24— postoperative care in the neurointensive care unit
Báo cáo y học: "Transthoracic echocardiography for the diagnosis of left ventricular thrombosis in the postoperative care unit" ppt
... echocardiograms from patients in the postoperative care unit to assess the role of TTE in thrombus identification in the left ventricle during the postoperative period The postoperative care unit receives both ... Conclusions There is clear value in using TTE imaging of the heart for the purpose of cardiovascular evaluation and optimization in the postoperative period This report demonstrates that information gained ... echocardiography Thrombi generally involve the apex of the left ventricle, most often in the presence of akinesis or dyskinesis Although myocardial infarction is the most common predisposing cause of left ventricular...
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Báo cáo y học: "Longitudinal evaluation the pulmonary function of the pre and postoperative periods in the coronary artery bypass graft surgery of patients treated with a physiotherapy protocol" ppt
... the goal of optimizing pulmonary function Physiotherapy, including incentive spirometry, should be continued in the postoperative period Limitations of the study The present study should be interpreted ... the position of the drains [13] Pain due to thoracotomy is a limiting factor for mobility and breathing A high level of postoperative pain is common because of the cutting of the skin, muscles and ... and maintain the strain with their respiratory muscles for seconds Protocol All the subjects in the CABG group had a preoperative evaluation and orientation in accordance to the physiotherapy...
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Báo cáo y học: "The epidemiology of intensive care unit-acquired hyponatraemia and hypernatraemia in medical-surgical intensive care unit"
... under the care of the Department of Critical Care Medicine These ICUs are closed units, staffed by fully trained intensivists and currently include one 24-bed medical-surgical ICU that serves as the ... hospital care to the residents of the city of Calgary and surrounding areas (population 1.2 million) in the province of Alberta, Canada [14] All critically ill adult patients in the CHR are managed in ... Schijndel RJ, Thijs LG: Hypernatremia in the intensive care unit: an indicator of quality of care? Crit Care Med 1999, 27:1105-1108 Lindner G, Funk GC, Schwarz C, Kneidinger N, Kaider A, Schneeweiss...
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Báo cáo khoa học: " Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit"
... for bias in the results and is a limitation of the study Medical errors are among the leading causes of death in the United States In its highly publicised report, the Institute of Medicine estimates ... those reported in a recent study of prescription errors in UK critical care units [12] There was no difference in the mean APACHE II score in the HWP and CPOE periods, indicating that it is unlikely ... using the Clinical Informacomputerised physician order entry (CPOE) using the Clinical Information System with 95% confidence intervals Hand-written prescribing (HWP) data collection began on the...
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Báo cáo khoa học: "The clinical value of daily routine chest radiographs in a mixed medical–surgical intensive care unit is low"
... participated in the collection and interpretation of the data and were involved in drafting the manuscript MG participated in analysis and interpretation of the data and in drafting the manuscript ... finding' was any old finding not expected by the attending physician If an important finding (as mentioned in Table 1) was found, then we determined whether any action was taken because of the ... http://ccforum.com/content/10/1/R11 attending physician; and 'old expected finding' was any old finding predicted by the attending physician; a 'new unexpected finding' was any new finding not predicted by the attending physician;...
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Báo cáo khoa học: "Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial"
... these units, usually on a one-week basis One month after the completion of the study, the ICIS was implemented in the two other remaining units Approval of the ethics committee was obtained; informed ... defined as calculated creatinine clearance less than 50 ml/minute The parameters needed to calculate the creatinine clearance were always available in both the PB-U and the C-U In addition to the ... intensive care and general care units Crit Care Med 1997, 25:1289-1297 12 Herout PM, Erstad BL: Medication errors involving continuously infused medications in a surgical intensive care unit Crit Care...
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báo cáo hóa học:" Alterations in vitamin D status and anti-microbial peptide levels in patients in the intensive care unit with sepsis" pot
... D insufficient However, the prevalence of vitamin D insufficiency is even higher in subjects admitted to the intensive care unit with critical illness We also demonstrate that vitamin D binding ... 25-hydroxyvitamin D lost in the urine [24] This process is facilitated by megalin, a protein located on the renal epithelial cell which binds to the DBP-25-hydroxyvitamin D complex to facilitate the recovery ... obtained from the diet or made in the skin after exposure to ultraviolet B radiation from the sun Vitamin D is then converted to its major circulating form, 25-hydroxyvitamin D (25(OH)D), by the...
