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Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care

為了解決Attending physician 的問題，作者 這樣論述：

Eduardo M. da Cruz is the Associate Medical Director of the Heart Institute, Head of the Pediatric Cardiac Critical Care Program and Director of the Cardiac Intensive Care Section and Inpatient Services at Children’s Hospital Colorado, University of Colorado Denver, School of Medicine. He has had an

international life career in Portugal, Costa Rica, France, United Kingdom, Switzerland and the United States of America. He trained in Medicine and then in Pediatrics at the Universidad de Costa Rica and the Hospital Nacional de Niños in San José, Costa Rica, and then pursued a fellowship in pediat

ric cardiology and intensive care in Paris, France (Hôpital Necker-Enfants Malades, Université René Descartes-Paris V- La Sorbonne). After completing his training, Eduardo stayed in Europe as an attending physician until 2007, when he joined the cardiovascular team at Children’s Hospital Colorado in

Denver, USA, where he currently holds the title of Tenured Professor of Pediatrics, Pediatric Cardiology & Intensive Care. He has close to 30 years of experience in the medical and perioperative management of neonates, children and young adults with complex congenital or acquired heart disease, inc

luding heart transplant, mechanical assistance and quality improvement, safety, clinical effectiveness, stewardship, and crew resource management. He is actively involved in clinical and translational research and teaching in the fields of pediatric cardiology and cardiac intensive care, has deliver

ed close to 300 international lectures, and is a reviewer for 28 peer-reviewed journals, and the Editor or Co-Editor of eight CICU textbooks, including the reference entitled Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care (Springer-Verlag UK), a major textbook and e-book/e-r

eference with 6 volumes and close to 4000 pages (Editor-in-Chief) and the first Textbook dedicated to the Intensive Care of Adults with Congenital Heart Disease (Editor-in-Chief). He has published 80 book chapters and more than 100 manuscripts in peer-reviewed journals. He is the Emeritus Founder of

the Working Group on Pediatric Cardiac Intensive Care of the Association for the European Pediatric and Congenital Cardiology (AEPC), Past-Chair and founder of the Section on Pediatric and Congenital Cardiac Intensive Care & Mechanical Circulatory Support of the European Society of Pediatric and Ne

onatal Intensive Care (ESPNIC), a former Board Member of the Congenital Domain of the European Association for Cardio-Thoracic Surgery (EACTS), member of the Society of Pediatric Research (SPR), the European Society of cardiology (ESC) and of multiple other international Societies. Eduardo da Cruz i

s also an Expert Reviewer for the European Commission Horizon 2020 Project, and the President and Chair of the Board of Surgeons of Hope Foundation, a United Nations-affiliated Non-Governmental Organization based in New York, USA. In 2019, he was the recipient of the American College of Cardiology D

istinguished Service Award.Dr. Dunbar Ivy began his medical career at Tulane University School of Medicine following his premedical studies at Davidson College. While at Tulane, he became excited about a career in Pediatric Cardiology under the mentorship of Dr Arthur Pickoff. He then obtained train

ing in General Pediatrics at the University of Colorado School of Medicine in Denver, Colorado. Early mentors in Pediatric Cardiology included Drs. Michael Schaffer and Henry Sondheimer. Interest in altitude related illness and pulmonary hypertension in congenital heart disease were fostered by Dr R

obert Wolfe on the clinical side and Drs Steve Abman and John Kinsella in the fetal sheep laboratory while a fellow in Pediatric Cardiology at the University of Colorado. Following fellowship, he became a research instructor under the guidance of Dr Mark Boucek, who encouraged him to pursue a career

as a clinician scientist. During his time as a Bugher fellow, he obtained early grants from the March of Dimes and American Heart Association regarding the role of endothelin in the perinatal pulmonary circulation. This work transitioned into a National Institutes of Health K-08 award to continue t

o study molecular derangements in the endothelin pathway in models of pulmonary hypertension. In 2003 Dr Ivy took the position of Chief of Pediatric Cardiology and Selby’s Chair of Pediatric Cardiology. His research focus became more clinical and translational. As Director of the Pediatric Pulmonary

Hypertension Program, he began early clinical studies of medical therapy in children, including the use of intravenous epoprostenol, subcutaneous treprostinil, and oral bosentan. He began to work with Dr Robin Shandas regarding measurement of right ventricular afterload in children with pulmonary h

ypertension in an NIH sponsored Specialized Centers of Clinically Oriented Research grant headed by Dr Kurt Stenmark. Further work on ventricular vascular coupling has continued with NIH funding. Dr Ivy was the inaugural Chairman of the first Pediatric Pulmonary Hypertension taskforce at the World S

ymposium of Pulmonary Hypertension in Nice, France in 2013. Dr. Ivy is a member of multiple societies, and has published over 250 peer reviewed manuscripts.Dr. James Jaggers was born and raised in Western Nebraska. He completed medical school at the University of Nebraska Medical Center in Omaha Neb

