care is customized according to patients needs and values

... up to the health care system to be sure patients understand the information they receive well enough to apply it • The Food and Drug Administration, Joint Commission on Accreditation of Healthcare ... materials to test reading comprehension and numerical skills It takes 20-25 minutes to administer It is available in Spanish and English.6,7 References Doak C, Doak L, and Root J Teaching Patients ... osteoporosis.” • Slow down and take time to listen to a patient’s concerns Create an atmosphere of respect and comfort Build trust with the patient • Limit information given to patients at each visit...

Ngày tải lên: 22/03/2014, 15:21

... Critical Care Vol 12 No Regan and Boyd care, and review practice [8] Managing change within the ICU is not an area that most physicians have formal training in, and it is often a difficult ... and agitation in an intensive care unit Crit Care Med 2006, 34:1691-1699 Page of (page number not for citation purposes) Wall RJ, Dittus RS and Ely EW: Protocol-driven care in the intensive care ... task Chan and coworkers report their success using a multi-disciplinary task force to develop and implement change in the area of weaning protocols [9] The shared ownership of the protocols may...

Ngày tải lên: 13/08/2014, 08:21

... training and 25% of optometry technicians train to become optometrists The result of the new policy change is that there are fewer refractionists but more optometry technicians and optometrists References ... computable model of an eye care MEES showing the stocks and flows of personnel through training and into and out of the The computable model of an eye care MEES showing the stocks and flows of personnel ... completed Stage and from the stock of existing refractionists (Fig 4) This process shown in Fig is repeated for the four stages of training (Fig 5) To complete the non-physician sector of eye care personnel...

Ngày tải lên: 18/06/2014, 17:20

... cART is still not widely available and chemotherapy is very limited, KS mortality remains high [12] In this study, we describe disease characteristics and risk factors for mortality in patients ... design, analysis and writing of the paper GM and GVC wrote the first draft of the study protocol GM, SS, AB and GVC contributed to the data collection or analysis NF, AB and GVC contributed to the concept, ... was given to patients who received chemotherapy Biopsies to confirm histology were performed only if the clinical diagnosis of KS was questionable (3%, seven patients) Baseline characteristics,...

Ngày tải lên: 20/06/2014, 08:20

... likely to reduce patients' fears about radiation therapy and inclinations to decline treatment and assist patients to feel confident and comfortable about receiving radiation therapy A number of tools ... reconsidered this theoretical model and based their decisions on whether to keep items on both the statistical results and whether the items were information needs which were likely to lead patients to seek ... therapist, two registered nurses, two females from the general population and one breast care nurse) to read each item and respond to four questions: • Implications of the visit at the simulator...

Ngày tải lên: 09/08/2014, 10:21

... diabetes care According to the theory of planned behavior, decisions are made according to personal models and beliefs about the changes about to be made, and the perceived benefits and risks associated ... special attention to eventual relational problems, to communication issues and to the distribution of rights, responsibilities and tasks between patients, GPs, nurse educators and specialists The role ... this qualitative research to acquire a better understanding of the barriers to high-quality diabetes care and into the mechanisms of change that eventually were induced by the QIP according to...

Ngày tải lên: 11/08/2014, 05:21

... bone fractures according to accepted standards of care PCT, CRP, all clinical, microbiological, and laboratory data, and all diagnostic and therapeutic options were registered The data analyzed ... Seven patients were injured in only one or two regions, 25 patients in three regions, 35 patients in four regions, and 23 patients in five or more regions PCT and CRP concentrations according to ... Anaesthesiol Scand 2001, 45:1162-1167 36 Meisner M, Müller V, Khakpour Z, Toegel E, Redl H: Induction of procalcitonin and proinflammatory cytokines in an anhepatic baboon endotoxin shock model...

Ngày tải lên: 12/08/2014, 23:20

... ions and metalloproteins, and ischaemia/reperfusion-induced tissue damage ROS/RNS have also been reported to trigger the release of cytokines from immune cells, activate inflammatory cascades and ... serum of patients at admission to an intensive care unit (ICU) and on ICU day The aim of the study was to identify any associations between oxidative stress in critically ill patients and their ... inflammatory response and consequent cell injury, increased morbidity and greater mortality in critically ill patients [32] There is experimental and clinical evidence that critical care patients...

Ngày tải lên: 13/08/2014, 03:20

... nine patients receiving postoperative care BMJ 1985, 290:1029-1032 Friese RS: Sleep and recovery from illness and injury: A review of theory, current practice, and future directions Crit Care ... LM: Quantity and quality of sleep in the surgical intensive care unit: are our patients sleeping? J Trauma 2007, 63:1210-1214 Aurell J, Elmqvist D: Sleep in the surgical intensive care unit: continuous ... ill patients: encouraging results from a small randomised controlled trial Crit Care 2008, 12: R52 Cooper AB, Thornley KS, Young GB, Slutsky AS, Stewart TE, Hanly PJ: Sleep in critically ill patients...