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báo cáo sinh học:" What can health care professionals in the United Kingdom learn from Malawi?" pdf
... secondary care and preventive health care Fundamentally, taking steps to further involve patients in the management of their own health care records will increase the perception of transparency in the ... The Scottish Government funds the Twinning of Scottish and Malawian Clinics Project The authors thank all the health care staff and patients in Malawi for telling them about their lives and their ... and obtaining fresh water This teaching can include a dance or a song in keeping with local or village custom of conveying a message to peers Patients in the United Kingdom would certainly remember...
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HEALTH CARE IN THE UNITED STATES doc
... UNIQUENESS OF THE SYSTEM Chapter One emphasized the potentially universal features of health care But the health care industry in the United States is distinct from those in the rest of the industrialized ... Medicare and Medicaid Other examples of the private sector’s dominance include organizations concerned with maintaining professional standards and quality in the health care industry These include ... Studies, which, beginning in the mid-1970s, introduced me to the field of health administration and policy From outstanding figures in this field, including Ronald Andersen, Odin Anderson, Theodore R Marmor,...
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epidemiology of nosocomial pneumonia in the intensive care unit of bach mai hospital, 2008-2009
... characteristics of pathogens causing HAP in the Intensive care unit of Bach Mai Hospital which is the area with the highest incidence density of healthcare associated infections among Vietnamese HCFs ... characteristics of pathogens causing HAP These findings suggest areas for intervention and for developing guideline for prevention and control of HAP in HCFs THESIS STRUCTURE The thesis consists of 129 ... be inhaled by susceptible individuals through the dissemination of either airborne droplet nuclei or small particles (< 5μm )in the respirable size range containing infectious agents that remain...
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Báo cáo y học: "Use of a population-based survey to determine incidence of AIDS-defining opportunistic illnesses among HIV-positive persons receiving medical care in the United States" ppsx
... multiplying the sampling weight of the provider and the sampling weight of the patient within the provider as previously described [6] These weights were used to estimate the numbers of patients in care ... resulted in an incomplete sampling frame at the second stage – but not necessarily in any bias, unless not being included in the sampling frame was related to having had an OI diagnosed during 1998 In ... or were in care for HIV infection Once they did receive medical care, they would have been included in our sampling frame and could contribute to the OI incidence estimates, even if they had...
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Báo cáo y học: " CD4 count at presentation for HIV care in the United States and Canada: Are those over 50 years more likely to have a delayed presentation" pps
... using SAS, version After excluded individuals contributing data during the first year that the cohort contributed data to the NA-ACCORD to remove individuals who may have been previously in care, ... 1997 to 12% in 2007, pvalue < 0.01) Finally, among individuals who had an AIDS-defining diagnosis at first presentation for care, the proportion of older individuals who had ≥2 AIDSdefining diagnosis ... HIV treatment initiation guideline adherence if effective testing and treatment interventions target older individuals Finally, our data suggest older individuals are entering into care with advanced...
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Báo cáo y học: "Predicting outcome of rethoracotomy for suspected pericardial tamponade following cardio-thoracic surgery in the intensive care unit" ppt
... tamponade following cardiothoracic surgery in the intensive care unit Journal of Cardiothoracic Surgery 2011 6:79 Competing interests The authors declare that they have no competing interests Received: ... obtained during monitoring in the intensive care unit (ICU) [5,6,8,9,11,13] When pericardial tamponade was suspected, 52% of our patients had a improvement of the CV SOFA score, with a rise in ... performed routinely Haemodynamic monitoring was routinely done with help of a catheter in the radial artery and either a central venous catheter and/or a pulmonary artery catheter (n = 14) The latter...
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Báo cáo y học: "Prolonged high-dose intravenous magnesium therapy for severe tetanus in the intensive care unit: a case series" pot
... hepatitis C virus; ICU: intensive care unit; IV: intravenous; NE: norepinephrine; RCT: randomized controlled trial Competing interests The authors declare that they have no competing interests Authors' ... continue for a long time without obvious adverse effects or major organ toxicity is, in our opinion, the most interesting finding in our report Therefore, we believe that this report is a meaningful ... minute, was treated with intravenous atropine and/or continuous isoproterenol infusion Meanwhile, their tachycardia, which is defined as having a heart rate of >110/min, was treated with continuous...
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báo cáo khoa học: " Musings on genome medicine: the slow but inexorable process of medical care reform in the United States" pptx
... healthcare policy without provoking confusion and outright anger in both the medical establishment and many of the patients who actually benefit (or in the latter case think they benefit) from the ... http://genomemedicine.com/content/1/10/94 Starr P: The Social Transformation of American Medicine New York: Basic Books; 1982 Sutherland JM, Fisher ES, Skinner JS: Getting past denial the high cost of health care in the United States ... fee-for-service-based physicians As pointed out recently by the Dartmouth Institute for Health Policy and Clinical Practice [2], the group that has most carefully followed Medicare expenses in the US, discretionary...
