594. Geriatric Anesthesiology
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Excesss Karaoke Master by Artist
XS Master by ARTIST Artist Song Title Artist Song Title (hed) Planet Earth Bartender TOOTIMETOOTIMETOOTIM ? & The Mysterians 96 Tears E 10 Years Beautiful UGH! Wasteland 1999 Man United Squad Lift It High (All About 10,000 Maniacs Candy Everybody Wants Belief) More Than This 2 Chainz Bigger Than You (feat. Drake & Quavo) [clean] Trouble Me I'm Different 100 Proof Aged In Soul Somebody's Been Sleeping I'm Different (explicit) 10cc Donna 2 Chainz & Chris Brown Countdown Dreadlock Holiday 2 Chainz & Kendrick Fuckin' Problems I'm Mandy Fly Me Lamar I'm Not In Love 2 Chainz & Pharrell Feds Watching (explicit) Rubber Bullets 2 Chainz feat Drake No Lie (explicit) Things We Do For Love, 2 Chainz feat Kanye West Birthday Song (explicit) The 2 Evisa Oh La La La Wall Street Shuffle 2 Live Crew Do Wah Diddy Diddy 112 Dance With Me Me So Horny It's Over Now We Want Some Pussy Peaches & Cream 2 Pac California Love U Already Know Changes 112 feat Mase Puff Daddy Only You & Notorious B.I.G. Dear Mama 12 Gauge Dunkie Butt I Get Around 12 Stones We Are One Thugz Mansion 1910 Fruitgum Co. Simon Says Until The End Of Time 1975, The Chocolate 2 Pistols & Ray J You Know Me City, The 2 Pistols & T-Pain & Tay She Got It Dizm Girls (clean) 2 Unlimited No Limits If You're Too Shy (Let Me Know) 20 Fingers Short Dick Man If You're Too Shy (Let Me 21 Savage & Offset &Metro Ghostface Killers Know) Boomin & Travis Scott It's Not Living (If It's Not 21st Century Girls 21st Century Girls With You 2am Club Too Fucked Up To Call It's Not Living (If It's Not 2AM Club Not -
Geriatric Medicine and Why We Need Geriatricians! by Juergen H
Geriatric Medicine and why we need Geriatricians! by Juergen H. A. Bludau, MD hat is geriatric medicine? Why is there a need for 1. Heterogeneity: As people age, they become more Wthis specialty? How does it differ from general heterogeneous, meaning that they become more and more internal medicine? What do geriatricians do differently when different, sometimes strikingly so, with respect to their they evaluate and treat an older adult? These are common health and medical needs. Imagine for a moment a group questions among patients and physicians alike. Many of 10 men and women, all 40 years old. It is probably safe internists and family practitioners argue, not unjustifiably, to say that most, if not all, have no chronic diseases, do not that they have experience in treating and caring for older see their physicians on a regular basis, and take no long- patients, especially since older adults make up almost half of term prescription medications. From a medical point of all doctors visits. So do we really need another type of view, this means that they are all very similar. Compare this physician to care for older adults? It is true that geriatricians to a group of 10 patients who are 80 years old. Most likely, may not necessarily treat older patients differently per se. But you will find an amazingly fit and active gentleman who there is a very large and important difference in that the focus may not be taking any prescription medications. On the of the treatment is different. In order to appreciate how other end of the spectrum, you may find a frail, memory- significant this is, we need to look at what makes an older impaired, and wheelchair-bound woman who lives in a adult different from a younger patient. -
MUSIC NOTES: Exploring Music Listening Data As a Visual Representation of Self
MUSIC NOTES: Exploring Music Listening Data as a Visual Representation of Self Chad Philip Hall A thesis submitted in partial fulfillment of the requirements for the degree of: Master of Design University of Washington 2016 Committee: Kristine Matthews Karen Cheng Linda Norlen Program Authorized to Offer Degree: Art ©Copyright 2016 Chad Philip Hall University of Washington Abstract MUSIC NOTES: Exploring Music Listening Data as a Visual Representation of Self Chad Philip Hall Co-Chairs of the Supervisory Committee: Kristine Matthews, Associate Professor + Chair Division of Design, Visual Communication Design School of Art + Art History + Design Karen Cheng, Professor Division of Design, Visual Communication Design School of Art + Art History + Design Shelves of vinyl records and cassette tapes spark thoughts and mem ories at a quick glance. In the shift to digital formats, we lost physical artifacts but gained data as a rich, but often hidden artifact of our music listening. This project tracked and visualized the music listening habits of eight people over 30 days to explore how this data can serve as a visual representation of self and present new opportunities for reflection. 1 exploring music listening data as MUSIC NOTES a visual representation of self CHAD PHILIP HALL 2 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF: master of design university of washington 2016 COMMITTEE: kristine matthews karen cheng linda norlen PROGRAM AUTHORIZED TO OFFER DEGREE: school of art + art history + design, division -
