dnp approach and clinical case narratives in chronic care
Báo cáo hóa học: " A new electromechanical trainer for sensorimotor rehabilitation of paralysed fingers: A case series in chronic and acute stroke patients" pdf
... extension in healthy subjects [23] While passive movements caused some increase in activation, active training led to more prominent increases in fMRI activation, recruitment curves (TMS) and intracortical ... neurophysiological evidence in cats [29] and humans [30] that sensory stimulation induces long-term potentiation in the motor cortex, and increases corticospinal excitability In clinical studies of stroke ... Patients with arthritis of the finger joints, soft tissue pain or hand swelling were excluded Case series Chronic patients Two male chronic stroke patients, aged 55 (#1) and 67 (#2) years, had suffered...
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Báo cáo khoa hoc:" Combined use of maxillomandibular swing approach and neurosurgical ultrasonic aspirator in the management of extensive clival chordoma: A case report" pptx
... cytokeratin, vimentin and S100) destroying the bone trabeculae (Fig 2) Tumour excision was via left maxillary swing, left mandibular swing and midline tongue split followed by reassembly and filling ... arteries and cranial nerves made this surgical approach difficult and very challenging However we succeeded in approaching the tumour via a maxillomandibular swing with a tongue split procedure This ... rarely possible due to intracranial extension There have been reports of using an endoscopic approach but in cases with extensive dural invasion, inferior clivus-centred tumours and large tumours...
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Báo cáo khoa học: In vivo studies of altered expression patterns of p53 and proliferative control genes in chronic vitamin A deficiency and hypervitaminosis pot
... control and in chronic vitamin A-deficiency Liver differential display analysis was performed in control and chronic vitamin A-deficient rats (50 days) Several bands were differentially expressed in chronic ... liver and lung indicating that the amount of p53 protein was significantly increased in the liver and lung from vitamin A-deficient rats that in controls c-Jun protein was significantly decreased in ... were cared and handled in conformence with the Guiding Principles for Research Involving Animals and Humans, approved by the Council of the American Physiological Soceity The School of Medicine...
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báo cáo khoa học:" Predictors of health status do not change over three-year periods and exacerbation makes difference in Chronic Obstructive Pulmonary Disease" ppsx
... follow-up This finding reinforces the impact of exacerbation in clinical outcomes; exacerbations of COPD indicate clinical instability and progression of the disease and are associated with increased ... during clinic visits and by reviewing medical records An exacerbation was defined as an increase in dyspnea, sputum purulence, and increased sputum volume and classified as moderate (requiring ... baseline and final SGRQ score and age, gender, smoking, SpO2, BODE index or its components, and Charlson index are included as additional file Fifty-one percent of the patients presented with clinical...
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Báo cáo y học: " A prospective study of decline in fat free mass and skeletal muscle strength in chronic obstructive pulmonary disease" pot
... exacerbations with the medical notes relating to clinic attendances in the intervening year to increase accuracy As part of their routine clinical care at clinic visits during the year patients had been ... transfer During follow up, decline in fat free mass was independently associated with more marked gas trapping, a higher FFM at baseline and use of maintenance oral corticosteroids, whereas FFM increased ... marked in those with reduced fat free mass and declined further over the course of a year The only parameter predicting decline in QMVC during follow up was QMVC at baseline Of note the mean decline...
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Báo cáo y học: " Health-related quality of life and long-term prognosis in chronic hypercapnic respiratory failure: a prospective survival analysis" docx
... contained in the SRI Of course, HRQL can be no more than one factor in the multivariate panel determining the clinical state and prognosis of patients with CHRF Conclusion In summary, our findings ... to increased mortality Accordingly, in COPD mortality was high and HRQL low In this respect there was as link between HRQL and mortality in all diseases associated with CHRF and HMV although in ... statistical evaluation of the data, their interpretation and in writing the manuscript KS and FH collected part of the data and participated in interpreting the data MP enabled the realization...
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Recognizing and Preventing Infectious Disease in Child Care Settings ppt
... hands together at least 10 seconds rubbing areas between fingers, around nail beds, fingernails, jewelry and back of hands (sing hand washing song) Rinse hands leaving water running while drying ... Recognizing & Preventing Infectious Diseases pg of 16 Sample Activity Hand Washing Activity Materials: Sink with soap and paper towels Cornstarch, glitter, cinnamon, and hand lotion, and check list Instructions: ... with parents about maintaining accurate immunization records C Module Overview Recognizing and Preventing Infectious Diseases in Child Care Settings: Time Objectives Training Techniques Equipment...
