Future Revisions Research Articles

Using sketchnoting as a revision aid with forensic students

The concept of Sketchnoting was first introduced by Mike Rhode as a means of capturing information in a visual form using a combination of the visual and words. Within Higher Education a Sketchnote can be used to record or summarise key points from a body of information using a combination of words, simple pictures, layout and graphics. Creating a Sketchnote allows a student to be able summarise key facts from a presentation, journal article, book or practical session in a visual manner that is easier to recall at a later time.This research looks at the use of Sketchnoting as a form of interactive revision during class time. Students undertaking a 1st Year Forensic Science module at (Teesside University) University were asked to Sketchnote their learning after each hour of lecture time to form a visual representation of the lecture content in order to create a visual revision aid for their upcoming examination. The process of Sketchnoting combines both verbal and visual information for improved recall – the students are listening to the lecture then visually representing what they learn.The resulting Sketchnotes were shared each week via a class Padlet, this also allowed the academic to add formative feedback in the form of further information about the evidence type represented. The students were also able to keep their individual Sketchnotes and form a revision “book” from them. Students described the task as “Helpful”, “Refreshing” and “Creative” with approximately half the class stating they would be using this as a future revision process for exams. A preliminary analysis of the exam results demonstrated a marked increase in the lower grade boundaries for the group of students who undertook the Sketchnoting exercise.

Proposals for the incorporation of the nursing role in the certification of axial spondyloarthritis units. Literature review and expert consensus

ObjectiveTo analyse the role of nursing in the approach to axial spondyloarthritis (axSpA) and to make proposals to include the role of rheumatology nursing consultations (RECs) in the quality certification of these specialized units. MethodsA systematic review of the nursing role in quality certification systems in the management of axSpA was conducted. Subsequently a consensus conference was held with the participation of three rheumatology nurses to determine elements that should be considered in future revisions of certification standards. ResultsThe systematic review yielded five papers as relevant. None of the publications reviewed explicitly proposed standards applicable to nursing care in the management of patients with axSpA, although they contemplated the activities of this professional group. The proposals agreed upon to incorporate the role of RECs in the certification standards for axSpA monographic units included the following: basic equipment and resources, organization, administration of pharmacological treatments and promotion of adherence, standardized programmes for axSpA, telematic consultation for monitoring the stable patient, registry of patient-reported outcome measures and e-consultation. ConclusionsThe literature on quality standards and certification standards for axSpA monographic units is scarce and hardly reflects the role of RECs in providing quality care. The consensus proposals in this study would incorporate RECs into quality certification standards. In the future, the increased presence of RECs in Spain should be accompanied by a review of the indicators regarding their role.

Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events.

ObjectivesA lack of consensus around definitions and reporting standards for diagnostic errors limits the extent to which healthcare organizations can aggregate, analyze, share, and learn from these events. In response to this problem, the Agency for Healthcare Research and Quality (AHRQ) began the development of the Common Formats for Event Reporting for Diagnostic Safety Events (CFER-DS). We conducted a usability assessment of the draft CFER-DS to inform future revision and implementation.MethodsWe recruited a purposive sample of quality and safety personnel working in 8 U.S. healthcare organizations. Participants were invited to use the CFER-DS to simulate reporting for a minimum of 5 cases of diagnostic safety events and then provide written and verbal qualitative feedback. Analysis focused on participants’ perceptions of content validity, ease of use, and potential for implementation.ResultsEstimated completion time was 30 to 90 minutes per event. Participants shared generally positive feedback about content coverage and item clarity but identified reporter burden as a potential concern. Participants also identified opportunities to clarify several conceptual definitions, ensure applicability across different care settings, and develop guidance to operationalize use of CFER-DS. Findings led to refinement of content and supplementary materials to facilitate implementation.ConclusionsStandardized definitions of diagnostic safety events and reporting standards for contextual information and contributing factors can help capture and analyze diagnostic safety events. In addition to usability testing, additional feedback from the field will ensure that AHRQ’s CFER-DS is useful to a broad range of users for learning and safety improvement.

