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Davis Deputy Attorney General for Civil Litigation Kim Van Winkle Chief, Antitrust Section David M. Ockey Assistant Attorney General Antitrust Section Chief David Sonnenreich Deputy Attorney General Edward Vasquez Assistant Attorney General Tax, Financial Services and Antitrust Division Office of the Attorney General of Utah 160 East 300 South, 5th Floor P. Senior Assistant Attorney General and Chief Consumer Protection Section Sarah Oxenham Allen Senior Assistant Attorney General Tyler T. My idea was to develop an outreach program that would engage high school students in atmospheric chemistry, having students spend a day on the #### University campus participating in studies of indoor and outdoor air quality using portable gas analyzers and aerosol particle collectors. One of the questions the coordinator asked during that meeting was which schools to contact? Knowing that nearby #### Junior/Senior High School students had plentiful opportunities to engage with the university, I told him we should diversify and invite students from different socioeconomic and historically under-represented regions in the state of ####. I think this exemplifies my commitment to engage and advance community interest in the sciences. My time as a graduate student and postdoctoral researcher provided a well-rounded experience working with wonderful people from all backgrounds, a leap from the small, mostly white southern town outside of ####, where I grew up. I thrived living and working in one of the most culturally diverse areas in the United States while pursuing my doctorate at #### University. As founder of #### atmospheric chemistry outreach program on indoor and outdoor air quality and current mentor of three outstanding female graduate student researchers, one Hispanic and another with diagnosed narcolepsy, and a post-doctoral researcher from ####, I have learned how to effectively communicate with students from different educational backgrounds, abilities/disabilities, and from backgrounds that are very different from my own. I believe scientific communication is key and connections with people and institutions beyond our borders is just as important for a sustainable and prosperous research program. Having experience as a freelance contract editor for an international scientific editing service, I have helped numerous international researchers share their science in English as first language journals. I believe diversity inclusion in the classroom and research laboratory is critical for academic and research success. As long as students and faculty are committed to and engaged in the learning environment and promote the ideals for a diverse workplace, my philosophy is that all students should be given equal opportunity. My commitment to diversity, equity and inclusion, as demonstrated by my past experiences, align well with this philosophy. As a woman in the sciences, I have seen firsthand how the academic environment can be unwelcoming, unfair and inequitable because of not fitting into a particular gender schema. I am committed to making a difference in ensuring that everyone is given opportunities to excel in their scholarly activities. I have mentored over one hundred students in my laboratory including twenty-two students who have received their PhDs under my guidance, 60% of these have been women. On the national level, in my commitment to honoring and promoting women students at all levels (undergraduate students, graduate students and postdoctoral students), I was the National Director of Student Awards for Iota Sigma Pi, an honor society for women chemists, for three years. As the National Director of Student Awards for Iota Sigma Pi, I was responsible for expanding the application pool for the three awards given by the society. For the last four years, I have chaired the Diversity Committee within the Department of Chemistry at #####. In this role, I work with faculty toward increasing diversity within the department on all levels as a collective goal and to insure diverse representation on all important committees within the department. I also serve as the ##### Director for the Department as part of the ##### Foundation - University Center of Exemplary Mentoring #####. In addition, I have engaged in a number of outreach events as part of my role as community member. 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This session will provide the latest information on the cellular asthmatic bronchitis meaning buy 100mcg proventil mastercard, molecular asthma 3 rcp questions order proventil 100 mcg without a prescription, and genetic mechanisms that govern cell fate decisions and ciliary function asthma definition volatile proventil 100mcg cheap, with application to asthma symptoms wiki purchase 100mcg proventil visa a spectrum of lung diseases in adults and children. Target Audience Pulmonary physicians and scientists Objectives At the conclusion of this session, the participant will be able to: · define the pathways whereby the airway epithelium senses and responds to aeroallergens in asthma; · define the mechanisms driving pathologic type 2 immunity in asthma; · identify areas of uncertainty in type 2 high asthma biology. This Scientific Symposium will cover the biologic mechanisms regulating type 2 inflammation in asthma. Experts in the field will present our current state of knowledge on type 2 high asthma, focusing on pathologic crosstalk between the airway epithelium and the immune system. The objective of this symposium is to define the outstanding questions in type 2 high asthma and propose potential new therapeutic approaches. Lloyd, PhD, London, United Kingdom Sex Steroids in the Regulation of Allergic Asthma D. Assemblies on Critical Care; Behavioral Science and Health Services Research; Nursing; Pediatrics 2:15 p. This session will present the challenges of conducting randomized controlled trials in critical care. By using recent examples of critical care trials, this session will also appeal to clinicians who seek greater insight on interpreting and applying literature to their patients. This session provides an evidence based, interprofessional lens into topics related to migrant and refugee health. It highlights the clinical, political and medicolegal