3,763 research outputs found
Clinical Significance of Serum Cardiac Troponin I Measurements Less Than The 99th Percentile
No full text11:00am-1:00pmMedical StudentsTroponins are a group of proteins found in both skeletal and cardiac muscle fibers that control muscle contraction. Cardiac troponin (cTn) tests measure the level of cardiac specific troponins, either cTnI or cTnT, present in the blood that are released in response to myocardial damage. Standard treatment for patients with a concern for cardiac compromise includes drawing a cTn initially, and then repeating the test at 3 hours with additional trending as necessary. At UVMMC, the cTnI assay currently used (Ortho Clinical Diagnostics Vitros 5600) is able to detect cTnI as low as 0.012 ng/mL. Although this data is available, it is not reported to the medical provider as any value <0.034 ng/mL is reported to the provider as “<0.034 ng/mL”. The cTnI value of 0.034 ng/mL represents the level of cTnI that is detectable in 99% of the population measured by this assay. This value is important in that under the 4th universal definition of myocardial infarction, a patient must have a cTn value above this set point to meet the definition for myocardial infarction. Given this information, when the current cTnI assay was adopted at UVMMC a decision was made by cardiology and the laboratory to mask all cTnI results <0.034 ng/mL as the clinical significance of those values was in question. Objectives: Primary Objective: Review unblinded cTnI results in ED patients at UVMMC to determine if blinding the providers to cTnI values of <0.034 ng/mL resulted in adverse patient outcomes. Secondary Objective: Determine if the current practice of blinding providers to cTnI values <0.034 ng/mL should continue and this practice be acceptable to expand to the UVMHN. Methods: The Department of Pathology and Laboratory Medicine has a record of all troponins resulted at UVMMC, with their precise values (beginning at 0.012 ng/mL). This study proposes utilizing this data set to identify medical records in EPIC to be assessed to evaluate if blinding the providers to cTnI values of <0.034 ng/mL resulted in adverse patient outcomes. Results: Currently reviewing 402 records for primary diagnosis, secondary diagnoses, ICU admission, admission diagnosis, admission dates, principal procedure, secondary procedure(s), length of hospital stay, discharge disposition, readmission within 30 days, and outpatient follow-up to see if unblended cTnl results in ED patients at UVMMC resulted in an adverse patient outcome. Conclusion: Determine if current practice of blinding providers to cTnl values of <0.034 ng/mL is a safe practice for patients or if unblinding should be adopted in UVMHN and become standard of care
FIT Authors Talks: "The Miracles" with Amy Lemmon
No full textProfessor and Chair of English and Communication Studies Amy Lemmon reads from and talks about her book The Miracles.With lyricism and grace, Amy Lemmon gives us a worldview to live by. The all-too-familiar “wear of sorrow’s rub” is presented alongside the world’s miracles, including the author’s two children. Fearlessly bridging the gap between tradition and artistic innovation, the author moves us forward with her into the unknown, to entertain new relationships with herself, her children, and the world
American Women Writers: Amy M. Clark
No full textA 2011 conversation with the author Amy M. Clark about her life and the inspiration for her work
Dr. Amy Howard – Faculty Author Interview
No full textAmy Howard, executive director of the Bonner Center for Civic Engagement and associated faculty in American studies, discusses her new book, More Than Shelter: Activism and Community in San Francisco Public Housing, published recently by the University of Minnesota Press. Her research and book looks closely at three public housing projects in San Francisco and brings to light the dramatic measures tenants have taken to create communities that mattered to them
Payton, Amy Louise. "Looking Back" radio show on Paytons book on Georgina Stirling.
