Transition of Care for Older Adults Undergoing General Surgery.

The demand for surgical intervention and hospitalization is expected to increase with the growth of the older adult population. Despite advances in technology and minimally invasive surgical procedures, the needs of the older adult in the perioperative period are unique. Transitions of care from the decision to support surgery through surgical intervention, subsequent hospitalization, and postacute discharge must be supported to achieve optimal patient outcomes.

Superfund Sites and the Bipartisan Infrastructure Law in New Jersey State: A Photo Essay.

In 2021, the Infrastructure Investment and Jobs Act, also known as the Bipartisan Infrastructure Law (BIL), became law, with one component being an investment to clean-up Superfund and Brownfield sites. Through BIL funding, the Environmental Protection Agency announced $3.5 billion to clean-up Superfund sites that have been awaiting funding for years in mostly historically underserved communities.

The Current Burden and Future Solutions for Preoperative Cataract-Refractive Evaluation Diagnostic Devices: A Modified Delphi Study.

Purpose: To obtain consensus on the key areas of burden associated with existing devices and to understand the requirements for a comprehensive next-generation diagnostic device to be able to solve current challenges and provide more accurate prediction of intraocular lens (IOL) power and presbyopia correction IOL success.

Patients And Methods: Thirteen expert refractive cataract surgeons including three steering committee (SC) members constituted the voting panel. Three rounds of voting included a Round 1 structured electronic questionnaire, Round 2 virtual face-to-face meeting, and Round 3 electronic questionnaire to obtain consensus on topics related to current limitations and future solutions for preoperative cataract-refractive diagnostic devices.

Using isotopic tracers to enhance routine watershed monitoring - Insights from an intensively managed agricultural catchment.

Experimental (research-based) and non-research-based watershed monitoring programs often differ with respect to sampling frequency, monitored variables, and monitoring objectives. Isotopic variables, which are more commonly incorporated in research-based programs, can provide an indication of water sources and the transit time of water in a catchment. These variables may be a valuable complement to traditional water quality monitoring variables and have the potential to support improved hydrologic process-related insights from long term monitoring programs that typically have low resolution sampling.

Blood and Body Fluid Exposure Among Healthcare Workers and Personal Protective Equipment Usage in the United States.

Background: The International Safety Center disseminates the Exposure Prevention Information Network (EPINet) surveillance system to standardize a system for healthcare facilities to track mucocutaneous blood and body fluid exposures.

Methods: Occupational exposure incidents to blood and body fluids were recorded within the participant health systems and hospitals ( = 41), using the EPINet Blood and Body Fluid Exposure Report Form. Forms include detailed questions about the circumstances surrounding the exposure, including the type of exposure, body part(s) involved, and if the employee reporting the incident was wearing personal protective equipment (PPE).

Evaluation of workplace opioid prevention and response training for union and employer instructors and leadership.

Objective: Opioids and the Workplace Prevention and Response (OWPR) Train-the-Trainer (TTT) and Leadership programs were piloted to improve trainees' abilities to conduct opioid awareness training and to introduce policies and programs in their workplaces.

Methods: The TTT (N = 54) and Leadership (N = 19) pilot trainees were administered voluntary pre- and post-training surveys and observed for discussion on knowledge and confidence regarding teaching and on workplace policies and workplace injury prevention related to opioids.

Results: Percentage agreement with correct responses for all TTT and 10 out of 14 (71.

Improving Awareness of Workplace Opioid Use and Addiction Prevention: A Train-the-Trainer Approach.

Background: The National Institute of Environmental Health Sciences Worker Training Program developed instructor curriculum, a training tool, and materials to prepare trainees to conduct opioids workplace awareness training. courses were held during three instructor-led online programs.

Methods: The OWPR TTT was evaluated using an online pre- and posttest among registered participants, and an assessment of discussion among trainees during the training program.

Opioids and the Workplace Prevention and Response Train-the-Trainer and Leadership Training Mixed Methods Follow-up Evaluation.

