No abstract

BACKGROUND: Primary nonadherence to a medication occurs when a drug is prescribed but the patient fails to pick the prescription up from the pharmacy. Managed care organizations that provide integrated care using electronic medical records (EMR) are an ideal setting to study primary nonadherence.

155HMORN -Selected Abstracts discussion of interventions, communication tools (e.g. written instructions from the physician, a home medication calendar with communication tools such as check boxes to indicate when a dose had been administered, and others) were high priority for parent participants. Conclusions: Parents can understand and perform an FMEA. The parent-team identified modifiable failure modes, many communication-related, which could lead to significant patient injury in home medication use. Parents prioritized tools that could lead to system improvements and reduce errors. Background/Aims: It is known that seasonal influenza infection disproportionately impacts pregnancy. Based on preliminary information, the pandemic H1N1 virus that first surfaced in spring 2009 appears to cause disproportionate morbidity and mortality among pregnant women -possibly to an even greater degree than that seen from seasonal flu. While it is estimated that over 10% of the pandemic influenza-related deaths in the United States have been in pregnant women-there is little data on the total impact of H1N1 infection upon pregnant women and their developing infants. This study will present a population-based assessment of the impact of H1N1 flu upon pregnancy, maternal, and birth outcomes. Methods: This is an open cohort study covering the seasonal (mid 2008-2009) and H1N1 (mid 2009-2010) influenza seasons, with follow-up for pregnancy and infant outcomes up to one month after delivery. All pregnant women in KPNC, KPSC, KPCO, KPMA and KPGA during this period (mid 2008-2010) will be categorized according to their infection status as defined via lab test and/ or ICD-9 code for influenza-like-illness. Descriptive and regression analyses will be conducted to examine neonatal and pregnancy outcomes. Results: Due to time constraints in relation to availability of the most recent data within Kaiser Permanente, the final data extraction will not be completed until November 2010. Statistical analyses will be conducted on the following outcomes:: pregnancy (pre-eclampsia, eclampsia, premature labor, premature delivery, pregnancy-induced hypertension; maternal (hospitalization for respiratory-related conditions, other hospitalizations, death); infant (intrauterine growth retardation; low birth weight, major congenital anomalies); vaccine use and effect (extent to which pregnant women received H1N1 and seasonal flu vaccine; impact of vaccination upon the risk for adverse pregnancy, maternal and infant outcomes); antiviral use and effect (extent to which pregnant women received antiviral medication for H1N1 or seasonal flu, and the impact of these therapeutics upon the risk for adverse pregnancy, maternal and infant outcomes). Conclusions: This study will be both analytic and descriptive, showcase the abilities of CESR and inform the scientific and public health communities with a range of unique information related to H1N1 infection during pregnancy within the combined KP populations. Aim: We sought to examine patients' knowledge and b...

Cotton gins use air to move seed cotton, lint, cottonseed, and trash through conveying pipes. In gins, pneumatic conveying systems are the principal means of moving material from one processing stage to another throughout the entire ginning plant. Further, material drying or moisture restoration can be accomplished by heating or humidifying the conveying air. Pneumatic systems are a critical and fundamental component of cotton ginning. Cotton gins use large quantities of air for pneumatic conveying. It is common for a gin to use 4,248 m3 (150,000 ft3) or more of air per minute in its various material conveying systems. Because the density of dry standard air is approximately 1.2 kg/m3 (0.075 lb/ft3), a typical gin using 4,248 m3/min (150,000 ft3/min) of air moves 305,860 kg (675,000 lb) of air per hour. This mass of air per hour is approximately 1.5 times the total mass of material handled per hour. Typically, more than 60 to 65% of the total electrical power consumed by a cotton gin is attributed to moving material pneumatically. Properly taking air measurements, determining air flow requirements, sizing conveying pipes, sizing fans to generate required air flow rates, and accounting for specific machinery air requirements are essential to maximizing machine utilization, minimizing energy costs, and decreasing system downtime. This update of the Cotton Ginners Handbook provides current technical information on cotton gin pneumatic systems. It draws heavily on previous versions of the Cotton Ginners Handbook (Stedronsky 1964; McCaskill et al., 1977; Baker et al., 1994) and the knowledge and experience of current and past instructors of the Air Systems classes from the National Cotton Ginners’ Association Gin Schools.