Ngày tải lên: 13/08/2014, 10:20

... training is one of the important hurdles facing physicians We disagree that our study is ‘divisive’, and suggest that it would be irresponsible not to examine physician factors related to patient ... because, once patients are discharged from the ICU, nonintensivists assume patient care and confound the effect of intensivists on patient outcome In the end, we believe Dr Braun’s and Dr Spies’ ... intensive care units: a multicentre prospective study Intensive Care Med 2003, 29:2307-2323 doi:10.1186/cc8903 Cite this article as: Braun J-P, Spies C: Dividing intensive care specialists according to...

Ngày tải lên: 13/08/2014, 20:21

... satisfied, satisfied, neither satisfied nor dissatisfied, dissatisfied, and very dissatisfied The answers ‘very satisfied’ and ‘satisfied’ were categorized as satisfied, whereas ‘neither satisfied ... nor dissatisfied,’ ‘dissatisfied,’ and ‘very dissatisfied’ were scored as dissatisfied Functional outcome was defined as favorable (mRS to 1), mild to moderate disability (mRS to 3), severe disability ... according to functional outcome is shown in Figure Patients without disability (mRS to 1), or who were only mildly to moderately disabled (mRS to 3), consented to neurocritical care in 94%, and...

Ngày tải lên: 13/08/2014, 21:21

... [19,20] We chose to study this specific genetic polymorphism of CYP3A5 metabolizing enzyme as this isotype seems to critically affect the metabolism of TAC and this polymorphism is a frequent one ... bp bands (lanes 1, 2, 3, 6, and 9) and CYP3A5*1/*3 genotype gives 168-, 148-, 125- and 20- bp (lanes 4, 5, and 10) CYP3A5*3/*3 genotype is not seen in this picture The 20- bp band is not visible ... taken into account [7,15] For this reason, we attempted to model tacrolimus kinetics based on both genotype and epigenetic factors Disparity exists in the literature as to which genes and which...

Ngày tải lên: 26/10/2012, 09:32

... alleles were distinguished as follows: a 131-bp band for the 681G allele and a 105-bp band for 681A allele, with a 191-bp their common band, and a 377-bp band for 636G allele and a 255-bp band for ... the whole visitors and participants From July 2004 to October 2005, 210 persons visited the center Among them, 142 were found to be infected, 165 participated in the polymorphism study and LAC were ... 2005 The visitors aged 20 to 69 years were asked to participate in the polymorphism study Those who agreed with a written informed consent form to provide a 7ml of blood sample and to answer...

Ngày tải lên: 31/10/2012, 16:57

... target needs and learning needs of Hutchinson and Waters to create form of needs analysis In this study, she wishes to investigate the students’ conversational needs that belong to their target needs ... according to Nunan (1988), is to provide the input, which is relevant to the needs of given learners Moreover, need analysis is the most characteristic feature of ESP course design This is a complex ... route’ To illustrate this, Hutchinson and Waters (1987: 61) say that “How are we going to get from our starting point to destination? This is learning needs and they add, “The whole ESP process is...

Ngày tải lên: 07/09/2013, 13:19

... technical term Existenz In both German and English, Existenz (or Existence) is composed of two Latin roots: ex, meaning out, and sistare, to stand Hence, the word ex-sist means "to stand out," but ... people and two histories, and understanding takes place only when both take their ongoing life situations and histories into account One way in which scholars attempt to deal with the problem of misunderstanding ... increasing reliance on technology It is beyond the scope of this book to review this history, but it is helpful to know something about the disturbing context (i.e., Europe torn apart by the horror of...

Ngày tải lên: 16/10/2013, 11:15

Ngày tải lên: 14/12/2013, 12:15

... categories: First- to Fifth Growth, Cru Grand Bourgeois Exceptionnel, Cru Grand Bourgeois, Cru Bourgeois and Other We grouped all wines from Cru Grand Bourgeois Exceptionnel to Other into a single category, ... statistic The asymptotic distribution of likelihood ratio statistic under the null hypothesis is not known a priori Therefore, one has to simulate this distribution for each hypothesis that needs ... must This step, represented by a dummy, which takes the value if heating is used, is supposed to free coloring and some other components During fermentation, skins, stems and pips rise to the top...

Ngày tải lên: 22/02/2014, 09:20

... appears to vary with age, is poorly understood We reviewed studies yielding results on risk factors stratified by age at diagnosis or menopausal status to better understand the role of hormonal factors ... panacea This approach is open to criticism because confounding factors cannot be taken into consideration when data are aggregated However, one would expect each author to have taken them into account ... events and family history as risk factors for breast cancer in northern Alberta CMA Journal 124:1451-7, 1981 Lubin JH, Burns PE, Blot WJ, Lees AW, May C, Morris LE, Fraumeni JF: Risk factors for...

Ngày tải lên: 05/03/2014, 17:20