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UC Davis thoracic surgery providers are helping to evolve healthcare to emphasize patient value. Patient value not only includes traditional outcomes such as cure of cancer and amelioration of pain, but also by the effects on quality of life, function after surgery, and most importantly, what immediate outcomes are important to patients and their families.
Transparency in outcomes is important for patients and their families, referring physicians and other stakeholders to make informed decisions on which health systems provide optimal care. The clinical outcomes of the UC Davis Section of General Thoracic Surgery are tracked by several validated national quality databases and evaluation organizations including the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®), The ACS Committee on Cancer Quality Improvement Program (CQIP®), the Society of Thoracic Surgeons (STS) General Thoracic Surgery Database and the LeapFrog Group. These bodies compare medical institutions outcomes to national benchmarks and determine how individual institutions rank.
- The ACS NSQIP® comparisons determine if an institution's results are in line with its national peers (As Expected), underperform its peers (Needs Improvement) or out perform its peers (Exemplary).
- The CQIP® compares cancer specific results between the Commission on Cancer accredited medical centers. Medical centers listed in the comparisons are only national health systems with established quality cancer care infrastructure.
- The STS Database measures the outcomes of American Board of Thoracic Surgery eligible or certified physicians, and therefore measures the thoracic surgery outcomes of the "best of the best" surgeons in the nation.
- The LeapFrog Group determines the Highest Quality of Care Rating by surveying participating hospitals and measuring their outcomes. A hospital can achieve a Highest Quality of Care Rating by:
– Participating in the Leapfrog Survey
– Performing ≥ 13 esophagectomies during the survey year
– All of the esophagectomies performed by high-volume surgeon (≥ 2 esophagectomies/year)
Below are our UC Davis Section of General Thoracic Surgery Outcomes as measured by the most recent national quality assurance measures:
2013 ACS NSQIP® All Procedures
|As Expected
|Ventilator > 48 hours
|As Expected
|Unplanned Intubation
|Deep Venous Thrombosis
|As Expected
|Urinary Tract Infection
|As Expected
|Return to the Operating Room
|As Expected
Where Mortality is the rate of surviving the hospital experience after an operation; pneumonia is a lung infection acquired during the hospitalization; ventilator > 48hrs refers to the time on a breathing machine after an operation; morbidity is the accumulative complications after an operation; unplanned intubation is the need for a breathing tube to be put back in after an operation; deep venous thrombosis is a blood clot in the arms or legs that may develop after an operation; urinary tract infection is an infection often from a bladder catheter that is placed for an operation; return to the operating room is an unplanned re-operation after the intended or index operation.
2009-2011 CQIP® Lung Cancer Resection
|Years 2009-2011
UC Davis
National Average
|Lung Resection 30-Day Mortality
30-Day Mortality is the rate of not surviving 30 days after an operation, even after having gone home. Lung Resection is the surgical removal of part of the lung such as a lobectomy or the entire lung on one side such as a pneumonectomy. The most recent available data for CQIP® is for the years 2009-2011.
STS General Thoracic Surgery Database (2011-2013)
|Years 2011-2013
UC Davis
National Average
|All Procedures Discharge Mortality
|All Procedures 30-Day Mortality
Where Discharge Mortality is the rate of not leaving the hospital alive after the operation, and 30-Day Mortality is the rate of not surviving 30 days after an operation, even after having gone home.
LeapFrog Group Ratings for Esophageal Resection (2013)
4-Bar, Best Odds for Survival Ranking or Highest Quality of Care Rating: Top in the Sacramento region.
Where 4-Bars (Highest Quality of Care Rating) means the patient has the best chances of surviving an esophageal resection. An esophageal resection or Esophagectomy is a surgery to remove the esophagus and replace it with the stomach or colon and is most commonly performed for cancer, though sometimes it needs to be performed for very extreme non-cancer disease.
