Each year, the Knowlton Incentive for Excellence Awards program recognizes resident physicians who have demonstrated the ability to balance exceptional, compassionate care with a commitment to being leaders in the science of internal medicine.
This document is a resume for Imnas M. Williams, an experienced registered nurse. It summarizes her professional experience over 20 years working in hospitals, long term care facilities, and rehabilitation centers. It also lists her education credentials, which include a Master's degree in Nursing and an Associate's degree in Nursing. Her experience includes roles as a staff nurse, case manager, nursing supervisor, and charge nurse.
The document outlines the student's clinical experience checklist covering a variety of nursing specialties including: medical-surgical, mental health, pediatric, maternity, ICU, and perioperative nursing. Key experiences involved direct patient care such as medication administration, wound care, assessments, and working in settings like the emergency room, operating room, and hospice. The student gained experience in skills like vital signs, sterile technique, tracheostomy care, and NG/gastronomy tube feeding. Grand rounds and computerized charting were highlighted. Competencies included certifications as well as skills like catheter insertion and range of motion exercises.
The document discusses barriers seniors face when navigating the emergency department at Kingston General Hospital and proposes two approaches to overcome these barriers: 1) Informing long-term changes to the physical and social environments of the emergency department based on best geriatric practices and senior experiences. 2) Educating and empowering seniors to better navigate the healthcare system and control their own health. It then reviews literature on improving emergency care for seniors, identifying themes such as the need for senior screening, dedicated staff like nurse liaisons, communication, discharge planning, and addressing seniors' unique needs.
The document provides a timeline and overview of the evolution of several advanced practice nursing roles from the 1800s to present day, including nurse anesthetists, nurse midwives, clinical nurse specialists, nurse practitioners, and physician assistants. It traces the development of these roles in response to societal needs and pressures from organized medicine. Key events included establishing educational standards, gaining prescriptive authority, and fighting for reimbursement and full recognition of their scope of practice. Resistance from physicians occurred when nursing roles competed for similar jobs or responsibilities.
Study: The Future of VR, AR and Self-Driving CarsLinkedIn
We asked LinkedIn members worldwide about their levels of interest in the latest wave of technology: whether they’re using wearables, and whether they intend to buy self-driving cars and VR headsets as they become available. We asked them too about their attitudes to technology and to the growing role of Artificial Intelligence (AI) in the devices that they use. The answers were fascinating – and in many cases, surprising.
This SlideShare explores the full results of this study, including detailed market-by-market breakdowns of intention levels for each technology – and how attitudes change with age, location and seniority level. If you’re marketing a tech brand – or planning to use VR and wearables to reach a professional audience – then these are insights you won’t want to miss.
This document summarizes profiles of 10 notable nurses in Southeast Texas who were recognized during National Nurses Week. It describes each nurse's role, experience, accomplishments, and commitment to providing compassionate, quality patient care. The nurses work in various specialties including telemetry, home health, infection prevention, and infusion clinics. They are praised for putting patients at ease, advocating fiercely for their needs, and viewing nursing as a lifelong dedication to helping others through both challenging and joyous moments.
The campaign is a five-year, $10 million fundraising initiative to help support a $60 million renovation and expansion of the hospital's Emergency Department, serving all residents of the South Shore from Queens to Suffolk.
This document is a resume for Imnas M. Williams, an experienced registered nurse. It summarizes her professional experience over 20 years working in hospitals, long term care facilities, and rehabilitation centers. It also lists her education credentials, which include a Master's degree in Nursing and an Associate's degree in Nursing. Her experience includes roles as a staff nurse, case manager, nursing supervisor, and charge nurse.
The document outlines the student's clinical experience checklist covering a variety of nursing specialties including: medical-surgical, mental health, pediatric, maternity, ICU, and perioperative nursing. Key experiences involved direct patient care such as medication administration, wound care, assessments, and working in settings like the emergency room, operating room, and hospice. The student gained experience in skills like vital signs, sterile technique, tracheostomy care, and NG/gastronomy tube feeding. Grand rounds and computerized charting were highlighted. Competencies included certifications as well as skills like catheter insertion and range of motion exercises.
