University of Vermont,Despite New Year’s resolutions to eat better and lose weight, people buy the greatest amount of food after the holidays, says a study led by a University of Vermont researcher. The study, published by PLOS ONE, finds consumer spending on food increases by 15 percent over the holiday season (Thanksgiving to New Year), with most of the increase attributed to higher levels of junk food.But shoppers buy the greatest amount of food after New Year — the equivalent of a 9 percent increase in calories above holiday levels, says Professor Lizzy Pope of the University of Vermont, who led the study as a post-doctoral researcher at Cornell University’s Food and Brand Lab.The authors of the study, New Year’s Res-Illusions: Food Shopping in the New Year Competes with Healthy Intentions, are Lizzy Pope (University of Vermont), David Just (Cornell University), Brian Wansink (Cornell University), and Drew Hanks (Ohio State University).“People start the New Year with good intentions to eat better,” says Pope, who recently joined UVM’s Dept. of Nutrition and Food Science. “They do pick out more healthy items, but they also keep buying higher levels of less-healthy holiday favorites. So their grocery baskets contain more calories than any other time of year we tracked.”The findings are surprising given the holidays’ reputation for overeating — and suggest that people need better strategies for shopping under the sway of “res-illusions,” the research team says.The researchers recommend that consumers use written grocery lists to deter impulsive junk food purchases; substitute as much junk food as possible with fresh produce and nutrient-rich foods; and split grocery baskets visually to ensure nutritious foods represent at least half of your purchases.Background and methods“We wanted to see how New Year’s resolutions and the end of the holiday season impact grocery shopping habits — how much food people buy, and how many calories the foods contain,” says co-author David Just, Cornell University.More than 200 households in New York State were recruited to participate in the seven-month study of grocery store spending behaviors, from July 2010 to March 2011.To identify shopping patterns, researchers split the data into three periods: July to Thanksgiving represented participants’ baseline spending (how much the average shopper regularly spends per week on groceries), Thanksgiving to New Year’s was considered the holiday season, and New Year’s to March the post-holiday period.Foods were categorized as healthy or less healthy based on a nutritional rating system used at participating grocery stores.“Despite New Year’s resolutions to eat healthier, people tend to hang on to those unhealthy holiday favorites and keep buying them in the New Year,” says co-author Drew Hanks of The Ohio State University, who worked on the study as a post-doctoral researcher at Cornell.“Based on these findings,” Hanks adds, “we recommend that instead of just adding healthy foods to your cart, people substitute less healthy foods for fresh produce and other nutrient rich foods. The calories will add up slower, and you’ll be more likely to meet your resolutions and shed those unwanted pounds.”Source: UVM 1.6.2015. PHOTO: Lizzy Pope at City Market in Burlington by Jeff Clarke/UVM
Central Vermont Medical Center,Vermont Business Magazine The University of Vermont – Central Vermont Medical Center (CVMC) this week launches the American Orthopaedic Association (AOA)’s Own the Bone program, aimed at better identifying, evaluating and treating patients with osteoporosis. Osteoporosis is a medical condition in which the bones become brittle and fragile, and can contribute to low bone density-related fragility fractures, specifically those resulting from standing-height or lower falls.Own the Bone brings focus to the severe health implications of fragility fractures and the multi-faceted approaches hospitals can employ in ensuring patients receive the most comprehensive care.Own the Bone is a national web-based quality improvement registry that incorporates 10 measures for reducing future fractures and provides CVMC with immediate feedback on program performance to measure success. It also benchmarks CVMC against other medical institutions.Data entered in the registry can be immediately quantified, offering real-time insight into how actions are positively affecting patient care.According to the National Osteoporosis Foundation (NOF), up to 50 percent of all women and 25 percent of men over age 50 will sustain fragility fractures in their lifetimes. The American Bone Health Prevalence Report states that more people in the United States suffer fragility fractures each year than are diagnosed with heart attacks, strokes or breast cancer combined. These figures are projected to increase as the population ages.And according to the National Committee for Quality Assurance, only 1 in 5 Medicare patients have received the osteoporosis care (s)he needed after a fracture. With Own the Bone, CVMC reduces any treatment gaps, ensuring patients with fragility fractures are screened and appropriately treated for low bone density or osteoporosis.Dr. Teresa A. Fama, a member of The American Board of Internal Medicine and The American Board of Internal Medicine – Rheumatology, is leading efforts to implement Own the Bone at CVMC. Inspiration for joining the initiative sprung from the findings of Dr. Fama and her board-certified partners in rheumatology at CVMC, Drs. Christine Jones and Kevin Kerin. Each noted changes in the ways patients were choosing to treat osteoporosis.