Endosteal plating in proximal humerus fractures: a novel technique and alternative to fibular strut allograft for medial column support

The purpose of this retrospective study is to investigate the clinical and radiographic outcomes associated with the use of a standard metal plate as an endosteal implant in combination with a lateral locking plate to treat 4 patients with displaced proximal humerus fractures. A retrospective case series study design was utilized, and the medical records of 4 patients with displaced, 3-part proximal humerus fractures treated using this technique between January 2019 and July 2021 were reviewed for this study. The mean age was 52 years (range, 44-57 years). The radiographic outcome of interest was humeral neck-shaft angle preoperatively, intraoperatively, and at the latest follow-up. The average follow-up duration was 62 weeks (range, 12-161 weeks). All fractures healed without loss of reduction or neurovascular deficits. Avascular necrosis was not observed in the 2 patients with sufficient follow-up time to make such an evaluation. The average neck-shaft angles preoperatively, intraoperatively, and at the latest follow-up were 104.8°, 139.8°, and 137°, respectively. Locking plate technology augmented with an endosteal plate provided stable reduction and restoration of physiologic alignment in a small number of patients with displaced proximal humerus fractures. This construct creates a second column of fixation, providing medial column support, and could be removed in the event of a future revision to a reverse shoulder arthroplasty.

Phylogenetic relationships of Aquilaria and Gyrinops (Thymelaeaceae) revisited: evidence from complete plastid genomes

Abstract The agarwood-producing genera, Aquilaria and Gyrinops, have been treated as sister genera in Thymelaeaceae (Aquilarieae, Malvales). However, there are differing opinions about their taxonomic positions. Using new evidence from complete plastid genome (plastome) sequences of 12 Aquilaria spp. and seven Gyrinops spp., corresponding to more than half the total number of species recognized in each genus, we reconstructed a phylogenetic tree of Aquilarieae. Members of both genera shared similar sequence variations at the plastome level. The phylogenetic relationships of the two genera were completely resolved using the complete plastome sequences. Gyrinops was paraphyletic to Aquilaria, i.e. Aquilaria nested in Gyrinops. Overlapping clustering patterns were observed from topology-clustering analysis using the complete plastome and the protein-coding gene sequences, which further reinforced the paraphyletic link. The maximum-likelihood-based RelTime analysis suggested that Aquilarieae and Daphneae diverged c. 44 Mya during the Eocene, followed by a rapid divergence event in Aquilarieae, with the split between G. vidalii and G. walla c. 1.24 Mya during the Pleistocene. Our new phylogenetic estimation demonstrates the relationship between the two genera, which will aid in future taxonomic revisions involving members of Aquilarieae.

Reading and associated competences of information and documentation professionals: the reading behavior of future librarians

Numerous studies have analyzed the reading habits of university students, demonstrating the benefits of voluntary reading for academic performance. It is thus paradoxical that a large fraction of university students only read instrumentally and are far from adopting stable reading habits. This general situation is repeated among future professionals in the education field, whose personal reading experiences have been proven to have a decisive influence on their training and professional practice. Students on information and documentation degree courses are among the group of future professionals who are strongly linked to reading and who must attain competence in reading and comprehension. The main aim of this study is to use a sample of 214 students on information and documentation degree courses at five Spanish universities to analyze the professional profiles of most interest to them and their relationship with reading, both at a global level and depending on their chosen profile. The results reveal that many students have not identified a clearly defined professional profile. We also confirm findings from other studies on reading habits and behaviors, where it is evident that voluntary reading is not part of their lifestyle, albeit with some differences here between students depending on the professional profile selected. These results support the idea that, although some of these competences do not seem to have a strictly information or documentation nature, given the importance given to them in professional opportunities related to these studies, their reinforcement should be considered in future revisions of such degrees.

Streamlining ASTM acoustical standards

ASTM E33, the Committee on Building and Environmental Acoustics, has decided to undertake a process to streamline and harmonize existing E33 standards. As the committee’s standards have developed over the decades, inconsistencies, omissions, and contradictions have wound their way into the standards due to cross-references among standards and revisions. Members of this committee volunteered to spearhead an effort to restructure the standards with the goal of making the standards easier to understand, simpler to use, and to facilitate future revision efforts. This paper summarizes the beginnings of this effort and steps being taken at this time.

Revisions to BLS quarterly labor productivity estimates: How large are they?

BLS quarterly estimates of labor productivity, or output per hour worked, are revised as more data become available and seasonal factors are updated. BLS publishes three regularly scheduled estimates of labor productivity growth: the preliminary estimates, the first revised estimates, and the second revised estimates. Most of the revisions result from updates to source data. This article analyzes revisions to the preliminary and first revised estimates relative to the second revised estimates and describes the new BLS methodology for constructing intervals that better informs data users about the likely size of future revisions. As part of our analysis, we identify the sources of revisions and determine whether systematic patterns exist that could be exploited to construct intervals. We find no evidence of such trends or systematic patterns.

