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Articles by Jay Malone
Beyond “futility thresholds”: An ethical framework for massive transfusion decisions
Background Massive transfusion can be lifesaving and resource-intensive, undertaken under time pressure, prognostic uncertainty, and variable system capability. Recent literature suggesting unit-based “futility thresholds” risks translating population-level mortality correlations into bedside stopping rules.
The virtue of honesty in medicine
During a recent intensive care unit (ICU) admission for an infant with viral bronchiolitis who had been started on high-flow nasal cannula oxygen, I gathered a history and physical with a resident doctor. The patient's mother, a first-time parent and clearly terrified by her child's laboured breathing, looked at me and asked, “Is she going to be okay?” Drawing on the many similar cases I’ve managed, I replied, “Yes.
Exception From Informed Consent in Pediatric Trials
The Common Rule, adopted in 1991, reinforced the classification of children as a vulnerable population in research, building on earlier ethical frameworks, such as the Belmont Report (1979). These ethical standards recognize the unique position of children as research participants and the need for special considerations under the oversight of institutional review boards (IRBs).
Ethical considerations in the use of RhD‐positive blood products in trauma
CONFLICT OF INTEREST STATEMENT The authors have disclosed no conflicts of interest. REFERENCES 1, , . People are less myopic about future than past collective outcomes. Proc Natl Acad Sci U S A. 2023; 120:e2310050120. 2, . Present bias and health. J Risk Uncertain. 2018; 57: 177–198. 3, , , , , , et al. Effect of medication nonadherence on hospitalization and mortality among patients with diabetes mellitus. Arch Intern Med. 2006; 166: 1836–1841. 4, , , , , , et al.
Professional Values, Jefferson’s Bible, and Censorship
Those of us in the academic and research library community look at censorship efforts in school libraries and public libraries with a range of emotions, from distaste to horror. Indeed, ACRL’s Standards for Libraries in Higher Education cites intellectual freedom as a professional value, noting that “The library resists all efforts to censor library resources.” Censorship in the academic library community, however, pales next to those efforts directed at many of our colleagues.
Aged Care Royal Commission involved in cyber security breach
On Sunday 22 November 2020 – 59 Aged Care Royal Commission documents were impacted in a cyber security incident. While there is no evidence that any personal information was accessed and the incident was deemed to not be a notifiable breach, this incident highlights the need for all organisations to ensure that proper data governance measures are in place to protect all data.
Microclinic sessions coming to an end, results and community shining
With only a few weeks left, the results from Cassie Wanamaker’s Microclinic classes already are being felt: Attendees praise their new desire to decipher food labels, more broccoli and quinoa are on the plate and, simultaneously, pounds are being shed.The Microclinic program is a 16-week course that kicked off March 1 and will conclude on June 14.It’s hosted by both the Blount County Health Department and Everett Senior Center.The health-centered Microclinics are group oriented, with three...
Tennessee average gas price at highest since November 2014
Tennessee’s average gas price hit $2.67 per gallon on Sunday, the highest it has been since November 2014, according to AAA. The price increased 5 cents over the past week.Those hitting the road for Memorial Day weekend will be paying 58 cents more per gallon than one year ago. According to AAA, on average, it costs $40 to purchase a full tank of gas.
Decades of service coming to an end for Blount County Commission Assistant Rhonda Pitts
Praise and admiration were in high supply at longtime Blount County employee Rhonda Pitts’ recent retirement party, where she was presented with a certificate of appreciation from the Blount County Commission and a state proclamation to recognize her work.The proclamation officially was titled House Joint Resolution 1277, and was presented by state Reps. Jerome Moon and Bob Ramsey and state Sen.
10th annual Ready, Set, Move awards celebrate local businesses and educational institutions
Businesses and schools were recognized Monday for their health-forward activities at the 10th annual Ready, Set, Move awards.The ceremony drew an audience of about 45 to the Blount Memorial Hospital auditorium as Kelly Forster and Will Gates, chair and co-chair of Blount BEneFITs, a committee formed to bring about healthier living to Blount County residents, presented the awards.The categories were divided between businesses and schools, with both having three awards each: elementary,...
