...The Cleveland Browns visit MetLife stadium to take on the New York Jets. It will be a beautiful day as the sun is shining at 70 degrees Fahrenheit with brief spurts of wind. Expect a low scoring affair with two stout defenses clashing against two unproven offenses. Don’t expect numerous big plays from Josh McCown, although he loves throwing the deep ball. The Jets host one of the best cornerback tandems in the league with Darrelle Revis and Antonio Cromartie. Most of the Browns’ yardage will come from the across the middle or the dink and dunk stuff. Look for a slot receiver to impact the game dramatically, whether it is Andrew Hawkins or Taylor Gabriel. Heck, watch for the running back to see increased action in the pass game as well. Additionally,...
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...EDMONDSON CHRISTINE HARRIS-VAN KEUREN ELIOT SHERMAN Cleveland Clinic Dr. Delos “Toby” Cosgrove, cardiothoracic surgeon and president and CEO of Cleveland Clinic, emerged from the operating room on a January afternoon in 1996 having just changed the way he, and subsequently the world, approached heart surgery. A trip to Stanford University Medical School had convinced him it was possible to operate on the valves of the heart through a three-inch incision instead of the nearly foot long incision that was standard practice before splitting the patient’s breastbone with a saw to reach the heart.1 After refining the technique in the lab, he had successfully performed the first such operation. Eight months later, Cosgrove performed two of these surgeries back-to-back, broadcasting his work live via satellite to 4,000 surgeons in 40 cities around the world. The Cleveland Clinic’s broadcasting capabilities facilitated this demonstration of the substantial benefits of his minimally invasive method of heart surgery, which reduced the risk of infection and involved less bleeding, pain, and trauma, significantly reduced the amount of time needed for recovery, and could be used in about three quarters of the heart valve surgeries performed in the United States.2 So compelling was this exhibition that within a year use of the technique had “exploded” throughout the medical community.3 Such innovation had been the lifeblood of Cleveland Clinic since its founding in 1921. Even as he continued...
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...The mission of Cleveland Clinic is” to provide better care of the sick, investigation into their problems, and further education of those who serve” The mission or philosophy of Cleveland Clinic hospice says that “hospice care does not attempt to offer a cure for illness. Rather, it provides support to patients and families as they progress through one of life's most profound passages.” The hospice care team, led by a nurse liaison, develops that best plan for that patient and family’s needs. This is accomplished by team management of experienced professionals that our versed in symptom management and pain control. The hospice team provides medications, medical supplies and equipment to the facility or home. Our team provides teaching and...
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...Running Head: RESEARCH STUDY ON PERSUASIVE EFFECTS OF COMMUNICATION Research Study on Persuasive Effects of Communication University of Phoenix Research Study on Persuasive Effects of Communication Respondents completed public opinion surveys regarding preferred options for local government, conducted by the Local Government Commission for England and Wales. The surveys included a briefing to ensure that the respondents were adequately informed. A detailed analysis of the first results from Durham and Cleveland counties indicated that the social characteristics of the respondents who changed their preferences after the briefing were only marginally atypical compared with those of the other respondents, but that district of residence was an unexpectedly important factor. A change in preferred option did not seem to be related in any simple manner to the information that was provided in the briefing. The findings from this field research are discussed in the context of experimental studies of persuasive communication, with an emphasis on communication coherence and complexity. Research Purpose SOCIAL PSYCHOLOGISTS HAVE MADE a significant contribution to researchers' knowledge about the effects of persuasive communications. Numerous carefully controlled and well-reported experimental studies have pinpointed the effects of communicator variables, respondent variables, communication content, and setting variables on attitudes (summarized in Hovland, Janis, & Kelly...
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...Summary of LEEDCo Case Study The case study provides a historical insight into the wind-based renewable energy source, and brings to light LEEDCo—a regional non-profit and economic development organization, that is engaged in creating an offshore wind energy industry in Ohio. As commonly known, wind power is derived from airflow using wind turbines or sails to produce mechanical or electrical power. Typically, the mechanical power is harnessed from windmills, and transferred to an appropriate application, which requires power. Wind energy has been and currently is a preferred alternative to fossil fuels, on account that it is plentiful, renewable, widely distributed, clean, produces no greenhouse gas emissions during operation and uses little land. The effects on the environment are generally less problematic than those from other power sources. In the forefront of the case, a historical brief is given, depicting wind energy source history, its current utilization throughout the world in contrast to its harnessing and utilization in the US, and both the highlights and the troughs of wind-based energy industry development in the US. The examples and arguments for the above are structured in the context of economical, political, and social boundaries, and give the reader a good taste of what the “lay of the land” looks like. In August 2009, Lake Erie Energy Development Corporation (LEEDCo) found its beginnings from the Great Lakes Energy Development Task Force (GLEDTF)...