Customers' satisfaction toward drugstore facilities and services based on the good pharmacy practice standard in Thailand.

Introduction:The Good Pharmacy Practice (GPP) standards in Thailand have been legally implemented for all drugstores since 2014. However, customer satisfaction has not been studied. This research aimed to explore the satisfaction of the customers with the facilities and services received from drugstores under the GPP standards and examine the impact of satisfaction toward each GPP domain on overall satisfaction (OS) and the intention to receive the pharmacy services as the first choice in the case of common and non-serious illnesses (IntR).Methods:This research was a cross-sectional survey study. The Google Forms for data collection was distributed via the online social media between June and August 2021. The satisfaction toward OS, IntR, and the GPP domains; places and equipment (PE), personnel (P), quality control (QC), and pharmacy services (PS) were collected using 5-Likert scales. Descriptive statistics, intra-class correlation, and multiple regression were used in data analysis with statistical significance at p-value<0.05.Results:Three hundred and eighty-eight drugstore’s customers responded to the questionnaires. Most customers rated the OS and the IntR at the highest level. The mean of the OS was 4.4±0.7 and the IntR was 4.6±0.7 points out of five. The OS and the IntR were highly correlated with the ICC of 0.719 (p-value<0.001). The satisfactions toward each GPP criteria were ranged between 3.9±0.9 to 4.6±0.7 indicating high levels of satisfaction. All 4 domains of the GPP standards explained the OS and the IntR with R square at 0.541 and 0.363, respectively. However, only PS and PE impacted the OS and only QC and PS impacted the IntR with statistical significance.Conclusion:Thai customers had high levels of the OS and the IntR toward drugstore facilities and services based on the GPP standards. The PS was the domain that statistically influenced both the OS and the IntR, whereas the PE and the QC also statistically influenced the OS and the IntR, respectively. Since PE was the most weighted domain for current inspection, PS and QC should be more emphasized in future revision of the GPP inspection.

Some issues with the International Basic Safety Standards – A time for reflection

Abstract The International Atomic Energy Agency has statutory functions for the development of radiation safety standards. Its basic safety standards have, for many years, been based on the recommendations of the International Commission on Radiological Protection, taking account of the information on the biological effects of radiation exposure provided by the United Nations Scientific Committee on the Effects of Atomic Radiation. The latest version – the International Basic Safety Standards – was published in its final form in 1996, and, since then the Agency has been assisting with their implementation in a large number of States. The experience gained, combined with a more general reflection on these Standards, has led to the identification of a number of issues that will need to be considered in any future revision. A number of these issues arise largely through an insufficient recognition of the problems associated with turning the principles of protection into regulatory style requirements, which, out of necessity, need to be legally precise, but at the same time, enforceable. Some of these issues are discussed here.

Uncemented Total Hip Arthroplasty For Osteonecrosis of The Femoral Head in Late Diagnosed Developmental Dysplasia of The Hip: A Case Report

Background: Osteonecrosis of the femoral head (ONFH) is a disease in which local death of osteocytes and the component of the bone marrow occurs owing to venous stasis or arterial blood supply damage or interruption in the femoral head. Developmental dysplasia of the hip (DDH) is characterized by an abnormal anatomical relationship between the femoral head and acetabulum, and includes acetabular dysplasia, subluxation and in the most severe cases, development dislocation of the hip joint. Total Hip Arthroplasty (THA) is among the most successful orthopedic procedures worldwide. For acute and chronic hip diseases, THA can relieve joint pain, correct deformities, and restore and improve hip function. This study aims to understand the efficacy of Uncemented Total Hip Arthroplasty as the treatment of choice for osteonecrosis of the femoral head and late diagnosed developmental dysplasia of the hip in young adult patient. Case Report: We present a case of osteonecrosis of the femoral head and late diagnosed developmental dysplasia of the hip in a 32 years old active male. He had a history of falling trauma from a height of about 1.5 meters at the age of 12 years (20 years ago), and at that period the patient was diagnosed with right femoral head fracture and had a special condition, namely developmental dysplasia of the hip, since that incident the patient had not been looking for any treatment and was unable to walk normally and always had a limping gait. Uncemented Total Hip Replacement procedure is chosen and performed successfully with good outcomes within 16 weeks after the procedure. Discussion: Uncemented and cemented replacement had satisfactory long-term survival but they differed in their modes of failure. Patients who undergo total hip arthroplasty for osteonecrosis of the femoral head are younger and more active compared to those with osteoarthritis, showing a high likelihood of future revision procedures. Therefore, cementless applications is more appropriate alternative in young adult patient with osteonecrosis of femoral head. Conclusion: Uncemented Total Hip Arthroplasty in young adult male patients with osteonecrosis of the femoral head and late diagnosis of DDH is a suitable option and has a high level of the functional effectiveness and good material durability.

