Suchergebnisse

Intro -- THE FIRST WOMAN PRESIDENT -- THE FIRST WOMAN PRESIDENT -- CONTENTS -- NOTE FROM THE PUBLISHER -- PREFACE -- BECOMING MADAM PRESIDENT - THE CAMPAIGN -- BEING MADAM PRESIDENT - THE REALITY -- SCHOLARSHIP -- IS AMERICA READY FOR A WOMANPRESIDENT? IS THE POPE PROTESTANT?DOES A BEAR LIVE IN A CITY? -- ABSTRACT -- INTRODUCTION -- PUBLIC OPINION -- GENDER STEREOTYPES -- THE DOUBLE-BIND VS. BACKLASH -- A CRITICAL ANALYSIS OF THE ELIZABETH DOLE 2000 CAMPAIGN -- CONCLUSION -- NOTES -- DOES THE OVAL OFFICE HAVE A GLASSCEILING? GENDER STEREOTYPES ANDPERCEPTIONS OF CANDIDATE VIABILITY -- ABSTRACT -- INTRODUCTION -- HYPOTHESES -- DATA AND METHODS -- ANALYSIS -- DISCUSSION -- NOTES -- FOOTWEAR, LIPSTICK, AND AN ORTHODOXSABBATH:MEDIA COVERAGE OFNONTRADITIONAL CANDIDATES -- ABSTRACT -- INTRODUCTION -- COVERING "FIRSTS" -- Print Coverage -- Television Coverage -- ELIZABETH DOLE'S BID FOR THE REPUBLICAN NOMINATION -- Media Coverage -- THE HURDLE OF MEDIA COVERAGE -- CONCLUSION -- NOTES -- CAN A WOMAN BE ELECTED PRESIDENT?STRATEGIC CONSIDERATIONS UNDER REFORMEDNOMINATION AND FINANCING RULES -- ABSTRACT -- INTRODUCTION -- PARTY CHARACTERISTICS -- Democratic Party Reforms -- Republican Party Reforms -- Internal Party Shifts Since the 1970s -- CURRENT FINDINGS -- PRESIDENTIAL NOMINATION FINANCING AND THENECESSITY OF EARLY CANDIDACY DECISIONS -- ELIZABETH DOLE'S PRE-PRIMARY EXPERIENCE OF 1999 -- THE PRIMARY CALENDAR -- GENDERED ATTITUDES OF PRIMARYVOTERS AND CONVENTION DELEGATES -- CONCLUSION -- NOTES -- THE NEXT CONTENDER:ASSESSING THE POOL OFWOMEN CANDIDATES FOR PRESIDENT -- ABSTRACT -- INTRODUCTION -- TRAITS OF PRESIDENTIAL CANDIDATES -- PRESIDENTIAL LEADERSHIP -- WOMEN AS CANDIDATES AND LEADERS -- PROSPECTIVE CANDIDATES -- CONCLUSION -- NOTES -- BEYOND MATERNALISM:WOMENAND THE SPACES OF POLITICAL LEADERSHIP -- ABSTRACT -- INTRODUCTION.

INTRODUCTION: Clinical decision support tools capable of predicting which patients are at highest risk for venous thromboembolism (VTE) can assist in guiding surveillance and prophylaxis decisions. The Trauma Embolic Scoring System (TESS) has been shown to model VTE risk in civilian trauma patients. No such support tools have yet been described in combat casualties, who have a high incidence of VTE. The purpose of this study was to evaluate the utility of TESS in predicting VTE in military trauma patients. METHODS: A retrospective cohort study of 549 combat casualties from October 2010 to November 2012 admitted to a military treatment facility in the USA was performed. TESS scores were calculated through data obtained from the Department of Defense Trauma Registry and chart reviews. Univariate analysis and multivariate logistic regression were performed to evaluate risk factors for VTE. Receiver operating characteristic (ROC) curve analysis of TESS in military trauma patients was also performed. RESULTS: The incidence of VTE was 21.7% (119/549). The median TESS for patients without VTE was 8 (IQR 4–9), and the median TESS for those with VTE was 10 (IQR 9–11). On multivariate analysis, Injury Severity Score (ISS) (OR 1.03, p=0.007), ventilator days (OR 1.05, p=0.02), and administration of tranexamic acid (TXA) (OR 1.89, p=0.03) were found to be independent risk factors for development of VTE. On ROC analysis, an optimal high-risk cut-off value for TESS was ≥7 with a sensitivity of 0.92 and a specificity of 0.53 (area under the curve 0.76, 95% CI 0.72 to 0.80, p<0.0001). CONCLUSIONS: When used to predict VTE in military trauma, TESS shows moderate discrimination and is well calibrated. An optimal high-risk cut-off value of ≥7 demonstrates high sensitivity in predicting VTE. In addition to ISS and ventilator days, TXA administration is an independent risk factor for VTE development. LEVEL OF EVIDENCE: Level III.