mp Improve your COVID-19 stay at home with these free apps and resources By appleinsider.com Published On :: Thu, 07 May 2020 05:00:00 -0400 As the COVID-19 pandemic continues around the world, countries are extending periods of national lockdown and increasing the need for people to stay home. AppleInsider has compiled a list of free resources, apps, tools, and services that are still available to use while social distancing. Full Article iOS/macOS/iPadOS
mp Home automation company Wink under fire for surprise subscription mandate By appleinsider.com Published On :: Thu, 07 May 2020 08:58:16 -0400 Wink customers will soon have to pay a monthly subscription fee to access any of the smart home hardware that they have purchased. Full Article
mp 'X-ray teardown' of iPad Pro Magic Keyboard illustrates complex engineering By appleinsider.com Published On :: Thu, 07 May 2020 13:08:24 -0400 Repair site iFixit has shared x-ray photographs of the new Magic Keyboard for iPad Pro, and they reveal an accessory more complicated than it might appear from the outside. Full Article iPadOS
mp Apple Wi-Fi hotspot patent infrigement saga ends with a whimper By appleinsider.com Published On :: Thu, 07 May 2020 15:38:25 -0400 After several years of back-and-forth litigation, Apple has withdrawn what was likely its final appeal in a Wi-Fi hotspot patent infringement case due to a Supreme Court decision. Full Article
mp Qualcomm CEO touts improved relationship with Apple after bitter legal dispute By appleinsider.com Published On :: Thu, 07 May 2020 22:12:17 -0400 Qualcomm CEO Steve Mollenkopf in an interview on Thursday said the chipmaker's relationship with Apple has greatly improved since the two companies ended a bitter legal battle over patent licensing and royalties in 2019. Full Article
mp Compared: 2020 13-inch MacBook Pro versus 2020 MacBook Air By appleinsider.com Published On :: Sat, 09 May 2020 07:00:00 -0400 Before Monday's 13-inch MacBook Pro update, the choice between the 2019 model and the 2020 MacBook Air was very clear. It is less clear today -- but we can help. Full Article
mp Apple's over-ear headphones may be called 'AirPods Studio' & retail for $349 By appleinsider.com Published On :: Sat, 09 May 2020 08:56:24 -0400 Apple's next release in the AirPods family could be its long-rumored over-ear headphones, a leaker claims, with the larger personal audio accessory tipped to have the name "AirPods Studio." Full Article
mp Building shelter, building impact By feedproxy.google.com Published On :: Wed, 22 Jun 2016 22:21:39 +0000 An OM couple serving in Bar, Montenegro share how a short-term team building a shelter has had positive and lasting impact on a community they serve through a club for kids. Full Article
mp The Impact of Image Quality on SOLIDWORKS Performance and File Size By blogs.solidworks.com Published On :: Mon, 30 Dec 2019 16:00:32 +0000 SOLIDWORKS Image Quality settings have the biggest impact on file size and system performance. We always assumed that it would have an impact on overall performance also. The effect varies widely across different files, so we decided to do SOLIDWORKS Author information EGS India Managing Director at EGS Computers India Private Limited E G S Computers India Private Limited, since 1993, has been in the forefront of delivering solutions to customers in the areas of Product Design and Development with SOLIDWORKS 3D CAD,Remaining Life Calculations, Validation using Finite Element Analysis, Customization of Engineering activities and Training in advanced engineering functions relating to design and development. EGS India - Authorized Reseller for SOLIDWORKS Solutions in India - Chennai, Coimbatore, Trichy, Madurai - Tamil Nadu, Pondicherry. For any queries on SOLIDWORKS Solutions contact @ 9445424704 | mktg@egs.co.in | Website - www.egsindia.com The post The Impact of Image Quality on SOLIDWORKS Performance and File Size appeared first on SOLIDWORKS Tech Blog. Full Article 3D Printing Design SOLIDWORKS SOLIDWORKS 2020 Tips & Tricks engineering manufacturing Mechanical Industry SOLIDWORKS File Size SOLIDWORKS Image Quality solidworks performance solidworks tips and tricks Tessellation Setting