The LeapFrog Highest Quality of Care Rating determines quality or value based on the volume, or the number of procedures performed. The thinking is that having experience with a procedure refines quality outcomes and promotes value. This volume-outcome relationship has been demonstrated in the scientific literature (Birkmeyer et al, New Engl J of Med, 2002) for both esophageal cancer surgery (Esophagectomy) as well as lung cancer surgery otherwise called lung resection, such as lobectomy and pneumonectomy.
Since 2008 our UC Davis Section of General Thoracic Surgery has performed over 100 esophagectomies and over 250 lobectomy and pneumonectomies. Seventy percent of our lung resections are performed minimally invasively either by Video-Assisted Thoracic Surgery (VATS) or by Robot.
Patient-centered value outcomes, as mentioned above, have a lot to do with the skill of the surgeon and the surgeon's volume based experience. However the central driver of quality outcomes is careful planning, attention to detail, and scientific evidence based best-practice treatment algorithms that are followed in consensus by the entire care team. Care processes or pathways that are patient/family-focused, foster coordination and communication amongst all providers can promote efficiency and improve results that are important to patients (Vanhaecht et al, Health Serv Mange Res, 2007).
At UC Davis, we have developed novel evidence based post-operative care pathways for esophagectomy (Cooke et al, Society of Thoracic Surgeons 49th Annual Meeting, 2013) and lung resection as well as Respiratory Therapy pathways that are designed to prevent pneumonia, need for replacement of a breathing tube and pronged need for a breathing tube (Tanner-Corbett…Cooke et al, 14th World Conference on Lung Cancer, 2011), and in effect, "stack the deck" in the patients favor to achieve important top clinical outcomes.
We are now creating patient-centered pathways to foster patient engagement and activation, so that patients and their families are more participatory in their care, and help make the outcomes that are most important to them a reality. These research endeavors are supported by a grant from the Patient-Centered Outcomes Research Institute. To learn more click here.
With our evolving health care system, the definition of quality has matured from not only advanced technology that is available, but also the value in outcomes that the patient experiences, and maximization of the outcomes that are most important to patients and their families. At UC Davis we are proud to be innovators and leaders in quality healthcare.


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Roger Young and Linda Young of Glenwood have announced the engagement of their son, Brian Matthew Young of Omaha, to Jennifer Lee Tjeerdsma of Mesa, Ariz., daughter of Keith of Jill Tjeerdsma of Sergeant Bluff.
The future groom is a graduate of Glenwood Community High School and Northwestern College in Orange City. He serves as an associate at Living Hope Community Church in Council Bluffs.
Bruce and Roxanne Nielsen of Lake Benton, Minn., and Dalton and Chari Frederickson of Sheridan, Wyo., have announced the upcoming marriage of their daughter, Noelle Nielsen, to Aaron Morford, the son of Scott and Lisa Morford of Dakota Dunes, S.D.
Ms. Nielsen graduated from Lake Benton High School in 2004 and is currently employed as a nanny in Brookings, SD.
Tori Bowden of Glenwood and Kyle Bruno have announced their engagement and approaching wedding.
The bride-elect is the daughter of Mike and Stephanie Bowden of Glenwood. She's attended Iowa Western Community College and is employed as an assistant teacher with the Glenwood Community School District and as a server with Outback Steakhouse.
Her fiance is the son of Salavatore and Edith Bruno of Council Bluffs. He's also attended Iowa Western Community College and is employed by CLC Electrical.
John Jens and Donna and Richard Dickeson, all of Glenwood, have announced the engagement of their daughter, Michelle Jens, to Steven Sprague, son of Dr. Terry and Mary Jane Sprague of Audubon.
The bride-to-be is a 1997 graduate of Glenwood Community High School and a 2001 graduate of Iowa State University with a bachelor of science degree in animal science. She graduated from ISU College of Veterinary Medicine in 2005. Dr. Jens is a partner and practicing veterinarian at Audubon-Manning Veterinary Clinic (AMVC) in Audubon.
Earl and Donna Hatcher were married on Aug. 6, 1944, in Kansas City, Kan.
To celebrate their 65th wedding anniversary, their daughter and son-in-law, Cheryl and Richard Cape, will be hosting a private family dinner. The Hatchers have two grandchildren and three great-grandchildren.
