the Catholic nobility and gentry of the 17th century, information not brought together anywhere else. Caraman's two books are compilations and Hodgetts investigates the reality of 'priest-holes'. Kenyon is about the Titus Oates Plot of 1678-1681 and Hibbert covers the Gordon Riots of 1780. Gwynn's Second Spring is about that extraordinary group of Anglicans from the late 1820s onwards who talked themselves into being Catholics, often without having actually met any.
* Beck's The English Catholics 1850-1950 is a compendium of articles and the best guide to the English Catholic world of the immediate past. The following are some of the articles it contains:
Hughes, P. The English Catholics in 1850
Albion, G. The Restoration of the Hierarchy
Sweeney, M.V. Diocesan Organisation and Administration
Wheeler, 0. The Archdiocese of Westminster
Hughes, P. The Bishops of the Century
Mathew, D. Old Catholics and Converts
Johnson, J.T. Cardinal Newman
Gwynn, D. The Irish Immigration
Evennett, H.O. Catholics and the Universities
Battersby, W.J. Secondary Education for Boys
Battersby, W.J. Educational Work of the Religious Orders of Women
Beales, A.C.F. The Struggle for the Schools
Gwynn, D. Growth of the Catholic Community
Cruise, E. Development of the Religious Orders
Dwyer, J.J. The Catholic Press
Hutton, E. Catholic English Literature
Bennett, J. The Care of the Poor
Most of these authors are the well-known experts of their day. Mostly their work has not been superseded.
The Catholic Record Society publications have many transcribed registers, lists and entries on families.
www.catholichistory.org.uk/crs/records.htm
Roman Catholic Religious practice was illegal between 1559 and 1829. There are records in local or national archives of Anglican and State attempts to monitor it. Catholics are often listed as 'recusants' or 'papists'.
Steele D.J. Sources for Roman Catholic…Family History. National Index of parish registers Vol 3 Society of Genealogists reprinted 1986
Williams Anthony J. Sources for Recusant History (1559-1791 in English Official Archives. Recusant History Vol 16 No 4 Catholic record Society Oct 1983
Tracing a family
After statutory civil registration, which started in 1837, Catholics can be found in the same way as everyone else. Marriage certificates will indicate if the ceremony took place in a Catholic Church. Other certificates and the censuses will indicate location where a search for nearby Catholic Churches or Missions for baptisms may be found.
Mission Registers
Full details of known Catholic registers are given in:
Gandy, Michael Catholic Missions and Registers 1700-1880 (6 volumes including Scotland) 1994.
Gandy, Michael Catholic Parishes in England, Wales and Scotland: An Atlas 1994
Kelly, Bernard W. Historical Notes on English Missions Kegan Paul, Trench, Trubner & Co 1907 reprinted by Michael Gandy 1996
There were few specifically Catholic graveyards until the 19th century, Catholics were buried in Anglican churchyards, often with no indication of their Catholicity.
Catholic wills appear in the usual sources but in the 18th century they were supposed to be enrolled in the Close Rolls. For a simple list see:
Anstruther G. Abstracts of Wills, mostly of priests and their relations London Recusant Vol 3 No. 2 (May 1973) – London Recusant (NS) No 1 (1980) scattered. For information see www.catholic-history.org.uk and link to South Eastern Catholic History Society.
Cosin Great Britain Commissioners and Trustees for the Forfeited Estates The names of the Roman Catholics, non-Jurors, and Others, who Refus'd to Take the Oaths to his late Majesty King George survey of the value and location of Catholic estates in 1715, this edition published in 1862 now available at www.archive.org
The Genealogist (NS) Vol.1 p267 and Vol.2 pp59-60, 279-282.
Payne, J.O. Records of the English Catholics of 1715 Burnes & Oates 1889 republished 1970. for over 400 abstracts of wills and administrations relating to known Catholics, available on-line at www.archive.org.
Biography and Family History
Gillow, Joseph A Bibliographical Dictionary of the English Catholics Burns and Oates republished c1968. originally from 1887 onwards, now partly available on-line at www.archive.org
Gordon Gorman, W. Converts to Rome: a lists of over 3000 Protestants who have become Roman Catholics since the Tractarian movement to May 1899 Swann Sonnenschein & Co 1899, available on-line at www.archive.org
Kirk, John English Catholics in the late 18th Century Burns and Oates 1909 reprinted 1969
Also try the standard 'Who's Who or for the 20th century The Catholic Who's Who.
The Clergy and Religious
Many orders keep their own records, some published by the Catholic Record Society www.catholic-history.org.uk/crs/records.htm
Anstruther, G The Seminary Priests: A Dictionary of the Secular Clergy of England and Wales 1558-1850 Mayhew-McCrimmon 1969-1977
Bellenger D. A. English and Welsh Priests 1558-1800 Downside Abbey 1984
Birt, Henry Norbert Obit Book of the English Benedictines 1600-1912 republished Gregg International 1970
Challonor, Richard Memoirs of Missionary Priests and other Catholics of both sexes from the year 1577 till the end of the reign of Charles II 1741 frequently reprinted, available on-line at www.archive.org
Catholic Family History Society, Index of Nuns
English Benedictine History www.plantata.org.uk/ for a list of their religious
Fitzgerald-Lombard, Charles English and Welsh Priests 1801-1914 Downside Abbey 1993
Foley, Henry Records of the English Province of the Society of Jesus (Jesuits) Burns & Oates 1877-1883
Gumbly, Walter Obituary Notices of the English Dominicans from 1555-1952 Blackfriars 1955
Oliver, George Collections towards illustrating The Biography of the Scotch, English and Irish members (Jesuits) Exeter 1838 now available on-line at www.archive.org
Thaddeus, Father The Franciscans in England 1600-1859 (1898)
Zimmerman, B. Carmel in England: A history of the English Mission of the Discalced Carmelites 1615-1849 Burns & Oates 1899 now available on-line at www.archive.org
Martyrs and Prisoners
The Martyrs of England and Wales 1535-1680 Catholic Truth Society 1985 for short biographies
Prisoners will be found in local records with other non-catholic prisoners, but some have been published by the Catholic Record Society www.catholichistory.org.uk/crs/records.htm
Most Catholics took the Royalist side.
Newman, P.R. Roman Catholic Royalists: Papist Commanders under Charles I and Charles II Recusant History Vol 15 No. 6 (Oct 1981)
Calendar of the Proceedings of the Committee for Compounding with Delinquents 1643-1660 HMSO 5 Vols. Recusants noted.
Jacobites
These were not all Catholics.
Lart C.E Jacobite Extracts from the Parish Registers of St Germain-en-Laye 1689-1720 2 Vols, St Catherine Press Ltd 1910-1912, now available on-line at www.archive.org
There were some local schools run by Catholic teachers, but these were illegal in the penal period and most education took place abroad. The Catholic Record Society has published many school lists. www.catholic-history.org.uk/crs/records.htm.
Battersby W.J. Secondary Education for Boys and Educational Work of the religious Orders of Women for developments in the 19th century.
