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340 result(s) for "Kramer, Barbara"
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Does primary stroke center certification change ED diagnosis, utilization, and disposition of patients with acute stroke?
We examined the impact of primary stroke center (PSC) certification on emergency department (ED) use and outcomes within an integrated delivery system in which EDs underwent staggered certification. A retrospective cohort study of 30 461 patients seen in 17 integrated delivery system EDs with a primary diagnosis of transient ischemic attack (TIA), intracranial hemorrhage, or ischemic stroke between 2005 and 2008 was conducted. We compared ED stroke patient visits across hospitals for (1) temporal trends and (2) pre- and post-PSC certification—using logistic and linear regression models to adjust for comorbidities, patient characteristics, and calendar time, to examine major outcomes (ED throughput time, hospital admission, radiographic imaging utilization and throughput, and mortality) across certification stages. There were 15 687 precertification ED visits and 11 040 postcertification visits. Primary stroke center certification was associated with significant changes in care processes associated with PSC certification process, including (1) ED throughput for patients with intracranial hemorrhage (55 minutes faster), (2) increased utilization of cranial magnetic resonance imaging for patients with ischemic stroke (odds ratio, 1.88; 95% confidence interval, 1.36-2.60), and (3) decrease in time to radiographic imaging for most modalities, including cranial computed tomography done within 6 hours of ED arrival (TIA: 12 minutes faster, ischemic stroke: 11 minutes faster), magnetic resonance imaging for patients with ischemic stroke (197 minutes faster), and carotid Doppler sonography for TIA patients (138 minutes faster). There were no significant changes in survival. Stroke center certification was associated with significant changes in ED admission and radiographic utilization patterns, without measurable improvements in survival.
Nelson Mandela
\"Nelson Mandela, who courageously dealt with adversity and emerged a world leader, has been an inspirational role model for millions of people around the world, from students to presidents. After being imprisoned for 27 years, in 1994 he became South Africa's first democratically-elected president and shared the Nobel Peace Prize. Mandela died in 2013, but his legacy lives on as a barrier-breaker and humanitarian. Learn all about his life, especially the challenges he faced and how he persevered, in this thoughtful biography\"-- Provided by publisher.
An Integrated STEM Introduction to Increase Interdisciplinary Thinking and Research Preparation
An integrative introduction to the sciences and an introduction to scientific writing can provide a strong foundation for broadly trained STEM majors to explore the interconnectedness of STEM disciplines and prepare them for scientific research. These goals have been accomplished through a sequence of two first-year courses, STEM 101: Integrative STEM Freshman Seminar and STEM 105: Inquiry Seminar. In STEM 101, students define the STEM disciplines, see the interconnectedness of the disciplines, learn scientific ethics, and develop team-building skills as they complete a group project that explores the nature and process of science. In STEM 105, students learn about and then engage in a variety of forms of scientific communication as they develop and present an independent research proposal.
Sonia Sotomayor
Explore one of the most recognized names in modern America with this biography of Supreme Court Justice Sonya Sotomayor. Kids will learn about her rise to be the first Hispanic Supreme Court Justice and the trials she faced along the way.
Just How Exclusive Is That Exclusive Agreement?
The only exception is for excluded or house accounts, which are identified at the outset of the sales representative-principal relationship. When courts have addressed this situation, they have looked very closely at the language of the sales representative contract. In this type of agreement, the representative is the only agent permitted to market product in the territory, but the arrangement does not exclude the possibility of the principal selling without the involvement of a sales representative.
Trade Publication Article
How Signing a Sales Representative Agreement Is Like Buying a House
[...]my experience shows that there are far more who will make meaningful changes to the agreement, particularly if the sales representative has leverage, and the manufacturer believes the sales rep can add real value by increasing sales in the territory. Are you willing to pioneer a line if you can be terminated without cause, or not get paid if you have worked on a sale for six months but get terminated before the purchase order issues? Kramer serves as legal counsel to the Power-Motion Technology Representatives Association (PTRA).
Trade Publication Article
The Life of George Washington Carver: Inventor and Scientist
\"George Washington Carver spent his life asking questions and looking for answers. As a teacher at the famed Tuskegee Institute, Carver gained a reputation as the farmers' best friend. He taught them about crop rotation: growing peanuts and planting sweet potatoes to 'rest' their soil between crops. And what could they do with all those peanuts? Carver developed more than three hundred peanut-based products--from milk to printers' ink--and more than one hundred ways to use sweet potatoes. Some of Carver's actual recipes are included in The Life of George Washington Carver: Inventor and Scientist, along with an abundance of true stories and quotes that bring 'The Peanut Man' to life.\" (The Life of George Washington Carver: Inventor and Scientist) Read more about the life and career of George Washington Carver.