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Harris Health System Ems Protocols And Standing Delegation Orders, Richard N. Bradley 2015 The University of Texas Health Science Center at Houston

Harris Health System Ems Protocols And Standing Delegation Orders, Richard N. Bradley

Richard N Bradley

As the EMS Medical Director for Harris Health System-EMS, I have approved these Protocols and Standing Delegation Orders to provide a treatment plan for the various types of injuries and illnesses that may commonly occur. These Protocols and Standing Delegation Orders are not intended to replace on-line Medical Control by a qualified physician, but rather to provide standing orders for specific interventions prior to the point that establishing control with a qualified physician becomes mandatory.

Authorized personnel are those basic and/or advanced life support trained HARRIS HEALTH SYSTEM-EMS personnel who have been approved in writing by the Medical Director ...


American Red Cross Scientific Review On Obstructed Airway-Adults, Richard N. Bradley, Stamatios Lerakis, The American Red Cross Scientific Advisory Council 2015 The University of Texas Health Science Center at Houston

American Red Cross Scientific Review On Obstructed Airway-Adults, Richard N. Bradley, Stamatios Lerakis, The American Red Cross Scientific Advisory Council

Richard N Bradley

INTRODUCTION: There were 4,700 deaths due to choking in the United States in 2012. This study was a structured literature review with the objective of determining whether in adults, either conscious or unconscious, with acute foreign body airway obstructions, if any specific resuscitation technique, compared to other techniques, leads to different outcomes.

METHODS: We developed an a priori search definition, and searched PubMed, Google, and OneSearch@IU. We sought additional articles by reviewing the reference lists of articles that we included. We included articles if they addressed original research of treatment of foreign body airway obstruction in adults. We ...


American Red Cross Sac Advisory On Obstructed Airway-Adults, Richard N. Bradley, Stamatios Lerakis, American Red Cross Scientific Advisory Council 2015 The University of Texas Health Science Center at Houston

American Red Cross Sac Advisory On Obstructed Airway-Adults, Richard N. Bradley, Stamatios Lerakis, American Red Cross Scientific Advisory Council

Richard N Bradley

INTRODUCTION: There were 4,700 deaths due to choking in the United States in 2012. This study was a structured literature review with the objective of determining whether in adults, either conscious or unconscious, with acute foreign body airway obstructions, if any specific resuscitation technique, compared to other techniques, leads to different outcomes.

METHODS: We developed an a priori search definition, and searched PubMed, Google, and OneSearch@IU. We sought additional articles by reviewing the reference lists of articles that we included. We included articles if they addressed original research of treatment of foreign body airway obstruction in adults. We ...


Intravenous Estrogen Is Not Proven Effective For Abnormal Uterine Bleeding: Guidelines Are Based On Flawed Evidence, Stephen Simmer 2015 Wayne State University

Intravenous Estrogen Is Not Proven Effective For Abnormal Uterine Bleeding: Guidelines Are Based On Flawed Evidence, Stephen Simmer

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical appraisal and clinical application of: DeVore GR, Owens O, Kase N. Use of intravenous Premarin in the treatment of dysfunctional uterine bleeding--a double-blind randomized control study. Obstet Gynecol. 1982 Mar;59(3):285-91.

This appraisal identifies significant statistical irregularities in the study. A reworking of the study's statistics leads to a conclusion different from that put forth by the authors of this paper: intravenous estrogen therapy is not, in fact, significantly more effective compared to placebo therapy for the cessation of acute abnormal uterine bleeding.


Heartmate Ii Post-Marketing Clinical Studies To Further Establish And Expand Lvad Therapy, Faouzi Kallel 2015 Thoratec

Heartmate Ii Post-Marketing Clinical Studies To Further Establish And Expand Lvad Therapy, Faouzi Kallel

The VAD Journal

No abstract provided.