“In general, we’ve seen a decrease in the number of women, in particular, taking medications for osteoporosis,” Dr. Fama said, resulting in greater fragility and increased risk of fracture.AOA studies demonstrate patients who’ve had a fragility fracture are 2 to 4 times more likely to experience another fracture than those who’ve never had a fracture. These findings underscored CVMC’s drive for greater education and prevention.“We heal and treat the fracture well, but we weren’t actively trying to prevent another fracture,” Dr. Fama explained.Own the Bone aims to change that by engaging patients, from the moment they’re admitted with a fracture, through discharge.Fabienne Pattison, RN, spearheading CVMC’s initiative, explained new protocols trigger visits from a rheumatologist and fracture liaison service nurse, charged with monitoring patients during their hospital stays and beyond.“A consultation with rheumatology will be added to admission orders, assuring patients are also seen in the hospital by a fracture liaison service nurse,” Pattison said. “These nurses will initiate contact with patients during their hospital stays, through discharge planning and follow up, and after they’ve been discharged home or to post-acute rehabilitation.”“A comprehensive, multi-specialty approach will greatly reduce repeat fragility fractures for at-risk patients,” said Dr. Douglas R. Dirschl, past AOA president. “Own the Bone gives hospitals the tools needed to address and curb this major health crisis.”About the University of Vermont Health NetworkThe University of Vermont Health Network is a five-hospital system serving the residents of Vermont and northern New York with a shared mission: working together, we improve people’s lives. The partners are:The University of Vermont Medical Center; (link is external) The University of Vermont Health Network – Alice Hyde Medical Center(link is external);The University of Vermont Health Network – Central Vermont Medical Center(link is external);The University of Vermont Health Network – Champlain Valley Physicians Hospital(link is external);The University of Vermont Health Network – Elizabethtown Community Hospital(link is external).Its 4,000 health care professionals are driven to provide high-quality, cost-efficient care as close to home as possible. Strengthened by its academic connection to the University of Vermont, each hospital remains committed to its local community by providing compassionate, personal care shaped by the latest medical advances and delivered by highly skilled experts.About the AOAThe American Orthopaedic Association, founded in 1887, is the oldest national orthopaedic association in the world. The AOA’s mission is to identify, develop, engage and recognize leadership to further the art and science of orthopaedics. For more information visit www.aoassn.org(link is external) or call 847-318-7336.
***Update 3:30 p.m. Tuesday, Nov. 6, 2018***The Vermont Chief Medical Examiner’s Office has positively identified the victim found at 637 Bliss Road as David Thompson.***Update 6:55 p.m. Monday, Nov. 5, 2018***The Vermont Chief Medical Examiner’s Office has positively identified the victim found at 715 Bliss Road as Carol Fradette and determined the cause of her death to be blunt impact and a gunshot wound. The manner of death is homicide.Positive identification for the victim found at 637 Bliss Road(link is external) remains pending.The Vermont State Police investigation into this matter is continuing. Those with information are asked to call the Middlesex Barracks at 802-229-9191.***Update 8:50 p.m. Friday, Nov. 2, 2018***Through investigation, the Vermont State Police has preliminarily identified the victims in this incident. Confirmation of identities is pending further testing from the Chief Medical Examiner’s Office in Burlington.The preliminary identification for the victim found at 637 Bliss Road is David Thompson, 48, of that address. An autopsy at the Medical Examiner’s Office has determined the cause of death to be multiple gunshot wounds, and the manner of death is homicide. The preliminary identification for the victim found at 715 Bliss Road is Carol Fradette, 29, of 637 Bliss Road. Cause and manner of death remain pending. Two dogs found deceased at 637 Bliss Road were each shot once.The investigation into this matter is active and ongoing, and no further information is available at this time. Anyone with information about the case is asked to call the Vermont State Police in Middlesex at 802-229-9191.