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Báo cáo y học: "Collaboration between general hospitals and community health services in the care of suicide attempters in Norway: a longitudinal study" ppt
... The results indicate that maintaining high-quality clinical services to suicide attempt patients seems dependent on clearly defined standards and routines described in written guidelines, a system ... contribute to a chain of care structure in the CHS in the hospital's catchment area Maintaining a structured collaboration with aftercare providers and having a team or a coordinator in the hospital ... factors in maintaining a chain of care model More thorough studies addressing programme content, structural elements, theoretical underpinnings and the effects of different chain of care programmes...
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báo cáo khoa học: "Measuring organizational readiness for knowledge translation in chronic care" potx
... identifying, appraising, and testing measures of organizational determinants in KT in chronic care services We are particularly aiming at Page of 10 assessment tools based on theorizing about ... refining A comprehensive assessment of ORC should embrace two determining factors (psychological and structural) operating in two different levels (individual and organizational) [26] In line ... the main interest of this study, includes: identifying the problem; adapting knowledge to local context; assessing barriers and facilitators to knowledge use; selecting and implementing interventions;...
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Báo cáo y học: " Clinical review: Fever in intensive care unit patients" potx
... acetaminophen, but this effect was only found in neural COX2 enzymes; thus explaining why acetaminophen is a strong anti-pyretic but devoid of anti-inflammatory effects [26] Fever and clinical ... controlled studies evaluating the benefits of fever not exist Most of the studies in humans evaluating clinical outcomes, fever and infection have been case control series For example, in the pre-antibiotic ... synthesizes prostaglandin, especially prostaglandin E2, in response to endogenous pyrogens Prostaglandin E2 acts directly on the cells of the pre-optic nucleus to reduce the rate of firing of warm sensitive...
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Báo cáo khoa học: "Offset of pharmacodynamic effects and safety of remifentanil in intensive care unit patients with various degrees of renal impairment" ppt
... dosing algorithm for maintaining adequate sedation and comfort The time elapsed between initiating the SDT and stopping the down-titration (i.e switching back on/increasing the remifentanil infusion ... had finally been discontinued, the patient was switched to standard therapy at the investigator’s discretion Sample acquisition, handling and processing Extensive blood sampling was included in ... adjusted in order to maintain an SAS score of 2–4 (as considered clinically appropriate) with no or mild pain (PI scale score ≤ 2) The remifentanil infusion was titrated and propofol administered in...
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Báo cáo y học: "Comparison of cooling methods to induce and maintain normoand hypothermia in intensive care unit patients: a prospective intervention study" ppsx
... different cooling methods in inducing and maintaining hypo- and normothermia in ICU patients Cooling using watercirculating blankets, gel-coated water circulating pads and intravascular cooling was ... water-circulating blankets, gel-coated water circulating pads and intravascular cooling are equally efficient in inducing hypothermia and normothermia For maintaining the target temperature, intravascular ... drugs were administered only in case of shivering and distress, and their prescription was left to the discretion of the attending medical staff not involved in this clinical trial In humans, core...
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Báo cáo y học: " Fat tissue and adiponectin: new players in critical care" docx
... hormone-producing and cytokine-producing machinery, adipose tissue cannot stand passively by in the face of severe threat to life, and is involved in numerous inflammatory responses including production ... Pratley RE, Tataranni PA: Hypoadiponectinemia in obesity and type diabetes: close association with insulin resistance and hyperinsulinemia J Clin Endocrinol Metab 2001, 86:1930-1935 13 Kern PA, ... explain the mechanisms beyond clinical observations Competing interests The author declares that they have no competing interests References Venkatesh B, Hickman I, Nisbett J, Cohen J, Prins J:...
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Báo cáo y học: "Novel mutation in YMDD motif and direct neighbourhood in a child with chronic HBV-infection and clinical lamivudine and adefovir resistance - a scholarly case" docx
... isoleucine or valine in the YMDD motif results in a sterical hindrance, preventing lamivudine from appropriately configuring into the nucleotide binding site of the reverse transcriptase [12], and ... performed parts of the cloning and analyzed the sequencing data SZ established and performed PCRs and was involved in sequencing RLT was involved in cloning and sequencing OS supervised the study, ... missing Chronic HBV infections are rare in fully industrialized countries with more or less intact health care systems but are frequent in countries with emerging markets or in the developing...
