16 b does this dyspneic patient in the emergency department have congestive heart failure
The arrhythmic patient in the emergency 2016
Ngày tải lên :
10/06/2016, 20:20
... Complete AV block Intraventricular block Trifascicular block (RBBB alternating with LBBB, RBBB + LAHB alternating with RBBB + LPHB) Bifascicular block (LBBB, RBBB + LAHB, RBBB + LPHB) and second-degree ... [24] The diagnosis of trifascicular block can be made on surface ECG only in the presence of alternating bundle-branch block (LBBB alternating with RBBB, or RBBB + LAHB alternating with RBBB + ... isolated finding because of both the short course and double vascularization of the left posterior fascicle Right bundle-branch block (RBBB) as an incidental ECG finding is not often linked to heart...
- 214
- 1.9K
- 9
Báo cáo hóa học: " Transvaginal evisceration progressing to peritonitis in the emergency department: a case report" potx
Ngày tải lên :
20/06/2014, 23:20
... East, Abingdon, VA 24210 USA Authors’ contributions KC treated the patient in the ED and was involved in drafting the manuscript LL cared for the patient in the ED and was involved in drafting the ... assessed in triage In an era of emergency department crowding, emergency physicians should reevaluate nursing education on triaging abdominal pain to prevent delays in caring for well-appearing patients ... Most patients report sudden onset of abdominal pain, a mass protruding from the vagina, vaginal bleeding, nausea, or vaginal discharge [2] Despite the potential for significant morbidity, most patients...
- 4
- 401
- 0
Báo cáo hóa học: " Evaluation of the diagnostic indices and clinical utility of qualitative cardiodetect® test kit in diagnosis of ami within 12 hours of onset of chest pain in the emergency department" pptx
Ngày tải lên :
20/06/2014, 23:20
... was tested for both TnT and H-FABP, irrespective of the ECG findings The remaining blood samples were tested for other routine blood investigations, including full blood count (FBC), renal profile ... examination, and ECG findings of the patient being investigated Under ideal experimental conditions, the Cardio Detect® test would have been read by a separate observer who is blinded to the patient s ... invaluable in establishing a diagnosis of AMI in the ED setting A number of established cardiac biomarkers have been available on the market, and several new promising assays with better sensitivity have...
- 9
- 463
- 0
Báo cáo hóa học: " Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department" docx
Ngày tải lên :
21/06/2014, 01:20
... appropriate for the ED setting Meningeal biopsy and non-specific biomarkers are sometimes obtained during the inpatient evaluation Emergency department management of seizure includes benzodiazepines and ... appropriate in patients who can be managed as an outpatient Alternative pain management drugs like amitriptyline, gabapentin, carbamazepine, or benzodiazepines may be prescribed for chronic pain Acute ... Leptomeningeal metastases in the MRI era Neurology 2010, 74:1449-54 Kaal EC, Vecht CJ: The management of brain edema in brain tumors Curr Opin Oncol 2004, 16(< /b> 6):593-600 Grant R, Naylor B, Greenberg...
- 3
- 241
- 0
Báo cáo hóa học: " Albuterol enantiomer levels, lung function and QTc interval in patients with acute severe asthma and COPD in the emergency department" pptx
Ngày tải lên :
21/06/2014, 03:20
... summarised in Table The initial baseline respiratory test (PEF) was not performed in three subjects, partly because of the severity of their symptoms, but was estimated by clinicians to be less ... when administered by an inhaler in the emergency department setting Long-term effect(s) of continuous high circulating albuterol enantiomer concentrations remain unknown, and further investigations ... we observed relatively high albuterol levels in the circulation (some more than 10 times the level observed in the study by Lotvall et al [24]), but we observed no corresponding variation in extrapulmonary...
- 8
- 412
- 0
Báo cáo y học: "Successful resuscitation of an elderly man with deep accidental hypothermia using portable extracorporeal circulation in the emergency department: a case report" pps
Ngày tải lên :
11/08/2014, 23:21
... As the aircraft landed, a pulse and blood pressure became unobtainable He arrived on a backboard with a cervical collar in place, his trachea intubated, and a 20 gauge intravenous line infusing ... (Medtronic, Inc., Minneapolis, MN) CPB was initiated within 10 minutes of the decision for its use and 58 minutes after the arrival of the patient to the ED; the patient' s core temperature was 25°C An initial ... prothrombin time was 16.< /b> 1 seconds, partial promboblas- Figure Temporal events related to the rewarming of the patient Temporal events related to the rewarming of the patient Page of (page number...
- 5
- 308
- 0
Báo cáo khoa học: " Procalcitonin as a marker of bacterial infection in the emergency department: an observational study" pptx
Ngày tải lên :
12/08/2014, 20:20
... intensive care unit of other hospitals, were included in the study than phlebotomy for the study proteins Three groups of patients were defined based on clinical findings, on laboratory findings, ... infected patients and in 18.4% of the noninfected patients (P < 0.001) (Table 4) In patients with SIRS (n = 69), there was no difference in the proportion fulfilling the WBC count criteria between infected ... Assicot M, Bohuon C: Procalcitonin increase after endotoxin injection in normal subjects J Clin Endocrinol Metab 1994, 79 :160< /b> 5 -160< /b> 8 24 Assicot M, Gendrel D, Carsin H, Raymond J, Guilbaud J, Bohuon...
