Severed Tendons in Equine

A rather common farm accident with a horse-drawn mower, brought a young roan Belgian mare to the Stange Memorial Clinic on July 20, 1943, with severed superficial and deep flexor tendons of the left hind leg. The gaping wound was inflicted between the middle and distal third of the metatarsus. The horse placed considerable weight on the leg, allowing the fetlock to touch the ground at times

Search for a resonance in the 14N(p, γ)15O reaction at Ep = 127 keV

The 14N(p, γ)15O reaction regulates the energy produced by the CN cycle in main-sequence stars and in red giants. Recently, preliminary evidence was presented for a new resonance in this reaction, which would significantly increase the reaction rate for temperatures near 108 K. We have attempted to confirm this result and find no indication of a resonance near Eplab = 127 keV. Our upper limit on its strength is ω γ≤32 neV (95% C.L.), which is more than 2 orders of magnitude below the previously reported value

Severed Tendons in Equine

A rather common farm accident with a horse-drawn mower, brought a young roan Belgian mare to the Stange Memorial Clinic on July 20, 1943, with severed superficial and deep flexor tendons of the left hind leg. The gaping wound was inflicted between the middle and distal third of the metatarsus. The horse placed considerable weight on the leg, allowing the fetlock to touch the ground at times.</p

American National Security

(Statement of Responsibility) by Robert C. Westerfeldt(Thesis) Thesis (B.A.) -- New College of Florida, 1987(Electronic Access) RESTRICTED TO NCF STUDENTS, STAFF, FACULTY, AND ON-CAMPUS USE(Bibliography) Includes bibliographical references.(Source of Description) This bibliographic record is available under the Creative Commons CC0 public domain dedication. The New College of Florida, as creator of this bibliographic record, has waived all rights to it worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law.(Local) Faculty Sponsor: Bates, Margare

Why it Pays for Hospitals to Initiate a Heart Failure Disease Management Program

Heart failure is a clinical syndrome usually caused by structural changes in the heart. These changes result in varying degrees of symptomatic functional limitation, typically shortness of breath and fatigue. Heart failure is common, with a lifetime risk for its occurrence in a healthy 40-year-old of 20%. In the US, the cost of heart failure care is now estimated at over $US30 billion annually (year 2007 values). Several forms of treatment have been devised for heart failure: medical, device based, and surgical. These are best individualized to each patient and used in stepped progression to goals that are based on current expert guidelines. When goal-directed treatment is accomplished, three major outcomes are expected: (i) symptom relief and improved quality of life; (ii) a slowing or partial reversal of cardiac structural abnormalities; and (iii) a reduction in mortality. Attempts to deliver care for this complex syndrome have led to the development of heart failure-specific disease management programs. These programs can take different forms. Some involve multi-disciplinary teams that comprise a wide array of specialized physicians, cardiac surgeons, nurses, and other allied health workers, all with specific tasks. Others have a more narrow focus and are nurse-led programs. These programs, when fully implemented, help the patient manage his/her disease more effectively through education about heart failure, the purpose and correct use of medication, and the full utilization of nutritional interventions. These programs are also ideally suited to deliver care for patients with end-stage disease, particularly those needing implantation of left ventricular assist devices or transplantation. When effectively implemented, these programs have been shown to improve quality of life, decrease rate of heart failure hospitalizations, and improve survival compared with usual care. Cost analyses of these programs are challenging, and in the most favorable circumstances the greater up-front cost of more intense care is paid back by a lower rate of utilization of inpatient resources. The details of the University of Wisconsin Program are discussed as an example of a comprehensive management program.Disease-management-programmes, Heart-failure, Hospitalisation