Beales A.C.F. Education under Penalty: English Catholic Education from the Reformation to the Fall of James II The Athlone Press 1963
The appendix lists 35 boys' schools on the continent. In the 1790s the surviving colleges returned to England and are represented by the current Catholic schools and colleges, St Edmund's, Ushaw, Downside, Stonyhurst and Ampleforth.. These have their own archivists and have published lists of students.
Gandy, Michael Catholic Family History in 4 volumes a bibliography: of general sources; of local sources; for Scotland; for Wales
acts AGM ampleforth archives baptism BBC benedictine biography Birmingham Buckinghamshire catholic Catholic Ancestor charles II Cheetham Hill Chester churches conference directories google dress elizabeth I emancipation England family Family History Societies FFHS forbes Gandy GENFair GENUKI guards brigade history index Industrial Schools Ireland Irish Irish Fusiliers Italian italian campaign jacobites james I Kelly lace Lancashire latin London Manchester marriage martyrs mary II membership Midlands MIs News nonjurors North West nuns papists Preston priests records recusancy registers relief Salford Salford Diocese Scotland Scottish society St Werburgh useful vestments wales william III Workhouse WW2
www.catholicfhs.co.uk
Cyndi's List of Genealogy Sites on the Internet
Rossbret Institutions Website
Children's Homes
FFHS


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Australian civilian hospital nurses' lived experience of an out-of-hospital environment following a disaster
Mass Gathering Health / Mass Gathering Medicine
Various publications and presentations relating to Mass Gathering and Major Event health
Various publications and presentations relating to disaster health
Mass-gathering health research foundational theory: Part 1 - Population models for mass gatherings
10:00 AM Jamie Ranse No comments
Background: The science underpinning the study of mass-gathering health (MGH) is developing rapidly. Current knowledge fails to adequately inform the understanding of the science of mass gatherings (MGs) because of the lack of theory development and adequate conceptual analysis. Defining populations of interest in the context of MGs is required to permit meaningful comparison and meta-analysis between events.
Process: A critique of existing definitions and descriptions of MGs was undertaken. Analyzing gaps in current knowledge, the authors sought to delineate the populations affected by MGs, employing a consensus approach to formulating a population model. The proposed conceptual model evolved through face-to-face group meetings, structured breakout sessions, asynchronous collaboration, and virtual international meetings.
Findings and Interpretation: Reporting on the incidence of health conditions at specific MGs, and comparing those rates between and across events, requires a common understanding of the denominators, or the total populations in question. There are many, nested populations to consider within a MG, such as the population of patients, the population of medical services providers, the population of attendees/audience/participants, the crew, contractors, staff, and volunteers, as well as the population of the host community affected by, but not necessarily attending, the event. A pictorial representation of a basic population model was generated, followed by a more complex representation, capturing a global-health perspective, as well as academically- and operationally-relevant divisions in MG populations.
Conclusions: Consistent definitions of MG populations will support more rigorous data collection. This, in turn, will support meta-analysis and pooling of data sources internationally, creating a foundation for risk assessment as well as illness and injury prediction modeling. Ultimately, more rigorous data collection will support methodology for evaluating health promotion, harm reduction, and clinical-response interventions at MGs. Delineating MG populations progresses the current body of knowledge of MGs and informs the understanding of the full scope of their health effects.
Lund A, Turris S, Bowles R, Steenkamp M, Hutton A, Ranse J, Arbon P. (2014). Mass gathering health research foundational theory: Part 1 Population models for mass gatherings. Prehospital Disaster Medicine. 29(6):648-654
Mass-gathering health research foundational theory: Part 2 - Event modelling for mass gatherings.
9:30 AM Jamie Ranse No comments
Background: Current knowledge about mass-gathering health (MGH) fails to adequately inform the understanding of mass gatherings (MGs) because of a relative lack of theory development and adequate conceptual analysis. This report describes the development of a series of event lenses that serve as a beginning ''MG event model,'' complimenting the ''MG population model'' reported elsewhere.
Methods: Existing descriptions of ''MGs'' were considered. Analyzing gaps in current knowledge, the authors sought to delineate the population of events being reported. Employing a consensus approach, the authors strove to capture the diversity, range, and scope of MG events, identifying common variables that might assist researchers in determining when events are similar and might be compared. Through face-to-face group meetings, structured breakout sessions, asynchronous collaboration, and virtual international meetings, a conceptual approach to classifying and describing events evolved in an iterative fashion.
Findings: Embedded within existing literature are a variety of approaches to event classification and description. Arising from these approaches, the authors discuss the interplay between event demographics, event dynamics, and event design. Specifically, the report details current understandings about event types, geography, scale, temporarily, crowd dynamics, medical support, protective factors, and special hazards. A series of tables are presented to model the different analytic lenses that might be employed in understanding the context of MG events.
Interpretation: The development of an event model addresses a gap in the current body of knowledge vis a vis understanding and reporting the full scope of the health effects related to MGs. Consistent use of a consensus-based event model will support more rigorous data collection. This in turn will support meta-analysis, create a foundation for risk assessment, allow for the pooling of data for illness and injury prediction, and support methodology for evaluating health promotion, harm reduction, and clinical response interventions at MGs.
Turris S, Lund A, Hutton A, Bowles R, Ellerson E, Steenkamp M, Ranse J, Arbon P. (2014). Mass gathering health research foundational theory: Part 2 Event modelling for mass gatherings. Prehospital Disaster Medicine. 29(6):655-663.
Review: The mental health imaginary vis-a`-vis its nurses and Australian environs: an essay
I was invited to provide a review and response to a manuscript that was published in the 'Nursing in Crisis' special issue of the Journal of Research in Nursing. This manuscript is reviewed was:
Nicholls, D. (2014). The mental health imaginary vis-à-vis its nurses and Australian environs: an essay Journal of Research in Nursing. 19:580-589.
The work reviewed takes a unique exploration of the future of mental health nursing in the Australian environs. To do this, the author work presents an historical account of what it may have been like to be a mental health nurse in Australian in the late 1900s. This account is a philosophical view that does not necessarily aim to resolve an issue, build a theory or seek agreement, but instead is a philosophical work taking shape from the author's lifeworld.
My review discusses the progress, challenges and complexities of the mental health context, highlighting that they are not of uniqueness or of singularity to mental health nursing. Instead, aspects of the author's lifeworld and the mental health imaginary vis-a`-vis its nurses and Australian environs has a broader application to the discussion of changes over time related to nursing and its natural attitude, education, and culture.
Ranse, J. (2014). Review: The mental health imaginary vis-à-vis its nurses and Australian environs: An essay. Journal of Research in Nursing. 19(7-8):590-591.
Understanding the effect of clinician dependent versus evidence-based pathway for the management of Salmonella-like symptoms in an emergency department.
Introduction: On Monday the 13th of May 2013, a surge in patients with vomiting and diarrhoea presented to an Emergency Department (ED) in Canberra. Contract tracing identified a focal point between patients, and pathology samples identified Salmonella as the responsible agent. On the following Wednesday, upon a hospital based disaster being declared, a just-in-time evidence-based pathway was introduced to ensure consistency in patient management. This research aims to describe the effect of this pathway (intervention) versus clinician dependent (control) management of such patients.
