2 ngo hospital environment and facilities
Ryan’s Ballistic Trauma docx
Ngày tải lên :
29/06/2014, 09:20
... in war and trauma and new strategies are being tried These include 1.4.2.2 Courses and Workshops in War and Conflict Surgery These are run by military and humanitarian agencies The ICRC and the ... period 1982–2009 War and terror have come to our streets, towns, and cities causing civilian urban hospitals to take on the mantle of field hospitals in war J.M Ryan Conflict and Catastrophe Medicine, ... populations and the spiraling cost to civilian bystanders The most startling consequence is that the clear and distinct separation between trauma surgery on the battlefield and in civilian hospitals...
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Care of the Patient with Retinal Detachment And Related Peripheral Vitreoretinal Disease docx
Ngày tải lên :
22/03/2014, 09:20
... history and examination Patient history and examination Supplemental testing Supplemental testing Assessment and diagnosis Assessment and diagnosis Patient counseling and education Treatment and ... ophthalmoscopy and the greater the number and size of retinal folds in the detachment In longstanding detachments, the scarring and contraction of the degenerating retina cause the folds to flatten and ... morbidity and severe vision loss related to retinal disease through diligent monitoring and timely consultation or referral Monitor the gains obtained through treatment Inform and educate patients and...
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Báo cáo y học: "Critical care management and outcome of severe Pneumocystis pneumonia in patients with and without HIV infection" pps
Ngày tải lên :
13/08/2014, 10:20
... therapeutic modalities; medications received; time course and modalities for ventilatory support; hospital and ICU lengths of stay; and ICU, 28day, and 90-day mortality rates Severity of illness on admission ... analysis and interpretation of data, and drafted the manuscript EV-P conceived the study, performed the collection of data, and contributed to the analysis and interpretation of data and to the ... information; comorbid condition; prehospital use of antiretroviral, prophylactic, and immunosuppressive medications; initial vital signs and laboratory data; organ failures and severity of the disease...
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Long-Term Care for the Elderly with Disabilities: Current Policy, Emerging Trends, and Implications for the Twenty-First Century docx
Ngày tải lên :
28/03/2014, 17:20
... like meal preparation and cleaning; life management such as shopping, money management, and medication management; and transportation The services include hands-on and stand-by or supervisory ... of home and community-based care—residential care—includes assisted living facilities, board and care, and adult foster homes The boundaries between institutional and noninstitutional environments ... bypass hospitals altogether or that focuses on longer-term rehabilitation, ventilation care, and the like.) More and more acute care and high-tech rehabilitation formerly provided in hospitals...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
Ngày tải lên :
06/07/2014, 20:20
... terms have been developed to characterize cutaneous lesions (Tables 52-1, 52-2, and 52-3 as well as Fig 52-3) and to formulate a differential diagnosis (Table 52-4) For instance, the finding ... (Figs 52-4 and 52-5, respectively) It is also important to differentiate primary from secondary skin lesions If the examiner focuses on linear erosions overlying an area of erythema and scaling, ... erythema and scaling, he or she may incorrectly assume that the erosion is the primary lesion and the redness and scale are secondary, while the correct interpretation would be that the patient has...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
Ngày tải lên :
06/07/2014, 20:20
... loss of dermis Ulcer: Loss of epidermis and at least a portion of the underlying dermis Excoriation: Linear, angular erosions that may be covered by crust and are caused by scratching Atrophy: ... erythematous macules and/ or papules that resemble lesions seen in measles Nummular: Coin-shaped lesions Poikiloderma: Skin that displays variegated pigmentation, atrophy, and telangiectases Polycyclic: ... xerosis and aged skin Systemic conditions that can be associated with pruritus include chronic renal disease, cholestasis, pregnancy, malignancy, thyroid disease, polycythemia vera, and delusions...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
Ngày tải lên :
06/07/2014, 20:20
... types of primary and secondary lesions, the shape of individual lesions, and the arrangement of the lesions An ideal skin examination includes evaluation of the skin, hair, and nails as well ... cutaneous surface is sure to be evaluated, and objective findings can be integrated with relevant historic data Four basic features of a skin lesion must be noted and considered during a physical examination: ... character of the skin and the distribution of lesions can be evaluated Indeed, distribution of lesions often correlates highly with diagnosis (Fig 52-6) For example, a hospitalized patient with...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
Ngày tải lên :
06/07/2014, 20:20
... some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules and plaques with overlying adherent...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
Ngày tải lên :
06/07/2014, 20:20
... 52-10) or primary irritant dermatitis In contrast, lesions with a generalized arrangement are common and suggest a systemic etiology Figure 52-9 Erythema multiforme This eruption is characterized by...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