mp SOLIDWORKS Solution for Complex Structure Design By blogs.solidworks.com Published On :: Mon, 20 Jan 2020 16:00:18 +0000 Structure System Solidworks The term structural system or structural frame in structural engineering refers to the load-resisting sub-system of a building or object that transfers loads through interconnected elements or members. In SOLIDWORKS 2020, the structure system feature is an advanced Author information EGS India Managing Director at EGS Computers India Private Limited E G S Computers India Private Limited, since 1993, has been in the forefront of delivering solutions to customers in the areas of Product Design and Development with SOLIDWORKS 3D CAD,Remaining Life Calculations, Validation using Finite Element Analysis, Customization of Engineering activities and Training in advanced engineering functions relating to design and development. EGS India - Authorized Reseller for SOLIDWORKS Solutions in India - Chennai, Coimbatore, Trichy, Madurai - Tamil Nadu, Pondicherry. For any queries on SOLIDWORKS Solutions contact @ 9445424704 | mktg@egs.co.in | Website - www.egsindia.com The post SOLIDWORKS Solution for Complex Structure Design appeared first on SOLIDWORKS Tech Blog. Full Article Design SOLIDWORKS SOLIDWORKS 2020 Technical Communication Tips & Tricks Complex Structure Design solidworks 2020 SOLIDWORKS Solution Structure Design
mp Using SOLIDWORKS’ Smart Dimension Tool When Sketching Arcs & Circles By blogs.solidworks.com Published On :: Mon, 23 Mar 2020 15:00:23 +0000 This helpful #TechTip is brought to you by our Training Manager John Setzer, and covers using the smart dimension tool when sketching arcs and circles. Find more options available to you, when you want to create a dimension and don’t Author information GSC GSC fuels customer success with 3D engineering solutions for design, simulation, data management, electrical schematics, PCB, technical documentation, and 3D printing, as well as the most comprehensive consulting, technical support, and training in the industry. As a leading provider of SOLIDWORKS solutions, HP, and Markforged 3D printing technologies, GSC’s world-class team of dedicated professionals have helped numerous companies innovate and increase productivity by leveraging advanced technologies to drive 3D business success. Founded in 1989, GSC is headquartered in Germantown, WI. For more information about GSC, please visit www.gsc-3d.com. The post Using SOLIDWORKS’ Smart Dimension Tool When Sketching Arcs & Circles appeared first on SOLIDWORKS Tech Blog. Full Article SOLIDWORKS Tips & Tricks Sketching Smart Dimensions SOLIDWORKS Sketches tutorial
mp How to Create a Custom Toolbox Component By blogs.solidworks.com Published On :: Thu, 23 Apr 2020 15:00:56 +0000 Hi, I’m Mike Dady, Application Engineer for Alignex. As many of you probably know, the Toolbox Add-In is a database that allows for the quick addition of fasteners and other hardware to a SOLIDWORKS Assembly. However, many don’t realize that Author information Alignex, Inc. Alignex, Inc. is the premier provider of SOLIDWORKS software and partner products to the mechanical engineering industry in Minnesota, Wisconsin, Iowa, North Dakota, South Dakota, Nebraska, Colorado, Wyoming and Illinois. With more than 25 years of technical experience, Alignex offers consulting services, training and support for SOLIDWORKS as well as support for partner products. For more information, visit alignex.com. The post How to Create a Custom Toolbox Component appeared first on SOLIDWORKS Tech Blog. Full Article SOLIDWORKS 2020 custom toolbox
mp SOLIDWORKS Quick tips – Advanced Component Selection By blogs.solidworks.com Published On :: Mon, 04 May 2020 15:00:43 +0000 Everyone knows SOLIDWORKS is very flexible and user friendly to execute the commands to complete any 3D design easily. When it comes to handling Complex assemblies (Increased in number of components) many of us will search for special tools to Author information EGS India Managing Director at EGS Computers India Private Limited E G S Computers India Private Limited, since 1993, has been in the forefront of delivering solutions to customers in the areas of Product Design and Development with SOLIDWORKS 3D CAD,Remaining