The document discusses barriers seniors face when navigating the emergency department at Kingston General Hospital and proposes two approaches to overcome these barriers: 1) Informing long-term changes to the physical and social environments of the emergency department based on best geriatric practices and senior experiences. 2) Educating and empowering seniors to better navigate the healthcare system and control their own health. It then reviews literature on improving emergency care for seniors, identifying themes such as the need for senior screening, dedicated staff like nurse liaisons, communication, discharge planning, and addressing seniors' unique needs.
The document provides a timeline and overview of the evolution of several advanced practice nursing roles from the 1800s to present day, including nurse anesthetists, nurse midwives, clinical nurse specialists, nurse practitioners, and physician assistants. It traces the development of these roles in response to societal needs and pressures from organized medicine. Key events included establishing educational standards, gaining prescriptive authority, and fighting for reimbursement and full recognition of their scope of practice. Resistance from physicians occurred when nursing roles competed for similar jobs or responsibilities.
Study: The Future of VR, AR and Self-Driving CarsLinkedIn
We asked LinkedIn members worldwide about their levels of interest in the latest wave of technology: whether they’re using wearables, and whether they intend to buy self-driving cars and VR headsets as they become available. We asked them too about their attitudes to technology and to the growing role of Artificial Intelligence (AI) in the devices that they use. The answers were fascinating – and in many cases, surprising.
This SlideShare explores the full results of this study, including detailed market-by-market breakdowns of intention levels for each technology – and how attitudes change with age, location and seniority level. If you’re marketing a tech brand – or planning to use VR and wearables to reach a professional audience – then these are insights you won’t want to miss.
This document summarizes profiles of 10 notable nurses in Southeast Texas who were recognized during National Nurses Week. It describes each nurse's role, experience, accomplishments, and commitment to providing compassionate, quality patient care. The nurses work in various specialties including telemetry, home health, infection prevention, and infusion clinics. They are praised for putting patients at ease, advocating fiercely for their needs, and viewing nursing as a lifelong dedication to helping others through both challenging and joyous moments.
The campaign is a five-year, $10 million fundraising initiative to help support a $60 million renovation and expansion of the hospital's Emergency Department, serving all residents of the South Shore from Queens to Suffolk.
This document provides information about the role of a physician assistant (PA). It explains that PAs are licensed medical professionals who examine, diagnose, and treat patients as part of a healthcare team led by physicians. The history of the PA profession is outlined, noting it began in the 1960s to address a shortage of primary care doctors. The document also discusses PA specialties, education and certification requirements, typical salaries, and the projected job growth for PAs, which is much faster than average for healthcare occupations. In the conclusion, the author reaffirms their interest in becoming a surgical PA, particularly in orthopedics.
This document provides information about the role of a physician assistant (PA). It explains that PAs are licensed medical professionals who examine, diagnose, and treat patients as part of a team with physicians. The history of the PA profession is discussed, noting it began in the 1960s to address a shortage of primary care doctors. Today, PAs can specialize in areas like primary care, surgery, and emergency medicine. The author expresses interest in becoming an orthopedic surgery PA due to a fascination with bones and knowledge of sports injuries from their athletic leadership studies. They outline top PA graduate programs and obstacles to acceptance, emphasizing experience requirements.
Right care shared-decision-making-core-clinical-presentation-23-march2011ian.mckinnell
Shared decision making is a process where patients are active partners with clinicians in making healthcare decisions. It is appropriate when there are multiple treatment options and can help patients better manage long-term conditions. Patients want more involvement in their care and choice of treatments. However, shared decision making is not widely practiced. Using decision aids and support can help patients make informed choices that align with their values and preferences, while reducing unnecessary treatment. The NHS aims to make shared decision making the norm so that no decision is made about a patient without their input.
The Fellows of the AANP (FAANP) impact national and global health and enhance the mission of the AANP by engaging recognized nurse practitioner leaders who make outstanding contributions to clinical practice, research, education, or policy.
Medtral offers medical treatment in New Zealand at significantly lower costs than in the US. Patients receive world-class care in English-speaking New Zealand from internationally accredited hospitals and top specialists. Key procedures like hip replacements and bypass surgery are estimated to cost around half as much through Medtral's bundled packages compared to costs in the US. The environment and care provided are tailored for Americans with a focus on high quality outcomes, communication, and patient experience.
