This document summarizes the speaker's experience receiving a double lung transplant. It describes their declining health due to cystic fibrosis, including needing oxygen support and gaining a feeding tube. They underwent four "dry runs" where donor lungs were found but deemed unsuitable. On Christmas Day 2014, suitable lungs were found and the successful transplant surgery took place. The speaker details their recovery process, including physical therapy and managing medications. They express gratitude for the support received throughout their journey.
This document provides a summary of Sara Olivieri's experience with her daughter Makayla's premature birth and subsequent health issues. Some key points:
- Sara had a miscarriage in 2011 and later developed placenta previa and placenta accretia during her pregnancy with Makayla, requiring extensive bedrest and eventual hospitalization.
- Makayla was born extremely prematurely at 27 weeks via emergency c-section. She required extensive medical intervention and spent 2.5 months in the NICU.
- After coming home, Makayla developed NEC and a bowel stricture, requiring additional surgeries and hospitalizations. Her care was complicated by ongoing breathing and
This document summarizes the deconstruction of a narrative told by a woman named Colleen about her experience with an unwanted pregnancy and choosing to have an abortion. The analyst questions many details of Colleen's story, finding inconsistencies and finding it unlikely that some events she described, such as interactions with teachers and a nun, occurred as presented. The analyst believes Colleen may be exaggerating or fabricating parts of her story to blame others and present herself as a victim who had no other choice but to abort.
MODULE 2 NOVINS Deconstructing Colleen Spring 2014novins
This document provides a summary and analysis of Colleen's story about her experience with an unwanted pregnancy and abortion when she was 18 years old. The analysis deconstructs various parts of Colleen's narrative, questioning aspects of her story and reasoning. Some key points raised in the deconstruction include questioning whether some events she described could have actually occurred as stated, such as interactions with certain medical professionals and teachers. The analysis also questions some of Colleen's reasoning and blame placed on others for influencing her decision, as well as her life outcomes after the abortion. Overall, the deconstruction casts doubt on parts of Colleen's story and suggests she may be exaggerating or omitting details at times.
This document provides a summary and analysis of Colleen's story about her experience with an unwanted pregnancy and abortion when she was 18 years old. The summarizer deconstructs each paragraph by questioning details, inconsistencies, and implications. Overall, the summarizer is skeptical of Colleen's account, noting ways she portrays herself as a victim and others in a negative light. The summarizer suggests Colleen may be exaggerating aspects and overlooking her own role in the events and choices that transpired.
This document provides a deconstruction and analysis of a woman named Colleen's story about getting an abortion when she was 18 years old. The analyst questions many of the details Colleen provides, arguing that she portrays people and events in an unfairly negative light and fails to take responsibility for her own choices. While Colleen claims the abortion destroyed her life, leading to relationship and emotional problems, the analyst believes her life outcomes were more complex, influenced by her own immaturity and decision-making. Overall, the analyst casts doubt on Colleen's narrative and suggests she is trying to blame others rather than acknowledge her role in what occurred.
Surviving cancer-and-embracing-life-my-personal-journeyDr. Joel Evans
This FREE book describes my journey as a pancreatic cancer survivor. It is honest, inspirational, anecdotal, and geared to anyone with a serious illness and their families. Live life every day!! Happiness is a choice.
Kerry Aylward was born on September 29, 1994 in Chester, England. At age 7, she was diagnosed with renal kidney failure and transferred to Alder Hey Children's Hospital in Liverpool. She underwent peritoneal dialysis for a few months before receiving a kidney transplant from her mother on her 11th birthday. However, the transplant was complicated and Kerry ended up in a week-long induced coma. After recovering, she enjoyed visits from family and friends at the hospital.
Libro para mejorar las habilidades en el idioma ingles miestras te superas a ti mismo venciendo el malhabito de la procrastinacion que poco a poco merma tus ganancias personales y tu exito en cada aspecto de tu vida.
This document provides a summary of Sara Olivieri's experience with her daughter Makayla's premature birth and subsequent health issues. Some key points:
- Sara had a miscarriage in 2011 and later developed placenta previa and placenta accretia during her pregnancy with Makayla, requiring extensive bedrest and eventual hospitalization.
- Makayla was born extremely prematurely at 27 weeks via emergency c-section. She required extensive medical intervention and spent 2.5 months in the NICU.
- After coming home, Makayla developed NEC and a bowel stricture, requiring additional surgeries and hospitalizations. Her care was complicated by ongoing breathing and
This document summarizes the deconstruction of a narrative told by a woman named Colleen about her experience with an unwanted pregnancy and choosing to have an abortion. The analyst questions many details of Colleen's story, finding inconsistencies and finding it unlikely that some events she described, such as interactions with teachers and a nun, occurred as presented. The analyst believes Colleen may be exaggerating or fabricating parts of her story to blame others and present herself as a victim who had no other choice but to abort.
MODULE 2 NOVINS Deconstructing Colleen Spring 2014novins
This document provides a summary and analysis of Colleen's story about her experience with an unwanted pregnancy and abortion when she was 18 years old. The analysis deconstructs various parts of Colleen's narrative, questioning aspects of her story and reasoning. Some key points raised in the deconstruction include questioning whether some events she described could have actually occurred as stated, such as interactions with certain medical professionals and teachers. The analysis also questions some of Colleen's reasoning and blame placed on others for influencing her decision, as well as her life outcomes after the abortion. Overall, the deconstruction casts doubt on parts of Colleen's story and suggests she may be exaggerating or omitting details at times.
