Non-traditional Locations Research Articles

Surgeon Perceptions of Performing Transforaminal Lumbar Interbody Fusion in an Ambulatory Surgical Center vs Hospital Setting in the Elderly Population: Results of a Surgeon Survey.

There is an increasing acceptance of conducting minimally invasive transforaminal lumbar interbody fusion (TLIF) in ambulatory surgical centers (ASCs). The Centers for Medicare and Medicaid Services (CMS) introduced the Hospitals Without Walls (HWW) program in March 2020. This program granted hospitals regulatory flexibility to offer services and procedures in nontraditional locations, including ASCs. However, implementation hurdles persist. A survey was sent to 235 surgeons regarding the use of ASCs for performing TLIF surgeries on elderly patients. Multiple-choice questions covering various aspects of TLIF practice preferences, including surgical indications, decision factors for choosing ASCs over hospitals, implementation hurdles, reimbursement concerns, staffing issues, and the impact of CMS rules and regulations on TLIF in ASCs, particularly concerning physician ownership and self-referral conflicts governed by the Stark law, were asked. The survey completion rate was 25.8% (Figure 1). The most common surgical indications for TLIF in ASCs were spondylolisthesis (80%), spinal stenosis (62.5%), and low back pain (47.5%). Most surgeons (78%) believed TLIF could be safely performed in ASCs. Streamlined workflow, lower infection rates, and cost-effectiveness were advantages listed by 58.5% of surgeons. Patient's medical history (75.8%), followed by ASC resources and capabilities (61%) and surgeon preference (61%), were relevant factors. Higher efficiencies at ASCs (14.6%), contractual issues (9.8%), and ownership issues (7.3%) were less relevant to surgeons. About 65.9% of surgeons reported lower reimbursement in ASCs, and 43.9% said it was an implementation hurdle. Lower direct costs were reported by 53.7% of surgeons. Other hurdles included a lack of trained staff (24.4%), inadequate staffing (22.0%), cost overruns (26.8%), high Joint Commission or the Accreditation Association for Ambulatory Health Care credentialing costs, and surgeons feeling uncomfortable performing TLIF in ASCs (22.0%). Only 17.1% listed medical problems as a reason their patient was considered unsuitable for the ASC environment. A majority (53.7%) stated that their ASCs complied with strict Stark requirements by disclosing physician ownership interests. However, 22% of surgeons reported self-referrals under the "In-Office Ancillary Services Exception" allowed by the Stark law. Our survey data show that surgeons' perceptions of current CMS rules and regulations may hinder the transition into the ASC setting because they think the reimbursement is too low and the regulatory burden is too high. ASCs have disproportionally higher initial acquisition and ongoing costs related to staff training and maintenance of the TLIF technology that CMS should consider when determining the appropriate financial remuneration for these complex procedures. ASC offers a viable and attractive option for their TLIF procedure with the advantage of same-day discharge and at-home recovery.

Manpower Recruitment Agencies in Nepal

The daily exodus of an increasing number of Nepali to many foreign nations has a significant economic influence on the country. It is not a new phenomenon in Nepal for people to migrate outside to seek work. Still, it is a relatively new practice in Nepal to facilitate overseas migration through employment agencies. Nepal's liberal democratic atmosphere, openness, and the nationwide spread of the Maoist insurgency contributed to a dramatic rise in transnational movements in the country midway through the 2000s. Over this period, there was a notable increase in the number of Nepalis using brokering agencies and their agents to help them migrate out of Nepal, mostly to non-traditional locations in India. Moving further from mere focusing on impact of international migration on migrants and their family members, this article discusses the distinguishing features and nature of recruitment agencies that facilitate the worldwide migration of foreign workers from Nepal. This article is based on research that looked at companies that help workers migrate outside of Nepal through migrant recruiting. Since these groups are a part of global networks that assist individuals travelling across borders, their actions have made it simpler to turn Nepalis into commodities on the global market stage. To gain an understanding of the nuances of the topic and to derive meaning from the raw data, the study relied mainly on primary and ethnographic data that were subsequently processed thematically.