Life Calculations, Validation using Finite Element Analysis, Customization of Engineering activities and Training in advanced engineering functions relating to design and development. EGS India - Authorized Reseller for SOLIDWORKS Solutions in India - Chennai, Coimbatore, Trichy, Madurai - Tamil Nadu, Pondicherry. For any queries on SOLIDWORKS Solutions contact @ 9445424704 | mktg@egs.co.in | Website - www.egsindia.com The post SOLIDWORKS Quick tips – Advanced Component Selection appeared first on SOLIDWORKS Tech Blog. Full Article 3DExperience Dassault Systèmes Design SOLIDWORKS 2020 Tips & Tricks Components assemblies SOLIDWORKS tips & tricks Tool bar
mp Performance Bond Requirements: Agriculture, Energy, Equity, FX, & Metal Margins - Effective April 24, 2020 By www.cmegroup.com Published On :: 2020-04-23T21:05:05Z As per the normal review of market volatility to ensure adequate collateral coverage, the Chicago Mercantile Exchange Inc., Clearing House Risk Management staff approved the performance bond requirements for the following products listed in the advisory in the link below. Please email any questions to Clearing.RiskManagement@cmegroup.com The rates will be effective after the close of business on Friday, April 24, 2020. For the full text of this advisory, please click here. Full Article
mp Performance Bond Requirements: Agriculture, Energy, Interest Rate & Metal Margins - Effective May 1, 2020 By www.cmegroup.com Published On :: 2020-04-30T20:26:12Z As per the normal review of market volatility to ensure adequate collateral coverage, the Chicago Mercantile Exchange Inc., Clearing House Risk Management staff approved the performance bond requirements for the following products listed in the advisory at the link below. Please email any questions to Clearing.RiskManagement@cmegroup.com The rates will be effective after the close of business on Friday, May 1, 2020. For the full text of this advisory, please click here. Full Article
mp Performance Bond Requirements: Agriculture, Energy, Equity, Interest Rate & Metal Margins - Effective May 8, 2020 By www.cmegroup.com Published On :: 2020-05-07T20:56:13Z As per the normal review of market volatility to ensure adequate collateral coverage, the Chicago Mercantile Exchange Inc., Clearing House Risk Management staff approved the performance bond requirements for the following products listed in the advisory at the link below. Please email any questions to Clearing.RiskManagement@cmegroup.com The rates will be effective after the close of business on Friday, May 8, 2020. For the full text of this advisory, please click here. Full Article
mp Is Donald Trump Serious? By www.nytimes.com Published On :: Tue, 29 Sep 2015 07:21:04 GMT He says yes. His positions on the issues suggest otherwise. Full Article
mp The Case for Compromise By www.nytimes.com Published On :: Tue, 06 Oct 2015 07:21:03 GMT A chemical-safety bill in the Senate shows the wisdom of “good, old-fashioned legislating.” Full Article
mp Bringing love to a refugee camp at Christmas By feedproxy.google.com Published On :: Fri, 21 Dec 2012 12:21:59 +0000 OM Hungary team members put on a special Christmas programme a local refugee camp. Full Article
mp Fin24.com | Another 3 million Americans file unemployment claims as jobs bleed continues By www.fin24.com Published On :: Thu, 07 May 2020 15:36:50 +0200 The number of Americans filing for unemployment benefits topped 3 million for a seventh straight week, signaling little relief in sight for the economy since the coronavirus began closing restaurants, factories and offices from coast to coast in mid-March. Full Article
mp Fin24.com | WATCH: Bank of England predicts worst slump in 300 years By www.fin24.com Published On :: Fri, 08 May 2020 09:49:35 +0200 The Bank of England says the UK faces its worst slump in 300 years, but on Thursday held off from any moves on rates or bond buying. Full Article
