10,290 research outputs found
Brian Anderson
Brian Anderson, son of Court and Judy Anderson, prepares to serve a mission for the Church of Jesus Christ of Latter-day Saints in the Bogota Columbia Mission
Brian Anderson
Brian Anderson, son of Mr. and Mrs. Court Anderson, was selected from Uintah High School to attend Boys State where he will receive instruction and participate in the functions of government
View north along the rim of Markagunt Plateau from Brian Head. Iron County, Utah, 1937.
Photo by J. C. Anderson shows a view north along the rim of Markagunt Plateau from Brian Head, Iron County, Utah, 1937. Photograph from Herbert E. Gregory Book 10: San Juan, Zion, Capitol Reef, 1915-193
Brian Head, volcanic mass from the north rim of Cedar Breaks, Iron County, Utah, 1937.
Photo by J. C. Anderson shows Brian Head, a volcanic mass, as seen from the north rim of Cedar Breaks, Iron County, Utah, 1937. Photograph from Herbert E. Gregory Book 10: San Juan, Zion, Capitol Reef, 1915-193
View southwest from Brian Head, showing head of Cedar Canyon, the northern Kolob Plateau, and Pine Valley Mountains (in distance). Iron County, Utah, 1937.
Photo by J. C. Anderson shows a view southwest from Brian Head, showing head of Cedar Canyon, the northern Kolob Plateau, and Pine Valley Mountains (in distance), Iron County, Utah, 1937. Photograph from Herbert E. Gregory Book 10: San Juan, Zion, Capitol Reef, 1915-193
View southeast from top of Brian Head. Hancock Peak in center middle distance; Paunsaugunt Plateau on left horizon. Iron County, Utah, 1936.
Photo by J. C. Anderson shows the view southeast from top of Brian Head, Iron County, Utah, 1936. Hancock Peak is in center middle distance; Paunsaugunt Plateau is on left horizon. Photograph from Herbert E. Gregory Book 10: San Juan, Zion, Capitol Reef, 1915-193
Development of diplotriaena-tricuspis (nematoda, diplotriaenoidea), a parasite of corvidae, in intermediate and definitive hosts
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Total intravenous anesthesia and target-controlled infusion
Total intravenous anesthesia (TIVA) is the use of intravenous agents for induction and maintenance of anesthesia. The
most frequently used agent is propofol. Propofol effect is usually
augmented with an opioid (e.g., remifentanil). Although it is possible to implement TIVA using pumps with the infusion rate
controlled manually, the advent of pumps programmed with
pharmacokinetic information has facilitated use. The use of published pharmacokinetic parameter sets (referred to as models and
often described by the principal author) allows the pump to determine infusion rates to maintain a certain plasma concentration
(Cp) and the addition of an effect-site equilibration constant
(keo) allows effect-site drug concentration prediction. Covariate
knowledge (e.g., weight, age) allows individualization of dose.
Recommended target concentrations for both propofol and remifentanil depend on the type of surgery, the degree of surgical
stimulation, the use of local anesthetic blocks and the ventilation
status of the patient. The use of processed EEG monitoring is
helpful in pediatric TIVA anesthesia, particularly in the presence
of neuromuscular blockade
Effects of 2- vs 4- Week Attending Physician Inpatient Rotations on Unplanned Patient Revisits, Evaluations by Trainees, and Attending Physician Burnout: A Randomized Trial
Colin West and the Mayo team recently published a meta-analysis of Interventions to Prevent and Reduce Physician Burnout (Lancet 2016; 388: 2272-81) and found that only three randomized studies of structural or organizational interventions have been reported in the literature. Brian Lucas et al. examined the Effects of 2- vs 4- Week Attending Physician Inpatient Rotations on Unplanned Patient Revisits, Evaluations by Trainees, and Attending Physician Burnout (JAMA 2012). The second organizational intervention was the Healthy Work Place (HWP) study by Mark Linzer et al: Interventions to Improve Work Conditions and Clinician Burnout in Primary Care (J Gen Intern Med 2015). Third, Christopher Parshuram et al studied Patient Safety, Resident Well-Being and Continuity of Care with Different Residents Duty Schedules in the Intensive Care Unit (CMAJ 2015). The panel will discuss the findings of these four studies and what further research is needed to determine the most effective interventions for preventing and reducing physician burnout.https://openworks.mdanderson.org/hrc_burnout_presentations/1008/thumbnail.jp
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