báo cáo y tế

Ngày tải lên: 26/10/2013, 02:11

Ngày tải lên: 28/10/2013, 04:11

... incidents in this region. The purpose of this study was to find whether this institution has achieved its primary tasks by analyzing its registry during January 1 st 2006 until December 31 st 2008. Setting According ... missions have been a visit by NATO military ships (15 days), storm with flooding (12 days), European Championship in track and field sports (10 days) as well as a bus crash (10 days). Since some of these events ... together with executive responsibility at the time of disaster may not only reveal various short- comings within our organizations and the healthcare sys- tem, but may also prevent the disastrous outcome...

Ngày tải lên: 25/10/2012, 09:56

Ngày tải lên: 25/10/2012, 10:02

... 26 Collaboration Adult psychiatry 24 73 Pediatrics 16 48 Psychosomatic medicine 13 39 Neurology 515 Social medicine 26 Psychology 26 Forensic psychiatry, internal medicine, gynecology, preventive medicine ... Pediatrics • Psychiatry • Neurology • Psychosomatic medicine • Other In what way? Please describe. Are teaching goals assessed? • Yes • No In what way? Please describe. Thank you for your cooperation. A ... Adolescent Psychiatry, Psychosomatics and Psychotherapy, Ludwig-Maximilians-Universitaet Munich, Lindwurmstrasse 2 a, 80337 Munich, Germany Frank and Frank Child and Adolescent Psychiatry and Mental...

Ngày tải lên: 25/10/2012, 10:06

... the capacity to systematically assess preventable adverse events, which are defined as poor outcomes caused by errors or system design flaws. We describe how we used MET calls to systematically identify ... Emergency Teams (METs), alternatively known as Rapid Response Teams, have recently been implemented in many hospitals worldwide [1]. The primary role of an MET is to improve the early identification ... took approximately 5 minutes to complete the form. Outcomes We used standard patient safety definitions [18]. An adverse outcome is any suboptimal outcome experienced by the patient. By definition, any MET...

Ngày tải lên: 25/10/2012, 10:06

... the standardized MET form on each patient and a weekly 1-hour Commentary The evolving story of medical emergency teams in quality improvement André Carlos Kajdacsy-Balla Amaral 1 and Kaveh G Shojania 2 1 Department ... a potentially powerful quality improvement tool for hospitals. As Iyengar and colleagues [1] report in a recent issue of Critical Care, medical emergency teams (METs), known widely in North America ... teams, may provide just such a method. The rationale for the development of METs rose from observations that, in the majority of patients, premonitory signs and symptoms of cardio- pulmonary instability...

Ngày tải lên: 25/10/2012, 10:06

... the MET system continues to increase in efficacy. Short-term studies may therefore underestimate its impact [34]. RRSs with their MET components are not easy, nor are they simple. Yet, they are ... signs were judged by nurses to be ‘usual for the patient’. These commonly included mild hypoxaemia, hypercarbia, and hypotension. As the MET call criteria depend heavily on physiological alteration ... is also unethical to randomly assign acutely ill patients, as it would deny potentially life-saving interventions to those randomly assigned to ‘placebo’. Adequately matched case-control studies,...

Ngày tải lên: 25/10/2012, 10:35

... study by comparing the first year of data submission to the second. Finally, in an addi- tional sensitivity assessment, we extended our analysis to hos- pitals involved in the MERIT study which ... be altered. We were able to study only 29 hospitals, a relatively small number of the overall initial cohort (Figure 1). Thus, our findings may not be widely applicable or fully representative. The assessment ... collection, analysis, and reporting of de-identified data by the ANZICS-APD comply with Australian Commonwealth leg- islation (1994) enabling national quality assurance activities. They also comply with...

Ngày tải lên: 25/10/2012, 10:35

... seen from baseline to the study period for both groups combined. Conclusion The MET system greatly increases emergency team calling, but does not substantially affect the incidence of cardiac ... Why might this be? Assuming that MET systems are effective, we are left with several possible explanations for the failure of this study to demonstrate a benefit for MET. The mostly likely ... significantly reduced the power of the study. Based on their findings, the authors estimate that more than 100 hospitals would be needed to show the 30% difference they sought. MET systems are highly...

Ngày tải lên: 25/10/2012, 10:39

... trauma group, 56.9±14 years versus 30.3±6 years, respectively. It can be commented that, head and neck tumors are mostly seen in elderly patients whereas younger peo- ple may have high rates of ... Sahin 2 , Haluk Vayvada 1 , Hasan Yucel Oztan 3 1. Department of Plastic Reconstructive and Aesthetic Surgery, Dokuz Eylul University, Faculty of Medicine, Izmir, TURKEY. 2. Clinic of Plastic ... nerve injury may be seen. Patient reports Patient 1 A 71-year old male with a history of penetrating trauma, admitted to Ophthalmology clinic for slowly growing mass on his left eye (Figure...

