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Percutaneous Gastrostomy (Peg) Tube Placement In Patients With Continuous Flow Left Ventricular Assist Device. (Lvad)., Hitoshi Hirose, Chris Rizzi, Linda Bogar, Jay S. Jenoff, Nicholas Cavarocchi

Department of Surgery Faculty Papers

Percutaneous gastrostomy (PEG) tube placement in patients with continuous flow left ventricular assist device. (LVAD). CHRIS RIZZI, BS, Linda Bogar, MD, Jay Jenoff, MD, Nicholas Cavarocchi, MD, Hitoshi Hirose, MD. Department of Surgery, Thomas Jefferson University, Philadelphia, PA. Introduction: Inadequate nutritional support after LVAD placement is known to increase postoperative infections and to decrease survival. The LVAD patients with complicated postoperative recovery requiring prolonged mechanical ventilation may require long-term tube feedings. Placement of a PEG requires knowledge of the location of the LVAD pocket and driveline to avoid device infection and injury. Methods: Between August 2008 and December 2011, 39 …

Successful Liver Failure Management Using Molecular Adsorbents Recirculating System During Complicated Veno-Arterial Extracorporeal Membrane Oxygenation As A Bridge To A Left Ventricular Assist Device Placement, Hitoshi Hirose, Shigeki Tabata, Nicholas Cavarocchi

Department of Surgery Faculty Papers

Successful liver failure management using molecular adsorbents recirculating system during complicated veno-arterial extracorporeal membrane oxygenation as a bridge to a left ventricular assist device placement. SHIGEKI TABATA, MD, Nicholas Cavarocchi, MD, Hitoshi Hirose, MD. Department of Surgery, Division of Cardiothoracic Surgery Thomas Jefferson University Hospital, Philadelphia, PA Introduction: Extracorporeal membrane oxygenation (ECMO) is a well-established therapy for the patients with cardiogenic shock. We present a patient who developed severe complications while on ECMO. Case presentation: A 49-year-old female presented with severe heart failure and was placed on veno-arterial ECMO for bridge to decision. While on ECMO, the patient developed massive …

Recovery Of End-Organs And Improved Mortality In Adult Patient On Ecmo., Hitoshi Hirose, Joshua Wong, Vei Shaun Siow, Thomas N. Smith, Harrsion Pitcher, Linda Bogar, Nicholas C. Carvarocchi

Department of Surgery Faculty Papers

Title: Recovery of End-Organs and Improved Mortality in Adult Patients on ECMO Joshua K Wong, BS1, Vei Shaun Siow, BS1, Thomas N Smith, BS1, Harrison Pitcher, MD2, Linda Bogar, MD2, Hitoshi Hirose, MD2 and Nicholas C Cavarocchi, MD2. 1Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, United States, 19107 and 2Division of Cardiothoracic Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States, 19107. Body: With increasing use of ECMO in adults, we seek to objectively measure End-Organ recovery and correlate intensive care mortality scores and complications with patient survival. This is a retrospective review of patients who were placed on …

Efficacy Of Miniaturized Imacor Trans-Esophageal Echocardiografm (Tee) Prove In Mechanical Circulatory Support., Hitoshi Hirose, Christopher Y. Kang, Joshua K. Wong, Harrison T. Pitcher, Caitlyn M. Johnson, Konrad Sarosiek, Linda J Bogar, Nicholas C. Cavarocchi

Department of Surgery Faculty Papers

Application of the miniaturized ImaCor Trans-Esophageal Echocardiogram (TEE) probe in Heart Transplant/Mechanical Cardiac Support Patients In the surgical cardiac care unit (SCCU), therapeutic interventions often need to be done at the bedside, necessitating the need for a rapidly employable diagnostic tool for the cardiac intensivist. We report the clinical utility of the miniature ImaCor TEE-probe in guiding management of post heart transplant (H-Txp) and mechanical cardiac support patients (MCS) and describe the economic benefit of such a device. This is an IRB approved retrospective review of MCS/H-Txp patients who had ImaCor TEE monitoring in the SCCU of our institution in …

An Old Problem With A New Therapy: Gi Bleeding In Vad Patients And Deep Bowel Enteroscopy (Double Balloon. Spiral Enteroscopy)., Hitoshi Hirose, Konrad Sarosiek, Linda Bogar, Pitcher Harrison, Barbara Ebert, Nicholas Cavarocchi

Department of Surgery Faculty Papers

An old problem with a new therapy: GI Bleeding in VAD patients and deep bowel enteroscopy (Spiral and Double Balloon Enteroscopy) Purpose: Evidence suggests that patients treated with non-pulsatile ventricular assist devices (VAD) are at an increased risk for gastrointestinal bleeding (GIB) beyond what is expected from routine anticoagulation. Diagnostic and treatment algorithms are currently undefined. We reviewed our experience of GIB in VAD patients and propose a new algorithm utilizing deep bowel enteroscopy (DBE) aimed to speed diagnosis and limit transfusions. (471) Methods & Procedures From 2004 to 2011, we studied 62 patients who received a non-pulsatile VAD at …

An Annotated Bibliography Of Selected Sources On Thearchaeology Of Old World Dutch Material Culture In The16th, 17th, And 18th Centuries, Paul R. Huey

Northeast Historical Archaeology

An annotated bibliography of sources used for the Archaeology of Old World Dutch and Material Culture in the 16-18th centuries.

