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Persistent Severe Hyperkalemia In A Patient With Normal Renal Function, Michael L. Tobin, Md May 2012

Persistent Severe Hyperkalemia In A Patient With Normal Renal Function, Michael L. Tobin, Md

The Medicine Forum

Case Report

A 75-year-old female with a past medical history significant for hypertension, hyperlipidemia, and colon cancer, status post colectomy with ileostomy, presented to the Methodist Hospital emergency room with muscular low back pain, which began a few hours prior, after abruptly bending over. Upon arrival to the hospital, she had no other complaints and noted that the back pain was starting to resolve without intervention.

In triage, her heart rate was measured at 38 beats per minute (BPM) with her other vital signs within normal limits. Her electrocardiogram (EKG) was read as a junctional rhythm with a rate of …


A 45-Year-Old Male With Hiv, Kaposi’S Sarcoma, And Squamous Cell Carcinoma Of The Skin, Jascha Rubin, Md, Hasan Bayat, Md May 2012

A 45-Year-Old Male With Hiv, Kaposi’S Sarcoma, And Squamous Cell Carcinoma Of The Skin, Jascha Rubin, Md, Hasan Bayat, Md

The Medicine Forum

Case

A 45-year-old male with a history of human immunodeficiency virus, (HIV), on highly active antiretroviral therapy (HAART), Kaposi’s sarcoma, and squamous cell carcinoma (SCC) of the right lower extremity complicated by chronic wound formation presented with worsening right leg pain and increasing wound drainage.

The patient described the pain as excruciating, with 10/10 intensity and exacerbated by movement. His wounds began draining purulent material and blood about two weeks prior to presentation. He has had several similar, though milder episodes in the past requiring hospitalization. When the wounds began to have a foul odor, he presented to the hospital. …


Thrombotic Thrombocytopenic Purpura Revisited: Upshaw Schulman Syndrome In A 20-Year-Old Male, Judy Wang, Md, Niluk Peiris, Md May 2012

Thrombotic Thrombocytopenic Purpura Revisited: Upshaw Schulman Syndrome In A 20-Year-Old Male, Judy Wang, Md, Niluk Peiris, Md

The Medicine Forum

Case Report

A 20-year-old male with no significant past medical history presented to an outside hospital with a two-week history of progressive fatigue, malaise and decreased appetite. Prior to these events, he had been in his usual state of health with normal exercise tolerance and energy level. Upon development of his symptoms, the patient felt as though he had developed an upper respiratory infection (URI). The URI symptoms eventually resolved; however complaints of fatigue and malaise still remained. He then developed progressive dyspnea on exertion and tea-colored urine. The patient reported a singular febrile episode to 38.9˚C associated with nonbilious …


A Case Of Pyoderma Gangrenosum, Christopher T. Miller, Md May 2012

A Case Of Pyoderma Gangrenosum, Christopher T. Miller, Md

The Medicine Forum

Case Report

A 60-year-old man with past medical history of hypertension, post-traumatic stress disorder, major depression, hepatic steatosis, chronic kidney disease, and untreated hepatitis C virus (genotype 1b) initially presented to the outpatient primary care clinic with a chief complaint of an extremely painful right lower extremity ulcer that had developed and grown progressively larger after mild trauma against a metal corner 4 months prior to the appointment. He admitted to picking at the granulation tissue that would develop over the ulcer. He was treating the ulcer with antibiotic ointment. On initial exam, the ulcer was about 2x2 cm, located …


Two Cases Of Co-Infection With Babesiosis And Lyme Disease, Anthony Decicco, Md, B. Niluk Peiris, Md, Cecilia Kelly, Md, Michael Latreille, Md, Donald Jungkind, Phd May 2012

Two Cases Of Co-Infection With Babesiosis And Lyme Disease, Anthony Decicco, Md, B. Niluk Peiris, Md, Cecilia Kelly, Md, Michael Latreille, Md, Donald Jungkind, Phd

The Medicine Forum

Case 1

The patient is a 71-year-old female with past medical history significant for hypothyroidism and hyperlipidemia who presented to Thomas Jefferson University Hospital (TJUH) with complaints of myalgias for 6 weeks duration. The patient stated that she had begun an exercise program to lose weight and had subsequently noticed body aches and increased fatigue. She had presented to an outside hospital with these complaints, was told that the etiology was musculoskeletal, and was prescribed naproxen for pain relief. The pain did improve slightly with the naproxen but she noticed a rash and hives after starting the medication and stopped …


A Comparison Of Institutional Climates In Higher Education In The United States And South Africa, Juanyce Deanna Taylor May 2012

A Comparison Of Institutional Climates In Higher Education In The United States And South Africa, Juanyce Deanna Taylor

Dissertations

Increasing opportunities and access of historically underrepresented populations to higher education in both the United States and South Africa have proved challenging due to institutional climates that are perceived as unwelcoming and unsupportive. The purpose of this study was to investigate factors relating to institutional climates to uncover social constructs that positively and negatively impact the institutional environment. Transformational leadership serves as the theoretical framework for this study.