mp Lighten your Components by over 50 Percent with Topology Optimization in SOLIDWORKS Simulation By blogs.solidworks.com Published On :: Mon, 27 Apr 2020 12:00:50 +0000 Learn how you can reduce the weight of your components without impacting performance with SOLIDWORKS Simulation solutions. Author information Mai Doan Mai DOAN is a Product Portfolio Manager for SOLIDWORKS Simulation. She has 20 years of experience in Simulation and Design. Prior to joining SOLIDWORKS in 2014 as a Territory Technical Manager, Mai worked as a Senior Application Engineer for ANSYS with expertise in Finite Element Analysis for more than 8 years. Before that, she developed her real world experience by designing mobile devices with an emphasis on Simulation for High Tech companies such as Siemens and Novatel Wireless. She holds Bachelor and Master's degrees in Mechanical Engineering, and speaks English, French & Vietnamese fluently. The post Lighten your Components by over 50 Percent with Topology Optimization in SOLIDWORKS Simulation appeared first on The SOLIDWORKS Blog. Full Article 3D Creator 3DEXPERIENCE Cloud Computing Collaboration Dassault Systèmes Design SOLIDWORKS 3D Sculptor 3DEXPERIENCE Platform analysis Giaffone Racing Simulation Sub-D modeling Topology Optimization
mp COVID-19, Simulation and Computational Fluid Dynamics By blogs.solidworks.com Published On :: Thu, 30 Apr 2020 12:01:06 +0000 Read this blog to learn the important role simulation technology is playing during this pandemic. Author information Dr. Reza Tabatabai Reza Tabatabai is a Sr. Technical Manager for Simulation products, focusing on SOLIDWORKS Simulation and SIMULIA works product portfolios at Dassault Systèmes. He has 20 years of industry experience. Reza received his PhD from the Swiss Federal Institute of Technology (ETH Zurich) and was a Lecturer & Research Associate at the University of California at Berkeley. The post COVID-19, Simulation and Computational Fluid Dynamics appeared first on The SOLIDWORKS Blog. Full Article Collaboration Community Dassault Systèmes Design SOLIDWORKS SOLIDWORKS Flow Simulation 3DEXPERIENCE Platform analysis CFD cloud Computational Fluid Dynamics COVID-19 FEA pandemic testing Virtual Testing
mp Learn How to Improve Productivity with Simulation By blogs.solidworks.com Published On :: Tue, 05 May 2020 12:00:22 +0000 Learn more about this simulation-focused webinar series on Improving Productivity, which will cover topics like 2D Simplification in detail, FEA vs CFD, Static vs Dynamics, Large Assembly analysis and simulation for 3D-printed parts. Author information SOLIDWORKS Dassault Systèmes SolidWorks Corp. offers complete 3D software tools that let you create, simulate, publish, and manage your data. SolidWorks products are easy to learn and use, and work together to help you design products better, faster, and more cost-effectively. The SolidWorks focus on ease-of-use allows more engineers, designers and other technology professionals than ever before to take advantage of 3D in bringing their designs to life. The post Learn How to Improve Productivity with Simulation appeared first on The SOLIDWORKS Blog. Full Article SOLIDWORKS SOLIDWORKS Simulation CFD dynamic FEA large assembly analysis productivity Simulation static Topology Optimization vibration webinar series
mp Don't let Zimbabwe implode By feedproxy.google.com Published On :: Mon, 17 Jun 2002 22:00:00 GMT Full Article
mp Failing to Empower Women Peacebuilders: A Cautionary Tale from Angola By feedproxy.google.com Published On :: Tue, 24 Apr 2007 22:00:00 GMT Full Article
mp Impasse for Zimbabwe By feedproxy.google.com Published On :: Mon, 18 Aug 2008 22:00:00 GMT Full Article
mp Implementing Peace and Security Architecture (II): Southern Africa By feedproxy.google.com Published On :: Mon, 15 Oct 2012 09:43:00 GMT To preserve Southern Africa’s relative peace in the face of rising challenges and threats, Southern African Development Community (SADC) member states must collectively reinforce its peace and security architecture. Full Article
mp Octodon degus (Molina 1782): A Model in Comparative Biology and Biomedicine By cshprotocols.cshlp.org Published On :: 2013-04-01T06:00:39-07:00 One major goal of integrative and comparative biology is to understand and explain the interaction between the performance and behavior of animals in their natural environment. The Caviomorph, Octodon degu, is a native rodent species from Chile, and represents a unique model to study physiological and behavioral traits, including cognitive and sensory abilities. Degus live in colonies and have a well-structured social organization, with a mostly diurnal–crepuscular circadian activity pattern. More notable is the fact that in captivity, they reproduce and live between 5 and 7 yr and show hallmarks of neurodegenerative diseases (including Alzheimer's disease), diabetes, and cancer. Full Article