The Archaeology Of 17th-Century New Netherland Since1985: An Update, Paul R. Huey

Northeast Historical Archaeology

In 1985, a number of goals and research questions were proposed in relation to the archaeology of' pre-1664 sites in the Dutch colony of New Netherland. Significant Dutch sites were subsequently ~xcavated in Albany, Kingston, and other places from 1986 through 1988, while a series of useful publications continued to be produced after 1988. Excavations at historic period Indian sites also continued after 1988 . . Excavations in 17th-century sites from Maine to Maryland have revealed extensive trade contacts with New Netherland and the Dutch, while the Jamestown excavations have indicated the influence of the Dutch !n the early history …

The Castello Plan-Evidence Of Horticulture In New Netherland Or Cartographer's Whimsy?, Richard Schaefer, Meta Fayden Janowitz

Northeast Historical Archaeology

Few descriptions or depictions of horticulture in New Netherland have come down to us, although 17th-century observers' accounts of gardens and orchards present lengthy lists of fruits, vegetables, 'and fiowers transplanted from Europe, as well as those discovered in North America. Perhaps the most evocative source is the mid-century Castello Plan, a view of the settlement af New Amsterdam, which shows elaborate · parterres on most of the unoccupied lots. Are the gardens of the Castello Plan fact, or simply cartographer's whimsy? Based on data from both the Netherlands and New Netherland-including artists~ depiction~, travelers' accounts, and gardening texts-that illustrate …

The Van Lidth De Jeude Family And The Waste From Their Privy: Material Culture Of A Wealthy Family In 18th-Century Tiel, The Netherlands, Michiel H. Bartels

Northeast Historical Archaeology

This study uses the comprehensive material culture of the 18th-century privy of the regent family Van Lidth de Jeude in Tiel (the Netherlands). The analysis takes advantage of the secondary sources that are common in the Netherlands to evaluate the privy contents. The archaeological finds are interpreted with the aid of historical documents, contemporary literature and probate inventories, and the content of the privy is set against the background of an 18th-century provincial town in the heart of the Netherlands. This combined study reveals much surprising information about the daily and private lives, personal history, gender aspects and socioeconomic status …

A Bibliography Of Northeast Historical Archaeology, 1987–2006, David R. Starbuck

Northeast Historical Archaeology

A bibliography of Northeast Historical Archaeology, 1987- 2006. A list of published articles, books, master’s theses and doctoral dissertations

“What’Ll Thou Have”: Quakers And The Characterization Of Tavern Sites In Colonial Philadelphia, John M. Chenoweth

Northeast Historical Archaeology

In 1766, Ebenezer Robinson, an active Quaker and middle-class tradesman, was one of the first to develop the land just north of Independence Hall, then at the edge of urban Philadelphia. Recent work on Independence Mall sponsored jointly by the National Park Service and the National Constitution Center has uncovered several features on this property, but analysis and historical documentation has suggested that a low-class tavern occupied the spot while Robinson owned it. This paper examines artifacts from a privy associated with this period of the site and compares the finds with several other sites to characterize this tavern, explore …

Staff Council Faculty Staff Benefits Committee Meeting, 11/13/2012, Unm Staff Council

UNM Staff Council

No abstract provided.

Academic Senate - Meeting Minutes, 11/13/2012, Academic Senate

Academic Senate Minutes

No abstract provided.

The Supreme Court's Theory Of The Fund, William Birdthistle

All Faculty Scholarship

Just as the firm has long served as the foundational molecule of the U.S. capitalist economy, theories of the firm have for more than a century dominated legal and economic discourse. Ever since Ronald Coase published The Nature of the Firm in 1937 and asked why firms should exist in an efficient market, classicists and neoclassicists have competed to develop theories — predominantly managerialist and contractual — that best explain the structure and behavior of business organizations.

The investment fund, by contrast, has languished at the margins of corporate theory, relegated as simply a minor, if somewhat curious, example of …

The Influence Of Climatic Conditions On The Transmission Dynamics Of The 2009 A/H1n1 Influenza Pandemic In Chile, Gerardo Chowell, Sherry Towers, Cecile Viboud, Rodrigo Fuentes, Viviana Sotomayor, Lone Simonsen, Mark A. Miller, Mauricio Lima, Claudia Villarroel, Monica Chiu, Jose E. Villarroel, Andrea Olea

Global Health Faculty Publications

No abstract provided.