Parks and Recreation passes 2018-19 budget; pools opening in coming weeks
The fiscal 2018-19 budget for Maryville-Alcoa-Blount County Parks and Recreation passed unanimously on Friday.It was pretty much business as usual, with Joe Huff, executive director, saying there “isn’t a lot of new stuff in here.”When asked what the main differences are between the current budget and the one passed for the next fiscal year, Huff said it mainly boils down to a bump in health insurance and retirement funds allotted to Parks & Rec staff.He said the one-half percent...
Friendsville completes first passing of fiscal 2018-19 budget
Friendsville city commissioners unanimously have completed the first passing of the city’s fiscal 2018-19 budget.“This is what we discussed in all our workshops,” said Vice Mayor Jonathan Newberry, with Mayor Andy Lawhorn echoing the commission’s comfort with the budget by saying they had “been over it a million times.”The city was forced to reach into the general fund for the fiscal year ending June 30, 2016, according to an audit presented in January.
Maryville City Schools to not count TNReady scores for grades three to nine
The Maryville school board will disregard all TNReady scores for grades three through nine and only use the scores for grades 10-12 if they do not adversely affect students’ final marks.As Mike Winstead was about to make his recommendation to the Maryville school board last week on how to handle the TNReady scores, board member Bob Proffitt joked “we’ll give you an hour to explain this one.”Winstead showed empathy for those having issues, both teachers and students.
Third annual work-based learning banquet celebrates successful students
For the third year in a row, employers and pupils gathered at William Blount High School to celebrate another successful year for those students employed through William Blount and Heritage High school’s work-based learning programs.Numerous students and more than 20 businesses participated this year, including DENSO, whose mechanical engineering section leader, Thomas Shields, spoke as the company testimonial.
Importance of every vote: Anderson tops Weatherbee by one vote, six new commissioners heading into office
The race for District 5, Seat A acted as clear proof Tuesday that every vote matters.Of four candidates vying for the Blount County Commission seat in the Republican Primary, Jared Anderson was declared the winner, topping Eric Weatherbee by one vote, 437 to 436.Behind them were Keith Akard and Alex Bus, with 226 and 66 votes, respectively.“We’re just very grateful to the people of the 5th District for responding to our message,” Anderson told The Daily Times.Weatherbee, understandably more...
Dedicated kennel celebrates life of Kip, a beacon of joy and strength
At 12 years old, a pit bull was taken in by the Blount County Animal Center. He came in rough condition, suffering from severe dermatitis, muscular atrophy, heartworms, and damaged teeth.
Entering 30th year at current location, Dogwood Mall continues focus on original crafts
Roy Holmes has been retired since he was 34, and he’s enjoyed every minute of it.Not necessarily because of the relaxation, but mostly because he and his wife opened Dogwood Mall and have turned it into something of a haven for unique goods and collectibles.This is the 30th year Dogwood Mall has been at its current location, 8455 State Hwy 73, and it has fit into the space nicely, showcasing local artists’ work that can range from paintings to food products like barbecue sauce and various...
Tour de Blount continuing accessibility to newcomers and experts in 27th year
With Tour de Blount entering its 27th consecutive year, it has continued to evolve and simultaneously welcome both experts and novices of biking.
Wandering duckling falls in drain pipe beside Harley-Davidson, initial plans to rescue in motion
Hunched over a drain pipe is not how Sue Burda expected to spend her Friday evening.
Blount BEneFITs beginning process of applying for grant
On Tuesday, Kelly Forster and Will Gates, chair and co-chair of Blount BEneFITs, will travel to Nashville to accept the official designation for Blount County as a Healthier Tennessee community.The achievement comes after the BEneFITs team worked for two years to accumulate data proving the county’s businesses, worship centers and educational institutions are hosting events to make Blount County healthier.
Blount BEneFITs on brink of making Blount County an official 'Healthy Community'
The ingredients are on the table — it’s now up to the members of the Blount BEneFITs Committee to whip up something healthy for area residents.In April 2016, the committee, part of the Blount County Community Health Initiative, kicked off its “Healthier Blount” campaign to promote lifestyle changes on a local level.
