challenges to value in cancer care

... in oncology and/or R195 intensive care, and take part in regular training of oncology and intensive care nurses The nurse/patient ratio ranges from 1.2 to 1.7 Routine clinical rounds, including ... Decisions to forgo life-sustaining therapy in ICU patients independently predict hospital death Intensive Care Med 2003, 29:1895-1901 Moreno R, Matos R: Outcome prediction in intensive care Solving ... prognostic indicators in patients with a hematologic malignancy admitted to the intensive care unit for a life-threatening complication Crit Care Med 2003, 31:104-112 Staudinger T, Stoiser B,...

Ngày tải lên: 12/08/2014, 20:20

... Critical Care Clinics, Critical Care Medicine (1985 to present), American Journal of Respiratory and Critical Care Medicine (1994 to present), and Intensive Care Medicine (1993 to present) Finally, the ... guidelines for the initiation, continuation, and withdrawal of intensive care Chest 1990, 97:949-958 Nelson RM: Ethics in the intensive care unit: creating an ethical environment Crit Care Clinics ... both clinical and administrative roles in ICUs, abstract and title searches were performed in Medline/PubMed and CINAHL databases using combinations of the following keywords: Ethics, Clinician-Manager,...

Ngày tải lên: 12/08/2014, 20:20

... [18,22] In contrast, a high prevalence was found in studies that included a broad range of respiratory viruses (including rhinovirus, adenovirus, coronavirus and hMPV) [9] Interestingly, in the ... 6a 11a 33 Numbers in parentheses indicate single infections aSingle infections hMPV, human metapneumovirus; PCR, polymerase chain reaction; PIV, parainfluenzavirus; RSV, respiratory syncytial virus ... testing for a broad range of respiratory viruses is vital in the PICU, and it can improve our understanding of severe viral respiratory infections Furthermore, it can be used to guide cohorting...

Ngày tải lên: 12/08/2014, 23:23

... clinically trained professionals who have the potential to develop into productive clinical investigators K24 Mid-Career Investigator in Patient-Oriented Research Award Mid-Career Investigator ... Research Multidisciplinary Approaches in Cancer Treatment Investigators are often interested in investigating multidisciplinary approaches in cancer care The advantages of studying the entire approach ... encouraged to contact program staff Program staff may assist investigators in several ways including: • assisting applicants in locating funding opportunities; • directing applicants to grant mechanisms...

Ngày tải lên: 14/02/2014, 22:20

... Clinical Reasoning Understanding those in care In addition to the three theories of clinical reasoning discussed in this chapter, the key to effective nursing care lies with nurses’ developing ... qualifications in nursing Bart has worked in a variety of position in residential aged care since 1986—including educator, clinical nurse consultant, assistant director of nursing, consultant, continence ... relevant information to be exchanged among those involved in the care of residents; • to ensure continuity of care with respect to residents’ nursing care needs; • to be a legal record to protect...

Ngày tải lên: 16/02/2014, 22:20

... experiences of care into all care settings and care delivery Additional opportunities include increasing use of electronic health records (EHRs) that include patient-generated data in EHRs; and ... appropriate care; and seek to improve quality while reducing or eliminating waste from the system In addition to embracing the current recommendations of the National Priorities Partnership, we intend to ... Affordable Care Act required the creation of the Interagency Working Group on Health Care Quality HHS convened the Interagency Working Group on Health Care Quality for its inaugural meeting in March...

Ngày tải lên: 18/02/2014, 15:20

... pulling ideas together: how is activity related to health? Maintaining mental wellbeing • sleep as an activity • keeping mentally active • memory Maintaining physical wellbeing • nutrition • pain ... to go’ Promoting mental health and wellbeing in later life – a report for the UK inquiry into mental health and well-being in later life London: Age Concern England UK Inquiry into Mental Health ... and older living at home, in the community, in supported housing or in residential care homes • they included interventions and activities that promote or sustain mental wellbeing in older people,...

Ngày tải lên: 05/03/2014, 18:20

... (IUPUI, Indianapolis, IN, USA), or the TOP1 inhibitor camptothecin (Sigma, Madrid, Spain), in the presence or absence of MTX IMPDH activity inhibitors were added simultaneously to MTX Camptothecin, ... forks We took advantage of the down-regulation of TOP1 in MTX-resistance as a way to increase the sensitivity to MTX Indeed, by combining MTX and camptothecin, a higher degree of cytotoxicity ... with camptothecin, after an initial apoptotic signal, activates nuclear factor j-B resulting in the expression of genes that have an overall antiapoptotic effect, leading to camptothecin resistance...

Ngày tải lên: 07/03/2014, 16:20

Ngày tải lên: 17/03/2014, 17:20

... cooking, meals, and storage and communal spaces adjoining the individual flats within dwellings for the elderly The mandatory provisions in this Statute specify room functions in the building ... lifting devices A foldable seat in the shower stall is fastened into the tiled wall to prevent falling accidents Contrasting tile color is placed behind the toilet seat and the wash basin making ... Kitchen & Dining Living Room Private flats Private flats Architecturally it is designed with two guiding principles; 1) to maintain connectivity to the surrounding community and 2) to play a role...

