Papers by Victoria S Kaprielian
The Journal of Physician Assistant Education, 2012
The Pharos of Alpha Omega Alpha-Honor Medical Society. Alpha Omega Alpha, 2003
INTROduCTION The significance of coronary collateral circulation in the prognosis of patients aft... more INTROduCTION The significance of coronary collateral circulation in the prognosis of patients after myocardial infarction remains disputable. ObjECTIvEs The aim of the study was to evaluate the effect of coronary collateral circulation, assessed by the Rentrop score, on long-term prognosis in patients treated with primary percutaneous coronary intervention (PCI) in ST-segment elevation myocardial infarction (STEMI). PATIENTs ANd mEThOds Coronary collateral flow was assessed by angiography in 330 patients with myocardial infarction using the Rentrop score. Patients were followed up for the mean period of 26 ±12 months with the clinical endpoints of cardiac death, nonfatal reinfarction, and repeat percutaneous or surgical revascularization. REsuLTs Collateral circulation was graded Rentrop 0 in 39%, Rentrop 1 in 36%, Rentrop 2 in 18%, and Rentrop 3 in 7% of the patients. The mortality rate was 8.7%. Reinfarction occurred in 4.7% of the subjects, and repeat coronary revascularization was performed in 10.9% of the patients. These endpoints were not correlated with the degree of collateral circulation. A significant inverse association was observed between the Rentrop score and the infarct-related artery antegrade flow (P <0.001). CONCLusIONs The degree of collateral circulation assessed by the Rentrop score during primary PCI is not a useful long-term prognostic factor in the population with STEMI in the current therapeutic approach. This may result from the negative correlation between the Rentrop score and the degree of blood flow in the infarct-related artery. Thus, collateral circulation in a patient with STEMI should not discourage intensive cardiovascular risk factor control in secondary prevention of coronary artery disease.
Medical Science Educator, 2014
The Standard Elements Importer (import tool) is a utility that can be used to import data from fo... more The Standard Elements Importer (import tool) is a utility that can be used to import data from formatted CSVs into Elements via the Elements API. Glossary Category: The category of object (or 'element') that can be imported into Elements-publications, grants, activities, etc. The list in Appendix A is definitive and cannot be extended. Metadata object: The metadata that describes an import object, regardless of category. For example metadata about a grant is a metadata object, as is metadata about a publication. Type: There are different types of metadata object available within each category. Appendix A lists the default types available in Elements by category. This list can be extended in Elements by administrators. Field: A metadata field available on a metadata object, different types can be configured to employ different fields these are known as field usages. Appendix C lists a set of default fields. This list can be extended in Elements by administrators. Field usages: The configuration of which fields are available on a type. The current configuration of these usages can be viewed in Elements. Field type: Each field has a field type associated with it. This describes the type of data that the field can be populated with. Appendix B includes a list of field types available in Elements. This list is definitive and cannot be extended. Symplectic Elements-Standard Elements Importer v0.9
MedEdPORTAL Publications, 2011
Abstract Introduction Using a case study format with standardized patients, Doctor of Physical Th... more Abstract Introduction Using a case study format with standardized patients, Doctor of Physical Therapy (DPT), Medical Doctor (MD), nursing (N), Doctor of Pharmacy (Pharm D) and physician assistant ...
Medical Science Educator, 2022
Faculty development (FD) activities at colleges of medicine shifted to virtual in March 2020 as t... more Faculty development (FD) activities at colleges of medicine shifted to virtual in March 2020 as the coronavirus pandemic limited in-person engagement. Medical schools delivered quality virtual faculty development (VFD) through accessing national and international experts virtually, improving faculty access to FD through recorded sessions, collaborating across institutions, and building on previous success as comfort with virtual platforms grew. Disruptive innovation and Keller's ARCS model, highlighting motivational concepts of attention, relevance, confidence, and satisfaction, guided nine faculty developers' reflections towards continuous quality improvement of VFD offerings. The convenience and low-cost availability of virtual activities mean this format will likely persist.
The Annals of Family Medicine
Family medicine, 1998
1. Fam Med. 1998 Jun;30(6):408-9. Independent activities for student learning during community-ba... more 1. Fam Med. 1998 Jun;30(6):408-9. Independent activities for student learning during community-based rotations. Shreve R, Kaprielian VS. ... Learning*; North Carolina; Patient Care Team; Physician-Patient Relations; Preceptorship*. Grant Support. ...
The Journal of family practice, 1990
A Primary Care Guide, 2004
Handbook of Women's Health, 2009
Although much attention has been focused on finding ways to identify medical errors and thereby r... more Although much attention has been focused on finding ways to identify medical errors and thereby reduce harm in hospital settings, few efforts have been directed at these issues in ambulatory settings. Duke University’s Department of Community and Family Medicine has developed and implemented a practical, voluntary reporting system with classification and tracking of types of errors. Initially created in the Family Medicine Center, this system is now used in all of the department’s wide variety of clinical operations. By reporting errors, analyzing error patterns, and addressing them, the clinical practices have become better able to identify faulty systems and error-prone areas and to change processes to prevent future errors.
Family practice management, 2008
Family practice management, 2008
A simple chart review can help your group answer the question on everyone's mind: “How are we... more A simple chart review can help your group answer the question on everyone's mind: “How are we doing?”
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Papers by Victoria S Kaprielian