mp Hope in bars and garbage dumps By feedproxy.google.com Published On :: Tue, 15 May 2012 10:27:15 +0000 170 volunteers from various countries in Central America shared the gospel and saw many lives changed during Easter in Chimaltenango, Guatemala. Full Article
mp An Open Letter to President Trump By www.nytimes.com Published On :: Thu, 26 Mar 2020 23:08:00 GMT The nation craves a plan, not hunches. Full Article
mp With the Coronavirus, It’s Again Trump vs. Mother Nature By www.nytimes.com Published On :: Tue, 31 Mar 2020 22:44:27 GMT The president’s failure to understand his limits is very costly. Full Article
mp Trump Is Asking Us to Play Russian Roulette With Our Lives By www.nytimes.com Published On :: Sat, 18 Apr 2020 20:43:50 GMT Are we really going to bet that we can go back to life as normal without proper coronavirus tracking in place? Full Article
mp We Need Herd Immunity From Trump and the Coronavirus By www.nytimes.com Published On :: Sat, 25 Apr 2020 20:14:09 GMT It will take more care than the president is currently demonstrating to loosen restrictions but still protect the vulnerable. Full Article
mp Freedom Climbers complete first leg By feedproxy.google.com Published On :: Mon, 16 Jan 2012 10:09:28 +0000 The Freedom Climbers have completed the first leg of their trek up Mt. Kilimanjaro. They climb to raise awareness and funds to combat slavery. Full Article
mp Women complete Kilimanjaro climb By feedproxy.google.com Published On :: Thu, 19 Jan 2012 11:29:01 +0000 Tired but jubilant, the Freedom Climbers arrive back safely in Loitokitok, Kenya, on 16 January. Full Article
mp Hiking to impact mothers and children worldwide By feedproxy.google.com Published On :: Thu, 24 May 2012 15:09:56 +0000 On 12 May, 130 people in Atlanta, Georgia, participate in a hike at to benefit trafficked and exploited women across our world. Full Article
mp Freedom Climbers complete first few days By feedproxy.google.com Published On :: Fri, 19 Apr 2013 15:34:08 +0000 The Freedom Climb team completes the first few days of the journey to Mt. Everest Base Came and Kala Patthar Peak. Please pray for them. Full Article
mp Companion Ministry brings Christ's mercy By feedproxy.google.com Published On :: Thu, 17 Oct 2013 13:19:09 +0000 OM attempts to bring Christ’s love to the darkest corners of Sham Shui Po, and to walk with those neglected by society. Full Article
mp Impact in Mexico By feedproxy.google.com Published On :: Wed, 12 Dec 2018 16:05:36 +0000 Progreso, Mexico :: Reflections on the impact among churches and on people stirred up for mission, after Logos Hope's four months in Mexico. Full Article
mp Exporting local products, importing love By feedproxy.google.com Published On :: Thu, 16 Feb 2017 01:03:34 +0000 Workers find business opportunities using local products and model a lifestyle of integrity and love. Full Article
mp Simple ways to a profound love By feedproxy.google.com Published On :: Wed, 03 Jun 2015 19:06:08 +0000 Singapore :: A Frenchman makes friends with a community of foreign workers in Singapore. Full Article
mp Mindfulness-Based Stress Reduction for Parents Implementing Early Intervention for Autism: An RCT By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:42-07:00 BACKGROUND AND OBJECTIVES: Systems of care emphasize parent-delivered intervention for children with autism spectrum disorder (ASD). Meanwhile, multiple studies document psychological distress within these parents. This pilot longitudinal randomized controlled trial compared the parent-implemented Early Start Denver Model (P-ESDM) to P-ESDM plus mindfulness-based stress reduction (MBSR) for parents. We evaluated changes in parent functioning during active treatment and at follow-up. METHODS: Participants included children (<36 months old) with autism spectrum disorder and