There are plenty of good software programs to choose from. Software programs often come with way too many borders, lines and unnecessary ink. Using your own agency’s colors will ensure that all staff ...members’ graphs look streamlined (and therefore professional). ...you enter your color codes into your software program.
This communication briefly details the goals, indications, surgical approaches, and limitations of minimally invasive
direct coronary artery bypass grafting (MIDCABG). The experimental experiences ...from various institutions are summarized.
The clinical experiences of 72 consecutive MIDCABG procedures performed at our institutions between June 5, 1995, and August 13, 1996, were analyzed. We have divided patients into two groups. Group A consists of healthy low-risk patients with single lesions of the left anterior descending coronary artery or the right coronary artery, or with both lesions of both arteries. Group B consists of high-risk patients who had major contraindications to conventional cardiopulmonary bypass procedures. There were 55 patients in group A and 17 patients in group B. Using The Society of Thoracic Surgeons preoperative predicted risk module, group A had a 1% predicted mortality versus 4% in group B.
The 30-day mortality was 2% in group A and 6% in group B. The mean postoperative length of stay was 4 days for group A and 5½ days for group B. Short-term follow-up of the survivors appears promising, and 81% of patients were angina free at the time of last follow-up.
The MIDCABG techniques are still developing. The short-term results during the learning period appear to be quite good, but long-term results remain yet to be seen. The addition of new equipment to facilitate construction of the anastomosis will enhance application and results. The lessons learned from these approaches are already being applied to other areas of cardiac surgery including valve replacement and the repair of congenital heart defects.
Teacher evaluations provide school districts with information concerning teacher quality. In addition, teacher evaluations can offer teachers facts relating to their use of classroom instructional ...strategies. Much literature is devoted to the topic of teacher evaluations. The scope of the literature includes historical perspectives of teacher evaluations and many reports regarding how to create and administer effective evaluations. What is missing from the literature is an accounting of what teachers do with the information once the teacher evaluation process is complete. This mixed-method research study was designed to explore what teachers do with the information given on their teacher evaluation. Furthermore, the study offers insight into how teachers view the evaluation process. A sample of 157 teachers participated in an electronic survey and follow-up questions. The study used a descriptive research design utilizing quantitative statistics to analyze survey response and one-on-one interviews with teachers of participating districts for the qualitative portion of the study. What is noticed in the research is a positive relationship between teacher evaluations and changes in classroom instructional strategies. Teachers value the evaluation process. Implications for leadership include ensuring quality information is provided on teacher evaluation.
The southern Quinn Canyon Range lies in an area of the Great Basin subjected to large-volume Oligocene-Miocene silicic volcanism and smaller volume basaltic volcanism during the Pliocene. Three major ...ash-flow tuff units were correlated in the southern Quinn Canyon Range (the Pahranagat Tuff, Clifford Spring Tuff, and the Cow Canyon Tuff) with regional units by utilizing U/Pb and 40 Ar/ 39Ar geochronology, geochemical correlation, and field mapping. Isotopic analysis suggests that basalt in the southern Quinn Canyon Range is part of the Death Valley-Pancake Range Basalt Zone and is similar to Reveille Range Episode 1 and 2 basalts. Further comparison of geochemical data from samples within the Death Valley-Pancake Range Basalt Zone show isotopic differences between the northern and southern end of the Death Valley-Pancake Range Basalt Zone with the northern end having an asthenospheric derived signature. Depth of melting calculations of basalt samples also suggest an asthenospheric source.
