báo cáo y tế
Báo cáo y học: " Regional coordination in medical emergencies and major incidents; plan, execute and teach"
Ngày tải lên :
25/10/2012, 09:56
... incidents in this
region. The purpose of this study was to find whether this
institution has achieved its primary tasks by analyzing its
registry during January 1
st
2006 until December 31
st
2008.
Setting
According ... missions have been a visit by NATO
military ships (15 days), storm with flooding (12 days),
European Championship in track and field sports (10
days) as well as a bus crash (10 days). Since some of these
events ... together with executive responsibility at
the time of disaster may not only reveal various short-
comings within our organizations and the healthcare sys-
tem, but may also prevent the disastrous outcome...
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Báo cáo y học: "Teaching child and adolescent psychiatry to undergraduate medical students - A survey in German-speaking countries"
Ngày tải lên :
25/10/2012, 10:06
... 26
Collaboration
Adult psychiatry 24 73
Pediatrics 16 48
Psychosomatic medicine 13 39
Neurology 515
Social medicine 26
Psychology 26
Forensic psychiatry, internal medicine, gynecology, preventive medicine ... Pediatrics
• Psychiatry
• Neurology
• Psychosomatic medicine
• Other
In what way? Please describe.
Are teaching goals assessed?
• Yes
• No
In what way? Please describe.
Thank you for your cooperation.
A ... Adolescent Psychiatry, Psychosomatics and
Psychotherapy, Ludwig-Maximilians-Universitaet Munich, Lindwurmstrasse 2
a, 80337 Munich, Germany
Frank and Frank Child and Adolescent Psychiatry and Mental...
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Báo cáo y học: "Using Medical Emergency Teams to detect preventable adverse events"
Ngày tải lên :
25/10/2012, 10:06
... the
capacity to systematically assess preventable adverse events,
which are defined as poor outcomes caused by errors or system
design flaws. We describe how we used MET calls to
systematically identify ... Emergency Teams (METs), alternatively known as
Rapid Response Teams, have recently been implemented in
many hospitals worldwide [1]. The primary role of an MET is to
improve the early identification ... took
approximately 5 minutes to complete the form.
Outcomes
We used standard patient safety definitions [18]. An adverse
outcome is any suboptimal outcome experienced by the
patient. By definition, any MET...
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Báo cáo y học: "The evolving story of medical emergency teams in quality improvement"
Ngày tải lên :
25/10/2012, 10:06
... the
standardized MET form on each patient and a weekly 1-hour
Commentary
The evolving story of medical emergency teams in quality
improvement
André Carlos Kajdacsy-Balla Amaral
1
and Kaveh G Shojania
2
1
Department ... a
potentially powerful quality improvement tool for hospitals.
As Iyengar and colleagues [1] report in a recent issue of
Critical Care, medical emergency teams (METs), known
widely in North America ... teams, may
provide just such a method. The rationale for the development
of METs rose from observations that, in the majority of
patients, premonitory signs and symptoms of cardio-
pulmonary instability...
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Báo cáo y học: "Bench-to-bedside review: The MET syndrome – the challenges of researching and adopting medical emergency teams"
Ngày tải lên :
25/10/2012, 10:35
... the MET
system continues to increase in efficacy. Short-term studies
may therefore underestimate its impact [34]. RRSs with their
MET components are not easy, nor are they simple. Yet, they
are ... signs were judged by nurses to be ‘usual for the patient’.
These commonly included mild hypoxaemia, hypercarbia, and
hypotension. As the MET call criteria depend heavily on
physiological alteration ... is also unethical to randomly assign acutely
ill patients, as it would deny potentially life-saving
interventions to those randomly assigned to ‘placebo’.
Adequately matched case-control studies,...
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Báo cáo y học: " Introduction of Medical Emergency Teams in Australia and New Zealand: a multi-centre study"
Ngày tải lên :
25/10/2012, 10:35
... study by comparing the
first year of data submission to the second. Finally, in an addi-
tional sensitivity assessment, we extended our analysis to hos-
pitals involved in the MERIT study which ... be
altered. We were able to study only 29 hospitals, a relatively
small number of the overall initial cohort (Figure 1). Thus, our
findings may not be widely applicable or fully representative.
The assessment ... collection, analysis, and reporting of de-identified data by
the ANZICS-APD comply with Australian Commonwealth leg-
islation (1994) enabling national quality assurance activities.
They also comply with...
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Báo cáo y học: "Demonstrating the benefit of medical emergency teams (MET) proves more difficult than anticipated"
Ngày tải lên :
25/10/2012, 10:39
...
seen from baseline to the study period for both groups
combined.
Conclusion
The MET system greatly increases emergency team calling,
but does not substantially affect the incidence of cardiac ... Why might this be?
Assuming that MET systems are effective, we are left with
several possible explanations for the failure of this study to
demonstrate a benefit for MET. The mostly likely ... significantly
reduced the power of the study. Based on their findings, the
authors estimate that more than 100 hospitals would be
needed to show the 30% difference they sought.
MET systems are highly...
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Báo cáo y học: "The Versatile Use of Temporoparietal Fascial Flap"
Ngày tải lên :
25/10/2012, 11:00
... trauma
group, 56.9±14 years versus 30.3±6 years, respectively.
