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Search Results: 1 - 10 of 13607 matches for " Susan Elizabeth; "
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Should Users Have a Role in Determining the Future Archive? The Approach Adopted by the Public Record Office, the UK National Archive, to the Selection of Records for Permanent Preservation
Elizabeth Honer,Susan Graham
Liber Quarterly : The Journal of European Research Libraries , 2001,
Abstract: The Public Record Office (PRO) is the UK national archive, preserving the records of the government of the UK. This paper will describe the PRO’s approach to determining which government records merit permanent preservation, paying particular attention to the role that users play in this process. The paper is in two parts: the first section deals with the theoretical underpinnings to the approach while the second describes its actual implementation.
Historia Memoria: la construcción de las tradiciones dinásticas andinas
Ramírez, Susan Elizabeth
Revista de Indias , 2006,
Abstract: This article describes the practice of positional inheritance at the curacazgo and imperial levels as a form of dynastic succession. In a wider context, it argues that the process of converting oral traditions and myths into a historical narrative commonly accepted in a colonial setting was deficient and must be de-centered. Este artículo entra en la práctica de la herencia posicional , que se practicaba en los niveles de los curacazgos y del imperio incaico como una fórmula del sistema de sucesión. En un contexto más amplio, plantea como argumento que el proceso de conversión de tradiciones orales y mitos en una narrativa histórica, comúnmente aceptada en un entorno colonial, fue deficiente y ha de ser relativizado.
La minería y la metalurgia nativa en el norte peruano (siglos XVI-XVII)
Ramírez, Susan Elizabeth
Anuario de Estudios Americanos , 2007,
Abstract: This article presents an overview of mining and metallurgy in northern Peru from late pre-hispanic times into the seventeenth century. It covers management of and sharing natural resources, labor, processing, and miners on both the coast and highlands. Este artículo presenta una visión global de la minería y la metalurgía en el norte de Perú desde tiempos pre-hispánicos tardíos hasta el siglo XVII. Contiene información sobre cómo se manejaban y compartían los recursos, sobre la mano de obra, el procesamiento de los minerales, y los mineros tanto en la costa como en la sierra.
Perceptions of Pediatric Nurse Practitioners and How a Pulmonary Function Printout Influenced Practice
Susan Gresko,Elizabeth Burgess Dowdell
Nursing Research and Practice , 2012, DOI: 10.1155/2012/794585
Abstract: The rate of asthma in the pediatric population has risen over the last two decades and is now considered to be the most common serious chronic disease in children and adolescents as well as a serious public health concern. In one suburban, Pennsylvania nurse-managed clinic, a group of pediatric nurse practitioners (PNPs), noted an increase in the number of children with asthma and purchased a pulmonary function machine (Spirometer). The purpose of this paper is to discuss how the integration of a pulmonary function measurement printout influenced a small group of PNPs visit satisfaction, their delivery of nursing care, and the response of the families. As the incidence of asthma increases in the pediatric population, nurse practitioners and other healthcare professionals can take a leading role in patient teaching and provision of care by augmenting their practice with new technology combined with continued education for the client and family. 1. Introduction D.G. is an 11-year-old boy who lives in a suburb located outside of a major Northeastern city where his primary care provider is a pediatric nurse practitioner (PNP) based in a nurse-managed clinic. D.G. has an extensive medical history beginning with his premature birth at 24 weeks of gestation to a teenage mother and a history of asthma. Due to social issues, D.G. was removed from his mother’s care and placed into the foster care system where he has lived with the same foster mother for the past 10 years. Because of his multidimensional health needs as well as developmental difficulties, D.G. is seen in the clinic every 6 months for medical and medication management. During his last visit, the PNP noted on history that after running around outside or following gym class D.G. shared “my chests hurts and I sound yucky when I breathe.” The PNP decided to have D.G. to use the clinic’s newly purchased pulmonary function machine (Spirometer) as part of his assessment. Although D.G’s physical exam showed clear auscultation breath sounds bilaterally with no work-of-breathing and brisk capillary refill, the Spirometer recorded that D.G. had “mild pulmonary restriction.” Using this finding, the PNP reevaluated as well as changed D.G.’s medications to continue his Singular dosage, increased his Flovent inhaler from daily to twice a day (BID), and booked a follow-up visit for 2 weeks. At the follow-up visit D.G. repeated having the same respiratory difficulties without relief, with the same finding of “mild pulmonary restriction” recorded on the Spirometer. The PNP then specifically asked D.G. and his foster
Cyclic AMP stimulates platelet-derived growth factor B chain mRNA expression in murine macrophage cell lines
Elizabeth J. Kovacs,Susan VanStedum
Mediators of Inflammation , 1995, DOI: 10.1155/s0962935195000470
Spontaneous and iatrogenic dehydration in the elderly alone or in combination with antiplatelet/anticoagulation agents and risk of subdural hematoma  [PDF]
Elizabeth Wirkowski, Jonas DeMuro, Adel Hanna, Jay Yasen, Rajiv Narain, Susan Elcin
World Journal of Cardiovascular Diseases (WJCD) , 2014, DOI: 10.4236/wjcd.2014.41001

Background and Purpose: To evaluate the role of preadmission conditions, dehydration specifically, in the development of subdural hematoma in the elderly. Methods: Retrospective chart review. Results: The most prevalent pre-admission medical condition was hypertension, followed by atrial fibrillation, CAD, hyperlipidemia, diabetes, and cancer. Out of 95 patients, 69 (73%) had features of dehydration, 27% were on diuretics and 28% were on antiplatelet agents and anticoagulation. Conclusions: Elderly population is prone to dehydration. Overzealous use of diuretics especially in combination with anticoagulation or antiplatelet therapy can contribute to the development of subdural hematomas, both spontaneous and traumatic.