PO-05-143 IMPLANTING AN ACTIVE HELIX-FIXATION LEADLESS PACEMAKER IN A PATIENT WITH EXISTING HEARTWARE LEFT VENTRICULAR ASSIST DEVICE

Leadless pacemakers (LP) are being increasingly utilized to avoid complications associated with transvenous pacemakers, such as infection, venous occlusion, tricuspid regurgitation, and lead related complications (dislodgment, fracture, or insulation failure). The new AVEIR LP (Abbott Medical, Sylmar, CA) is the second leadless pacing system to become available in the US in 2022 after the MICRA device. There is limited data regarding the safety and efficacy of LPs in patients with left ventricular assist devices (LVADs), electromagnetic interference (EMI) from LVADs is a concern, and little is known about the interaction of LVAD with novel conductive communication unique to AVEIR LP. We describe a case of successful implantation of an AVEIR LP in a patient with HeartWare LVAD. N/A A 66-year-old woman with a HeartWare (Medtronic) LVAD was referred for a permanent pacemaker implantation due to episodes of bradycardia dependent torsades. Given low pacing requirement with no need of defibrillator therapy, implantation of a AVEIR LP was planned to decrease risks associated with transvenous pacemakers. Prior to the procedure, noise, threshold, and saturation scores were evaluated for potential communication issues with the LP. Traditional antero-lateral patch placement revealed unacceptable results, and the two left sided patches were modified to a postero-lateral location circumferentially around the patient, and further from the LVAD, which resulted in acceptable values and confidence in device to programmer communication during the implant. The LP was implanted using standard techniques. After crossing the tricuspid valve, contrast injections revealed optimal low septal placement, and electrical mapping was used to identify an optimal location before fixating the helix. During the immediate postoperative period and at two-week follow up, the device showed no EMI and no difficulties communicating with the programmer. This is the first description of implantation of an AVEIR LP in a patient with HeartWare LVAD. LP implantation with perioperative mapping capability and helix-driven fixation method is feasible and may be an effective alternative to transvenous pacemakers in patients with LVAD. In the presence of an LVAD, optimizing conductive communication with the LP may require adjustment of patch placement to a nontraditional location. Further studies are needed to evaluate the safety and efficacy of leadless pacemaker devices in this unique cohort of patients.

The Role of Theatrical Costume in the Creation of Artistic Image in Opera Performance

The influence of the peculiarities of the theatrical costume on the creation of artistic image of opera performance and its character is considered. The essence of the artistic image in musical art in the context of communication "composer - performer-interpreter - listener" is clarified. The differences between the artistic image of a musical and theatrical performance, its creation in the context of the commonwealth of conductor, director, scenographer, costume designer, choreographer and perception by the audience through performers are established. The artistic image of the performance as a visual embodiment of the supertask, its formation by metaphor, hyperbole, comparison or allegory is revealed. The need to adhere to a single style in the conceptual vision and artistic solution of the play by the director, scenographer, and costume designer is outlined. The artistic image of the character is described as a synthesis of the unity of internal and external manifestations of the personal characteristics of the hero, subordinated to the idea of the work. The functional purpose of the theatrical costume as an important element in the creation of the artistic image of the character and the play is analyzed. The dependence of the artistic expressiveness of the costume on the stylistic unity of all its components is emphasized. The peculiarities of the use of symbols and metaphors in theatrical costumes to reveal a certain subtext of the play's drama are revealed. The features of creating a costume for a musical and theatrical performance according to comfortable singing conditions are characterized. The concept of scenographic design and stylization of the theater costume according to the director's interpretation of the opera performance is defined. It has been found that the artistic reconstruction of the ancient opera is characterized by a decorative solution and stylization of costumes in the context of hedonistic court aesthetics of the Baroque era, while the traditional representation of classical opera is characterized by a historically reliable scenographic solution and stylization of costumes in the context of realistic aesthetics, appropriate to the time and place of action, which occur in the work. It is proved that modern interpretations of ancient, classical and modern operas are characterized by conventional symbolic nature of scenographic solutions and stylization of costumes in the context of postmodern aesthetics. Prospects for further scientific exploration of selected issues related to the specifics of creating an artistic image of an opera performance in non-traditional locations are predicted.

COVID-19 Vaccine Equity: Codesigning Public Health Interventions with Community Partners.

COVID-19 Vaccine Equity: Codesigning Public Health Interventions with Community Partners.

Medical and Surgical Treatment of Atrial Fibrillation

As the world's growing population ages, diseases associated with the elderly, such as atrial fibrillation (AF), have increased in prevalence. These patients require specialized anesthetic care when presenting for surgical procedures, as they often have additional cardiovascular comorbidities and are frequently anticoagulated. Innovative techniques promise to mitigate thromboembolic risks associated with AF or even provide a cure. However, many are highly technical and associated with unique and potentially serious complications. Increasingly, comfort with providing anesthetics in nontraditional locations and use of advanced transesophageal echocardiography are required of anesthesiologists to safely and competently provide care during these novel procedures.

