Showing papers by "Mary T. Brownell published in 2000"

Dr. Janis Bulgren Associate Scientist University of Kansas Center for Research on Learning

Abstract: Q: Please tell us about your background. I received my BA and NLX degrees in English from the University of Iowa, and I taught English in secondarv schools. Panjy as a result of experiences I had in the general classroom, I became interested in special education. I joined the staff at the University of Kansas Center for Research on Learning (KI: -CRL), where I worked on a variety of projects designed to help students with learning disabilities (LD) to succeed in secondary content classes. iihle I worked at the center, I completed my PhD in special education in 1987. Upon completion of my degree, I continued to explore the many curriculum and instruction problems students w-ith learning disabilities and other high-risk learners encounter in general education classrooms. To date, my colleagues. Don Deshler, Keith Lenz, and Jean Schumaker, and I, among others, have developed various Content Enhancement devices and routines that are

An Interview with...

Abstract: 90 Endovascular Today augusT 2013 What are your thoughts on the current progress of fenestrated graft technology? Do you believe this will become the first-line therapy for juxtarenal aneurysms? The Zenith fenestrated platform (Cook Medical, Bloomington, IN) is now a mature and well-established technique for suitable short-necked, juxtarenal, and even suprarenal aneurysms. Fenestrated stent grafting is less invasive to the patient than open repair; we don’t need to confirm this early advantage with comparitive studies. I have heard some say that open repair is better in their hands than fenestrated repair, but I don’t personally believe that, based on more than 500 fenestrated cases for complex abdominal aneurysms. Results show very good shortand long-term outcomes for patients who are treated with fenestrated grafts. Besides using the technology for the correct indication, meticulous sizing, planning, and perfect technical execution are the keys to success. We compared available techniques for complex abdominal aneurysms and found that fenestrated endovascular aneurysm repair really is the right technique for the majority of patients.1 There will always be patients who should have open repair, and chimney techniques will play a role for a small proportion of patients. It is of utmost importance to select the best treatment option for the patient—and not necessarily for the doctor. There are some anatomic contraindications, so it is important to keep other techniques in mind. The two major anatomical requirements for fenestrated stent grafting are decent target vessels (usually the renal arteries and the superior mesenteric artery) and good caliber access vessels because you need to be able to reposition the fenestrated graft to catheterize the target vessels. I welcome the work of other companies to enter the fenestrated arena, because it will drive the technique forward. At this moment, in my personal opinion, the other devices on the market are not as sophisticated as the Cook fenestrated graft, but they all present interesting new features that will push the technology forward. For what procedures are hybrid rooms best suited? In this field, we are moving forward quickly because the big manufacturers (Siemens Healthcare, Philips Healthcare, GE Healthcare) understand the need for hybrid rooms, as opposed to fixed imaging systems in interventional suites. The concept seems easy: just put a fixed imaging system in an operating room, and you are done. However, the reality is different, because vascular surgeons work together with several people standing on both sides of the patient, and we require open accesses at up to four locations. We also have to consider space for the anesthesiology team and the need for more monitors when performing these procedures, which are more complex and time consuming than standard interventional procedures. In most major centers, hybrid rooms are already fully functional. At our center, we work with three rooms, two of which are dedicated to endovascular work and fitted with Artis Zeego systems (Siemens Healthcare Global, Erlangen, Germany). In a few years, every endovascular procedure will be performed in a dedicated hybrid room. At the moment, it is still acceptable to use mobile C-arms for standard procedures up to simple fenestrated cases, but for the more complex fenestrated and branched cases, it has become obsolete. The complexity of endovascular procedures demands the best equipment and setup for the safety of both the patients and professionals involved.2 Guidelines in Germany and the UK actually demand a hybrid room setup to perform endovascular repair of abdominal aortic aneurysms (AAA). I would certainly not want to perform cases with a mobile C-arm anymore, as hybrid rooms with fixed imaging systems provide a much higher imaging quality in a sterile environment, resulting in higher technical success, a better outcome for the patient, and much more efficient use of radiation. You benefit enormously from a hybrid room, especially in complex aneurysm repair cases. If a hospital doesn’t invest in a hybrid room for vascular surgeons, it will lose patients, because any surrounding hospital with a hybrid room will market that they have the best equipment. I even expect Eric l. g. verhoeven, Md, Phd

Dr. Angelita Felix

Abstract: Dr Angelita Felix is a member of the Arikara tribe from the Fort Berthold Reservation of North Dakota. As a child, she attended a Bureau of Indian Affairs (BIA) elementary school called the Wahpeton Indian School (now known as Circle of Nations School) and an all-girl Catholic boarding school for 3 years. She graduated from White Shield High School on the Fort Berthold Indian Reservation. She earned a bachelor's degree from Minot State University in North Dakota in English and Business Education, a master's degree in curriculum and instruction from the University of South Dakota, and a doctorate in educational administration from Penn State University.Dr Felix has more than 25 years of professional experience in Indian education. She taught language arts and worked as a curriculum writer and a curriculum director She also served as a dean of student services at Sitting Bull Tribal College and then as a dean of instruction at Haskell Indian Nations University. She has worked as a BIA education line officer...