It can be commented that, head and neck tumors are
mostly seen in elderly patients whereas younger peo-
ple may have high rates of ... Sahin
2
, Haluk Vayvada
1
, Hasan Yucel Oztan
3
1. Department of Plastic Reconstructive and Aesthetic Surgery, Dokuz Eylul University, Faculty of Medicine, Izmir,
TURKEY.
2. Clinic of Plastic ... nerve injury may be seen.
Patient reports
Patient 1
A 71-year old male with a history of penetrating
trauma, admitted to Ophthalmology clinic for slowly
growing mass on his left eye (Figure...
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Báo cáo y học: "Surgical Treatment of Depressed Scar: A Simple Technique"
Ngày tải lên :
25/10/2012, 11:00
... Department of Dental Sciences and Surgery, General Hospital, Bari, Italy
2. Department of Medical Biochemistry, Medical Biology and Physics, General Hospital, Bari, Italy
3. Department of “Head and Neck ... Italy
4. Department of Maxillofacial Surgery, Calabrodental, Crotone, Italy
5. Department of Dental Sciences and Surgery, General Hospital, Bari, Italy
6. Department of Maxillofacial Surgery, ... tension lines:
lines due to dynamic action of the underlying mus-
culature.
1
The scar abnormality will guide the choice of
treatment technique. The surgical strategy selected
should be based...
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Báo cáo y học: "Enhancement of the Click Chemistry for the Inverse Diels Alder Technology by Functionalization of Amide-Based Monomers"
Ngày tải lên :
25/10/2012, 11:00
... the dansyl derivative and the N-ethyl-diisoproylamine
and the dansyl sulfamidoethylamine to the tetrazine product 7 linked with 5-dansyl sulfamidoethylcarboxamide-2-yl.
4. For the syntheses ... Germany. The synthesis of the Reppe Anhy-
dride was carried out as documented by Reppe [16].
The reaction to tetracy-
clo-[5.4.2
1,7
.O
2,6
.O
8,11
]3,5-dioxo-4-aza-9,12-tridecadiene
4-yl acetyl ... with 2N sulfuric acid,
followed by water and acetone. The
bis2,6-[5-carboxylic acid-pyrid-2-yl]-dihydrotetrazine
5 (orange colored) could not be purified by recrystal-
lisation but was pure enough...
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Báo cáo y học: "Long Term Persistence of IgE Anti-Influenza Virus Antibodies in Pediatric and Adult Serum Post Vaccination with Influenza Virus Vaccine"
Ngày tải lên :
25/10/2012, 11:10
... Mi-
crobiol 1986; 23: 66-72.
29. Yewdell JW, Hackett CJ. The specificity and function of T
lymphocytes and antibody dependent complement-mediated
cytotoxicity induced by administration of influenza ... Murphy BR, Clements ML. The systemic and mucosal immune
response of humans to Influenza A virus. In: Mestecky J,
McGhee JR, eds. Current Topics in Microbiology and Immu-
nology. New York, NY: ... Immuno-
globulin M and G antibody response to type- and sub-
type-specific antigens after primary and secondary exposures
of mice to Influenza A viruses. Infect and Immunity 1983;:
510-517.
23. Lui...
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Báo cáo y học: " Non-syndromic multiple supernumerary teeth in a family unit with a normal karyotype: case report"
Ngày tải lên :
25/10/2012, 11:40
... and Surgery, University of Bari, Bari, Italy
2. Department of Medical Biochemistry, Medical Biology and Physics, University of Bari, Bari, Italy
3. Department of “Head and Neck Surgery”, Hospital ... a rare form of hyperdontia, with bilateral multiple super-
numerary teeth, with evident penetrance of the phenotype in the family unit engaged in the
present study. The karyotype determination ... hereditary factors predisposing the onset of hyperdontia, and for the consequent
management by oral surgeon of family units in which the odontostomatologic anomaly was
detected without any syndromic...
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Báo cáo y học: "Technical Considerations in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury"
Ngày tải lên :
25/10/2012, 11:40
... efficacy of
decompressive craniectomy in decreasing ICP and
improving pr o g n o sis in patients wi th refractory in-
tracranial hypertension after TBI.
2-8
Presently, th e
European Brain Injury ... skin flap concavity, the hydrodynamic distur-
bance of CSF circulation and the decrease in cortical
perfusion after decompressive craniec to my may also
hinder patient recovery.
3 6 -37
A method ... craniectomy.
Compared with a control group consisting of 29 pa-
tients who underwent ordinary large decompressive
craniectomy, they found that cranioplasty in the pa-
tients in their study group...
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Báo cáo y học: " Factors affecting the long-term response to tacrolimus in renal transplant patients: Pharmacokinetic and pharmacogenetic approac"
Ngày tải lên :
26/10/2012, 09:32
... en-
zymes [7,9].
CYP3A, the primary subfamily of the cytoch-
rome P450 (CYP) enzymatic system, is responsible for
the metabolism of tacrolimus [10]. Specifically; tacro-
limus is mainly metabolized ... mainly metabolized by CYP3A4 and CYP3A5
enzyme isotype. CYP3A5 polymorphisms seem to
affect tacrolimus kinetics at a greater degree com-
pared to CYP3A4 ones and thereby, these polymor-
phisms are ... alleles A and
G are CYP3A5*1 and CYP3A5*3, respectively. Indi-
viduals carrying at least one CYP3A5*1 allele express
CYP3A5 protein whereas individuals homozygotes
for CYP3A5*3 are non-expressors...
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