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"A true leader has the confidence to stand alone, the courage to make tough decisions, and the compassion to listen to the needs of others. He does not set out to be a leader, but becomes one by the quality of his actions and the integrity of his intent."
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| One of my Clinical Studies |
Link to the article:
http://www.springerlink.com/content/x21m543812k03809/
Thrombolysis and Counterpulsation to Improve Survival in Myocardial Infarction Complicated by Hypotension and Suspected Cardiogenic Shock or Heart Failure: Results of the TACTICS Trial
Journal Journal of Thrombosis and Thrombolysis
Publisher Springer Netherlands
ISSN 0929-5305 (Print) 1573-742X (Online)
Issue Volume 19, Number 1 / February, 2005
DOI 10.1007/s11239-005-0938-0
Pages 33-39
Subject Collection Medicine
SpringerLink Date Friday, June 24, 2005
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Thrombolysis and Counterpulsation to Improve Survival in Myocardial Infarction Complicated by Hypotension and Suspected Cardiogenic Shock or Heart Failure: Results of the TACTICS Trial
E. Magnus Ohman1 , John Nanas2, Robert J. Stomel3, Massoud A. Leesar4, Dennis W. T. Nielsen5, Daniel O’Dea6, Felix J. Rogers7, Daniel Harber8, Michael P. Hudson9, Elizabeth Fraulo10, Linda K. Shaw10 and Kerry L. Lee10
(1) The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
(2) Alexandra Hospital, Athens, Greece
(3) Botsford General Hospital, Farmington Hills, MI, USA
(4) University of Louisville, Louisville, KY, USA
(5) Central Hospital in Rogaland, Stavanger, Norway
(6) Hudson Valley Heart Center, Poughkeepsie, NY, USA
(7) Riverside Osteopathic Hospital, Trenton, NJ, USA
(8) Garden City Hospital, Garden City, MI, USA
(9) Henry Ford Hospital, Detroit, MI
(10) Duke Clinical Research Institute, Durham, NC, USA
(11) UNC-Chapel Hill, 130 Mason Farm Road, CB# 7075, Chapel Hill, NC, 27599
Abstract Background: Sustained hypotension, cardiogenic shock, and heart failure all imply a poor prognosis in acute myocardial infarction (MI). We assessed the benefit of adding 48 hours of intra-aortic balloon counterpulsation (IABP) to standard treatment for MI, in an international trial among hospitals without primary angioplasty capabilities.
Methods: We randomized 57 patients with MI complicated by sustained hypotension, possible cardiogenic shock, or possible heart failure to receive either fibrinolytic therapy and IABP or fibrinolysis alone. The primary end point was all-cause mortality at 6 months.
Results: In all, IABP was inserted in 27 of 30 assigned patients a median 30 minutes after fibrinolysis began and continued for a median 34 hours. Of the 27 patients assigned to fibrinolysis alone, 9 deteriorated such that IABP was required. The IABP group was at slightly higher risk at baseline, but the incidence of the primary end point did not differ significantly between groups (34% for combined treatment versus 43% for fibrinolysis alone; adjusted P = 0.23). Patients with Killip class III or IV showed a trend toward greater benefit from IABP (6-month mortality 39% for combined therapy versus 80% for fibrinolysis alone; P = 0.05).
Conclusions: While early IABP use was not associated with a definitive survival benefit when added to fibrinolysis for patients with MI and hemodynamic compromise in this small trial, its use suggested a possible benefit for patients with the most severe heart failure or hypotension.
