While taking a fashion technology course under the instruction of Galina Mihaleva, I developed a tracksuit incorporating concealed LED displays that are capable of scrolling customizable text on the sides of the garment. I expanded on this futuristic execution of politically charged clothes by utilizing a more realistic application of the LED technology in the Bouis Vuitton project. This project is a collection of six white vinyl bags with semi-flexible LED displays projecting revolutionary slogans through the vinyl textile.
The bags act as an appropriate housing for technology that is intended for significantly longer use, as bags have a longer lifespan in wardrobes than clothes and return to trend more frequently. The production investment in the technology is more equitable to the investment in the production of a bag and facilitates the wearer’s broadcasting of concise messages. The result is a collection of functional, utilitarian pieces with a clean, futuristic look and a mixed modern and vintage silhouette scrolling pro-revolutionary messages.
Broadcasting the knock-off name ‘BOUIS VUITTON’, I’ve inserted only my first initial into the reputable luxury company and paired it with slogans: ‘EAT THE RICH’ and ‘HEADS WILL ROLL’. The collection articulates a sense of nihilism felt by the youngest generations growing up on the outside of a very exclusive economic and political sphere. Three upcycled vintage luggage pieces evoke associations with the white American upper-class society of the 1960s. The luggage pieces were retrofitted in white vinyl and white-enameled metal fixtures. Three additional soft bags made of the same material reflect a utilitarian style of functional bags on trend with Spring/Summer 2019 streetwear. For the runway presentation of the bags, the models are dressed in navy-colored Dickies boiler suits, white retro-style Fila sneakers, and white ascots reminiscent of the historical male ruffled cravat. The contradictions of iconic silhouettes from both upper and lower-class American fashion history further the juxtaposition of anti-capitalist slogans posted on luxury goods.
Bouis Vuitton: Bags for the Revolution is intended to embody an unapologetic disregard for established wealth and political power in the most public of venues: the sidewalk, the mall, the high and the low-income neighborhoods – wherever people are wearing clothes. Fashion is the modern protest that requires no permit, and the new poster is a luxury bag.
Emergency department (ED) overcrowding is expected to increase at a rate of 1.9% yearly, leading to the inability to provide efficient and timely care, causing preventable medical errors and delays in time sensitive care. The Agency for Healthcare Research and Quality estimates that 21-33% of all ED visits are non-emergent and increased age correlates with increased use of Pre-hospital EMS systems and emergency rooms. This study aimed to determine if an advance practice nurse (APN) in an older adult pre-hospital setting could reduce the use of 911 for non-urgent calls and transports, using the para-medicine model of care. Available evidence demonstrated a decrease in non-urgent transports with potential for significant savings to the healthcare system.
This study was conducted in a community where 86.3% of residents are over the age of 65. The local fire department employed a full time APN who evaluated patients identified by EMS crews as at risk for repeat use of the 911 system. Following a 911 call and a referral by medics, the APN contacted patients to arrange a home visit. The purpose served to evaluate current health status, risks, and gaps in care. Interventions included assistance reducing safety concerns, assistance with coordination of care, and working with patient primary care providers to meet patient needs. Data collection included patient age, gender, number of 911 calls 30 days prior and 30 days post intervention, number of ambulance transports following intervention and PEI score after the initial APN visit.
Six patients (32%) accepted the intervention and 13 or (68%) refused the intervention, with a mean age of 86 years of age. Wilcoxin signed rank test indicates the number of pre-intervention 911 calls was statistically significantly higher than the number of post-intervention 911 calls. Z= -2.23, Asymp. Sig. (2 tailed) = 0.03. A Fisher’s exact test and Pearson’s Chai squared test did not demonstrate a statistical significance in the number of ambulance transports, which could be attributed to the low participation rate in the intervention (n=6). These results indicate that an APN in the pre-hospital setting can have an impact on use of 911 calls for non-urgent problems and. Furthermore, the ability to assist with care coordination and advocate for available services within the circle of the medical home closes gaps in care that are currently left unfilled.
The project used a mixed method design. Participants were recruited from a primary care practice. Descriptive statistics described the sample and outcome variable. An independent t- test measured if there were significant changes in the participant responses for the ACP survey.
The average age (standard deviation) of the chart review sample was 72.22 (SD=9.47). The ages ranged from 60 to 100 years of age. Most of the sample in the chart audit were female with 105 (53%) participants and 95 (48%) were male. Most of the sample, 183 (92.5%) reported having a chronic health condition and 17 (7.5%) of the sample reported having no chronic condition. Overall, the results were inclined towards a significant difference in participants who did the ACP discussions and those who did not when comparing completed AD forms.