2glycemic excursions in diabetic and critical care patients multivariate and complex physiologic systems
Tài liệu Clinical presentation and outcome of patients diagnosed with active pulmonary tuberculosis in a large critical care unit docx
... National Guard soldiers and their extended families It has one of the largest critical care units in the Kingdom serve 40 beds and runs by qualified pulmonary and critical care board certified consultants ... our intensive care unit in a period over six years and to examine the characteristics, presentation, underlying risk factors, outcome of patients and to highlight the possible causes of delaying ... in the ICU at the time of admission Symptoms are summarized in Table Treatment was initiated on the basis of the clinical diagnosis made during admission to the ICU in 18 (54%) patients The initial...
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Báo cáo y học: "Clinical review: Sleep measurement in critical care patients: research and clinical implications" pdf
... those pertaining to sleep measurement in adult patients during their critical care admission and published in full in English Study comparing different sleep measurement techniques In the context ... patients receiving intensive care Crit Care Med 2001, 29:277-282 44 Frisk U, Nordstrom G: Patients sleep in an intensive care unit patients and nurses’ perception Intensive Crit Care Nurs 2003, ... in critical care patients tend to be very small, with only out of 23 being completed in more than 25 critical care patients (published as three reports [11,26,29]) and the vast majority examining...
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Báo cáo y học: "Year in review 2005: Critical Care — Respirology: mechanical ventilation, infection, monitoring, and education" ppsx
... observed in animal models and in patients with ALI with reduction in intrapulmonary shunt These data suggest that allowing spontaneous breathing activity in ALI could help to reduce lung injury ... significantly influenced resting short-term breathing patterns by selectively affecting the duration of expiration A reduction in PEEP was paralleled by an increase in respiratory rate and in minute ... recovered in 36 patients; in 14 patients isolation of Aspergillus spp was interpreted as colonization (mortality 50%), in 20 patients it was interpreted as invasive aspergillosis (mortality 80%), and...
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Báo cáo khoa học: " eal-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients" pot
... participated in the design of the study, performed both methods in the intensive care unit setting, and helped in the statistical analysis AK participated in the design of the study and coordination and ... methods in the intensive care unit setting and helped to draft the manuscript JP performed both methods in the intensive care unit setting and helped to draft the manuscript GS participated in the design ... rate and may result in a lower incidence of CVC-BSI compared with the landmark technique ods in the intensive care unit setting, and helped to draft the manuscript GK performed both methods in...
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Báo cáo khoa học: "Year in review 2006: Critical Care – multiple organ failure, sepsis, and shock" doc
... markedly increased ERK1 and ERK2 expression and attenuated reperfusion lung injury and apoptosis, thus presenting a promising approach for moderating lung injury and supporting recovery after clinical ... represents another challenging circumstance in intensive care medicine Interestingly, selective activation of A3 adenosine receptor (AR) subtype attenuated I/R-induced lung injury and associated apoptosis ... the c-Jun amino-terminal protein kinases (JNKs), and p38 kinases Notably, whereas ERK1 and ERK2 exert a cytoprotective effect and are involved in cell proliferation, transformation, and differentiation,...
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Báo cáo y học: " Year in review 2007: Critical Care – multiple organ failure and sepsi" pdf
... group-box protein 1, lipopolysaccharide-binding protein and procalcitonin levels were higher in patients than in healthy control individuals None of the biomarkers of interest discriminated between ... E: A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group ... that acutely increases with infection and plays a role in clearance of endotoxin [19] Procalcitonin is a proinflammatory mediator that has received considerable attention in identifying patients...
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Báo cáo y học: "The interpretation of brain natriuretic peptide in critical care patients; will it ever be useful" pps
... heart failure and, indeed, in critically ill patients many conditions have been shown to increase BNP; for example, sepsis [9], acute lung injury [10], pulmonary embolism [11] and intracerebral ... release in patients with complex multiorgan dysfunction has limited the interpretation of BNP concentrations in the critical care setting Rudiger [9] found that BNP levels in patients with sepsis ... filtration rate and BNP over and above any evidence of raised filling pressures and concluded that complex interactions must occur between the kidneys and the heart More recently, Park and colleagues...