Psychotropic Drug Use and Alcohol Consumption Among Older Adults in Germany: Results of the German Health Interview and Examination Survey for Adults 2008–2011
Open Access Research BMJ Open: first published as 10.1136/bmjopen-2016-012182 on 8 October 2016. Downloaded from Psychotropic drug use and alcohol consumption among older adults in Germany: results of the German Health Interview and Examination Survey for Adults 2008–2011 Yong Du, Ingrid-Katharina Wolf, Hildtraud Knopf To cite: Du Y, Wolf I-K, ABSTRACT Strengths and limitations of this study Knopf H. Psychotropic drug Objectives: The use and combined use of use and alcohol consumption psychotropic drugs and alcohol among older adults is a ▪ among older adults in A large sample of concurrent data on medication growing public health concern and should be constantly Germany: results of the use, sociodemographic and health characteristics German Health Interview and monitored. Relevant studies are scarce in Germany. allows analyses of psychotropic drug and Examination Survey Using data of the most recent national health survey, we alcohol use on a population representative level. for Adults 2008–2011. BMJ analyse prevalence and correlates of psychotropic drug ▪ The short observation period (7 days) minimises Open 2016;6:e012182. and alcohol use among this population. recall bias concerning medication use, and doi:10.1136/bmjopen-2016- Methods: Study participants were people aged 60– quality control is ensured by checking original 012182 79 years (N=2508) of the German Health Interview and packages. Examination Survey for Adults 2008–2011. Medicines ▪ Alcohol consumption was measured by fre- ▸ Prepublication history for used during the last 7 days were documented. quency and quantity. this paper is available online. Psychotropic drugs were defined as medicines acting ▪ The use of psychotropic drugs is likely to be To view these files please on the nervous system (ATC code N00) excluding underestimated as people who are institutiona- visit the journal online anaesthetics (N01), analgesics/antipyretics (N02B), but lised and those with severe disease and psychi- (http://dx.doi.org/10.1136/ including opiate codeines used as antitussives (R05D). -
Anesthesia: the Good, the Bad, and the Elderly
ANESTHESIA: THE GOOD, THE BAD, AND THE ELDERLY Item Type Electronic Thesis; text Authors Hansen, Madeline Citation Hansen, Madeline. (2020). ANESTHESIA: THE GOOD, THE BAD, AND THE ELDERLY (Bachelor's thesis, University of Arizona, Tucson, USA). Publisher The University of Arizona. Rights Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author. Download date 25/09/2021 08:05:26 Item License http://rightsstatements.org/vocab/InC/1.0/ Link to Item http://hdl.handle.net/10150/651023 ANESTHESIA: THE GOOD, THE BAD, AND THE ELDERLY By MADELINE JOLLEEN HANSEN ____________________ A Thesis Submitted to The Honors College In Partial Fulfillment of the Bachelors degree With Honors in Physiology THE UNIVERSITY OF ARIZONA M A Y 2 0 2 0 Approved by: ____________________________ Dr. Zoe Cohen Department of Physiology Table of Contents Page number(s) Abstract……………………………………………………………………………………………………..2 General History of Anesthesia.………………………………………………………………………….3-14 Prehistoric-200AD…………………………………………………………….………………....3-5 200AD- 1846 (historical surgery)…………………….………………………………………….5-8 1847-1992……………………...…………………….……………………………………...….9-14 Physiology of General Anesthesia………………………………………………………...…………...14-16 Understanding of anesthesia mechanism…………………………………………………………14 System impacts………………………………………………………………………………..15-16 Description -
001-017-Anesthesia.Pdf