Method: This research was retrospective in design. The sample includes 110 patients who presented in May 2013 to one ED, with Salmonella-like symptoms. Data was collected from the Emergency Department Information System. Patient characteristics, such as age and gender are described using descriptive statistics. A Mann-Whitney test was used to compare continuous data and a Fisher exact test was used to compare categorical data, between the two groups. This research has ethics approval from the health care facility.
Results: Over an eight day period, 110 patients presented with salmonella-like symptoms. Of these, 47 were male and 63 were female, with a median age of 30 years (IQR: 20-42). Both age (p=0.65) and gender (p=0.84) were statistically similar between the two groups. Overall, the mean length of stay in minutes (±SD) was 735 (1112). However, the mean length of stay in minutes was statistically different between the two groups, with the control being 975 (1280) and the intervention being 230 (251) (p=0.0001).
Discussion: The length of stay for patients between the two groups was statistically significantly different, suggesting that the implementation of a just-in-time evidence-based pathway for the management of patients with Salmonella-like symptoms reduced the ED length of stay. This finding is useful in that it may assist in the future planning of similar public health emergencies or for use when patients present with Salmonella-like symptoms on a daily basis.
Ranse J, Luther M, Ranse K. (2014). Understanding the effect of clinician dependent versus evidence-based pathway for the management of Salmonella-like symptoms in an emergency department; paper presented at the 12th International Conference for Emergency Nurses, Perth, Australia, 9th October.
Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study.
Introduction: Health providers at mass gatherings aim to minimise the disruption to the health services of the surrounding community. The mass gathering literature focuses on patients presenting to onsite care providers at events, and scantly reports on patients presenting to prehospital care providers (ambulance paramedics) and hospital emergency departments (EDs). In 2012, an outdoor music festival with approximately 20,000 participants was held in Canberra. The festival had one first aid post, and a medical assistance team staffed by doctors, nurses and paramedics. This research describes the characteristics of patients and health service usage from this event.
Method: Data was collected retrospectively from the event onsite care provider (St John Ambulance Australia) patient records. These records were linked to both prehospital (ACT Ambulance Service) and hospital EDs (Canberra Hospital and Calvary Health Care ACT) patient records. A preexisting minimum data set was used to code patient characteristics. Data analysis included descriptive statistics, such as frequencies and means of central tendency.
Results: In total, 197 (9.86/1,000) patients presented for clinical assessment and/or management at the event. Two patients who required hospitalisation bypassed the onsite care providers and were transferred directly via the ambulance service to hospital. The onsite medical assistance team managed 22 patients (1.1/1,000), of whom two were referred to police, five transported to hospital and 15 discharged to the event. In total, seven patients were transported to hospital by ambulance (0.35/1,000). Hospital presentation rate and patient characteristics are currently being determined at the time of this abstract submission.
Discussion: This is the first research to describe patient presentations to onsite care providers, prehospital and hospitals from a mass gathering. This research provides insight into the health service usage associated with mass gathering. Strategies to minimising the disruption to the prehospital and hospital health services of the surrounding community will be discussed.
Ranse J, Lenson S, Keene T, Luther M, Burke B, Hutton A. Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study. 12th International Conference for Emergency Nurses.
Drugs, pills top emergency list for evacuation too
I was interviewed by Natasha Body from the Canberra Times. The interview focused on the health preparedness of the community in a disaster.
The full text article is available here
This article was among the most read articles for the day across Australia as demonstrated below:
Canberra's hospitals ability to cope in a disaster
I was interviewed by Mark Parton on 1206AM Canberra 2CC regarding the ability of Canberra's health system to cope if a disaster or mass casualty incident was to occur in the region.
The interview was initiated on the background of a number of reports in The Canberra Times relating to the overcapacity of Canberra's hospitals, and in particular the Emergency Departments:
September 17, 2014: Canberra Hospital to move patients as fallback for busy wards
September 17, 2014: Surge in demand puts Canberra Hospital emergency department under 'enormous pressure'
September 18, 2014: Canberra Hospital grapples with 'overcapacity'
My interview highlighted that the health system in Canberra had coped in the past with major incidents. Additionally, I discussed the educational preparedness of nurses and the ability of the health systems to adapt based on previous events. For example, the establishment of influenza assessment clinics as adjunct to the emergency departments in communicable diseases such as H1N109 Influenza.
My interview is below:
Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study
A number of challenges exist in providing adequate health care at a mass gathering. Health providers aim to maximise their efficiency in responding to health emergencies within the mass gathering environment, whilst minimising potential impact of surge presentations to the health service in the surrounding community or region. The mass gathering literature commonly reports on the onsite care from single events, and does not consider the effect on prehospital or hospital services.
This research aims to enhance our understanding of the health service requirements of an outdoor music festival.
Design: Retrospective review of patient report forms from onsite health services at outdoor music festival.
Setting: One outdoor music festival in 2012 in the Australian Capital Territory with approximately 20,000 participants. The festival had one first aid post and a health team staffed by doctors, nurses and paramedics.
Data collection: Data was obtained and linked between onsite care providers (St John Ambulance Australia), prehospital (ACT Ambulance Service) and hospitals (Canberra Hospital and Calvary Health Care ACT). A pre-existing and used minimum data set1 was used to code patient characteristics from this event.
Data analysis: Descriptive statistics such as frequency distributions and means of central tendency.
This is a summary of some of the key findings.
Onsite first aid care: The most frequent illness was headaches (n=94), injury was superficial lacerations (n=13), environmental was substance and/or alcohol intoxication (n=12).
Onsite health professional care: The most frequent illness was headaches (n=3), injury was fractures (n=2), environmental was substance and/or alcohol intoxication (n=12).
Ambulance transport: The most frequent injury was fractures (n=2), environmental was substance and/or alcohol intoxication (n=4). One patient required prehospital endotracheal intubation, Three patients required airway adjuncts, Six patients received intravenous medications from paramedics including opioids.
Hospital services: One patient required an open reduction and internal fixation in the operating theatre. One patient required intubation and ventilator support in the Intensive Care Unit.
This is the first research to describe patient presentations to onsite care providers, prehospital services and hospitals from a mass gathering. This research provides insight into the health service usage from one event. Presentation to the onsite health professionals resulted in a longer length of stay in the onsite medical facility. Onsite health professionals may have diverted 15 patients who would have otherwise been seen by local ambulance and hospital services. Multi-site research should be undertaken to explore the health service usage from a variety of mass gatherings.
Our poster at #PAIC2014 Onsite health providers and ambulance paramedics at mass gatherings http://t.co/H14Z9LGzeq pic.twitter.com/e84OUXaN71
— Jamie Ranse (@jamieranse) September 19, 2014
Ranse J, Lenson S, Keene T, Luther M, Burke B, Hutton A. (2014). Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study; poster presented at the Paramedics Australasia International Conference 2014, Gold Coast, Australia, 18-20 September.
What are the research needs for the field of disaster nursing in the next five years? An international Delphi study
3:00 PM Jamie Ranse 1 comment
Background: Internationally there is an increasing amount of peer-reviewed literature pertaining to disaster nursing. The literature includes personal anecdotes, reflections, and accounts of single case studies. Furthermore, issues such as the willingness of nurses to assist in disasters, the role of nurses in disasters, leadership, competencies, and educational preparedness for nurses have been the focus of the literature.
