Anesthesiology Malpractice Premiums Considerations.

Medical malpractice insurance coverage and considerations in the United States remain focal points of substantial discourse, particularly for anesthesiology. This study provides a structured and comprehensive overview of malpractice insurance plan coverage and costs in anesthesiology practice while focusing on two pivotal aspects of the financial elements of medical malpractice: shifting trends in medical malpractice insurance costs and transitions in the medical malpractice liability insurance market. By incorporating new empirical data from a survey by the American Society of Anesthesiologists, which targeted medical malpractice insurers, this review exposes new dimensions within the arena of medical malpractice insurance.

Particulate and Dissolved Organic Matter in Stormwater Runoff Influences Oxygen Demand in Urbanized Headwater Catchments.

Increasing inputs of organic matter (OM) are driving declining dissolved oxygen (DO) concentrations in coastal ecosystems worldwide. The quantity, source, and composition of OM transported to coastal ecosystems via stormwater runoff have been altered by land use changes associated with urbanization and subsequent hydrologic flows that accompany urban stormwater management. To elucidate the role of stormwater in the decline of coastal DO, rain event sampling of biochemical oxygen demand (BOD) in samples collected from the outfall of stormwater ponds and wetlands, as well as samples of largely untreated runoff carried by stormwater ditches, was conducted across a range of urban and suburban development densities.

Spatial and temporal variability in discharge and nitrate in Iowa subsurface drains.

Agricultural subsurface drainage can be an important conduit of nitrate from agricultural fields to streams. This study focused on understanding the variability in nitrate concentrations and loads, exported by subsurface drains, into a small, north-central Iowa stream. Ninety-three subsurface drains in this watershed were sampled up to 5 times between 2006 and 2008.

Pancreaticoduodenectomy (Whipple Procedure) in a Toddler: An Anesthesia Case Report.

Pancreaticoduodenectomy (Whipple procedure) is performed rarely in pediatric patients. We present our anesthetic management of an 18-month-old girl who underwent a Whipple procedure for a mass in the head of the pancreas that was causing obstructive cholangiopathy. We explore the differences between pediatric and adult patients presenting for Whipple procedure, with a focus on pediatric anesthetic management.

Pattern and scale: evaluating generalities in crab distributions and marsh dynamics from small plots to a national scale.

The generality of ecological patterns depends inextricably on the scale at which they are examined. We investigated patterns of crab distribution and the relationship between crabs and vegetation in salt marshes at multiple scales. By using consistent monitoring protocols across 15 U.

Pediatric Traumatic Brain Injury and Associated Topics: An Overview of Abusive Head Trauma, Nonaccidental Trauma, and Sports Concussions.

Pediatric traumatic brain injury (TBI) uniquely affects the pediatric population. Abusive head trauma (AHT) is a subset of severe pediatric TBI usually affecting children in the first year of life. AHT is a form of nonaccidental trauma.

Author Correction: Accuracy and Precision of Tidal Wetland Soil Carbon Mapping in the Conterminous United States.

A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has not been fixed in the paper.

The influence of extreme cold events on mortality in the United States.

Many studies have analyzed the effects of extreme heat on human mortality, however fewer studies have focused on the effects of cold related mortality due to the complicated nature of the lagged response. This study utilized a Distributed Lag Non-Linear Model with a 30-day lag to determine the cumulative effects of extreme cold events (ECEs) on mortality across 32 cities in the United States for the period of 1975-2010. ECEs were divided into specific categories based on duration, magnitude, and timing of occurrence.

Accuracy and Precision of Tidal Wetland Soil Carbon Mapping in the Conterminous United States.

Tidal wetlands produce long-term soil organic carbon (C) stocks. Thus for carbon accounting purposes, we need accurate and precise information on the magnitude and spatial distribution of those stocks. We assembled and analyzed an unprecedented soil core dataset, and tested three strategies for mapping carbon stocks: applying the average value from the synthesis to mapped tidal wetlands, applying models fit using empirical data and applied using soil, vegetation and salinity maps, and relying on independently generated soil carbon maps.

