Pathophysiology and Treatment of Life-Threatening Angioedema

Angioedema is a potentially lethal swelling of the interstitial space from extravasation of intravascular plasma (Wood, Choromanski, & Orlewicz, 2013). Angioedema may present in any medical setting with a broad range of severity. Angioedema is commonly seen in emergency departments and intensive care units. According to Barbara, Ronan, Maddox, & Warner (2013), “angioedema is of particular importance to anesthesiologists, as it may present at any point in the perioperative period and it may rapidly become life-threatening if it involves airway compromise” (p. 335). Anesthesia professionals may also respond to airway management emergencies throughout the hospital setting and may treat angioedema secondary to anesthetics. Emergency providers and advanced practitioners should be able to recognize the signs and symptoms, differentiate between histaminergic and non-histaminergic, and provide emergent treatment of angioedema in all care settings

A consensus parameter for the evaluation and management of angioedema in the emergency department

Despite its relatively common occurrence and life-threatening potential, the management of angioedema in the emergency department (ED) is lacking in terms of a structured approach. It is paramount to distinguish the different etiologies of angioedema from one another and more specifically differentiate histaminergic-mediated angioedema from bradykinin-mediated angioedema, especially in lieu of the more novel treatments that have recently become available for bradykinin-mediated angioedema. With this background in mind, this consensus parameter for the evaluation and management of angioedema attempts to provide a working framework for emergency physicians (EPs) in approaching the patient with angioedema in terms of diagnosis and management in the ED. This consensus parameter was developed from a collaborative effort among a group of EPs and leading allergists with expertise in angioedema. After rigorous debate, review of the literature, and expert opinion, the following consensus guideline document was created. The document has been endorsed by the American College of Allergy, Asthma & Immunology (ACAAI) and the Society for Academic Emergency Medicine (SAEM)

Evaluation of Medicaid Expansion on Food Insecurity Amongst Households with a Disability

Food insecurity is disproportionately high amongst households that include someone with a disability. This population is also more likely to incur higher health care expenses related to their disability or secondary diseases. Higher health care expenditures may limit a household’s ability to purchase a sufficient quantity of food, which increases their risk for becoming food insecure. Increased access to free or subsidized health insurance may reduce either current expenditures on health care, or the concern with the potential of incurring high medical bills in the future, either of which may improve a household’s food security status. Therefore, this paper utilizes the expansion of Medicaid through the Affordable Care Act as a natural experiment to investigate the relationship between increased access to health care and food insecurity amongst households that include someone with a disability. Data for this project came from the 2011 to 2018 Current Population Survey’s (CPS) Food Security Supplement (FSS). A Fixed Effects Difference and Difference (FE-DD) was used to estimate the effect of Medicaid expansion, which occurred in three different treatment periods 2014, 2015, and 2016. The overall treatment effect estimate is interpreted using the Goodman-Bacon decomposition method. The results from this paper suggests that Medicaid expansion had no significant effect on household food security amongst households with someone with a disability

Tribal and commercial casinos in the midwestern United States: effect on county unemployment

The subject of casinos is constantly surrounded by debate. The proponents of casinos frequently say that casinos bring jobs, and therefore, they will reduce the unemployment rate. This study quantitatively analyzes this claim. Furthermore, previous research looked at either tribal or commercial casinos. This study looks at both tribal and commercial casinos so a comparison can be made between the impacts of the two types of casinos. The sample analyzed is a set of commercial and tribal casinos in eight Midwestern states. The findings are that a commercial casino entering a county is significantly negatively correlated with the unemployment rate, and a tribal casino entering a county is significantly positively correlated with the unemployment rate. However, the amount that the unemployment rate changes when a casino enters a county is so small that one wonders whether or not the effect on the unemployment rate should even be a consideration when deciding if a casino should open in a county

Topography of aortic heart valves

The cooperative effort towards the development of a tri-leaflet prosthetic heart valve is described. The photogrammetric studies were conducted on silicone rubber molds. Information on data acquisition and data reduction phases is given, and certain accuracy aspects of the project are explained. The various outputs which are discussed include digital models, profiles, and contour maps

An Evaluation of the Boys & Girls Clubs Teen Programs

This evaluation study addressed the need to increase the participation of teenagers in the Youth Service Agency ABC (YSA ABC). ABC offers positive, powerful, and empowering experiences for area teens. These programs help them with character development, financial literacy, emotional intelligence, healthy well-being, and many other skills and tools to help teens reach their full potential. The organization was faced with decreasing teen participation and a lack of knowledge about the teen programs and services that would attract them to ABC. The purpose of this evaluation was to learn from ABC staff who worked closely with teens (Club site directors/unit directors) what they believed would help attract these young people back to ABC. Interviews were conducted with eight unit directors. Interview responses were coded and thematically analyzed. The findings of the study from data collection of interviews with the unit directors (P1-P8) showed that the teens wanted more field trips, more teen space, and more teen-geared programs. These findings can help ABC program leadership retain and increase teen participation by adapting and creating programs that truly met their needs. This study provided positive social change through an example of how youth service organizations could reach out to those they serve to best meet their needs

Bee Gee News July 19, 1944

The BGSU campus student newspaper July 19, 1944. Volume 28 - Issue 32https://scholarworks.bgsu.edu/bg-news/1701/thumbnail.jp

An Evaluation of the Boys & Girls Clubs Teen Programs

This evaluation study addressed the need to increase the participation of teenagers in the Youth Service Agency ABC (YSA ABC). ABC offers positive, powerful, and empowering experiences for area teens. These programs help them with character development, financial literacy, emotional intelligence, healthy well-being, and many other skills and tools to help teens reach their full potential. The organization was faced with decreasing teen participation and a lack of knowledge about the teen programs and services that would attract them to ABC. The purpose of this evaluation was to learn from ABC staff who worked closely with teens (Club site directors/unit directors) what they believed would help attract these young people back to ABC. Interviews were conducted with eight unit directors. Interview responses were coded and thematically analyzed. The findings of the study from data collection of interviews with the unit directors (P1-P8) showed that the teens wanted more field trips, more teen space, and more teen-geared programs. These findings can help ABC program leadership retain and increase teen participation by adapting and creating programs that truly met their needs. This study provided positive social change through an example of how youth service organizations could reach out to those they serve to best meet their needs

Introduction to the special issue on institutions and culture in economic contexts

The need of further research on the interlink between culture and institutions has been strongly advocated by economists and institutionalists alike. However, bringing together culture and institutions within an organic framework, though, is a non-trivial operation. This is due to the complexity of the synergies between cultural aspects and institutional devices. This special issue attempts to start filling this gap and to build an ad-hoc systemic platform for disseminating such a debate. To this purpose, it brings together an organic collection of contributions in well-established conceptualisations of both culture and institutions, supported by robust and consistent methodological applications. The essays presented in this work provide consistent evidence and conceptual perspectives supporting the idea that the synergies between cultural and institutional aspects are of paramount importance to understand human behaviour, individuals' choices and societies' patterns. They also improve the theoretical, empirical and methodological understanding of the role of institutions and culture in different geopolitical and socio-economic realms. By doing so, these contributions place this special issue as prelude to further research on the co-evolution of culture and institutions and on its possible implications on different societal aspects, human development and well-being