Case Study Of C/MAJ Brown

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Case Study Of C/MAJ Brown

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An Evolutionary Biologist Looks at Variants, and the Role of Rapid Testing in Covid

At its foundation, Brown was the first college in the United States to accept students regardless of their religious affiliation. Brown needed to unify information that was confined in multiple, dissimilar systems. The University relied on many manual financial processes and its data was stored across several systems, further reducing efficiency. Brown University was in need of a Financial Management software that goes beyond the basics of accounting and would focus on speed, cost, agility, and strategic insights.

The Ivy League school struggled with a limited number of finance and accounting capabilities, delayed business insights, and managing business assets. Brown University wanted a full range of Financial and Accounting capabilities in a cloud-based application. Collaborative Solutions partnered with Workday on this multiphase project to deploy the full suite of Workday Financial Management. This went live after 12 months in July Phase 2 included Customer Accounts, Project Capitalization, Moveable Equipment and Assets, and went live in a staggered 12 month deployment in July Specifically, Brown University now has complete visibility into payment processes, cash flow, financial reporting, and business assets. It now has reduced the time spent collecting, consolidating, and reconciling data from fragmented systems.

Tangible and intangible assets are easily defined, tracked, and accounted for with Business Assets, and Brown can more accurately forecast cash flow with embedded analytics. Park, PhD 3 ; Katherine J. Scott Laney, PhD 2 View author affiliations. The B. Cycle threshold values were similar among specimens from patients who were fully vaccinated and those who were not.

Jurisdictions might consider expanded prevention strategies, including universal masking in indoor public settings, particularly for large public gatherings that include travelers from many areas with differing levels of SARS-CoV-2 transmission. Genomic sequencing of specimens from patients identified the B. Among five COVID patients who were hospitalized, four were fully vaccinated; no deaths were reported. The Delta variant of SARS-CoV-2 is highly transmissible 1 ; vaccination is the most important strategy to prevent severe illness and death. On July 27, CDC recommended that all persons, including those who are fully vaccinated, should wear masks in indoor public settings in areas where COVID transmission is high or substantial.

During July 3—17, , multiple summer events and large public gatherings were held in a town in Barnstable County, Massachusetts, that attracted thousands of tourists from across the United States. Persons with COVID reported attending densely packed indoor and outdoor events at venues that included bars, restaurants, guest houses, and rental homes. On July 3, MA DPH had reported a day average COVID incidence of zero cases per , persons per day in residents of the town in Barnstable County; by July 17, the day average incidence increased to cases per , persons per day in residents of the town 2. Additional cases were identified by local health jurisdictions through case investigation.

COVID cases were matched with the state immunization registry. Among persons with breakthrough infection, four 1. Transmission mitigation measures included broadening testing recommendations for persons with travel or close contact with a cluster-associated case, irrespective of vaccination status; local recommendations for mask use in indoor settings, irrespective of vaccination status; deployment of state-funded mobile testing and vaccination units in the town in Barnstable County; and informational outreach to visitors and residents.

The call from MA DPH for cases resulted in additional reports of cases among residents of 22 other states who had traveled to the town in Barnstable County during July 3—17, as well as reports of secondary transmission; further analyses are ongoing. Further investigations and characterization of breakthrough infections and vaccine effectiveness among this highly vaccinated population are ongoing. The SARS-CoV-2 Delta variant is highly transmissible 1 , and understanding determinants of transmission, including human behavior and vaccine effectiveness, is critical to developing prevention strategies.

The findings in this report are subject to at least four limitations. As population-level vaccination coverage increases, vaccinated persons are likely to represent a larger proportion of COVID cases. Second, asymptomatic breakthrough infections might be underrepresented because of detection bias. Third, demographics of cases likely reflect those of attendees at the public gatherings, as events were marketed to adult male participants; further study is underway to identify other population characteristics among cases, such as additional demographic characteristics and underlying health conditions including immunocompromising conditions. However, microbiological studies are required to confirm these findings.

Event organizers and local health jurisdictions should continually assess the need for additional measures, including limiting capacity at gatherings or event postponement, based on current rates of COVID transmission, population vaccination coverage, and other factors. Findings from this investigation suggest that even jurisdictions without substantial or high COVID transmission might consider expanding prevention strategies, including masking in indoor public settings regardless of vaccination status, given the potential risk of infection during attendance at large public gatherings that include travelers from many areas with differing levels of transmission.

Clougherty, John C. Corresponding author: Catherine Brown, catherine. All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. Stacey B.

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