878 research outputs found

    Collaborative Leadership in Medicine

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    I interviewed five leaders in the field of medicine, all physicians in leadership positions, and analyzed their leadership styles. Additionally, I researched collaborative leadership and its role in the ever changing world of healthcare. I have found that physicians in respected leadership roles tend to be team members who are very willing to acknowledge their flaws but also be aware of strengths and use them for the good of patients and the communit

    The Second Generation in New York City: A Demographic Overview

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    The study analyzes the forces leading to or impeding the assimilation of a 18-32 year olds from immigrant backgrounds that vary in terms of race, language, and the mix of skills and liabilities their parents brought to the United States. To make sure that what we find derives specifically from the immigrant experience, rather than simply being a young person in New York, we are also studying a "control group" of people from native born white, black, and Puerto Rican backgrounds. The main sample is drawn from the inner part of the region where the vast majority of immigrants and native born minority group members live and grow up. Our study groups make possible a number of interesting comparisons. Unlike many other immigrant groups, the West Indian first generation speaks English, but the dominant society racially classifies them as black. We are interested in ways that their experiences resemble or differ from native born African Americans. Dominicans and the Colombian-Peruvian-Ecuadoran population both speak Spanish, but live in different parts of New York, have different class backgrounds prior to immigration, and, quite often, different skin tones. We have compared them to Puerto Rican young people, who, along with their parents, have the benefit of citizenship. Chinese immigrants from the mainland tend to have little education, while young people with overseas Chinese parents come from families with higher incomes, more education, and more English fluency. According to the 1990 Census, the base year for looking at the first generation parents, these five groups accounted for 45 percent of the immigrants who had arrived in metropolitan New York since 1970. Our ability to compare these groups with native born whites, blacks and Puerto Ricans has permitted us to analyze the effects of nativity while controlling for race and language background

    Mechanisms underlying the anti-cancer activity of Substance P analogues

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    Evaluation of 4-factor prothrombin complex concentrate (PCC) in hospitalized patients

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    Purpose: In 2014, Gwinnett Medical Center (GMC) developed reversal guidelines to assist physicians in selection of reversal agents for all available oral and parenteral anticoagulants. The objective of this study is to evaluate whether 4-factor PCC usage was appropriately designated for patients experiencing acute bleeds or preparing for invasive procedures within the study institution. Methods: This study was approved by the study institution’s Institutional Review Boards. The study group included all patients who received 4-factor PCC at the institution to date. A retrospective chart review was performed on these patients to complete the evaluation. This data was evaluated as appropriate or non-appropriate based on the study institution’s developed protocol for anticoagulant reversal. Results: A report was generated of 36 patients who had received PCC from October 1, 2014 to October 28, 2015. Based on the chart review, we conclude that 4-factor PCC was appropriately indicated in 91.7% of the cases. PCC was correctly dosed in 83.3% of total patients included in the review. Conclusion: Overall, we conclude 4-factor PCC is being used appropriately according to the protocol in the majority of patients in the institution based on correct indication and dosing. We recommend adding reversal agents for each individual NOAC for appropriate indications as they become FDA approved
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