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

... 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 war...

Ngày tải lên: 13/08/2014, 20:21

... 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 caused by the direct physiological consequences...

Ngày tải lên: 13/08/2014, 08:21

... patients (10.5%), of which 96% were Commentary Myocardial infarction on the ICU: can we do better? Ian Webb and James Coutts Department of Cardiology, St Thomas’ Hospital, Guys and St Thomas’ NHS Foundation ... often subject to sustained adverse physiology. Typical signs and symptoms can be difficult to elicit and surrogate physiological markers of impaired coronary perfusion masked or mis...

Ngày tải lên: 13/08/2014, 08:21

... with their feet anyway so I think a lot of factors will kick in when you choose your foot- wear Iwishitwasdifferent” Ivy, 64 years old, a volunteer, widowed. The perception of footwear had changed ... annoying because I’ monly36andI don’ twanttobewearingshoesthatsomebody about 70 should be wearing I would love to wear something really girly but I just can’ t a bit more feminine.” Rose, 36 yea...

Ngày tải lên: 10/08/2014, 21:24

... day 1, relatively short length of stay (LOS) in the ICU, and the ability of almost all patients to complete a structured interview within 3 days of ICU discharge. Although this might be viewed ... discomfort as a less worrying problem and might even view it as (potentially) unavoidable. Illness severity in this study was moderate, as evidenced by the modest Acute Physiology and Chronic Hea...

Ngày tải lên: 12/08/2014, 20:20

... 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 informed consent. The 36 healthy individuals (15 females and 21 males) were recruited on a voluntary basis by the Huber laboratory and were between 18 and 65 years of age. The 112...

Ngày tải lên: 13/08/2014, 01:20

... conferences were initially started primarily as a way to 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 the South African government were at cross- purposes on the most important public health issue of our day. What has now prompted these welcome changes in South African p...

Ngày tải lên: 13/08/2014, 09:20

... 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 and primary biliary c...

Ngày tải lên: 13/08/2014, 13:20

... 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 sy...

Ngày tải lên: 13/08/2014, 20:21

... for this syndrome. The fourth point has been studied in emergency departments. Afilalo et al. [20] showed that the use of a standardized community system between family GPs and emergency departments ... a city with > 20,000 inhabit- ants. The nearest ICUs were within 25 km of the working city for 90% of GPs, whereas university hospitals were within that range for only 54% of GPs. Sixty-nin...

Ngày tải lên: 13/08/2014, 20:22