aspects of the migrant and refugee crisis both locally and globally. By attending this session, pulmonary, critical care and sleep professionals will learn how to provide culturally sensitive, multidisciplinary, patient-centered care to this ever growing vulnerable patient population. This session aims to explore the much talked about tobacco settlement, the influence of finance and investing as well as the role of advertising. It is critical to learn and engage in the greater policy debate around the tobacco message. This session will describe effective strategies to advance the respiratory health of patients, communities and populations. Two public relations and media experts will then discuss effective communication strategies to disseminate health information and advocate for respiratory health issues through media. Target Audience this session is of benefit to both junior and senior clinicians and researchers, including basic researchers. We will also address some interesting issues in publication and review key papers published on topics across the Blue, White and Red journals. A3996 In-Hospital Mortality Trends for Alpha-1 Antitrypsin Deficiency in the United States/A. A3997 Creation and Validation of the Summit Score for Mortality and Morbidity Risk Stratification and Therapeutic Use for Chronic Obstructive Pulmonary Disease/B. A3999 Hemoglobin as a Biomarker for Clinical Outcomes in Chronic Obstructive Pulmonary Disease/A. Epigenomic Analysis of Sox9+ Lung Epithelial Progenitor Cell Specification Defines New Transcriptional Regulatory Networks in Lung Development/D. A4009 Characterization of Neonatal Lung Cells Through Single Cell Genome Sequencing/S. A4010 Dynamic Single-Cell Chromatin Landscapes of Alveolar Type 1 Cell Populations in the Developing Lung/T. A4011 Integrated Epigenomic Analysis of the Gene Regulatory Networks Underlying Regenerative Capacity in Alveolar Epithelial Progenitor Cells/W. A4015 Single Cell Transcriptomics Reveals the Cellular and Molecular Diversity of the Human Tracheal Airway Epithelium in Smokers and Non-Smokers/K. A4006 Neutrophilic Exosomes as Pathogenic Entiities in Bronchopulmonary Dysplasia/C. A4018 Beneficial Interstitial Matrix Fibroblasts Are Lost with Age, a New Perspective on Idiopathic Pulmonary Fibrosis/A. A4020 the Resolution of Pulmonary Fibrosis Is Dependent Upon Matrix Metalloproteinase-9 Expression/E. A4021 Pluripotent Stem Cells to Unravel the Role of Alveolar Type 2 Epithelial Cells in the Pathogenesis of Pulmonary Fibrosis/K.

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I thought I did well with engaging the audience and inviting participation and conversation asthma treatment for children under 5 proventil 100mcg fast delivery. This provided a good overview of how we use the drug in the pediatric population and common dosing regimens asthma symptoms pubmed purchase proventil 100mcg mastercard. I am to asthma grading buy proventil 100 mcg on line obtain information on the number of Beacon overrides that occurred in the infusion center as well as the number of medications that were charted/given to asthma treatment buy proventil 100 mcg with visa patients before prescription verification by pharmacists over the last few months. Hopefully I will be obtaining the data soon to analyze and present at the May meeting. I have been scheduled for 2 weeks of code coverage this quarter and have responded to one code in which pharmacist support was needed. I was very nervous on the inside but remained calm in the situation and assisted the team in obtaining needed medications for the patient. Following the code, the other pharmacist responder and I spent some additional time discussing different scenarios that could have occurred and how I would have contributed to them. I have also attended my one required mock code training session and found that to be very valuable. Collaborate with preceptors and other healthcare providers on residency rotations. During the last couple of months, I have been working with different members of the medical team. As a pharmacist representing the management staff, I interacted with many people who are not strictly healthcare providers. Prepare for and actively participate in daily direct patient care rounds to establish your role as the drug expert. By the end of my rotation, the team frequently looked to me to provide help in managing medication regimens. Their confidence in me provided positive reinforcement in my ability as a clinical pharmacist. Seek opportunities to provide inservices to team members during clinical rotations. By leading topic discussions for a student, it encouraged me to review primary literature and be prepared for the following day. During this quarter, I was able to be an active participant in a couple of code 12 events. Amanda was a great mentor and was able to actively teach me how to be a an effective member of the code team. I participated in a peer-review of an article with Susan during my drug information rotation. I am hoping to participate in more peer-reviews throughout this residency year and next year. Identify a topic suitable for publication; develop and submit a manuscript for publication. I am hopeful to submit my project for publication, pending the results and applicability of the topic. I am working with Kathleen Bledsoe to evaluate the use of dronabinol for the treatment of nausea/vomiting in post-operative neurosurgical patients. However, I am starting to get behind on my teaching and learning certificate and evaluations. Explore various tools to keep track of daily and longitudinal requirements (calendar, task list, etc). Since being introduced to Microsoft Outlook, I have become a little more organized with tasks, deadlines, and meetings. While this tool has been useful, I am still starting to become stressed out with requirements for my residency. I need be better at breaking up longitudinal project requirements into small parts to make the overall deadlines seem more feasible. This will also help me from being too stressed with other assignments that are required of me. Develop deadlines for completion of small parts of assignments that are prior to those assigned by the program director/ preceptor. I have not developed my own deadlines for completion of small parts of assignments.