This document discusses outcomes research, which examines the results of implementing healthcare practices based on scientific evidence and patient preferences/values. Outcomes can be related to individuals, groups, organizations, patients, or performance. Outcomes research is important for evaluating scientific evidence effectiveness and informing patients. The Agency for Healthcare Research and Quality and Patient Centered Outcomes Research Institute conduct outcomes research. Benefits include improving practice and informing patients, while excessive funding/time on low-impact research is wasteful. Outcomes research helps ensure best practices and patient-informed decision making.
This document discusses several conceptual models in nursing including Sister Callista Roy's Adaptation Model, Dorothea Orem's Self-Care Deficit Theory of Nursing, and Patricia Benner's Nursing Expertise Model. It also profiles several influential Filipino nurses such as Sister Letty Kuan, known for her work in neuropsychology and neurogerontology, and Carmencita Abaquin, who developed the "PREPARE ME" holistic nursing intervention for cancer patients. The intervention uses techniques like presence, prayer, reminiscence therapy, and meditation to provide symptom relief and improve quality of life for terminally ill cancer patients.
This document discusses cultural humility as an alternative approach to cultural competency in healthcare. It argues that cultural competency focuses on gaining knowledge about different cultures, but does not promote lifelong learning or an open mind. Cultural humility challenges providers to develop self-awareness and understand different perspectives. The document provides examples of negative patient experiences to illustrate problems with making assumptions based on a patient's culture. It promotes integrating patients into the healthcare system and taking each situation individually to improve quality of care.
Recently awarded the prestigious ACS Commission on Cancer Outstanding Achievement Award, South Nassau was selected for inclusion in the list based on a number of factors, including clinical outcomes, clinical expertise and cancer research.
The collaboration between Indiana State University and the Wabash Valley Health Center started in 2009 to provide rehabilitation services and an exercise program. Over 4,000 patient visits have occurred, with students gaining experience through 300 patient evaluations, 2,500 rehabilitation sessions, and 2,200 clinical hours. The program has benefited patients by providing over $600,000 worth of free medical care and positively impacting their health. Student reflections show they have improved their clinical skills and developed empathy through this community-engaged learning experience.
This document contains a list of positive words and values related to healthcare such as caring, dedicated, experienced, and excellence. It introduces Richmond University Medical Center as a nonprofit provider of healthcare services on Staten Island including emergency, acute, primary, behavioral health, and medical services. It aims to promote the highest satisfaction among patients, families, physicians, and staff. The values of the hospital are welcoming, energized, compassionate, advocacy, respect, and excellence as summarized by the acronym WE CARE.
Joseph Fennessy, chair of South Nassau's board of directors, and Arthur Klein, MD, president of the Mount Sinai Health Network, have been named co-honorees of South Nassau's annual fundraising gala 'Soirée Under the Stars' in recognition of their leadership in forging the affiliation between South Nassau Communities Hospital and Mount Sinai. The gala will also honor cardiologist Dr. Jason Freeman and 30-year transporter Willie Wright for their contributions to South Nassau. Funds raised will support doubling the size of South Nassau's Emergency Department.
The students express gratitude for the educational opportunities and financial support provided by the University of Miami Miller School of Medicine. They feel privileged to learn skills that will allow them to help patients and give back to the community. The scholarships have enabled rewarding experiences and personal and professional growth. The donors are thanked for making medical school possible and empowering the students to pursue their dreams of becoming physicians.
Heather Neal is a PA-C seeking a position that combines personal patient care with procedures. She has 14 years of experience in acute and critical care medicine, including caring for complex patients. Her background includes surgical, family medicine, behavioral health, orthopedics, emergency medicine, and wound care experience. She is adept at a variety of procedures and seeks a mentoring environment to further develop her skills.
Valentine Ndukwe is a registered nurse seeking a nursing position. She has a Bachelor's of Science in Nursing and over 1,000 clinical hours of experience in various settings including medical-surgical, mental health, pediatrics, and obstetrics. She is certified in ACLS and as a NYS nurse aide. Her objective is to acquire skills to promote health across the nursing continuum through compassionate care and collaboration.