This document provides a summary and analysis of Colleen's story about her experience with an unwanted pregnancy and abortion when she was 18 years old. The summarizer deconstructs each paragraph by questioning details, inconsistencies, and implications. Overall, the summarizer is skeptical of Colleen's account, noting ways she portrays herself as a victim and others in a negative light. The summarizer suggests Colleen may be exaggerating aspects and overlooking her own role in the events and choices that transpired.
This document provides a deconstruction and analysis of a woman named Colleen's story about getting an abortion when she was 18 years old. The analyst questions many of the details Colleen provides, arguing that she portrays people and events in an unfairly negative light and fails to take responsibility for her own choices. While Colleen claims the abortion destroyed her life, leading to relationship and emotional problems, the analyst believes her life outcomes were more complex, influenced by her own immaturity and decision-making. Overall, the analyst casts doubt on Colleen's narrative and suggests she is trying to blame others rather than acknowledge her role in what occurred.
Surviving cancer-and-embracing-life-my-personal-journeyDr. Joel Evans
This FREE book describes my journey as a pancreatic cancer survivor. It is honest, inspirational, anecdotal, and geared to anyone with a serious illness and their families. Live life every day!! Happiness is a choice.
Kerry Aylward was born on September 29, 1994 in Chester, England. At age 7, she was diagnosed with renal kidney failure and transferred to Alder Hey Children's Hospital in Liverpool. She underwent peritoneal dialysis for a few months before receiving a kidney transplant from her mother on her 11th birthday. However, the transplant was complicated and Kerry ended up in a week-long induced coma. After recovering, she enjoyed visits from family and friends at the hospital.
Libro para mejorar las habilidades en el idioma ingles miestras te superas a ti mismo venciendo el malhabito de la procrastinacion que poco a poco merma tus ganancias personales y tu exito en cada aspecto de tu vida.
After being bitten by a rattlesnake while landscaping, Robert Campanile endured a lengthy and difficult recovery process. He was rushed to the hospital where doctors were unable to administer antivenom. Over the next month, Robert experienced multiple organ failures, underwent surgery, received blood transfusions, and had his heart stop three times. Despite facing a grim prognosis without antivenom treatment, Robert was eventually able to recover and was told he was very lucky to have survived a 95% fatal snake bite. He expresses gratitude to his family and medical team for their support during his recovery journey.
The document discusses how the individual enjoys working out through running and yoga to relieve stress, and has recently taken up cooking and baking in their downtime, enjoying experimenting with recipes by swapping out ingredients. They also mention traveling for work and bringing a book along to read.
How a woman’s crumbling relationship with her daughter just uncovered the “ra...ArchanaSunarkar
This document summarizes a woman's journey to discover a secret to reversing skin aging after her daughter's boyfriend broke up with her daughter because the daughter may end up looking like her mother when she gets older. The woman tries many anti-aging products and methods but finds a breakthrough called "Radiant DNA" created by Dr. Nathan Hageman. She tracks down Dr. Hageman and he reveals that his discovery is based on research showing increasing levels of the molecule NAD in the body can help prevent wrinkles and slow aging. He shares that this discovery could help stop or reverse aging-related health problems.
The document summarizes the future plans and favorite nursing memories of several nursing students from CSB/SJU. Many students plan to work as RNs initially and then pursue advanced degrees. Favorite memories include the trip to South Africa, clinical experiences like delivering a baby, and the friendships formed throughout nursing school. Quotes provide inspiration for the future of nursing.
Cooking the Selfie: The impacts of photovoice techniques on college student s...Christopher Fink
This document summarizes a presentation about a qualitative research project on the impacts of photovoice techniques on college students' perspectives regarding food insecurity. Students in a qualitative research methods course participated in a Cooking Matters program and used photovoice interviews to document their experiences. Through engaging with food insecure community members, the students gained a deeper understanding of the complex issue and moved from unawareness to recognizing food insecurity in their own communities. Their perspectives shifted from blame to empathy as they learned individual stories and saw food insecurity can affect anyone. Students felt more responsible and motivated to inspire thoughtful action.
This document summarizes the author's observations from volunteering at a soup kitchen and homeless shelter in Jamaica, New York. At the soup kitchen, the author helped prepare and serve food for 150-200 people. They spoke to one volunteer who had been helping for over 30 years. At the homeless shelter, the author spoke with 3 men staying there and learned about their situations that led to homelessness. While both locations provided food, the shelter offered a more personal environment where residents felt cared for by the volunteer.
Kerry Aylward is a 17-year-old who lives in Ellesmere Port with her family. She had health problems early in life and received a kidney transplant from her mother in 2005. Kerry enjoys music, Harry Potter, shopping, and spending time with family and friends. She hopes to further her education through college and pursue a career working with computers.
This document summarizes the pinning ceremony for the 2010 graduates of the Associate Degree in Nursing (ADN) program and Practical Nursing (PN) program at Fortis College School of Nursing. It provides the names and hometowns of the 23 ADN graduates and 15 PN graduates, as well as short thank you messages, favorite quotes, memories and advice from each graduate. It concludes with a prayer for nurses.
