Working against the clock: A model for rural STEMI triage

Residents in rural communities have higher incident of cardiac death and risk factors associated with cardiac disease. Living in a rural region can add precious time that amplifies cardiac death during a ST-elevated myocardial infarction (STEMI) episode. The consensus is that improved efficiencies can increase myocardial salvage and decrease STEMI mortality rates. This article identifies issues that may impact pre-hospital STEMI triage of patients in a rural region of the United States (U.S.). A qualitative research design was chosen to gain insight into emergency personnel perceptions of pre-hospital STEMI triage. The participants (n=18) were obtained from a convenience sample in rural Northeast Texas, U.S. Data were gathered by individual and group semi-structured interviews. Themes were identified, synthesized, and oriented to offer a basis for understanding opportunities to improve the delivery of rural STEMI care. This study demonstrated that quality improvement initiatives aimed at achieving pre-hospital STEMI triage efficiencies have dependencies on teamwork, technology, and training in the context of three stages a) pre-transport, b) door-to-door, and c) post-transport. A pre-hospital STEMI triage model is considered. By incorporating this model, emergency medical coordinators in rural communities have a better opportunity to facilitate timely reperfusion therapy for this high risk populous

En la tierra carnal: entrevista con Allen Ginsberg

En 1993 Allen Ginsberg (Paterson, New Jersey, 1926-Nueva York 1997), el gran poeta de la Generación Beat norteamericana, visitó el CBA para realizar una emocionante lectura poética que quedaría en el recuerdo de todos los asistentes. Quince años más tarde, el CBA ha recuperado la grabación de aquel recital y la ha editado acompañando a un libro que recoge los poemas que leyó aquella tarde. Minerva publica ahora una de las últimas entrevistas que concedió Ginsberg, acompañada de una nueva introducción de su autor, Steve Silberman, editor de la revista Wired y gran amigo del poeta

Self-expression by design : Co-designing the ExpressiBall with minimally-verbal children on the autism spectrum

Expressing one's thoughts and feelings is a fundamental human need - the basis for communication and social interaction. We ask, how do minimally-verbal children on the autism spectrum express themselves? How can we better recognise instances of self-expression? And how might technologies support and encourage self-expression? To address these questions, we undertook co-design research at an autism-specific primary school with 20 children over one school year. This paper contributes six Modalities of Self-Expression, through which children self-express and convey their design insights. Each modality of self-expression can occur across two different dimensions (socio-expressive and auto-expressive) and can be of a fundamental or an integrative nature. Further, we contribute the design trajectory of a tangible ball prototype, the ExpressiBall, which - through voice, sounds, lights, and motion sensors - explores how tangible technologies can support this range of expressive modalities. Finally, we discuss the concept of Self-Expression by Design

Nesta Spink (image)

Fall Issuehttp://deepblue.lib.umich.edu/bitstream/2027.42/61015/1/2903.pd