Current Fluid Therapy Topics and Recommendations During Anesthetic Procedures Andrew Claude, DVM, DACVAA Mississippi State University Mississippi State, MS • Intravenous fluid administration is recommended during general anesthesia, even during short procedures. • The traditional IV fluid rate of 10 mls/kg/hr during general anesthesia is under review. • Knowledge of a variety of IV fluids, and their applications, is essential when choosing anesthetic protocols for different medical procedures. Anesthetic drug effects on the cardiovascular system • Almost all anesthetic drugs have the potential to adversely affect the cardiovascular system. • General anesthetic vapors (isoflurane, sevoflurane) cause a dose-dependent, peripheral vasodilation. • Alpha-2 agonists initially cause peripheral hypertension with reflex bradycardia leading to a dose-dependent decreased patient cardiac index. As the drug effects wane, centrally mediated bradycardia and hypotension are common side effects. • Phenothiazine (acepromazine) tranquilizers are central dopamine and peripheral alpha receptor antagonists. This family of drugs produces dose-dependent sedation and peripheral vasodilation (hypotension). • Dissociative NMDA antagonists (ketamine, tiletamine) increase sympathetic tone soon after administration. When dissociative NMDA antagonists are used as induction agents in patients with sympathetic exhaustion or decreased cardiac reserve (morbidly ill patients), these drugs could further depress myocardial contractility. • Propofol can depress both myocardial contractility and vascular tone resulting in marked hypotension. Propofol’s negative effects on the cardiovascular system can be especially problematic in ill patients. • Potent mu agonist opioids can enhance vagally induced bradycardia. Why is IV fluid therapy important during general anesthesia? • Cardiac output (CO) equals heart rate (HR) X stroke volume (SV); IV fluids help maintain adequate fluid volume, preload, and sufficient cardiac output. -
Fundamentals of Geriatric Pharmacotherapy, 2Nd Edition
PART 1 Social, Ethical, and Economic Issues of Aging 1 Challenges in Geriatric Care REBECCA B. SLEEPER Learning Objectives 1. Evaluate the applicability of clinical literature to the elderly patient using an approach that is tailored to specific subgroups of the geriatric population. 2. Differentiate the roles of healthcare professionals and the various services and venues available in the care of geriatric patients. 3. Infer scenarios in which geriatric patients are at risk for suboptimal care and intervene when breakdowns in the continuum of care are identified. 4. Recognize the impact of caregiver burden on patient outcomes. Key Terms and Definitions ASSISTED LIVING FACILITY: Living environment that provides added services to the individual who is safe to live in the community environment but requires some assistance with various daily activities. CAREGIVER BURDEN: Psychosocial and physical stress experienced by an individual who provides care to another person. CERTIFIED GERIATRIC PHARMACIST: Pharmacist who has achieved certification from the Commission for Certification in Geriatric Pharmacy. CERTIFIED NURSE’S ASSISTANT: Individual who has earned a certificate to practice as a nurse’s assistant and who may work in a wide variety of healthcare settings ranging from long-term care facilities to private homes. GERIATRIC: Adjective generally used to refer to an older individual. GERIATRICIAN: Physician with expertise, as demonstrated by fellowship or other added qualifications, in the care of older persons. GERONTOLOGICAL NURSE: Nurse with expertise, as demonstrated by exam or other added qualifications, in the care of older persons. 4 | Fundamentals of Geriatric Pharmacotherapy INFORMAL CAREGIVER: An individual who does not have formal training as a healthcare professional but who provides daily care to another individual; usually unpaid. -
Hormonal and Metabolic Response to Operative Stress in the Neonate
Hormonal and Metabolic Response to Operative Stress in the Neonate DAVID J. SCHMELING, M.D. AND ARNOLD G. CORAN, M.D. From the Section of Pediatric Surgery, Mott Children’s Hospital and University of Michigan Medical School, Ann Arbor, Michigan ABSTRACT. It is evident from this review that newborns, primarily catabolic in nature because the combined hormonal even those born prematurely, are capable of mounting an changes include an increased release of catabolic hormones endocrine and metabolic response to operative stress. Unfor- such as catecholamines, glucagon, and corticosteroids coupled tunately, many of the areas for which a relatively well-charac- with a suppression of and peripheral resistance to the effects terized response exists in adults are poorly documented in of the primary anabolic hormone, insulin. (Journal of Paren- neonates. As is the case in adults, the response seems to be teral and Enteral Nutrition 15:215-238, 1991) It is apparent that adult patients demonstrate a cata- are subjected to greatly increased rates of complications bolic response to the stresses induced by operative or such as cardiac or pulmonary insufficiency, myocardial accidental trauma. It seems that the degree of this cata- infarction, impaired hepatic and/or renal function, gas- bolic response may be quantitatively related to the extent tric stress ulcers, and sepsis. Furthermore, evidence ex- of the trauma or the magnitude of associated complica- ists to suggest that this response may be life threatening tions such as infection. The host response to infection, if the induced catabolic activity remains excessive or traumatic injury, or major operative stress is character- unchecked for a prolonged period. -