Pyruvate Carboxylase Is Critical For Non-Small-Cell Lung Cancer Proliferation, Katherine Sellers, Matthew P. Fox, Michael Bousamra II, Stephen P. Slone, Richard M. Higashi, Donald M. Miller, Yali Wang, Jun Yan, Mariia O. Yuneva, Rahul Deshpande, Andrew N. Lane, Teresa W-M Fan 2015 University of Louisville

Pyruvate Carboxylase Is Critical For Non-Small-Cell Lung Cancer Proliferation, Katherine Sellers, Matthew P. Fox, Michael Bousamra Ii, Stephen P. Slone, Richard M. Higashi, Donald M. Miller, Yali Wang, Jun Yan, Mariia O. Yuneva, Rahul Deshpande, Andrew N. Lane, Teresa W-M Fan

Toxicology and Cancer Biology Faculty Publications

Anabolic biosynthesis requires precursors supplied by the Krebs cycle, which in turn requires anaplerosis to replenish precursor intermediates. The major anaplerotic sources are pyruvate and glutamine, which require the activity of pyruvate carboxylase (PC) and glutaminase 1 (GLS1), respectively. Due to their rapid proliferation, cancer cells have increased anabolic and energy demands; however, different cancer cell types exhibit differential requirements for PC- and GLS-mediated pathways for anaplerosis and cell proliferation. Here, we infused patients with early-stage non-small-cell lung cancer (NSCLC) with uniformly 13C-labeled glucose before tissue resection and determined that the cancerous tissues in these patients had enhanced PC activity ...


Getting The Right Scan: Evidence Based Radiology For Hospitalists, Erich C. Maul DO, MPH 2015 University of Kentucky

Getting The Right Scan: Evidence Based Radiology For Hospitalists, Erich C. Maul Do, Mph

Erich C. Maul DO, MPH

No abstract provided.


A Missed Opportunity For Shared Responsibility In Adolescent Contraception, Vasiliki Rahimzadeh 2015 McGill University

A Missed Opportunity For Shared Responsibility In Adolescent Contraception, Vasiliki Rahimzadeh

Journal of Adolescent and Family Health

The American Academy of Pediatrics Committee on Adolescence recently endorsed IUDs as the clinical contraceptive method of choice among sexually active adolescents. This commentary highlights the ways in which these recommendations reinforce a gender normative notion that contraceptive responsibilities continue to lie squarely with young women, and now adolescent girls. It critiques the absence of guidance from the Committee regarding how to approach both sexual partners equally in discussions of contraception. The reflection also identifies paucity in how to address sexual health among trans/intersexed adolescents and those with complex sexual orientations. Such exclusion has adverse implications, inviting marginalization of ...


Pediatric Ecg's Demystified, Erich C. Maul DO, MPH 2015 University of Kentucky

Pediatric Ecg's Demystified, Erich C. Maul Do, Mph

Erich C. Maul DO, MPH

No abstract provided.


Missing Pathways To Self-Governance: Aboriginal Health Policy In British Columbia, Josée G. Lavoie, Annette J. Browne, Colleen Varcoe, Sabrina Wong, Alycia Fridkin, Doreen Littlejohn, David Tu 2015 University of Manitoba Faculty of Medicine

Missing Pathways To Self-Governance: Aboriginal Health Policy In British Columbia, Josée G. Lavoie, Annette J. Browne, Colleen Varcoe, Sabrina Wong, Alycia Fridkin, Doreen Littlejohn, David Tu

The International Indigenous Policy Journal

This article explores how current policy shifts in British Columbia, Canada highlight an important gap in Canadian self-government discussions to date. The analysis presented draws on insights gained from a larger study that explored the policy contexts influencing the evolving roles of two long-standing urban Aboriginal health centres in British Columbia. We apply a policy framework to analyze current discussions occurring in British Columbia and contrast these with Ontario, Canada and the New Zealand Māori health policy context. Our findings show that New Zealand and Ontario have mechanisms to engage both nation- or tribal-based and urban Indigenous communities in self-government ...


The Cell's Antenna And Bending With The Flow, Surya M. Nauli, Kimberly F. Atkinson, Sarmed H. Kathem 2015 Chapman University

The Cell's Antenna And Bending With The Flow, Surya M. Nauli, Kimberly F. Atkinson, Sarmed H. Kathem

Pharmacy Faculty Articles and Research

Polycystic kidney disease (PKD) is the most common life-threatening genetic disease worldwide – affecting about 12.5 million people. Patients with the condition have multiple fluid-filled cysts in their kidneys that lead to a massive enlargement of the organ and gradual worsening of its function, as well as complete failure in many cases. The lack of available treatment means patients may eventually require regular dialysis or a kidney transplant.