Data results from institutional climate studies administered higher education institutions in the United States and South Africa were analyzed and compared. Collegiality and collaboration; communication; diversity and equity; governance and strategy; harassment …


Why Did So Many People Make So Many Ex Post Bad Decisions?, Christopher L. Foote, Kristopher S. Gerardi, Paul Willen May 2012

Why Did So Many People Make So Many Ex Post Bad Decisions?, Christopher L. Foote, Kristopher S. Gerardi, Paul Willen

Documents

This paper was prepared for the conference, “Rethinking Finance: New Perspectives on the Crisis,"organized by Alan Blinder, Andy Lo and Robert Solow and sponsored by the Russell Sage and Century Foundations.


The Effectiveness Of A Community College's Grow Your Own (Gyo) Leadership Development Program, Cynthia Seiss Rowan May 2012

The Effectiveness Of A Community College's Grow Your Own (Gyo) Leadership Development Program, Cynthia Seiss Rowan

Seton Hall University Dissertations and Theses (ETDs)

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American Propaganda, Popular Media, And The Fall Of Jacobo Arbenz, Zachary Carl Fisher May 2012

American Propaganda, Popular Media, And The Fall Of Jacobo Arbenz, Zachary Carl Fisher

UNLV Theses, Dissertations, Professional Papers, and Capstones

In June 1954, President Jacobo Arbenz Guzman of Guatemala resigned in the face of a coup led by Colonel Carlos Castillo Armas. While the United States publicly denied involvement, the coup was in fact the culmination of a plan called PBSUCCESS (CIA codeword), led by the Central Intelligence Agency (CIA). Although PBSUCCESS lived up to its namesake, it was aided (both intentionally and unintentionally) by various U.S. media outlets. For the duration of Arbenz Guzman's regime, he and his country had been the subject of U.S. suspicions of undue Communist and Soviet influence. A general anti-Communist attitude permeated virtually all …


A Family Affair: The Pre-Kansas Saga Of James Henry Lane, James Robert Bird May 2012

A Family Affair: The Pre-Kansas Saga Of James Henry Lane, James Robert Bird

Graduate Theses and Dissertations

Historian Craig Miner suggests that territorial Kansas between 1854 and 1861 was "a nursery of weird and manic figures." Foremost among the weird and manic figures of Kansas history stands James Henry Lane, formerly a U.S. congressman from Indiana, and destined to become one of Kansas' first pair of senators. Writing at the midpoint of the twentieth century, Albert Castel pronounced Jim Lane "the most colorful and fascinating personality in the history of Kansas," adding that "Very likely, too, he was mentally unbalanced and paranoid."

Yet, James H. Lane never set foot on Kansas soil until he was well into …


Securities Lending And Repos: Market Overview And Financial Stability Issues, Financial Stability Board (Fsb) Apr 2012

Securities Lending And Repos: Market Overview And Financial Stability Issues, Financial Stability Board (Fsb)

Documents

Interim Report of the FSB Workstream on Securities Lending and Repos


The Modern Day Rome? The Correlation Between The Roman Republic And The United States Of America, Katie L. Raybould Apr 2012

The Modern Day Rome? The Correlation Between The Roman Republic And The United States Of America, Katie L. Raybould

Senior Honors Theses

When America’s founding fathers sought to create their new nation, they turned to the reliability and practicality of the Roman Republic. While careful to not create a carbon copy of the Republic, the founders drew inspiration from Rome’s symbolism and everyday life, government, philosophy, military strategies, and religious tolerance. This paper will highlight the similarities that exist between the Roman Republic and the United States in the above mentioned five areas. Much of Rome’s example has outlived both Rome and the founding fathers in its effectiveness and viability. The Roman Republic may have fallen, but her influence lives on through …


Freedom Of Speech Through The Looking Glass: Reflections On The Governance Of Political Discourse In China, The United States, And The European Union, Emily Alice Chesbrough Apr 2012

Freedom Of Speech Through The Looking Glass: Reflections On The Governance Of Political Discourse In China, The United States, And The European Union, Emily Alice Chesbrough

Scripps Senior Theses

Freedom of speech is a right guaranteed by the US, the EU, and China; however, just because a right is guaranteed does not mean the government cannot manipulate the right to achieve its ends. Freedom of speech is commonly associated with the power of language; citizens speak in order to take control of those governing them, in order to assert their desires. In reality, freedom of speech is far more beneficial for governments, who can use this dissent to better control a population. In order to control the population, though, the governments must first control the dissenting speech, the discourse, …


Demographics Of Entrants: Sisters Of Charity Of St. Joseph’S, 1809–1849 And Daughters Of Charity, Province Of The United States, 1850–1909, Betty Ann Mcneil D.C. Apr 2012

Demographics Of Entrants: Sisters Of Charity Of St. Joseph’S, 1809–1849 And Daughters Of Charity, Province Of The United States, 1850–1909, Betty Ann Mcneil D.C.