Father's day tribute (chip) correctionschandler691
Chip was born in 1954 to Royce and Merle Chandler. He was known by the nickname "Chip" given to him by an aunt when he was a baby. As a child, Chip was mischievous and got into trouble, such as disrupting church services. He looked out for his sister Alison, once speeding her to the emergency room after she got injured. Chip enjoyed spending time in nature as a teenager, camping alone in the woods for days at a time. In his adult life, Chip worked for the city and enjoyed spending time with his brother Cass, giving him advice and sharing stories.
This document is a personal essay written by Christabel Frye reflecting on her experience getting an abortion as a college student. It describes some of the events leading up to her discovery that she was pregnant, including a one-night stand and taking Plan B. It then recounts her visit to the campus health center where she received a positive pregnancy test result and began to panic. The essay ends with Christabel learning she was pregnant and beginning to process her options.
The document is a first-person account from the perspective of someone struggling with insomnia. Some key details:
1) The author has trouble falling asleep and staying asleep, often staying up until dawn watching TV shows or using their phone. Various sleep aids and remedies have not helped.
2) While they enjoy the solitary feeling of being awake late at night, they dislike how late they sleep in and the impact it has on their daily life and responsibilities.
3) The author reflects on how their life has changed - they used to be organized, ambitious and popular but are now unmotivated and behind in classes after a breakup derailed their plans for the future.
The fat began piling on like it was nobody’s businessHemantbamaniya
At the very least, I was eager to give it a try.
Not to mention, I wanted to get some for my husband too.
So I pleaded to let me try her Holy Basil “weight loss” tea…
She smiled and said she’d bring me some the next day.
It wasn’t long before I had my own supply of Emily's Holy Basil.
Of course, I explained everything to my husband - and he decided it couldn’t hurt to try.
So using the Holy Basil Emily got for me, I prepared the tea, following her exact instructions.
Which by the way, took several hours…
Because it required me to measure out the exact amounts, the right temperature and so on.
I also made sure not to change anything about my eating habits, lifestyle or exercise…
Because we wanted to keep this experiment as “accurate” as possible.
Jordan Schneider wrote a memoir shortly before his death from AIDS in San Francisco. He had been hit by a car while in college and required a blood transfusion, which is how he contracted HIV/AIDS. After being diagnosed with Kaposi's sarcoma lesions and testing positive for HIV, the doctor informed him the transfusion was likely the cause and that he had about a week to live. When Jordan told his father he had AIDS, his father angrily disowned him over the phone, believing he was gay.
David Chiu's journey as a healthcare provider began with an unexpected phone call from his father asking him to visit his Aunt Nímāmā in the hospital in Washington D.C. He reluctantly made the trip and was unsure of his role. Upon arriving at the hospital, he met Nímāmā who was weak from cancer. Their initial interaction was awkward as they were essentially strangers. His cousin Charlie stayed for a while but the conversation felt distant. David was left wondering about his purpose in being there to care for his aunt.
Ichthyostega is an early tetrapod that lived 374-359 million years ago. It possessed lungs and limbs that helped it navigate through shallow water in swamps. Though it had an amphibian build and lived in swamps, Ichthyostega is not considered a true amphibian. Until discoveries of other early tetrapods and fish in the late 20th century, Ichthyostega stood alone as the transitional fossil between fish and tetrapods, combining fishlike tails and gills with amphibian skulls and limbs.
This short document provides 4 stock photos without captions or context. It ends by asking if the lack of information provided was inspiring, implying the reader should create their own presentation on SlideShare to share ideas.
The First Children's Charity Hospital settled in Zhengzhou in 2007 and was donated by Morning Sun Children's Charity Foundation of Henan Province. The hospital aims to provide medical care for orphans and children with special needs from impoverished rural families. It has 240 beds for patients, 200 apartments for families, and facilities for training medical staff. The hospital was built to high international standards but remains focused on its original mission of serving vulnerable children.
BioAbroad a nonprofit organization strengthens research and industry in Israel by maintaining contact with talented Israeli scientists, physicians and entrepreneurs living around the globe. The organization encourages individuals to move back to Israel and use their knowledge, experience and skills to further Israeli academia and entrepreneurship. With its growing professional-social network, BioAbroad successfully links Israeli scientists, doctors and entrepreneurs living around the world and links them with local Jewish communities, the international scientific community, and Israel.
ביואברוד היא עמותה ללא כוונת רווח הפועלת מאז 2006.
אנו מחברים את מיטב המוחות הישראלים בארץ ובעולם ומעודדים חזרתם לישראל. אנו מאמינים כי שמירת הקשר עם מדענים, רופאים, ויזמים ישראלים השוהים בחו"ל מחזקת את מדינת ישראל.
מטרות
עידוד מדענים, רופאים ויזמים ישראלים השוהים בחו"ל לשוב לישראל על מנת להביא עימם את הידע, הנסיון והיכולות שצברו לאקדמיה ולתעשייה.
טיפוח רשת חברתית-מקצועית פעילה של מדענים ישראלים בעולם וחיבורה לאקדמיה ולתעשייה בישראל.