Congratulatory cards for the couple may be sent to Earl and Donna Hatcher, 6 No. Grove St., Glenwood, Iowa, 51534.
Dick and Dottie Oles will celebrate their golden wedding anniversary on Feb. 7. The couple was united in marriage on Feb. 7, 1959, at St. Therese Catholic Church in Omaha.
The couple's four daughters and their families will host an anniversary open house on April 25 from 1 p.m. to 4 p.m. at St. Therese Catholic Church.
Copyright © 2019
The Opinion Tribune is your source for local news, sports, events and information in the city of Glenwood and Mills County, Iowa.

subset: commoncrawl


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Berwick Street Market
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Missouri AD Alden Apologizes in Swimmer's Death
COLUMBIA (AP) - University of Missouri athletics director Mike Alden says the school's initial response to news reports of a former swimmer's suicide could have been handled better.
Alden told reporters in interviews late Thursday that he expects Missouri to learn from Sasha Menu Courey's death and use it to bolster its student mental health services rather than "trying to defend" its actions.
The interviews mark Alden's first public comments on the case. Missouri curators voted Wednesday to approve an independent legal investigation.
Menu Courey killed herself in June 2011 in a Boston psychiatric hospital soon after being diagnosed with borderline personality disorder and two months after an earlier suicide attempt while still at Missouri. Her reports of a 2010 rape by several school football players are now under investigation by Columbia police.


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Other Names: Ocean Pond
Location: Baker County
Campaign: Florida Expedition (1864)
Date(s): February 20, 1864
Principal Commanders: Brig. Gen. Truman Seymour [US]; Brig. Gen. Joseph Finegan [CS]
Forces Engaged: Division [US]; District of East Florida [CS]
Estimated Casualties: 2,806 total (US 1,860; CS 946)
Description: In February 1864, the commander of the Department of the South, Maj. Gen. Quincy A. Gillmore, launched an expedition into Florida to secure Union enclaves, sever Rebel supply routes, and recruit black soldiers. Brig. Gen. Truman Seymour moved deep into the state, occupying, destroying, and liberating, meeting little resistance on February 20, he approached Brig. Gen. Joseph Finegan's 5,000 Confederates entrenched near Olustee. One infantry brigade pushed out to meet Seymour's advance units. The Union forces attacked but were repulsed. The battle raged, and as Finegan committed the last of his reserves, the Union line broke and began to retreat. Finegan did not exploit the retreat, allowing most of the fleeing Union forces to reach Jacksonville.
Result(s): Confederate victory
CWSAC Reference #: FL005
Preservation Priority: III.2 (Class B)
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The Penobscot Paddle and Chowder Society is a non-profit organization of outdoor-loving people, with membership primarily from Maine. The Society was formed in 1969 by Bangor-area canoeing pioneers with a sense of humor and a fondness for chowder suppers. Over the years the club has grown, the boats have changed, and the activities available to members have expanded, but the friendly and supportive nature of the PPCS remains the same.
Whether your idea of great paddling is Class V whitewater or tripping on wilderness lakes, you'll find members of the Penobscot Paddle and Chowder Society who share your passion!


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Yes, the title of this post is correct. Post PASSER. We all know Carmelo Anthony can score in the post, he's shot 5/10 from there so far this season. But in these first three games, all Knick victories, Anthony has shown prowess passing out of the post. Often times he has been doubled in the post and he's shown the ability to almost seamlessly hit open guys. This is a skill that is often taken for granted. For example, Andrew Bynum wets his pants every time a double team comes to him and often turns the ball over. It makes sense though why Anthony has been excelling in this part of the game. We've seen him make great passes before, not a lot of them, but he's made them. We know he can handle the ball. He has all the skills to do everything he needs to do out of the post, it is just a matter of decision making. Through the first three games, Anthony has made great decisions.
First off, I'm going to breakdown how Anthony has been directly getting assists off his post passing.
