Báo cáo y học: " Ethics roundtable: Using new, expensive drugs" pot

... it. Kelly concludes that this therapy can be considered morally extraordinary and forgone by the patient or surrogate, but it should not be a medical decision that is made unilaterally by physicians. Crippen ... justify the means. Somewhere between these two, health care providers have a potential to apply their own value system to QoL assessments, and this always gets in the way of patient a...

Ngày tải lên: 12/08/2014, 18:21

... heavily sedated with propofol, but otherwise presumably neurologically intact. Would you want Commentary Ethics roundtable debate: should a sedated dying patient be wakened to say goodbye to family? Anna ... family terminally, even in the environment of an ICU. Second, if I knew the patient and family before the critical illness, either as their primary care physician or socially, and I rea...

Ngày tải lên: 12/08/2014, 19:22

... Federal Ministry for Work, Family and Social Order); 1993. 10. Anonymous: Ethics and the care of critically ill infants and chil- dren. American Academy of Pediatrics Committee on Bioethics. Pediatrics ... to Comfort. Edited by Curtis JR, Rubenfield GD. New York: Oxford University Press; 2001:273-288. 22. Anonymous: Consensus statement of the Society of Critical Care Medicine’s Ethics Com...

Ngày tải lên: 12/08/2014, 20:20

... H’ therapy, which consists of hypervolaemia, induced arterial hypertension and haemodilution. Monitoring during this therapy with a central venous catheter (or even a pulmonary artery catheter) ... patients: morbidity, mortal- ity and glycopeptide use. Infect Control Hosp Epidemiol 2001, 22:687-692. 21. Boyce JM: Methicillin-resistant Staphylococcus aureus: detec- tion, epidemiology, and cont...

Ngày tải lên: 12/08/2014, 20:21

... 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 ... third party, either the state or insurance of some sort, has taken responsibility for payment, but the relationship is complex, and ultimately the individual or (more likely) the family remains...

Ngày tải lên: 13/08/2014, 20:21

... 21 st century, gene expression profiles in 60 human cancer cell lines used in a drug discovery screen were evaluated by cDNA microarrays and cor- rected with drug activity patterns by combining ... for physicians applying genetic tests, for example the low tolerance for uncertainty, negative attitudes about their responsibility for genetic counseling and testing, and unfamiliarity with ... bi...

Ngày tải lên: 10/08/2014, 09:22

... because we can, does that mean we should? We have also not yet decided how to ensure that any potential benefits are fairly and equitably accessible to the greatest number of patients, if indeed ... Emergency and Critical Care Medicine, Saint Francis Medical Center, Pittsburgh, Pennsylvania, USA Correspondence: Laura Hawryluck, laura.hawryluck@utoronto.ca Published online: 11 January 2002 Cri...

Ngày tải lên: 12/08/2014, 18:21

... urinary SID. Unfortunately, no such investigation has been conducted in critically ill patients. As discussed above, SID has been studied in comparison with base excess but without any physiological rationale ... net amount of charge equal to V infusion × [SID infusion ] will be added to the system. Similarly, the urinary system will excrete a volume of urine (V urine ) with its own SID (SID...

Ngày tải lên: 12/08/2014, 23:23

... emergency call should be responded to immediately and the nearest ambulance should be dis- patched to the scene immediately. Priority code C; the patient needs assessment by an emergency care ... between the municipality-based centers and the new EMCC indicates that priority codes A and C were used in a different way in the new system, with more priority A and fewer priority C dispatch assess...

Ngày tải lên: 25/10/2012, 10:02

... hyperurice- mia. [21-24] Contemporary use of alkalinization, hy- dration and rasburicase at 0.10 mg/kg for 3-5 days maintains the same efficacy. [25] Anyway, we may have favourable issues by ... clinical manifestations. Hyperuricemia and hyperphosphatemia severely worsen renal functionality; hyperkalemia and hypo- calcemia compromises regular cardiac rhythm causing arrhythmias, sometimes...

Ngày tải lên: 31/10/2012, 14:59