Abbreviated Abstract. We assessed the benefit of adding 48 hours of intra-aortic balloon counterpulsation to fibrinolytic therapy among 57 patients with acute myocardial infarction complicated by sustained hypotension, possible cardiogenic shock, or possible heart failure. The primary end point, mortality at 6 months, did not differ between groups (34% for combined treatment versus 43% for fibrinolysis alone [n = 27]; adjusted P = 0.23), although patients with Killip class III or IV did show a trend toward greater benefit from IABP (39% for combined therapy versus 80% for fibrinolysis; P = 0.05).
acute myocardial infarction - fibrinolysis - heart failure - cardiogenic shock
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| Michigan's Future |
While Michigan's future appears bleak to those looking in from the outside, we in Michigan know that we can turn the state around. It will take hard work, dedication and sacrifice. Simply sitting back and waiting to catch a break is no longer an option. We must be proactive, diligent and resourceful. We have what it takes and we will succeed. Join me in building a better Michigan.
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| Biography |
Personal
• 22-year Monroe County resident
• Married to Kevin Dahm for 24 years
• Parents of three sons
Kevin is employed at Detroit Edison’s Enrico Fermi Nuclear power plant as an Instructor. After serving 6 years active duty in the United States Navy, Kevin continues to serve our country as a Chief in the United States Navy Reserves.
Robert 24, is a Monroe High School graduate and an MCCC student. He is the co-owner of Computer Works Inc. Kevin II 22, is a Monroe High School graduate and an MCCC student. He is the co-owner of Computer Works Inc. Matthew, 20 is a student at MCCC. He is pursuing his passion for medicine and will graduate in May from the nursing program.
As a family they continue to give back to the community. They can be found at the heart of a can food drive, jumping in the river to remove trash and debris, building a house for Habitat, volunteering at the hospital, or giving motivational speeches to students.
Monroe County Community Involvement
• CASA Court Appointed Special Advocate Board Member (link to story)
• Monroe County Chamber of Commerce Member
• Green Team Raisin River Cleanup (links to story)
• Volunteer Grade School Assistant Basketball Coach
• Medical Explorers Instructor (link to story)
• Provide First Aid for Sporting Events
• Fund Raising for the Humane Society of Monroe
• Hurricane Relief
• Spirit of Christmas Volunteer
• Monroe County Job Shadowing Program
• Member of St. Mary’s Catholic Church
• American Red Cross Bone Marrow Donor Program
• Volunteer BLS Instructor for Monroe Public School
Support
• Herb’s Run supporter
• YMCA Strong Kids supporter
• Miss Monroe pageant supporter
• Michigan Department of Labor & Economic Growth Rehabilitation Services
• Exchange Student Program
Education
• 1990 Monroe County Community College Graduate Cum Laude
Associates of Applied Science Nursing. Registered Nurse
Monroe County Community College Alumni
• 1995 Siena Heights University Bachelors of Applied Science
Siena Heights University Alumni
• 1999 Center for Computer Technology
Novell Network Admin
Comptia A+ Certification
• 2000 Stautzenburger College Cisco Academy
Cisco Certified Network Administrator
Cisco Certified Design Administrator
• New Horizon Technology Center
Microsoft Certified Professional Server 2000
Microsoft Certified Professional 2000 Pro
• Comptia Network+ Certified
• Cisco Wireless Engineer Certification
Employment
• Computer Works of Monroe, Inc
Business Development
For the last several years Jean has been working side by side with her sons Robert, Kevin and Matthew. Together they have built the largest technology company in Monroe.
• Thomas Jeffery Bilan & Associates
Applications Engineer and WAN Technician for GMAC.
• Registered Nurse
Prior to entering the challenging field of technology, Jean spent more than 10 years providing care to the members of our community. As an Intensive Care Nurse she faced daily the challenge of providing the best possible care in a system with dwindling resources and funding. In an effort to bring the promising new drugs and treatments, she accepted an additional position as the site coordinator for an international drug research study. This allowed for patients to receive earlier access to research drugs. The community also invited Jean into their homes as a home health care nurse. Jean continues to utilize her skills and training as a nurse in her roll as a Court Appointed Special Advocate, becoming the voice of an abused/neglected child in the judicial system.
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Address:
966 Notting Hill Court
Monroe, MI 48161
Phone: 734-915-0804 View Website
Members: 3
Join Date: 01/18/2008
Profile Views: 406
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Jean Dahm for State Representative
I am pleased to announce that I am running for State Representative for Monroe County.