This document summarizes a conference on psychiatric issues across the lifespan. The conference objectives are to educate mental health professionals about clinical challenges and issues across different life stages. Topics to be covered include bipolar disorder and ADHD in youth, adult ADD diagnosis and treatment, psychiatric disorders during childbearing years, non-narcotic pain management, and dementia diagnosis and ethics. Two keynote speakers are highlighted who are experts in women's mental health and psychotropic medication during pregnancy/lactation.
Rajasekhar Buddhavarapu is a board certified geriatric and palliative care specialist who has over 10 years of experience directing geriatric and palliative care programs. He is currently the director of geriatric and palliative care at White Plain Hospital, where he established new programs and facilities for elderly care. His experience also includes teaching positions and extensive community involvement focused on issues related to geriatrics and end-of-life care.
Let's Talk Research Annual Conference - 24th-25th September 2014 (Simon Denegri)NHSNWRD
"Let's talk patients and the public in research": Simon Denegri's talk looked at the key roles of patients, carers and the public in making research of public benefit happen.
Cardon Outreach is a company that helps reduce the cost of uncompensated healthcare by assisting uninsured and underinsured patients. They have over 1,200 employees across 43 states who work directly in hospitals and clinics to determine patients' eligibility for assistance programs, help with denied disability claims, and provide other revenue cycle management services. They handle billions of dollars in medical billings annually. Erin Keene, regional vice president of their Kansas office, says their work not only helps hospitals but also benefits patients through advocacy. The company also supports local communities through philanthropic donations.
The document discusses patient-centered care, including its history and key concepts. It defines patient-centered care as an approach that involves patients and their families in healthcare decisions and care. It provides examples of patient-centered practices like hourly rounding and open visitation. National organizations that promote patient-centered care, like the Institute for Healthcare Improvement and World Health Organization, are also mentioned. The document aims to explain what patient-centered care is and is not, highlighting that it focuses on meeting patient needs while still allowing medical professionals to guide treatment.
This document provides information about the role of a physician assistant (PA). It explains that PAs are licensed medical professionals who examine, diagnose, and treat patients as part of a healthcare team led by physicians. The history of the PA profession is outlined, noting it began in the 1960s to address a shortage of primary care doctors. The document also discusses PA specialties, education and certification requirements, typical salaries, and the projected job growth for PAs, which is much faster than average for healthcare occupations. In the conclusion, the author reaffirms their interest in becoming a surgical PA, particularly in orthopedics.
This document provides information about the role of a physician assistant (PA). It explains that PAs are licensed medical professionals who examine, diagnose, and treat patients as part of a team with physicians. The history of the PA profession is discussed, noting it began in the 1960s to address a shortage of primary care doctors. Today, PAs can specialize in areas like primary care, surgery, and emergency medicine. The author expresses interest in becoming an orthopedic surgery PA due to a fascination with bones and knowledge of sports injuries from their athletic leadership studies. They outline top PA graduate programs and obstacles to acceptance, emphasizing experience requirements.
Right care shared-decision-making-core-clinical-presentation-23-march2011ian.mckinnell
Shared decision making is a process where patients are active partners with clinicians in making healthcare decisions. It is appropriate when there are multiple treatment options and can help patients better manage long-term conditions. Patients want more involvement in their care and choice of treatments. However, shared decision making is not widely practiced. Using decision aids and support can help patients make informed choices that align with their values and preferences, while reducing unnecessary treatment. The NHS aims to make shared decision making the norm so that no decision is made about a patient without their input.
The Fellows of the AANP (FAANP) impact national and global health and enhance the mission of the AANP by engaging recognized nurse practitioner leaders who make outstanding contributions to clinical practice, research, education, or policy.
Medtral offers medical treatment in New Zealand at significantly lower costs than in the US. Patients receive world-class care in English-speaking New Zealand from internationally accredited hospitals and top specialists. Key procedures like hip replacements and bypass surgery are estimated to cost around half as much through Medtral's bundled packages compared to costs in the US. The environment and care provided are tailored for Americans with a focus on high quality outcomes, communication, and patient experience.