Public Libraries: Your Partner in Increasing College Literacy Among Nontraditional Prospective Students

The Netflix docudrama, Operation Varsity Blues: The College Admissions Scandal, illustrates how college admissions, particularly at elite colleges, favors the privileged. Higher educational attainment overall favors the informed. Prospective students have many options when it comes to earning a college degree, with some of the more visible options (e.g. for-profit institutions) to degree attainment resulting in time and money wasted for nontraditional students. Thus, higher education professionals must educate prospective students on their options—sometimes at nontraditional locations. The local public library is one such uncommon, yet ideal location for reaching adult prospective students. Written from the perspective of a former higher education admission and advising professional now library science faculty, this article proposes that the reopening of public libraries post-quarantine is an opportune moment for colleges and universities to create partnerships to recruit adult students. Following a discussion of degree attainment among nontraditional students, barriers experienced, and public library services for adults, I offer four practical suggestions for higher education practitioners to collaborate with public libraries to broaden nontraditional, adult prospective students’ awareness of postsecondary opportunities.

How telemental health delivered to non-traditional locations helped prepare for responses to COVID-19

How telemental health delivered to non-traditional locations helped prepare for responses to COVID-19

Interaction Of Dance Parties And Orchestra In Traditional And Untypical Locations Of Ballet Performances

The organic combination of music and choreography in the conception of ballet performances thanks to co-creation of the conductor and the choreographer is considered. Insufficient research of the chosen theme, the need for a thorough analysis of the implementation of ballet performances in traditional and untypical conditions are detected. The specifics of conducting practice in opera and ballet theater are compared. The common features and differences in conducting techniques and approaches in the specified types of arts are outlined. The crucial role of the orchestra in the reproduction of the inner and outer life of stage characters in a ballet performance is clarified. The task of the conductor in the work on the score of the ballet performance and in identifying the line of its stage action is singled out. The interaction of dance parties and orchestra in traditional and non-traditional locations of ballet performances is analyzed. The attention is given to the specifics of the conductor's work in these conditions, the accompaniment of ballet, taking into account the difficulties of choreography. Conducting techniques in simultaneous performance of ballet parts by dancers and an orchestra in traditional circumstances of demonstration of performances are illustrated. The peculiarities of the conductor 's work in non-traditional locations of ballet performances are investigated. Conducting approaches to the realization of ballet performances in non-standard conditions of their demonstrations are determined on the basis of the experience of leading artists and the author of the article. Emphasis is placed on the need to find individual solutions to ensure the simultaneous performance of parts by the orchestra and dancers. It is proved that in traditional conditions to achieve the integrity of the orchestral sound and performance of dance parts, the conductor must take into account the individual characteristics and capabilities of ballet dancers to ensure the appropriate tempo- rhythm. In untypical locations of ballet performances, the conductor must be creative, find individual techniques to ensure his visual contact with the artists, synchronizing their performance with the orchestral sound.

Agro-Climatic Suitability Evaluation for Saffron Production in Areas of Western Himalaya.

Saffron (Crocus sativus L.) is an expensive spice crop cultivated successfully in Iran, Afghanistan, India, Greece, Morocco, Spain, and Italy. The present study was conducted during the periods 2018–2019 and 2019–2020 to evaluate the morphological, yield and quality parameters of saffron in six different regions of non-traditional areas of the western Himalayas. The two experimental factors were “year” and “location.” The experiment was conducted using a factorial randomized block design with three replications. Yield attributes, viz., number of flowers, fresh flower yield, fresh stigma yield and dry stigma yield were significantly higher in location L3 compared to other geographical locations. Dry stigma yield in location L3 was higher by 50.0, 41.2, 33.3, 14.3, and 9.1% compared to locations L6, L5, L1, L4, and L2, respectively. These were characterized by the appropriate climatic conditions, viz., high altitude, sandy-loam texture of the soil, optimum temperature, lesser relative humidity and total rainfall, demonstrating that it is possible to cultivate this spice even in non-traditional areas of the western Himalaya. Positive correlations were established for stigma yield with increased altitude and lesser rainfall. Secondary metabolites viz., crocin and picrocrocin increased significantly with the increase in altitude; however, a reverse trend was recorded for safranal content. Total phenolics and flavonoids were significantly higher in the geographical location of Kinnaur, H.P. (L1) and Bharmour, H.P. (L4). In conclusion, the assessment of different geographical locations and soil types is particularly necessary to encourage saffron production and its qualitative traits. Based on current findings, saffron can be grown successfully in some non-traditional locations of the western Himalayan regions.

