Ejection fraction

Trastuzumab is found to inhibit the Her2 expression ultimately inhibiting the malignant transformation of the cancer cells working at the DNA level preventing cancer cell growth and proliferation. At the same time, this is detrimental to the myocardium as ErbB2 signaling has a vital role of maintaining left ventricular function. This chemotherapy agent is believed to inhibit the ErbB2 for Her2-positive breast cancer tumors while also inhibiting the cardiac signaling ultimately leading to heart disease. This study found the incidence of left-ventricular dysfunction is 3% to 18% with a rate of heart failure at 2% to 4.1%. Doxorubicin is believed to promote hypotension, dilated cardio dilation, tachycardia, and decreased left ventricular ejection fraction. It was recommended in this single group design trastuzumab and doxorubicin study that further research is needed in this area along…

Heart failure (HF) is a complex and progressive clinical syndrome that can result from any structural abnormality or functional impairment of ventricular filling or ejection of blood.1 The term “heart failure” is preferred over “congestive heart failure” because some patients may show no signs or symptoms of volume overload.1 An estimated 5.1 million Americans >20 yrs of age have HF based on NHANES 2007-2010 data.2 By 2030, projection show that the prevalence of HF will increase 25% from…

history. The patient did not have any known diseases and the doctors following her case had ran multiple diagnostic test that did not show any evidence toward a diagnosis. Her illness did not appear to be bacterial or viral. Within the first hour of my clinical day, I was able to observe an echocardiography on the patient I followed. The echocardiography technician who performed the test, was kind enough to explain the images on the screen and what exactly he was looking for to take a picture…

shows poor prognosis. Serum levels of N-terminal (NT) pro-BNP which is precursor of BNP will be elevated also. NT pro BNP rises with age, a level below 300 pg/ml will not be considered for heart failure. A value above 450 pg/mL is positive for a patient under 50; above 900 pg/mL for patients under 75 and above 1800 pg/mL for patients over 75 yearls of age ( Parillo & Dellinger, 2014). The two types of heart failure: systolic and diastolic failure depends on the contractility and…

For this curriculum study, I chose third grade mathematics as my unit of study. As far as my objectives go, I would want my students to walk away from this particular section of fractions with the understanding of what a fraction is, the difference between the components of a fraction such as the numerator and denominator, knowing how to identify how many parts of a whole are shaded in, and knowing how to simplify a fraction. As far as my instructional method, I created an original prezi, which…

disadvantages. Four classic manipulatives used in today’s classrooms are: fraction strips, base ten blocks, counters, and pattern blocks. Fraction strips are a manipulative designed to represent and compare fractions. They are rectangular pieces of plastic, foam, or paper which represent different parts of a whole. They are various sizes and colors based on their denominators, and can be used to help students visualize explore the concepts of fraction equivalency, adding and subtracting…

In this article, “Teaching and Learning of Fractions in Elementary Grade,” written by Dittika Gupta and Trena L. Wilkerson, the authors present the impacts of using math manipulatives when teaching fraction instruction in kindergarten to third-grade students. The studied was conducted each fall semester from 2007 to 2013 and was developed as a partnership between a public elementary school in an urban school district and local private university. According to the article, “The results of the…

I. Introduction Incident Reporting Systems (IRS) are currently one of most prevalent safety improvement strategies in healthcare. However, IRS have proven to be inherently problematic as clinicians and health scientists struggle with issues affecting IRS’ perceived and actual utility. Problems arise due to the fact “sentinel/ seminal/never events/adverse events” (all terms to describe events that should not happen in healthcare) are usually uncommon and difficult to detect. IRS are prone to…

Fractions Understanding a half When students begin learning about fractions, it is imperative that the educator starts by assessing the students understanding of what a half is. Based on the Australian Curriculum this often takes place in the Year One descriptor (ACMNA016), where it identifies that students are able to half an item and identify how it is an equal portion. Developing a understanding into how to halve an object so both parts are equal, play a vital role in understanding how…

In preparation for fractions number talk what I observed was very beneficial for students at the carpet it allowed students to discuss and share with one another. I liked the fact that after a student share students had to give a particular cue saying if they agreed with peer. I thought that was awesome. I also like how she went over what to expect during learning at table and how students will share. So some type of feedback was to be expected even if student did not still quite understand. As…