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...Cooper and Schindler (2008) provided a comprehensive case study that involves a children’s hospital called Akron Children’s Hospital, which is one of the largest pediatric care provider with 253 beds. This hospital was founded in 1890 and offers close to This hospital was founded in 1890 and offers several areas of practice all geared towards children. Akron Children’s Hospital operates in the shadows several other competitors that are also recognized nearby: Rainbow Babies and Children’s Hospital as well as the Cleveland Clinic. Cooper & Schindler (2008) stated that even though Akron Children’s Hospital is large and well regarded, it is overshadowed by its competitors. The hospital needs a communication strategy in order to distinguish itself and to strengthen its commitment to the children as well as the high-quality advanced care that it provides. The hospital also must find out the criteria that parents use in order to decide which hospital to use for their children if acute care services are needed. Expanding its market beyond Cleveland should also be something that the hospital should explore. The issue that Akron Children’s Hospital is experiencing is the fact that it does not know which strategies to use in order to expand and overshadow its competitors. While Akron Children’s Hospital is one of the largest pediatric care providers with 253beds, it lacks the strategies in which to compete in its market. The hospital is over shadowed by two other competitors and...
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...After 40 months of construction, the Cleveland Clinic is ready to celebrate the opening of two buildings characterized as monuments to 21st-century thinking in health-care delivery. The Sydell and Arnold Miller Family Pavilion will be home to the Clinic's signature cardiovascular program and a new grand entrance at the corner of East 93rd and Euclid Avenue. Tucked behind Miller on the 166-acre campus is the Glickman Tower, the new 12-story headquarters of the Urological and Kidney Institute, which has bragging rights as the Clinic's largest surgery center and one of it fastest growing programs. Fronted by reflecting pools and rows of tulip trees that stretch to Chester Avenue, the glassy, C-shaped Miller Pavilion gives the Clinic a dramatic new look. But the buildings symbolize more than an investment in capacity and aesthetics. Tracy Boulian/The Plain DealerThe new Sydell and Arnold Miller Family Pavilion at the Cleveland Clinic. Patients first The Clinic promises the buildings represent a new era of patient care. The buzzword these days is "patient-centered care." It encompasses everything from moving doctors closer to hospitalized patients, to piped-in music and patient rooms that are described as "comfortable as a well-appointed hotel room." The emphasis on customer service coincides with a new era of patient expectations. It's also tied to growing demands for accountability of hospital performance. In a first-ever release of patient-satisfaction scores by Medicare...
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...An Analysis of the Changing Identities Influencing Iran’s Development The multifaceted political and socio-cultural context of the Middle-East often leads to misunderstandings about the nature of its society. In order to be fully aware of the reasoning as to why states in the Middle-East do what they do, an in depth analysis linking both the past and present is necessary. The continuous disorder portrayed in the news has created a negative image of the Middle-East. In the case of Iran, this is especially true. Similarly to many other states in the Middle-East, Iran’s past can be characterized by perpetual ideological conflict, rivaling tribal factions and a difficulty in sustaining a lasting identity. In contrast, however, Iran was among several developing nations to escape direct colonialism.[1] Nevertheless, “economic domination and imperial manipulation describe Europe’s relationship with Iran for much of the century leading up to 1950.”[2] In understanding Iran’s flux of identities throughout the 20th century, several notions must be clarified. Firstly, Iran is not an Arab nation nor have they adopted Arabic language or culture. Secondly, the Shi’a minority in Iran, and their lingering divergence in beliefs compared to that of the Sunnis and the West has always been an issue with respect to their distinctiveness as a nation. That being said, Iran’s inability to sustain a lasting individuality is directly related to the differing...
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...2013) Most often, myofascial pain affects areas of the spine; lower back, shoulders, and neck. Myofascial pain is identified or diagnosed by a physician upon completion of a physical exam involving questions surrounding the onset of the symptoms. Which include tender muscles, pain that happens with pressure on a trigger point, weakness in the affected area and sometimes limitation to the range-of-motion of the affected area. (Cleveland Clinic, 2013) Causes are suspect related to stress; stress is probably the biggest factor. Poor posture combined with overuse of muscles is also suspected contributors to the cause of myofascial pain and trigger point sensitivities. Conventional treatment for myofascial pain and trigger points include physical therapy, which focusses on strengthening, stretching and posture improvement exercises. Medications can also be used like Non-Steroidal-Anti-Inflammatory (NSAIDs) drugs, analgesics like Tramadol® for mild-to-severe pain and benzodiazepines like Valium, which help relieve anxiety (stress) and muscle spasms. (Cleveland Clinic, 2013) Alternative therapies include acupuncture and trigger point injections. Acupuncture has been shown to be as effective or more effective than conventional treatment, but only more effective if combined with conventional treatment; either one on their own is less effective than the...
