how should we manage a diabetic patient who has recently had a myocardial infarction
Báo cáo khoa học: "Prehospital advanced trauma life support: how should we manage the airway, and who should do it" ppsx
Ngày tải lên :
12/08/2014, 20:20
... Critical Care February 2004 Vol No Brambrink and Koerner of anaesthetics This group, however, analyzed data from patients who were intubated by paramedics or by physicians at the scene All but ... salvage airway devices [23] and monitoring [24] However, if adequate skills are not available, then critically traumatized patients may rather benefit from adequate ventilation using less invasive ... prehospital advanced life support on outcomes of major trauma patients J Trauma 2000, 48:643-648 Lockey D, Davies G, Coats T: Survival of trauma patients who have prehospital tracheal intubation...
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Emerging Threats and Security Planning - How Should We Decide What Hypothetical Threats to Worry About pdf
Ngày tải lên :
15/03/2014, 15:20
... adversary group that intends to carry out a particular attack and has the weapons and capability to so Therefore, the threat can be viewed as the probability that any scenario will occur in a given ... new threat risks focusing on scenarios that may or may not be that attractive to real attackers—just because a new attack option is available does not mean it will automatically be viewed as superior ... counterterrorism and homeland security capability, security planners at all levels face a variety of tradeoffs Past attacks demonstrate that terrorist groups can attack targets many ways, and even among...
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How Are We Presenting: A Look At How We All Present And Where It All Goes Wrong
Ngày tải lên :
21/07/2014, 11:53
... organisation… …Makes sales as a direct result of presentations 65% Agree 27% Disagree 41% 24% 22% 5% Strongly Agree Agree Disagree Strongly Disagree 8% Unsure …Aims to develop employees presentation ... Presenter reads off screen Lack of understanding of audience's needs Lack of preparation/ practice 53% 49% 46% Tell stories, use visuals, be more human - less robot That’s all folks A huge thanks to ... presentation skills 50% Agree 45% Disagree 37% 27% 18% 13% 5% Strongly Agree Agree Disagree Strongly Disagree Unsure …Take presentations as seriously as they should 55% Agree 42% Disagree 38% 28% 17%...
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báo cáo khoa học: "Unplanned antiretroviral treatment interruptions in southern Africa: how should we be managing these?" pptx
Ngày tải lên :
11/08/2014, 14:21
... S, Rachlis B, Wu P, Cooper C, Thabane L, Wilson K, Guyatt GH, Bangsberg DR: Adherence to antiretroviral therapy in sub-Saharan Africa and North America: a meta-analysis Journal of the American ... resistance in HIV-positive individuals purchasing fixed-dose combination antiretroviral therapy in Kampala, Uganda AIDS 2007, 21:965-971 Spacek LA, Shihab HM, Kamya MR, Mwesigire D, Ronald A, Mayanja ... Abubakar IS, Babashani M, Zubair ZA: Compliance to antiretroviral therapy among AIDS patients in Aminu Kano Teaching Hospital, Kano, Nigeria Nigerian Journal of Medicine 2005, 14:290-294 van Oosterhout...
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Báo cáo y học: "Goal-directed or goal-misdirected – how should we interpret the literature" ppt
Ngày tải lên :
13/08/2014, 20:21
... anesthesiology lead for the creation of the DUMC ERAS program His areas of clinical interest are major vascular, major general, and liver transplantation anesthesia He also has significant scientific ... limitations of our approach, which clearly does not prevent organ failure and death in patients who already have established organ failure We concur that it is impossible to resuscitate dead cells ... the Great Fluid Debates (London, UK) and the 2010 Great Canadian Fluid Debate He is also an attending critical care physician of the Durham Veteran’s Affairs Hospital Surgical Intensive Care Unit...
