Digital Commons Network^™

Should All Shock Centers Offer Ecpr? Balancing Futility, Cost Effectiveness, And Hope, Michael Mooney

Journal of Shock and Hemodynamics

There are over 400,000 out-of-hospital cardiac arrests (OHCA) in the United States annually. Of those, 50% are refractory cardiac arrest, defined as the lack of return of spontaneous circulation (ROSC) after 30 minutes of appropriate cardiopulmonary resuscitation (CPR) in the absence of hypothermia. Extracorporeal cardiopulmonary resuscitation (ECPR) has been increasingly used given its potential to improve survival and offer improved neurological outcomes.

Systemic Inflammatory Response Syndrome And Mechanical Circulatory Support Devices, Mircea R. Mihu, Aly El-Banayosy

Journal of Shock and Hemodynamics

Systemic inflammatory response syndrome is an increased inflammatory state affecting the whole body. Mechanical circulatory support (MCS) is a temporary or permanent form of extracorporeal support that may have an associated complication of an exacerbated inflammatory response to the extracorporeal circuit. This brief review will focus on understanding the complex pathophysiology of inflammatory response to MCS, factors that influence the extent of the inflammatory response, the inflammatory response and outcomes as well as potential therapeutic strategies.

Role Of Hypothermia In Cardiogenic Shock, Filio Billia

Journal of Shock and Hemodynamics

While patient management in the intensive care unit has undoubtedly improved over the last 20 years, many questions remain. Neurological prognostication has become very important and aided in improving survival outcomes over time. The limited number of randomized control trials and limitations from currently completed studies leave the field with little certainty regarding targeted temperature management. In addition, implementing hypothermia can use multiple methods and protocols that impact the interpretation and comparison of results.

Management Of Severe Aortic Stenosis In Cardiogenic Shock: Early Percutaneous Mechanical Circulatory Support Or Emergent Transcatheter Aortic Valve Replacement?, Sandeep Nathan

Journal of Shock and Hemodynamics

Aortic stenosis (AS) affects an estimated 1.5 million patients in the United States, with 250,000 patients or more suffering severe, symptomatic aortic stenosis. A subset of these patients also have unrevascularized coronary artery disease and left ventricular dysfunction, representing an extreme risk population of AS patients. Cardiogenic shock (CS) complicates a small minority of AS presentations and/or patients referred for transcatheter aortic valve replacement (TAVR) but is responsible in these cases for a disproportionately high rate of morbidity and mortality. Indeed, CS results in a 4-fold increase in TAVR mortality, proportional to shock severity and largely independent of procedural complications. …

A Case Of Inferior Myocardial Infarction Complicated By Ventricular Septal Rupture Leading To Cardiogenic Shock: Tandem Heart To The Rescue!, Shehab Al-Ansari, Sachin Kumar, Angelo Nascimbene, Manish K. Patel, Igor D. Gregoric

Journal of Shock and Hemodynamics

Ventricular septal rupture (VSR) is a rare but life-threatening complication of acute myocardial infarction. We present a case of VSR-related refractory cardiogenic shock that was successfully managed with TandemHeart® followed by surgical repair.

Early Unloading In Venoarterial Extracorporeal Membrane Oxygenation Shock: When, How, Where, And Why?, Benedikt Schrage

Journal of Shock and Hemodynamics

As extracorporeal membrane oxygenation increases the left ventricular afterload, a successful treatment plan should include strategies to address this issue. One promising approach to do so is the addition of a second device for active left ventricular unloading. However, this relatively new approach is currently only based on retrospective data. This article summarizes the current perspectives on this approach, provides recommendations for its application, and highlights the need for randomized data on this topic.

Microcirculation Versus Macrocirculation In Cardiogenic Shock, Christian Jung

Journal of Shock and Hemodynamics

Macro- and microcirculation are important parameters in cardiogenic shock. Microcirculation is relevant for monitoring organ function and prognosis. Serum lactate might be the best daily life parameter to assess microcirculation, and the crude 8-hour value can be used for outcome prediction. Any treatment should consider the consequences of microcirculation and macrocirculation.