Improving Adolescent Sexual and Reproductive Health: Can Mobile Health Interventions Affect Behavior?

* Abbreviations: LGB+ — : lesbian, gay, bisexual, and other sexual minority mHealth — : mobile health SRH — : sexual and reproductive health In this issue of Pediatrics , Ybarra et al1 report the results of a national randomized controlled trial of Girl2Girl, a mobile health (mHealth) intervention aiming to reduce pregnancy rates among lesbian, gay, bisexual, and other sexual minority (LGB+) adolescent girls. Researchers randomly assigned 948 girls aged 14 to 18 to the theory-based, user-informed text messaging intervention versus an attention-matched control group. At trial end, 5 months post-enrollment, those in the Girl2Girl intervention group were significantly more likely to have condom-protected sex and use a birth control method other than condoms. The study allows us to reflect on the overall impact of mHealth interventions to date because few mHealth interventions have been successful in affecting adolescent sexual and reproductive health (SRH) to the level of Girl2Girl.2 Several reasons likely contribute to this variation. First, behavior change is multifactorial, especially SRH behaviors, affected by a variety of societal and contextual factors. These factors make behavior change challenging to comprehensively address within one intervention. Next, retention rates in mHealth trials can be suboptimal. Adolescents frequently change phone numbers and experience phone disconnections, making patient follow-up challenging and full intervention delivery problematic.3 Lastly, the adoption of any mHealth intervention competes with a host … Address correspondence to Lauren S. Chernick, MD, MSc, Division of Pediatric Emergency Medicine, Department of Emergency Medicine, Columbia University Irving Medical Center, 3959 Broadway, CHN 1-116, New York, NY 10032. E-mail: lc2243{at}columbia.edu

Telemental Health Response to the COVID-19 Pandemic: Virtualization of Outpatient Care Now as a Pathway to the Future.

The use of telemental health (TMH) has fostered the continued provision of mental health care during the COVID-19 pandemic, and ultimately prevented the significant drop in clinical visits as experienced by other health care disciplines. Many health care providers and systems rapidly virtualized care to include visits occurring in what previously were defined as nontraditional locations such as provider and patient homes. Emerging data and reports suggest that this rapid virtualization of mental health services occurred safely and effectively. Although it is uncertain how long the full virtualization will remain, we envision a future wherein mental health services are delivered using a hybrid in-person/TMH approach. This opinion provides an overview of current lessons learned from rapid virtualization due to COVID-19 mitigation strategies and recommends that mental health providers and systems use these lessons to define and promote hybrid care delivery.

Fatty Acids and Sugars in Lablab Seed Produced in Virginia (A Non-traditional Location)

Lablab [Lablab purpureus (L.) Sweet], a relatively unknown crop in the United States of America, is understood to be adapted to Southern USA. Even though, previous studies conducted in Virginia have indicated that Lablab can be produced in Virginia as a forage crop, composition of lablab seed produced in Virginia is unknown. To alleviate this limitation, seeds of seventeen lablab lines from a replicated field study, that was conducted for two years, were analyzed for concentrations of fatty acids and sugars. Results indicated that genotypes had mostly significant effects on concentrations of fatty acids and sugars. Prominent fatty acids in lablab seeds, grown in Virginia (USA), were linoleic (53.5%), palmitic (15.8%), and linolenic (14.1%). Mean saturated and total unsaturated fatty acids in lablab seeds were 22.2 and 77.6%, respectively. Mean concentrations of sucrose, fructose, and glucose concentrations in lablab seed were 1.45, 0.42, and 0.78 g per 100 g meal. Mean concentrations of total non-nutritive sugars (Raffinose+Stachyose+Verbascose) in lablab seed were 4.96 g per 100 g meal. Correlations between several nutritional quality traits in lablab seed were observed to be significant. A comparison of nutritional quality of lablab seed with literature values of black bean, navy bean, kidney bean, pinto bean, and pea indicated that lablab has potential as a new food legume for United States of America.

