The Recumbent Cow

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Global Perspective: Comparison of Prehospital Use of PAs in the United States and the Netherlands

The prehospital use of advanced clinicians, including physician assistants (PAs), can potentially improve clinical outcomes and reduce unnecessary burdens on emergency departments. This literature review offers a global perspective by comparing the use of PAs in the prehospital setting in the United States and the Netherlands. While there is limited research on clinical outcomes and the clinical utility of advanced clinicians in alternative transport models, the domestic and international examples evaluated in this review have the potential to impact the American healthcare system significantly. The Dutch healthcare system, which utilizes PAs in the prehospital setting, is known for being accessible, affordable, and providing high-quality care. The findings of this literature review may provide a framework for the widespread domestic implementation of advanced clinicians in prehospital medicine in the United States

Stevens-Johnson Syndrome From Combined Allopurinol and Angiotensin-Converting Enzyme Inhibitors: A Narrative Review

Stevens-Johnson syndrome (SJS) is a severe and potentially debilitating skin reaction frequently related to medication use. Allopurinol and angiotensin-converting enzyme (ACE) inhibitors are commonly prescribed medications for prevalent health conditions worldwide, and their interaction associated with SJS warrants further investigation. A comprehensive literature search was performed to investigate cases as studies related to SJS occurring in patients with concomitant use of allopurinol and ACE inhibitors. We identified case reports and studies detailing hypersensitivity reactions, including SJS, attributed to a combination of allopurinol and ACE inhibitors. Despite the drug-drug interactions or lack thereof seen in patient populations, there is no definitive evidence of a pharmacokinetic interaction between allopurinol and ACE inhibitors. We were only able to find one case report specifically detailing SJS in a patient on combined ACE inhibitors and allopurinol. While the exact mechanism of the interaction is unclear, those reported cases of severe hypersensitivity reactions suggest a previous history of impaired renal function as a predisposing factor in the development of SJS. The potential risk of SJS with coadministration of ACE inhibitors and allopurinol is a drug-drug interaction that physicians should be aware of. This topic requires additional attention to determine if this drug combination should be avoided entirely in certain patients

What\u27s My Research? with Skylar Carlson and Eric Dudley

Please join us on January 18th from noon to 1 pm in the Yosemite Classroom (1st floor of the Library) for “What’s My Research?” featuring Drs. Skylar Carlson (Chemistry) and Eric Dudley (Conservatory). Dr. Carlson will speak on understanding the role molecules play in nature. Through teamwork and undergraduate research, her team screens natural products for molecules with biological activity, looking for anticancer, antibiotic, or other activity. Dr. Dudley will speak (and possibly sing) on poly-stylistic practices in singing and the exploration of new musical works at the boundaries of genre, including some work that was nominated recently for a Grammy. A light lunch will be served

Frozen River with Walled-In Houses

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Pacific Writing: College Writing for Pacific\u27s Core 2 Seminar

Core 2 is Pacific\u27s new reading, critical thinking, and writing-instruction seminar for first- or second-year students. All sections will include some common elements, like reading long-form narrative prose and writing instruction, and all sections will feature expository, thesis-driven writing in response to the course readings. Sections are taught by a variety of faculty from across the university.https://scholarlycommons.pacific.edu/open-textbooks/1014/thumbnail.jp

Whole Blood in Trauma

Abstract: Hemorrhage is a leading cause of death in trauma patients. Whole blood administration in trauma has gained a renewed interest in recent years, however the concept is not new at all, with its origins spanning over 100 years. Field experience in United States’ military conflicts has provided important data on the efficacy of whole blood in reducing mortality and amount of blood product administration. Civilian trials however have not necessarily shown similar results. The safety of whole blood however does not seem to be in question given the available data, and is an acceptable option for blood replacement in the hemorrhaging trauma patient

Sierra City

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Driftwood and Vice

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Nasturtiums and Peaches in Italian Vase

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