Vincentian Studies

A project began in 2002 to develop a database tracking all the admissions to the Sisters of Charity of Saint Joseph’s (1809–1849) and the Daughters of Charity (1850–1909) in the United States. This article explains how the project was conducted, what sources were used, and what the study’s major findings were. The database encompassed many different demographics: family backgrounds, birthplaces, and age of entrants, their marital and/or convert status, their years of entrance, and whether they had relatives in the community. Military service, withdrawals, transfers, separations, and burial places were also tracked.


Compensation Payments And Structures For Senior Executive Offices And Most Highly Compensated Employees, United States: Department Of The Treasury, Janice Uhlig Apr 2012

Compensation Payments And Structures For Senior Executive Offices And Most Highly Compensated Employees, United States: Department Of The Treasury, Janice Uhlig

Documents

Re: Compensation Payments and Structures for Senior Executive Officers and Most Highly Compensated Employees ("Covered Employees 1-25")


Transtemporal Separation Of Powers In The Law Of Precedent, Randy Beck Apr 2012

Transtemporal Separation Of Powers In The Law Of Precedent, Randy Beck

Notre Dame Law Review

The article focuses on several aspects associated with the law of precedent including the distinction between holding and dictum, the doctrine of stare decisis, and judicial resolution of a legal issue. It discusses a transtemporal application of separation of powers principles based on the law of precedent that allocates power to judges to minimize precedential effect of previous judges. It mentions that the general rule of stare decisis allocates power to evaluate previous decision-making.


Twombly And Iqbal Reconsidered, Brian T. Fitzpatrick Apr 2012

Twombly And Iqbal Reconsidered, Brian T. Fitzpatrick

Notre Dame Law Review

An essay is presented on the decisions taken by the U.S. Supreme Court for the court cases Bell Atlantic Corp. v. Twombly and Ashcroft v. Iqbal. The author discusses a revolutionary and conservative judicial activism corresponding to both Twombly and Iqbal court cases. It mentions that the court can take an Act of Congress to institute a pervasive fee-shifting regime for discovery costs.


Evading Legislative Jurisdiction, Austen L. Parrish Apr 2012

Evading Legislative Jurisdiction, Austen L. Parrish

Notre Dame Law Review

An essay is presented on the adoption of a different approach by the U.S. courts to deal with the issues related to legislative jurisdictions. The author discusses lapses in the decisions of the courts related to the practice of redefining extraterritoriality that have been foundational in both domestic and international law. It also offers brief information on the decision of the U.S. Supreme Court for the court case Morrison v. National Australia Bank Ltd.


Droughtscape, Spring 2012, National Drought Mitigation Center Apr 2012

Droughtscape, Spring 2012, National Drought Mitigation Center

DroughtScape: Quarterly Newsletter of the National Drought Mitigation Center (2007–2023)

Contents

Director’s report.

Climate Masters 1

Ranch plan workshop . 3

Winter climate summary 4

Winter impacts summary . 6

Zhao research.

Getachew research 0

Other international news

Wardlow move 13

IPCC disaster report .


‘‘Ticketed Through’’ The Commodification Of Travel In The Nineteenth Century, Will Mackintosh Apr 2012

‘‘Ticketed Through’’ The Commodification Of Travel In The Nineteenth Century, Will Mackintosh

History and American Studies Articles

This article discusses the commodification of travel in United States during the 19th Century and the impact created by the rise of canals, steamboats, and commercial railroads.


Bank Capital Regulation By Enforcement: An Empirical Study, Julie A. Hill Apr 2012

Bank Capital Regulation By Enforcement: An Empirical Study, Julie A. Hill

Indiana Law Journal

Improving commercial bank capital requirements has been a top priority on the regulatory agenda since the beginning of the 2008 financial crisis. Unfortunately, some of the information necessary to make informed decisions about capital regulation has been missing. Existing regulations establish numerical capital requirements. Regulators, however, have significant discretion to set higher capital requirements for individual banks. In considering necessary reforms, regulators often focus on specific numerical requirements but sometimes ignore enforcement efforts. Without clear information about capital enforcement, it is impossible to make informed judgments about the current capital regulation system.