Hemodynamics Of Prolonged Percutaneous Mechanical Circulatory Support – When Vasodilatation Sets, Holger Thiele

Journal of Shock and Hemodynamics

Hemodynamics play an important role in cardiogenic shock assessment for prognosis estimation and for phenotyping cardiogenic shock. This is best done by pulmonary artery catheters. In general, at the beginning of cardiogenic shock, patients have vasoconstriction, which over time may lead to vasodilation. This is often triggered by percutaneous mechanical circulatory support. This review will elucidate the hemodynamics and the factors that possibly lead to vasodilation in patients with mechanical circulatory support.

Society For Improving Medical Professional Learning Collaborative: What’S It All About?, Joseph B. Zwischenberger, Katherine Breetz, Daniel Cooper

Journal of Shock and Hemodynamics

The Society for Improving Medical Professional Learning (SIMPL) Collaborative is a non-profit, educational, quality improvement consortium focused on developing tools, curricula, and policies to improve physician training. The goal is to provide educators and learners with convenient, reliable, and valid evaluation tools for frequent, real-time workplace assessment and feedback. The SIMPL Operating Room application provides this platform. It was developed to provide high-quality, time-sensitive, procedural feedback. Its objective is to facilitate intra-rotation corrections.

SIMPL is available to all residency programs and has matured to include over 175 residency programs, involving 19 different specialties, 4000 trainees, 5000 attendings, and 354,800 evaluations …

Houston Shock: A Practical Scoring System Incorporating Cardiogenic Shock Dynamic Changes, Marwan F. Jumean, Sriram Nathan, Igor D. Gregoric, Biswajit Kar

Journal of Shock and Hemodynamics

Cardiogenic shock has an unacceptably high mortality rate and additional tools are needed to improve outcomes. The Society of Cardiovascular Angiography and Interventions (SCAI) shock severity classification has provided a unified definition of shock severity that has proven to be reproducible and predictive of survival. However, cardiogenic shock assessment goes beyond standardizing its severity, and a uniform and practical approach to comprehensive assessment that may guide therapy in a dynamic state is currently lacking.

Since cardiogenic shock is a rapidly evolving pathophysiological catastrophe, we propose a new assessment tool – the Houston SHOCK Score – which incorporates dynamic changes. The …

Usage Of Electronic Academic Database Resources Among Lecturers And Postgraduate Students In Western Delta Universities, Oghara, Delta State, Nigeria, Dr. Ivwighreghweta (Cln) Oghenetega, Saadatu Eireyi-Fidelis

Library Philosophy and Practice (e-journal)

Abstract

The study investigated the usage electronic academic databases resources by lecturers and postgraduate students in Western Delta University, Oghara, Delta State, Nigeria. Specifically, the study identified the types of electronic academic databases that lecturers and postgraduate students are aware of, the electronic academic databases that are available and used, purpose of usage of electronic academic database and the problems militating against the effective use of electronic academic databases resources. Four specific objectives with corresponding research questions guided the study. The study adopted a descriptive research design. The population of the study is 134 lecturers and postgraduate students in WDU. …

Reading Habits Of Undergraduates In Universities In Delta State, Nigeria, Dr. Ivwighreghweta (Cln) Oghenetega, Dr. Ekhorutomwen Maria-Gorretti

Library Philosophy and Practice (e-journal)

Abstract

The study investigated the reading habits of undergraduates in universities in Delta State, Nigeria. The specific objectives of the research were to find out the reading habits of undergraduates and the problems militating against effective reading among them. In carrying out this study, two research questions were raised. Descriptive survey design was utilized for the study. The population of the study was forty-three thousand, five hundred (43,500) undergraduates in three universities in Delta State. The sample size for this study was 500. These universities include: Federal University of Petroleum Resources, Effurun, Delta State University, Abraka and Western Delta University, …

Effect Of Socio-Economic Factors On Loan Repayment Performance Of Youth Revolving Fund In Oromia Regional State, Ethiopia, Abebe Negesse Bantu, N.S. Malik

Arab Economic and Business Journal

Youth Revolving Fund (YRF) loan was established to help unemployed youths alleviate their economic and social difficulties. However, its loan repayment performance is not as expected. Thus, the objective of this study was to examine effect of socio-economic factors on loan repayment performance of YRF in Oromia Regional State. 328 data collected from 328 respondents and the result showed peer pressure, loan diversion, time of maturity of investment and predominant economic shocks were affected loan repayment at 5% level of significance. Finally, government is recommended to create awareness about YRF loan, reconsider training and guidance, and alternative fund utilization strategy.