No full textCBC freelance broadcaster Cathy Porter talking to author Amy Louise Payton about the life of Georgina Stirling, Soprano Premadonna from Twillingate. Payton talks about her interest in the singer and her book on Stirling; Hiram Silk interviews Amy Louise Payton on the program Looking Back about her book Nightingale of the North about Georgina Stirling. Payton talks about Stirling and the history of the Twillingate area
Sparrows can't sing : East End kith and kinship in the 1960s
Get PDFSparrows Can’t Sing (1963) was the only feature film directed by
the late and much lamented Joan Littlewood. Set and filmed in
the East End, where she worked for many years, the film deserves
more attention than it has hitherto received. Littlewood’s career
spanned documentary (radio recordings made with Ewan MacColl
in the North of England in the 1930s) to directing for the stage
and the running of the Theatre Royal in London’s Stratford East,
often selecting material which aroused memories in local audiences
(Leach 2006: 142). Many of the actors trained in her Theatre
Workshop subsequently became better known for their appearances
on film and television. Littlewood herself directed hardly any material
for the screen: Sparrows Can’t Sing and a 1964 series of television
commercials for the British Egg Marketing Board, starring Theatre
Workshop’s Avis Bunnage, were rare excursions into an area of practice
which she found constraining and unamenable (Gable 1980: 32).
The hybridity and singularity of Littlewood’s feature may answer,
in some degree, for its subsequent neglect. However, Sparrows Can’t
Sing makes a significant contribution to a group of films made in
Britain in the 1960s which comment generally on changes in the
urban and social fabric. It is especially worthy of consideration,
I shall argue, for the use which Littlewood made of a particular
community’s attitudes – sentimental and critical – to such changes and
for its amalgamation of an attachment to documentary techniques
(recording an aural landscape on location) with a preference for nonnaturalistic
delivery in performance
Letter from Amy Narawaki to Mr. and Mrs. A.W. Thomas, December 15, 1971
No full textA holiday letter of greetings on Christmas from Amy Nakawaki [=Emiko Amy Terada] in Stanton, California to Mr. and Mrs. A.W. Thomas in Lawndale, California, which contains basic correspondence.The James H. Osborne Nisei Collection contains mainly correspondence between Emiko and Usami Terada, incarcerees in the Rohwer incarceration camp, McGehee Arkansas, and the Thomas family in Lawndale, California, and photographs of the Teradas and the Thomases. The letters describe the trip from the Santa Anita Temporary Assembly Center to the Rohwer incarceration camp, their lives and conditions in the camp, and their concerns about their properties in Lawndale, California. Also included are photographs taken in the camp, some issues of "The Rohwer outpost," and fliers published during wartime
Writers Talk Featuring Amy Pennington and Social Media Experts
No full textPart one of OSU social media experts Ryan Squire (Medical Center), Debra Jasper (Kiplinger program), and Shaun Holloway (Fisher) discussing the changing landscape of media. Plus, OSU alum Meghan Wynne talks food writing with Urban Pantry author Amy Pennington.The media can be accessed here: http://streaming.osu.edu/knowledgebank/cstw11/Pennington_Amy_Social_Media.mp3Ohio State University. Center for the Study and Teaching of Writin
The racial romance of Amy Levy's "Reuben Sachs"
No full textOn its publication in 1888, Reuben Sachs by Amy Levy (1861-1889) was initially received as being anti-Semitic in both the Jewish and the mainstream presses. Many reviews were scathingly critical, and some singled out the author for special abuse ...Peer reviewedFinal article published
Navigating the Kingdom of night /
No full text"In 2011, Amy T Matthews published End of the Night Girl, a novel which engages creatively with questions of identity politics and the ethics of fictionalising the Holocaust. Navigating the Kingdom of Night is a critical exegesis in which the author contextualises End of the Night Girl in terms of the critical debate surrounding Holocaust fiction."In 2011, Amy T Matthews published End of the Night Girl, a novel which engages creatively with questions of identity politics and the ethics of fictionalising the Holocaust. Navigating the Kingdom of Night is a critical exegesis in which the author contextualises End of the Night Girl in terms of the critical debate surrounding Holocaust fiction.JSTO
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