Marine Spatial Planning Scheme evaluation based on the conflict analysis system - A case study in Xiamen, China

To achieve the ultimate goal of the coordination of the three elements: sea use activities, ecological environment, and marine economy, a Marine Spatial Planning (MSP) scheme requires regular evaluation and adjustments, given that one particular scheme may not take all elements into account. However, concrete evaluation methods were rarely studied, and there are few practical cases. In this study, a conflict analysis system consisting of three matrices was established to quantitatively evaluate the conflicts between the three elements. Combined with the assessment of the current status of certain sea area through the application of ArcGIS functions and tools, the major issues that certain scheme needs to address could be summarized. The conflict analysis system could also be applied to evaluate and compare different adjusted schemes under different scenarios, with the aim to determine one that can better promote coordination. The proposed method was applied in the Marine Functional Zoning (MFZ) of Xiamen, China, a precursor of MSP. The results showed that under the current MFZ scheme, conflicts among different sea use activities and conflicts between sea use activities and ecological environment were caused by the dense and diverse setting of functional zones, some overlaps, and the unsatisfying water quality, biological quality, and biodiversity. Also, the current MFZ scheme is too economically oriented to adequately balance the three elements. Based on the setting of different scenarios and evaluation of different adjusted schemes, the syncretic Scenario 4 can better meet the goal of coordination by avoiding overlaps and reducing the over-dense sea use activities, setting reserved areas and establishing restoration zones, as well as adjusting functional zones with greater economic stimulation to areas with lower pressure, etc. The application prospects and study limitations of the method were discussed in the last part. This study can provide great policy implications for Xiamen's future MFZ revision as well as a workable method for MSP scheme evaluation, adjustment, and development in other regions, which is of great significance and innovation to the sustainable management of coastal and marine areas.

Signs of manipulation of election borders in Georgian election law

In 2015, the Constitutional Court of Georgia passed an important decision and declared unconstitutional the norms of the Electoral Code on the grounds of non-compliance with the right to equality before the law, which resulted in In terms of impact on. As a result of the amendments to the Electoral Code based on the decision of the Constitutional Court, the number of voters in the constituencies has been significantly balanced, although the changes have led to accusations that the ruling party has manipulated the electoral boundaries. Non-compliance with international standards has been cited by international organizations as a major challenge to legislative change. In particular, they focused on clear criteria for delimitation and future border revision procedures, process opacity and lack of inclusion, as well as the vague method of dividing and unifying municipalities to define constituencies. The main call of the organizations to the authorities was to review the legislation related to the delimitation of constituencies in order to ensure equality of votes, however, the negative assessments did not convince the legislator of the need for changes.

Performance review of surfacing materials with enhanced levels of reclaimed asphalt

Current UK specifications permit up to 10% of reclaimed asphalt (RA) to be routinely incorporated into surface courses. The incorporation of RA provides significant economic and environmental benefits by effectively using recycled materials. Trials of thin surface course systems incorporating more than 10% RA have been installed on the strategic road network since 2004, and have demonstrated the feasibility of incorporating higher RA contents and the necessary quality controls. The trial sites have now been in service for a significant period, providing an opportunity to understand their performance. Current practice and trials undertaken for &gt;10% RA contents in the UK are summarised in this paper. Detailed analysis of the performance of junctions 6–7 and 7–8 of the M25 clockwise (23% RA, installed in 2007) and junctions 7–6 of the M25 anti-clockwise (40% RA, installed in 2009) is presented. Quantifiable evidence regarding the performance of surface course materials containing RA &gt; 10% is provided. The analysis demonstrates that surface courses containing RA have performed equivalently to control sections containing no RA over a significant period of time. The trials indicate that the inclusion of RA, when subject to the appropriate quality control processes, has had no detrimental impact on skid resistance. The conclusions support the incremental increase of the maximum permitted RA content from 10% to 20% with appropriate quality controls in the future revision of PD 6691:2015.