Aim: The aim of this research was to determine the international research priorities for disaster nursing.
Method: This research used a three-round Delphi technique. The first round used a face-to-face workshop to generate research statements with nursing members of the World Association for Disaster and Emergency Medicine (WADEM). The second and third rounds included the ranking of statements on a 5-point Likert scale with nursing members of WADEM and the World Society of Disaster Nursing (WSDN). Statements that achieved a mean of four or greater were considered a priority and progressed.
Results: Participants were from multiple countries. Research statements were generated in the areas of: education, training, and curriculum; psychosocial; strategy, relationship, and networking; and clinical practice. Psychosocial aspects of disaster nursing ranked the highest, with five statements appearing in the top ten research areas, followed by statements relating to: education, training, and curriculum; clinical practice; and finally, strategy, relationship, and networking.
Conclusions: Future disaster nursing research should focus on the area of psychosocial aspects of disaster nursing, in particular, both the psychosocial needs of a disaster-affected community and the psychosocial well-being of nurses who assist in disaster health activities.
Ranse J, Hutton A, Jeeawody B, Wilson R. What are the research needs for the field of disaster nursing in the next five years? An international Delphi study. Prehospital Disaster Medicine. 2014
National consistency in industrial awards for disaster release for Australian Nurses: An integrative review of enterprise agrrangements
This research explores the types of provisions made available to nurses within Australian public employment agreements to respond to disasters and alternate provisions made available to provide personal property protection and personal care during a disaster. An integrative literature review methodology is used to collect, evaluate, analyse and integrate sources of evidence to inform a discussion on the current enterprise arrangements for nurses with respect to eight Australian jurisdictions. These were evaluated for the industrial provisions made available to nurses wanting to assist in responding to disasters. Only five of these agreements mentioned provisions for nurses to assist in disasters. Where these provisions exist, they vary in their consistency, terminology and the quantity of the entitlements, potentially leading to inequality and variability in the financial support frameworks for nurses involved in disaster events.
Lenson S, Ranse J, Cusack L. (2014). National consistency in industrial awards for disaster release for Australian nurses: An integrative review of enterprise arrangements. Asia Pacific Journal of Health Management. 9(2):53-58.
Doing phenomenology and hermeneutics: Australian civilian nurses' lived experience of being in a disasters
This presentation was presented at the Higher Degrees Week - Flinders University, Faculty of Health Sciences, School of Nursing and Midwifery as a progress seminar for my PhD studies.
This presentation will focus on the theoretical underpinnings of phenomenology and hermeneutics as they are applied to a research paradigm which aims to: provide insight into the experience of being an Australian civilian nurse within the out-of-hospital environment during a disaster. A purposive sampling technique was employed to recruit participants for this research. Subsequently, data was collected from eight participants using semi-structured interviews at two points in time, one week apart. The first interview was primarily phenomenological, whilst the second was more hermeneutic in nature. Participant narrative was captured on an electronic audio recording device and transcribed. In terms of data analysis, phenomenology is neither inductive nor deductive, rather phenomenology is reductive. This research primarily used an eidetic reduction of participant narrative, returning to the experience as it is in itself; by uncover the uniqueness or 'whatness' of the experience. The result of the reduction is a lived experience description, a description of the experience that is recognisable by others of what it may be like being an Australian civilian nurse within the out-of-hospital environment during a disaster.
Ranse J. (2014). Doing phenomenology and hermeneutics: Australian civilian nurses' lived experience of being in a disasters; presentation at the Higher Degrees Week - Flinders University, Faculty of Health Sciences, School of Nursing and Midwifery. Adelaide, South Australia, 30th June.
Disasters happen: the realities of being in a disaster
12:00 PM Jamie Ranse No comments
I was invited to the University of New England, Armidale, New South Wales to present on the topic of disaster health and to participate in some research collaboration with academic staff members.
Disasters happen, and health professionals are involved in restoring and maintaining the health and health services of disaster-affected communities. This presentation will provide an overview of what is known about disaster health in the Australian context, such as the willingness of health professionals to assist in a disaster and their educational preparedness. In particular, this presentation will focus on the realities of what it is like to be a health professional in a disaster.
Ranse J. (2014). Disasters happen: the realities of being in a disaster; presentation to Faculty at University of New England, Armidale, NSW, 5th June.
Enhancing the minimum data set for mass-gathering research and evaluation: An integrative literature review
Introduction: In 2012, a minimum data set (MDS) was proposed to enable the standardized collection of biomedical data across various mass gatherings. However, the existing 2012 MDS could be enhanced to allow for its uptake and usability in the international context. The 2012 MDS is arguably Australian-centric and not substantially informed by the literature. As such, an MDS with contributions from the literature and application in the international settings is required.
Methods: This research used an integrative literature review design. Manuscripts were collected using keyword searches from databases and journal content pages from 2003 through 2013. Data were analyzed and categorized using the existing 2012 MDS as a framework.
Results: In total, 19 manuscripts were identified that met the inclusion criteria. Variation in the patient presentation types was described in the literature from the mass-gathering papers reviewed. Patient presentation types identified in the literature review were compared to the 2012 MDS. As a result, 16 high-level patient presentation types were identified that were not included in the 2012 MDS.
Conclusion: Adding patient presentation types to the 2012 MDS ensures that the collection of biomedical data for mass-gathering health research and evaluation remains contemporary and comprehensive. This review proposes the addition of 16 high-level patient presentation categories to the 2012 MDS in the following broad areas: gastrointestinal, obstetrics and gynecology, minor illness, mental health, and patient outcomes. Additionally, a section for self-treatment has been added, which was previously not included in the 2012 MDS, but was widely reported in the literature.
Ranse J, Hutton A, Turris S, Lund A. (2014). Enhancing the minimum data set for mass gathering research and evaluation: An integrative literature review. Prehospital Disaster Medicine. 29(3):1-10.
Operational aspects of health care delivery at World Youth Day 2008: Lessons learnt by an emergency management organisation
Free full-text article is available from the Australasian Journal of Paramedicine
Hundreds of thousands of people attended World Youth Day 2008 [WYD08] in Sydney. Pilgrims from over 170 nations attended the week-long event (15-20th July) culminating in one of the largest mass gatherings in Australia. St John Ambulance Australia was the primary health care agency chosen for the provision of health services to WYD08 participants and officials. WYD08 posed a number of challenges during the planning and deployment stages of operational activities; due to the extremely large number of participants and varying location of WYD08 events. This article provides an overview of WYD08, the involvement of an emergency management organisation with a focus on their experiences and lessons learnt. These experiences and lessons are useful for any health care agency or emergency management organisation, tasked with planning similar large-scale mass gathering events.
Moutia D, Ranse J, Banu-Lawrence H. Operational aspects of health delivery at World Youth Day 2008: Lesions learnt by an emergency management organisation. Australasian Journal of Paramedicine. 2014;11(3):[accepted]
Understanding patient presentations among young people at mass gatherings
Ranse J. (2014). Understanding patient presentations among young people at mass gatherings; presentation to Paramedics Australasia, Paramedics Australasia Student Association and St John Ambulance (ACT), Canberra, ACT, 29th April.