Blood transfusion must be considered when the patient has persistent haemodynamic instability despite fluid (colloid/crystalloid) infusion asthma definition 2020 cheap 100mcg proventil free shipping. If typespecific or crossmatched blood is not available asthma treatment vapor 100mcg proventil fast delivery, use group O negative packed red blood cells asthma symptoms pictures order proventil 100mcg online. Transfusion should asthma quotes purchase proventil 100mcg amex, however, be seriously considered if the haemoglobin level is less than 7 g/dl and the patient is still bleeding. If any deterioration occurs during this phase, it must be interrupted by another primary survey. Immediate deaths are essentially due to major disruption of the heart or of great vessels. Early deaths due to thoracic trauma include airway obstruction, cardiac tamponade or aspiration. The majority of patients with thoracic trauma can be managed by simple manoeuvres and do not require surgical treatment. This is a medical emergency and can be treated with positive pressure ventilation and analgesia. The consequence is progressively increasing intrathoracic pressure in the affected side resulting in mediastinal shift. The trachea may be displaced (late sign) and is pushed away from the midline by the air under tension. Immediate decompression can be achieved by needle decompression, as described above, but a definitive chest drain should be inserted as soon as possible. The extent of internal injuries cannot be judged by the appearance of a skin wound. If the haemorrhage is severe hypovolaemic shock will occur as well as respiratory distress due to compression of the lung on the involved side. A haemothorax of 500­1500 ml that stops bleeding after insertion of an intercostal catheter can generally be treated by closed drainage alone A haemothorax of greater than 1500­2000 ml or with continued bleeding of more than 200­300 ml per hour may be an indication for further investigation, such as thoracotomy. It is likely to occur in cases of high-speed accidents and falls from great heights. Symptoms and signs include: Dyspnoea (shortness of breath) Hypoxaemia Tachycardia Rare or absent breath sounds Rib fractures Cyanosis. A seal, such as a plastic packet, is sufficient to stop the sucking, and can be applied until reaching hospital. In compromised patients intercostal drains, intubation and positive pressure ventilation is often required. The patient must be submitted to observation with cardiac monitoring, if available. This type of injury is more common than generally realized and may be a cause of sudden death well after the accident. Look for it in patients with: Shock Distended neck veins Cool extremities and no pneumothorax Muffled heart sounds Treatment is pericardiocentesis which is potentially hazardous and should only be undertaken by experienced clinicians. The usual signs of tracheobronchial disruption are the following: Haemoptysis Dyspnoea Subcutaneous and mediastinal emphysema Occasionally cyanosis. Patients often complain of sudden sharp pain in the epigastrium and chest with radiation to the back. Below 4th intercostal space anteriorly 6th interspace laterally 8th interspace posteriorly Usually the left side. Patients have high mortality as the cardiac output is 5 litres/minute and the total blood volume in an adult is 5 litres. The initial evaluation of the abdominal trauma patient must include: A Airway and cervical spine B Breathing C Circulation D Disability and neurological assessment E Exposure. Any patient involved in any serious accident should be considered to have an abdominal injury until proved otherwise. Unrecognized abdominal injury remains a frequent cause of preventable death after trauma. About 20% of trauma patients with acute haemoperitoneum (blood in abdomen) have no signs of peritoneal irritation at the first examination and the value of a repeated primary survey cannot be overstated. Blunt trauma can be very difficult to evaluate, especially in the unconscious patient. An exploratory laparotomy may be the best definitive procedure if abdominal injury needs to be excluded.

References:

  • https://msdh.ms.gov/msdhsite/index.cfm/41,2029,71,pdf/School_Immunization_Requirements.pdf
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  • http://www.dph.illinois.gov/sites/default/files/forms/physician-written-certification-052418.pdf
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