- 9
- 355
- 0
Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department" ppsx
Ngày tải lên :
12/08/2014, 20:20
... difficult intubation is anticipated Blind nasal intubation during spontaneous breathing, laryngeal mask airway, intubating laryngeal mask airway, transtracheal needle jet ventilation, and fiberoptic bronchoscopy ... ventilation) may be necessary for delivering high inspired oxygen concentration and eliminating the work of breathing during resuscitation in the ED Elimination of work of breathing can reduce ... studies have raised questions regarding the utility of PAC in the intensive care unit (ICU) setting because this type of monitoring does not translate into a decrease in mortality or morbidity...
- 7
- 221
- 0
Báo cáo khoa học: "Bench-to-bedside review: Outcome predictions for critically ill patients in the emergency department" potx
Ngày tải lên :
12/08/2014, 22:21
... setting, but it is probably too abbreviated Because most of the variables included in the score are vital signs, it may be too sensitive as a prediction tool For example, patient anxiety during ... clinicians by providing greater certainty in the effects of interventions provided in the ED; improving the understanding of existing physiologic measurements and their influence on outcomes; reducing ... how scoring systems were derived and how they are being used clinically Scoring systems in trauma Trauma scoring systems have also been used in the triage of trauma patients and to predict their...
- 8
- 295
- 0
Báo cáo y học: " Critical Care in the Emergency Department: An assessment of the length of stay and invasive procedures performed on critically ill ED patients" doc
Ngày tải lên :
13/08/2014, 23:20
... critically ill patients in the ED is incomplete The primary objective of this study is to determine the length of stay of critically ill patients receiving care in a tertiary care adult emergency department ... criteria included patients under 17 years, patients transferred to the ED from another hospital, patients managed by the multi-disciplinary trauma team (and therefore may not have been managed by an ... ill patients varied (Table 2) The majority of patients received at least one invasive procedure in the ED (Table 3) Of the 178 patients, 125 patients (125,178, 70.2%) required endotracheal intubation...
- 5
- 372
- 0
Báo cáo y học: "Risk assessment in the first fifteen minutes: a prospective cohort study of a simple physiological scoring system in the emergency department" ppsx
Ngày tải lên :
14/08/2014, 07:21
... from the hospital database Secondary outcome was the combined endpoint ICU admission or death in ED The combined endpoint was chosen to account for the fact that death occurring in the ED before ... the difference between scores and was not significant (Table 4) Vital sign instabilities developed or increased in 516 < /b> patients while in the emergency department (VSSmax > VSSinitial) These patients ... part of the clinical routine It is conceivable that the use of continuous monitoring technologies and protocols triggering changes in routine monitoring and treatment based on the observed abnormalities...
- 9
- 416
- 0
Adherence to and efficacy of an evidence based management algorithm for acute asthma in the emergency department
Ngày tải lên :
26/09/2015, 11:07
... the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH) in the USA initially published guidelines for the diagnosis and management of asthma in 1991 .The ... Canadian Clinical Practice Guidelines) Recommendations are similar to the ones in the United States: Beta2-agonists are the first-line therapy for the management of acute asthma in the emergency department; ... introduction of the clinical algorithm; patients admitted during the same month in 2001, after dissemination of the clinical algorithm 19 In the process of data collation, we used the paper-based as the...
- 47
- 168
- 0
Báo cáo khoa học: Identification and expression of the first nonmammalian amyloid-b precursor-like protein APLP2 in the amphibian Xenopus laevis ppt
Ngày tải lên :
16/03/2014, 16:20
... present in the other members of the APP superfamily, such as the absence of the exon encoding the KPI domain and the lack of a second heparin-binding domain [3,4,13,26] Comparative analysis of the ... by a dotted underline, while the transmembrane domains are indicated by a bold underline Domains encoded by alternatively spliced exons, the most N-terminal being a Kunitz type protease inhibitor ... a zinc-modulated heparinbinding superfamily J Biol Chem 269, 26618–26621 14 Multhaup, G., Bush, A.I., Pollwein, P & Masters, C.L (1994) Interaction between the zinc (II) and the heparin binding...
- 7
- 405
- 0
Báo cáo Y học: A polymer with a backbone of 3-deoxy-D-glycero -D-galacto -non-2ulopyranosonic acid, a teichuronic acid, and a b-glucosylated ribitol teichoic acid in the cell wall of plant pathogenic Streptomyces sp. VKM Ac-2124 pdf
Ngày tải lên :
17/03/2014, 10:20
... in the ROESY spectrum and the correlation peak H-1(D)/C-8(C) at 4.55/ 79.40 p.p.m in the HMBC spectrum The downfied shift of the C-4 resonance of the b- Kdn residue in the 13C NMR spectrum of this ... nonsubstituted b- Kdn [28] revealed the 2fi4 linkage between the Kdn units in the polysaccharide The anomeric configuration of the glucose residue was b, which was concluded in particular from the ... cell wall [3] based on the coincidence of the H and 13C chemical shifts in the NMR spectra of both these polymers This was confirmed additionally by the observation of the correlation peaks H-1(D)/H-8(C)...