Because of some lazy defense earlier in the possession, the Sixers switch themselves into a mismatch. They have point guard Jrue Holliday defending Anthony and forward Thad Young on Ray Felton. After Felton feeds Anthony in the post, he does a really good job of moving off the ball. He slides to an open spot on the floor as Young then doubles down on Anthony. Also notice how Anthony is looking at Young. Rather than put his head down and go to work with 6 seconds left on the shot clock, he is patiently reading the play. Last year, Anthony might have spun out and shot an errant 18 footer, but this play shows some maturity.
Notice all the space Felton has created by simply just sliding to an open position on the floor. Young doubles down hard on Anthony. Melo makes a quick decision to kick it out to Felton, who rewards him by draining the wide open three.
This play is quite similar to the Felton play. Coming off the 2-4 pick and roll with JR Smith, Anthony receives the ball and posts up Thad Young. Once he establishes himself in the post, he can see Nick Young leaving Smith at the top of the arc to come double on him.
When Young doubles down, Anthony makes a really nifty bounce pass to the open Smith. As in the Felton play, Anthony had his head up and read the play as opposed to just putting his head down and going to work to get up a shot. He realizes the best play is to kick the ball out, which is exactly what he does. I also highlighted Tyson Chandler, because he does a sneakily good job in holding his man in place. As the pass goes out to Smith, Chandler slides in front of his man to prevent him from running out and contesting the shot. As a result of the play, Smith drains the three. Another assist for Anthony.
Now lets observe how Anthony's post passing has initiated swinging of the ball which results in good looks for the rest of the team.
Unlike the last two plays I've shown, the Knicks play with some pace on this possession. This all happens early in the shot clock as the Knicks come down the floor, as opposed to late in the shot clock in a slower half-court pace. Prigioni has the ball and gets trapped by Norris Cole and LeBron James. Notice on the baseline how JR Smith runs to the opposite corner for spacing purposes. Ray Allen doesn't run with Smith, but rather helps on the front side of the play. Prigoni gets Anthony the ball at the elbow with a nifty behind the back pass. James and Allen, both highlighted with black arrows, converge to double Anthony.
Anthony feels the double coming from behind him and quickly gets the ball back out to Prigioni. Notice that Smith is completely uncovered in the corner. Prigioni and Steve Novak do a really good job of recognizing that Smith is uncovered. They quickly swing the ball around the perimeter. Prigioni to Novak, Novak to Smith.
Miami actually does a decent job of rotating. Allen rotates to pick up Kurt Thomas and Udonis Haslem leaves Thomas to contest Smith's open shot. But the Knicks do a really good job of swinging the ball quickly. Haslem does a decent job of getting out to Smith, but you can see the space between them when Smith begins his shot. The Knick shooting guard shoots right over Haslem and drains the three, the entire play initiated by Anthony's quick decision to pass out of the post.
As Anthony posts up, Evan Turner comes all the way across the defense to double him. This leaves Ronnie Brewer, highlighted in blue, all alone at the three point line. Once again, notice how Anthony is looking directly at Turner and reading the play. This isn't old Carmelo Anthony putting his head down and looking for a shot.
When Turner doubles, Anthony quickly swings the ball to Felton. Tyson Chandler does another sneakily good job of moving down deep into the paint which brings Kwame Brown (lolz) with him. Jason Kidd draws the defender in the corner, which leaves Brewer all alone.
Brewer takes a step in and has a wide open mid-range shot. He misses the shot, but the concept of this play is what matters. Anthony passing out of double teams which initiates perimeter ball movement which then results in open looks. Brewer misses the shot, but this is a shot the Knicks will hit more times than not.
I'm not going to break down this play, but here is another example of the Knicks swinging the ball after an Anthony post up:
Through the first three games, the Knicks are shooting a ludicrous 45.3% from outside the arc. Now that isn't sustainable, however ball movement is extremely sustainable. Guys shooting open shots off ball movement is sustainable. This concept of Carmelo Anthony initiating offense through the post is a concept that we should see throughout the year from this Knicks team. Moving forward, these kind of sets could and quite frankly should be staples of the Knicks offense. I've spoken about it extensively on twitter, but I love the way Mike Woodson has used Anthony in this offense. This isn't iso-Melo like we expected to see, but Melo has been used in various ways. He has run pick and rolls as both the ball handler and the roll man. He has spotted up and played off the ball. But most effectively, he has played in the post quite often. The Knicks have run many sets through Anthony in the post where he has shot 5/10 and has initiated a lot of good ball movement. This style of offense is sustainable and if the Knicks continue to run their offense in this fashion, they should continue to be successful.
