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Objectives: This study sought to identify potential
predictive variables of death within 6 months in patients with advanced
Methods: Investigators enrolled a consecutive series of
patients with advanced AIDS admitted to a skilled nursing facility in New
York City over a 1-year period. Demographic, clinical, laboratory, and
outcome data were abstracted from medical records using a standardized
data collection instrument.
Results: Of the 152 patients enrolled during the study
period, 61 patients (40%) died within 6 months from date of admission.
Serum albumin, percent deviation from ideal body weight, and number of
comorbidities at the time of admission proved to be the best combination
of predictors of death within 6 months.
Significance of results: The decrease in AIDS mortality over
the past decade, along with an increase in prevalence due to longer
survival, has been attributed primarily to the successful use of highly
active antiretroviral therapy (HAART). HAART regimens, however, can also
produce both short-term adverse effects and long-term complications. The
prognostic model developed by this study may be useful in guiding
treatment decisions in patients with advanced AIDS for whom a more
palliative care plan may be sought.
This book argues that the transition from the New Deal to a mobilized wartime economy during World War II restored corporate hegemony in collaboration with a state apparatus dominated by military elites. The purported losers in this transition were New Deal reformers committed to a planned economy and an extensive social welfare state, and groups like labor and small business whose interests were represented by reform elites. Organized chronologically, Waddell's account traces the development of the military-industrial complex from the War Industries Board in World War I to what Waddell asserts is a neocorporatist pattern of governance that had become established by the late 1940s and early 1950s. For the intervening years, he devotes attention to the trade association movement of the 1920s, the National Recovery Administration in the early 1930s, the New Deal turn to Keynesian economics, Harry Truman and the Marshall Plan, and the National Security Act of 1947; but the book focuses on the three periods associated with mobilization for World War II. These three periods are prewar mobilization from September, 1939 to December, 1941; the institutionalization of wartime mobilization from early 1942 through early 1943; and the battles over postwar reconversion that began in 1943 and continued into the immediate postwar era.