Ngày tải lên: 22/03/2014, 14:20

... J: Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer J Pain Symptom Manage 1995, 10:423-431 Ringdal GI, Götestam KG, Kaasa S, Kvinnsland ... symptom measures such the Brief Pain Inventory (BPI), and the Symptom Distress Scale (SDS) Therefore the information given in the tables was simply to reflect the variance that existed in the instruments ... in many instances when one includes both physical functioning and performance status in the regression models, the likelihood of finding inconsistent results can be expected In other words, in...

Ngày tải lên: 18/06/2014, 19:20

... exercise was divided into two major categories: any form of exercise, excluding walking, lasting a minimum of 30 minutes per day, and walking alone, again for a minimum period of 30 minutes Both groups ... smoking, physical exercise other than walking and walking (Model 3), the lower HRQL was independently linked to overweight only in females Similar results were obtained in model which also included ... factors leading to increased body weight and obesity and, consequently, to the impairment of health-related quality of life Competing interests The authors declare that they have no competing interests...

Ngày tải lên: 18/06/2014, 19:20

... history including past cancer history, b) physical examination, c) recording of medications and recent therapies, including analgesic consumption, d) pain assessment using the Brief Pian Inventory ... history including past cancer history, b) physical examination, c) recording of medications and recent therapies, including analgesic consumption, d) pain assessment using the BPI, e) symptoms ... endpoint is the reduction in Adequacy of analgesic-drug therapy: Patient Management index (PMI), categorized in a binary variable according to negative (indicating inadequate analgesic care) ...

Ngày tải lên: 20/06/2014, 15:20

... exercise was divided into two major categories: any form of exercise, excluding walking, lasting a minimum of 30 minutes per day, and walking alone, again for a minimum period of 30 minutes Both groups ... smoking, physical exercise other than walking and walking (Model 3), the lower HRQL was independently linked to overweight only in females Similar results were obtained in model which also included ... factors leading to increased body weight and obesity and, consequently, to the impairment of health-related quality of life Competing interests The authors declare that they have no competing interests...

Ngày tải lên: 20/06/2014, 16:20

... - points; average = - points, bad = - points, a basic error = points Five logical indicators: According to the formula prescribed by the Ministry of Health, including: * Monitor the health care ... people to 58.05% (p

Ngày tải lên: 14/07/2014, 13:28

... according to tissue morphology and organ Page of 12 Karyotypes belonging to classes with small representation (< 50 karyotypes) in the remaining dataset were omitted from analysis, resulting in a total ... aberrations, including some whole chromosome gains and losses, are highly specific to certain cancers Other aberrations exhibiting weaker specificity were shown to be shared among cancers of related ... defined the P -value to be 1/N Therefore, the minimal P -value we could achieve was 10-7 Hierarchical clustering of classes We performed average-linkage hierarchical clustering of the classes using...

Ngày tải lên: 09/08/2014, 23:20

... farmers with livestock, although some have other occupations, such as school teachers (who may engage in some farming too) Those residing in the region fall into two groups according to nationality, ... serving as stores of surplus wealth, rather like gold jewellery It is an intriguing transformation of custom with globalisation [81,42,82], camels serving today as investments of income deriving ... hunting dogs they are large, like this [indicating with his hand] and I go hunting often in season I have two falcons too and I not think that it would be good to stop me or my brothers hunting...

Ngày tải lên: 10/08/2014, 09:21

... iodide (PI) following manufacturer’s instruction Early apoptosis is defined by Annexin V+/PI- staining (Q4) and late apoptosis is defined by Annexin V + /PI + staining (Q2) as determined by FACScan ... synergistic cytotoxicity in saikosaponins and cisplatin co-treated cancer cells These results suggest that saikosaponins are good adjuvant agents for sensitizing cancer cells to cisplatin, highlighting ... cancer cells to cisplatin induced cytotoxicity Both SSa and SSd have been reported to induce proliferation inhibition and cell death in various cancer cells (5-9) However, the effect of combination...

Ngày tải lên: 10/08/2014, 10:20

... Yamanaka Y, Saitou Y, Sugimoto K, Nakano T: Targeting of X-linked inhibitor of apoptosis protein or Survivin by short interfering RNAs sensitises hepatoma cells to TNF-related apoptosis-inducing ligand- ... cellular colony growth in human cancer cells, which was found to be due to the induction of apoptosis [48] 3.1.3 Inhibitor of apoptosis proteins (IAPs) The inhibitor of apoptosis proteins are a group ... [27] Other apoptotic factors that are released from the mitochondrial intermembrane space into the cytoplasm include apoptosis inducing factor (AIF), second mitochondria-derived activator of caspase...

Ngày tải lên: 10/08/2014, 10:21

... outdated to updated, keeping clinical guidelines valid Int J Qual Healthcare 2006, 18:165-166 39 Hesdorffer DC, Ghajar J: Marked improvement in adherence to traumatic brain injury guidelines in United ... clinical practice guidelines become available [38] According to a survey of trauma coordinators and nurse managers caring for traumatic brain injury victims in the United States, adherence to ... committees involved in the care and the planning of care for trauma patients These healthcare professionals will be asked to participate in a semi-structured interview Godin and Kok [51] have determined...

Ngày tải lên: 10/08/2014, 10:23