***Initial news release, 12:20 p.m. Wednesday, Oct. 31, 2018***Woodbury, Vermont – On October 30, 2018 at approximately 11:10 pm a resident of Bliss Road in Woodbury called E911 to report that the residence across the road was fully engulfed in flames. The Woodbury Fire Department responded and the residence on fire was determined to be located at 715 Bliss Road. While fighting the fire, firefighters observed that the adjacent residence, at 637 Bliss Road, was also on fire. Both residences are approximately 150 feet apart. The Woodbury Fire Department was able to extinguish both structure fires. Inside the residence at 715, firefighters discovered human remains. Inside the residence at 637 they discovered human remains and pet remains. The Woodbury Fire Department contacted the Vermont State Police and subsequently the Fire and Explosions Investigation Unit, the Major Crime Unit, and the Bureau of Criminal Investigation responded to Woodbury. This investigation is in it’s preliminary stages and there is limited information at this time. Work is being conducted by fire investigators to determine the origin and cause of the fire. The Crime Scene Search Team has been activated to process the scene and collect evidence. Detectives are working to determine the names of individuals who live at both residences and to identify the deceased victims. Identification of the victims and the cause and manner of their deaths will be determined by the Office of the Chief Medical Examiner. Anyone with information regarding this incident is asked to please contact the Vermont State Police, Middlesex, 802-229-9191. No other details are available at this time.
Shawnee Mission School District South StadiumWork on a $6.7 million renovation of the SM South stadium is expected to begin in mid-October.The project is expected to transform the tired, 1960-vintage stadium into an attractive venue with new restrooms, concessions and locker rooms as well as much-needed handicapped accessibility. Kenny Southwick, deputy superintendent for the Shawnee Mission School District, said the project, which is expected to be completed by May 2017, originally was intended to demolish and replace the stadium.“When we got into it, we decided a renovation was better, the bones are still good,” he said.The plan calls for a complete facelift of the concrete stadium surface and construction of a new press box and a plaza at the south end of the stadium. The capacity also will be reduced from its current 10,000 seats to 7,500. Southwick said the new plaza will be the central gathering point for people attending events at the stadium. New concessions and restrooms will be located there.He said people will no longer be able to congregate behind the stands, solving a long time security concern. The stadium is used not only by SM South, but SM West and occasionally SM East.The track area is expected to be ready for the spring season, Southwick added.J.E. Dunn Construction was selected to build the project, ACI Boland Architects is the designer.Renderings of the renovation plan for SM South stadiumRendering of renovation work planned for SM South stadium
Minnesota off to final meets before NCAA ChampionshipsSenior Liz Alabi and Derek Gearman earned Big Ten honors Wednesday. Brian DeutschMarch 2, 2007Jump to CommentsShare on FacebookShare on TwitterShare via EmailPrintTwelve members of the Minnesota track and field teams will have one last shot to qualify for the NCAA Championships as they head to the final qualifying events this weekend.Nine athletes on the men’s team will head to South Bend, Ind., to compete in the Alex Wilson Invitational, while three participants from the women’s team will compete in the Iowa State Qualifier.The competitions are the last opportunities for several of the athletes to clinch a spot at next weekend’s championships, while other competitors will try to improve on their performances.The men’s distance medley relay team of senior Aaron Buzard, junior Hans Storvick and sophomores Chris Rombough and Walter Langkau will try to qualify for the nationals in just their second race as a group.“We’ve all practiced together and everything went fine the first time we raced,” Langkau said. “We just can’t afford to make mistakes.”A handful of other hopeful competitors will join the relay team including freshman Aaron Studt, who will try to break the freshman record for the shot put.Senior Adam Schnaible needs a strong performance this weekend to solidify his spot at next weekend’s nationals.Schnaible is currently ranked No. 12 in the weight throw and is on the chopping block unless he can increase his stock this weekend.Senior Derek Gearman has already locked in a spot at nationals in the high jump and will try to qualify for the triple jump this weekend.Buzard has already provisionally qualified in the 400-meter dash but according to coach Phil Lundin, a strong performance this weekend could guarantee Buzard, Gearman and other athletes a spot at nationals.