Research Domain Criteria (RDoC): Progress and Potential

The National Institute of Mental Health (NIMH) addressed in its 2008 Strategic Plan an emerging concern that the current diagnostic system was hampering translational research, as accumulating data suggested that the system’s disorder categories constituted heterogeneous syndromes rather than specific diseases. However, established practices in peer review placed high priority on that system’s disorders in evaluating grant applications for mental illness. To provide guidelines for alternative study designs, NIMH set a goal to develop new ways of studying psychopathology based on dimensions of measurable behavior and related neurobiological measures. The Research Domain Criteria (RDoC) project is the result, intended to build a literature that informs new conceptions of mental illness and future revisions to diagnostic manuals. The framework calls for the study of empirically derived fundamental dimensions characterized by related behavioral/psychological and neurobiological data (e.g., reward valuation, working memory). RDoC also emphasizes approaches including neurodevelopment, environmental effects, and the full range of dimensions of interest (from typical to increasingly abnormal), as well as research designs that integrate data across behavioral, biological, and self-report measures. This article provides an overview of the project’s first decade and its potential future directions. RDoC remains grounded in experimental psychopathology perspectives, and its progress is strongly linked to psychological measurement and integrative approaches to brain-behavior relationships.

Analysis of arts and crafts content in the arts and physical education integrated textbook of grade 3: Amhara national regional state in focus

This research focused on grade three Textbook of the Amara National Regional State Education Bureau, published in 2015 (2007 Eth. C) and aimed at content selection and integration with other learning. The evaluation concerns content selection in terms of dimensions of the learner (age, level of learning, and culture) and arts integration with other learning. Evaluation is made based on standards in textbook writing informed by the literature. In this study, qualitative content analysis (QCA) is adopted as a method for the subjective interpretation of the arts and crafts content of the textbook through the systematic process of classification, coding and identifying themes or patterns. The curriculum framework for KG—Grade 12, Pre- Formal Education and Caring O-Class Syllabus, the Grades 1–4 Arts and Physical Education Integrated syllabus, Arts and Physical Education Textbook for Grade 3 were selected as the major data sources using purposive sampling technique in this study. The results of qualitative content analysis indicated that there was a good alignment between the arts and crafts content with the learners’ age level and culture. However, the emphasis placed on handcrafts was found unsatisfactory. The textbook had focused on “sine-wubet” (i.e., beauty), rather than “sine-tibeb” (i.e., the arts) as intended in the syllabus. In the end, implications to future revision of the textbook are included in the study.

Tumor Size, Not Small Vessel Invasion, Predicts Survival in Patients With Hepatocellular Carcinoma.

The 8th edition American Joint Committee on Cancer (AJCC) staging system for hepatocellular carcinoma (HCC) has been criticized for failing to stratify patients. We aimed to reassess and modify the tumor staging criteria for HCC. Three independent study cohorts were collected and analyzed. The initial cohort consists of 103 patients with HCC. By Kaplan-Meier survival analysis, the 8th edition failed to distinguish between T1b and T2. Only tumor size and large vessel invasion, but not small vessel invasion or other histopathologic parameters, predicted HCC survival. We modified the T staging criteria by eliminating small vessel invasion while emphasizing tumor size in the middle categories (T2 and T3), which achieved more even distribution of cases and significantly improved risk stratifications (P < .001). This modification was then validated in a cohort of 250 consecutive patients from Mount Sinai Hospital and an online Surveillance, Epidemiology, and End Results data set comprising 9,685 patients, which showed similar results. Small vessel invasion was not an independent prognostic factor in either validation cohort. Our study showed that tumor size, but not small vessel invasion, predicts survival in patients with HCC. We suggest incorporating our modified T staging criteria in future AJCC revisions.

Marine spatial planning for transboundary issues in bays of Fujian, China: A hierarchical system

Transboundary issue is one of the main concerns of marine spatial planning (MSP) studies around the world, including China. With few studies on the effective approaches to address the transboundary issues in MSP reported, this study aims to assess the coordination effectiveness of transboundary bays at both municipal level MSP and provincial level MSP, using Xiamen Bay, Meizhou Bay, and Xinghua Bay in Fujian province as the study areas. To conduct this study, a method of sea use intensity and conflict was applied and developed to evaluate the coordination effectiveness of MSP at the municipal and provincial levels. A scoring method was applied to obtain each sea use intensity value (based on marine resources and impacts on marine environment) and the sea use pair conflict value (based on the influence or interference of two adjacent sea use types). Afterward, the outcome of this work was calculated and visualized using GIS tools. The results revealed that both the sea use intensity and conflict at municipal were higher than that of the provincial level MSP, which clearly indicates the existence of conflict between hierarchical MSP, furthermore, this study also revealed the necessity for transboundary coordination analysis since the highest sea use conflict was observed at the cross-boundary area of the provincial level MSP and in the city interior area of the municipal level. Based on the overall study, it was observed that the sea use conflict value had a negative relationship with sea use intensity value, most of which were showcased in Xiamen Bay having the lowest sea use intensity but the highest sea use conflict at both hierarchical levels MSP (SUIV, 3.87 and 4.61. SUCV, 8.60 and 9.38 at the municipal and provincial level MSP respectively), this is believed to be impacted by the increased marine industrial structure and a lack of spatial coordination. The results of this study will help the government to improve the MSP coordination in transboundary bays at the hierarchical systems, and inform potential future revisions of the coastal zone utilization at local, regional, and national scales.