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|2012-06-15, 11:00
|Link #124
Senior Member
Join Date: Dec 2005
^To my knowledge, most (if not all) of the Rohan side-stories were translated already, as well as the rest of Araki's non-Jojo projects (like Cool Shot BT, Gorgeous Irene, Baoh, etc.). As far as the Fugo stories go, while I know Araki did the art for them, he didn't actually do the story. But hey, a translation for that started a little while back, as well. Mind you, that hasn't actually been updated since March, but it's still something, right?
|2012-06-15, 13:20
|Link #127
Senior Member
Join Date: Dec 2005
The cover clearly shows "Purple Haze Feedback" on that link I posted....
And related to that: http://blog.yahoo.com/jo_jo_fans/articles/74522
I suppose this one is really a matter of personal taste, so I don't think I'll be of much help here (though I assure you that even Araki's pre-Jojo stuff is still as unusual as ever). But if I had to make a personal suggestion, I would say it would be worth checking out "Under Execution Under Jailbreak", which has a collection of bizarre short stories from Araki (one of them starring Rohan, so it does have a connection to Jojo there). It's especially awesome for Dead Man's Questions, which I believe I mentioned earlier this thread.....
|2012-06-15, 15:01
|Link #128
Join Date: Dec 2006
Location: New York
|2012-06-15, 15:25
|Link #129
Senior Member
Join Date: Dec 2005
Actually, the Fugo story isn't really so much a manga as it is a light novel (though again, Araki DID provide the illustrations). Just want to let you know that in advance.
|2012-07-05, 07:16
|Link #131
Kana Hanazawa ♥
Join Date: Jun 2007
Location: France
Age: 32
Jojolion 12 is out. There it is, we're caught up now *single tear of joy*
The chapter was classic Jojo. The enemy introduced seems pretty interesting. Hard to tell if it's a human or a stand (I'm thinking an automatic stand might have been triggered when Josuke left the house).
In other news, Jojo is getting a PS fighting game and an anime for this October!!
|2012-07-05, 10:39
|Link #132
Senior Member
Join Date: Dec 2005
I practically creamed myself when I saw the trailer for that fighting game. In fact, I'm gonna make a thread for it right after this post!
Also, glad to see that we're fully caught up with Jojolion now. And not a moment too soon, as the next chapter comes out later this month!
Edit: Actually, about the Jojolion chapter:
Spoiler for chapter 12:
Last edited by marvelB; 2012-07-05 at 14:25.
|2012-07-05, 17:52
|Link #133
Senior Member
Join Date: Nov 2007
Location: California
To paraphrase Professor Oak, I came when I heard about the new Jojo game and anime.
Any word on what the upcoming anime TV series is going to adapt? Are they going to adapt a specific arc of the manga, or are they going to shoot for the entire series?
|2012-08-27, 09:41
|Link #140
Senior Member
Join Date: Dec 2005
Actually, I'm not really sure now if the anime is going to cover ALL of the sagas.... most of the promotional stuff I've been seeing so far only covers Phantom Blood. But we'll find out for sure soon enough, I think.....
Anyways, I forgot to mention before that Araki took another break this month, so no Jojolion. However, that does not mean any lack of interesting news:
-A new addition is coming to the "Vs. Jojo" series of novels (that Fugo novel that was mentioned on the previous page is a part of that series, BTW), this one focusing on the relatively unknown father of Joseph Joestar..... Jorge Joestar:
What's really interesting is that we even learn why his name is spelled "Jorge" instead of "George":
Apparently, the first chapter of the novel was even included in this month's Ultra Jump, but it hasn't been scanned. Well, I'm definitely looking forward to seeing this whole novel translated, that's for certain (I especially want to see how Jorge and Lisa-Lisa met)....