Ngày tải lên: 25/10/2012, 11:00

... Department of Dental Sciences and Surgery, General Hospital, Bari, Italy 2. Department of Medical Biochemistry, Medical Biology and Physics, General Hospital, Bari, Italy 3. Department of “Head and Neck ... Italy 4. Department of Maxillofacial Surgery, Calabrodental, Crotone, Italy 5. Department of Dental Sciences and Surgery, General Hospital, Bari, Italy 6. Department of Maxillofacial Surgery, ... tension lines: lines due to dynamic action of the underlying mus- culature. 1 The scar abnormality will guide the choice of treatment technique. The surgical strategy selected should be based...

Ngày tải lên: 25/10/2012, 11:00

... the dansyl derivative and the N-ethyl-diisoproylamine and the dansyl sulfamidoethylamine to the tetrazine product 7 linked with 5-dansyl sulfamidoethylcarboxamide-2-yl. 4. For the syntheses ... Germany. The synthesis of the Reppe Anhy- dride was carried out as documented by Reppe [16]. The reaction to tetracy- clo-[5.4.2 1,7 .O 2,6 .O 8,11 ]3,5-dioxo-4-aza-9,12-tridecadiene 4-yl acetyl ... with 2N sulfuric acid, followed by water and acetone. The bis2,6-[5-carboxylic acid-pyrid-2-yl]-dihydrotetrazine 5 (orange colored) could not be purified by recrystal- lisation but was pure enough...

Ngày tải lên: 25/10/2012, 11:00

... Mi- crobiol 1986; 23: 66-72. 29. Yewdell JW, Hackett CJ. The specificity and function of T lymphocytes and antibody dependent complement-mediated cytotoxicity induced by administration of influenza ... Murphy BR, Clements ML. The systemic and mucosal immune response of humans to Influenza A virus. In: Mestecky J, McGhee JR, eds. Current Topics in Microbiology and Immu- nology. New York, NY: ... Immuno- globulin M and G antibody response to type- and sub- type-specific antigens after primary and secondary exposures of mice to Influenza A viruses. Infect and Immunity 1983;: 510-517. 23. Lui...

Ngày tải lên: 25/10/2012, 11:10

... and Surgery, University of Bari, Bari, Italy 2. Department of Medical Biochemistry, Medical Biology and Physics, University of Bari, Bari, Italy 3. Department of “Head and Neck Surgery”, Hospital ... a rare form of hyperdontia, with bilateral multiple super- numerary teeth, with evident penetrance of the phenotype in the family unit engaged in the present study. The karyotype determination ... hereditary factors predisposing the onset of hyperdontia, and for the consequent management by oral surgeon of family units in which the odontostomatologic anomaly was detected without any syndromic...

Ngày tải lên: 25/10/2012, 11:40

... efficacy of decompressive craniectomy in decreasing ICP and improving pr o g n o sis in patients wi th refractory in- tracranial hypertension after TBI. 2-8 Presently, th e European Brain Injury ... skin flap concavity, the hydrodynamic distur- bance of CSF circulation and the decrease in cortical perfusion after decompressive craniec to my may also hinder patient recovery. 3 6 -37 A method ... craniectomy. Compared with a control group consisting of 29 pa- tients who underwent ordinary large decompressive craniectomy, they found that cranioplasty in the pa- tients in their study group...

Ngày tải lên: 25/10/2012, 11:40

... en- zymes [7,9]. CYP3A, the primary subfamily of the cytoch- rome P450 (CYP) enzymatic system, is responsible for the metabolism of tacrolimus [10]. Specifically; tacro- limus is mainly metabolized ... mainly metabolized by CYP3A4 and CYP3A5 enzyme isotype. CYP3A5 polymorphisms seem to affect tacrolimus kinetics at a greater degree com- pared to CYP3A4 ones and thereby, these polymor- phisms are ... alleles A and G are CYP3A5*1 and CYP3A5*3, respectively. Indi- viduals carrying at least one CYP3A5*1 allele express CYP3A5 protein whereas individuals homozygotes for CYP3A5*3 are non-expressors...

Ngày tải lên: 26/10/2012, 09:32

Ngày tải lên: 26/10/2012, 09:32

Ngày tải lên: 26/10/2012, 09:39

Ngày tải lên: 26/10/2012, 10:03