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Báo cáo khoa học: " Associations between the clinical signs of chronic endometritis with ovarian cysts and body condition loss in German Holstein Friesian cows" docx
... activity and consequently an early increase in the progesterone levels could result in an increased susceptibility to uterine infections [20] or in a prolonged calving to conception interval [28] In ... Gustafsson H, Gunnarsson A, Kindahl H Clinical and bacteriological aspects on the use of oxytetracycline and flunixin in primiparous cows with induced retained placenta and post-partal endometritis ... explanation for the clinical results in this study In conclusion, we have found associations between the clinical signs of chronic endometritis and the incidence of ovarian cysts In addition, a positive...
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báo cáo khoa học: "Pulmonary histoplasmosis presenting as chronic productive cough, fever, and massive unilateral consolidation in a 15-year-old immunecompetent boy: a case report" potx
... his cough and fevers worsened, for which a re-treatment regimen of anti-TB medications, including two months of intramuscular streptomycin, were started on the basis of clinical findings The sputum ... smoking or working in the mining industry He had no history of TB or other lung disease in his family His physical examination revealed that he was fully conscious, afebrile, slightly wasted, and ... with necrosis and suppurative caseation Microscopic examination of caseous material was negative for AFB PAS staining was positive and cytological examination revealed yeast cells and capsules...
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Báo cáo y học: "Prevalence and clinical manifestations of gastro-oesophageal reflux-associated chronic cough in the Japanese population" pdf
... according to the criteria proposed by Japanese Cough Research Society [6,9] If examinations and intensive therapeutic trials for GOR-CC, CVA, sinobronchial syndrome, and atopic cough including inhaled ... non-smokers and produced minimal amount of sputum or none In patients, their coughing with or without laryngeal symptoms was alleviated and ceased within a few days after initiation of PPI However, in ... Kyoto Senbai Hospital for examining upper gastrointestinal endoscopy and 24 h esophageal pH monitoring References Fontana GA, Pistolesi M: Cough 3: chronic cough and gastrooesophageal reflux Thorax...
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Báo cáo y học: " Changes in health-related quality of life and clinical implications in Chinese patients with chronic cough" pot
... etiologies of chronic cough The causes of chronic cough in 110 patients were shown in Table Beside the single cause, cough symptoms in 10 patients could be explained by two causes, including cases of ... chronic cough Competing interests The authors declare that they have no competing interests Authors' contributions WM was in charge of collection of cases and writing the manuscript, LY was in ... Ma W: Clinical value of cough reflex sensitivity test with inhaled capsaicin in the patients with chronic cough Chin J Tuberc Respir Dis (Chin) 2007, 30:954-956 Groneberg DA, Niimi A, Dinh QT,...
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Báo cáo y học: "Sequential emergence and clinical implications of viral mutants with K70E and K65R mutation in reverse transcriptase during prolonged tenofovir monotherapy in rhesus macaques with chronic RT-SHIV infection" pptx
... levels in plasma and infectious titers in PBMC, and a similar decline in absolute counts and percentages of CD4+ T lymphocytes and CD4+/CD8+ T cell ratios during the first 20 weeks of infection ... (i) the increased use of tenofovir in HAART regimens, and (ii) the ongoing clinical trials which investigate if chronic administration of tenofovir can protect highrisk groups against HIV infection, ... pharmacokinetic analyses and data interpretation MLM, NCP, and TWN assisted with the study design and data interpretation All authors were involved in revising the manuscript draft and approved the final...
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Báo cáo y học: " Predictors of hepatic steatosis in HBeAg-negative chronic hepatitis B patients and their diagnostic values in hepatic fibrosis"
... fixed in buffered formalin, embedded in paraffin, and stained with hematoxylin-eosin-safran and Masson's trichrome Hepatic steatosis, stage of fibrosis and grade of disease activity were determined ... assessment: insulin resistance and bcell function from fasting plasma glucose and insulin concentrations in man Diabetologia 1985; 28:412-9 Farrell GC, Chitturi S, Lau GK, et al Guidelines for the ... Int J Med Sci 2010, metabolism, insulin resistance and HCV genotypes (5) This study analyzed and compared the clinical and histological features of HBeAg-negative...
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