Asthma is a major reason for pediatric hospital admission. The Joint Commission requires freestanding children’s hospitals to report compliance with 3 Children’s Asthma Care quality measures. High compliance with these measures should result in decreased admissions and emergency department visits.

Implementation of a standardized care process model for hospitalized asthmatic children resulted in high compliance with all 3 measures. Measures 1 and 2 did not provide an opportunity for improvement. Compliance with measure 3 resulted in significant decreases in readmission. (Read the full article)

Asthma is a common focus of pediatric quality improvement efforts. Various processes of care have been postulated as markers of high-quality pediatric asthma care, but it is not clear which processes correlate with a lower risk of asthma exacerbations.

This study analyzed the correlation of processes of care identifiable through administrative data with asthma exacerbations. The use of 0 vs ≥1 controller medications and the asthma medication ratio had the strongest correlation with asthma exacerbations. (Read the full article)

Few reports have explored the measurement validity of the relative value unit (RVU) system, particularly in pediatrics. The RVU system, although broadly applied in health care settings, was developed for the adult population and thus may possess unique inadequacies in pediatrics.

We found deficiencies in the ability of the RVU system to capture features of case mix complexity and differences related to age. Additional investigation may be warranted to determine the validity of RVU as a measurement tool in pediatrics. (Read the full article)

The use of electronic health record systems to measure adolescent health care quality requires an operational definition of sexual activity for measuring recommended health promotion activities such as Chlamydia screening and others related to reproductive health.

This study is the first to compare operational definitions of sexual activity by using information electronically abstracted from electronic health records of adolescent females. Our research supports the use of broader operational definitions of sexual activity for health quality measurement. (Read the full article)

Administrative health insurance claims have limitations when measuring care quality.

Children’s care quality measures assessed using administrative claims alone may not accurately reflect care quality. Use of electronic health record data in combination with administrative claims data provides an opportunity for more complete measurement. (Read the full article)

There is growing support for adopting the milliliter as the standard unit for liquid medication instruction; teaspoon and tablespoon units can be confusing and may endorse kitchen spoon use. There are concerns that parents may not understand milliliter-based instructions.

Parents who used milliliter-only units made fewer dosing errors than those who used teaspoon or tablespoon units. Moving to a milliliter-only standard could reduce confusion and decrease medication errors, especially for parents with low health literacy and non-English speakers. (Read the full article)

In most previous studies, transcutaneous bilirubin measurement has been found to provide an accurate estimate of total serum bilirubin levels. However, most of these studies were conducted in settings that optimized accuracy.

This study provides a "real-world" assessment of the accuracy of transcutaneous bilirubin measurements in multiple clinical settings and identification of sources of discrepancy between transcutaneous and total serum bilirubin measurements. (Read the full article)

Medical home transformation is led by practice-level assessment, but much of the evidence supporting the medical home derives from individual-level assessment based on parental perception. The association between these 2 levels of assessment is unknown.

Among Boston-area community health centers, there was no association between the individual- and practice-level assessments of the medical home. This highlights the need for studies supporting the child health benefits of medical home practice transformation. (Read the full article)

The Respiratory Distress Assessment Instrument (RDAI) and the Respiratory Assessment Change Score (RACS) are the most frequently used measurement instruments in bronchiolitis clinical trials. Evidence is scarce regarding their measurement properties and their suitability for use as evaluative instruments in clinical trials.

The RDAI is an incomplete measure of respiratory distress in bronchiolitis, with poor to moderate construct validity. It has adequate discriminative properties but considerable test-retest measurement error. The RDAI and RACS were moderately responsive, but methodologic issues limit the interpretation of this finding. (Read the full article)

Glucose-6-phosphate dehydrogenase deficiency remains a global as well as a North American burden for extreme hyperbilirubinemia and kernicterus and is often unpredictable during the first few days after birth. Newborn screening for this enzyme deficiency is not universally available but debated.

Point-of-care screening, using digital microfluidics, provides accurate, low blood volume, and affordable technology for rapid newborn glucose-6-phosphate dehydrogenase enzyme screening that could guide clinicians before infants’ discharge from well-child nurseries and meet existing American Academy of Pediatrics’ recommendations. (Read the full article)

Minister of Finance Tito Mboweni has announced a number of "exceptional tax measures as part of the fiscal package outlined by President Cyril Ramaphosa to fight the coronavirus pandemic.