Understanding the characteristics of patient presentations of young people at outdoor music festivals
12:00 AM Jamie Ranse 1 comment
Outdoor music festivals are unique events given that they are, for the most part, bounded and ticketed, and alcohol is served. They frequently have a higher incidence of patient presentations when compared with similar types of mass gatherings. Often, however, single events are reported in the literature, making it difficult to generalize the findings across multiple events and limiting the understanding of the ''typical'' patient presentations at these mass gatherings. The aim of this paper was to understand the characteristics of young people who have presented as patients to on-site health care at outdoor music festivals in Australia, and the relative proportion and type of injury and illness presentations at these events. This research used a nonexperimental design, utilizing a retrospective review of patient report forms from outdoor music festivals. Data were collected from 26 outdoor music festivals across four States of Australia during the year 2010. Females presented at greater numbers than males, and over two-thirds presented with minor illnesses, such as headaches. Males presented with injuries, in particular lacerations to their face and their hands, and alcohol and substance use made up 15% of all presentations.
Hutton A, Ranse J, Verdonk N, Ullah S, Arbon P. Understanding the characteristics of patient presentations of young people at outdoor music festivals. Prehospital Disaster Medicine. 2014;29(2):1-7.
Nurses and Twitter: The good, the bad and the reluctant
Nurses and other health professionals are adopting social media to network with health care professionals and organizations, support health education, deliver health promotion messages, enhance professional development and employment opportunities, and communicate within political forums. This paper explores the growing use of social media, and examines the current dynamics of Twitter as an example of the uptake of social media. This paper also offers practical guidance for new Twitter users who are interested in using this social media approach in clinical or educational settings, and for professional development.
Wilson RL, Ranse J, Cashin A, McNamara P. (2014). Nurses and Twitter: The good, the bad, and the reluctant. Collegian. 21(2):111-119.
Mass-gathering health research foundational theory...
Review: The mental health imaginary vis-a`-vis its...
Understanding the effect of clinician dependent ve...
Patient presentations to onsite health providers, ...
Drugs, pills top emergency list for evacuation too...
Canberra's hospitals ability to cope in a disaster...
What are the research needs for the field of disas...
National consistency in industrial awards for disa...
Doing phenomenology and hermeneutics: Australian c...
Disasters happen: the realities of being in a disa...
Understanding patient presentations among young pe...
Understanding the characteristics of patient prese...
Nurses and Twitter: The good, the bad and the relu...


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text:
Outcomes after abdominal wall reconstruction using acellular dermal matrix: A systematic review
Toni Zhong, Jeffrey E. Janis, Jamil Ahmad, Stefan O P Hofer
Background: Complex abdominal wall defects can present a significant challenge to the reconstructive surgeon. In 2003, acellular dermal matrix (ADM) was introduced as an alternative to synthetic materials with suggestions that it has improved capacity to integrate with surrounding tissues with less inclination towards infection, erosion, extrusion, adhesion formation and rejection compared with synthetic materials. This systematic review was conducted to evaluate the existing literature describing the use of ADM for abdominal wall reconstruction in an attempt to identify factors that may affect outcomes. Methods: A review of the MEDLINE database using the search terms 'dermal matrix' and 'abdomen' or 'hernia' for prospective and retrospective human studies in English was performed. Exclusion criteria were animal studies, case reports, reviews and articles that dealt only with ADM for repair of congenital abdominal wall defects, hiatal, parastomal or inguinal hernias and enterocutaneous fistulae. Two independent reviewers performed the systematic review with the same a priori criteria, with discrepancies reconciled by the senior author. Results: In October 2010, 3394 articles were identified as potentially inclusive based on the search term 'dermal matrix'. When filtered for 'abdomen' or 'hernia', 83 articles were found. Ultimately, 30 articles met criteria. No other systematic reviews, meta-analyses or randomised controlled trials were identified in the existing literature. Conclusions: At this current time, there is a paucity of high-level evidence comparing ADM with other methods interfering with the ability of physicians to make data-driven recommendations on clinical indications, surgical techniques and outcomes following ADM-assisted abdominal wall reconstruction.
Journal of Plastic, Reconstructive and Aesthetic Surgery
https://doi.org/10.1016/j.bjps.2011.04.035
Acellular Dermis
Abdominal Wall
Intestinal Fistula
Abdominal wall reconstruction
Acellular dermal matrix
AlloDerm
Zhong, T., Janis, J. E., Ahmad, J., & Hofer, S. O. P. (2011). Outcomes after abdominal wall reconstruction using acellular dermal matrix: A systematic review. Journal of Plastic, Reconstructive and Aesthetic Surgery, 64(12), 1562-1571. https://doi.org/10.1016/j.bjps.2011.04.035
Outcomes after abdominal wall reconstruction using acellular dermal matrix : A systematic review. / Zhong, Toni; Janis, Jeffrey E.; Ahmad, Jamil; Hofer, Stefan O P.
In: Journal of Plastic, Reconstructive and Aesthetic Surgery, Vol. 64, No. 12, 12.2011, p. 1562-1571.
Zhong, T, Janis, JE, Ahmad, J & Hofer, SOP 2011, 'Outcomes after abdominal wall reconstruction using acellular dermal matrix: A systematic review', Journal of Plastic, Reconstructive and Aesthetic Surgery, vol. 64, no. 12, pp. 1562-1571. https://doi.org/10.1016/j.bjps.2011.04.035
Zhong T, Janis JE, Ahmad J, Hofer SOP. Outcomes after abdominal wall reconstruction using acellular dermal matrix: A systematic review. Journal of Plastic, Reconstructive and Aesthetic Surgery. 2011 Dec;64(12):1562-1571. https://doi.org/10.1016/j.bjps.2011.04.035
Zhong, Toni ; Janis, Jeffrey E. ; Ahmad, Jamil ; Hofer, Stefan O P. / Outcomes after abdominal wall reconstruction using acellular dermal matrix : A systematic review. In: Journal of Plastic, Reconstructive and Aesthetic Surgery. 2011 ; Vol. 64, No. 12. pp. 1562-1571.
@article{5a5887f289c8499d9bfa1c9db9656fb4,
title = "Outcomes after abdominal wall reconstruction using acellular dermal matrix: A systematic review",
abstract = "Background: Complex abdominal wall defects can present a significant challenge to the reconstructive surgeon. In 2003, acellular dermal matrix (ADM) was introduced as an alternative to synthetic materials with suggestions that it has improved capacity to integrate with surrounding tissues with less inclination towards infection, erosion, extrusion, adhesion formation and rejection compared with synthetic materials. This systematic review was conducted to evaluate the existing literature describing the use of ADM for abdominal wall reconstruction in an attempt to identify factors that may affect outcomes. Methods: A review of the MEDLINE database using the search terms 'dermal matrix' and 'abdomen' or 'hernia' for prospective and retrospective human studies in English was performed. Exclusion criteria were animal studies, case reports, reviews and articles that dealt only with ADM for repair of congenital abdominal wall defects, hiatal, parastomal or inguinal hernias and enterocutaneous fistulae. Two independent reviewers performed the systematic review with the same a priori criteria, with discrepancies reconciled by the senior author. Results: In October 2010, 3394 articles were identified as potentially inclusive based on the search term 'dermal matrix'. When filtered for 'abdomen' or 'hernia', 83 articles were found. Ultimately, 30 articles met criteria. No other systematic reviews, meta-analyses or randomised controlled trials were identified in the existing literature. Conclusions: At this current time, there is a paucity of high-level evidence comparing ADM with other methods interfering with the ability of physicians to make data-driven recommendations on clinical indications, surgical techniques and outcomes following ADM-assisted abdominal wall reconstruction.",
keywords = "Abdominal wall reconstruction, Acellular dermal matrix, AlloDerm, Biologic, Hernia",
author = "Toni Zhong and Janis, {Jeffrey E.} and Jamil Ahmad and Hofer, {Stefan O P}",
doi = "10.1016/j.bjps.2011.04.035",
journal = "Journal of Plastic, Reconstructive and Aesthetic Surgery",
publisher = "Churchill Livingstone",
T1 - Outcomes after abdominal wall reconstruction using acellular dermal matrix
T2 - A systematic review
AU - Zhong, Toni
AU - Janis, Jeffrey E.
