death and organ donation in neurocritical care

... ‘morally neutral’ viewpoints in four domains The following concepts were defined as utilitarian rationalist • Organ donation occurring in the context of organ shortage”, including the terms “shortfall”, ... and Complementary Medicine database and of the PsycInfo database for English-language articles generally pertaining to organ donation in the ICU (including, where relevant, transplantation, death ... N, Oh TE Edinburgh: Butterworth-Heinemann; 2003 61 Rocker GM: Organ and tissue donation in the intensive care unit CMAJ 2002, 167:1248-1249 62 Australian and New Zealand Intensive Care Society...

Ngày tải lên: 12/08/2014, 20:20

... groups [86] Anemia and RBC transfusion in specific neurocritical care settings The importance of ischemia in causing secondary brain injury appears to vary for different neurocritical care conditions ... Materials and methods To describe the physiologic and clinical implications of anemia and transfusion in neurocritical care patients, we used the OVID interface to search MEDLINE from its inception ... disproportionate increase in CBF in relation to other organs (Figure 1d) [49] The mechanisms underlying this increase in vessel caliber are still being clarified, but include some of the same factors involved...

Ngày tải lên: 13/08/2014, 16:21

... examination recognised by experts as linked to heavy drinking, such as injuries (including in the elderly), tremor of the hands and tongue, and excessive capillarisation of the facial skin and ... current drinking pattern TRAINING Training healthcare providers in the use of structured interventions enhances the efficacy of brief interventions.71 Training practice nurses at health centres in screening ... n n n n n n n n initial discussion and support advice regarding non-hazardous drinking levels and ways to reduce drinking counselling and therapy for the individual counselling and therapy for...

Ngày tải lên: 08/03/2014, 14:20

... Understanding Clinical Decision-Making and the Roles of Stereotyping, Uncertainty, and Bias, 236 Understanding Patient-Level Influences on Care, 237 Understanding the Influence of Healthcare Systems ... law define discrimination in varying ways, some focusing on intent and others emphasizing disparate impact Finally, in defining racial and ethnic minority groups, the committee uses the definitions ... Stith, and Alan R Nelson, editors ; Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care, Board on Health Sciences Policy, Institute of Medicine p ; cm Includes...

Ngày tải lên: 28/03/2014, 23:20

... expression using PAR-2 AS ODN in AGS cells Additionally, inhibition of PAR-2 activity using trypsin inhibitor increased cell death and DNA fragmentation in H pylori-infected AGS cells These results ... under reducing conditions, and transferred onto Hybond-PVDF membranes (Amersham Inc., Arlington Heights, IL, USA) by electroblotting The transfer of protein and equality of loading in all lanes ... of COX-2 and integrins in gastric epithelial cells [21,22] Trypsin activated PAR-2, which mediated the proliferation of various cells including pancreatic and gastric cancer cells, and smooth...

Ngày tải lên: 18/06/2014, 16:20

... have spiritual care initiatives 6 Contemporary and Innovative Practice in Palliative Care Our university’s undergraduate and postgraduate curriculum offer training in palliative care in a patient-centered ... questions ; eliciting and responding to patients' fears ; assessing spiritual needs as part of the initial assessment and ongoing care Contemporary and Innovative Practice in Palliative Care b c student ... are beginning to be addressed in medical education, introducing palliative medicine module in medical schools curicula A large segment of people claims belief in a higher being, and studies indicate...

Ngày tải lên: 27/06/2014, 13:20

... chemokine ligand; CXCL, C-X-C chemokine ligand; IFIG, IFN-inducible gene; IFIT, interferon-induced protein with tetratricopeptide repeats; IL, interleukin; IP-10, interferon-inducible protein 10; ... chemokine scores in SLE patients with organ damage Given that chemokines are involved in tissue damage and inflammation, we next explored whether chemokine scores are related to organ damage in ... associated with disease activity and organ damage in SLE, and may be useful in disease monitoring and prognostication Materials and methods Patients and control individuals This study was approved...

Ngày tải lên: 09/08/2014, 13:22

... of would indicate testing of urinary microalbumin and serum LDL within a year, measuring BP and glycosylated haemoglobin within six months, and having active prescriptions for a statin and an angiotensin-modifying ... angiotensin-modifying agent For patients with IHD, a maximum score of would indicate testing fasting blood glucose within two years and LDL within one year, measuring BP within six months, and having ... fasting blood glucose, LDL = low density lipoprotein cholesterol, ACR = urinary albumin-to-creatinine ratio, ASA = aspirin, ACE/ARB = angiotensin-modifying agent guidelines for glucose, LDL, and...

Ngày tải lên: 10/08/2014, 10:23

... participants in the tailoring process, the implemented changes in practice, and their ideas about influencing factors will be structured, interpreted, and described in a qualitative way Direct and indirect ... the tailoring process and the one-day training and feedback, (b) material costs for the one-day training, and (c) the costs per hour of the GP related to the implemented interventions In addition, ... depression and anxiety guidelines, collaboration with professionals and institutions specialised in mental healthcare and GPs’ levels of burnout This questionnaire is developed and used in the Netherlands...

Ngày tải lên: 10/08/2014, 11:20

... J: Incidence of recall, nightmare, and hallucination during analgosedation in intensive care Intensive Care Medicine 2002, 28:38-43 Holland C, Cason CL, Prater LR: Patients' recollection in critical ... the Intensive Care Unit Memory tool in the clinical setting Crit Care 2004, 8:R48-R55 17 Wegesin D, Jacobs DM, Zubin NR, Ventura PR, Stern Y: Source memory and encoding strategy in normal aging ... endotracheal suctioning with two methods of suctioning: routine endotracheal suctioning and minimally invasive airway suctioning In the case of routine endotracheal suctioning, a 49 cm suction...