This document discusses outcomes research, which examines the results of implementing healthcare practices based on scientific evidence and patient preferences/values. Outcomes can be related to individuals, groups, organizations, patients, or performance. Outcomes research is important for evaluating scientific evidence effectiveness and informing patients. The Agency for Healthcare Research and Quality and Patient Centered Outcomes Research Institute conduct outcomes research. Benefits include improving practice and informing patients, while excessive funding/time on low-impact research is wasteful. Outcomes research helps ensure best practices and patient-informed decision making.
This document discusses several conceptual models in nursing including Sister Callista Roy's Adaptation Model, Dorothea Orem's Self-Care Deficit Theory of Nursing, and Patricia Benner's Nursing Expertise Model. It also profiles several influential Filipino nurses such as Sister Letty Kuan, known for her work in neuropsychology and neurogerontology, and Carmencita Abaquin, who developed the "PREPARE ME" holistic nursing intervention for cancer patients. The intervention uses techniques like presence, prayer, reminiscence therapy, and meditation to provide symptom relief and improve quality of life for terminally ill cancer patients.
This document discusses cultural humility as an alternative approach to cultural competency in healthcare. It argues that cultural competency focuses on gaining knowledge about different cultures, but does not promote lifelong learning or an open mind. Cultural humility challenges providers to develop self-awareness and understand different perspectives. The document provides examples of negative patient experiences to illustrate problems with making assumptions based on a patient's culture. It promotes integrating patients into the healthcare system and taking each situation individually to improve quality of care.
Recently awarded the prestigious ACS Commission on Cancer Outstanding Achievement Award, South Nassau was selected for inclusion in the list based on a number of factors, including clinical outcomes, clinical expertise and cancer research.
The collaboration between Indiana State University and the Wabash Valley Health Center started in 2009 to provide rehabilitation services and an exercise program. Over 4,000 patient visits have occurred, with students gaining experience through 300 patient evaluations, 2,500 rehabilitation sessions, and 2,200 clinical hours. The program has benefited patients by providing over $600,000 worth of free medical care and positively impacting their health. Student reflections show they have improved their clinical skills and developed empathy through this community-engaged learning experience.
This document contains a list of positive words and values related to healthcare such as caring, dedicated, experienced, and excellence. It introduces Richmond University Medical Center as a nonprofit provider of healthcare services on Staten Island including emergency, acute, primary, behavioral health, and medical services. It aims to promote the highest satisfaction among patients, families, physicians, and staff. The values of the hospital are welcoming, energized, compassionate, advocacy, respect, and excellence as summarized by the acronym WE CARE.
Joseph Fennessy, chair of South Nassau's board of directors, and Arthur Klein, MD, president of the Mount Sinai Health Network, have been named co-honorees of South Nassau's annual fundraising gala 'Soirée Under the Stars' in recognition of their leadership in forging the affiliation between South Nassau Communities Hospital and Mount Sinai. The gala will also honor cardiologist Dr. Jason Freeman and 30-year transporter Willie Wright for their contributions to South Nassau. Funds raised will support doubling the size of South Nassau's Emergency Department.
The students express gratitude for the educational opportunities and financial support provided by the University of Miami Miller School of Medicine. They feel privileged to learn skills that will allow them to help patients and give back to the community. The scholarships have enabled rewarding experiences and personal and professional growth. The donors are thanked for making medical school possible and empowering the students to pursue their dreams of becoming physicians.
Heather Neal is a PA-C seeking a position that combines personal patient care with procedures. She has 14 years of experience in acute and critical care medicine, including caring for complex patients. Her background includes surgical, family medicine, behavioral health, orthopedics, emergency medicine, and wound care experience. She is adept at a variety of procedures and seeks a mentoring environment to further develop her skills.
Valentine Ndukwe is a registered nurse seeking a nursing position. She has a Bachelor's of Science in Nursing and over 1,000 clinical hours of experience in various settings including medical-surgical, mental health, pediatrics, and obstetrics. She is certified in ACLS and as a NYS nurse aide. Her objective is to acquire skills to promote health across the nursing continuum through compassionate care and collaboration.