Impact of Abiotic Factors on Onion Thrips (Thysanoptera: Thripidae) Aerial Dispersal in an Onion Ecosystem.

Onion thrips, Thrips tabaci Lindeman, is a significant pest of onion crops worldwide, but little is known about its patterns of aerial dispersal in the context of abiotic environmental factors. Thrips tabaci adults were passively collected from the air column above onion fields in western New York using clear sticky cards over a series of sampling periods in 2012, 2013, and 2014 while on-site weather conditions were recorded. Results indicated that T.

Long-Distance Dispersal Potential for Onion Thrips (Thysanoptera: Thripidae) and Iris yellow spot virus (Bunyaviridae: Tospovirus) in an Onion Ecosystem.

Onion thrips, Thrips tabaci Lindeman, is a worldwide pest of onion whose feeding damage and transmission of Iris yellow spot virus (IYSV) may reduce onion yields. Little is known about the seasonal dynamics of T. tabaci dispersal, the distance of dispersal, or the movement of thrips infected with IYSV during the onion-growing season.

Estimation of chromophoric dissolved organic matter (CDOM) and photosynthetic activity of estuarine phytoplankton using a multiple-fixed-wavelength spectral fluorometer.

The utility of a multiple-fixed-wavelength spectral fluorometer, the Algae Online Analyser (AOA), as a means of quantifying chromophoric dissolved organic matter (CDOM) and phytoplankton photosynthetic activity was tested using algal cultures and natural communities from North Inlet estuary, South Carolina. Comparisons of AOA measurements of CDOM to those by spectrophotometry showed a significant linear relationship, but increasing amounts of background CDOM resulted in progressively higher over-estimates of chromophyte contributions to a simulated mixed algal community. Estimates of photosynthetic activity by the AOA at low irradiance (≈ 80 μmol quanta m(-2) s(-1)) agreed well with analogous values from the literature for the chlorophyte, Dunaliella tertiolecta, but were substantially lower than previous measurements of the maximum quantum efficiency of photosystem II (F(v)/F(m)) in Thalassiosira weissflogii (a diatom) and Rhodomonas salina (a cryptophyte).

C-reactive protein as a predictor of chorioamnionitis.

Context: Chorioamnionitis (CAM) affects many pregnancies complicated by preterm premature rupture of membranes (PPROM). Finding a serum factor that could accurately predict the presence of CAM could potentially lead to more efficient management of PPROM and improved neonatal outcomes.

Objective: To determine if C-reactive protein (CRP) is an effective early marker of CAM in patients with PPROM.

Sources of Iris yellow spot virus in New York.

Iris yellow spot virus (IYSV) has been found consistently in commercial dry bulb onion fields throughout New York State since 2006. Yearly recurrence of IYSV may result from annual reintroductions of the virus or persistence of the virus in overwintering host plants. To identify potential sources of IYSV, we surveyed onion transplants imported into New York as well as volunteer onion plants and weeds using a double-antibody sandwich enzyme-linked immunosorbent assay.

In situ rates of sulfate reduction in response to geochemical perturbations.

Rates of in situ microbial sulfate reduction in response to geochemical perturbations were determined using Native Organism Geochemical Experimentation Enclosures (NOGEEs), a new in situ technique developed to facilitate evaluation of controls on microbial reaction rates. NOGEEs function by first trapping a native microbial community in situ and then subjecting it to geochemical perturbations through the introduction of various test solutions. On three occasions, NOGEEs were used at the Norman Landfill research site in Norman, Oklahoma, to evaluate sulfate-reduction rates in wetland sediments impacted by landfill leachate.

A case history of the science and management collaboration in understanding hypoxia events in Long Bay, South Carolina, USA.

Communication of knowledge between the scientific and management communities is a difficult process complicated by the distinctive nature of professional career goals of scientists and decision-makers. This article provides a case history highlighting a collaboration between the science and management communities that resulted from a response to a 2004 hypoxia, or low dissolved oxygen, event in Long Bay, off Myrtle Beach, South Carolina. A working group of scientists and decision-makers was established at the time of the event and has continued to interact to develop a firm understanding of the drivers responsible for hypoxia formation in Long Bay.