A Rodada Doha, as mudan?as no regime do comércio internacional e a política comercial brasileira
Cesar, Susan Elizabeth Martins;Sato, Eiiti;
Revista Brasileira de Política Internacional , 2012, DOI: 10.1590/S0034-73292012000100010
Abstract: this paper discusses the current challenges of the multilateral trade system, which are reflected in the wto doha round deadlock. the main patterns of trade have changed due to the rise of global value chains and the globalization of the world economy, characterized by an increasing dispersion and fragmentation of industrial production. the article discusses the way these changes are challenging traditional assumptions of the multilateral trade system and the wto doha round negotiations. taking brazil as an example, the paper argues that the mismatch between the negotiating agenda and the new world trade realities dwells in the very wto member countries, which, at a great extent, have not yet aligned its trade policies to the new dynamics of the international trade. finally, we argue that during the last ten years brazil's trade policy has not properly considered the important changes in the international trade patterns brought about by global value chains and economic globalization.
WTO Doha Round deadlock: mismatch between Doha’s agenda and the new dynamics in world trade
Susan Elizabeth Martins CESAR,Eiit SATO
Revista Brasileira de Política Internacional , 2012,
Review of Breast Conservation Therapy: Then and Now
Susan Hoover,Elizabeth Bloom,Sunil Patel
ISRN Oncology , 2011, DOI: 10.5402/2011/617593
Abstract: Breast conservation therapy (BCT), which is the marriage of breast conserving surgery and radiation therapy to the breast, has revolutionized the treatment of breast cancer over the last few decades. Surgical direction had seen a heightened interest in the performance of cosmetically superior partial and segmental resections in breast conservation as well as increased demand by patients for breast preservation. The broadening of approaches to delivery of breast irradiation from whole breast to accelerated partial breast has allowed more patients to opt for breast conservation and allowed for what appears to be comparable measurable outcomes in emerging data. As well, the addition of state-of-the-art chemotherapeutic and hormonal therapies has allowed improved outcomes of patients from both local regional recurrence and overall survival standpoints. This paper will provide an overview of BCT and review some of the newest developments in optimizing this therapy for patients with breast cancer from a surgical-, medical-, and radiation-oncology standpoint. 1. Surgical Perspective 1.1. Introduction Much has changed in the management of breast cancer especially over the last few decades. The shift from the Halstedian radical mastectomy (Figure 1) to BCT serves as a remarkable example of the advances in surgical care of the breast cancer patient. The Breast conservation has improved the quality of life for many patients in terms of retention of body image and overall decreased physical morbidity (Figure 2). The Data also support that BCT affords patients’ the same overall survival without statistically significant increased local recurrence rates [1–5]. The continued success of BCT has evolved from advances in surgical techniques and pathologic analyses with the application of state-of-the-art radiation and chemotherapeutic regimens. Figure 1: This patient serves as a reminder of the physical deformity (a) and morbidity associated with the Halstedian radical mastectomy. Note the compression sleeve for control of lymphedema and the decreased range of motion of the patient’s left arm (b). Figure 2: These patients are examples of the retention of body image with breast conservation surgery. 1.2. Brief History of Surgery for Breast Cancer A brief tour through the history of surgical therapy of breast cancer is warranted to better put into context the treatment of breast cancer as we know it today. In the late 19th century, Halstead popularized the radical mastectomy [6, 7]. This surgical approach involved en bloc resection of the affected breast, overlying skin,
Adverse childhood experiences and mental health in young adults: a longitudinal survey
Elizabeth A Schilling, Robert H Aseltine, Susan Gore
BMC Public Health , 2007, DOI: 10.1186/1471-2458-7-30
Abstract: The study has a two-wave, prospective design. A systematic probability sample of high school seniors (N = 1093) was taken from communities of diverse socioeconomic status. They were interviewed in person in 1998 and over the telephone two years later. Gender and racial differences in ACE prevalence were tested with chi-square tests. Each mental health outcome was regressed on one ACE, controlling for gender, race/ethnicity, and SES to obtain partially standardized regression coefficients.Most ACEs were strongly associated with all three outcomes. The cumulative effect of ACEs was significant and of similar magnitude for all three outcomes. Except for sex abuse/assault, significant gender differences in the effects of single ACEs on depression and drug use were not observed. However, boys who experienced ACEs were more likely to engage in antisocial behavior early in young adulthood than girls who experienced similar ACEs. Where racial/ethnic differences existed, the adverse mental health impact of ACEs on Whites was consistently greater than on Blacks and Hispanics.Our sample of young adults from urban, socio-economically disadvantaged communities reported high rates of adverse childhood experiences. The public health impact of childhood adversity is evident in the very strong association between childhood adversity and depressive symptoms, antisocial behavior, and drug use during the early transition to adulthood. These findings, coupled with evidence that the impact of major childhood adversities persists well into adulthood, indicate the critical need for prevention and intervention strategies targeting early adverse experiences and their mental health consequences.Adverse childhood experiences (ACEs) have been consistently linked to psychiatric difficulties in children and adults [1-20]. Much of the research documenting these associations has been performed on clinical and/or cross-sectional samples; only recently have these associations been documented in large
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