Passive Infrared (Pir) Sensors With Barker Code Lensing For Detecting Motion Direction, D Shin

Defensive Publications Series

Applications that require sensing presence or motion of people in a given physical area often employ passive infrared (PIR) sensors for these purposes. Commodity PIR sensors lack the spatial resolution to discern the direction of the person’s movement. This disclosure describes a PIR sensor module that incorporates a Fresnel lenslet system based on Barker codes to provide the spatial resolution needed to detect the direction of motion by leveraging the autocorrelation property of Barker codes. Information on the direction of a user’s motion opens up new possibilities for spatially intelligent applications and services.

Lens Carrier And Waveguide Subframe For Near-Eye Device, Lloyd Holland, Joshua Moore, Jaehong Choi

Defensive Publications Series

This disclosure describes a lens stack (lens module) for a near-eye device that includes a lens carrier and waveguide subframe. The lens carrier and waveguide subframe fully or partially encircles and houses the waveguide and enables precision placement of the waveguide in-coupling grating with respect to controlled datums that interface with display modules. The lens carrier is made of a high strength material and provides structural support to the waveguide. The material is opaque and helps to minimize stray light in the display system by reducing edge glow from waveguide. The lens carrier and waveguide subframe additionally provide a locating …

Pollutants Corrupt Resilience Pathways Of Aging In The Nematode C. Elegans, Andrea Scharf, Annette Limke, Karl Heinz Guehrs, Anna Von Mikecz

Biological Sciences Faculty Research & Creative Works

Delaying aging while prolonging health and lifespan is a major goal in aging research. One promising strategy is to focus on reducing negative interventions such as pollution and their accelerating effect on age-related degeneration and disease. Here, we used the short-lived model organism C. elegans to analyze whether two candidate pollutants corrupt general aging pathways. We show that the emergent pollutant silica nanoparticles (NPs) and the classic xenobiotic inorganic mercury reduce lifespan and cause a premature protein aggregation phenotype. Comparative mass spectrometry revealed that increased insolubility of proteins with important functions in proteostasis is a shared phenotype of intrinsic- and …

S8 E11: Season Wrap Up, Rebecca Hines, Lisa Dieker

Practical Access Transcripts

No abstract provided.

Stockton Assembly Center Splash Page, Tina To

Kizuna: Bonds Beyond Incarceration (Summer 2022)

Families arrive at the gates of the Stockton Fairgrounds. They form a long line and soldiers search their personal items. It’s late spring and suffocating dust fills the air. The rough-hewn rooms offer little privacy. Fewer than two dozen buildings will house those displaced by Order 9066 as the incarcerated face uncertainty.

Etd Formatting And Reviewing: Hot Topics And Questions, Larry Tague, Sally Evans, Lily Compton, Stacy Wallace, Ericka Findley, Lee Spence

ETD Conferences and Academic Works

One of the most important products from university graduate programs is highly qualified professionals. Ultimately, student success is one measure of a university’s academic quality. But another measure of academic quality is the institution’s online continuous display of ETDs. This display is a public picture of content and style representing the students and their university. Thus, ETD administrators are tasked not only with the format reviews but also the continuous improvements in all aspects of the ETD workflow to ensure the integrity of their institutions’ public-facing ETDs.

To facilitate the plenary discussion about ETD formatting and reviewing for differentsized institutions …

The Fierce Green Fire: Vol. 13 Issue 3, Wofford College. Department Of Environmental Studies

The Fierce Green Fire

No abstract provided.

