3 patient characteristics in an ngo hospital
Ryan’s Ballistic Trauma docx
Ngày tải lên :
29/06/2014, 09:20
... the principles of management The book acknowledges that no single viewpoint can address the management of patients sustaining ballistic injuries and does not fall into the trap of recommending ... most,” hoping to get as many as possible home to UK based hospitals using all means including cross channel ferries What was faced in 1982 was unexpected and appeared to be outside planning This ... new training and educational needs and this is an important driver for this new 3rd edition of Ballistic Trauma One of the most worrying problems is the changing nature of surgical training In 1982,...
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Care of the Patient with Retinal Detachment And Related Peripheral Vitreoretinal Disease docx
Ngày tải lên :
22/03/2014, 09:20
... retinal detachment may lose a portion or all of the vision in the involved eye, resulting in a significant reduction in visual performance and an inability to function at his or her occupation and ... pre-existing retinal holes, the increase in retinal detachment following cataract extraction is substantial.104 Prevalence and Incidence The incidence of phakic nontraumatic retinal detachment in the ... history and examination Patient history and examination Supplemental testing Supplemental testing Assessment and diagnosis Assessment and diagnosis Patient counseling and education Treatment and management...
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Báo cáo y học: "Critical care management and outcome of severe Pneumocystis pneumonia in patients with and without HIV infection" pps
Ngày tải lên :
13/08/2014, 10:20
... collection, analysis, and interpretation of data and to the drafting of the manuscript OH contributed to the collection of data AD, CG, CM, and PB were involved in drafting the manuscript or revising ... failed in HIV-negative cases and in HIV-positive case and after first-line endotracheal intubation in HIV-negative case and in HIV-positive cases Mortality Mortality was higher in HIV-negative than ... PCP was the first manifestation of HIV infection and revealed the HIV infection in 27 of the 46 HIV-positive cases In cases receiving pentamidine, PCP occurred during ongoing prophylaxis No HIV-positive...
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Long-Term Care for the Elderly with Disabilities: Current Policy, Emerging Trends, and Implications for the Twenty-First Century docx
Ngày tải lên :
28/03/2014, 17:20
... shopping, money management, and medication management; and transportation The services include hands-on and stand-by or supervisory human assistance; assistive devices such as canes and walkers; and ... purchase insurance were based upon the desire to maintain independence and preserve income and choice, rather than upon a desire to leave an inheritance This discussion of long-term care financing in ... records, and integrated information systems; overarching quality-control systems with a single point of accountability; and flexible funding with incentives to integrate funding streams and minimize...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
Ngày tải lên :
06/07/2014, 20:20
... of skin or systemic disease For instance, the sometimes minor differences in color and shape that distinguish a melanoma (Fig 52-1) from a benign nevomelanocytic nevus (Fig 52-2) can be difficult ... diagnosis (Table 52-4) For instance, the finding of scaling papules (present in patients with psoriasis or atopic dermatitis) places the patient in a different diagnostic category than would hemorrhagic ... (black, blue, brown, pink, and white), a diameter >6 mm, and a history of change (e.g., an increase in size or development of associated symptoms such as pruritus or pain) Figure 52-2 Table 52-1...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
Ngày tải lên :
06/07/2014, 20:20
... scratching Atrophy: An acquired loss of substance In the skin, this may appear as a depression with intact epidermis (i.e., loss of dermal or subcutaneous tissue) or as sites of shiny, delicate, wrinkled ... Poikiloderma: Skin that displays variegated pigmentation, atrophy, and telangiectases Polycyclic: A configuration of skin lesions formed from coalescing rings or incomplete rings Pruritus: A ... predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis, allergic contact dermatitis); it is also commonly associated with xerosis and aged skin Systemic conditions that can be...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
Ngày tải lên :
06/07/2014, 20:20
... lesions An ideal skin examination includes evaluation of the skin, hair, and nails as well as the mucous membranes of the mouth, eyes, nose, nasopharynx, and anogenital region In the initial examination ... taking an extensive history This way, the entire cutaneous surface is sure to be evaluated, and objective findings can be integrated with relevant historic data Four basic features of a skin ... Meningococcemia An example of fulminant meningococcemia with extensive angular purpuric patches (Courtesy of Stephen E Gellis, MD; with permission.) Figure 52-4 Necrotizing vasculitis...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
Ngày tải lên :
06/07/2014, 20:20
... dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules and plaques with overlying adherent silvery scale...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
Ngày tải lên :
06/07/2014, 20:20
... contact (Fig 52-10) or primary irritant dermatitis In contrast, lesions with a generalized arrangement are common and suggest a systemic etiology Figure 52-9 Erythema multiforme ... morphology It usually represents a hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident's Slide Collection; with permission.) Figure...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
Ngày tải lên :
06/07/2014, 20:20