Consultative Minutes 11/13/2012, Consultative Committee

Consultative Committee

No abstract provided.

Consultative Minutes 11/13/2012, Consultative Committee

Consultative Committee

No abstract provided.

Knowledge In The People: Rethinking "Value" In Public Rulemaking Participation, Cynthia R. Farina, Dmitry Epstein, Josiah Heidt, Mary J. Newhart

Cornell e-Rulemaking Initiative Publications

A companion piece to Rulemaking vs. Democracy: Judging and Nudging Public Participation that Counts, this Essay continues to examine the nature and value of broader public participation in rulemaking. Here, we argue that rulemaking is a “community of practice,” with distinctive forms of argumentation and methods of reasoning that both reflect and embody craft knowledge. Rulemaking newcomers are outside this community of practice: Even when they are reasonably informed about the legal and policy aspects of the agency’s proposal, their participation differs in kind and form from that of sophisticated commenters. From observing the actual behavior of rulemaking newcomers …

Liver Dysfunction And Phosphatidylinositol-3-Kinase Signalling In Early Sepsis: Experimental Studies In Rodent Models Of Peritonitis, Peter Recknagel, Falk A. Gonnert, Martin Westermann, Sandro Lambeck, Amelie Lupp, Alain Rudiger, Alex Dyson, Jane E. Carré, Andreas Kortgen, Christoph Krafft, Jürgen Popp, Christoph Sponholz, Valentin Fuhrmann, Ingrid Hilger, Ralf A. Claus, Niels C. Riedemann, Reinhard Wetzker, Mervyn Singer, Michael Trauner, Michael Bauer

More Faculty of Health Research

No abstract provided.

2012 November 13 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

The Efficacy Of Vigorous-Intensity Exercise As An Aid To Smoking Cessation In Adults With Elevated Anxiety Sensitivity: Study Protocol For A Randomized Controlled Trial, Jasper Aj Smits, Michael J. Slovensky, David Rosenfield, Bess H. Marcus, Timothy S. Church, Georita M. Frierson, Mark B. Powers, Michael W. Otto, Michelle L. Davis, Lindsey B. Deboer, Nicole F. Briceno

College of Science & Mathematics Departmental Research

Background: Although cigarette smoking is a leading cause of death and disability in the United States (US), over 40 million adults in the US currently smoke. Quitting smoking is particularly difficult for smokers with certain types of psychological vulnerability. Researchers have frequently called attention to the relation between smoking and anxiety-related states and disorders, and evidence suggests that panic and related anxiety vulnerability factors, specifically anxiety sensitivity (AS or fear of somatic arousal), negatively impact cessation. Accordingly, there is merit to targeting AS among smokers to improve cessation outcome. Aerobic exercise has emerged as a promising aid for smoking …

Immunoglobulins Against Tyrosine-Nitrated Epitopes In Coronary Artery Disease, Leonor Thomson, Margarita Tenopoulou, Richard Lightfoot, Epida Tsika, Ioannis Parastatidis, Marissa Martinez, Todd M. Greco, Paschalis Thomas Doulias, Yuping Wu, W.H. Wilson Tang, Stanley L. Hazen, Harry Ischiropoulos

Mathematics and Statistics Faculty Publications

Background—Several lines of evidence support a pathophysiological role of immunity in atherosclerosis. Tyrosine-nitrated proteins, a footprint of oxygen- and nitrogen-derived oxidants generated by cells of the immune system, are enriched in atheromatous lesions and in circulation of patients with coronary artery disease (CAD). However, the consequences of possible immune reactions triggered by the presence of nitrated proteins in subjects with clinically documented atherosclerosis have not been explored. Methods and Results—Specific immunoglobulins that recognize 3-nitrotyrosine epitopes were identified in human lesions, as well as in circulation of patients with CAD. The levels of circulating immunoglobulins against 3-nitrotyrosine epitopes were quantified in …

11-13-12 (The Liberty Champion, Volume 30 Issue 10), Champion

2012 – 2013

No abstract provided.

Junius Baugh V.;Secretary Navy

2012 Decisions

USDC for the Eastern District of Pennsylvania

Florida Sentinel Bulletin, November 13, 2012, Gwen Hayes

Florida Sentinel Bulletin Collection

The November 13, 2012, issue of the Florida Sentinel Bulletin. Included are articles on voter suppression.

The Utah Statesman, November 13, 2012, Utah State University

The Utah Statesman

Weekly student newspaper of Utah State University in Logan.

Uab, Cities For Life Partnership Launches Website To Help Birmingham Battle Diabetes, Tyler Greer

Browse All News

No abstract provided.

Daily Eastern News: November 13, 2012, Eastern Illinois University

November

No abstract provided.

Flyer News, Vol. 60, No. 16 (Nov. 13, 2012), University Of Dayton

Flyer News

Student-run newspaper of the University of Dayton.

November 13, 2012 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.