39 research outputs found

    Shadow of the Blues and Dove Sta Amore : Selected Songs of John Musto.

    Get PDF
    This paper reflects my research and synthesis of the songs of Shadow of the Blues and Dove Sta Amore, and my direct work with the composer, John Musto. I find his music to be intriguing, and feel this guide to his music will be of value to singers and educators. My preliminary research revealed that little had been written about Musto. I contacted the composer, interviewed and studied the repertoire with him in New York City, prepared this guide and performed the songs in recital. The quality of John Musto\u27s songs secures for him a place in the top rank of living American song composers

    Maxillary cementoblastoma (true cementoma) and secondary aspergillosis in a horse

    Get PDF
    Cementoblastoma is a rare, benign, expansive and slow-growing, mesenchymal odontogenic tumor. An eight year-old, Purebred Spanish Horse stallion with clinical history of chronic, refractory to treatment unilateral rhinitis and radiologic evidence of a radiopaque mass at the second premolar tooth root underwent intraoral surgery for tooth and mass extraction. The owner did not want to bear the cost of the histopathologic study and the samples were left unattended in a sterile recipient without a fixative solution for six years. Grossly the mass showed a hard consistence, greyish-whitish color and an irregular surface. Histologically, the mass consisted of an abundant deposit of eosinophilic cementum-like organic matrix with frequent basophilic reversal lines and heterogeneous distribution of empty lacunae. Surrounded by this organic matrix there were numerous fungal hyphae positive for Aspergillus fumigatus immunostaining. The final diagnosis was maxillary cementoblastoma with secondary aspergillosis. High-quality information has been obtained from long-time non-fixed tissues

    Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

    Get PDF
    Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

    Riskfaktorer för postoperativa sårinfektioner : - en litteraturgenomgång

    No full text
    Varje år genomförs miljoner operationer världen över. Cirka 500 000 av dessa patienter drabbas av en postoperativ sårinfektion. Detta leder till ett lidande för patienten, längre vårdtider och ökade kostnader för alla inblandade. Syftet med denna litteratur-genomgång är att identifiera, granska och analysera vilka faktorer som ökar risken för postoperativa sårinfektioner. Författarna har valt att göra en litteraturgenomgång. Granskning av relevanta studier har baserats på SBU’s metod och resultatet baseras på 20 artiklar. Resultatet visar att det finns flera faktorer som ökar risken för postoperativa sårinfektioner. De mest framträdande riskfaktorerna är operationstiden och den totala vårdtiden. Även en ökad ålder, sjukdomshistoria, levnadsvanor och antalet personer inne på operationssalen ansågs vara riskfaktorer för att drabbas av en postoperativ sårinfektion

    Attityd till individuell lönesättning : Har self-efficacy och självskattad prestationsnivå en inverkan?

    No full text
    Inom den offentliga sektorn har individuell lönesättning blivit ett vanligare tillvägagångsätt för att öka anställdas prestationsnivå. Även tro på den egna förmågan har en betydande roll för hur arbetsgivare bör hantera sin anställda vid lönesättning. Personer med hög self-efficacy söker sig till arbetsplatser med individuell lönesättning i högre grad än anställda med låg self-efficacy. Studiens syfte var att undersöka anställda inom den offentliga sektorns attityd till individuell lönesättning utifrån grad av self-efficacy och självskattad prestationsnivå. 174 anställda i åldrarna 19-68 tillfrågades om att delta i studien. Enkäten bestod av påståenden om attityd till individuell lönesättning, arbetsrelaterad self-efficacy och självskattad prestationsnivå. Resultatet visa på ett signifikant samband mellan attityd till individuell lönesättning och self-efficacy samt en tendens till ett positivt samband mellan attityd till individuell lönesättning och prestation. Slutsatsen blev att anställda med högre self-efficacy har en mer positiv attityd till individuell lönesättning men att det krävs mer forskning inom ämnet
    corecore