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Tài liệu Follow-Up of the patient who has received pacemaker pptx
Ngày tải lên :
24/01/2014, 01:20
... Another potential cause for confusion is a pacemaker with a magnet rate that is slower than the pacing rate Modern pacemakers have numerous programs that can vary rate and AV intervals automatically ... of Myocardial Infarction When a pacemaker patient has a myocardial infarction, the diagnosis can be difficult because of a completely paced rhythm distorting the QRS complex and T wave Primary ... wave inversions were new compared to pre-pacemaker placement The patient had somewhat atypical chest pain and known small vessel disease and therefore underwent cardiac catheterization and was...
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báo cáo khoa học: " Factors influencing patient willingness to participate in genetic research after a myocardial infarction" pptx
Ngày tải lên :
11/08/2014, 12:21
... white patients, as compared with African Americans, have been previously described [4,7,8] A lower likelihood of African American participation in medical research generally has also been well ... (Figure 2) The only factors independently associated with participation were African American race, enrollment site, and BMI African American race was associated with a 7% lower rate of consenting ... Data collection For each patient in the parent study, detailed clinical and treatment characteristics were collected by chart abstraction and interview Trained data collectors at each site participated...
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Báo cáo y học: "Cardiac Reoperation in a patient who previously underwent omentoplasty for postoperative mediastinitis: a case rep" ppt
Ngày tải lên :
10/08/2014, 09:21
... laparotomy Laparotomy adds substantial surgical trauma in patients who are already very sick On the contrary, the risk of potential peritoneal contamination seems to be negligible Laparotomy may lead ... Omental flaps have several advantages After complete or partial excision of sternum, the omental flap fills the mediastinal space and obliterates the dead space The flap contains large number ... The omental tissue has an excellent blood supply that limits the spread of infection However, it also has adhesive properties that promote strong pericardial adherences and new vascular anastomosis...
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báo cáo khoa học: "How can we improve guideline use? A conceptual framework of implementability" pps
Ngày tải lên :
10/08/2014, 10:23
... that may facilitate guideline use are summarized in Table One-half of the guidelines were published in journals or available in a summary version, and one-quarter were available as downloadable ... practitioners based at 16 sites Accompanying tools such as checklists and standard orders, summaries such as algorithms or diagrams, navigational support such as color-coded tabs, evaluative data collection ... selected a directed approach, which seeks to validate and extend elements in a framework [45] This means data are coded using elements in the draft framework, and data that cannot be coded are analyzed...
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báo cáo khoa học: "Toxoplasmosis in a patient who was immunocompetent: a case report" pptx
Ngày tải lên :
11/08/2014, 03:20
... equivalent to pyrimethamine/sulfadiazine [7] Maintenance therapy should be started after the acute phase has resolved and should consist of the same regimen as in the acute phase but at half dose ... the acute phase, Page of almost all patients will remain chronically infected with tissue cysts that are dormant and cause no clinical symptoms In contrast, toxoplasmosis in patients who are ... serological methods are more widely used as they are readily available, faster, and cheaper However, testing for IgG antibodies to T gondii should also be performed in asymptomatic patients who are...
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Báo cáo y học: "Percutaneous dilatation tracheostomy: which technique is the best for the critically ill patient, and how can we gather further scientific evidence" pptx
Ngày tải lên :
12/08/2014, 20:20
... percutaneous dilational tracheostomy Ann Surg 2000, 231:701709 Muhammad JK, Major E, Wood A, Patton DW: Percutaneous dilatational tracheostomy: haemorrhagic complications and the vascular anatomy ... 2000, 91:882-886 Westphal K, Byhahn C, Wilke HJ, Lischke V: Percutaneous tracheostomy: a clinical comparison of dilatational (Ciaglia) and translaryngeal (Fantoni) techniques Anesth Analg 1999, 89:938-943 ... equally safe and effective However, because they recognise the limitations of a retrospective analysis, they plan to conduct a prospective, randomized study to compare GWDF and conic dilatational...