AU - Ahmad, Jamil
AU - Hofer, Stefan O P
N2 - Background: Complex abdominal wall defects can present a significant challenge to the reconstructive surgeon. In 2003, acellular dermal matrix (ADM) was introduced as an alternative to synthetic materials with suggestions that it has improved capacity to integrate with surrounding tissues with less inclination towards infection, erosion, extrusion, adhesion formation and rejection compared with synthetic materials. This systematic review was conducted to evaluate the existing literature describing the use of ADM for abdominal wall reconstruction in an attempt to identify factors that may affect outcomes. Methods: A review of the MEDLINE database using the search terms 'dermal matrix' and 'abdomen' or 'hernia' for prospective and retrospective human studies in English was performed. Exclusion criteria were animal studies, case reports, reviews and articles that dealt only with ADM for repair of congenital abdominal wall defects, hiatal, parastomal or inguinal hernias and enterocutaneous fistulae. Two independent reviewers performed the systematic review with the same a priori criteria, with discrepancies reconciled by the senior author. Results: In October 2010, 3394 articles were identified as potentially inclusive based on the search term 'dermal matrix'. When filtered for 'abdomen' or 'hernia', 83 articles were found. Ultimately, 30 articles met criteria. No other systematic reviews, meta-analyses or randomised controlled trials were identified in the existing literature. Conclusions: At this current time, there is a paucity of high-level evidence comparing ADM with other methods interfering with the ability of physicians to make data-driven recommendations on clinical indications, surgical techniques and outcomes following ADM-assisted abdominal wall reconstruction.
AB - Background: Complex abdominal wall defects can present a significant challenge to the reconstructive surgeon. In 2003, acellular dermal matrix (ADM) was introduced as an alternative to synthetic materials with suggestions that it has improved capacity to integrate with surrounding tissues with less inclination towards infection, erosion, extrusion, adhesion formation and rejection compared with synthetic materials. This systematic review was conducted to evaluate the existing literature describing the use of ADM for abdominal wall reconstruction in an attempt to identify factors that may affect outcomes. Methods: A review of the MEDLINE database using the search terms 'dermal matrix' and 'abdomen' or 'hernia' for prospective and retrospective human studies in English was performed. Exclusion criteria were animal studies, case reports, reviews and articles that dealt only with ADM for repair of congenital abdominal wall defects, hiatal, parastomal or inguinal hernias and enterocutaneous fistulae. Two independent reviewers performed the systematic review with the same a priori criteria, with discrepancies reconciled by the senior author. Results: In October 2010, 3394 articles were identified as potentially inclusive based on the search term 'dermal matrix'. When filtered for 'abdomen' or 'hernia', 83 articles were found. Ultimately, 30 articles met criteria. No other systematic reviews, meta-analyses or randomised controlled trials were identified in the existing literature. Conclusions: At this current time, there is a paucity of high-level evidence comparing ADM with other methods interfering with the ability of physicians to make data-driven recommendations on clinical indications, surgical techniques and outcomes following ADM-assisted abdominal wall reconstruction.
KW - Abdominal wall reconstruction
KW - Acellular dermal matrix
KW - AlloDerm
KW - Biologic
KW - Hernia
U2 - 10.1016/j.bjps.2011.04.035
DO - 10.1016/j.bjps.2011.04.035
JO - Journal of Plastic, Reconstructive and Aesthetic Surgery
JF - Journal of Plastic, Reconstructive and Aesthetic Surgery
10.1016/j.bjps.2011.04.035


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text:
How Long will Your System Last? A Discrete IGBT Reliability Study
Ludger Borucki, Thomas Kimmer, Oliver Schilling, Guang Zeng at Infineon
High quality and reliability are among the key aspects in the design of a power semiconductor. The influence of these parameters is evident since they not only affect the lifetime and location of the application, but also the reliable operation under maximum power and high-load current levels.
Power Cycling Test to Evaluate Discrete Packaged IGBTs
To evaluate the performance of advanced chip, bonding and packaging technologies, the power-cycling test is a good practice. Models for power semiconductors were introduced in the late 1990s, which could predict the lifetime of the product, however, the focus of such tests was on power modules. In the last few years, applications for discrete packaged IGBTs have increased. Such applications as UPS (Uninterruptible Power Supplies), solar inverters, low-power industrial drives, induction cooking, and EV chargers have emerged, where designers require more information on the reliability and lifetime of their power system.
In this article, we would like to present our method for power-cycling tests and the results thereof for transfer-molded discrete IGBTs from Infineon Technologies. The evaluation was done in close collaboration with the Chemnitz University of Technology. Details of the power-cycling test setup and procedure at the Chemnitz University can be found in Ref. [1].
For the test runs, a set of eleven devices from Infineon's broad spectrum of 1200 V, 650 V and 600 V IGBTs in TO247 packages were chosen to cover all identified aspects that could influence the power-cycling capability. The main aspects included the IGBT voltage class and the nominal device current (Figure 1). These parameters have a direct relation to the device area via static power losses, and to the bonding scheme via specified device current. In all runs, the bill of material for the TO247 package remained unchanged. All devices under test were assembled with the same mold compound and the same bond-wire diameter.
Figure 1: Nominal device current for the chosen devices grouped by voltage class.
The aim of this first run was to identify the main contributors to the power-cycling capability besides the Coffin-Manson law and temperature dependence as described in Ref. [2]. Therefore, the tests were performed under similar conditions, a temperature swing of ∆Tj ~ 90°C, a mean junction temperature Tjm ~ 105°C, and load pulse on duration ton = 2 s and load pulse off duration toff = 4 s. This parameter set covers the standard applications for these IGBT families and has the advantage of performing the tests close to the specified device current.
The chip temperature was measured via the Vce(T) method. Based on the test concept, the maximal junction temperature cannot be measured directly at switch-off; for a reliable measurement, the delay was set at 500 µs. The finite element simulation (FEM) shows that the devices used in this test run cool down for about 1.1°C in 500 µs at a power loss of 1 W/mm2 per active area as shown in Figure 2.
Figure 2: FEM simulation of temperature progression after pulse switch-off; simulation matches very well with measurements as shown for DUT8.