Use of Bank Swallow (Riparia riparia) Burrows as Shelter by Common Tern (Sterna hirundo) Chicks

The availability of shelter to avoid predation and ameliorate physiologically stressful conditions is often important to the survival of avian hatchlings. However, as changes in habitat availability force birds to nest in nontraditional locations, young must quickly adapt to using novel sources of shelter. Two Common Tern (Sterna hirundo) colonies (one vegetated and one barren) were observed during the 2017 breeding season on a remote island habitat restoration project during data collection for a larger associated study. While chicks within the vegetated colony sought shade under vegetation, those in the barren colony were frequently found under anthropogenically constructed chick shelters. The first reported instance of Common Tern chicks using Bank Swallow (Riparia riparia) burrows for shelter was also observed in the barren colony. This behavior, when paired with other similar reports, suggests that this species is able to recognize beneficial shelters, both natural and anthropogenic, and use them at a young age, an important ability if they are to successfully reproduce in atypical habitats. The Erratum for this article is available inWaterbirds 42(2).

The “Virtual” Obstetrical Intensive Care Unit: Providing Critical Care for Contemporary Obstetrics in Nontraditional Locations

(Am J Obstet Gynecol. 2016;215(6):736.e1–736.e4) This American Journal of Obstetrics and Gynecology Viewpoint article makes the case for a “virtual” obstetrical intensive care unit to provide optimal care for critically ill pregnant patients while also optimizing resource allocation. The authors note that there is limited research to guide recommendations for the optimal setting for delivery of care to critically ill pregnant women, and summarize the current state of the field of managing the critically ill pregnant woman.

(Re)configuring research value: international commercial clinical trials in the Russian Federation

Clinical trials of new drugs are generally understood in terms of contribution to the future well-being of patients and society at large, while studies of the political economy of trials reveal that global health inequalities have come to sustain the continuous and lucrative operation of this enterprise. The divide between profit generation and improvements in local well-being could be especially vivid when international commercial clinical trials are conducted in new, non-traditional locations outside of North America and Western Europe. This article focuses on how this divide is managed in the everyday work of conducting trials in a research centre in Russia. It explores how investigators and research participants engage in the work of translating trials into academic capacity-building, development of local medical expertise and provision of public health benefits. That is, research value is being multiply configured in clinical, scientific and economic domains. We view the conduct of clinical trials as a boundary process which, through enabling multiplication of value, bridges the realms of health and wealth. This reading of the process of conducting trials opens up opportunities to think about ways to maximise the value of medical experimentation and to (re)link clinical research and public good.

Role of non-traditional locations for seasonal flu vaccination: Empirical evidence and evaluation

This study investigated the role of non-traditional locations in the decision to vaccinate for seasonal flu. We measured individuals’ preferred location for seasonal flu vaccination by examining the National H1N1 Flu Survey (NHFS) conducted from late 2009 to early 2010. Our econometric model estimated the probabilities of possible choices by varying individual characteristics, and predicted the way in which the probabilities are expected to change given the specific covariates of interest. From this estimation, we observed that non-traditional locations significantly influenced the vaccination of certain individuals, such as those who are high-income, educated, White, employed, and living in a metropolitan statistical area (MSA), by increasing the coverage. Thus, based on the empirical evidence, our study suggested that supporting non-traditional locations for vaccination could be effective in increasing vaccination coverage.

SC23.03 How Could High-Volume Centers in Developing Countries Access Cooperative Group Trials?

SC23.03 How Could High-Volume Centers in Developing Countries Access Cooperative Group Trials?

A Sociocultural Investigation of Identity: How Students Navigate the Study Abroad Experience