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Báo cáo y học: " Year in review 2009: Critical Care – cardiac arrest, trauma and disasters" docx
... GA, Sandrock C, Cohen R, Adini B; European Society of Intensive Care Medicine Task Force for Intensive Care Unit Triage during an Influenza Epidemic or Mass Disaster: Recommendations for intensive ... creatinine levels and neurologic outcomes Utilizing the Acute Kidney Injury Network guidelines for acute kidney injury, the researchers not only determined that this complication is very common in ... from next-of-kin and a double-balloon intraaortic catheter was inserted and a chilled preserving solution infused Kidneys were then removed surgically and subsequently transplanted into a matched...
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Tài liệu Major Depression in Elderly Home Health Care Patients pptx
... reported in this paper come from the patient interview, informant interview, and visiting nurse services medical records (Health Care Financing Administration form 485) To assess current and past ... Financing Administration Office of Strategic Planning: A Profile of Medicare Home Health Washington, DC, HCFA, 1999 12 Centers for Medicare and Medicaid Services: Health Care Financing Administration ... identifying depression in these patients Physicians have little opportunity for directly assessing their home health care patients, unlike the patients they see in primary care The visiting nurse...
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Báo cáo khoa học: " Communication in the Toronto critical care community: important lessons learned during SARS" docx
... ongoing communication initiatives within the Toronto critical care community Education and training staff in the use of appropriate protective equipment continues Efforts related to debriefing ... directly with the Ministry of Health to bring forward (in one voice) critical care issues and to assist in finding system wide solutions to critical care challenges Several lessons emerged from ... coordinated data collection for the purposes of better understanding the critical care aspects of the illness [4,5] As a result, thrice weekly teleconference calls involving critical care clinicians,...
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Báo cáo khoa học: "Innovations in technology for critical care medicine" docx
... Telemedicine An infrastructure for providing intensivist-led care from a distance is receiving much attention Two years ago a report examined the poor uptake of information technology into medicine and ... Canadian Coordinating Office for Health Technology Assessment: Issues in Emerging Health Technologies: Hand-carried Ultrasound Units for Point-of -care Cardiac Examinations Canadian Coordinating Office ... reduced by 27% and length of stay was reduced by 17% [10] The company achieved first place in the Healthcare Innovations in Technology Systems Partnerships Awards in 2001 Intensivists remain a scarce...
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Báo cáo y học: " intensive care unit-acquired urinary tract infections in a regional critical care system" ppt
... nosocomial infections in medical/surgical ICUs [1,8] Finklestein and colleagues determined an incidence of 10–14 UTI per 1000 catheter days among 337 patients in a single Israeli ICU [9] Rosser and ... gentamicin in 21% (11/52), tobramycin in 9% (5/53), ceftazidime in 13% (7/53), piperacillin in 61% (31/51), and piperacillin/ tazobactam in 12% (6/51) Imipenem resistance was identified in one ... R64 Critical Care 10 11 12 13 14 15 16 17 18 19 R65 February 2005 Vol No Laupland et al Erbay H, Yalcin AN, Serin S, Turgut H, Tomatir E, Cetin B, Zencir M: Nosocomial infections in intensive care...
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Báo cáo y học: "Year in review 2005: Critical Care — resource management" pps
... fluid balance in septic patients Experimental data from Dubin and colleagues in Argentina bring us interesting data regarding increasing oxygen delivery through fluid resuscitation in a septic ... clinical studies on the fundamental topic of fluid resuscitation in critical care Clinicians are left to guide their care based on their personal training and interpretation of Available online ... Christ-Crain and colleagues described a new marker in septic patients [19] They measured mid-regional proadrenomedullin in 101 patients with inflammatory signs, and demonstrated increasing levels...