United States President Donald Trump told CBS’s 60 Minutes that he would added pressure on Saudi Arabia, vowing "severe punishment" should the kingdom’s leaders be linked to the disappearance of Washington Post columnist Jamal Khashoggi.

Denver Newsroom, Apr 21, 2020 / 03:15 pm (CNA).- An Argentine archbishop has proposed 13 measures that would aim to allow churches to reopen churches during the coronavirus pandemic while reducing the risk of contagion.

The proposal is an effort to balance safety and the need for Catholics to receive the Eucharist, Archbishop Víctor Fernández of La Plata said this week.

In response to the pandemic, Argentina has been under lockdown since March 20. According to John Hopkins University, there are 3,031 confirmed cases of COVID-19 with 145 deaths in the country.

Fernández said that although the Church is providing material sustenance to those hardest hit by the pandemic “when we think about sustaining the interior life of the faithful and encouraging its growth, we find ourselves in the serious difficulty of seeing them deprived of the Eucharist for a long time, and we can also foresee that this situation could last for several months.”

In a letter dated April 19 and addressed to the conference’s executive committee, the bishop said the Second Vatican Council teaches that “no Christian community is built up if it is not rooted and centered on the celebration of the Holy Eucharist,” and that Saint John Paul II emphasized that the Mass “rather than an obligation, should be felt as a requisite deeply inscribed in Christian existence.”

Fernández said the letter he sent puts together the suggestions of several bishops and that it is understandable “that many of the faithful are calling on us to find some way to make the Eucharist accessible again.”

“We tell them that they can experience other forms of prayer, and they do, but as Saint John Chrysostom has said “’You can also pray in your home, however, you cannot pray the same way you do in church where the brethren are gathered together.’”

Fernández noted that Pope Francis “teaches that God ‘in the culmination of the mystery of the Incarnation, chose to reach our intimate depths through a fragment of matter.’ It’s good that our faithful have learned that and so it’s not the same thing for them,” he said, adding that Catholics are eager “the food of the love that is the source of supernatural life.”

“It won’t be easy to prove that this situation is lasting too long, nor can we simply wait till the pandemic is completely over,” the prelate noted.

“We know that exposing yourself to infection is irresponsible especially because it involves exposing others to infection and indirectly could lead to a public health crisis that we don’t want to see in our country,” he said.

Aiming to send “a clear message to our People of God to show that we’re truly concerned and that we intend to take some steps that would allow us to resolve this situation as soon as possible,” without neglecting “the health concerns of the authorities” Fernández proposed a series of obligatory measures to celebrate the Eucharist publicly:
1) Keep a distance of two meters between people to the side, front and back. This will require removing or closing off half the pews in the church.
2) No more than two people per pew.
3) Once the pews are occupied in that manner, no more people are to be allowed to enter the church.
4) In the churches where there is usually a lot of people in attendance, the number of Masses should be increased so the faithful can spread themselves out over Saturday and Sunday at different times. Given the prevalence and closeness of churches this will not involve using transportation.
5) Mass should not be celebrated publicly at the most frequently visited shrines due to the difficulty of establishing appropriate controls.
6) There should be no line for communion, instead the Eucharistic ministers should go to the people positioned at the ends of the pews and place the Eucharist in the hand.
7) Every Eucharistic minister should wash his hands with soap before and after and apply alcohol gel.
8) The sign of peace and any physical contact should be omitted.
9) Mass should last no more than 40 minutes.
10) People should leave the church progressively, not all at once, and avoid greeting each other.
11) No intentions should be taken at Mass time, only those previously received by phone, mail or messages.
12) Those people who because of their age are prevented from attending may receive Communion at home.
13) The dispensation from the Sunday obligation should be temporarily maintained so that people who prefer to exercise extreme caution don’t feel obliged to attend.

The archbishop also pointed out in his letter that “if the economic impact has to be foreseen, it’s also appropriate to place a value on those things that provide consolation and strength to people during hard times.”

 

A version of this story was first published by ACI Prensa, CNA's Spanish-language news partner. It has been translated and adapted by CNA.

Welfare measures issued during COVID -19 Pandemic: A Great Government Initiative or an Unnecessary Burden on Employers in India?