For data evaluation, the measured junction temperatures were corrected accordingly, and then in a second step, normalized to the same test conditions ∆Tj = 90°C and Tjmean = 105°C. This was done using a Coffin-Manson exponent of α = -3.56 and an activation energy Ea = 0.168 eV. The Coffin-Manson exponent and the activation energy were determined in the second run of experiments using a device with single-bond wire and single-bond foot. Details of the parameter extraction are described in Ref. [3]. To analyze the end-of-life failure mode, all parts were examined via a scanning acoustic microscope (SAM).
No degradation of the solder chip interface was found. However, a strong degradation of the interface between the bond foot and the IGBT chip surface was discovered, as shown in Figure 3. The nonstressed bond foot of the diode remains dark (chip on the right); the stressed bond foot of the IGBT becomes bright. Furthermore, some end-of-life (EOL) stressed devices were opened to inspect the bond wire. For complete bright contact areas seen in the SAM, bond lift-off as end-of-life failure mode could be confirmed (Figure 4); for SAM pictures with remaining dark areas, bond-wire heel cracks were observed (Figure 5).
Figure 3: SAM picture of the chip, front side: Non-disturbed bond wire foot remains black for the diode; the complete bright area for the upper IGBT bond wire foot indicates bond wire lift-off. This is in confirmed after removal of the mold compound (decap), Figure 4.
Figure 4: IGBT with upper lifted bond foot after decap, SAM showed a complete bright area for this bond foot.
Figure 5: Heel crack of bond wires after power-cycling.
Different EOL Cycle Dependencies
For devices that failed mainly due to heel cracks, we observed an EOL dependency from the load current per bond. This is not yet conclusive for devices that failed mainly due to lifted bonds. Here additional data are required, see Figure 6. In addition, the heel-crack fail mode typically achieves higher EOL cycle numbers than the lifted-bond fail mode. The same results can be concluded for the EOL cycle dependency from the current density. There is no clear dependency of EOL cycles for devices that failed mainly with bond lift-off, but a dependency can be seen for devices showing mainly heel cracks.
Figure 6: EOL cycles for the tested devices depending on current per bond. The measured cycles were normalized to Tjmean = 105°C, ∆T = 90°C. Points indicate devices with heel crack as EOL fail mode, open squares indicate DUTs with bond lift-off as EOL fail mode.
Figure 7: EOL cycles for the tested devices depending on current density.
Power Densities and Cycles
At comparable power densities, 600 V / 650 V IGBTs achieve higher current densities than 1200 V IGBTs (Figure 8) caused by the higher Vce saturation voltage for these IGBTs. Our data show that testing in the higher current density regime tends to promote wire lift off as a failure mechanism that limits cycle number before heel crack may set in. A model to understand this correlation has still to be developed.
To provide a power cycle curve for Infineon's 600 V / 650 V IGBTs, all groups with bond lift-off, marked in Figures 5 and 6 as squares, were taken into account, and no corrections for e.g. current density or current per bond wire were made. Figure 7 shows the corresponding accumulated Weibull distribution of the achieved cycles. The overall linear behavior indicates that no additional parameter influences the power cycle capability. Using the data from the linear fit, we can deduce the power cycle diagram for Infineon's 600 V / 650 V IGBT devices in TO247, as shown in Figure 10. Depending on the temperature swing, three different EOL percentage curves for a Tjmean = 80°C temperature are plotted. They are valid for pulse durations of < 10 s. For much longer pulse times, it is expected that the EOL cycle number will be limited to solder fatigue of the chip backside solder, but this was not proven in the study.
Figure 8: Current per device area, current density, grouped by voltage class.
Figure 9: Achieved power cycles for DUT 7, 8, 9 and 11.
Figure 10: Achievable power cycles per ∆T for 10%, 1% and 0.1% EOL. Curves are valid for pulse durations < 10 s and Tjmean = 80°C. Dashed lines indicate data extrapolation; solid lines are based on measured data.
In this work, two series of power cycling tests were performed on eleven different device types in TO-247 package and more than 110 devices were tested until end of life. The devices have failed during the power cycling tests with bond wire failure. In the first test series the load current per bond or load current density was found to have a great impact on the power cycling capability of TO-247 package. In the second test series the dependency of lifetime on junction temperature swing ∆Tj and mean junction temperature Tjm was investigated and the deduced model for Infineon's 600 V / 650 V IGBT in TO247 is available on request to provide users with the power-cycling capability for different application conditions. A similar model for Infineon's 1200 V devices In TO247 will follow soon.
The authors gratefully thank Oliver Wenzel and Prof. Josef Lutz from the Technical University of Chemnitz for their support and discussions during the experiments, and further Karina Rott and Herbert Hopfgartner from Infineon Technologies for their support in organizing and running the project.
Guang Zeng, Dissertation TU Chemnitz 2018/19, to be published
R. Bayerer, T. Herrmann, T. Licht, J. Lutz and M. Feller, " Model for power cycling lifetime of IGBT modules – various factors influencing lifetime", in Proc. of the 5th CIPS, pp. 1-6, 2008
G. Zeng, L. Borucki, O. Wenzel, O. Schilling, J. Lutz, " First results of development of a lifetime model for transfer molded discrete power devices", Proc. PCIM Europe 2018, pp. 1-8, 2018
Ludger Borucki is a Quality Assurance Manager in Industrial Power Control at Infineon Technologies. Thomas Kimmer works in Industrial Power Control and Technical Marketing at Infineon Technologies. Oliver Schilling is the Director of Quality in the field of Power Semiconductors at Infineon Technologies. He has a Ph.D. in Physics from Julius-Maximilians-Universität Würzburg. Guang Zeng is a Research Project Manager for Industrial Power Control at Infineon Technologies. He is working toward a Ph.D. in Electrical Engineering. His research interests include the thermal characterization and power cycling test of power semiconductor devices.
More information: Infineon Source: Bodo's Power Systems, December 2018
Replacement of Electromechanical Relays
4500V 1200A IEGT Module Launched
Toshiba Electronics Europe
Highest Current Gallium Nitride Power Transistor
Industry's Smallest Ultra-Thin Bus Switches from Diodes Incorporated Save Board Space
Wide input range, dimmable 1A LED drivers suit strings of up to 15 high brightness LEDs
GaN Systems Captures a Place in the 2020 Global Cleantech 100
Cleantech Group


text:
Q: hoverintent not working in IE8 I have something like this:
$('li',$dcVerticalmenuObj).hoverIntent(config);

var config = {

    interval: 100,
    over: megaOver,
    timeout: 0,
    out: megaOut
};

function megaOver(){
    $container.css(containerPosition).show();
}

but the hover function not working in IE 8.

A: i know what happen..my jquery is outdated i guess..once i replace it with the latest version http://code.jquery.com/jquery-1.10.2.min.js thn everything working fine

redpajama_set_name: RedPajamaStackExchange


text:
Port of Algoma is "exciting for us" (5 photos)
Garden River chief Syrette pleased with economic possibilities; signs accord with Port of Algoma
Apr 16, 2016 6:52 PM By: Darren Taylor
1 / 1 Paul Syrette, Garden River First Nation chief, and Anshumali Dwivedi, Port of Algoma CEO, at the Reconciliation and Prosperity Accord signing, Garden River First Nation, April 16, 2016. Darren Taylor/SooToday
It's being hailed as the start of a new era of consultation and cooperation in which Garden River First Nation can share in the prosperity anticipated with the establishment of the Port of Algoma.