The "Smile Mastopexy": A Novel Technique to Aesthetically Address the Excess Skin Envelope in Large, Ptotic Breasts While Preserving Nipple Areolar Complex During Prosthetic Breast Reconstruction.

Classically large, ptotic breasts have been a contraindication for nipple preservation during breast reconstruction. We present a technique of "smile mastopexy" (SM) to reduce the excess skin in both vertical and transverse directions, avoid a T-junction, preserve the nipple areolar complex, and add thickness to the upper pole of the breast at the time of mastectomy. The authors sought to demonstrate the safety and reliability of a novel technique that addresses the excess skin envelope during breast reconstruction while preserving the nipple-areola complex in large, ptotic breasts. This is a retrospective review of a single surgeon performing the SM for immediate 2-stage prosthetic breast reconstruction. All were performed in the prepectoral pocket without utilization of acellular dermal matrices. Thirty patients (total 54 breasts) aged a mean 50 years with BMI of 30 kg/m2 and mastectomy specimen weight of 683 g were included. All had class 2 or 3 ptosis. There were no cases of complete nipple loss. The overall complication rate was 14.8%. There were 3 explantations: 1 (1.8%) due to infection and 2 (3.7%) due to implant exposure. Radiation was associated with a higher complication rate. The SM is a safe and reliable technique in large, ptotic breasts during prosthetic breast reconstruction. It preserves the nipple-areola complex, reduces the excess skin envelope, adds thickness to the upper pole, and allows for future skin revisions with the same scar if necessary.

Surveillance of Fluoroquinolone Resistance in Wisconsin: Geographic Variation and Impact of Revised CLSI Breakpoints

Objective: Many clinical microbiology laboratories procure antimicrobial susceptibility testing data using guidelines established by Clinical and Laboratory Standards Institute (CLSI). When necessary, CLSI revises interpretive breakpoints in efforts to improve clinical correlation, with two revisions relative to fluoroquinolone agents occurring in 2019. The purpose of this investigation was to determine the impact of fluoroquinolone breakpoint revisions on Wisconsin clinical isolates of Escherichia coli, Proteus mirabilis, and Pseudomonas aeruginosa. Design: Multi-center laboratory surveillance, with testing at a single location utilizing standardized media and susceptibility testing protocols.Methods: From the Surveillance of Wisconsin Organisms for Trends in Antimicrobial Resistance and Epidemiology (SWOTARE) program, levofloxacin and ciprofloxacin minimum inhibitory concentration (MIC) values for 1911, 1521, and 1463 Wisconsin isolates of E. coli, P. mirabilis, and P. aeruginosa, respectively, were determined by broth microdilution testing. In separate data analyses, all MIC data were interpreted using CLSI breakpoints published prior to 2019, then secondarily by using CLSI breakpoints published since 2019 (which reflect lower breakpoints for both levofloxacin and ciprofloxacin resistance). Findings were further stratified by Wisconsin Department of Health Services region.Results: Up to 3.2% decreased statewide fluoroquinolone susceptibility was observed for E. coli isolates, while 5.1% and 6.3% decreases in levofloxacin susceptibility were noted for P. aeruginosa and P. mirabilis isolates, respectively, when revised breakpoints were applied. E. coli isolates from the Western region and P. mirabilis isolates from the Southeastern region demonstrated significant shifts toward decreased fluoroquinolone susceptibility upon application of revised breakpoints. Northern region P. mirabilis isolates exhibited consistently decreased fluoroquinolone susceptibility.Conclusions: Fluoroquinolone resistance has been underreported in Wisconsin as a whole, yet geographic variability continues to exist. Targeted annual surveillance is important to identify and monitor resistance trending. Compilations of SWOTARE surveillance data can be utilized to predict the impact of future CLSI interpretive breakpoint revisions in Wisconsin.