Báo cáo khoa học: "Clinical review: How to identify high-risk surgical patients" pdf
Báo cáo khoa học: "Clinical review: How to identify high-risk surgical patients" pdf
... high and theirpostoperative care will be complicated. It has been shownthat patients with poor ventricular function who are unable to increase cardiac output to meet the postsurgical demandhave ... ml/min/kg).370Critical Care October 2004 Vol 8 No 5 Older and Hall Surgical risk also has two components: the extent and, to alesser degree, the duration of the procedure both cause anincrease in postoperative ... colleagues compared history andclinical examination, laboratory data and radionuclide datawith exercise testing. They found that an inability to perform2 min of supine bicycle exercise to raise the...
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Báo cáo y học: "Clinical review: How to optimize management of high-risk surgical patients" doc
... such patients to facilitate optimal fluid therapy islogical.A practical approach to perioperative care forthe high-risk patientThe first step in the care of such patients is to identify theindividual ... Cardiorespiratory patterns of surviving andnonsurviving postoperative patients. Surg Gynecol Obstet1972, 134:810-814.2. Clowes GH, Del Guercio LR: Circulatory response to trauma of surgical operations. ... oesophagealDoppler to guide fluid administration. The use ofperioperative, peroperative or postoperative cardiac outputmonitoring is therefore still recommended in this subgroup inorder to ensure optimal...
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Báo cáo khoa học: "Clinical review: How is risk defined in high-risk surgical patient management" ppt
... directed towards identifying risk for theindividual; and the conduct of clinical trials to show that priorknowledge of individual risk can allow treatment andmanagement decisions to be adapted to ... and for a patient cohort. A doctor mayassess the individual patient’s risk in order to better informReviewClinical review: How is risk defined in high-risk surgical patientmanagement?Owen ... ‘numberneeded to treat’ show differences in the appreciation of risk as the success of the treatment is modelled to change.Table 2Important milestones in the perception of high riskPatient Ability to...
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Báo cáo khoa học: " Clinical review: Renal tubular acidosis – a physicochemical approach" pdf
... experimentally. On a similar footing,NH4+excretion could be understood as means to excrete Cl–without Na+in order to increase SID in the body. However,apart from their influence on SID, the excretion ... predictably to proximal RTA.Important are other genetic diseases that cause a generalizedproximal tubular syndrome (Fanconi’s; e.g. cystinosis, fructoseintolerance, etc.) and drugs and toxins (e.g. ... independent variables, transport ofprotons to and from a compartment by itself will not influence pH.This is apparently in great contrast to models of proton pumps andbicarbonate transporters...
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Báo cáo khoa học: "Clinical review: Communication and logistics in the response to the 1998 terrorist bombing in Omagh, Northern Ireland" potx
... patients to vacate at the RGHT beds. Too few beds in system for a larger incidentSingle portal of entry to the RGHT to avoid missed injury and direct Patient identity mistaken due to early ... cardiac surgical ICU) difficult,as has been found elsewhere [4]. Due to the need to bemobile, the hospital telephone system was of limited use andon many occasions the coordinators had to meet ... working days) wasdevoted to further surgical treatment of the victims (thisexcludes the three paediatric patients). Many of the ICUpatients required multiple surgical teams to be involved inprocedures....
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Tài liệu Báo cáo khoa học: "ParaSense or How to Use Parallel Corpora for Word Sense Disambiguation" pdf
... approach to WSDthat directly incorporates evidence from four otherlanguages. To this end, we build further on twowell-known research ideas: (1) the possibility to use parallel corpora to extract ... Corpus2and BNC3. To label the test data,native speakers provided their top three translationsfrom the predefined clusters of Europarl translations,in order to assign frequency weights to the set ... vectors are constructed. Next to theincorporation of similar local context features, wealso include evidence from multiple languages inour feature vector. For French, Italian and Ger-man however,...
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Báo cáo khoa học: "Clinical review: The implications of experimental and clinical studies of recruitment maneuvers in acute lung injury" pptx
... matrix through transmem-brane adhesion receptors such as integrins. These receptorstransmit forces from the surrounding matrix to the cytoskele-ton via the focal adhesion complex [11]. When ... inflectionpoint without RM. Furthermore, those investigators showedthat a single sustained inflation to 30 cmH2O boosted theventilatory cycle onto the deflation limb of thepressure–volume curve ... 01/F015.References1. Esteban A, Anzueto A, Frutos F, Alia I, Brochard L, Stewart TE,Benito S, Epstein SK, Apezteguia C, Nightingale P, Arroliga AC,Tobin MJ; Mechanical Ventilation International...
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Báo cáo khoa học: "Clinical review: Corticotherapy in sepsis" pot
... transcriptionsfactors such as nuclear factor-κB (mediated by the inhibitoryfactor IκB) and activator protein-1 [2]. Simultaneously, gluco-corticoids stimulate the production of anti-inflammatoryfactors ... pas-sively and binds to a soluble cytosolic receptor – glucocorti-coid receptor type II – which in its inactive form is bound to heat shock protein-90. The glucocorticoid-receptor complexenters ... inhibitory factor; MIP, macrophage inflammatory peptide; NOS, nitric oxide synthase; PL, phospholipase; TGF, transforming growthfactor; TNF, tumour necrosis factor.126Several studies have shown...
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Báo cáo khoa học: "Clinical review: Outreach — a strategy for improving the care of the acutely ill hospitalized patient" pps
... contribute to error by failing to recognizetrends in a deteriorating patient’s condition.Postoperative patientsIn the UK the 1993 National Confidential Enquiry into Periop-erative Deaths showed ... DR: Introducing the postoperative care team [editor-ial]. BMJ 1997, 314:389.54. Goldhill DR, Worthington L, Mulcahy A, Tarling M, Sumner A: Thepatient at risk team: identifying and managing ... first was to identify patients at risk for criticalillness and either prevent their admission to ICU by timelyinterventions at a ward level or ensure early appropriateadmission to ICU. The...
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Báo cáo khoa học: "Clinical review: Reappraising the concept of immediate defibrillatory attempts for out-of-hospital ventricular fibrillation" pptx
... deterio-rating into VF just before arrival of the rescuers with a defibril-lator. Therefore, having the technology or ability to predict thelevel of ischemia in the heart would be more useful than astopwatch.Fortunately, ... mostoften to delays in the delivery of basic CPR by witnesses ordelays in rapid defibrillation by EMS personnel [3,4]. However,recent laboratory and clinical data have also begun to suggestthat ... does not delay the defibrillatory attempts.However, after several minutes of arrest (perhaps 4 or 5 min),basic CPR and perhaps other ACLS interventions may need to be provided for a finite period...
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