Objectives: This study was designed to evaluate the outcomes of a national summer 2020 'Opioids and the Workplace' Prevention and Response (OWPR) Train-the-Trainer (TTT) and Leadership training tool and program at 6-month follow-up. The TTT program goal is to help instructors plan and conduct education and training on opioids and the workplace awareness. The Leadership program goal is to help trainees, who are in a position to take organizational level actions, implement policies, and programs related to opioid and substance use and injury prevention.

Rapid design of inclusive wireless technologies: A participatory workshop process.

Wireless technology products and services play a significant role in our everyday lives. Great advances in design features have improved the accessibility and utility of these technologies for older adults and people with disabilities. Yet, there is still opportunity to ensure upcoming designers of wireless technologies consider how their design helps or hinders their product's potential users.

Opioids and the Workplace Prevention and Response Awareness Training: Mixed Methods Follow-Up Evaluation.

The National Institute of Environmental Health Sciences Worker Training Program piloted an Opioids and the Workplace: Prevention and Response training tool and program in 2019. The pilot trainees ( = 97) were surveyed (= 27) and interviewed ( = 6) six months posttraining, and those who downloaded the training tool from the Worker Training Program website (= 87) were surveyed ( = 19) and interviewed ( = 1) two to six months postdownload, to evaluate the impact of the training program. Workplace policy and program-level actions were reported less frequently than individual-level actions by trainees, except for planning and conducting training and education.

Needlestick Injuries Among Healthcare Workers Administering COVID-19 Vaccinations in the United States.

As mass COVID-19 vaccination programs roll out across the country, we are potentially faced with compromising workers' health for the sake of the broader public health, as it relates to occupational exposure to contaminated needles and syringes. We have the opportunity to provide recommendations that advance protection of workers through the industrial hygiene hierarchy of controls, especially in light of the twentieth anniversary of the Needlestick Safety and Prevention Act. Specifically, greater focus on institutional controls that can dictate the safety culture and climate of institutions that roll out COVID-19 vaccination programs, while maintaining careful focus on preventing sharps injuries and blood exposure.

Spatiotemporal variations of nitrogen and phosphorus in a clay plain hydrological system in the Great Lakes Basin.

Nutrient imbalance in groundwater and surface water resources can have severe implications on human and aquatic life, including contamination of drinking water sources and the degradation of ecosystems. A field-based watershed-scale study was completed to investigate nutrient dynamics and hydrologic processes in an agriculturally-dominant clay plain system within the Great Lakes Basin. Spatial and temporal variations of nitrogen and phosphorus were examined by sampling groundwater and surface water regularly over a period of one year (June 2017 to July 2018) for nutrients including nitrate, soluble reactive phosphorus, total dissolved phosphorus and total reactive phosphorus.

Pilot Study on Risk Perceptions and Knowledge of Fentanyl Exposure Among New York State First Responders.

Objectives: The present opioid epidemic and abuse of fentanyl in the United States has led to an increased risk of exposure to first responders. Law enforcement, fire, and emergency medical services are receiving misinformation on fentanyl health and safety risks and this has led to miscommunication. Understanding the risk perceptions and knowledge of first responders regarding fentanyl can help identify training gaps.

Five-year Results of a Randomized Controlled Trial for Lumbar Artificial Discs in Single-level Degenerative Disc Disease.

Study Design: A prospective, multicenter, randomized, controlled, investigational device exemption (IDE) noninferiority trial.

Objective: The aim of this study was to compare the 5-year safety and effectiveness of the activL Artificial Disc with Control Total Disc Replacement (TDR) systems (ProDisc-L or Charité) in the treatment of patients with symptomatic single-level lumbar degenerative disc disease (DDD).

Summary Of Background Data: The activL Artificial Disc received Food and Drug Administration approval in 2015 based on 2-year follow-up data.

Risk Perceptions and Barriers to Protective Behavior Use Among Chemical Tank Cleaners: An Exploratory Study.

Chemical tank cleaners' occupational diseases and injuries are largely unknown due to a lack of monitoring and limited research. Their potential exposure to highly corrosive chemicals-including sodium hypochlorite, sodium hydroxide, and ferric chloride-suggests that tank cleaners represent an at-risk occupational group. This pilot study explored tank cleaners' risk perceptions and barriers to using personal protective equipment and other protective behaviors in their workplace.