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Báo cáo y học: " An integrated approach to diagnosis and management of severe haemoptysis in patients admitted to the intensive care unit: a case series from a referral centre" ppsx
... either maintaining conservative measures in patients or to surgery in six; of these 15 patients died within the first month (4/9 patients managed conservatively and 1/6 undergoing surgery) In ... bleeding was defined as a cessation of bleeding obtained without recurrence until hospital discharge, whatever the therapeutic option used Rebleeding was defined as the persistence and/or the ... control the bleeding, using cold saline solution lavage, instillation of topical vasoconstrictive agents and/or balloon tamponade therapy As the administration of systemic terlipressin may interfere...
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Báo cáo y học: "Role of bedside electroencephalography in the adult intensive care unit during therapeutic neuromuscular blockade" doc
... increasing with excitement and decreasing with tranquility These rhythms occur mainly in the posterior head and are the predominant brain activity in the normal brain The beta rhythm occurs in ... administered mg intravenous midazolam during continuous EEG monitoring The frequency diminished quickly in about min, demonstrating the rapid clinical action of the short acting sedative The ... administered 100 mg intravenous fentanyl during continuous EEG monitoring The frequency quickly diminished in about min, demonstrating the rapid clinical action of the short-acting analgesic sedative...
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Báo cáo y học: "Variation in red cell transfusion practice in the intensive care unit: a multicentre cohort study" pptx
... haemoglobin concentrations during the first 10 days of intensive care unit (ICU) stay There was an average decrease of 16 g/l in haemoglobin concentrations in all patients admitted to the ICU over the ... categories, the number of red cell units administered per patient (0 units, 1–3 units, 4–6 units, 7–9 units, 10 or more units) and mortality rates were initially compared amongst institutions using chi-square ... Variation in red cell transfusion practice in the intensive care unit Hébert et al For the bedside questionnaire, we determined the response rate at each institution by cross checking recorded...
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Báo cáo y học: " Alarms in the intensive care unit: how can the number of false alarms be reduced" doc
... existing monitors in the intensive care unit Crit Care Med 1997, 25:614–619 Chambrin MC, Ravaux P, Calvelo D, Jaborska A, Chopin C, Boniface B: Multicentric study of monitoring alarms in the adult ... of the patient from the ventilator produces the same audible alarm as a high level of minute ventilation In the first case, the alarm is vital for the patient and independent of any setting The ... the patient remains as the major difficulty commentary units have been conducted to examine the relevance of alarms in monitoring; they showed that less than 10% of alarms induce a therapeutic modification...
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Báo cáo y học: "Optimizing antibiotic therapy in the intensive care unit setting" pdf
... reduction in its use, a sustained reduction in the Kollef et al examined the influence of a scheduled change in antibiotic on the incidence of nosocomial infections among patients undergoing cardiac ... improve the efficacy of antimicrobial therapy by increasing the likelihood for adequate initial treatment of infections [6] Antimicrobial de-escalation There is increasing clinical evidence suggesting ... Care 10 11 12 13 14 15 16 17 18 19 20 21 22 August 2001 Vol No Kollef of nosocomial infection in intensive care units in Europe: results of the European Prevalence of Infection in Intensive Care...
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Tìm thêm: khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo gắn với các giáo trình cụ thể xác định thời lượng học về mặt lí thuyết và thực tế điều tra đối với đối tượng giảng viên và đối tượng quản lí điều tra với đối tượng sinh viên học tiếng nhật không chuyên ngữ1 khảo sát thực tế giảng dạy tiếng nhật không chuyên ngữ tại việt nam khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu nội dung cụ thể cho từng kĩ năng ở từng cấp độ phát huy những thành tựu công nghệ mới nhất được áp dụng vào công tác dạy và học ngoại ngữ mở máy động cơ lồng sóc hệ số công suất cosp fi p2 đặc tuyến hiệu suất h fi p2 đặc tuyến mômen quay m fi p2 đặc tuyến dòng điện stato i1 fi p2 sự cần thiết phải đầu tư xây dựng nhà máy thông tin liên lạc và các dịch vụ phần 3 giới thiệu nguyên liệu từ bảng 3 1 ta thấy ngoài hai thành phần chủ yếu và chiếm tỷ lệ cao nhất là tinh bột và cacbonhydrat trong hạt gạo tẻ còn chứa đường cellulose hemicellulose chỉ tiêu chất lượng theo chất lượng phẩm chất sản phẩm khô từ gạo của bộ y tế năm 2008 chỉ tiêu chất lượng 9 tr 25