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Báo cáo y học: "Noninvasive ventilation for acute lung injury: how often should we try, how often should we fail" docx
Ngày tải lên :
12/08/2014, 23:24
... which showed an increased intensive care unit mortality among NIV patients whose intubation was delayed compared to controls The concern is that some patients treated with NIV as initial therapy ... by Squadrone and colleagues [9] is reassuring in this regard in that it demonstrated that patients failing NIV fared no worse than patients intubated from the start, but the patients had chronic ... spaces, and this explains the worse outcomes However, we agree that it is an intriguing hypothesis that requires more study What messages should we take away from the study by Rana and colleagues...
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Báo cáo y học: "Noninvasive ventilation for acute lung injury: how often should we try, how often should we fail" doc
Ngày tải lên :
12/08/2014, 23:24
... which showed an increased intensive care unit mortality among NIV patients whose intubation was delayed compared to controls The concern is that some patients treated with NIV as initial therapy ... by Squadrone and colleagues [9] is reassuring in this regard in that it demonstrated that patients failing NIV fared no worse than patients intubated from the start, but the patients had chronic ... spaces, and this explains the worse outcomes However, we agree that it is an intriguing hypothesis that requires more study What messages should we take away from the study by Rana and colleagues...
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Báo cáo khoa học: "Should we use central venous saturation to guide management in high-risk surgical patient" doc
Ngày tải lên :
13/08/2014, 03:20
... Poyhonen M, Takala J: A prospective, randomized study of goal-oriented hemodynamic therapy in cardiac surgical patients Anesth Analg 2000, 90:1052-1059 Gattinoni L, Brazzi L, Pelosi P, Latini R, ... that a higher target value of 75% would be more appropriate in patients undergoing major abdominal surgery This finding is consistent with the analysis of ScvO2 data from a recent interventional ... which may lead to a number of problems in practice For example, the aggressive targeting of too high a value for ScvO2 may be harmful, particularly in the elderly The authors make an important point...
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Báo cáo y học: " The lateral trauma position: What do we know about it and how do we use it? A cross-sectional survey of all " ppsx
Ngày tải lên :
13/08/2014, 23:20
... this article as: Fattah et al.: The lateral trauma position: What we know about it and how we use it? A cross-sectional survey of all Norwegian emergency medical services Scandinavian Journal of ... Finnmark Health Trust The Norwegian Air Ambulance Foundation was a financial cosponsor 16 17 Author details Hammerfest Hospital, Department of Anesthesiology and Intensive Care, Finnmark Health ... of airway reflexes, and a supraglottic device has in many services replaced the endotracheal tube (for the same indication) According to Scandinavian recommendations [13], rapid sequence intubation...
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Do We Need a Marriage Contract Understanding How a Legal Agreement Can Strengthen Your Life Together
Ngày tải lên :
11/10/2016, 22:30
... possibility of a marriage contract well in advance of the actual marriage I am married already but something has changed The need for a marriage contract may arise long after the marriage Let’s not ... Guide to Canadian Family Law and Do You Need a Cohabitation Agreement?: Understanding How a Cohabitation Agreement Can Strengthen Your Life Together is all about educating Canadians to be able to ... shock—what was happening to their relationship? The answer: she had stopped taking her antidepressant medication He had no idea that she had been taking medication because she had kept her illness a...
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Báo cáo y học: "Do we need a critical care ultrasound certification program? Implications from an Australian medical-legal perspective"
Ngày tải lên :
25/10/2012, 10:02
... in managing the patient ‘Ultrasound, biopsy and referral were all available as reasonable options in the circumstances It was a breach of duty in the circumstances not to utilize the available ... appropriate [25] Similarly, in Holliday v Curtin, a GP was held not liable for failure to diagnose breast cancer on a young female based on the fact that the doctor had showed reasonable skill and care, ... X-ray revealed the patient in fact had haemothorax, which the intensivist-in-charge had failed to diagnose in time The patient was left in a shock state and later died The intensivist-in-charge...
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