This document summarizes a conference on psychiatric issues across the lifespan. The conference objectives are to educate mental health professionals about clinical challenges and issues across different life stages. Topics to be covered include bipolar disorder and ADHD in youth, adult ADD diagnosis and treatment, psychiatric disorders during childbearing years, non-narcotic pain management, and dementia diagnosis and ethics. Two keynote speakers are highlighted who are experts in women's mental health and psychotropic medication during pregnancy/lactation.
Rajasekhar Buddhavarapu is a board certified geriatric and palliative care specialist who has over 10 years of experience directing geriatric and palliative care programs. He is currently the director of geriatric and palliative care at White Plain Hospital, where he established new programs and facilities for elderly care. His experience also includes teaching positions and extensive community involvement focused on issues related to geriatrics and end-of-life care.
Let's Talk Research Annual Conference - 24th-25th September 2014 (Simon Denegri)NHSNWRD
"Let's talk patients and the public in research": Simon Denegri's talk looked at the key roles of patients, carers and the public in making research of public benefit happen.
Cardon Outreach is a company that helps reduce the cost of uncompensated healthcare by assisting uninsured and underinsured patients. They have over 1,200 employees across 43 states who work directly in hospitals and clinics to determine patients' eligibility for assistance programs, help with denied disability claims, and provide other revenue cycle management services. They handle billions of dollars in medical billings annually. Erin Keene, regional vice president of their Kansas office, says their work not only helps hospitals but also benefits patients through advocacy. The company also supports local communities through philanthropic donations.
The document discusses patient-centered care, including its history and key concepts. It defines patient-centered care as an approach that involves patients and their families in healthcare decisions and care. It provides examples of patient-centered practices like hourly rounding and open visitation. National organizations that promote patient-centered care, like the Institute for Healthcare Improvement and World Health Organization, are also mentioned. The document aims to explain what patient-centered care is and is not, highlighting that it focuses on meeting patient needs while still allowing medical professionals to guide treatment.
Similar to The 30th Annual Knowlton Incentive for Excellence Awards (20)
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
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TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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The 30th Annual Knowlton Incentive for Excellence Awards
1. Celebrating 30 Years of
Compassionate Care
KNOWLTON INCENTIVE FOR
EXCELLENCE AWARDS
1984-2014
2. Congratulations to the
2014 Knowlton Awardees
Thomas Ciesielski, MD
Rafael Garcia-Cortés, MD
Clare Moynihan, MD
Amit Patel, MD
David Picker, MD
Peter Riedell, MD
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
3. “This award reminds me that
being a physician is a solemn and
noble calling and that our care of
patients is a sacred trust.”
—Steven Brown, MD
1993 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
4. Dr. Norman Knowlton Jr.
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
5. “I am very grateful for the
Knowlton Incentive for
Excellence Award recognition,
which is a reminder to always
pursue excellence in my clinical
care and research endeavors.”
—Brian Lindman, MD, MSCI
2006 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
6. “I strive to continue to practice
medicine with the same clinical
skills and compassionate care
recognized by the Knowlton
Incentive for Excellence Award.
Furthermore, I try to teach the
Washington University School of
Medicine students who rotate
through my office through the
ACES program the same clinical
skills and compassionate care.”
—James Loomis, MD, MBA
1988 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
8. “I thought that this award
program was a wonderful way to
honor Dr. Knowlton Jr. who spent
so many years caring for his
patients. It was a special treat as
a house staff physician to be
honored.”
—Linda Peterson, MD, FACC, FAHA, FASE
1994 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
9. “In the spirit of the Knowlton
Incentive for Excellence Award, I
strive to direct our research studies
to improve the care of patients by
addressing unmet clinical needs.”
—Daniel P. Kelly, MD
1987 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
11. “I know my excellent training at
Barnes-Jewish Hospital prepared me
for a successful career in academic
oncology, and I am thankful to the
Knowlton Incentive for Excellence
Award for its ongoing support of
resident education.”
—Amanda Cashen, MD
2005 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
12. “The Knowlton Award has helped
me to continue pursuing excellence
in patient care and clinical research
at Washington University.”
—Vladimir Kushnir, MD
2013 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
13. Knowlton Class of 1999
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
14. “The Knowlton Incentive for
Excellence Award is a constant
reminder of how to care for
patients with compassion and
dignity, something I hope to instill
in our current residents.”