Membership:
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| Endorsements |
</ul> Right to Life
</ul> Citizens for Traditional Values
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| Image Gallery: Campaigning Photos |
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| Mission Statement |
"A true leader has the confidence to stand alone, the courage to make tough decisions, and the compassion to listen to the needs of others. He does not set out to be a leader, but becomes one by the quality of his actions and the integrity of his intent."
~Unknown
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| Donate |
If you would like to donate to the Jean Dahm Campaign Fund please send donations to the following.
Committee to Elect Jeanmarie Dahm
966 Notting Hill
Monroe MI, 48161
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| Main Headline |
May 28th, the Wall Street Journal:
Granholm's Tax Warning
"Officials in Lansing reported this month that the state faces a revenue shortfall between $350 million and $550 million next budget year. This is a major embarrassment for Governor Jennifer Granholm."
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| The Issues (homepage small Version) |
For Seniors: MPRO information:
www.mpro.org For free assistance with Insurance, hospital or Doctor issues please call.
1-800-365-5899 or 248-465-7300
www.citizensforbettercare.org to report problems with nursing homes.
Jobs
As a small business owner and business..... .
Health Care
Health Care Insurance has become increasing unaffordable........
Abortion
Jean Dahm is pro-life.
Budget & Taxes
Jean Dahm believes in fiscal responsibility.........
Education
As a parent of three grown sons, Jean Dahm believes.......
Gun Issues
Jean Dahm believes in supporting the 2nd amendment......
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| Jean Dahm |
| The Issues |
Jobs
As a small business owner and business developer for Computer
Works Inc., I am confronted with the challenges our businesses face
in the state of Michigan.
Our current legislation discourages businesses from moving into Michigan and bringing new jobs. I'll work to create an environment that encourages businesses to operate in the state of Michigan.
Michigan businesses are heavily invested in manufacturing. I will work towards strengthening our manufacturers and secure a more diversified business structure focusing on technology and alternative energy for the future.
As we enter into a global economy and move towards advanced fields of technology, we must work to further the education of our current and future workforce.
Our colleges and universities train many of the world's finest. We must work hard to retain this talent by providing a promising future.
Health Care
Health Care Insurance has become increasing unaffordable placing a tremendous burden on those who go without. Most often they are the young who are healthy whose premiums we depend on to offset the cost of insurance for those who are not in good health. We are now living longer and as every day passes we are becoming less able to care for our seniors. One third of all working Baby Boomers now assume the financial burden of older family members while working hard to save for their own retirement. Health Care is the single issue that transcends all other issues we face. Rising cost for the employers result in dropped coverage. A significant number of businesses pay far more in health care than the
Single Business TAX.
As a registered nurse, I know the importance of obtaining affordable health insurance, prescription drug coverage and promoting healthy lifestyles.
I will work to secure affordable health insurance
and prescription drug coverage for all the residents of Michigan and promote healthy lifestyle changes.
Abortion
Jean Dahm is pro-life.
Budget & Taxes
Jean Dahm believes in fiscal responsibility. She knows the importance of a balanced budget and believes in cutting wasteful spending not raising taxes. She has extensive experience balancing a corporate budget which has led to significant growth and revenue increases.
Education
As a parent of three grown sons, Jean Dahm believes in the importance of investing in education and supporting our schools.
Gun Issues
Jean Dahm believes in supporting the 2nd amendment. As a member of a military family she knows the importance of defending the 2nd amendment.
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| Campaign Events |
May 31, 2008
Relay for Life.
"Jean Dahm RN volunteers to assist the American Cancer Society nation cancer study CPS-3."
May 14 , 2008
Jean Dahm RN takes blood pressures at Monroe Center from 10 am to 12 pm
May 10 , 2008
Jean Dahm Volunteers for Habitat
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Program and Design by Computer Works of Monroe, Inc.