Early warm weather brings unexpected beauty to Blount County plant life
With many Blount Countians experiencing early blooms on their various plants, experts say people should be enjoying them, not worrying.While temperatures are expected to drop in coming weeks, recent days brought unprecedented highs to Blount County. “It’s certainly unusual. ... It’s called record breaking for a reason,” said Dr. James Newburn, assistant director at the University of Tennessee Gardens.Newburn gave some details on what the warm weather will mean for plant life going forward.
Thompson seeks to make people believe in the power of a vote
People often ask DeJuana Thompson what she was thinking on Nov.
Friendships, community and growth highlight Sloan's 16 years at the Blount County Public Library
Over 5,500 days, more than 800 weeks or 16 years, however you want to present it, Joan VanSickle Sloan, public relations manager at the Blount County Public Library, has left an undeniable footprint.After the many events, newsletters and interactions with members of the community, Sloan recently decided to retire from her post.While heading out, she holds nothing but pride in the accomplishments of the team at the library.
New commissioner appointed in Friendsville, Friant resigns
The city of Friendsville has a new commissioner on the council and old ordinances to expunge from the municipal code.Steven Cardwell was appointed Thursday to the vacated Friendsville city council seat left vacant with the resignation of Angel Friant.Additionally, preliminary talks have begun to repeal Sections 2-12 through 2-14 of Ordinance No. 80-4 of the city’s municipal code, banning the use and possession of firearms within the city of Friendsville.
Christmas lights coming down in downtown Maryville
While the holidays ended a month ago, one thing remained to be taken down: the bright lights. That began to change on Monday, as Christmas Decor of Knoxville began removing lights the company had wrapped all around Maryville to brighten to season.The process began in October for the decoration company, as employees lined businesses, residential homes and, most notably, the Altar’d State headquarters building located at 150 W.
Dr. Keri Prigmore confirmed as new Parks and Rec commissioner
The Maryville-Alcoa-Blount County Parks and Recreation Commission voted unanimously Friday for Dr. Keri Prigmore to fill the group’s vacant at-large seat.“She came highly recommended by the community,” Parks and Rec Executive Director Joe Huff told The Daily Times.“She’ll be a good one to have,” said Chairperson and City of Maryville commissioner Andy White, echoing Huff’s enthusiasm.Prigmore is an active member of the Maryville/Alcoa community, working as the director of PAL at Alcoa High...
MLK Day march inspires unity, brings together many
With breaths billowing in the January air, Blount Countians came together for a two-and-a-half mile walk Monday in celebration of Martin Luther King Jr.’s life and legacy.The march began at the MLK Center in Alcoa and ended at the Clayton Center for the Arts on the Maryville College campus.Cars cruised by, horns honking in solidarity with the more than 100 marchers.
Ashley Offutt gives talk on self-motivation, confidence at Clayton Center for the Arts
Maryville College's celebration of the Martin Luther King Jr. holiday began at the Clayton Center for the Arts, where a packed house listened as students recited poems, Voices of Praise sang gospel, and Ashley Offutt, associate director for diverse retention at Eastern Kentucky University, spoke about staying positive and achieving goals.Offutt's presentation was entitled "In the Noonhour," named after the time of day Martin Luther King Jr. was born.
Friendsville dips into fund balance again
The city of Friendsville dipped into its fund balance for the second consecutive year, according to the draft of an audit for the fiscal year ending June 30, 2016.The city began the fiscal year with $394,563 in the general fund balance, and ended it with $316,625, Nicole Swint, senior accountant/auditor at Uselton, Clay & Bright said, reading from the audit at the Jan. 4. Friendsville Commission meeting.The previous fiscal year saw the available funds drop from $474,103 to $394,563.
Blount County Scottish Rite Club spreads cheer, gives away numerous shoes to children
Smiles flashed across happy faces Friday as the Blount County Scottish Rite Club held its annual shoe distribution for elementary school children at the New Providence Lodge.As children came through, handing off their ticket allowing them a pair of shoes, club member Jim Hill sported a smile almost the size of the children arriving. “I just love seeing their smiles once they get the shoes.