Celiac Is A Social Disease: Family Challenges And Strategies, Gonzalo Bacigalupe, Aleksandra Plocha 2015 University of Massachusetts Boston

Celiac Is A Social Disease: Family Challenges And Strategies, Gonzalo Bacigalupe, Aleksandra Plocha

Gonzalo Bacigalupe, EdD, MPH

Celiac disease is the most common autoimmune inherited disorder in the United States, affecting approximately 1% of the population. Little research exists on the impact of family processes on adherence to a gluten-free diet (GFD), the only treatment for celiac disease. The objective of this qualitative study was to examine the barriers that families with a celiac child face and the strategies they use to adhere to the recommended diet. In-depth interviews were conducted with 10 families with a child between the ages of 6 and 12 diagnosed with celiac disease. Grounded theory and narrative analysis were used to analyze ...


Neurosurgery Concepts: Key Perspectives On Dendritic Cell Vaccines, Metastatic Tumor Treatment, And Radiosurgery, Gordon Li, Jonathan H. Sherman, Jin Mo Cho, Michael Lim, Alexander A. Khalessi, Chaim B. Colen, Chae Yong Kim, Viincent Yat Wang, Gabriel Zada, Zachary A. Smith, Isaac Yang 2015 George Washington University

Neurosurgery Concepts: Key Perspectives On Dendritic Cell Vaccines, Metastatic Tumor Treatment, And Radiosurgery, Gordon Li, Jonathan H. Sherman, Jin Mo Cho, Michael Lim, Alexander A. Khalessi, Chaim B. Colen, Chae Yong Kim, Viincent Yat Wang, Gabriel Zada, Zachary A. Smith, Isaac Yang

Neurological Surgery Faculty Publications

Background: This is a laboratory study to investigate the effect of adding brain-derived-neurotrophic factor (BDNF) in a poly (N-isopropylacrylamide-g-poly (ethylene glycol) scaffold and its effect on spinal cord injury in a rat model.


Methods: This is a laboratory investigation of a spinal cord injury in a rat model. A dorsolateral funiculotomy was used to disrupt the dorsolateral funiculus and rubrospinal tract. Animals were then injected with either the scaffold polymer or scaffold polymer with BDNF. Postoperatively, motor functions were assessed with single pellet reach to grasp task, stair case reaching task and cylinder task. Histological study was ...


The Lived Experiences Of Teenage Mothers That Fostered Resiliency, Courtney Allisson Pellegrino 2015 Northeastern University

The Lived Experiences Of Teenage Mothers That Fostered Resiliency, Courtney Allisson Pellegrino

Education Doctoral Theses

Adolescent mothers often encounter challenges while balancing the developmental tasks of adolescence with the demands of motherhood, which places them at risk of potential negative trajectories (Lowenthal & Lowenthal, 1997; Patel & Sen, 2012). However, when the process of the negative trajectory is interrupted, adolescent mothers adapt to the challenges and become resilient, in terms of positive educational, occupational, and parenting outcomes (Silver, 2008). The purpose of this qualitative, Interpretive Phenomenological Analysis (IPA) was to examine the lived experiences of five women ages 18 and older who were adolescent mothers and answer the overarching question: How do adolescent mothers who have experienced academic, educational ...


Single Center Experience On Dosing And Adverse Events Of Recombinant Factor Seven Use For Bleeding After Congenital Heart Surgery, Mustafa Kurkluoglu, Alyson M. Engle, John P. Costello, Narutoshi Hibino, David Zurakowski, Richard A. Jonas, John T. Berger, Dilip S. Nath 2015 Children's National Medical Center

Single Center Experience On Dosing And Adverse Events Of Recombinant Factor Seven Use For Bleeding After Congenital Heart Surgery, Mustafa Kurkluoglu, Alyson M. Engle, John P. Costello, Narutoshi Hibino, David Zurakowski, Richard A. Jonas, John T. Berger, Dilip S. Nath

Surgery Faculty Publications

There are limited data on the relationship between the administered dose of recombinant factor seven (rFVIIa) and the development of adverse clinical outcomes after congenital heart surgery. This single institution case series reports on dosing, adverse events, and blood product usage after the administration of rFVIIa in the congenital heart surgery patient population. A retrospective review identified 16 consecutive pediatric patients at an academic, free-standing, children’s hospital who received rFVIIa to curtail bleeding following congenital heart surgery between April 2004 and June 2012. Patients were assessed for survival to hospital discharge versus in-hospital mortality and the presence or absence ...


