Pain management consultation for acute pancreatitis: impact on length of stay and opioid utilization

Aim: The purpose of the study was to understand the impact of a pain management consult for acute pancreatitis patients on their inpatient length of stay, morphine milligram equivalences (MMEs) and pancreatitis severity. Materials & methods: Adult patient data were extracted from the electronic health records from 1 October 2016 to 31 December 2018. Results & conclusion: Of 277 patients with a single acute pancreatitis hospitalization, 23 had a pain consultation (treatment group), whereas 254 did not (control group). There were statistically significant differences in median length of stay, median MME total and median MME per day between the treatment and control groups with comparable severity and pain scores (6.8 vs 3.1 days, 196.5 vs 33.8 MMEs, 30.9 vs 12.1 MMEs, respectively, p < 0.0001). This study emphasizes the complexity of pain management and the importance of further research in the field.

Mitigating Harm in the Military

In 2013 the Coast Guard Investigative Service (CGIS) created a Threat Management Unit (TMU) to examine aberrant, aggressive, and violent behavior. This article examines the experiences of developing that unit from the most nascent stage: gathering information from experts, developing understanding of how the organization was handling concerning behavior cases, and deciding a process to be useful to consumers requiring threat assessment and threat management consultation. This chapter provides the learning, key observations, and ultimate structure of the CGIS TMU, as well as an overview of military culture and the military member personality, and suggestions on how to navigate the resources within a military organization.

Developing a data management consultation service for faculty researchers: A case study from a large Midwestern public university

To inform the development of data management services, a library research team at Kent State University conducted a survey of all tenured, tenure-track, and non-tenure track faculty about their data management practices and perceptions. The methodology and results will be presented in the article, as well as how this information was used to inform future work in the library’s internal working group. Recommendations will be presented that other academic libraries could model in order to develop similar services at their institutions. Personal anecdotes are included that help ascertain current practices and sentiments around research data from the perspective of the researcher. The article addresses the particular needs of a large Midwestern U.S. academic campus, which are not currently reflected in literature on the topic.

PERBANDINGAN SEBELUM DAN SESUDAH MENGGUNAKAN APLIKASI SISKEUDES DALAM PENGELOLAAN KEUANGAN DESA DAN DAMPAKNYA TERHADAP PEMBANGUNAN DESA

ABSTRAKKeuangan Desa adalah semua hak dan kewajiban Desa yang dapat dinilai dengan uang serta segala sesuatu berupa uang dan barang yang berhubungan dengan pelaksanaan hak dan kewajiban Desa. Peran dan fungsi aparat pengawasan intern pemerintah (APIP) khususnya BPKP dalam rangka membantu pemerintah desa diantaranya melakukan pengawalan dalam pemberian bimbingan dan konsultasi terkait pengelolaan keuangan desa. Untuk bisa melaksanakan bimbingan dimaksud, diperlukan peningkatan pengetahuan dan keterampilan para auditor mengenai pengelolaan keuangan desa. Untuk mencapai tujuan di atas, BPKP telah menerbitkan Petunjuk Pelaksanaan Bimbingan dan Konsultasi Pengelolaan Keuangan Desa pada Bulan April 2015. Badan Pemeriksa Keuangan (BPKP) juga mengeluarkan Aplikasi Sistem Keuangan Desa (SISKEUDES). Tujuan penelitian ini adalah untuk mengetahui perbedaan sebelum dan sesudah menggunakan aplikasi SISKEUDES dalam pengelolaan keuangan desa dan dampaknya terhadap pembangunan Desa. Penelitian ini merupakan jenis penelitian komparasi atau perbandingan. Sampel dalam penelitian ini berjumlah 38 Responden yang terdiri dari 19 bendahara dan 19 Kasie Keuangan. Teknik pengumpulan data menggunakan kuisioner dan menggunakan teknik analisis data Paired Sample t-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan sebelum dan sesudah menggunakan aplikasi SISKEUDES di pada Desa-desa di Kecamatan Sonder, terdapat perbedaan pengelolaan keuangan desa sebelum dan sesudah menggunakan aplikasi SISKEUDES di pada Desa-desa di Kecamatan Sonder dan terdapat perbedaan pembangunan desa sebelum dan sesudah menggunakan aplikasi SISKEUDES di pada Desa-desa di Kecamatan Sonder. Kata kunci: keuangan desa, siskeudes, pengelolaan keuangan desa, pembangunan desa ABSTRACTVillage Finance is all village rights and obligations that can be valued with money and everything in the form of money and goods related to the implementation of the rights and obligations of the Village. The role and function of the government internal control apparatus (APIP) especially the BPKP in order to help village governments include escorting in providing guidance and consultation regarding village financial management. To be able to carry out the intended guidance, it is necessary to increase the auditor's knowledge and skills regarding village financial management. To achieve the above objectives, the BPKP has issued a Guidance for Implementation and Village Financial Management Consultation in April 2015. The Supreme Audit Agency (BPKP) also issued a Village Financial System Application (SISKEUDES). The purpose of this study was to determine the differences before and after using the SISKEUDES application in managing village finances and their impact on the development of the Village. This research is a type of comparative research or comparison. The sample in this study amounted to 38 respondents consisting of 19 treasurers and 19 Head of Finance. Data collection techniques using questionnaires and using data analysis techniques Paired Sample t-test. The results showed that there were differences before and after using the SISKEUDES application in the villages in Sonder District, there were differences in village financial management before and after using the SISKEUDES application in the villages in Sonder District and there were differences in village development before and after using the application SISKEUDES is in Villages in Sonder District. Keywords: village finance, siskeudes, village financial management, village development

PRIMARY COMMUNICATIONS OF THE COUNSELLOR WITH THE CUSTOMER IN MANAGEMENT CONSULTATION

Four possible variants of the consultant’s strategies at the initial stage of management consulting of top management of companies at the stage of forming hypotheses and their adjustment in the process of subsequent use of author’s social techniques have been presented in a digital format. A feature of such researches is the subsequent development of simulation models in a digital visual graphic format. The main attention has been paid to the description of research consult-development in the analysis of managerial situations. The most authoritative researchers in the Russian practice of management consulting have been adduced in the list of references.