Eyez on Me 2PAC – Changes 2PAC - Dear Mama 2PAC - I Ain't Mad at Cha 2PAC Feat
2 UNLIMITED- No Limit 2PAC - All Eyez On Me 2PAC – Changes 2PAC - Dear Mama 2PAC - I Ain't Mad At Cha 2PAC Feat. Dr DRE & ROGER TROUTMAN - California Love 311 - Amber 311 - Beautiful Disaster 311 - Down 3 DOORS DOWN - Away From The Sun 3 DOORS DOWN – Be Like That 3 DOORS DOWN - Behind Those Eyes 3 DOORS DOWN - Dangerous Game 3 DOORS DOWN – Duck An Run 3 DOORS DOWN – Here By Me 3 DOORS DOWN - Here Without You 3 DOORS DOWN - Kryptonite 3 DOORS DOWN - Landing In London 3 DOORS DOWN – Let Me Go 3 DOORS DOWN - Live For Today 3 DOORS DOWN – Loser 3 DOORS DOWN – So I Need You 3 DOORS DOWN – The Better Life 3 DOORS DOWN – The Road I'm On 3 DOORS DOWN - When I'm Gone 4 NON BLONDES - Spaceman 4 NON BLONDES - What's Up 4 NON BLONDES - What's Up ( Acoustative Version ) 4 THE CAUSE - Ain't No Sunshine 4 THE CAUSE - Stand By Me 5 SECONDS OF SUMMER - Amnesia 5 SECONDS OF SUMMER - Don't Stop 5 SECONDS OF SUMMER – Good Girls 5 SECONDS OF SUMMER - Jet Black Heart 5 SECONDS OF SUMMER – Lie To Me 5 SECONDS OF SUMMER - She Looks So Perfect 5 SECONDS OF SUMMER - Teeth 5 SECONDS OF SUMMER - What I Like About You 5 SECONDS OF SUMMER - Youngblood 10CC - Donna 10CC - Dreadlock Holiday 10CC - I'm Mandy ( Fly Me ) 10CC - I'm Mandy Fly Me 10CC - I'm Not In Love 10CC - Life Is A Minestrone 10CC - Rubber Bullets 10CC - The Things We Do For Love 10CC - The Wall Street Shuffle 30 SECONDS TO MARS - Closer To The Edge 30 SECONDS TO MARS - From Yesterday 30 SECONDS TO MARS - Kings and Queens 30 SECONDS TO MARS - Teeth 30 SECONDS TO MARS - The Kill (Bury Me) 30 SECONDS TO MARS - Up In The Air 30 SECONDS TO MARS - Walk On Water 50 CENT - Candy Shop 50 CENT - Disco Inferno 50 CENT - In Da Club 50 CENT - Just A Lil' Bit 50 CENT - Wanksta 50 CENT Feat. -
Partnership for Health in Aging
Partnership FOR HealthiN Aging Multidisciplinary Competencies in the Care of Older Adults at the Completion of the Entry-level Health Professional Degree Preface In June 2008, the American Geriatrics Society convened a A workgroup of healthcare professionals with experience meeting of 21 organizations representing healthcare pro- in competency development, certification, and accredita- fessionals who care for older adults to discuss how these tion was convened in February 2009. Workgroup mem- organizations could work together to: bers represent ten healthcare disciplines: • advance recommendations from the 2008 Institute • Dentistry of Medicine Report, Retooling for an Aging America: • Medicine Building the Health Care Workforce, and • Nursing • advocate for ways to meet the healthcare needs of the • Nutrition nation’s rapidly growing older population. • Occupational Therapy This meeting led to the development of a loose coalition – • Pharmacy the Partnership for Health in Aging (PHA) – that identi- • Physical Therapy fied as its first step the development of a set of core com- • Physician Assistants petencies in the care of older adults that are relevant to and • Psychology can be endorsed by all health professional disciplines. • Social Work The workgroup began with a comprehensive matrix of The workgroup reviewed all comments received, and competencies across these ten disciplines. (Note: These developed the final set of competencies on the following disciplines are currently at different stages in developing page. The set describes essential skills that healthcare discipline-specific geriatrics competencies). Through an professionals in the above ten disciplines should have, iterative process, the workgroup drafted a set of baseline and necessary approaches they should master, by the time competencies that were circulated among more than they complete their entry-level degree, in order to provide 25 professional organizations for review and comment. -
Do Complexity Measures of Frontal EEG Distinguish Loss of Consciousness in Geriatric Patients Under Anesthesia?
