The effect of a 36-session Cardiac Rehabilitation Program on the Framingham Risk Score

Cardiac Rehabilitation is widely used in the United States to help individuals who have had a cardiac event that is approved by insurance companies. Factors that lead to the development of cardiovascular disease are lack of exercise, tobacco use, obesity, high blood pressure, high cholesterol levels, and diet comprised of high consumption of saturated fats, salt, refined carbohydrates, and low levels of fruits and vegetables (World Health Organization, 2008). The purpose of this study is to examine the effectiveness of a cardiac rehabilitation program in modifying the patients Framingham risk score after 36 sessions of cardiac rehabilitation. This is a retrospective study; data were taken from subject files that were acquired during the period of April 2005 to March 2008. The study included 152 male and 46 female subjects. Baseline and 12-week values for blood pressure (systolic, diastolic), total cholesterol, HDL-C, and LDL-C, smoking status and diabetes status was collected. To evaluate each of the subject\u27s data and form a Framingham risk score for each subject a computer program was developed using the Labview (National Instruments, Austin Texas). Statistical significance was found in all variables (Framingham risk score p\u3c.001, systolic blood pressure p=.049, diastolic blood pressure p= .002, total cholesterol p\u3c.001, LDL-C p\u3c.001, HDL-C p.004) between baseline and post cardiac rehabilitation program. There was mild statistical significance between delta fat and the delta Framingham scores p= .004. There was no statistical significance found in between delta Framingham and delta MET p= .817. Cardiac rehabilitation programs are an important part in improving an individual\u27s health after a coronary event. Cardiac rehabilitation programs include education to improve an individual\u27s diet skills for handling stress and improve their outlook on life after their recent cardiac event as well as reducing their risk for another coronary event. The Framingham risk score is an assessment tool that is widely accepted to evaluate risk factors that lead to the development of coronary heart disease. However there was research that showed that it underestimated an individual\u27s risk for developing coronary heart disease

Federal Indian Law

Introduction to Federal Indian Law, broken down by years: 1492, 1787, 1828, 1887, 1934, 1953, 1968 to the present. Includes major cases and additional resources

Brief for Association of Commerce & Industry as Amici Curiae, Beaudry v. Farmers Insurance Exchange, et al.

Plaintiff-Appellee Craig Beaudry seeks to make New Mexico the sole jurisdiction in the nation in which the mere act of enforcing an arms-length contract against a breach- lawfully and in compliance with the contract\u27s negotiated terms--can result in the enforcing party being liable under tort to pay compensatory and punitive damages to the breaching party. Affirming such a rule would upend long-established business principles and expectations; convolute fundamental distinctions between contract and tort law; materially invade and alter established bodies of substantive law in other areas; and create bad law and even worse policy for the people and businesses of New Mexico by creating an unpredictable business environment, increasing the costs of doing business, overburdening the judiciary with unnecessary litigation, stifling economic growth, and discouraging investment in the state

Brief for Southwest Indian Law Clinic as Amici Curiae, United States v. Smith

Prior cases, have assumed, without analysis that the ACA applies to Indian Country. This review of the ACA failed to consider and incorporate clearly established Indian law principles and foundational tenets of criminal law in the analysis of its applicability to Indians and Indian Country. Most importantly, the precedent and the Court below failed to understand the racial component involved in the analysis. These failures to understand the principles of Indian law and criminal law, have rendered haphazard and incoherent decisions. Amici seek to bring clarity to the complex jurisdictional interplay and provide a practical framework for the proper analysis in applying the ACA and determining whether jurisdiction exists for purposes of prosecuting conduct occurring in Indian Country. Williams v. United States, 327 U.S. 711 (1946) involved a non-Indian defendant’s rape of an Indian victim -- and thus, the Court did not reach the application of the ACA to Indian defendants under the ICCA. There can be no such application consistent with clearly establish principles of federal Indian law and jurisdiction

Brief for National Association of Criminal Defense Lawyers as Amici Curiae, Fortino Alvarez v. Randy Tracy

Amici’s brief is relevant because it squarely address the central issue of whether a tribal exhaustion rule ought to apply in habeas proceedings filed under 25 U.S.C. § 1303, and if so, what standards and exceptions apply to allow federal review of a tribal order of detention. Amici offer substantial experience in the field of federal habeas corpus, and criminal law in Indian country. The brief is desirable because it will provide the Court the benefit of the research, legal analysis and experience amici bring to this important issue. The NACDL includes a Native American Justice Committee that is concerned with the rights of Native Americans who are accused of crimes, and has testified before the U.S. Congress and Indian tribal government bodies on those issues. Barbara Creel, a former Assistant Federal Defender has testified before Congress and the Indian Law and Order Commission on the right to counsel for Native Americans accused of crime in tribal court and on the access to the writ of habeas corpus under ICRA. SILC has also successfully litigated numerous federal habeas corpus petitions under 25 U.S.C. § 1303, and has a unique understanding of the individual rights of defendants vis- a-vis their tribe. Amici offer a special expertise in Indian law, sovereignty, and civil rights

