Evaluating the Adequacy of Central Line-Associated Bloodstream Infection As a Quality Measure: A Cross-Sectional Analysis at a Single Tertiary Care Center.

Importance: The current definition of central line-associated bloodstream infection (CLABSI) may overestimate the true incidence of CLABSI as it is often unclear whether the bloodstream infection (BSI) is secondary to the central line or due to another infectious source.

Objectives: We aimed to assess the prevalence and outcomes of central CLABSI at our institution, to identify opportunities for improvement, appropriately direct efforts for infection reduction, and identify gaps in the CLABSI definition and its application as a quality measure.

Design Setting And Participants: Retrospective cross-sectional study of patients identified to have a CLABSI in the period 2018-2022 cared for at the value-based purchasing (VBP) units of a 1200-bed tertiary care hospital located in Cleveland, OH.

Formation and Evolution of the Solid Electrolyte Interphase on Silicon Electrodes from Fluorine-Free Electrolytes.

With the increasing attention to energy storage solutions, a growing emphasis has been placed on environmentally compatible electrolytes tailored for lithium-ion batteries. This study investigates the surface behavior of Si wafers as model systems cycled with a fluorine-free electrolyte based on lithium bis(oxalato)borate (LiBOB), with and without the additive vinylene carbonate (VC). By utilizing operando X-ray reflectivity (XRR) and ex situ X-ray photoelectron spectroscopy (XPS), the intricate processes involved in solid electrolyte interphase (SEI) formation is elucidated, SiO/Si (de)lithiation, and the impact of the VC additive.

Development of a bespoke finite element wear algorithm to investigate the effect of femoral centre of rotation on the wear evolution in total knee replacements.

Total Knee Replacements (TKRs) are a commonly used treatment to help patients suffering from severely damaged knee joints, which is normally brought on by osteoarthritis. The aim of the surgery is to reduce pain and regain function of the joint, however, some of these implants fail prematurely with implant wear being one of the main factors of failure. Computational analysis is an efficient tool that can provide an in-depth insight on the evolution of wear, before utilising experimental techniques which are time-consuming and costly.

Comparing models that integrate obstetric care and WIC on improved program enrollment during pregnancy: a protocol for a randomized controlled trial.

Background: Low-income, rural pregnant women are at disproportionate risk for adverse pregnancy outcomes as well as future cardiovascular risk. Currently, less than half of eligible women enroll in the Women, Infants, and Children's (WIC) Program. This study aims to evaluate whether integrating clinical care and social care may advance health equity and reduce health disparities by directly linking women receiving obstetric care to the Special Supplemental Nutrition Program for WIC and/or a Registered Dietitian/Nutritionist (RDN).