caregivers. Participants were randomly assigned to P-ESDM only (n = 31) or P-ESDM plus MBSR (n = 30). Data were collected at baseline, midtreatment, the end of treatment, and 1, 3, and 6 months posttreatment. Multilevel models with discontinuous slopes were used to test for group differences in outcome changes over time. RESULTS: Both groups improved during active treatment in all subdomains of parent stress (β = –1.42, –1.25, –0.92; P < 0.001), depressive symptoms, and anxiety symptoms (β = –0.62 and –0.78, respectively; P < 0.05). Parents who received MBSR had greater improvements than those receiving P-ESDM only in parental distress and parent-child dysfunctional interactions (β = –1.91 and –1.38, respectively; P < 0.01). Groups differed in change in mindfulness during treatment (β = 3.15; P < .05), with P-ESDM plus MBSR increasing and P-ESDM declining. Treatment group did not significantly predict change in depressive symptoms, anxiety symptoms, or life satisfaction. Differences emerged on the basis of parent sex, child age, and child behavior problems. CONCLUSIONS: Results suggest that manualized, low-intensity stress-reduction strategies may have long-term impacts on parent stress. Limitations and future directions are described. Full Article
mp Improving Behavior Challenges and Quality of Life in the Autism Learning Health Network By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:42-07:00 OBJECTIVES: To summarize baseline data and lessons learned from the Autism Learning Health Network, designed to improve care and outcomes for children with autism spectrum disorder (ASD). We describe challenging behaviors, co-occurring medical conditions, quality of life (QoL), receipt of recommended health services, and next steps. METHODS: A cross-sectional study of children 3 to 12 years old with ASD receiving care at 13 sites. Parent-reported characteristics of children with ASD were collected as outcome measures aligned with our network’s aims of reducing rates of challenging behaviors, improving QoL, and ensuring receipt of recommended health services. Parents completed a survey about behavioral challenges, co-occurring conditions, health services, and the Patient-Reported Outcomes Measurement Information System Global Health Measure and the Aberrant Behavior Checklist to assess QoL and behavior symptoms, respectively. RESULTS: Analysis included 530 children. Challenging behaviors were reported by the majority of parents (93%), frequently noting attention-deficit/hyperactivity disorder symptoms, irritability, and anxiety. Mean (SD) scores on the Aberrant Behavior Checklist hyperactivity and irritability subscales were 17.9 (10.5) and 13.5 (9.2), respectively. The Patient-Reported Outcomes Measurement Information System Global Health Measure total score of 23.6 (3.7) was lower than scores reported in a general pediatric population. Most children had received recommended well-child (94%) and dental (85%) care in the past 12 months. CONCLUSIONS: This baseline data (1) affirmed the focus on addressing challenging behaviors; (2) prioritized 3 behavior domains, that of attention-deficit/hyperactivity disorder, irritability, and anxiety; and (3) identified targets for reducing severity of behaviors and strategies to improve data collection. Full Article
mp Growing Evidence for Successful Care Management in Children With Medical Complexity By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 Full Article
mp Anaerobic Necrotizing Pneumonia: Another Potential Life-threatening Complication of Vaping? By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 An adolescent girl with a history of frequent electronic cigarette use of nicotine was hospitalized with severe necrotizing pneumonia. Blood cultures obtained before the administration of empirical broad-spectrum intravenous antibiotics had positive results for the growth of Fusobacterium necrophorum. The pathogen is an uncommon but well-known cause of anaerobic pneumonia with unique features that are collectively referred to as Lemierre syndrome or postanginal sepsis. The syndrome begins as a pharyngeal infection. Untreated, the infection progresses to involve the ipsilateral internal jugular vein, resulting