“(This weekend) is very important because only the top 14 to 16 competitors make it to nationals,” Lundin said. “You have to give the kids one last shot to make it there.”Sophomore Ibrahim Kabia already has a solid chance to make nationals in the 60-meter dash, but the sprinter will join his teammates in South Bend as he tries to improve his school record in the event, which he shattered earlier this year.The women’s team will send three pole vaulters to Ames, Iowa, including junior Andrea Smith, the only member of the trio who has provisionally qualified for the NCAA Championships. The school record holder for pole vaulting, Smith will try to solidify her space at nationals by reaching 4.2 meters – the automatic qualifier for the NCAA Championships.But 4.2 is a long ways from the 3.95 meters that Smith needed to reach in order to provisionally qualify.Freshman Alicia Rue and junior Ashley Nord will join Smith this weekend, trying to hit the qualifying mark in the pole vault.“We could all technically make it to nationals, which would be great,” Smith said. “I’m just going to go have fun and hopefully put up some good scores.”Athletes honoredThe Gophers earned three awards Wednesday as the Big Ten honored seniors Liz Alabi and Derek Gearman as well as women’s interim coach Matt Bingle.Alabi, who holds the school record for shot put at 52 feet 10 3/4 inches, was named the Big Ten Women’s Field Athlete of the Year after her performance last weekend at the Big Ten Championships.The senior set career bests in two events that she went on to win – the shot put and the weight throw. The Gophers also took home the team title.“This team was made two or three years ago with training and recruiting,” Bingle said. “Everyone is playing their part and taking care of business.”Bingle earned Big Ten Coach of the Year honors after guiding the Gophers to their first-ever Big Ten Indoor Championships in his first year at the helm.“It’s a great honor for me but it is based on the girls, coaches and family effort,” Bingle said. “I might get the award but it’s for the team.”Gearman, the only men’s team member to earn an award, was named the Big Ten Men’s Field Athlete of the Championships after placing in the high jump, long jump and triple jump.
The median single-family-home sales price went up 5.5 percent from November 2013 to November 2014 – from $200,000 to $210,990.President Obama announced a housing plan in Phoenix last week that might help create both more demand and a supply problem.Investors are returning to Phoenix, with their percentage of the area’s home purchases up over the past four months.After the housing crash, Phoenix-area home prices shot up from September 2011 to summer 2013. Then, the median single-family-home price rose just another 5.5 percent from November 2013 to November 2014. Realtors will note the average price per square foot went up about 5 percent. The median townhome/condo sales price actually dropped 2 percent.“Prices in the Phoenix-area housing market remained relatively flat in 2014, when you take into account the general level of inflation,” says the report’s author, Mike Orr, director of the Center for Real Estate Theory and Practice at the W. P. Carey School of Business. “When you look at the change in the mix of sales – with more expensive luxury homes being sold – there is not much real upward price momentum.”Orr adds there also isn’t much downward price momentum because both supply and demand remain relatively low. The number of single-family-home sales dropped 9 percent from November 2013 to November 2014. The low demand has largely been masking the fact that the market also has a low supply of homes – a situation that appears to be getting worse.“The rate of new listings has dropped significantly since April, and active listings even dropped slightly in November, which is unusual and signals a weakening supply,” explains Orr. “It would not take much of an increase in demand to overwhelm the current level of supply, and if this occurs, we should expect prices to start rising once more. We will have to wait and see how first-time home buyers react to the new lending environment in 2015.”Orr’s concern about the potential supply problem stems from a number of things meant to stimulate housing demand:Down payments being reduced to 3 percent on certain Fannie Mae and Freddie Mac conventional loansContinued drops in mortgage interest rates for all types of loansReduced mortgage insurance premiums announced by President Obama in Phoenix last weekOrr weighed in on the president’s new housing initiative by saying it may help middle-income renters buy their first homes. However, he also doesn’t think the overall impact will be that great.