חיזוק ושימור הזהות הישראלית בקרב חברי העמותה ובני משפחותיהם
This document summarizes interviews conducted with leaders of eight Patient-Centered Medical Home initiatives across New York State. The interviews identified several common themes: 1) Evidence is emerging that PCMH models are improving clinical quality and access; 2) It is still unclear if PCMH activities will lead to long-term cost savings; 3) Payment models are evolving to include pay-for-performance; 4) Data challenges are complicating progress in evaluating PCMH models; 5) NCQA medical home recognition is seen as an element of transformation rather than the end goal. The document provides an overview of each initiative's approach and experiences transforming to PCMH models.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
THE EUROPEAN INSTITUTE OF INNOVATION & TECHNOLOGY (EIT) Knowledge and Innov...mmishaal70
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise boosts blood flow, releases endorphins, and promotes changes in the brain which help enhance one's emotional well-being and mental clarity.
After being bitten by a rattlesnake while landscaping, Robert Campanile endured a lengthy and difficult recovery process. He was rushed to the hospital where doctors were unable to administer antivenom. Over the next month, Robert experienced multiple organ failures, underwent surgery, received blood transfusions, and had his heart stop three times. Despite facing a grim prognosis without antivenom treatment, Robert was eventually able to recover and was told he was very lucky to have survived a 95% fatal snake bite. He expresses gratitude to his family and medical team for their support during his recovery journey.
The document discusses how the individual enjoys working out through running and yoga to relieve stress, and has recently taken up cooking and baking in their downtime, enjoying experimenting with recipes by swapping out ingredients. They also mention traveling for work and bringing a book along to read.
How a woman’s crumbling relationship with her daughter just uncovered the “ra...ArchanaSunarkar
This document summarizes a woman's journey to discover a secret to reversing skin aging after her daughter's boyfriend broke up with her daughter because the daughter may end up looking like her mother when she gets older. The woman tries many anti-aging products and methods but finds a breakthrough called "Radiant DNA" created by Dr. Nathan Hageman. She tracks down Dr. Hageman and he reveals that his discovery is based on research showing increasing levels of the molecule NAD in the body can help prevent wrinkles and slow aging. He shares that this discovery could help stop or reverse aging-related health problems.
The document summarizes the future plans and favorite nursing memories of several nursing students from CSB/SJU. Many students plan to work as RNs initially and then pursue advanced degrees. Favorite memories include the trip to South Africa, clinical experiences like delivering a baby, and the friendships formed throughout nursing school. Quotes provide inspiration for the future of nursing.
Cooking the Selfie: The impacts of photovoice techniques on college student s...Christopher Fink
This document summarizes a presentation about a qualitative research project on the impacts of photovoice techniques on college students' perspectives regarding food insecurity. Students in a qualitative research methods course participated in a Cooking Matters program and used photovoice interviews to document their experiences. Through engaging with food insecure community members, the students gained a deeper understanding of the complex issue and moved from unawareness to recognizing food insecurity in their own communities. Their perspectives shifted from blame to empathy as they learned individual stories and saw food insecurity can affect anyone. Students felt more responsible and motivated to inspire thoughtful action.
This document summarizes the author's observations from volunteering at a soup kitchen and homeless shelter in Jamaica, New York. At the soup kitchen, the author helped prepare and serve food for 150-200 people. They spoke to one volunteer who had been helping for over 30 years. At the homeless shelter, the author spoke with 3 men staying there and learned about their situations that led to homelessness. While both locations provided food, the shelter offered a more personal environment where residents felt cared for by the volunteer.
Kerry Aylward is a 17-year-old who lives in Ellesmere Port with her family. She had health problems early in life and received a kidney transplant from her mother in 2005. Kerry enjoys music, Harry Potter, shopping, and spending time with family and friends. She hopes to further her education through college and pursue a career working with computers.
This document summarizes the pinning ceremony for the 2010 graduates of the Associate Degree in Nursing (ADN) program and Practical Nursing (PN) program at Fortis College School of Nursing. It provides the names and hometowns of the 23 ADN graduates and 15 PN graduates, as well as short thank you messages, favorite quotes, memories and advice from each graduate. It concludes with a prayer for nurses.
Father's day tribute (chip) correctionschandler691
Chip was born in 1954 to Royce and Merle Chandler. He was known by the nickname "Chip" given to him by an aunt when he was a baby. As a child, Chip was mischievous and got into trouble, such as disrupting church services. He looked out for his sister Alison, once speeding her to the emergency room after she got injured. Chip enjoyed spending time in nature as a teenager, camping alone in the woods for days at a time. In his adult life, Chip worked for the city and enjoyed spending time with his brother Cass, giving him advice and sharing stories.
This document is a personal essay written by Christabel Frye reflecting on her experience getting an abortion as a college student. It describes some of the events leading up to her discovery that she was pregnant, including a one-night stand and taking Plan B. It then recounts her visit to the campus health center where she received a positive pregnancy test result and began to panic. The essay ends with Christabel learning she was pregnant and beginning to process her options.
The document is a first-person account from the perspective of someone struggling with insomnia. Some key details:
1) The author has trouble falling asleep and staying asleep, often staying up until dawn watching TV shows or using their phone. Various sleep aids and remedies have not helped.
2) While they enjoy the solitary feeling of being awake late at night, they dislike how late they sleep in and the impact it has on their daily life and responsibilities.
3) The author reflects on how their life has changed - they used to be organized, ambitious and popular but are now unmotivated and behind in classes after a breakup derailed their plans for the future.
The fat began piling on like it was nobody’s businessHemantbamaniya
At the very least, I was eager to give it a try.
Not to mention, I wanted to get some for my husband too.