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Báo cáo y học: " Year in review 2005: Critical Care – cardiology" pdf
... proinflammatory cytokines tumour necrosis factor-α and IL-6 and the anti-inflammatory cytokine IL-10 in patients undergoing cardiac surgery Patients were randomized postoperatively to intensive glucose ... routine CXR in ICU, including haemodynamically labile and intubated patients, is low and have abandoned this practice Instead, CXRs are ordered when a patient’s condition changes or after CVP line ... quality In the review by Poeze and coworkers [17] 30 RCTs were scored for quality from to 16 (incorporating randomization, blinding, selection and intervention criteria) Twenty-one trials involved...
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Báo cáo khoa học: "Year in review 2006: Critical Care – paediatrics" pot
... rhabdomyolysis, and hyperkalemia also occurred Seven patients survived and four of these had significant sequelae (amputation of lower limbs and hands in one case, amputation of fingers in two cases, and minor ... chemokines (monocyte chemoattractant protein-1 [MCP-1] and macrophage inflammatory protein-1 alpha [MIP-1α]) and the CXC family of chemokines (GRO-α [growth-related gene product alpha] and IL-8 [interleukin-8]) ... virus (RSV) infection in children The findings indicate that this infection induces systemic disease, and it is therefore important to consider effects on cardiac rhythm, blood pressure, and serum...
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Báo cáo khoa học: "Year in review 2006: Critical Care - respirology" pdf
... apoptosis in the lung and other organs, including the liver and the diaphragm The clinical importance of these findings is not clear, and further study is needed to see whether these findings are ... pre-existing lung injury in nonintubated, spontaneously breathing patients [16] The authors compared levels of inflammatory biomarkers before and after intubation in a cohort of adults with ALI Inflammatory ... on sedation requirement in the intensive care unit Patients in the ICU often need sedation and analgesia to treat pain and anxiety associated with endotracheal intubation and mechanical ventilation...
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Báo cáo y học: " Year in review 2006: Critical Care - cardiology" doc
... wide ranging research interests of the intensive care community We hope that these interests will continue and expand Competing interests The authors declare that they have no competing interests ... Thirty-two patients undergoing oesophagectomy were randomly assigned, in a double-blinded fashion, to receive intravenous nitroglycerin or saline during gastric tube construction, and microvascular ... Mignini and colleagues [38] revisited this issue by simultaneously collecting radial and femoral artery waveforms from 55 medical and surgical patients, and analyzed the data using the Bland and...
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Báo cáo y học: " Year in review 2007: Critical Care – shock" ppsx
... emptying in critically ill patients Crit Care 2007, 11:R16 Fruhwald S, Holzer P, Metzler H: Intestinal motility disturbances in intensive care patients pathogenesis and clinical impact Intensive Care ... cholecystokinin and peptide YY concentrations were significantly higher in these latter patients both at baseline and after gastric feeding Furthermore, while fasting and postprandial cholecystokinin and ... baseline and duodenal feedingPage of (page number not for citation purposes) Critical Care Vol 12 No Wagner et al induced plasma cholecystokinin levels are higher in critically ill patients than in...
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Báo cáo y học: " Year in review 2007: Critical Care - intensive care unit management" pdf
... expensive Modelling mortality has been used for many years in critical care [20-23] for benchmarking, process improvement and standardizing illness severity in clinical studies An interesting report ... E: A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group ... intensive care unit admission is a predictor of survival Crit Care 2007, 11:R78 25 Anonymous: Predicting outcome in ICU patients 2nd European Consensus Conference in Intensive Care Medicine Intensive...
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Báo cáo y học: "Year in review 2007: Critical Care - nephrology" ppsx
... adenosine deaminase binding protein, retinol binding protein, cystatin C and renal tubular epithelial antigen-1), enzymes (N-acetyl-β-glucosaminidase, alanine aminopeptidase, alkaline phosphatase, ... therapy Heparin-induced thrombocytopenia (HIT) is caused by a heparin-induced antibody that binds to the heparin-PF-4 complex on the platelet surface In patients receiving heparin continuous infusion, ... absolute increase in serum creatinine of more than or equal to 0.3 mg/dl, a percentage increase in serum creatinine of more than or equal to 50% (1.5-fold from baseline), or a reduction in urine output...
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