“By the government’s own numbers, it will only add 250,000 sales nationally over the next three years – increasing sales only about 1.6 percent,” Orr says. “It’s a step in the right direction, but only a small step. A resurgence in home buying will probably occur anyway.”Meantime, foreclosures remain well below long-term averages for the Valley. Completed foreclosures were down 39 percent from November 2013 to November 2014. Earlier, the loss of these bargain properties prompted a trend of investors leaving the Phoenix area for cheaper areas of the country, but now, that’s changing. The percentage of residential properties bought by investors was up to about 16 percent in November, the highest level since May. All-cash purchases are also back on the upswing.“While investor purchases are still below the peak levels we saw in the Phoenix area after the housing crash, the levels have started to recover over the last four months,” says Orr. “However, we may see fewer international buyers in the market now because of the recent dramatic rise in the value of the dollar against most foreign currencies.”Rental-housing demand in the Valley remains strong, partly because many people had their credit damaged during the housing crash and because millennials are waiting until later in life to enter the home market. Rents rose 4.8 percent in the Phoenix area from November 2013 to November 2014.Those wanting more Valley housing data can subscribe to Orr’s monthly reports at www.wpcarey.asu.edu/realtyreports. They also hear directly from Mike Orr about his latest housing report at an event co-hosted by The Arizona Republic and the W. P. Carey School of Business tomorrow morning at Arizona State University. More information and tickets are available attickets.azcentral.com. Investors appear to be returning to the Phoenix-area housing market. The latest monthly report from the W. P. Carey School of Business at Arizona State University examines that new trend, as well as the possibility of a future supply problem. Here are the highlights of the new report on Maricopa and Pinal counties, as of November:
The Washington Post: “Do y’all know what the Clipper is?” Kimberly Pepper-Hoctor asked her class one recent night in a library meeting room about an hour south of Washington. A woman sitting near the front stirred her purse and extracted the latest edition of the Clipper, a direct-mail magazine loaded with coupons. She held it up for the 24 other mostly middle-age women who had come to learn as much as they could about paying as little as possible for their groceries and other household goods.“I like you,” Pepper-Hoctor told her new teacher’s pet, who smiled broadly.Pepper-Hoctor is a veteran bargain hunter who probably has enough severely discounted toiletries at home to stock your basic Presidential Emergency Operations Center. And she is a couponing instructor, a vocation born of the recession. The 42-year-old Navy wife, who tends to walk out of Target paying half of what the people behind her do for the same stuff, instructs women around Southern Maryland how they, too, can spend less to buy more.Read the whole story: The Washington Post More of our Members in the Media >
Study finds prolonged courses of antibiotics common at dischargeA multicenter study looking at total durations of antibiotic exposure related to hospitalization indicates that more than a third of hospital-related antibiotic exposure occurs after patients are discharged from the hospital, researchers from Duke and the Centers for Disease Control and Prevention (CDC) reported yesterday in Infection Control and Hospital Epidemiology.For the retrospective study, researchers collected and reviewed electronic data on inpatient and discharge antibiotic prescribing from three pilot hospitals in the southeastern United States from April to September 2016. The primary metric of total duration was defined as the inpatient length of therapy (LOT) plus postdischarge LOT. Postdischarge prescription durations were calculated from electronic discharge prescriptions (e-scripts).A total of 45,693 admitted patients were evaluated over the 6-month study period. Of these admissions, 23,447 (51%) received inpatient antibiotics and 7,442 (16%) received e-scripts at discharge. E-scripts were prescribed for 348 (5%) admitted patients who did not receive antibiotics as an inpatient. The postdischarge LOT among admissions with discharge antimicrobials was median 8 days, with peaks at 5, 7, 10, and 14 days, and postdischarge days accounted for 38% of antimicrobial exposure days related to hospitalization. And because the estimates of postdischarge antibiotic days were subject to missing data based on avoidance of the electronic system in certain scenarios, the researchers say they could be underestimates.The authors of the study suggest