So I pleaded to let me try her Holy Basil “weight loss” tea…
She smiled and said she’d bring me some the next day.
It wasn’t long before I had my own supply of Emily's Holy Basil.
Of course, I explained everything to my husband - and he decided it couldn’t hurt to try.
So using the Holy Basil Emily got for me, I prepared the tea, following her exact instructions.
Which by the way, took several hours…
Because it required me to measure out the exact amounts, the right temperature and so on.
I also made sure not to change anything about my eating habits, lifestyle or exercise…
Because we wanted to keep this experiment as “accurate” as possible.
Jordan Schneider wrote a memoir shortly before his death from AIDS in San Francisco. He had been hit by a car while in college and required a blood transfusion, which is how he contracted HIV/AIDS. After being diagnosed with Kaposi's sarcoma lesions and testing positive for HIV, the doctor informed him the transfusion was likely the cause and that he had about a week to live. When Jordan told his father he had AIDS, his father angrily disowned him over the phone, believing he was gay.
David Chiu's journey as a healthcare provider began with an unexpected phone call from his father asking him to visit his Aunt Nímāmā in the hospital in Washington D.C. He reluctantly made the trip and was unsure of his role. Upon arriving at the hospital, he met Nímāmā who was weak from cancer. Their initial interaction was awkward as they were essentially strangers. His cousin Charlie stayed for a while but the conversation felt distant. David was left wondering about his purpose in being there to care for his aunt.
Ichthyostega is an early tetrapod that lived 374-359 million years ago. It possessed lungs and limbs that helped it navigate through shallow water in swamps. Though it had an amphibian build and lived in swamps, Ichthyostega is not considered a true amphibian. Until discoveries of other early tetrapods and fish in the late 20th century, Ichthyostega stood alone as the transitional fossil between fish and tetrapods, combining fishlike tails and gills with amphibian skulls and limbs.
This short document provides 4 stock photos without captions or context. It ends by asking if the lack of information provided was inspiring, implying the reader should create their own presentation on SlideShare to share ideas.
The First Children's Charity Hospital settled in Zhengzhou in 2007 and was donated by Morning Sun Children's Charity Foundation of Henan Province. The hospital aims to provide medical care for orphans and children with special needs from impoverished rural families. It has 240 beds for patients, 200 apartments for families, and facilities for training medical staff. The hospital was built to high international standards but remains focused on its original mission of serving vulnerable children.
BioAbroad a nonprofit organization strengthens research and industry in Israel by maintaining contact with talented Israeli scientists, physicians and entrepreneurs living around the globe. The organization encourages individuals to move back to Israel and use their knowledge, experience and skills to further Israeli academia and entrepreneurship. With its growing professional-social network, BioAbroad successfully links Israeli scientists, doctors and entrepreneurs living around the world and links them with local Jewish communities, the international scientific community, and Israel.
ביואברוד היא עמותה ללא כוונת רווח הפועלת מאז 2006.
אנו מחברים את מיטב המוחות הישראלים בארץ ובעולם ומעודדים חזרתם לישראל. אנו מאמינים כי שמירת הקשר עם מדענים, רופאים, ויזמים ישראלים השוהים בחו"ל מחזקת את מדינת ישראל.
מטרות
עידוד מדענים, רופאים ויזמים ישראלים השוהים בחו"ל לשוב לישראל על מנת להביא עימם את הידע, הנסיון והיכולות שצברו לאקדמיה ולתעשייה.
טיפוח רשת חברתית-מקצועית פעילה של מדענים ישראלים בעולם וחיבורה לאקדמיה ולתעשייה בישראל.
חיזוק ושימור הזהות הישראלית בקרב חברי העמותה ובני משפחותיהם
This document summarizes interviews conducted with leaders of eight Patient-Centered Medical Home initiatives across New York State. The interviews identified several common themes: 1) Evidence is emerging that PCMH models are improving clinical quality and access; 2) It is still unclear if PCMH activities will lead to long-term cost savings; 3) Payment models are evolving to include pay-for-performance; 4) Data challenges are complicating progress in evaluating PCMH models; 5) NCQA medical home recognition is seen as an element of transformation rather than the end goal. The document provides an overview of each initiative's approach and experiences transforming to PCMH models.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
THE EUROPEAN INSTITUTE OF INNOVATION & TECHNOLOGY (EIT) Knowledge and Innov...mmishaal70
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise boosts blood flow, releases endorphins, and promotes changes in the brain which help enhance one's emotional well-being and mental clarity.
Dr Qurat-ul-Ain Wahid is currently pursuing a master's degree in hematology with a research focus on epigenetic comparisons of Diffuse Large B Cell Lymphoma in different age groups. She has over four years of experience working in a hematology lab and helped establish facilities for next generation sequencing, minimal residual disease detection, and thalassemia genotyping. Her professional experience also includes positions as a registrar, trainee medical officer, referral medical officer, and female medical officer providing healthcare services in Pakistan and Afghanistan.
Dr. Shajil N is a structural engineer from Kerala, India with a Ph.D from IIT Madras. He has over 10 years of experience in teaching and research. His research focuses on using shape memory alloys to improve self-centering and ductility in concrete structures. He has published over 10 papers in this area. Currently he is an Associate Professor at MES College of Engineering in Kerala.