raska. He then completed General Surgery at the Oregon Health Sciences University in Portland Oregon and Thoracic Surgery training at the University of Colorado Health Sciences Center in Denver, where he also completed a Pediatric Cardiac Surgery Fellowship at The Childrens Hospital In Denver. From

there, his first Faculty position was as assistant professor of Surgery at Duke University Medical Center where he rose to the rank of Associate Professor with tenure and Chief of Pediatric Cardiac Surgery and Director of the Duke Pediatric Heart Institute. During his time as chief of Pediatric Card

iac Surgery at Duke, Dr. Jaggers directed the pediatric cardiovascular surgery laboratory and mentored many research fellows. He was principal and co-principal investigator on two basic Science NIH grants and one Pediatric Heart Network NHLBI sponsored multicenter study. In 2010, Dr. Jaggers moved t

o the University of Colorado and Children’s Hospital Colorado where he is now the Barton Elliman Chair of Congenital Cardiac Surgery and Professor of Surgery. Dr. Jaggers’s Clinical focus is in all areas of Congenital Cardiac Surgery including complex neonatal repairs, single ventricle surgery, hear

t transplantation and surgery for connective tissue disorders. He has special interest in quality, safety and effective care for children. He is also the program director for the University of Colorado’s Congenital cardiac surgery training program. His research interests include Stem cell delivery t

o improve heart function in children with complex congenital heart disease, and laboratory research in investigation into the protein signaling of aortic stenosis and uncompensated cardiac hypertrophy and myocardial dysfunction. Dr. Jaggers is a member of multiple Societies, and has published over 1

40 peer reviewed manuscripts, published 30 book chapters and is a reputed national and international educator and lecturer.

Rebecca of Salerno: A Novel of Rogue Crusaders, a Jewish Female Physician, and a Murder

為了解決Attending physician 的問題，作者Erman, Esther 這樣論述：

This book continues the story of Rebecca from Walter Scott’s 1820 novel Ivanhoe. The Ivanhoe backstory: Jewish women in medieval England do not fall in love with Christian knights like Ivanhoe. Neither do they heal knights from battle wounds. But Rebecca does both--and nearly pays with her life.

Rescued by Ivanhoe from being burnt at the stake as a sorceress, she flees from England and the man she loves. Rebecca of Salerno: In Salerno, Kingdom of Sicily, Rebecca pursues her dreams by attending medical school. Practicing her profession, she defies family pressure to marry Rafael, the man who

loves her. But more pressing is the conquest of Sicily by the Hohenstaufens and the arrival of rogue crusaders, both of which threaten Salerno’s long-standing atmosphere of tolerance. When a rabbi is falsely accused of murdering a crusader, Rebecca and Rafael commit to pursuing justice and protecti

ng the Jewish community. This story provides fascinating history, as of the medical school in Salerno, where women and men--Christians, Muslims, and Jews--studied together. It also exemplifies the recurring Jewish experience of persecution, search for refuge, and resilience to remake lives. Rebecca

struggles to balance community expectations and traditions with her desire for fulfillment--one of the great challenges facing women throughout the ages.

多媒體輔助性衛教對老年患者行全膝關節置換術後下肢肌力、膝關節功能及憂鬱之成效探討

為了解決Attending physician 的問題，作者張雪玲 這樣論述：

背景/目的：研究指出接受TKR手術患者中約10-15%病人在術後一年仍有肌力及身體活動功能不足問題，此問題會引起行走速度緩慢、上下樓梯能力下降及跌倒風險。截至目前極少研究針對術後居家復健之探討，本研究主旨在探討65歲以上老人在全膝關節置換術後接受多媒體輔助性衛教於居家術後16週之疼痛、膝關節角度、下肢肌力、膝關節功能及憂鬱之成效。研究方法：本研究為縱貫性隨機控制組試驗，以立意取樣選取北部某區域教學醫院骨科病房接受全膝關節置換手術老年患者為研究對象，採單盲隨機分配二組，實驗組接受常規護理及多媒體輔助衛教（居家復健衛教手冊及居家復健是衛教），控制組則接受常規護理。研究工具包括人口學資料、視覺疼痛

量表（visual analogue scale, VAS）、膝關節角度、下肢肌力、膝關節損傷及退化性關節炎量表（Knee Injury and Osteoarthritis Outcome Score, KOOS）及簡明版老人憂鬱量表（Geriatric Depression Scale-short form, GDS-SF）。資料收集時間為術前（T0）、術後第1週（T1）、術後第6週（T2）、術第12週（T3）及術後第16週（T4）。研究結果：完成研究受試者共48人，實驗組22人，控制組26人，流失率為7.7%。手術前二組人口學資料比較無統計顯著差異（p>.05），二組具同質性。術後第16

週之成效指標比較結果顯示，二組於現在的疼痛（p=.006）、過去1週最嚴重疼痛（p=.022）、過去1週平均疼痛（p=.025）、伸膝角度（p=.027）、股四頭肌肌力（p