... technique can be utilized to identify hyphae in dermatophyte infections, pseudohyphae and budding yeast in Candida infections (see Fig 196-1), and "spaghetti and meatballs" yeast forms in tinea versicolor ... diagnostic findings This decision may require expertise in skin diseases and knowledge of superficial anatomic structures in selected areas of the body In this procedure, a small area of skin is anesthetized ... information In most instances, they can be performed at the bedside with a minimum of equipment Skin Biopsy A skin biopsy is a straightforward minor surgical procedure; however, it is important to...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
Ngày tải lên :
06/07/2014, 20:20
... by necrotizing vasculitis (Fig 52-4) will not Diascopy is performed by pressing a microscope slide or magnifying lens against a lesion and noting the amount of blanching that occurs Granulomas ... to the patient's back under occlusive dressings and allowed to remain in contact with the skin for 48 h The dressings are removed, and the area is examined for evidence of delayed hypersensitivity ... Wood's lamp, and previously unsuspected areas of involvement often become apparent A Wood's lamp may also aid in the demonstration of tinea versicolor and in recognition of ash leaf spots in patients...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
Ngày tải lên :
07/07/2014, 01:20
... the interval between birth and age 39, in 72 men and in 51 women will develop cancer; for the interval between ages 40 and 59, in 12 men and in 11 women will develop cancer; and for the interval ... disease that could be anywhere in the body Every ache or pain takes on desperate significance Cancer is an exception to the coordinated interaction among cells and organs In general, the cells ... deaths by site for men and women are shown in Table 77-1 Cancer incidence has been declining by about 2% each year since 1992 Table 77-1 Distribution of Cancer Incidence and Deaths for 2007 Male...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
Ngày tải lên :
07/07/2014, 01:20
... (2-fold), and esophageal (2- to 3-fold) cancers are more common in less developed countries Stomach cancer incidence is similar in more and less developed countries but is much more common in Asia than ... common cancers in Africa are cervical, breast, and liver cancers It has been estimated that nine modifiable risk factors are responsible for more than one-third of cancers worldwide These include ... such as smoking or alcohol consumption, that may influence the course of disease and its treatment The family history may suggest an underlying familial cancer predisposition and point out the...
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Chapter 077. Approach to the Patient with Cancer (Part 4) pps
Ngày tải lên :
07/07/2014, 01:20
... examination, radiographs, isotopic scans, CT scans, and other imaging procedures; pathologic staging takes into account information obtained during a surgical procedure, which might include intraoperative ... nodes and/or tissue adjacent to the tumor, and inspection and biopsy of organs commonly involved in disease spread Pathologic staging includes histologic examination of all tissues removed during ... of staging is the TNM (tumor, node, metastasis) system codified by the International Union Against Cancer and the American Joint Committee on Cancer (AJCC) The TNM classification is an anatomically...
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Chapter 077. Approach to the Patient with Cancer (Part 5) doc
Ngày tải lên :
07/07/2014, 01:20
... patient's hand, continuing regular examinations, and taking time to talk 2 The National Cancer Institute maintains a database called PDQ (Physician Data Query) that is accessible on the Internet ... Internet under the name CancerNet at http://www.cancer.gov/cancertopics/pdq Information can be obtained through a facsimile machine using CancerFax by dialing 301-402-5874 Patient information is also ... National Cancer Institute in at least three formats: on the Internet via CancerNet at http://www.cancer.gov/cancer_information/, through the CancerFax number listed above, or by calling 1-800-4-CANCER...
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Chapter 077. Approach to the Patient with Cancer (Part 6) pdf
Ngày tải lên :
07/07/2014, 01:20
... Catecholamines Pheochromocytoma Oncofetal Antigens Alphafetoprotein Hepatocellular carcinoma, gonadal germ Cirrhosis, cell tumor Carcinoembryonic antigen Adenocarcinomas hepatitis Pancreatitis, ... Myeloma Infection, MGUSa immunoglobulin CA-125 Ovarian cancer, some lymphomas Menstruation, peritonitis, pregnancy CA 19-9 Colon, pancreatic, breast cancer CD30 ulcerative colitis Hodgkin's disease, ... Small cell cancer of the lung,neuroblastoma Lymphoma, Ewing's sarcoma Hepatitis, hemolytic many others Tumor-Associated Proteins anemia, Prostate-specific Prostate cancer Prostatitis, antigen prostatic...
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Chapter 077. Approach to the Patient with Cancer (Part 7) ppt
Ngày tải lên :
07/07/2014, 01:20
... physician what they are actually doing The appearance of unexpected toxicity may be an indication that a supplemental therapy is being taken.3 Information about unsound methods may be obtained ... visits, during which the history and physical examination are the major investigations performed As time passes, the likelihood of recurrence of the primary cancer diminishes For many types of cancer, ... recurrence is tantamount to cure However, important medical problems can occur in patients treated for cancer and must be examined (Chap e13) Some problems emerge as a consequence of the disease and some...
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Chapter 077. Approach to the Patient with Cancer (Part 8) potx
Ngày tải lên :
07/07/2014, 01:20
... coordinating the secretory and muscle contraction activity that leads to emesis Diverse receptor types participate in the process, including dopamine, serotonin, histamine, opioid, and acetylcholine ... effective and may enhance the efficacy of prochlorperazine For highly emetogenic agents such as cisplatin, mechlorethamine, dacarbazine, and streptozocin, combinations of agents work best and administration ... oral aprepitant (a substance P/neurokinin receptor antagonist) to this regimen (125 mg on day 1, 80 mg on days and 3) further decreases the risk of both acute and delayed vomiting Like pain, emesis...
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