Paul Syrette, Garden River First Nation chief, and Anshumali Dwivedi, Port of Algoma CEO, met in Garden River Saturday for the signing of the Reconciliation and Prosperity Accord.
"It sets the table for a partnership with our Port of Algoma friends," Syrette told reporters after Saturday's signing.
A separate accord will be signed between Port of Algoma and Batchewana First Nation soon.
"We hope to move a number of our resources, such as aggregates for example, through the port system…we want to take a position for some economic development opportunities for our First Nation," Syrette said.
Syrette said not only aggregates, but forestry, mining and other products from First Nations territories can be shipped through the port as a sharing of resources and source of revenue and prosperity for Garden River First Nation and other area First Nations territories for generations to come.
Syrette said it is too soon to tell how many jobs will be created for First Nations citizens through the port (such as construction jobs and skilled trades positions), but said "it's exciting for us."
"If there are opportunities for our members to be employed through the development of the port we certainly want to discuss that, that's certainly one of our goals," Syrette said.
Port of Algoma officials anticipate 1,350 full-time construction jobs will be created as the port is built, with approximately 250 permanent port jobs and 1,200 spin-off jobs.
Phase One of the Port of Algoma project wrapped up at the end of March (a study which included, among other items, initial consultations with First Nations, and those consultations will continue on a permanent basis).
Phase Two is currently underway.
Phase Three will involve the actual construction of the port facility over the next few years (between 2017 and 2020) at an estimated cost of $150 million, with funding of the project to be split between the private sector and senior levels of government.
For now, Syrette is satisfied Garden River First Nation is being effectively consulted by the private sector and levels of government, economically and environmentally.
"Very much so, these are exciting times for us."
"It really speaks to the commitment from all levels, especially with our friends at the port, they recognize our customs and commitment to the land as stewards of the land and our roles and responsibilities, to ensure that any type of work that's done that affects the environment, such as perhaps some dredging at the port, we want to know what that's all about and we mean that in a good way," Syrette said.
"We want to be at the table with them, we want to ensure the environment is taken care of, the water…we're impacted downstream, we're right here, we're neighbours, so the time is now to get to the table, and with the accord we've established that in such a good way."
"This agreement commits we will work together to ensure the next steps of this project preserve the environment while taking care of the local economy," Port of Algoma CEO Anshumali Dwivedi told reporters.
"There's nothing definitive in here (the accord) but it sets the tone…consultation will be an ongoing process."
It was Garden River First Nation which first approached Port of Algoma about the concept of an accord, designed to work with the private sector in ensuring environmental safety and economic benefit for First Nations territories as the port develops.
"There is talk of training and employment opportunities and it's early days to talk of how many positions will be created specifically for Garden River…but we will work with the community to ensure the right training is provided for their people, both at the port and any industries that will come up around us," Dwivedi said.
"Batchewana First Nation has an industrial park which could benefit and Garden River has a lot of aggregate and forestry resources (which could be shipped out through the port)."
"Today's signing of the accord is important in moving this project forward," Sault MP Terry Sheehan told SooToday.
"This government has said time and again businesses need to consult with First Nations and there are many regions in this country that are trying to figure out how to do that…I'm proud of what has taken place here today between the Port of Algoma and our First Nations people."
As for government funding of the port project's construction, Sheehan said "we'll entertain the ask, they (Port of Algoma) have not indicated to me any dollar amount but we'll analyze that when we get it."
Port of Algoma is a separate entity from Essar Steel Algoma, established in 2014 as a spin-off from the steel plant.
It is 99 percent owned by Essar Ports, a part of India's Essar Global Fund (the other one percent owned by the City of Sault Ste. Marie).
Because goods such as aggregate and salt are already being shipped from locations around the Great Lakes to Port of Algoma, Dwivedi told reporters he is confident Port of Algoma will succeed, despite Essar Steel Algoma's current woes.
A news release issued today by Garden River First Nation follows.
GARDEN RIVER FIRST NATION - On April 16, 2016 a historic signing took place between the Ojibways of the Garden River First Nation and the Port of Algoma.
The signing establishes a collaborative relationship on a pre-engagement process on proposed re-development on a state-of-the-art world-class facility.
This will expand Sault Ste. Marie's (Bawating) existing role as an international gateway, which envisions protecting the environment and maintaining a robust economy.
The signing of the Accord Zhaawendamownin miinwaa Gichitwaawziwin Nsatamowin "Reconciliation and Prosperity Accord" is an expression of a modern day treaty relationship and commits the Port of Algoma and the Garden River First Nation to developing and maintaining relationships with one another that is built upon and demonstrates mutual respect.
Both the Garden River First Nation and the Port of Algoma share a common vision tosupport the best interests of the citizens of Bawating and surrounding area.
Both see a dramatic change in the industrial age of business and recognize that in order to make the hub of the Great Lakes a more sustainable and environmentally friendly place to do business, diversifying the economy and the inclusion of its original peoples is central to any development.
The Robinson-Huron Treaty of 1850 contemplated the very notion of reciprocity.
Today, we will see the results of the real benefits of honouring and respecting the Treaty. Modernizing our relationship and ensuring sustainable development and conservation practices are central to having a future for our children in an ecology that has been the lifeline for many people.
"The Accord is in the spirit of healing and reconciliation and is indeed a major milestone between our two organizations, we have worked hard to bridge our differences and build a strong unified approach and economy for the future," said Chief Paul Syrette.
Mr. Anshumali Dwivedi, CEO of the Port of Algoma stated: "We are very happy to take this project forward in a responsible and respectful manner. The signing of the Accord establishes a collaborative process of working together in the spirit of mutual respect and understanding. The Port project will help build a strong, diversified regional economy and an inclusive future for generations to come."
Both Garden River First Nation and the Port of Algoma want to ensure that the next seven generations will enjoy clean waters, lands, and air, and the benefits will be shared will all people including the Anishinaabe.
Today's signing was witnessed by MP Terry Sheehan and Ontario Regional Chief, Isadore Day. Other notable guests include Don Mitchell, Chair of the SSMEDC, Tom Dodds, CEO of the SSMEDC, Jerry Dolcetti, Commissioner of the City of Sault Ste. Marie, Dr. Eddie Benton Banaise, Grand Chief, Deputy Grand Chief Glen Hare, Anishinabek Nation and Chief Reginald Nigonabe, Chair, NSTC.
This event brings positivity to our community in a time of economic uncertainty.
The Port project is about refurbishing and modernizing something that has been there for decades and diversifying our economy to create new jobs and opportunities.
Today marks the beginning of a new relationship and an Accord that can become the blueprint for building healthy relationships and a better tomorrow.
About the Author: Darren Taylor
Darren Taylor is a news reporter and photographer in Sault Ste Marie. He regularly covers community events, political announcements and numerous board meetings. With a background in broadcast journalism, Darren has worked in the media since 1996.
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