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P Terrell

Publications and source records attributed to P Terrell.

7 recordsLinked to original sources
PubMed1999

Color M-mode Doppler flow propagation velocity is a relatively preload-independent index of left ventricular filling.

Standard Doppler indexes of transmitral filling vary in response to alterations in left ventricular (LV) relaxation or preload. To determine whether color M-mode Doppler flow propagation velocity (vp), a new index of LV relaxation, is affected by preload, we obtained LV volumes, standard Doppler filling indexes, and vp in 20 patients at baseline, during Trendelenburg's position, inverse Trendelenburg's position, and after inhalation of amyl nitrite. LV end-diastolic volume decreased from 111 +/- 41 mL at baseline and 116 +/- 43 mL during Trendelenburg's position, to 104 +/- 40 during inverse Trendelenburg's maneuver and 92 +/- 33 mL after inhalation of amyl nitrite (P <.0001). Peak early filling velocity decreased from 79 +/- 19 cm/s and 90 +/- 20 cm/s to 73 +/- 22 cm/s and 64 +/- 20 cm/s, respectively (P < 0.0001). In contrast, no significant changes were found in vp (48 +/- 24 and 50 +/- 26 cm/s vs 48 +/- 25 and 48 +/- 25 cm/s). We conclude that vp is not affected significantly by preload. Thus vp may provide a more reliable and independent assessment of LV relaxation.

Adult↗
PubMed1986

Telling it to Studs Terkel: HMPRG at age five.

After five years, the Health and Medicine Policy Research Group, out of generosity or vain-glory, has come to believe that its health policy interventions are a moveable feast. In what follows, the nation's premier interviewer extracts from three HMPRG stalwarts the history and the style of work which, up to this moment, has proven remarkably productive for us. Please presume this interview is an invitation to readers wherever you may be to inquire and seek counsel about how what we have been able to do might be replicated in your city. The interview was aired on WFMT's Studs Terkel Program of January 6, 1986. Patricia Terrell, Executive Director of HMPRG, John McKnight, Professor of Urban Policy at Northwestern University and a co-founder of the group, and Quentin Young, former Medical Director of Cook County Hospital and President of HMPRG, answered, as best they could, Studs Terkel's interrogatories.

Chicago↗
PubMedDate not supplied

Beyond the categories: human service managers view the new federal aid.

Social agency chief executives in six program areas--welfare, health, mental health, community action, model cities, and community mental health centers--were surveyed to determine their reaction to the recent revenue sharing/block grant efforts to decentralize the federal aid system. Despite their strong belief that social initiatives and values were advanced principally by federal action, and that excessive reliance on state and local officials could severely jeopardize social programs with weak constituencies, agency executives also recognized major weaknesses in traditional categorical grant policy and, to varying degrees, supported revenue sharing and block grant alternatives. Those agencies largely dependent on federal support for their survival--model cities, community action programs, and community mental health centers--tended to support the new aid efforts only reluctantly. Those agencies more fully integrated into the regular policy-making arrangements of local government--health, welfare, and mental health agencies--were considerably more positive in their endorsement of greater decentralization.

Administrative Personnel↗