A Sociocultural Investigation of Identity:How Students Navigate the Study Abroad Experience James D. Gieser (bio) From the recruitment of international students and the establishment of cross–border research partnerships to study abroad programs, internationalization is viewed as a necessary means to prepare students for thoughtful action in a globalized world (Altbach & Knight, 2007). In particular, studying abroad is regarded as a powerful vehicle for increasing students’ global awareness, intercultural competence, and appreciation of difference (Engberg, 2010). Experiences abroad can have a positive impact on students in all areas of development, including the cognitive, intrapersonal, and interpersonal domains (Engberg). Recent studies have explored how students make sense of their experiences abroad and how, for example, their constructed identities and assumptions in relation to race, gender, and national identity shape the ways they do so (Dolby, 2004; Jessup–Anger, 2008). To further contribute to this body of literature, the purpose of this study was to explore how study abroad students approached and negotiated the sociocultural practices they encountered at a South African university, and how their multiple identities and assumptions shaped this sense–making process. The site of this research is especially salient, given the growing number of students who are choosing to study in locations outside Europe and other nontraditional locations (Institute of International Education, 2011). The experiences that await American students in these destinations are sure to be different from those in Western nations, potentially resulting in greater degrees of disjuncture as well as new possibilities for increased development. Program leaders need to understand how students negotiate settings such as these, where incongruities—whether obvious or unexpected—challenge students’ conceptions of their identities, assumptions about what they encounter, and the choices they make to navigate what they encounter. CONCEPTUAL FRAMEWORK: JAMES GEE’S DISCOURSE, WITH A CAPITAL “D” The work of James Gee (1996), a sociolinguist, was used as a framework to explore how students negotiated their study abroad sojourns. His theory provided insight into the ways that individuals make sense of a society’s socially and culturally contested practices and values. Gee (1996) developed the concept of Discourse, with a capital “D,” to explore how language, literacy, and power function in [End Page 637] society, and meant by the term much more than simply the spoken or written word. Gee wrote, “What is important is language plus being the ‘right’ who doing the ‘right’ what. What is important is not language, and surely not grammar, but saying (writing)-doing-being-valuing-believing combinations. These combinations I will refer to as Discourses” (p. 127, orig. emphasis). Discourses are “ways of being in the world” (1996, p. 127). He argued that the use of social languages, or ways of saying-doing-being-valuing-believing, must be demonstrated in appropriate ways and, more important, recognized as such for an individual to gain membership within a given Discourse. Students may encounter various Discourses during their sojourn. According to Gee, navigating them requires instant guesses about ways of being, guesses that are often unconscious, habitual, and learned from membership in other Discourses. From this perspective, studying abroad removes the student from familiar Discourses into sociocultural environments that are structured by unfamiliar ones. These encounters result in unexpected disjunctures that make visible how students utilize known ways of being— whether unconsciously or deliberately—and how they socially construct new ones. RESEARCH DESIGN A social constructivist worldview (Creswell, 2008) guided the study. A qualitative interview approach, framed by an interpretivist perspective, guided the data collection and analysis procedures (Rubin & Rubin, 2005). Anthony Giddens’s (1991) concept of fateful or critical moments was used as a tool to operationalize the theoretical framework within participants’ experiential world. In Thomson’s (2002) use of Giddens’s concept, she defined a critical moment as “an event described in an interview that either the researcher or the interviewee views as having important consequences for their lives and identities” (p. 339). Use of this concept enabled the identification of conspicuous moments of disjuncture and incongruity in students’ narratives, which were then analyzed using Gee’s (1996) notion of Discourses as spaces influencing membership within social fields and social construction of identity. Procedure Participants This study was conducted at a large, urban...

Energy and water use of a small-scale raft aquaponics system in Baltimore, Maryland, United States

Aquaponics is a form of aquaculture that integrates hydroponics to raise edible plants and fish. There is growing interest in aquaponics because it can be practiced in non-traditional locations for agriculture such as inside warehouses and on marginal lands, and it can provide locally grown products without using synthetic pesticides, chemical fertilizers, or antibiotics. Yet questions remain about the ecological and economic sustainability of aquaponics. The objective of this study was to describe the operating conditions, inputs (energy, water, and fish feed) and outputs (edible crops and fish) and their relationship over two years for a small-scale raft aquaponics operation in Baltimore, Maryland, United States. The system had roughly 1% water loss per day and used an average of 35,950L for replenishment per year. Predicted values suggest rainfall could completely replace the existing water needs. The average energy use was 19,526kWh for propane and electricity per year at a cost of $2055 US dollars. The largest uses of electricity were in-tank water heaters. Comparing inputs to outputs, 104L of water, 0.5kg feed, and 56kWh energy ($6 in energy costs) were needed to produce 1kg of crops; and 292L of water, 1.3kg feed, and 159kWh of energy ($12 in energy costs) were needed to produce a 1kg increase in tilapia. Raising tilapia was a net loss, while raising crops was a net gain when comparing market prices to energy costs. Understanding energy, water, and feed use in aquaponic systems is essential to inform farm business plans. These data can serve as a point of comparison to other small-scale aquaponic systems, and inform future work on life cycle assessments of aquaponics.