This Land Is Our Land Stepick, Alex; Grenier, Guillermo; Castro, Max ...
04/2003
eBook
For those opposed to immigration, Miami is a nightmare. Miami is the de facto capital of Latin America; it is a city where immigrants dominate, Spanish is ubiquitous, and Denny's is an ethnic ...restaurant. Are Miami's immigrants representative of a trend that is undermining American culture and identity? Drawing from in-depth fieldwork in the city and looking closely at recent events such as the Elián González case,This Land Is Our Landexamines interactions between immigrants and established Americans in Miami to address fundamental questions of American identity and multiculturalism. Rather than focusing on questions of assimilation, as many other studies have, this book concentrates on interethnic relations to provide an entirely new perspective on the changes wrought by immigration in the United States. A balanced analysis of Miami's evolution over the last forty years,This Land Is Our Landis also a powerful demonstration that immigration in America is not simply an "us versus them" phenomenon.
The first book devoted to the history of African Americans in south Florida and their pivotal role in the growth and development of Miami, Black Miami in the Twentieth Century traces their triumphs, ...drudgery, horrors, and courage during the first 100 years of the city's history. Firsthand accounts and over 130 photographs, many of them never published before, bring to life the proud heritage of Miami's black community. Beginning with the legendary presence of black pirates on Biscayne Bay, Marvin Dunn sketches the streams of migration by which blacks came to account for nearly half the city's voters at the turn of the century. From the birth of a new neighborhood known as "Colored Town," Dunn traces the blossoming of black businesses, churches, civic groups, and fraternal societies that made up the black community. He recounts the heyday of "Little Broadway" along Second Avenue, with photos and individual recollections that capture the richness and vitality of black Miami's golden age between the wars. A substantial portion of the book is devoted to the Miami civil rights movement, and Dunn traces the evolution of Colored Town to Overtown and the subsequent growth of Liberty City. He profiles voting rights, housing and school desegregation, and civil disturbances like the McDuffie and Lozano incidents, and analyzes the issues and leadership that molded an increasingly diverse community through decades of strife and violence. In concluding chapters, he assesses the current position of the community--its socioeconomic status, education issues, residential patterns, and business development--and considers the effect of recent waves of immigration from Latin America and the Caribbean. Dunn combines exhaustive research in regional media and archives with personal interviews of pioneer citizens and longtime residents in a work that documents as
never before the life of one of the most important black communities in the United States.
To determine the efficacy, safety, and economic benefit of continuous IV infusion of furosemide as a treatmentmodality for elderly patients with class IV heart failure.
Prospective trial of ...consecutively admitted elderlypatients > 65 years old with class IV heart failure.
A single cardiovascular service in a universitymedical center.
Seventeen male and femalepatients > 65 years old consecutively admitted to a cardiovascularservice.
High-dose, continuous IV infusion of furosemide was successful in providing a 9- to 20-L diuresis in anaverage of 3.5 days with out causing clinical complications oraberrations in blood chemistry. The length of stay was 2.3 days shorterthan a contemporary group of class III and class IV elderlypatients with heart failure managed on other medical services. The Medicare reimbursement for heart failure was $6,047. Patients receivingIV bolus diuretic therapy incurred billing charges of $10,193, or aloss of $4,146 per patient to the hospital. Patients receiving diureticinfusion therapy incurred billing charges of $4,944. This was adifference of $5,249 per patient treated by continuous IV infusioncompared to bolus therapy and a profit per Medicare patient of $1,103. Therefore, a $4,146 billing loss was converted to $1,103 profit.
IV furosemide infusion therapy for class IVheart failure in the elderly is a safe, effective, and economic mode of therapy.
Heart failure is a growing worldwide epidemic resulting in frequent hospitalizations and increased resource utilization. A major cause of hospitalization is congestive symptoms and impaired ...functional capacity due to sodium and water retention. Diuretic resistance, which is common among patients with severe heart failure, may inhibit diuresis, thus prolonging hospitalizations. The current evidence suggests that continuous infusions are a potentially effective method for delivering high daily doses of diuretics and rapidly removing large amounts of excess sodium and water. In our experience, continuous intravenous infusions of furosemide are well tolerated and may shorten hospitalizations, which in turn reduces overall costs. Although the current evidence is largely limited to observational reports and small uncontrolled studies, the consistent findings of efficacy and safety warrant the further investigation of this treatment strategy in randomized controlled trials.