errors in the ordering process, electronic system defaults for outpatient prescriptions, and diagnostic uncertainty are among the reasons for excessive antibiotic durations on discharge.”Our findings suggest that prolonged courses of antibiotic therapy are common at discharge and may contribute to unnecessary antimicrobial exposure in patients,” they conclude. “ASPs [antibiotic stewardship programs] that target discharge prescription duration and appropriateness have an opportunity to reduce unnecessary antimicrobial use and its resultant harms. These activities should be incorporated to hospital quality improvement initiatives focused at improving safety at transitions of care.”May 28 Infect Control Hosp Epidemiol study Carbapenemase-producing Enterobacteriaceae cases rise in Hong KongThe number of patients in Hong Kong hospitals diagnosed with carbapenemase-producing Enterobacteriaceae (CPE) more than doubled from 2017 to 2018, according to a story yesterday in the South China Morning Post.Dr. Raymond Lai Wai-man, chief infection control officer for Hong Kong’s Hospital Authority, told the paper that the number of inpatients diagnosed with CPE, which is resistant to most antibiotics and can cause severe infections, rose from 473 in 2017 to 972 in 2018. To address the increase in cases and a rise in other multidrug-resistant organisms, Lai said the Authority is introducing a 5-point plan that includes more active screening for patients who’ve been hospitalized outside Hong Kong in the last 12 months, patients who’ve spent 14 days or more in the hospital, and patients who have unexplained diarrhea.Lai said Hong Kong hospitals are also using rapid diagnostic tests to detect the superbug more quickly.”This allows for quicker medical responses, such as single room isolation in hospitals, with the room wiped clean of bacteria, and nurses dressed in protective gowns and gloves when entering and leaving it,” he said.The Hospital Authority has also implemented an antibiotic stewardship program to monitor antibiotic prescribing at Hong Kong hospitals.In another story from the same paper, Dr. Ho Pak-Leung, a microbiology professor at Hong Kong University, attributed the surge in CPE infections to overcrowding in the city’s public hospitals. “The greatest challenge is the crowded environment in public hospitals, where during peak hours there can be zero distance between beds,” Ho told the paper.May 28 South China Morning Post main story May 28 South China Morning Post story quoting Ho Study: Only 58% of STI antimicrobial prescriptions for teens filledA research letter yesterday in JAMA Pediatrics says that only 57.7% of antimicrobial drug prescriptions for sexually transmitted infections (STIs) diagnosed in teens visiting emergency departments (EDs) were filled, confirming previous studies that suggest adolescents have an alarmingly low rate of STI treatment adherence.The retrospective study was based on visits to two pediatric EDs affiliated with Children’s National Medical Center in 2016 and 2017. The study included 696 ED visits and 208 teens ages 13 to 19 receiving outpatient prescriptions for antimicrobial treatment for cervicitis or urethritis (31.2%) or pelvic inflammatory disease (68.8%). Of those prescriptions, 57.7% were filled.The only factor associated with prescription filling was hospital admission (73.7% vs 54.1%; adjusted odds ratio, 2.3; 95% confidence interval, 1.0-5.0). “Admitted patients likely experience more severe symptoms and, thus, may have increased motivation to fill their prescriptions and achieve symptom relief,” the authors said.In a press release on the study, Monika K. Goyal, MD, assistant chief of Children’s Division of Emergency Medicine and Trauma Services at Children’s National Hospital said the low fill rate may be related to circumstances.”Teenagers may face a number of hurdles when it comes to STI treatment, including out-of-pocket cost, access to transportation, and confidentiality concerns,” she said. May 28 JAMA Pediatr letter May 28 Children’s National Hospital press release
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Italdraghe SpA has successfully completed delivery of a SGT 400 Cutter Suction Dredger to the Iraqi Ministry of Water Resources.The CSD comes as the first in a series of three dredgers that Italdraghe will supply to this client.According to the company, the dredger that is fully operational now in Iraq has working depth of 10m with a suction diameter of 450mm and a discharge diameter of 400mm.The main dredging pump engine is an Isotta Fraschini type with 1000 hp at 1800 rpm.The auxiliary engine is a FTP Iveco Motors type C90 with 350 hp at 2000 rpm.The dredger, fitted with anchor booms and spud carriage, has a crown type cutter with 150 hp and the swing winches have a 6 ton pull.Equipment:Arbour gen-set with 30 kW;DGPS positioning system with an integrated project monitoring program;Production measuring system.