Use of a Quality Scorecard to Enhance Quality and Safety in Community Hospital Newborn Nurseries.

Objective: To implement a quality improvement (QI) scorecard as a tool for enhancing quality and safety efforts in level 1 and 2 community hospital nurseries affiliated with Nationwide Children's Hospital.

Study Design: A QI scorecard was developed for data collection, analytics, and reporting of neonatal quality metrics and cross-sector collaboration. Newborn characteristics were included for risk stratification, as were clinical and process measures associated with neonatal morbidity and mortality.

Twenty-First Century Viral Pandemics: A Literature Review of Sexual Transmission and Fertility Implications in Men.

Introduction: The 21st century has seen a series of viral pandemics that have collectively infected millions of individuals. To understand factors that may contribute to viral spread and address long-term health sequelae for survivors, it is important to review evidence regarding viral presence in semen, sexual transmission potential, and possible effects on fertility.

Aim: To review the current literature regarding the sexual transmissibility of recent viral pandemics and their effects on semen parameters and fertility.

Obstructive Sleep Apnea and Testosterone Therapy.

Introduction: There is persistent speculation that testosterone therapy (TTh) may induce worsening of obstructive sleep apnea (OSA). As both the incidence of OSA and the use of TTh grow more prevalent, it is important to review the current evidence that supports or refutes this relationship.

Objectives: To review the current literature regarding the relationship between TTh and OSA.

Testosterone therapy and other treatment modalities for female sexual dysfunction.

Purpose Of Review: Recently in October 2019 a Global Consensus Position on the use of Testosterone Therapy for Women was published. The use of testosterone and other agents for female sexual dysfunction (FSD) is an important topic for the urologist focusing on sexual health. This review describes the known causes for FSD, and discusses the role of androgens in this disorder, the evidence for using testosterone treatment, and other current and emerging therapies.

The Prevalence and Treatment of Erectile Dysfunction in Male Solid Organ Transplant Recipients.

Introduction: Erectile dysfunction (ED) is a prevalent and under-recognized complaint among male solid organ transplant recipients. Most research on this topic has focused on kidney transplant recipients alone. In this review, we integrate current research on ED across all types of solid organ transplant recipients and assess the success of current methods of ED treatment in transplant populations.

Cannabis and Male Fertility: A Systematic Review.

Purpose: With cannabis consumption on the rise and use prominent among males of reproductive age it is essential to understand the potential impact of cannabis on male fertility. We reviewed the literature regarding the effects of cannabis on male fertility.

Materials And Methods: We performed a literature search using PubMed®/MEDLINE® to identify relevant studies of the effects of cannabis on male fertility.

Long-term monitoring of arsenic, copper, selenium, and other elements in Great Salt Lake (Utah, USA) surface water, brine shrimp, and brine flies.

This paper presents long-term monitoring data for 19 elements with a focus on arsenic (As), copper (Cu), and selenium (Se), in surface water (2002-2011), brine shrimp (2001-2011), and brine flies (1995-1996) collected from Great Salt Lake (GSL, Utah, USA). In open surface waters, mean (±standard deviation [SD]; range; n) As concentrations were 112 (±22.1; 54.

Effects of HIV and antiretroviral therapy on resting energy expenditure in adult HIV-infected women-a matched, prospective, cross-sectional study.

Background: Several studies have reported increased resting energy expenditure (REE) in people with human immunodeficiency virus (HIV). However, limited data exist on REE in HIV-infected women and the effect of antiretroviral therapy (ART) on REE in this population.

Objective: The purpose of this study was to compare REE in healthy controls to adult HIV-infected women classified in three groups: naïve to ART, on ART with virologic suppression, and on ART with an HIV-1 RNA level >5,000 copies/mL.

Maturation of speech and language functional neuroanatomy in pediatric normal controls.

Purpose: This study explores the relationship between age and resting-state regional cerebral blood flow (rCBF) in regions associated with higher order language skills using a population of normal children, adolescents, and young adults.

Method: rCBF was measured in 33 normal participants between the ages of 7 and 19 years using single photon emission computed tomography. Participants' ages were regressed on rCBF values (normalized to whole-brain CBF) in 2 ways: (a) within anatomically defined, language-related regions of interest (ROIs) including Wernicke's area, Broca's area, angular gyrus, planum temporale, and Heschl's gyrus and (b) within clusters of voxels found to be significantly related to age in voxel-wise analyses.

Adsorption of arsenate and arsenite by iron-treated activated carbon and zeolites: effects of pH, temperature, and ionic strength.

Naturally occurring arsenic contaminates groundwater in many countries, including the United States, at levels greater than 10 microg l(-1), the current WHO guideline value, increasing the risk of skin, lung, bladder, and kidney cancer in millions of people. Arsenic toxicity is dependent on its chemical form; arsenite is more toxic due to its higher affinity for protein than arsenate. This study supports worldwide research efforts to obtain drinking water with arsenic levels below 10 microg l(-1).

Adsorption of divalent lead ions by zeolites and activated carbon: effects of pH, temperature, and ionic strength.

Lead alloy bullets used at the 2600 military small arm ranges and 9000 nonmilitary outdoor shooting ranges in the United States are a source of mobilized lead ions under conditions of low pH, significant changes in ionic strength, changes in the reduction oxidation potential (redox), and through binding metal ions to soil organic matter. Once mobile, these lead ions can contaminate adjacent soil and water. Batch adsorption kinetic and isotherm studies were conducted to compare and evaluate different types of adsorbents for lead ion removal from aqueous media.

Gender differences in limbic responsiveness, by SPECT, following a pharmacologic challenge in healthy subjects.

Limbic system functioning is integral to the control and modulation of affect, motivation, reward, and memory. Neuropsychiatric disturbances involving disruptions in these cognitive and emotional dimensions exhibit different prevalence rates for men and women. Gender-specific differences in this integrated brain area may therefore be important in understanding both normal behavioral functioning and the etiologic underpinnings of neuropsychiatric disorders.

Dose-response measures of rCBF and subjective changes following procaine in healthy female volunteers.

The intravenous administration of procaine shows relatively specific activation of limbic structures. Several investigators have utilized this property of procaine to probe limbic system dysfunction in neuropsychiatric disorders. The dose of procaine utilized in human studies varies significantly, however, and the optimal dose of procaine as a limbic probe has not been demonstrated.