Unraveling The Effects Of Management And Climate On Carbon Fluxes Of U.S. Croplands Using The Usda Long-Term Agroecosystem (Ltar) Network, D. Menefee, Russell L. Scott, M. Abraha, J. G. Alfieri, J. Baker, Dawn M. Browning, Jiquan Chen, Jeff Gonet, J. M. F. Johnson, G. R. Miller, Rachel Nifong, Phil Robertson, E. S. Russell, N. Saliendra, Adam P. Schreiner-Mcgraw, Andrew E. Suyker, P. Wagle, Chris Wente, P. M. White, Doug Smith

School of Natural Resources: Faculty Publications

Understanding the carbon fluxes and dynamics from a broad range of agricultural systems has the potential to improve our ability to increase carbon sequestration while maintaining crop yields. Short-term, single-location studies have limited applicability, but long-term data from a network of many locations can provide a broader understanding across gradients of climate and management choices. Here we examine eddy covariance measured carbon dioxide (CO₂) fluxes from cropland sites across the United States Department of Agriculture’s Long-Term Agroecosystem Research (LTAR) network. The dataset was collected between 2001 and 2020, spanning 13 sites for a total of 182 site-years. Average …

Medical School Watercooler Newsletter - September 16, 2022, Lindsey Lyle

Watercooler Newsletter

This is the September 16, 2022 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents include:

• New neonatology division chief joins Children’s &Women’s Hospital
• USA Center for Lung Biology announces Murray Bander Faculty Development Award recipients
• Med students invited to attend GME virtual open house
• Borchert receives $1 million from National Science Foundation to study Salmonella survival
• Menger wins Young Neurosurgeon Award from Congress of Neurological Surgeons

Artificial Intelligence-Driven Design Of Fuel Mixtures, Nursulu Kuzhagaliyeva, Samuel Horváth, John Williams, Andre Nicolle, S. Mani Sarathy

Machine Learning Faculty Publications

High-performance fuel design is imperative to achieve cleaner burning and high-efficiency engine systems. We introduce a data-driven artificial intelligence (AI) framework to design liquid fuels exhibiting tailor-made properties for combustion engine applications to improve efficiency and lower carbon emissions. The fuel design approach is a constrained optimization task integrating two parts: (i) a deep learning (DL) model to predict the properties of pure components and mixtures and (ii) search algorithms to efficiently navigate in the chemical space. Our approach presents the mixture-hidden vector as a linear combination of each single component’s vectors in each blend and incorporates it into the …

Academic Senate Retreat - Minutes, 9/16/2022, Academic Senate

Academic Senate Minutes

No abstract provided.

From Northern Ireland To Oklahoma: Alumna's Work In Peace And Reconciliation, Taylor University

2022 Website News Stories

No abstract provided.

Gsu To Officially Launch Center For Community Media, Office Of Marketing And Communications

Newsroom

Governors State University is expanding its efforts to amplify diverse voices with the launch of the Center for Community Media (CCM), a production, teaching and research center that will serve as a broadcasting hub in the Southland.

Governors State President Dr. Cheryl Green: A Fearless Leader In Challenging Times, Office Of Marketing And Communications

Newsroom

Dr. Cheryl Green. Passionate. Fierce. Innovative. Committed. Accomplished. Tenacious. Visionary. These are just a few adjectives that describe Dr. Green, the sixth president of Governors State University (GSU).

Student Pursues Passion In Critical Care Nursing, Pam Starling

University of Mississippi News

Kaylee Hillhouse completes degrees in allied health studies and nursing to follow her dreams

Business Policy As Responsible Leadership: A Collection Of Open Educational Resources For Integrating Sustainability Into The Strategy Curriculum., Richard Jonsen

Open Educational Resources

This collection of instructional materials is designed for undergraduate management instructors desiring to integrate sustainability into the Business Strategy Curriculum.

There are five sections:

• Introduction and Overview
• Economics of Mutuality
• Summative Cases Focused on Sustainability
• Classroom Discussion Cases with Sustainability Themes
• Preparing Students for Discussion of Controversial Topics

Don't Send Your Kids To Work Outside The Family Business Just Yet!, Joseph Astrachan, Isabel C. Botero, Carol Wittmeyer, Claudia Binz Astrachan

Business Faculty/Staff Publications

Should family members work outside the family business before joining? Experts have long recommended that this is the best (and only!) way for the next generation to learn the skills and knowledge required for a job, develop vocational self-confidence, receive honest and objective feedback, and learn what “work” really means. And despite there being no empirical evidence to support this claim, many family businesses require their next generation members – in particular, prospective successors – to work outside anywhere from two to 10 years. But does it make a difference, in the real world, to have the next generation work …