Alexis Carrelof the Rockefeller Institute, stated: Scientific Monthly, July, Modern medicine protects him attempts to against infections which kill rapidly, but leaves him exposed to the slower and more cruel diseases. But what justification can there be for putting the whole power of the government back of such a system, and the public treasury at its disposal, to spread misleading propaganda about its own peculiar doctrines and methods, to force them on the helpless?
Why are cardiology researchers inventing bogus definitions of species-wide heart enlargement to test risky drugs? Diuretics, of course, would not be appropriate prior to congestive heart failure, because their purpose is to remove retained fluids from the lungs, a situation which does not exist until CHF occurs.
In the past year, veterinary research publications have been focusing their medication advice upon MVD-affected dogs with enlarged hearts rather than those in CHF.
Research into the efficacy of pimobendan and other drugs in treating MVD-affected dogs with enlarged hearts but prior to CHF — in other words, in Stage B2 — has prompted this change of focus. The point at which a dog reaches CHF has been relatively clear-cut, based upon constant rapid breathing, x-rays showing pulmonary congestion, and other physically observable signs.
Most primary care veterinarians have been trained to recognize the symptoms of CHF. However, detecting heart enlargement — which customarily occurs before CHF — calls for a totally different approach. The most accurate has been the vertebral heart score VHS method proposed by Dr. James Buchanan of PennVet in Enlargement means getting larger — not just being large Of course, one set of x-rays will provide only one set of measurements.
Enlargement means that the size of the heart has gotten bigger over time. The x-rays above, left show the increase in heart size of one cavalier over 5 years. They look for a more rounded appearance, bulging, and other deviations from the typical normally shaped heart, and whether the heart is impacting the trachea, in addition to the size of the heart.
To the practiced eye of a cardiologist, the heart in the x-ray above will clearly show enlargement. But oddly, the measurements now are species-wide — not even limited to breed-specific, much less the individual canine patient.
These researchers contend, in their published articles, that these species-wide parameters are the precise measurements of the thresholds of enlarged hearts. In other words, anything less than their minimums define a normal heart and anything above their minimums is necessarily an enlarged heart in any dog of any breed.
They use these ad hoc definitions of enlargement both as inclusion criteria in their testing and as recommendations to clinicians in their conclusions.
The researchers also have bastardized the definition of Stage B2 in that they use the term but ignore its meaning. One thing the researchers neglect to do is include any citations to prior research or other peer-reviewed justification for their minimum parameters.
Oh, they might throw in a footnote or two with a cited article when they list their inclusion criteria, but those cited articles are either irrelevant to the subject matter or even expressly contradict those parameters.
The obvious reason they do not — and cannot — cite any peer-reviewed research justifying their species-wide minimum heart enlargement measurements is, because none exists.
The first of these studies discussed below, the EPIC Studydefines heart enlargement for all dogs by three minimum measurements — a VHS value and two echo measurements. Its VHS minimum value is Other studies discussed below define species-wide heart enlargement by arbitrary VHS values alone, varying from minimum values of But regarding minimum VHS values, keep in mind that there is at least one peer-reviewed publication which expressly contradicts the notion that all cavaliers with a VHS value of Cavalier King Charles spaniel: Other breeds reportedly have normal sizes as high as above Individual variations in actual heart size and vertebral length between dogs need to be considered as well as narrowed disc spaces.
Even breed-specific VHS measurements are unreliable. Now to review the six recent articles: The earliest of these recent reports using species-wide minimum parameters for determining heart enlargement is the EPIC Study reportpublished in the November issue of the Journal of Veterinary Internal Medicine by three lead investigators A.Reading Attitude Survey: To get books and resources that students will want to read (magazines, manuals, recipe books) -To get books that students will want to .
Reading Attitude Survey How do you feel about reading books in your classroom? How do you feel about reading instead of playing games?
How do you feel about using a dictionary? How do you feel about reading at home? I don’t like it! It’s OK. I like it. I love it! I don’t like it! It’s OK. I like it. I love it! Elementary Writing Attitude Survey Name_____ Grade_____ School_____ Please circle the picture that describes how you feel when you read a book.
student perception surveys, identifies two effective surveys, reviews the use of such surveys for formal teacher evaluations, and comments on the use of student feedback for professional development. CHAPTER I THE POISONED NEEDLE "Truth wears no mask, seeks neither place nor applause, bows to no human shrine; she only asks a hearing." The increasing flood of evidence against vaccination and the growing for the un-suppressed facts about this "touchy" subject have literally forced this book into being.
CHAPTER I THE POISONED NEEDLE "Truth wears no mask, seeks neither place nor applause, bows to no human shrine; she only asks a hearing." The increasing flood of evidence against vaccination and the growing for the un-suppressed facts about this "touchy" subject have literally forced this book into being. WRITING ATTITUDES: DETERMINING THE Writing Attitude: Writing attitude, for this study, will be comprised simply by the significant difference in subjects’ responses to items on a writing attitude survey between a group of students in a community of learners writing about their . Elementary Writing Attitude Survey Name_____ Grade_____ School_____ Please circle the picture that describes how you feel when you read a book.
Reading Attitudes Survey This is an informal assessment used to gauge a student's attitude toward reading. This assessment is provided by the Storia portion of the Scholastic website, and it is appropriate for a variety of ages.
The assessment begins with basic questions about the student's feelings toward reading, and the answers correspond.