Ngày tải lên: 12/08/2014, 20:20

... determinations Plasma creatinine, C-reactive protein (CRP), glucose, albumin, leukocytes, and platelets were determined daily for clinical purposes, and aspartate amino transferase, alanine amino ... (8.6 mmol/L), and lowest in SAH (6.2 mmol/L) and decreasing significantly over time (P = 0.005), the decrease being similar in the AOX and placebo groups Insulin requirements Insulin requirements ... in brain-injured patients in whom 30 to 40 mg zinc doses were associated with improved neurological outcome [45] Finally, zinc is involved in tissue repair, and the improved wound healing in burns...

Ngày tải lên: 13/08/2014, 11:22

... values in the peritonitis high-volume (n = 7; 88%) and endotoxin high-volume (n = 6, 75%) groups Mortality was higher in high- vs low-volume Figure Continuous and bolus inputs and urine, gastric and ... mainly influenced by the model, with flows increasing to highest levels in the endotoxin groups (P = 0.006) [see Table S4 in Additional Data File 2] Serum alanine aminotransferase decreased in ... The main finding of this study was that high-volume fluid resuscitation including HES increased mortality in sepsis The increased mortality was observed in both models of fecal peritonitis and...

Ngày tải lên: 13/08/2014, 20:21

... endotoxemia and sepsis Crit Care 2009, 13:R64 27 Kuhns DB, Alvord WG, Gallin JI: Increased circulating cytokines, cytokine antagonists, and E-selectin after intravenous administration of endotoxin in ... Suspected infection was defined as a clinical suspicion of an infectious etiology as assessed by the treating clinician, and Page of 12 determined by interviewing the treating physician to determine ... signaling in endothelial cells results in an activation phenotype, including increased permeability, induction of cell adhesion molecules [42-44], the release of cytokines and chemokines, and the...

Ngày tải lên: 13/08/2014, 21:21

... practice, setting up internal networks for sharing information and simplifying administrative and billing processes, utilizing public networks especially Internet for enabling inter-organizational ... networks, and care providers begin to set foot in administration and financing of care By and large, these changes have led to a tremendous increase in the collection and use of patient health data and ... the significance in maintaining data security and individual privacy in health care 1.1.1 Why Security and Privacy Matters Health data are in nature private and sensitive, and keeping patient privacy...

Ngày tải lên: 12/09/2015, 10:37

... believe that starting certain medications and interventions such as inotropes, vasopressors, heparin and phentolamine in potential donors for the sole purpose of making the organs in DCD more viable ... life- sustaining therapies to cause death [7] The guidelines, however, state that heparin should only be used in patients with low bleeding risks, and phentolamine should only be used in patients ... hastening of death as a primary consequence)? Antemortem intravenous heparin and phentolamine are two interventions often considered Most DCD donors are individuals with neurological injury, and...

Ngày tải lên: 13/08/2014, 03:20

... response to infection in patients with septic shock Insulin and glycemia in sepsis Rusavy and colleagues [16] compared energy expenditure and glucose uptake in response to insulin in non-diabetic ... numerous investigations in sepsis Goscinski and colleagues [21] investigated the ability of tobramycin and ceftazidime to alter the inflammatory response to endotoxin infusion Prior to endotoxin administration, ... Z: The influence of N-acetyl-Lcystein infusion on cytokine levels and gastric intramucosal pH during severe sepsis Crit Care 2004, 8:R172-R179 Bernard GR, Reines HD, Halushka PV, Higgins SB,...

Ngày tải lên: 12/08/2014, 22:22

... effective and ethical alternative to existing efforts (that is, living donations, CDCD, and DNDD), why has UDCD not been more widely accepted? In order for organs to remain viable, interventions for organ ... DuBois JM: Increasing rates of organ donation: exploring the institute of medicine’s boldest recommendation J Clin Ethics 2009, 20:13-22 10 Wall SP, Dubler NN, Goldfrank LR: Translating the IOM’s ... beating donors Crit Care 2009, 13:R141 Human Resources and Services Administration (HRSA) Organ Procurement and Transplantation Network (OPTN) data [http://optn.transplant.hrsa.gov] IOM: Organ Donation: ...

Ngày tải lên: 13/08/2014, 19:20

... fifth birthday The term carers applies to staff working in child care and early years settings including local authority and private nurseries, and childminders Healthy eating and physical activity ... childcare places in England compared with around 637,000 in 1997 and of these 21% were with childminders, 52% in day care nurseries and 24% in out-of-school clubs (Child care provision in Scotland, ... in England in 2005 (see Child care in England, 2005, below) The largest childcare providers are those offering full-day care and sessional day care (periods of less than hours of continuous care) ...

Ngày tải lên: 05/03/2014, 10:20

... keeping safe in the community • keeping safe in the home Personal circumstances • dealing with finance • social relationships and maintaining friendships • dining as an activity • interests and ... Health and social care services have an important role in promoting and maintaining physical activity, health and independence (DH 2005a, DH 2005b) There is a decline in physical activity with increased ... aged 65 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...

Ngày tải lên: 05/03/2014, 18:20

... academia, government, and private industry • Hiring and promoting minorities in the health care workforce • Involving community representatives in the health care organization’s planning and quality improvement ... service, establishing interpretation services and translating signage, forming stronger links to community leadership and key resources, and training Chinese-educated nurses in upgraded clinical skills ... Minority Health,” Health Care Financing Review 21 (2000): 45–56 10 D R Williams and T D Rucker, “Understanding and Addressing Racial Disparities in Health Care, ” Health Care Financing Review 21 (2000):...

Ngày tải lên: 05/03/2014, 21:20