—Emily Fondahn, MD
2013 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
15. “The training I received during
my six years at Washington
University School of Medicine
has been outstanding and I
utilize many of the principles I
learned as a resident and fellow
in my everyday practice, my
clinical research endeavors and
as a teacher.”
—Christina Ha, MD
2007 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
16. “It was very humbling, and quite
inspirational, to be included in
the group of truly amazing
physicians that have been
recognized with this award over
the past 30 years. I continue to
regard this recognition as one of
my proudest moments
professionally.”
—Gregory Sayuk, MD, MPH
2003 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
17. “I always try to remember to
do things for a patient and not
to a patient.”
—Christopher Speidel, MD, FACC
1993 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
18. “Receiving the Knowlton
Incentive for Excellence Award
has been both a humbling and
empowering experience...It has
encouraged me to never lose
sight of the fact that treating the
patient is as important as
addressing the medical issue at
hand, and that this approach to
patient care should be passed on
to future physicians.”
—David Katzman, MD
1995 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
20. “Dr. Norman Knowlton Jr. had a
gentle way with patients. This is
something that he imparted to
me in patient care—that the best
way to treat patients was as
people first and foremost. In my
20 years of practice, it was Dr.
Knowlton’s gentle care for his
patients I wished to emulate.”
—John Dunkel, MD
1987 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
21. “It was very meaningful to be
recognized out of such an amazing
group of peers that I was
surrounded by. I have continued to
strive to bring the highest quality of
care along with deep compassion
for my patients.”
—Douglas Horstmanshof, MD, FACC
2001 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
22. Richard Liekweg
President, Barnes-Jewish Hospital
Group President, BJC HealthCare
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
23. “It was a real honor to be join the
ranks for prior Knowlton Award
winners. Seeing their success in
clinical research and patient care
is inspiration that I, too, will be
able to reach my goals of
improving care of women with
heart disease.”
—Kathryn Lindley, MD
2012 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
24. “It is an honor to have received
this award and to be in the
company of so many great
physicians. It was very meaningful
for me to have received such an
award at an early stage in my
career; it has further encouraged
me to always strive for excellence
in patient care.”
—Jennifer Alexander-Brett, MD, PhD
2011 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
25. Knowlton Class of 1994
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
26. “Receiving the Knowlton
Incentive for Excellence Award
has helped to open many doors
for me here in St. Louis. The
award itself is widely recognized
as one of the highest honors that
can be earned by Internal
Medicine house staff—that
prestige carries weight in
interviews and applications.
Receiving the award has also
connected me with other rising
stars from the Internal Medicine
program.”
—Christopher Lee Holley, MD, PhD
2006 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
27. “It was an honor to be
recognized amongst my peers as
a recipient of the Knowlton
Incentive for Excellence Award.
Now as a practicing
rheumatologist, I continue
striving to provide excellent and
compassionate care for my
patients on a daily basis.”
—Maria Gonzalez-Mayda, MD
2012 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
28. Knowlton Class of 1996
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
29. “The Knowlton Incentive for
Excellence Award acknowledges
the residents who provide superb
compassionate clinical care and
serve as an example to their
peers…Dr. Knowlton was an
individual with whom one could
instantly connect, which
obviously endeared him to his
patients and co-workers.”
—Warren Isakow, MD
2003 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
30. “In my current position, I
interact with researchers,
students and patients.
Regardless, I strive to treat
everyone with the same level of
kindness and respect. And I
strive for excellence in all the
work that I do. Even if only in a
small way, I hope that in doing
so, I am honoring Dr. Knowlton’s
legacy.”
—Lukas Wartman, MD
2009 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
31. “In an era of increasing reliance
on technology, clinicians today
are often distracted from what
should be their primary focus:
the direct, thoughtful care of the
patient. This award is one of very
few institutions today that
celebrates this tradition of
physicianship and identifies it as
central in the life of an internist.
Remembering the award today
inspires me to strive to be a better
internist.”