And speaking of the Jojo novels, here's something else really interesting to note: It turns out that translator Kewl0210 is working on translating "JBA 4th Another Day", a novel focused on Jojo part 4. Here's the page for it. Mind you, I haven't started reading it myself yet since I don't have time right now (plus my laptop is going haywire right now), but I'm definitely going to be checking this out soon enough, since part 4 was always one of my favorite Jojo sagas.
Uh, and just a reminder: While these novels do contain some illustrations by Araki, he is NOT the author of these books.
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Saturday, April 25, 2009
Lombardo on Disability, Eugenics, and the Culture Wars
2 comments:
- Craig Principe said...
I found this post very interesting as I am working on a graduate term paper on eugenics: a book review essay using Paul Lombardo's "Three Generations, No Imbeciles: Eugenics, the Supreme Court, and Buck v. Bell," Edward Larson's "Sex, Race, and Science: Eugenics in the Deep South," and Stefan Kuhl's "The Nazi Connection: Eugenics, American Racism, and German National Socialism."
I wish Lombardo's journal article went into greater detail about the current "culture wars" and in what ways specifically a neutral discussion of eugenics could be useful to current debates. I am not personally aware of the arenas in which eugenics is currently being discussed.
Regarding the context of the original eugenics movement, I have discovered from the books above that the progressive movement and the Great Depression heavily influenced the rhetoric of the sterilization effort. Progressive arguments about social hygiene promoted the view that those with mental disabilities procreated in greater numbers than the general population and therefore were dragging down the white "race" through degeneration. This coupled with Depression-era state budget shortfalls allowed sterilization legislation to succeed over institutionalization and sexual segregation, which at least had been more humane. Justice Holmes' opinion in Buck captures effectively the logic of this context which was that if the state could require the death of some of its best citizens in times of war, surely it could demand less of its dependent citizens like Carrie Buck. I hope this collectivist logic does not persist in contemporary debates.
As Larson's book very effectively shows, there was not a populist movement in support of eugenics. Progressive mental health professionals and doctors in the Deep South lobbied state legislators and governors to push such legislation through. Southerners in particular were adamantly opposed to the state's intrusion into family rights.
With the present budget crises in numerous states, let us hope that individual rights that were not effectively protected in the past will not again become infringed upon by the cost-benefit analysis of the state. If eugenics has any role in contemporary debates, then it should be exclusively within the realm of positive eugenics and should be used only on a voluntary basis. Even economic incentives are ethically dubious in my opinion.
- April 25, 2009 at 11:30:00 AM EDT
- Mary L. Dudziak said...
Thanks for your interesting comments. Since you mentioned Holmes in Buck v. Bell, this article (originally a law school seminar paper for Bob Cover & my first publication), may be of interest:
"Oliver Wendell Holmes as a Eugenic Reformer: Rhetoric in the Writing of Constitutional Law," 71 Iowa Law Review 833 (1986).
- April 25, 2009 at 11:41:00 AM EDT


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Contribution of pharmaceutical companies to the control of neglected tropical diseases
WHO's roadmap Accelerating Work to Overcome the Global Impact of Neglected Tropical Diseases – A Roadmap for Implementation [pdf 1.2Mb] shows the way forward for the control and elimination of the 17 neglected tropical diseases which devastate the lives of the world's poorest populations.
WHO, supported by Member States, is committed to work with international agencies, non-governmental development organizations and the public and private sectors to provide treatment to those who can least afford it so that they can lead healthier and more productive lives.
Recent increases in medicine donations by the pharmaceutical industry have allowed a scale-up of interventions, increasing access to high-quality medicines free of charge for hundreds of millions of people worldwide.


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In partnership with Connect Ohio, we will again be offering our computer class for beginners. This is a 3-week series covering computer basics, word processing, e-mail and Internet. A free self-paced online course is also available to anyone with interest. Registration is required for this class series and space is limited. Please call 330-683-1065 to register.
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