Báo cáo y học: "Clinical review: Influenza pandemic – physicians and their obligations" doc

... If influenza does strike in pandemic proportions, this need is likely to be tremendous. The planning assumptions for a 1957-like moderate pan- Review Clinical review: Influenza pandemic – physicians ... HIV epidemic and during the 2003 SARS outbreak. With an influenza pandemic looming as an imminent probability, all physicians need to ask what sacrifices are demanded i...

Ngày tải lên: 13/08/2014, 11:22

... immediately upon recognition of the critically ill (or potentially critically ill) patient, who has been defined as ‘any patient who is physiologically unstable, requiring constant and minute-to-minute ... will probably be variability in clinical decision making when patients are co-managed by two different teams of physicians. Collaborative protocols may help to reduce transitional errors...

Ngày tải lên: 12/08/2014, 20:20

... shorter than that of most commonly abused opioids and thus readministration may be necessary. Respiratory depression and hypostatic pneumonia may occur in gamma hydroxybutyrate (GHB) intoxication. There ... electrocardiogram; GHB = gamma hydroxybutyrate; GTN = glyceryl trinitrate; MDMA = 3,4-methylenedioxymethamphetamine; MI = myocardial infarction. methylenedioxymethamphetamine (‘ecstasy...

Ngày tải lên: 13/08/2014, 08:20

... portionate manner [1,2]. Previous infl uenza pandemics have repeatedly docu- mented disproportionate morbidity and mortality among pregnant women, with mortality rates of two to four times the same ... simultaneously converging on medical facilities Abstract The ongoing pandemic of 2009 H1N1 swine-origin in uenza A has heightened the world’s attention to the reality of in uenza pand...

Ngày tải lên: 13/08/2014, 20:21

... uncomplicated influenza, bronchoscopy typically reveals diffuse inflammation and edema of the larynx, trachea, and bronchi, and biopsy may show cellular infiltration with lymphocytes and histocytes and ... respiratory distress syndrome (ARDS) account for the majority of severe morbidity and mortality that accompany pandemic influenza infection [14]. Pneumonia may occur as a c...

Ngày tải lên: 13/08/2014, 20:21

... contraction, by irregularity of ventricular contraction [43], by inadequate filling time for the left ventricle due to tachycardia, and by tachycardiomyopathy [8,44]. Tachycardiomyopathy can occur ... morbidity In all patient categories, AF is associated with increased morbidity. This is reflected by the number of reported symptoms and by the days spent in the ICU and in the hospital. H...

Ngày tải lên: 25/10/2012, 10:35

... Conversely, high-reliability organizations such as aircraft carriers, nuclear power plants, and air traffic controllers have markedly improved safety by standardizing practices and investing in safety ... only adverse events. These include greater event frequency for quantitative analysis, fewer reporting barriers partly owing to fewer liability concerns, and an opportunity to study rec...

Ngày tải lên: 25/10/2012, 10:35

... 1957, and the 1968 pandemics. However, in facing the current influenza A(H1N1)v pandemic, there are epidemiologic similarities between the 191 8–1 919 influenza pandemic and the onset of the 2009 influenza ... outbreak to a category of a moder- ately severe influenza pandemic [6]. Since the 1968 Hong Kong pandemic, this is the first declaration of an influ- enza pandemic...

Ngày tải lên: 11/08/2014, 08:21

... vital capacity (MEF 75 , MEF 50 , and MEF 25 respectively) and maximal expira- tory flow between 25% and 75% of the FVC (MEF 2 5–7 5 ) are reduced significantly. The abnormally high airway resistance observed ... primarily related to the fact that the highly increased airway expiratory resistance, the high ventilatory demands, the short expiratory time, and the increased post-inspir...

Ngày tải lên: 12/08/2014, 18:21

... infection in the ICU [13]. Hand washing is clearly simple and should be routinely adopted based on its efficacy and low cost. As with hand washing, the use of protective gowns and gloves during patient ... the excess morbidity attributable to NP as between 10 and 32 days [10]. This figure was later corroborated by other workers. Leu et al. reported 9.2 days of additional hospital stay...

Ngày tải lên: 12/08/2014, 18:21