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...REVIEW XIAN WEN JIN, MD, PhD Department of General Internal Medicine, The Cleveland Clinic JACQUELYN SLOMKA, PhD, RN Department of Bioethics, The Cleveland Clinic CAROL E. BLIXEN, PhD, RN Department of General Internal Medicine, The Cleveland Clinic Cultural and clinical issues in the care of Asian patients s A B S T R AC T Special problems of Asian patients have considerable impact on diagnosis and treatment, and the number of persons of Asian ancestry seen in primary care in the United States is increasing. Knowledge of how to provide optimal care despite language barriers, low socioeconomic status, different health beliefs and practices, and medical issues unique to this heterogeneous group is crucial to competent health care. with Asian patients include language barriers, low socioeconomic status, traditional health beliefs and practices, and epidemiologic issues. This article presents three case studies that illustrate how these problems can affect the health care of Asian patients, and describes ways to deal with them constructively. We also discuss what diseases are more common and what conditions have unique clinical aspects in this population. Asians: The fastest-growing minority Asians and Pacific Islanders are the fastest growing ethnic minorities in the United States, and are predicted to number more than 17 million by 2010.1 This heterogeneous population is from many cultures and speaks many languages—the 1990 US Census identified 25 distinct Asian...
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...Prior to founding the legal firm of Teddy Meekins & Talbert, PLLC, in Shelby, North Carolina, in 1994, Ralph W. Meekins litigated cases throughout North Carolina as an attorney with Young, Moore, Henderson P.A., in Raleigh, North Carolina. Most of Mr. Meekins' clients are residents of the North Carolina cities of Rutherfordton, Lincolnton or Shelby. He devotes his practice to assisting individuals in cases involving personal injury litigation, including workers' compensation and Social Security Disability matters. The National Board of Trial Advocacy has certified Mr. Meekins in civil trial advocacy, and he is board- certified as a mediator as well. He is admitted to practice before the U.S. District Court for the Western, Middle and Eastern Districts of North Carolina as well as the North Carolina Supreme Court....
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...preventable as well as curable by can also be deadly if not treated. When a patient presents with TB they may have complaints of having a bad. cough that lasts for three or more weeks, pain in the chest, or may cough up blood or sputum (CDC, 2014). They may also present with symptoms such as weakness or fatigue, weight loss, loss of appetite, fever, or chills (CDC, 2014). The transmission of TB occurs from person to person and is spread by airborne droplet nuclei (Cleveland Clinic, 2014). An example of how this is spread would be through the air by coughing, sneezing, singing, laughing, or talking. These droplets remain suspended in the air for many hours and are inhaled and trapped in the airway or alveoli of the person that was exposed (Cleveland Clinic, 2014). After being exposed to the bacteria that causes TB the person may have mild symptoms and may not seek treatment right away. According to the Cleveland Clinic, this delay in care can result in the patient exposing 10-15 people within a year to TB (Cleveland Clinic, 2014). Having a lowered immune system by diseases such as HIV, diabetes, or by smoking also increases the risk of acquiring this disease. If the patient is infected with TB they may not become sick. There are two conditions that are related to TB: latent...
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...University of the People HS 2211-01 | AY2024-T3 | AY2024-T Learning Journal Unit 4 Instructor: Irum Yaqoob Ma'am. February 29, 2024 Introduction Motor accidents can cause severe physiological consequences, mainly when they result in injuries to the nervous system (Smith, 2018). In this essay, I will focus on a case study of a motorcycle accident victim who is experiencing a loss of sensation and control in the lower half of their body. My essay aims to provide insights into this debilitating condition through a detailed physiological analysis, assessment, and recommended corrective measures. Dissecting the Physiology of Motor Sensation Impairment & Assessment to Identify the Problem. According to Mayo Clinic (2021), In the unfortunate...
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...In the case study, we referred to the systems being developed and used as decision support systems. However, we also identified various artificial intelligence (AI) technologies. How can a decision support system incorporate and use AI technologies such as pattern recognition? - Artificial Intelligence (AI) tools and techniques can aid in the diagnosis of disease states and assessment of treatment outcomes, so AI can be used by a decision support system as pattern recognition to analyze healthcare data and generate a representation of knowledge and make a decision support. One of this AI technologies tools is the Artificial Neural Networks which work much like the human brain and have the ability to learn from training data and store knowledge in the network. It maps relationship between inputs and the corresponding expected outputs. Neural networks have found the majority of their application in time series prediction, signal processing, and financial forecasting and especially in health care as pattern recognition. 2. At the Mayo Clinic, patients are given opt-in and opt-out rights concerning whether or not their information is used in the system that determines the most appropriate therapies given the specific patient profile. So far, 95 percent of the patients have opted to have their information included in the system. (This is the notion of opting in.) Why do you believe that 5 percent of the patients have opted out? Would you opt in or opt out in this case? Please...
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...University of the People HS 2211-01 | AY2024-T3 | AY2024-T Learning Journal Unit 4 Instructor: Irum Yaqoob Ma'am. February 29, 2024 Introduction Motor accidents can cause severe physiological consequences, mainly when they result in injuries to the nervous system (Smith, 2018). In this essay, I will focus on a case study of a motorcycle accident victim who is experiencing a loss of sensation and control in the lower half of their body. My essay aims to provide insights into this debilitating condition through a detailed physiological analysis, assessment, and recommended corrective measures. Dissecting the Physiology of Motor Sensation Impairment & Assessment to Identify the Problem. According to Mayo Clinic (2021), In the unfortunate...
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