![]() In 2020, Biden beat Trump in Door County by 292 votes. The tensions brewing here reflect a broader national debate on how the United States should address its overwhelmed immigration system, especially at a time when there are nearly twice as many open jobs as unemployed people looking for work.ĭuring their visit to Door County in May, national correspondent Danielle Paquette, national politics reporter Sabrina Rodriguez and staff photojournalist Carolyn Van Houten visited residents across the region, stayed at an inn and sheep farm, waded into Lake Michigan and attended a pie auction. Liberals said the administration hasn’t done enough to create legal pathways for migrants to work in the United States, stifling opportunity and industry. Conservatives said inflation and border security have worsened under Biden, asserting that unvetted outsiders could bring drugs and violence. While lukewarm about the candidates, Door County residents were animated by issues closer to home - a persistent labor shortage, an affordable-housing crunch and demographic change in this community of about 30,000. Ron DeSantis (R) had slight leads over Biden, more Americans held negative than positive views of all three candidates, and most Democrats said they didn’t want to see Biden run again. These sentiments squared with the latest national survey from Marquette Law School, which found that although Trump and Florida Gov. Republicans, irked by former president Donald Trump’s erratic behavior, said they desired a more even-keeled candidate. Democrats expressed concerns about President Biden’s age and his handling of the rising prices of everyday goods. Ischaemic stroke door-in-door-out time endovascular thrombectomy hospital workflow.In interviews this spring, 18 months before the 2024 election, residents across the political spectrum said they harbored doubts about the front-runners. ![]() Future interventions that aim to decrease DIDO time should take these findings into account. Higher age, onset-to-door time longer than 6 h, M2-segment occlusion and right-sided occlusions are independently associated with a longer DIDO time. The CTA-to-ambulance notification time is the largest contributor to DIDO time. DIDO time increased with age (6 min per 10 years, 95% CI: 2-9), onset-to-door time outside 6 h (20 min, 95% CI: 5-35), M2-segment occlusion (15 min, 95% CI: 4-26) and right-sided ischaemia (12 min, 95% CI: 2-21). The longest component was CTA-to-ambulance notification time with a median (IQR) of 24 (16-37) min. Median (IQR) DIDO time was 66 (52-83) min. We used univariable and multivariable linear regression models to explore associations between potential determinants and DIDO time. We subdivided DIDO into several time components and quantified contribution of these components to DIDO time. We included consecutive adult patients with anterior circulation large vessel occlusion, transferred from a PSC for EVT between Octoand November 31, 2020. We performed a retrospective cohort study in a Dutch ambulance region consisting of six PSCs and one intervention centre. We aimed to quantify different components of DIDO time and to identify determinants of DIDO time. Insight in causes of prolonged DIDO times may facilitate process improvement interventions. Long door-in-door-out (DIDO) times are an important cause of treatment delay in patients transferred for endovascular thrombectomy (EVT) from primary stroke centres (PSC) to an intervention centre. ![]()
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