- 6
- 561
- 0
This article appears in the February 2010 issue ofThe journal of high-performance potx
Ngày tải lên :
28/06/2014, 17:20
... influence are found in the emerging world—notably in what Accenture calls the “Big 6” or B6 ” emerging economies (Brazil, China, India, Mexico, Russia and South Korea) But they also include the ... measured by factors including the size of the bond and equity markets relative to the size of the economy The results of our analysis confirm that what Accenture calls the the Big or B6 economies (the ... world, generating revenues of $16.< /b> 7 billion in 2008 Say a retailer is looking to open up a buying office in a particular market but lacks either the resources or the skills to run it In this case,...
- 11
- 237
- 0
Báo cáo y học: " Tumour necrosis factor-α stimulates dehydroepiandrosterone metabolism in human fibroblast-like synoviocytes: a role for nuclear factor-κB and activator protein-1 in the regulation of expression of cytochrome p450 enzyme 7b" doc
Ngày tải lên :
09/08/2014, 07:20
... in Cyp 7b activity We further investigated a putative role for MAPKs in the TNFα-induced increase in Cyp 7b activity by using the MEK1 inhibitor PD98059 and the p38 inhibitor SB203580 The p38 inhibitor ... with avidin-biotin-peroxidase (Brunschwig Chemie, Amsterdam, The Netherlands) Following washing, the substrate was incubated for 10 with enhanced diaminobenzidine in stable peroxi- dase buffer ... or absence (-) of the mitogen-activated protein kinase (MAPK) kinase (MEK)1 inhibitor PD98059 (PD) or the p38 inhibitor SB203580 (SB) Thereafter, cells were incubated in the presence or absence...
- 10
- 462
- 0
Báo cáo y học: " Aberrant splicing of the hRasGRP4 transcript and decreased levels of this signaling protein in the peripheral blood mononuclear cells in a subset of patients with rheumatoid arthritis" pdf
Ngày tải lên :
12/08/2014, 18:20
... HMC-1 line, including the transcripts that encode prostaglandin D2 synthase, the transcription factor GATA-1, and the interleukin (IL)-13 inhibitory receptor IL13Rα2 [5, 8] In support of these in ... bovine serum albumin (meBSA) [16-< /b> 19] Activated MCs produce a diverse array of proinflammatory factors, including varied granule serine proteases In the K/BxN mouse serum-transfer [20] and meBSA/IL-1 ... possibly other cell types in some patients with RA We now report that abnormal splicing of the hRasGRP4 transcript is frequent in the PBMCs of RA patients The accumulated data raise the possibility...
- 37
- 421
- 0
Báo cáo y học: "Does serum procalcitonin have a diagnostic value in febrile adult patients presenting to the emergency department" potx
Ngày tải lên :
13/08/2014, 08:21
... et al intermediate pretest probability and maybe not in patients with a low or high pretest probability This hypothesis deserves further studies Thirdly, it should be pointed out that, in contrast ... Firstly, assess the LR in subgroups of patients, according to the pretest probability determined by the physician; secondly, test an algorithm that includes PCT measurement; thirdly, test the usefulness ... issue of the prescription of antibiotics and the potential added value of biomarkers like PCT Therefore we think that the next important steps in assessing PCT diagnostic values are the following:...
- 2
- 260
- 0
Báo cáo y học: "Two devils: hypernatremia and hyponatremia can show faces to the same patient in the intensive care unit" pps
Ngày tải lên :
13/08/2014, 15:21
... et al Competing interests The authors declare that they have no competing interests Reference Stelfox HT, Ahmed SB, Khandwala F, Zygun D, Shahpori R, Laupland K: The epidemiology of intensive care ... intensive care unit-acquired hyponatremia and hypernatremia in medical–surgical intensive care units Crit Care 2008, 12:R162 Page of (page number not for citation purposes) ...
- 2
- 285
- 0
ĐƠN GIẢN hóa NHỮNG mặt CONG TRONG mô HÌNH b REP SMALL FILLET SUPPRESSION IN THE b REP MODEL
Ngày tải lên :
08/06/2016, 12:57
... hình B- rep 2.4 Phương pháp thực Các fillets mô hình B- rep chia thành hai loại edge blend faces (EBFs) vertex blend faces (VBFs) Hình dạng ban đầu EBF cạnh, VBF đỉnh; VBFs thường nơi giao EBFs ... (a) EBF VBF, (b) smooth edge, cross edge, end edge, support face VBF đơn ẻẽ gọi single vertex blend face, VBFs kết nối với thành nhóm gọi multiple vertex blend faces Sau đơn giản hóa, loại VBFs ... 2.4.4 Xóa EBF, VBF liệu liên quan Mỗi EBF VBF có liệu liên quan gồm: vertices, edges, trims, loops, faces, 3D curves, 2D curves surfaces Muốn xóa b EBF VBF, cần phải xóa phần tử mảng liệu B- rep,...
- 7
- 273
- 0