... planning, teaching and training responsibilitiesoffers possibilities for planning, teaching and training disaster medicine by giving immediate feed-back based on real incidents.BackgroundIntroductionTo ... methodsAlert was defined as a warning signal and threat, whichmight result in a) an incident defined as a single distinctevent or a public disturbance or to b) an alarm, defined asa fear or ... most ofthem teenagers. The following investigation revealed cer-tain short-comings regarding the medical response, recog-nizing the need of a regional point of contact ("POC")and...
... pre-existing increased insulin resistanceand dysfunction of beta cells. Insulin resistance is present in the acutely ill [13,15,18,28] in different intensity, butthe factors determining the ... 8underlying physiology, there is a combination of physio-logical factors predisposing a patient for hyperglycaemia in acute illness, during which hyperglycaemic mecha-nisms in stress and inflammatory ... determining the extent of insulin resistanceare not known. Our observation that body mass index,which is certainly associated with insulin resistance [29],is higher in the hyperglycaemia group...
... Changes in arterial pulsepressure and pulse contour-derived cardiac index during end-expiratory occlusion of the ventilator as well as changes in car-diac index during PLR were examined. An increase ... increase in cardiacindex of 10% or more during PLR predicted an increase in car-diac index following VE of 15% or more with a sensitivity of91% and a specificity of 100%. Changes in pulse ... are deemed necessary bytreating clinicians [10-14]. A simple, non-invasive bedside testto determine volume responsiveness that would assist clini-cians in facing this daily dilemma would have...
... clinical data were obtained usingthe regional ICU patient data warehouse. Data sourcesinclude an electronic patient information system (QuantitativeSentinel; GE-Marquette Medical Systems Inc, ... mortality rates in patients presentingwith hypernatraemia than in those acquiring the disorder (43%versus 39%) [12]. Similarly, in a retrospective five-year reviewof a medical ICU in France, Bennani ... compared with32% in patients who acquired hypernatraemia during their ICUstay [11]. Lindner and colleagues described a similar inci-dence of hypernatraemia in a medical ICU in Austria, butreported...
... understanding of AF in critically ill patients.Competing interestsThe authors declare that they have no competing interests.References1. Pinski SL: Atrial fibrillation in the surgical intensive ... trial inmedical intensive care unit patients with placebotreatment in the control arm is therefore still defendable.IntroductionAtrial fibrillation (AF) is frequently observed in the medical intensive ... 32:890-891.2. Reinelt P, Karth GD, Geppert A, Heinz G: Incidence and type ofcardiac arrhythmias in critically ill patients: a single centerexperience in a medical cardiological ICU. Intensive Care...
... algorithm inmedical intensive care unit patientsMarjolein de Wit1, Chris Gennings2, Wendy I Jenvey1 and Scott K Epstein31Pulmonary and Critical Care Division, Department of Internal Medicine, ... ICUnursing staff underwent a 2-month introductory period in theuse of the algorithm. After educational training, the algorithmunderwent a 1-month run -in period prior to study initiation.During ... (Table3).Sedation interruption In the DIS group, assessments were made for sedation inter-ruption on 173 occasions. In 92% of the cases, patients werereceiving continuous infusions; in 4% of the...
... within the scope of informatics inmedical imaging.e target audience for this book is students, researchers, and professionals inmedical physics and biomedical imaging with an interest in informatics. ... for medical physicists and radiologists needing information on infor-matics inmedical imaging. It provides a knowledge foundation of the state of the art inmedical imaging informatics and points ... thus, imaging informatics is used extensively in these specialties as well.Owing to continuous progress in image acquisition, archiving, and processing systems, the eld of medical imaging informatics...
... generate reminders for physicians related to monitoring and tracking patients, for example, administering flu vaccine or monitoring and adjusting medications. 6 Missing clinical information ... Administration Senior Fellow, Institute of Medicine.Homer L. Chin, MD, Medical Director, Clinical Information Systems, Kaiser Permanente.David Classen, MD, Vice President, First Consulting ... patients are coming in, who is languishing in a delay pattern, and where all patients are located. It includes patient admitting information, a full discharge summary, all medication information,...
... Overcoming Secondary Stress inMedical and Nursing PracticeStress inMedical and Nursing Practice is designed with these realities and practices in mind. This book is a beginning. Nothing more. ... Expanding workload, within shrinking fi nancial and mate-rial resources. Increasing consumerism has resulted in both increasing demands and expectations from patients. In addition, doctors fi ... surprising. Following this, guidelines for the development of a personally designed self-care protocol will be provided, as well as information on maintaining perspective and increasing self-knowledge...
... principles of reasoning with uncertainty: e.g. Connoly (1994) and Mitkov (1997). Our system can be included into the first approach. In these integrated approaches the semantic and domain ... worked on different texts (Spanish texts) . apply a partial parsing and we deal with other kinds of anaphors. As a future aim we will include semantic information in our algorithm in order to check ... which includes all the coordinated noun phrases (in this case John and Bill). We will detect the coordination of noun phrases from the SS returned by the SUG fact coordinated. In one- 4 In...
... text that convey a definite meaning; encyclopedic rules, which can evaluate importance by comparing the meaning of the text with domain specific knowledge contained in the encyclopedia. The ... structure: it is a logical con~)ination of key-terms, chosen in a predefinite set, that represent possible points of view a reader can take in analyzing a text. In this section we will illustrate ... the goal includes, among others: KNOW, BUY, and USE. We assume hereinafter the goal KNOW, i.e., we are particularly interested in knowing the main technical features of the U-DOS operating system....
... by medical schools, and the growing interest among medical students continues to pushglobal health into the mainstream of medical education.The Benefits of InternationalClinical Rotations Medical ... benefitsof including global health topics in the medical curriculum, as well asinternational clinical rotations in thetraining of medical students.15,28Thosewho have completed a rotation in adeveloping ... completed an internationalclinical rotation revealed meaningfullearning experiences in the domains of medical knowledge, clinical skills,international health care organization,international medical...
... & W. Hersh (Eds.), Medical informatics knowledge management and data mining in biomedicine (pp. 95-137). Springer Science+Business Media, Inc. 2005.Crawford, S. (2003). Internet pharmacy: ... Protecting privacy in computerized medical information. Ofce of Tech-nology Assessment. Washington,DC:U.S.GovernmentPrintingOfce.Radatz,C.(2004). Internet pharmacies. Wisconsin Briefs, ... convergence of computer technology and medicine are vari-ous: health informatics, healthcare informatics, biomedical engineering, e-health, and medical informatics. The areas all overlap and share...
... is a distinc-tion between an intended action or omission (intending a result) andintentional actions or omissions (bringing about a result intentionally). AsDuff explains:I do not intend the ... onehand intended, or, on the other, is a mere side effect, and between acting tokill and omitting to save. As a result, although administering pain-killingmedication and withdrawing life-sustaining ... other than intention which make a difference;certainly intention alone, especially bearing in mind the problems analysedabove, is insufficient in itself to deal with the issues raised in the medical domain.The...