in septic thrombophlebitis with direct spread from the neck to the lungs causing multifocal necrotizing pneumonia. The teenager we present in this report had neither a preceding pharyngeal infection nor Doppler ultrasonographic evidence for the presence of deep neck vein thrombi, leading us to explore alternative mechanisms for her pneumonia. We propose the possibility that her behavior of frequent vaping led to sufficient pharyngeal irritation such that F necrophorum colonizing her oropharynx was inhaled directly into her lungs during electronic cigarette use. Preexisting, but not yet recognized, vaping-related lung injury may have also contributed to her risk of developing the infection. The patient was hospitalized for 10 days. At follow-up one month later, she still became short of breath with minimal exertion. Full Article
mp Eosinophilic Pneumonia and Lymphadenopathy Associated With Vaping and Tetrahydrocannabinol Use By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 Idiopathic acute eosinophilic pneumonia is a rare and potentially life-threatening condition that is defined by bilateral pulmonary infiltrates and fever in the presence of pulmonary eosinophilia. It often presents acutely in previously healthy individuals and can be difficult to distinguish from infectious pneumonia. Although the exact etiology of idiopathic acute eosinophilic pneumonia remains unknown, an acute hypersensitivity reaction to an inhaled antigen is suggested, which is further supported by recent public health risks of vaping (electronic cigarette) use and the development of lung disease. In this case, a patient with a year-long history of vaping in conjunction with tetrahydrocannabinol cartridge use who was diagnosed with idiopathic acute eosinophilic pneumonia with associated bilateral hilar lymphadenopathy is described. Full Article
mp The History of the Personal Belief Exemption By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 Full Article
mp Improving Antibiotic Prescribing for Pediatric Urinary Tract Infections in Outpatient Settings By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 OBJECTIVES: To determine if a multicomponent intervention was associated with increased use of first-line antibiotics (cephalexin or sulfamethoxazole and trimethoprim) among children with uncomplicated urinary tract infections (UTIs) in outpatient settings. METHODS: The study was conducted at Kaiser Permanente Colorado, a large health care organization with ~127 000 members <18 years of age. After conducting a gap analysis, an intervention was developed to target key drivers of antibiotic prescribing for pediatric UTIs. Intervention activities included development of new local clinical guidelines, a live case-based educational session, pre- and postsession e-mailed knowledge assessments, and a new UTI-specific order set within the electronic health record. Most activities were implemented on April 26, 2017. The study design was an interrupted time series comparing antibiotic prescribing for UTIs before versus after the implementation date. Infants <60 days old and children with complex urologic or neurologic conditions were excluded. RESULTS: During January 2014 to September 2018, 2142 incident outpatient UTIs were identified (1636 preintervention and 506 postintervention). Pyelonephritis was diagnosed for 7.6% of cases. Adjusted for clustering of UTIs within clinicians, the proportion of UTIs treated with first-line antibiotics increased from 43.4% preintervention to 62.4% postintervention (P < .0001). The use of cephalexin (first-line, narrow spectrum) increased from 28.9% preintervention to 53.0% postintervention (P < .0001). The use of cefixime (second-line, broad spectrum) decreased from 17.3% preintervention to 2.6% postintervention (P < .0001). Changes in prescribing practices persisted through the end of the study period. CONCLUSIONS: A multicomponent intervention with educational and process-improvement elements was associated with a sustained change in antibiotic prescribing for uncomplicated pediatric UTIs. Full Article
mp Reflections From a Pediatrician Who Went Back to Summer Camp By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 Full Article