Wilmington --

Starting Thursday, April 2, DART will limit the number of passengers allowed on each bus at any given time, based on bus seating capacity. Passenger boardings will be through the rear door with fares waived. Riders needing boarding assistance will be allowed to continue boarding through the front door. [More]

Starting Thursday, April 2, DART will limit the number of passengers allowed on each bus at any given time, based on bus seating capacity. Passenger boardings will be through the rear door with no fare collection. Riders needing boarding assistance will be allowed to continue boarding through the front door.

In order to accommodate riders, DART will operate additional timing buses, as well as have additional operators on standby.

If you are feeling sick, please do not visit public facilities and avoid public transportation. For more information on the state's response to the Coronavirus, visit de.gov/coronavirus.

Prior to the move, all FDI proposals from only Pakistan and Bangladesh were required to be cleared by the government.

Regular expressions are a powerful method for finding specific patterns in text. The syntax of regular expressions is intimidating, but once you've solved a few pattern-recognition problems with regex, you'll never go back to your old methods.

The post Convert a text-based measurement to a number in SAS appeared first on The SAS Dummy.

DOVER, Del. – Every day, Delaware consumers are protected by the work of the Weights and Measures inspectors at the Delaware Department of Agriculture. When consumers purchase products based on a weight or measurement – like a gallon of gas or a pound of lunch meat – the Department’s Weights and Measures section is responsible […]

Beginning Thursday, April 2, DART will limit the number of passengers allowed on each bus at any given time, based on bus seating capacity. Passenger boardings will be through the rear door with no fare collection. Riders needing boarding assistance will be allowed to continue boarding through the front door. In order to accommodate riders, DART […]

Updated emergency order seeks to protect residents, workers in nursing facilities WILMINGTON, Del. – Governor John Carney on Wednesday issued the eleventh modification to his State of Emergency declaration, requiring stricter guidelines to prevent COVID-19 infections in nursing facilities and other long-term care facilities. Click here for Governor Carney’s eleventh modification to the State of Emergency. Governor Carney’s […]

Specific steps will be taken to keep the workforce healthy and organisational provisions to prevent the spread of COVID-19 in the workplace. Production at our three Skoda Auto Czech sites has been suspended since 18 March 2020.

The due dates for issuance of any notice, intimation, notification, approval or sanction order, has also been extended by a period of three months.

The due date for depositing statutory contributions, aggregating one-fourth of one employee’s monthly wages, towards provident fund, to be deposited by an employer, falls within the first 15 days of the next month.

Standing crops like wheat, paddy, mustard, chana, chillies, pulses etc, are ready for harvest in many parts of India but the lockdown and restrictions have created a situation where harvesting, transport and marketing is curtailed.

A new announcement by the USA Administration amounts to a concentrated effort by the administration to alter the legal immigration and focus on the legal ways for immigration.The rule denotes that the applicants for Green Card and visa will be viewed…

The DGCA has mandated that all aircraft need to be equipped with hand sanitisers, soaps and universal precaution kits to protect crew members who assist people.

According to the district collectorate data, half the cases in Pune came from travellers who returned from overseas and the other half got infected through contacts.

Other important issues, such as the propagation of renewables, flexibility in coal supply and enforcement of contracts for attracting private investment in the sector were also discussed in the meeting.

Saudi shares tumbled Sunday, a day after the finance minister announced "painful" measures to tackle the economic impacts of the coronavirus pandemic.

According to the new guidelines put in place by the Delhi government, all passengers travelling back to India from these Coronavirus-hit countries will be sent to quarantine centres straightway after their arrival at the Delhi airport.

The crisis has jeopardised India's 5 lakh crore tourism industry and employment of an estimated 3.8 crore jobs, FAITH said in a statement.

Social distancing will be maintained in lines for amenities, in restaurants, on rides and other facilities and sanitization and disinfection will be boosted, the company said in a news release.

Expecting many stranded non-resident Keralites to be evacuated from the Middle East stating Thursday onwards, the Cochin International Airport Limited (CIAL) is gearing up with several safety measures!

The RBI announced the liquidity facility under the TLTRO 2.0 window for NBFCs and MFIs after these institutions failed to get funding under the earlier TLTRO scheme announced late in March.

Current relaxations, prospective exemptions, and time taken to restore normalcy may depress tax collections. An increase in the tax rate of certain goods can compensate for losses.

The NCAA's attempt to cede some long-awaited ground to players falls well short, and comes far too late.