Roads are the dominant form of transportation in the Philippines, with about 78% of local roads being gravel-surfaced. In 2013, there were 77,110 road accidents reported across Metro Manila's 17 cities and municipalities. Quezon City had the highest number of accidents at 141, while Pateros had none. On average, the Metro Manila Development Authority recorded 1.13 fatal road accidents per day in 2013, with May seeing the most at 41 accidents.
Ichthyostega was an early tetrapod that lived 374-359 million years ago. It possessed lungs and limbs that allowed it to navigate shallow waters and swamps, combining fish-like traits like gills with amphibian features like limbs and skull. Dendrerpeton acadianum was an amphibian nearly 1 meter long that lived 300 million years ago in the late Carboniferous period in Nova Scotia, Canada. Eusthenopteron was a fish that lived before Tiktaalik and shared many anatomical similarities with early tetrapods, including internal nostrils, labyrinthodont teeth, and fin skeletons resembling tetrapod limb bones.
This document provides details about a project to create a smart wheelchair that can be controlled through hand gestures. A robotic arm is attached to the wheelchair to allow objects to be manipulated. The wheelchair and arm will be controlled by an Arduino using image processing of hand gestures from a camera. Inverse kinematics algorithms will be used to position the robotic arm. The project aims to help people with disabilities move freely and interact with objects.
Lancelot Coley has over 20 years of experience in human resources management and supervision, including 15 years working for the Department of Defense. He has a proven track record of exceeding recruiting and retention goals, including turning underperforming regions around. Coley possesses strong skills in areas such as employee recruiting, compensation and benefits, team building, and project management. He is seeking a human resources manager position to utilize his extensive experience attaining optimal goals for organizations.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
Congestive Heart failure is caused by low cardiac output and high sympathetic discharge. Diuretics reduce preload, ACE inhibitors lower afterload, beta blockers reduce sympathetic activity, and digitalis has inotropic effects. Newer medications target vasodilation and myosin activation to improve heart efficiency while lowering energy requirements. Combination therapy, following an assessment of cardiac function and volume status, is the most effective strategy to heart failure care.
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...Jim Jacob Roy
In this presentation , SBP ( spontaneous bacterial peritonitis ) , which is a common complication in patients with cirrhosis and ascites is described in detail.
The reference for this presentation is Sleisenger and Fordtran's Gastrointestinal and Liver Disease Textbook ( 11th edition ).
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
This presentation gives information on the pharmacology of Prostaglandins, Thromboxanes and Leukotrienes i.e. Eicosanoids. Eicosanoids are signaling molecules derived from polyunsaturated fatty acids like arachidonic acid. They are involved in complex control over inflammation, immunity, and the central nervous system. Eicosanoids are synthesized through the enzymatic oxidation of fatty acids by cyclooxygenase and lipoxygenase enzymes. They have short half-lives and act locally through autocrine and paracrine signaling.
Pharmacology of Prostaglandins, Thromboxanes and Leukotrienes
Christmas Present 2014
1. Welcome to TransplantME. I will be putting this
slideshow on to illustrate the experience of my lung
transplant
2. It all started when I was young and my sister dressed me up in
a ballerina outfit. This kind of treatment directly resulted in my
diagnosis of Cystic Fibrosis. Not really but I like to think so.
3. This was me, four years ago. From this point on in my life, I
started losing weight rather rapidly. After surgery I will be
bigger and better than this.
4. The sicker I got, the more the infections nestled into my lungs
and it was not long until I would need oxygen 24/7.
5. This may look like a lot but it’s not as bad as what’s ahead. I
was needing to take pills, home IV medications, and inhaled
medication.
6. My body started working so hard to breathe that I was burning
more calories than I was taking in. This G-Tube was placed in
order for me to get extra nutrients while still maintaining my
appetite. When everything was said and done, I was taking in
around 6,000 calories a day.
7. I started to slowly gain weight. At my low point, I weighed 114
pounds. The number you see here was the weight I needed to
reach in order to be on the transplant list.
8. The pounds started pouring on shortly after I started my
relationship with Mega Stuf Oreos.
9. I decided in November of 2013 that I was going to start getting worked
up for a double lung transplant. Around that same time I also started
preparing for fundraising. This is my symbol. I needed something
unique that represented who I was and what it was I wanted to
accomplish. A friend made this design for me and I fell in love with it.
10. The first thing I did for fundraising was attack social media.
Facebook was my best friend. One of my high school buddies
put together my website which made fundraising easy. I
started receiving donations almost immediately and felt it was
important to personally thank each one that donated.
11. We have put in several orders for hundreds of shirts and I love
handing them out to the nurses and doctors at UNC.
12. The neat thing about having your own shirts is you can take a
selfie and not feel conceited. I love my shirts.
13. Bo made the first ever TransplantME.com shirt. However, the
cost for doing it on your own is more than having a professional
do it for you.
14. Once I had my brand, my website, and all my transplantME
swag, the time had come to go raise some money. Chick Fil A
was an easy fundraiser and required very little work.
15. The Chick Fil A crew. The cow freaked out little Katherine
Jurney.
16. I wrote Volcom and told them about my fundraising and wanting
to use the Volcom Stone in my design. They said no, but sent
me three huge boxes of items that I could use.
17. Slowly but surely I was getting some of my requests for
raffle/auction items for upcoming fundraising events.
18. The word was spreading about my story and my need for a
double lung transplant and people were putting on small events
to help raise funds.