Gray Hodges Corp. raises $2,400 for Salvation Army Angel Tree of Maryville
Gray Hodges Corp., 724 Brenda Drive, Alcoa, held its first ever “Caffeine and Cars” auto show last weekend, during which they raised over $2,400 to benefit the Salvation Army Angel Tree of Maryville.
Logan's Chapel United Methodist Church hosting 25th year of drive-through live nativity scenes
Logan’s Chapel United Methodist Church in Maryville presents its 25th annual live drive-thru Nativity from 6- 8 p.m. today and Sunday, Dec. 3.The church is located off Wildwood Road near Porter Elementary School. Luminaries will line the driveway loop and outdoor lights will be turned off so visitors can enjoy the scenes without distractions of noise and overhead lights in this quiet rural area.Judy Clabough is one of the originators of the event and directs it today.
Alcoa Betrayed Retirees showing holiday spirit by sending gifts to the troops
As the giving season quickly approaches, the Alcoa Betrayed Retirees organization is spreading a bit of love to the soldiers both on the homeland and overseas.The boxes were shown off, filled and taped up on Wednesday, the final preparations before sending them off to their eventual owners.
Details of enrolling into Affordable Care Act to be discussed at Blount County Public Library event
Approaching the Dec. 15 deadline to enroll into the Affordable Care Act insurance market, the Tennessee Health Care Campaign is sponsoring an event at the Blount County Public Library called “ACA Health Plans and Lowering Your Costs.” The event will occur at 7 p.m. Nov. 28, and focus on the Blue Cross Blue Shield ACA plans, as well as elaborating on details about Health Savings Accounts.The Health Savings Account is a tax planning tool that can also help you pay for medical expenses.
Blount Community Fund awards $2,000 check to Family Promise
Generosity came in the form of a hefty check Tuesday as the Blount Community Fund presented Family Promise of Blount County with a grant for $2,000.Family Promise was chosen for the grant after 13 different groups applied, with the Blount Community Fund admiring their work so strongly that they bestowed the money upon them.
Nobel Peace Prize winner visits Maryville College to speak on climate change
“I have no message to sell you, except a science message,” Tom Werkema Jr. said during a guest lecture Monday at Maryville College.Werkema, a part of the Intergovernmental Panel on Climate Change group that was co-winner of the Nobel Peace Prize in 2007 along with Al Gore, ran through slides and divulged information about climate change to a Biology 111 class.A veteran of the science, Werkema has spent over 20 years at the national and international levels working with climate change.
Alcoa Kiwanis provides AmTrykes to two boys
The smiles said it all as as two boys settled into their new tricycles provided by Alcoa Kiwanis Club members Thursday.These were no ordinary three-wheelers. AmTrykes are designed to allow children with disabilities to participate in a favorite activity of kids everywhere, riding on their own wheels.Abel Ogle and Levi Lane, both 2, now can have that turning-point experience of childhood while using therapeutic techniques that help improve their mobility in other everyday actions.
Living through hunger in Blount County, and how organizations combat it
Your stomach growls; looking down, you remember skipping breakfast this morning.
Alcoa High School STEM students bring cornhole to Alcoa Middle School
Alcoa High School teacher Shawn Kerr and his Science, Technology, Engineering and Mathematics (STEM) class crafted and transported an atypical activity to the Alcoa Middle School Physical Education program: cornhole.Middle school P.E. teacher Hank Snyder was thrilled to integrate the sport into his curriculum, “It’s something that anyone can do, you don’t have to be fast or anything,” he said.Accessibility The approachable nature of cornhole was just one of the reasons he was excited for...
Friendsville Commission picks low bidder on water line extension
Friendsville City Commission settled a couple of water line items by unanimous votes Thursday night.The first involved the planned Marble Hill Road water line extension. Bob Colvin, city engineer, presented three bids on the project, by Adams and Sons Inc., C.R. Barger and Sons, and Iron and Ore Construction and Engineering LLC.Colvin recommended the city take the Adams and Sons low bid of $48,518. “I’ve worked with Adams and Sons before, I think they do good work.