The other day, I happened to sneak out some time for myself after having sent the kids to play in the neighborhood park. I made myself a hot cup of coffee and settled on the couch hoping to enjoy the silence in the house. But was it really ...(read more)

Hi,

I am currently struggling with measuring the delay between two clocks with a sufficient accuracy. The reference one is a fixed-phase clock, and the other one is a squared clock resulting of a circuit (kind of PLL) synthesis.
As I need to run a large amount of Monte-Carlo simulations in transient noise, I need to improve the simulation speed, while keeping a satisfactory delay measurement accuracy (<0.1ps), more specifically at 0V-crossings of the differential clocks. So I cannot simply set a max timestep <0.1ps as it would be far too long to simulate.
To sum up, I would need a very relaxed timestep on clock up and down levels, and a very short timestep only at rise/fall transitions.

For this purpose, I wrote a Verilog-A script
- using a timmer function to accurately emulate the reference clock 0V-crossing times (and get the related times with $abstime)
- using @(cross to get the 0V-crossing times of the synthesized clock: but this is not accurate enough (I see simulation noise around 3ps in Conservative). Indeed, the "cross" event occures at the simulation time following the effective 0V-crossing time; this could be sometimes >3ps, far not enough accurate for my purpose.
- I have tried to replace the cross with the "above" function, but it hasn't changed anything, whatever the time_tol value I put (<0.1ps for instance), the result is the same as with the "cross" function and the points are larger than >>0.1ps, weirdly.

So I have decided to give up Verilog-A to measure the delay between my two clocks.
I am currently trying to use the "delay" function of the Cadence Calculator as I guess it will "extrapolate" the time between two simulation points and therefore give a more accurate measurement of the 0V-crossing events, but when I try to compute the delay difference between the synthesized clock and the reference clock, it returns "0".

...

Could you please give me hints to dramatically improve my 0V-crossing time measurements while relaxing the simulation time?
- either by helping me in writing a more suitable Verilog-A script
- or by helping me in using the "delay" function of the calculator
- or maybe by providing me a "magic" Skill function?
Using AMS+Multithread simulator...

Thanks a lot in advance for your help and best regards.

Hi,

This question is related to the constraint measurement criteria used by the Liberate inside view. I am trying to characterize a specific D flip-flop for low voltage operation (0.6V) using Cadence Liberate (V16). 

When the "define_arcs" are not explicitly specified in the settings for the circuit (but the input/outputs are indeed correct in define_cell), the inside view seems to probe an internal node (i.e. master latch output)  for constraint measurements instead of the Q output of the flip flop. So to force the tool to probe Q output I added following coder in constraint arcs :

# constraint arcs from CK => D
define_arc
-type hold
-vector {RRx}
-related_pin CP
-pin D
-probe Q
DFFXXX

define_arc
-type hold
-vector {RFx}
-related_pin CP
-pin D
-probe Q
DFFXXX

define_arc
-type setup
-vector {RRx}
-related_pin CP
-pin D
-probe Q
DFFXXX

define_arc
-type setup
-vector {RFx}
-related_pin CP
-pin D
-probe Q
DFFXXX

with -probe Q liberate identifies Q as the output, but uses Glitch-Peak criteria instead of delay degradation method. So what could be the exact reason for this unintended behavior ? In my external (spectre) spice simulation, the Flip-Flop works well and it does not show any issues in the output delay degradation when the input sweeps.

Thanks

Anuradha

ENISA has issued guidance to national telecom regulatory authorities about the implementation of Article 13a, in particular about the security measures that providers of public communications networks must take to ensure security and integrity of these networks.

The Reserve Bank of India on Sept. 22, 2011 issued a notification on security issues and risk mitigation measures related to card-present transactions.

The Reserve Bank of India on Sept. 22, 2011 issued a notification on security issues and risk mitigation measures related to card-present transactions.

ENISA has issued guidance to national telecom regulatory authorities about the implementation of Article 13a, in particular about the security measures that providers of public communications networks must take to ensure security and integrity of these networks.

ENISA has issued guidance to national telecom regulatory authorities about the implementation of Article 13a, in particular about the security measures that providers of public communications networks must take to ensure security and integrity of these networks.

ENISA has issued guidance to national telecom regulatory authorities about the implementation of Article 13a, in particular about the security measures that providers of public communications networks must take to ensure security and integrity of these networks.