19. My friend Kate put on an event in Austin, Texas. She put it
together with no help from me or the TransplantME group. Not
only did they have a good time but they also raised a nice
amount.
20. On a few occasions I had people who wanted to do something
nice and treat me like a king for a night. VIP seats,
autographed memorabilia, and an experience I will always
cherish.
21. One thing I learned throughout this whole process is how
important friendship is. Sometimes one business might not be
able to donate much, but if they team up with other businesses,
the outcome is tremendous.
22. All the volunteers for Blue Door Cut a Thon fundraiser. Thanks
to all involved especially Bekki Johnson.
23. I knew when I started fundraising I would be able to dedicate
my time to one event. I wanted this one fundraising event to
draw people in, make money, and have fun. The First Annual
Eric Buchanan Golf Tournament was one of the best
experiences I have had in my life.
24. We sold out! The country club had to borrow more golf carts
from other locations in order to fill the needs. Thank you Matt
Mercier, Bobby Rosenberg, Jenny Alday, Dan Meyers, Scott
Rohrer, and Bo Jurney!
25. You know it is going to be a good time when the Hooters girls
show up to help. Oh, and free Beer never hurt either. Loosen
those wallets up with some liquid courage!
26. Friends from childhood, high school, and college all came together to
make this day a huge success! The Cardinal Mooney Cougars don’t
think twice about helping a friend. Thanks to you all!
27. This is a short video (5 Minutes) of the tournament. Thank you
Michelle and Diana for following everyone around and making
me feel like I was there.
28. My brother-in-law has been my biggest cheerleader when it
came to spreading the word and getting things done for me. He
went around to local bars, asked if they could save bottle caps
for him, and he started making these custom bottle cap corn
hole boards. He is taking special orders and each one is made
to order.
29. *Warning* From here on out, there are going to be some slides
that are graphic. I am not going to hold back on my experience
and I wanted this to be as real as it was. The weekend before
my huge golf tournament I got a call for a set of lungs. I was
told to go to the ER and wait.
30. This stuff is not fun to drink. It tastes bad and well, it’s called
“Go Lightly” juice. I guess we can see why it is not fun.
31. This is the moment I found out that I was going to have my first dry run. A dry
run is when the doctors find a set of lungs that look good enough to transplant
so they call me up and get me prepared in ER. Once the surgeon goes out to
get the lungs, I am moved to the OR prep room to sign waivers, meet the
nurses and anesthesiologists and get a arterial IV started. The surgeon who
went out to harvest the new lungs decides if the lungs are good enough for
transplant, or they are not good enough. Obviously, a dry run is when the
lungs are not good enough and I get sent home.
32. One trick to staying positive when things are not looking good
is surrounding yourself with the people you love the most. Oh
and using heavy earth moving equipment helps out as well.
33. Being home with family will put a smile on your face no matter
what is going on. I love my two sisters. We share a bond like
no other.
34. A sense of humor helped pass the time between the four dry
runs.
35. I used to love working out but when you can’t breathe, it makes it very
difficult and not as much fun. While on the transplant list I was
required to exercise for 20 minutes 3 times a week. I didn’t have much
but what I did have I needed to make the most of.
36. This was taken on evil Thanksgiving 2014! You are thinking,
“yay he reached his goal of 150.” This number, although
accurate, was due to the fact that I had a blocked bowel. A trip
to the local ER resulted in a long ambulance ride to UNC.
37. I have kept every hospital band from the four dry runs. This
was the last….
38. My faith in the Lord has grown tremendously in just over a year.
I cannot decide if it is because I was close to death and would
eventually stare into its eyes while on the surgery table or if
God was calling me on his own. I started receiving feelings of
overwhelming joy and peace throughout my days. I would be
way out of line if I did not give ALL the credit to God. He put
everything in motion and guided my life every step of the way.
39. This was me, Christmas Day 2014. Hours after surgery but still
awake enough to tell everyone I am O.K.
40. This was my first walk with new lungs. It was late Christmas
Night less than 24 hours after surgery. Notice the rack of IV
medicine behind me? They brought oxygen along but I did not
need it.
41. My little buddy came to visit me the day after. You can see I
still have an IV in my neck, four chest tubes, and one of the two
drains in my abdomen.
42. Bo and I. Words cannot express how I feel about this guy. I get
choked up just thinking about it. Throughout this whole thing,
start to present, Bo has been my biggest supporter. He has
invested so much time and energy into TransplantME that it is
almost unhealthy. A man that puts his family and loved ones
first is the one that already has it all in life. Thank you Bo
Jurney. Without you none of this would be the same.
43. Neck IV is out and bandages changed. I got the closest thing to
a bath. I also had to get a picc line in my right arm in order to
receive my IV drugs.
44. I started this slideshow as soon as I got out of the ICU. I have
been working hard to collect pictures throughout the whole
transplant experience in order to give a more visual idea of
what is involved. These are just a fraction of the pills I will
need to take my whole life as well as a nebulized breathing
treatment that is bright neon yellow and requires a filter to
prevent second hand exposure. I thought I had a fair
representation but apparently I was wrong as I take a lot more
than this.
45. These two klunkers were my chest tube boxes that would help
drain the fluid from around my new lungs. I had a total of 4
chest tubes. Wherever I went I had to bring these two boxes,
an IV pole, and a catheter bag. It gave a whole new meaning to
going to the restroom because by the time I got there, I needed
to rest.
