IMPROVED OUTCOMES IN INDIGENT PATIENTS WITH KETOSIS-PRONE DIABETES: EFFECT OF A DEDICATED DIABETES TREATMENT UNIT

2003 ◽  
Vol 9 (1) ◽  
pp. 26-32 ◽  
Author(s):  
Mario R. Maldonado, MD ◽  
Susana D'Amico, MD ◽  
Lucille Rodriguez, LVN ◽  
Dinakar Iyer, PhD ◽  
Ashok Balasubramanyam, MD
2012 ◽  
Vol 22 (1) ◽  
pp. 11-21
Author(s):  
Patti Martin ◽  
Nannette Nicholson ◽  
Charia Hall

Family support has evolved from a buzzword of the 1990s to a concept founded in theory, mandated by federal law, valued across disciplines, and espoused by both parents and professionals. This emphasis on family-centered practices for families of young children with disabilities, coupled with federal policy initiatives and technological advances, served as the impetus for the development of Early Hearing Detection and Intervention (EHDI) programs (Nicholson & Martin, in press). White, Forsman, Eichwald, and Muñoz (2010) provide an excellent review of the evolution of EHDI systems, which include family support as one of their 9 components. The National Center for Hearing Assessment and Management (NCHAM), the Maternal and Child Health Bureau, and the Center for Disease Control Centers cosponsored the first National EHDI Conference. This conference brought stakeholders including parents, practitioners, and researchers from diverse backgrounds together to form a learning collaborative (Forsman, 2002). Attendees represented a variety of state, national, and/or federal agencies and organizations. This forum focused effort on the development of EHDI programs infused with translating research into practices and policy. When NCHAM, recognizing the critical role of family support in the improvement of outcomes for both children and families, created a think tank to investigate the concept of a conference centered on support for families of children who are deaf or hard of hearing in 2005, the “Investing in Family Support” (IFSC) conference was born. This conference was specifically designed to facilitate and enhance EHDI efforts within the family support arena. From this venue, a model of family support was conceptualized and has served as the cornerstone of the IFSC annual conference since 2006. Designed to be a functional framework, the IFSC model delineates where and how families find support. In this article, we will promote and encourage continued efforts towards defining operational measures and program components to ultimately quantify success as it relates to improved outcomes for these children and their families. The authors view this opportunity to revisit the theoretical underpinnings of family support, the emerging research in this area, and the basics of the IFSC Model of Family Support as a call to action. We challenge professionals who work with children identified as deaf or hard of hearing to move family support from conceptualization to practices that are grounded in evidence and ever mindful of the unique and dynamic nature of individual families.


2020 ◽  
Author(s):  
Ana Beloqui ◽  
Francesco Suriano ◽  
Matthias Hul ◽  
Yining Xu ◽  
Véronique Préat ◽  
...  

1987 ◽  
Vol 3 (1) ◽  
pp. 119-129 ◽  
Author(s):  
David B. Wooldridge ◽  
Gloria Parker ◽  
Patricia A. MacKenzie

2020 ◽  
Vol 36 (06) ◽  
pp. 722-726
Author(s):  
Adam Jacobson ◽  
Oriana Cohen

AbstractAdvances in free flap reconstruction of complex head and neck defects have allowed for improved outcomes in the management of head and neck cancer. Technical refinements have decreased flap loss rate to less than 4%. However, the potential for flap failure exists at multiple levels, ranging from flap harvest and inset to pedicle lay and postoperative patient and positioning factors. While conventional methods of free flap monitoring (reliant on physical examination) remain the most frequently used, additional adjunctive methods have been developed. Herein we describe the various modalities of both invasive and noninvasive free flap monitoring available to date. Still, further prospective studies are needed to compare the various invasive and noninvasive technologies and to propel innovations to support the early recognition of vascular compromise with the goal of even greater rates of flap salvage.


2020 ◽  
Vol 0 (2) ◽  
pp. 21-25
Author(s):  
Nikolay Dubenok ◽  
Andrey Novikov ◽  
Sergei Borodychev ◽  
Maria Lamskova

At the stage of water treatment for irrigation systems, the efficiency capture coarse and fine mechanical impurities, as well as oil products and organic compounds affects the reliability of the equipment of the irrigation network and the safety of energy exchange processes in irrigated agricultural landscapes. The violation of work irrigation system can cause disruptions in irrigation schedules of agricultural crops, crop shortages, degradation phenomena on the soil and ecological tension. For the combined irrigation system, a water treatment unit has been developed, representing a hydrocyclone apparatus with a pipe filter in the case. For the capacity of 250 m3/h the main geometrical dimensions of hydrocyclone have been calculated. To organize the capture petroleum products and organic compounds, it has been proposed a modernization of a hydrocyclone unit, consisting in dividing the cylindrical part of the apparatus into two section. The first is section is for input irrigation water, the second one is for additional drainage of clarified irrigation water after sorption purification by the filter, placed on the disk and installed coaxially with the drain pipe and the pipe filter.


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