Becoming DACAmented: Assessing the Short-Term Benefits of Deferred Action for Childhood Arrivals (DACA)

In response to political pressure, President Obama authorized the Deferred Action for Childhood Arrivals (DACA) program in 2012, giving qualified undocumented young people access to relief from deportation, renewable work permits, and temporary Social Security numbers. This policy opened up access to new jobs, higher earnings, driver’s licenses, health care, and banking. Using data from a national sample of DACA beneficiaries (N = 2,381), this article investigates variations in how undocumented young adults benefit from DACA. Our findings suggest that, at least in the short term, DACA has reduced some of the challenges that undocumented young adults must overcome to achieve economic and social incorporation. However, those with higher levels of education and access to greater family and community resources appear to have benefited the most. As such, our study provides new insights into how social policy interacts with other stratification processes to shape diverging pathways of incorporation among the general pool of undocumented immigrants

Hearsay in New Mexico

Introduction to the New Mexico rule against hearsay, Rule 11-803 NMRA

“Medidas de seguridad para los pacientes atendidos en el servicio de sala de operaciones de emergencia 4°B de Hospital Nacional Edgardo Rebagliati Martins, Lima 2013 - 2015"

El presente informe de experiencia laboral titulado medidas de seguridad para los pacientes atendidos en sala de operaciones de emergencia 4B pretende dar a conocer la variedad de funciones que realiza la enfermera en quirofano de emergencia para evitar eventos adversos realizando cuidados de enfermería para evitar iatrogenias como caídas, quemaduras, pérdida de gasas e instrumental, zonas de presión, infecciones, verificación de paciente conecte y cirugía conecta en pacientes que son atendidos las 24 horas del día, dando cumplimiento al Manual de Normas y Procedimientos establecidos por la institución. Así como también mantener técnicas sépticas dentro de las salas de operaciones, de manera tal, que se le proporcione al paciente quirúrgico de emergencia la confianza de ser protegido y vigilado en su permanencia en el quirofano. En este trabajo se consideró que la seguridad del paciente es la ausencia de accidentes o Lesiones prevenibles en la atención que se brinda en sala de operaciones de emergencia 4B, como resultado de servicios eficaces y satisfactorios que garantizan una atención de calidad.Trabajo academic

Estrategia metodológica para dinamizar logros de aprendizaje en el área de Ciencia Tecnología y Ambiente en los alumnos del segundo grado de Educación Secundaria, de la Institución Educativa Nuestra Señora de las Mercedes de Sicacate, del distrito de Montero provincia de Ayabaca región Piura, 2018

En las experiencias vividas con los discentes de secundaria pertenecientes al segundo año de secundaria de la Institución Educativa Nuestra Señora de las Mercedes, Sicacate-Montero se han podido identificar las siguientes dificultades como: desinterés en los temas, calificativos bajos, no comprenden la información y además se distraen con facilidad, lo que se evidencia en el número de alumnos desaprobados en las diferentes evaluaciones del área de Ciencia Tecnología y Ambiente, ante este problema se plantea el objetivo general : Proponer estrategias metodológicas que contribuyan a dinamizar logros de aprendizaje en el área de Ciencia Tecnología y Ambiente de los alumnos de segundo grado de educación secundaria de la institución educativa Nuestra Señora de las Mercedes Sicacate, distrito de Montero. Provincia de Ayabaca, Región Piura, 2018, presento una estrategia metodológica, aplicando la metodología indagatoria, se pretende desarrollar en los estudiantes la actitud científica y elevar el nivel de aprendizaje de los estudiantes en el área de CTA., problema que se observa a nivel nacional, como lo demuestran las pruebas Pisa, debido a diversos factores, siendo uno de ellos la aplicación de estrategias inadecuadas para aprender. Con aplicación de la estrategia indagatoria el alumno desarrollará capacidades y destrezas científicas como son: el análisis, la predicción, el ensayo y la formulación de conclusiones. Y por ende se pretende que el alumno mejore el nivel de aprendizaje en el área de CTA, logrando que estos sean significativos