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Thomas Jonathan Stonewall Jackson
No full textGen. Stonewall Jackson, from original in the British Museum, b&w mounted on heavy mat Back reads: General Thomas Jonathan Jackson, Stonewall born Clarksburg 1824 John O\u27Brien says he saw the original in the British Museum.https://mds.marshall.edu/blake_collection/1302/thumbnail.jp
Our Heroes and Our Flags, from original pub. in 1900
No full textOur Heroes and Our Flags, from original pub. in 1900, col. The original was printed to raise money for one of the Confederate monument associations.https://mds.marshall.edu/blake_collection/1322/thumbnail.jp
Print of Lieutenant-General Ulysses S. Grant, Print of Kearsarge sinking the Alabama, June 19, 1864.
No full textPrint of Lieutenant-General Ulysses S. Grant, col., framed Sub caption reads General in chief of Armies of the United States.https://mds.marshall.edu/blake_collection/1324/thumbnail.jp
Arthritis Post-Immunotherapy for Endometrial Cancer: a case report and review of literature on the acute onset of inflammatory arthritis following PD-I inhibitor therapy in a patient with recurrent endometrial cancer
Get PDFSince gaining FDA approval in 2014, pembrolizumab, a PD-1 immune checkpoint inhibitor, has been utilized in the management of cancers that progress following first-line therapy.While the pathological response to pembrolizumab is favorable, immune related adverse events (irAEs) can be elicited and require prompt diagnosis and management based on grading and severity, which can include discontinuation of immunotherapy.Our case concerns a 66-year-old female with recurrent endometrial cancer who was treated with pembrolizumab, and developed inflammatory arthritis following therapy. We provide a succinct review of the pathogenesis and risk factors associated with irAEs, as well as diagnosis and management strategies
Comparison of Direct Staffing Costs of Advanced Practice Providers and Residents in a High Acuity Area of a Community Emergency Department
Get PDFIntroduction
Resident physicians and advanced practice providers (APPs) both have roles in providing care within emergency departments (ED). While both bring unique skill sets and capabilities to the health care team, little is known about the comparative financial impact of APPs and residents in a community ED. The objective of this study was to compare direct staffing costs per relative value unit (RVU) generated of emergency medicine (EM) residents and APPs in a community ED setting.
Methods
This was a retrospective, observational analysis of RVU productivity of resident physicians and APPs in the high acuity area of a community ED. Billing data was acquired to determine RVUs generated by both APPs and residents when supervised by an attending physician. Direct costs and hours worked were used to calculate RVUs/hour and direct costs/hour. Direct cost/RVU generated were calculated for the four specific groups of providers (PGY1, PGY2, PGY3, and APP).
Results
During the study period, APPs generated 2.88 RVUs/hour. Residents generated 2.01, 3.00, and 3.49 RVUs/hour respectively from PGY1 to PGY3. When the RVU data was combined with scheduled hours and direct costs for both groups, APPs were found to cost 12.38 per RVU generated.
Conclusion
In a high acuity area of a community ED, EM residents generate more RVUs/hour than APPs after completion of their PGY1 year. Given the lower direct hourly cost of a resident compared with an APP, the direct cost of a resident to assist an attending to generate RVUs is less than that of their APP counterparts during all three years of training. This suggests that community hospitals should consider sponsoring EM residency positions over hiring APPs for use in the high acuity setting
Narcocinema and the Story of Pablo Escobar
No full textViolence and narcotrafficking in Latin American cinema have a rather strong effect on Latin American society. Many of the movies and telenovelas have an over-dramatization of violence and trafficking that occurs in these cinematic retellings of sicarios as well as an exaggeration (or complete invention) of events. This could impact the way people view historical events or the society as a whole with a constant retelling of these dramatized stories. The country that has been actively impacted by these dramatizations the most is Columbia in relation to the drug cartels and violence that existed surrounding Pablo Escobar (which was dramatized in the Columbian telenovela Pablo Escobar: El Patrón del Mal). Based on the popularity rise of narcocultura, it’s important to look at the changes made to the original history, the impact this has on Columbian society, and how and why these retellings are interesting enough to have a positive impact on people wanting to learn about the history of these countries
Organizers of Mountain National Bank, Beaver, WVa,
No full textOrganizers of Mountain National Bank, Beaver, WVa, b&w Back reads: Organizers-Mountain National Bank, Beaver. L to r: Elmer Davis, Chariman K. D. Bowers, Secretary Joe L. Smith, Jr., Director Thomas L. Gray, Director Donald D. Hodson, Director Leo Vecellio, Directorhttps://mds.marshall.edu/harlow_warren_papers/1018/thumbnail.jp
Ockenga User Guide
No full textThe User Guide for the Library of Appalachian Preaching is a Google Sheet that can be searched, sorted, and downloaded for offline use.
This part of the Guide provides information about Ockenga\u27s sermons. It includes the title, sermon text, date and place the sermon was preached (if known), and so on. This information is available in the master list of sermons as well.https://mds.marshall.edu/ockenga_haroldjohn/1001/thumbnail.jp
Deputy Director at work
No full textDeputy Director at Work , (Marvin Stone), col. note on side of photo: Deputy Director at Work.https://mds.marshall.edu/marvin_stone_collection/1024/thumbnail.jp
Unidentified INS reporter in Korea
No full textUnidentified INS reporter in Korea, b&w. Tank in background is later model Sherman tank.https://mds.marshall.edu/marvin_stone_collection/1074/thumbnail.jp