—Ian Harris, MD, FACP, FACC
2002 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
32. Knowlton Class of 1995
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
33. “I work to achieve the highest
standards in clinical excellence and
provide the knowledge and support
my patients need to be an active
participant in their health care. The
Knowlton Incentive for Excellence
Award recognizes this excellence,
which has been instrumental in my
success today as a clinician leader
during this transformational time
in health care.”
—Gunjan Tykodi, MD
1998 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
34. “The Knowlton Incentive for
Excellence Award made me
appreciate the impact that we, as
physicians, can have on our
patients. It reminds me that
excellence in care comes in many
different ways: knowledge,
compassion, respect. These are
all skills that Dr. Knowlton
exemplified.”
—Andrew Kates, MD
1997 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
35. Dr. Norman Knowlton Jr. and Charles Cella
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
36. “Each day when I open my
office door, I see the Knowlton
Incentive for Excellence Award
hanging on my wall. It reminds
me of the importance and
endurance of the personal
relationship between the
physician and the patient.”
—Kevin Lawrence, MD, FCCP
2006 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
37. “Although I did not realize it at
the time, the Knowlton
Incentive for Excellence Award
launched me toward my career
in clinical quality. It helped
reinforce the value of providing
excellence not only in direct
patient care, but also in
ensuring that every patient who
enters our health system has
the best possible outcome.”
—Keith Woeltje, MD, PhD
1994 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
38. Former Knowlton Awardees with Charles Cella
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
39. “The spirit of the award in
recognizing compassionate care
is a reminder of the reason we
strive to pursue excellence as
physicians…I am so thankful for
the opportunities and inspiration
that Mr. Cella’s support and Dr.
Knowlton’s compassion have
brought to my practice”
—Gopa Green, MD
2000 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
40. “Receiving the Knowlton Award
has made me even more acutely
aware of the lack of rigor in
following practices that have
been shown to improve patient
outcomes in critical care. My
current research interest has
evolved to include an emphasis
on quality improvement in
patient care as a result.”
—Catherine Chen, MD
2013 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
41. 1984: Charles Cella, Dr. Norman Knowlton Jr. and Robert
Frank, former president of Barnes Hospital
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
43. “My Knowlton Incentive for
Excellence Award plaque
remains on the wall in my office.
I see it every day when I walk in
and it makes me recall all the
moments that were pivotal in my
training at Barnes-Jewish
Hospital.”
—Marcia Krebs, MD
1999 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
46. “Excellence sometimes sneaks in
the backdoor.”
—Deborah Parks, MD
1985 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
47. Knowlton Class of 1998
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
48. “I had the privilege of caring for
Dr. Norman Knowlton during
one of his hospitalizations at St.
Luke’s Hospital. I remember the
visit because our discussion
reminded me of the special bond
a patient and a physician initiate
and develop over time.”
—John Frattini, MD
1991 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
49. “It was an honor receive the
Knowlton Incentive for
Excellence Award. It was truly
moving to be part of such an
intelligent, compassionate,
forward thinking group of award
winners in 2003. Thankfully, I
continue to have the pleasure of
interacting with my esteemed
colleagues and share the
academic mission.”
—Jill Elwing, MD
2003 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
50. “The primary impact of the
Knowlton spirit is that it has
taught me to adopt a patient
centric approach to clinical care.
This has impacted my
interactions with patients and
families in that I try to see their
side of the story, and try to work
with their uncertainties, fears and
concerns in managing their
diseases.”
—Chandra Prakash, MD, MRCP
1996 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
51. “I think fondly back to that time
almost 20 years ago when I was
recognized by my colleagues for
what I thought was simply doing
my job. I love what I do, and I’m
happy that my time at Barnes gave
me the skills and confidence to do
it well, while at the same time
allowing me to see the humanistic
side of medicine, the connection
to patients and peers.”
—Alexander Granok, MD, FACP
1996 Awardee
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION
53. The Knowlton Spirit is alive and well at Barnes-Jewish Hospital, thanks to
the inspiration of Dr. Norman Knowlton Jr., the generosity of Charlie Cella
and the continued dedication of our exceptional residents and physicians.
The 30th Anniversary Knowlton Incentive for Excellence Awards
1984-2014
KNOWLTON INCENTIVE FOR EXCELLENCE 30th ANNIVERSARY CELEBRATION