UCLA UCLA Previously Published Works Title Do Complexity Measures of Frontal EEG Distinguish Loss of Consciousness in Geriatric Patients Under Anesthesia? Permalink https://escholarship.org/uc/item/63j9k57t Authors Eagleman, Sarah L Vaughn, Don A Drover, David R et al. Publication Date 2018 DOI 10.3389/fnins.2018.00645 Peer reviewed eScholarship.org Powered by the California Digital Library University of California fnins-12-00645 September 18, 2018 Time: 16:50 # 1 ORIGINAL RESEARCH published: 20 September 2018 doi: 10.3389/fnins.2018.00645 Do Complexity Measures of Frontal EEG Distinguish Loss of Consciousness in Geriatric Patients Under Anesthesia? Sarah L. Eagleman1*†, Don A. Vaughn2,3*†, David R. Drover1, Caitlin M. Drover4, Mark S. Cohen2,5, Nicholas T. Ouellette6 and M. Bruce MacIver1 1 Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, CA, United States, 2 UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, United States, 3 Department of Psychology, University of Santa Clara, Santa Clara, CA, United States, 4 University of Washington, Seattle, WA, United States, 5 UCLA Departments of Psychiatry, Neurology, Radiology, Psychology, Biomedical Physics and Bioengineering, California Nanosystems Institute, Los Angeles, CA, United States, 6 Department of Civil and Environmental Engineering, Stanford Edited by: University, Stanford, CA, United States Kay Jann, University of Southern California, United States While geriatric patients have a high likelihood of requiring anesthesia, they carry an Reviewed by: increased risk for adverse cognitive outcomes from its use. Previous work suggests this Keiichiro Nishida, could be mitigated by better intraoperative monitoring using indexes defined by several Kansai Medical University, Japan Thomas Koenig, processed electroencephalogram (EEG) measures. -
GERIATRIC MEDICINE What Is Geriatric Medicine?
GERIATRIC MEDICINE What is Geriatric Medicine? Geriatrics is the branch of medicine that focuses on health promotion, prevention, and diagnosis and treatment of disease and disability in older adults. In recent surveys, geriatricians are among the most satisfied physicians in terms of their choice of specialty. Geriatrics offers a wide diversity of career options and is a clinically and intellectually rewarding discipline given the medical complexity of older adults. Geriatricians reap the rewards of making a difference in a patient’s level of independence, well- being and quality of life. With the rapid growth of the older population in the United States, there is a pressing demand for physicians with specialized training in geriatrics. ama-assn.org/specialty/geriatric-medicine The Birth of “Geriatric” Medicine • In 1909, Austrian born physician, Ignatz Leo Nascher coined the term “geriatrics” for care of the elderly, explaining, “Geriatrics, from geras, old age, and iatrikos, relating to the physician, is a term I would suggest as an addition to our vocabulary, to cover the same field in old age that is covered by the term pediatrics in childhood, to emphasize the necessity of considering senility and its disease apart from maturity and to assign it a separate place in medicine.” • Until Nascher’s time, older adults were not treated differently or in different ways than other adult patients. Social forces came into play in the period during WWI and WWII that both necessitated and facilitated long-term care for the elderly: The number of elderly people began to increase due to improvements in economic conditions and medicine.