St Segment Depression After Norwood/Systemic-Pulmonary Artery Shunt, Ashraf Harahsheh, Craig A. Sable, Pranava Sinha, Richard A. Jonas 2015 George Washington University

St Segment Depression After Norwood/Systemic-Pulmonary Artery Shunt, Ashraf Harahsheh, Craig A. Sable, Pranava Sinha, Richard A. Jonas

Pediatrics Faculty Publications

A three-month-old girl with double inlet left ventricle (S;D;D), hypoplastic outlet ventricle, restrictive bulboventricular foramen, d-transposition of great arteries and interrupted aortic arch underwent Norwood stage 1 operation, systemic to pulmonary artery (PA) shunt and atrial septectomy, and developed ectopic atrial tachycardia that responded to digoxin therapy. She developed fussiness lasting two hours, not associated with cyanosis, and not relieved by feeding. Her pulse oximetry was 88% while breathing room air, and she had no differential blood pressure gradient.


Emergency Department Ultrasound Probe Infection Control: Challenges And Solutions, Hamid A. Shokoohi, Paige Armstrong, Ryan Tansek 2015 George Washington University

Emergency Department Ultrasound Probe Infection Control: Challenges And Solutions, Hamid A. Shokoohi, Paige Armstrong, Ryan Tansek

Emergency Medicine Faculty Publications

Point-of-care ultrasound (US) has become a cornerstone in the diagnosis and treatment of patients in the emergency department (ED). Despite the beneficial impact on patient care, concern exists over repeat use of probes and the role as a vector for pathogen transmission. US probes are used for various applications, with the level of infection risk, based on the Spaulding Classification, ranging from noncritical with common practice to semicritical with endocavitary probes. To date, the most closely studied organisms are Staphylococcus aureus and human papilloma virus. Current evidence does confirm probe colonization but has not established a causative role in human ...


Sleep Disorders And Cardiac Consequences, Robert D. Vorona 2015 Eastern Virginia Medical School

Sleep Disorders And Cardiac Consequences, Robert D. Vorona

Case Studies from Age in Action

Educational Objectives:

1. Review the clear relationship between obstructive sleep apnea and hypertension.

2. Discuss the cardiac consequences of sleep apnea, including coronary heart disease, heart failure, and different dysrhythmias.

3. Understand that sleep disorders beyond obstructive sleep apnea, such as insufficient sleep itself, may have an impact on the cardiovascular system.

4. Appreciate the potential benefits of identifying and treating sleep disorders for our health.


Do Emergency Department Patients Receive A Pathological Diagnosis? A Nationally-Representative Sample, Leana Wen, Janice A. Espinola, Joshua M. Mosowsky, Carlos A. Camargo 2015 George Washington University

Do Emergency Department Patients Receive A Pathological Diagnosis? A Nationally-Representative Sample, Leana Wen, Janice A. Espinola, Joshua M. Mosowsky, Carlos A. Camargo

Emergency Medicine Faculty Publications

Introduction: Understanding the cause of patients’ symptoms often requires identifying a pathological diagnosis. A single-center study found that many patients discharged from the emergency department (ED) do not receive a pathological diagnosis. We analyzed 17 years of data from the National Hospital Ambulatory Medical Care Survey (NHAMCS) to identify the proportion of patients who received a pathological diagnosis at ED discharge. We hypothesized that many patients do not receive a pathological diagnosis, and that the proportion of pathological diagnoses increased between 1993 and 2009.

Methods:Using the NHAMCS data from 1993-2009, we analyzed visits of patients age ≥18 years, discharged ...


The Bubbling Aorta, Hesham R. Omar, Maya Guglin 2014 Mercy Medical Center

The Bubbling Aorta, Hesham R. Omar, Maya Guglin

The VAD Journal

We are presenting the image of the bubbles in the descending aorta in a patient on VA ECMO.


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