This Article provides a more complete picture of …


Beyond Bailouts: Federal Tools For Preventing State Budget Crises, Brian D. Galle, Kirk J. Stark Apr 2012

Beyond Bailouts: Federal Tools For Preventing State Budget Crises, Brian D. Galle, Kirk J. Stark

Indiana Law Journal

More than two years after the official end of the Great Recession, state governments still face significant budget deficits that cannot be addressed without further drastic spending cuts or substantial revenue increases. The structural origins of the ongoing state fiscal crisis are well known. Excessively procyclical revenue structures, combined with spending obligations that increase with economic downturns, have resulted in a budget dynamic for the states that is not sustainable over the long term. The consensus solution to this problem is for states to save money during boom times (via budget stabilization or “rainy day” funds) and to draw on …


The American Historical Review (April 2012) (Reviewing David Garland, Peculiar Institution: America’S Death Penalty In An Age Of Abolition, John Bessler Apr 2012

The American Historical Review (April 2012) (Reviewing David Garland, Peculiar Institution: America’S Death Penalty In An Age Of Abolition, John Bessler

All Faculty Scholarship

No abstract provided.


Appellate Courts As First Responders: The Constitutionality And Propriety Of Appellate Courts' Resolving Issues In The First Instance, Joan Steinman Apr 2012

Appellate Courts As First Responders: The Constitutionality And Propriety Of Appellate Courts' Resolving Issues In The First Instance, Joan Steinman

Notre Dame Law Review

The article discusses the constitutionality and propriety of appellate courts of the U.S. that are the primary responders to take decisions regarding any filed lawsuits. It further discusses the shifting of focus to judicial discretion from power in the Supreme Court and in the federal intermediate appellate courts of the U.S. It informs about the division of function between trial and appellate courts on functional and institutional grounds.


A (Modest) Separation Of Powers Success Story, Tara Leigh Grove Apr 2012

A (Modest) Separation Of Powers Success Story, Tara Leigh Grove

Notre Dame Law Review

An essay is presented on the context of safeguarding the federal judiciary corresponding to the separation of powers. It mentions that the separation of powers has always worked in favour of development of constitutional structure despite of the political incentives and ambitions of elected officials. The author also highlights the Madisonian system of separated powers that has worked well in safeguarding the constitutional values of judicial power.


White Paper: Fhfa-Oig's Current Assessment Of Fhfa's Conservatorships Of Fannie Mae And Freddie Mac, United States: Federal Housing Finance Agency (Fhfa): Office Of The Inspector General Mar 2012

White Paper: Fhfa-Oig's Current Assessment Of Fhfa's Conservatorships Of Fannie Mae And Freddie Mac, United States: Federal Housing Finance Agency (Fhfa): Office Of The Inspector General

Documents

White Paper outlining the Conservatorships in Operation, Challenges Faced by FHFA, Conclusion, Scope, and Methodology.


Capital Purchase Program Questions, United States: Department Of The Treasury Mar 2012

Capital Purchase Program Questions, United States: Department Of The Treasury

Documents

No abstract provided.


Is The Global Energy Map Shifting To The Western Hemisphere?, Inter-American Dialogue's Latin American Energy Advisor Mar 2012

Is The Global Energy Map Shifting To The Western Hemisphere?, Inter-American Dialogue's Latin American Energy Advisor

Latin American Energy Dialogue, White Papers and Reports

For the first time since 1949, the United States exported more gasoline, heating oil and diesel fuel last year than it imported, the Energy Department reported Feb 29, and imports of crude oil fell to a level not seen since 1995. Such advances in the United States, along with recent discoveries in Latin America of vast gas reserves in shale formations, subsalt oil deposits and renewable energy resources, have led some analysts argue that the global energy map is shifting from the Middle East to the Western Hemisphere. Is the ""world's oil map"" shifting away from the Middle East? What …


Lomas V Jfb Firth Rixson Inc., Lehman Brothers Holdings Inc. Mar 2012

Lomas V Jfb Firth Rixson Inc., Lehman Brothers Holdings Inc.

Documents

IN THE COURT OF APPEAL (CIVIL DIVISION) ON APPEAL FROM THE HIGH COURT OF JUSTICECHANCERY DIVISION (COMPANIES COURT) IN THE MATTER OF LEHMAN BROTHERS INTERNATIONAL (EUROPE) (IN ADMINISTRATION) IN THE MATTER OF THE INSOLVENCY ACT 1986 & ON APPEAL FROM THE HIGH COURT OF JUSTICE QUEEN'S BENCH DIVISION COMMERCIAL COURT THE HONOURABLE MR JUSTICE BRIGGS & THE HONOURABLE MR JUSTICE FLAUX


Accelerated Vehicle Retirement For Fuel Economy: “Cash For Clunkers”, United States: Congress: Congressional Research Service (Crs), Bill Canis, Brent D. Yacobucci Mar 2012

Accelerated Vehicle Retirement For Fuel Economy: “Cash For Clunkers”, United States: Congress: Congressional Research Service (Crs), Bill Canis, Brent D. Yacobucci

Documents

No abstract provided.