46. They were able to take one chest tube out rather early but the
other three stayed in for a while longer. This is the chest tube.
You can see just above where her bottom hand is there is a
white piece of tape. The white piece of tape is where the tube
entered my chest.
49. I know I look like a goof ball in one of these pictures but I was
so focused on washing my hair, I didn’t care. These cool
shower cap looking things have a dissolvable soap and water in
them. You heat it up and then wash your hair with it!
50. No tubes, no wires, and no oxygen. This is what it was all
about. What you don’t see is the inside of my body that is
completely wiped of all immune system. My body is extremely
vulnerable to infections and disease. The hardest part of this
journey has just begun but I will be ready.
54. This whole experience has been nothing short of amazing. I have gotten support
from people I never thought would show interest in my progress. I have been
humbled time and time again. Often I get asked if this transplant was hard on me
and I tell them no. No because instead of falling just on my shoulders, in a way, it
fell on all of our shoulders. All of you who are reading this have supported me
and eased my burden in some fashion. I have grown so much spiritually and put
my faith in God. Now I want to give back. I have been quietly working behind
the scenes on a project that will literally change the lung transplant process here at
UNC. A few days ago I got the approval from the University of North Carolina
Cardio Thoracic surgery department to help raise funds for a device called XVIVO
Lung Perfusion. I will be posting more about that later. In the meantime, just
because I have been transplanted does not mean my journey is coming to an end.
It is actually just beginning. I will occur the most expenses now until my one year
mark. The possibility for rejection or infection is around 50% the first three months.
More than likely I will experience one or both of these and need to be admitted
back into the hospital and my required stay in Durham will be extended. My
prescriptions are forever changing and therefore will need more authorization
from insurance and probably more money as well. We will be holding the 2nd
Annual TransplantME Golf Tournament in May, June, or July. This time, I will be
there and be giving half of the proceeds to another person in need of a double
lung transplant but who is less fortunate than me. Stay posted and thank you
again for all you have done.
Editor's Notes
Welcome to TransplantME. I will be putting this slideshow on to illustrate the experience of my lung transplant.
It all started when I was young and my sister dressed me up in a ballerina outfit which led to my diagnosis of Cystic Fibrosis.
This was me, four years ago. From this point on in my life, I started losing weight.
The sicker I got, the more the infections nestled in to my lungs and it was not long that I would need oxygen 24/7.
This may look like a lot but…no it’s just a lot. I was needing to take pills, home IV medications, and inhaled medication.
My body started working so hard to breathe that I was burning more calories than I was taking in. This G-Tube was placed in order for me to get extra nutrients while still maintaining my appetite. When everything was said and done, I was taking in around 6,000 calories a day.
I started to slowly gain weight. At my low point, I weighed 114 pounds. The number you see here was the weight I needed to be in order to reach the appropriate BMI for transplant.
The pounds started pouring on shortly after I started my relationship with Mega Stuf Oreos.
I decided in November of 2013 that I was going to start getting worked up for a double lung transplant. Around that same time I also started preparing for fundraising. This is my symbol. I needed something unique that represented who I was and what it was I wanted to accomplish. A friend made this design for me and I fell in love with it.
The first thing I did for fundraising was attack social media. Facebook was my best friend. One of my high school buddies put together my website which made fundraising easy. I started receiving donations almost immediately and felt it was important to personally thank each one that donated.
We have put in several orders for hundreds of shirts and still have some for sale on my website.
Bo made his own and that is why I decided to go to a professional.
So once I had my brand, my website, and all my transplantME swag, the time had come to go raise some money. Chick Fil A was an easy fundraiser and required very little work.
The Chick Fil A crew. The cow freaked out little Katherine Jurney.
I wrote Volcom and told them about my fundraising and wanting to use the Volcom Stone in my design. They said no, but sent me three huge boxes of items that I could use.
Slowly but surely I was getting some of my requests for raffle/auction items for upcoming fundraising events.
The word was spreading about my story and my need for a double lung transplant and people were putting on small events to help raise funds.
My friend Kate put on an event in Austin, Texas. It was at a really nice bar/restaurant and she not only got to have a good time but she also raised a nice amount.
On a few occasions I had people who wanted to do something nice and treat you like a king for a night.
One thing I learned throughout this whole process is how important friendship is. Sometimes one business might not be able to donate that much, but if they team up with other businesses, the outcome is tremendous.
All the volunteers for Blue Door Cut a Thon fundraiser.
I knew when I started fundraising I would be able to dedicate my time to one event. I wanted this one fundraising event to draw people in, make money, and have fun. The First Annual Eric Buchanan Golf Tournament was one of the best experiences I have had in my life.
We sold out! The country club had to borrow more golf carts from other locations in order to fill the needs.
You know it is going to be a good time when the Hooters girls show up to help.
Friends from childhood, high school, and college all came together to make this day a huge success!
My brother-in-law has been my biggest cheerleader when it came to spreading the word and getting things done for me. He went around to local bars, asked if they could save bottle caps for him, and he started making these custom bottle cap corn hole boards. All the proceeds go to me and he has been busy.
The weekend before my huge golf tournament I got a call for a set of lungs. I was told to go to the ER and wait.
This stuff is not fun to drink. It tastes bad and well, it’s called “Go Lightly” juice. I guess we can see why it is not fun.