Báo cáo y học: "Can we afford open-ended ICU care? Yes we can, but" pps

Báo cáo y học: " Ethics roundtable: ‘Open-ended ICU care: Can we afford it" pptx

... patients more cheaply.  at pie can be cut only so many ways. Every day a long-term patient lies in an ICU is a day that resources for other patients diminish commensurately. How long is long ... life support. If we are willing to maintain 100 moribund patients in ICUs for a prolonged period to yield one long-shot survivor, we do not pay for just the survivor. We pay also to warehouse ... past, this strategy worked only as well as the ability of the resource allocation system providing for it: an open-ended credit card with an unclear path to replete funds. Now we are seeing strong...

Báo cáo y học: "Delirium assessment in the intensive care unit: patient population matter" ppsx

... unit (ICU) outcomes have recently gained recognition in the literature[1]. Delirium may persist after an ICU stay and may have long-term effects on cognitive and functional abilities as well ... during the course of the day.There also must be evidence from the history, physical exami-nation, or laboratory findings that this disturbance is causedby the direct physiological consequences ... critically illpatients has been demonstrated in multiple studies. Subsequentlythere has grown a body of literature regarding delirium assessmentin critical illness. The present commentary briefly...

Báo cáo y học: " Myocardial infarction on the ICU: can we do better" doc

... patients (10.5%), of which 96% wereCommentaryMyocardial infarction on the ICU: can we do better?Ian Webb and James CouttsDepartment of Cardiology, St Thomas’ Hospital, Guys and St Thomas’ NHS Foundation ... often subjectto sustained adverse physiology. Typical signs and symptomscan be difficult to elicit and surrogate physiological markersof impaired coronary perfusion masked or misinterpreted ... mechanism of injury, however, and troponinelevation is reported in a variety of non-acute coronarysyndrome (non-ACS) pathologies common in the intensivecare unit (ICU) , including pulmonary embolus,...

Báo cáo y học: "“I could cry, the amount of shoes I can’t get into": A qualitative exploration of the factors that influence retail footwear selection in women with rheumatoid arthritis" pdf

... with their feet anyway so I think a lotof factors will kick in when you choose your foot-wear Iwishitwasdifferent” Ivy, 64 years old, avolunteer, widowed.The perception of footwear had changed ... annoying because I’ monly36andIdon’ twanttobewearingshoesthatsomebodyabout 70 should be wearing I would love to wearsomething really girly but I just can’ t a bit morefeminine.” Rose, 36 years ... everybody wearsclumpy shoes, it doesn’tseemtomakemuchdiffer-ence But you know, come the summer I can managea sandal now and again in the summer and thatboosts your confidence ” Lily, 84 years...

Báo cáo y học: "Optimum sedation and analgesia in critical illness: we need to keep trying" pdf

... day 1, relatively short length of stay (LOS) in the ICU, and the ability of almost all patients to complete astructured interview within 3 days of ICU discharge. Althoughthis might be viewed ... discomfort as a less worryingproblem and might even view it as (potentially) unavoidable.Illness severity in this study was moderate, as evidenced bythe modest Acute Physiology and Chronic Health ... Vol 8 No 6 Laverymore elderly patients. A measure of the intensity of theremembered discomfort would also be useful in a study of thistype (e.g. using a visual–analogue scale). We might judge...

Báo cáo y học: "Contamination of human DNA samples with mouse DNA can lead to false detection of XMRV-like sequences" docx

... control.Thermocycler conditions were 95°C for 9 minutes, fol-lowed by 60 cycle s of 95°C for 30 s and 6 2°C for 30 s.96-well plates were used on a 7300 Real Time PCR Sys-tem by Applied Biosystems. ... receiving informedconsent. The 36 healthy individuals (15 females and 21males) were recruited on a voluntary basis by the Huberlaboratory and were between 18 and 65 years of age. The112 CFS patients ... sam-ples were screened using t wo different assay systems, aTaqMan qPCR assay for murine mitochondrial cyto-chrome oxidase, cox2 (W. Switzer, personal communica-tion)andasinglePCRassayforthehighlyabundantintracisternal...

Báo cáo y học: " Impact of the 16th International Conference on AIDS: can these conferences lead to policy change?" pps

... conferences were initially started primarily as a wayto exchange the most important ground-breaking scien-tific findings among the community of scientists and cli-nicians working on the pandemic. However, ... that they and theSouth African government were at cross- purposes on themost important public health issue of our day.What has now prompted these welcome changes in SouthAfrican policy and ... journalists.Published: 8 February 2007Retrovirology 2007, 4:13 doi:10.1186/1742-4690-4-13Received: 24 January 2007Accepted: 8 February 2007This article is available from: http://www.retrovirology.com/content/4/1/13©...

Báo cáo y học: "Autoimmune liver disease - are there spectra that we do not know" pot

... T, Imanaka K,Katayama K, Sato M, Yoshihara H, Kiriyama K, Imai Y, Kashihara T, Fukui H,Suzuki K, Miyoshi S, Yamada A, Yakushijin T, Mochizuki K, Hiramatsu N,Takehara T, Hayashi N: Investigation ... Kato Y, Ishibashi H, Sugi K, Yano M,Kohno S, Nakanuma Y, Penner E, Wesierska-Gadek J, Reynoso-Paz S,Gershwin ME, Anderson J, Jois JA, Mackay IR: Autoimmune cholangitis andprimary biliary cirrhosis-an ... respectively.She had negative immunolog ical profile for ANA doneby indirect immunofluorescence (IIF), SMA done byELISA, ANCA done by IIF, liver kidney microsomal-1(LKM-1) done by ELISA, as well...

Báo cáo y học: "Goal-directed or goal-misdirected – how should we interpret the literature" ppt

... physiologic proﬁ le, something we should gain greater understanding of over the next few years, with cardio-pulmonary exercise testing driving the type and extent of therapy. Furthermore, we ... surgery: randomised controlled trial of preoperative optimisation of oxygen delivery. BMJ 1999, 318:1099-1103.5. Hayes MA, Timmins AC, Yau EH, Palazzo M, Hinds CJ, Watson D: Elevation of systemic ... uid administration to improve recovery after laparoscopic cholecystectomy: a randomized, double-blind study. Ann Surg 2004, 240:892-899.11. Mythen MG, Webb AR: Perioperative plasma volume...

Báo cáo y học: "How the relationships between general practitioners and intensivists can be improved: the general practitioners'''' point of view" ppt

... for this syndrome.The fourth point has been studied in emergencydepartments. Afilalo et al. [20] showed that the use of astandardized community system between family GPs andemergency departments ... a city with > 20,000 inhabit-ants. The nearest ICUs were within 25 km of the workingcity for 90% of GPs, whereas university hospitals werewithin that range for only 54% of GPs. Sixty-nine ... frequency of the use of ICU abilities).The relationship at admission and during the patient's stay in ICU Every GP was asked about the rate of patient admission tothe ICUs per year, the way...

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