Ngày tải lên :
06/07/2014, 20:20
... reduced and the condenser is lowered This technique can be utilized to identify hyphae in dermatophyte infections, pseudohyphae and budding yeast in Candida infections (see Fig 196-1), and "spaghetti ... with a no 15 scalpel blade, and the removed scale is collected on a glass microscope slide then treated with to drops of a solution of 10–20% KOH KOH dissolves keratin and allows easier visualization ... against the surface of the skin and rotated with downward pressure until it penetrates to the subcutaneous tissue The circular biopsy is then lifted with forceps, and the bottom is cut with iris...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
Ngày tải lên :
06/07/2014, 20:20
... a lesion and noting the amount of blanching that occurs Granulomas often have an opaque to transparent, brown-pink "apple jelly" appearance on diascopy Figure 52-11 Urticaria Discrete and confluent, ... white under a Wood's lamp, and previously unsuspected areas of involvement often become apparent A Wood's lamp may also aid in the demonstration of tinea versicolor and in recognition of ash leaf ... applied to the patient's back under occlusive dressings and allowed to remain in contact with the skin for 48 h The dressings are removed, and the area is examined for evidence of delayed hypersensitivity...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
Ngày tải lên :
07/07/2014, 01:20
... birth and age 39, in 72 men and in 51 women will develop cancer; for the interval between ages 40 and 59, in 12 men and in 11 women will develop cancer; and for the interval between ages 60 and ... Surveillance, Epidemiology, and End Results (SEER) database, which tabulates cancer incidence and death figures from nine sites, accounting for about 10% of the U.S population, and from population data ... 678,060 women) were diagnosed and 559,650 persons (289,550 men, 270,100 women) died from cancer The percent distribution of new cancer cases and cancer deaths by site for men and women are shown in...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
Ngày tải lên :
07/07/2014, 01:20
... made to define the primary site based on age, sex, sites of involvement, histology and tumor markers, and personal and family history Particular attention should be focused on ruling out the most ... workers, rehabilitation medicine specialists, and a number of other consulting professionals working closely with each other and with the patient and family ... consumption, obesity, physical inactivity, low fruit and vegetable consumption, unsafe sex, air pollution, indoor smoke from household fuels, and contaminated injections Figure 77-3 Patient Management...
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Chapter 077. Approach to the Patient with Cancer (Part 4) pps
Ngày tải lên :
07/07/2014, 01:20
... (usually N0 and N1 for the absence and presence, respectively, of involved nodes, although some tumors have more elaborate systems of nodal grading), and the presence of metastatic disease (M0 and M1 ... assistance and frequent medical care 40 Disabled; requires special care and assistance 30 Severely disabled; hospitalization is indicated although death is not imminent 20 Very sick; hospitalization ... noninvasive and invasive diagnostic tests and procedures This process is called staging There are two types Clinical staging is based on physical examination, radiographs, isotopic scans, CT scans, and...
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Chapter 077. Approach to the Patient with Cancer (Part 5) doc
Ngày tải lên :
07/07/2014, 01:20
... radiation oncologist, and surgeon is crucial to achieving optimal results Sometimes the chemotherapy and radiation therapy need to be delivered sequentially, and other times concurrently ... local culture in both the university and the practice settings However, it is now possible to gain access electronically to standard treatment protocols and to every approved clinical research ... plan either to follow a standard protocol precisely or else to be part of an ongoing clinical research protocol evaluating new treatments Ad hoc modifications of standard protocols are likely...
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Chapter 077. Approach to the Patient with Cancer (Part 7) ppt
Ngày tải lên :
07/07/2014, 01:20
... treated for cancer and must be examined (Chap e13) Some problems emerge as a consequence of the disease and some as a consequence of the treatment An understanding of these disease- and treatment-related ... a year, every months for a year, every months for a year, and then annually At each visit, a battery of laboratory and radiographic and imaging tests were obtained on the assumption that it is ... battery of diagnostic tests and their manifest lack of impact on survival, new guidelines are emerging for less frequent follow-up visits, during which the history and physical examination are...
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Chapter 077. Approach to the Patient with Cancer (Part 8) potx
Ngày tải lên :
07/07/2014, 01:20
... features, provocative and palliative factors, and intensity (Chap 12); a review of the oncologic history and past medical history as well as personal and social history; and a thorough physical ... effective and may enhance the efficacy of prochlorperazine For highly emetogenic agents such as cisplatin, mechlorethamine, dacarbazine, and streptozocin, combinations of agents work best and administration ... cerebral cortex, and peripherally in the intestinal tract lead to stimulation of the vomiting center in the medulla, the motor center responsible for coordinating the secretory and muscle contraction...
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