Tailgating with The Gate: Inaugural event slated Nov. 11 at Second Harvest
The Gate hopes to bring the full Tennessee football tailgating experience to Second Harvest Food Bank in its inaugural event featuring barbecue, beer, wine and football. Starting at 6 p.m. on Nov. 11, doors will open to individuals interested in having an indoor, lively tailgate before the Tennessee Volunteers and Missouri Tigers play at 7:30 p.m.The Gate will be partnering with Calhouns and the rest of the Copper Cellar family of restaurants as they provide food and drinks.
Tailgating with The Gate: Inaugural event slated Nov. 11 at Second Harvest
The Gate hopes to bring the full Tennessee football tailgating experience to Second Harvest Food Bank in its inaugural event featuring barbecue, beer, wine and football. Starting at 6 p.m. on Nov. 11, doors will open to individuals interested in having an indoor, lively tailgate before the Tennessee Volunteers and Missouri Tigers play at 7:30 p.m.The Gate will be partnering with Calhouns and the rest of the Copper Cellar family of restaurants as they provide food and drinks.
Tailgating with The Gate: Inaugural event slated Nov. 11 at Second Harvest
The Gate hopes to bring the full Tennessee football tailgating experience to Second Harvest Food Bank in its inaugural event featuring barbecue, beer, wine and football. Starting at 6 p.m. on Nov. 11, doors will open to individuals interested in having an indoor, lively tailgate before the Tennessee Volunteers and Missouri Tigers play at 7:30 p.m.The Gate will be partnering with Calhouns and the rest of the Copper Cellar family of restaurants as they provide food and drinks.
Tailgating with The Gate: Inaugural event slated Nov. 11 at Second Harvest
The Gate hopes to bring the full Tennessee football tailgating experience to Second Harvest Food Bank in its inaugural event featuring barbecue, beer, wine and football. Starting at 6 p.m. on Nov. 11, doors will open to individuals interested in having an indoor, lively tailgate before the Tennessee Volunteers and Missouri Tigers play at 7:30 p.m.The Gate will be partnering with Calhouns and the rest of the Copper Cellar family of restaurants as they provide food and drinks.
Tailgating with The Gate: Inaugural event slated Nov. 11 at Second Harvest
The Gate hopes to bring the full Tennessee football tailgating experience to Second Harvest Food Bank in its inaugural event featuring barbecue, beer, wine and football. Starting at 6 p.m. on Nov. 11, doors will open to individuals interested in having an indoor, lively tailgate before the Tennessee Volunteers and Missouri Tigers play at 7:30 p.m.The Gate will be partnering with Calhouns and the rest of the Copper Cellar family of restaurants as they provide food and drinks.
Tailgating with The Gate: Inaugural event slated Nov. 11 at Second Harvest
The Gate hopes to bring the full Tennessee football tailgating experience to Second Harvest Food Bank in its inaugural event featuring barbecue, beer, wine and football. Starting at 6 p.m. on Nov. 11, doors will open to individuals interested in having an indoor, lively tailgate before the Tennessee Volunteers and Missouri Tigers play at 7:30 p.m.The Gate will be partnering with Calhouns and the rest of the Copper Cellar family of restaurants as they provide food and drinks.
Maryville College pays tribute to undefeated 1946 team with celebratory print
History was celebrated as Maryville College unveiled a print dedicated Wednesday to the 1946 Fighting Scots football team that went 9-0, the only undefeated and untied regular season in school history.Maryville played in the inaugural Tangerine Bowl Jan. 1, 1947, later dubbed the Citrus Bowl.Multiple people spoke before the unveiling, including Maryville College President Tom Bogart. He noted the institution’s “strive towards excellence,” and said this 1946 group is the personification of that.
Continuing to succeed -- FIFA 18 review
For many years, the FIFA series was one of the smoothest video game experiences around. Its elegant presentation and tip-top controls combined make for the best sports franchise on the market. But the past few years have seen a bit of a change; the competition has refined their controls and copied certain FIFA features. At the same time, that smooth FIFA feeling is no longer prevalent.
Power companies work together to bag food for those in need
In celebration of Public Power Week, members of different power agencies around East Tennessee got together Wednesday to assemble bags of food that will be given to the hungry.
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