developmental considerations in the nursing care of adults

... [237] In the US this information has resulted in a rapid increment of Breast Fellowship, recognizing that appropriate training is one of the key factors in improving quality of care Currently, the ... surgery In this procedure, the skin flap covering the breast gland and the nipple-areola complex (NAC) are preserved In some cases the major ducts are removed In the past, the nipple has been routinely ... in terms of local or systemic disease [132] We believe that by adhering to the principles of breast-conserving surgery, including complete resection of the primary tumor with a negative margin,...

Ngày tải lên: 09/08/2014, 03:21

... relationship between the degree of pain relief and the 118A>G genotypes was shown in cancer patients being treated with morphine over the first months of therapy [6] In the first days of morphine treatment, ... aid in day-to-day clinical decisions for acute and chronic pain manage­ ment The benefits of patient care and safety will result in the incorporation of this knowledge into the standard of care ... with the frequency of morphine-induced ADRs (nausea) in cancer patients The authors showed that the frequency of nausea was higher in patients without the UGT2B7*2 allele [13] Furthermore, the...

Ngày tải lên: 11/08/2014, 12:20

... Studies at the Atomic Level of Amorphous Alloys While the problem of determining the structure of crystalline materials involved only of identifying the coordinates of all the atoms in a unit ... beneficial to the GFA of alloys The role of RE in the GFA was then thought to enhance the interaction intensity between the Al-LTM atomic pair117,118 The role of an RE atom in the GFA was then much ... where the heats of mixing, apart from playing an important in enhancing the GFA of the alloys, was also responsible for increasing the mechanical strengths of the ribbons A systematic study of a...

Ngày tải lên: 11/09/2015, 09:04

... remit of the local ethics committee Prior to introduction of CPOE, local standards of prescribing existed specifying the tenets of good practice, including the avoidance of the use of abbreviations ... to investigate the impact of CPOE, without decision support, on MEs in the critical care setting The data collected were viewed in terms of proportion of errors, patient outcomes arising from the ... non-intercepted and intercepted errors were combined) The limitations of this study and the potential for bias discussed previously must be borne in mind when interpreting these results Some of the...

Ngày tải lên: 25/10/2012, 10:39

... month after the completion of the study, the ICIS was implemented in the two other remaining units Approval of the ethics committee was obtained; informed consent was waived A surgical ICU-independent ... overdose of a beta-blocker, where rapid intervention of the clinical pharmacist intercepted the administration of this overdose The nonintercepted potential ADEs were mainly dosing errors or incompleteness ... safety, they are not discussed in detail The incidence of intercepted MPEs was four times lower in the C-U than in the PB-U A few of these errors concerned problems with trailed zeros, but most of them...

Ngày tải lên: 25/10/2012, 10:39

... 2004, of portacaval shunting, thereby decreasing first pass metabolism; decrease in quantities and affinity of plasma proteins, thereby increasing free-drug levels; increase in volume of distribution ... hrs following the post-dialysis dose There is a case report in which lithium levels were maintained in the therapeutic range by intraperitoneal administration of lithium during continuous peritoneal ... syndrome), including carbamazepine, phenytoin, phenobarbital, and lamotrigine The triad of hypersensitivity includes fever, rash and internal organ involvement with onset of symptoms within to weeks of...

Ngày tải lên: 25/10/2012, 10:51

... preventing the spread of disease in their child care setting Assist providers in establishing, developing and promoting written policies regarding health and safety in their child care setting Help ... part of any quality child care program Child care providers should consider the level of ability of the children in their care in mind As children develop differently, the actual age of the child ... materials) in their child care setting that increase the risk of disease • Ask providers to describe the procedure that will reduce the spread of illnesses in the child care setting • Ask the class...

Ngày tải lên: 12/02/2014, 12:20

... activating system of the brainstem, just above the midbrain The assessment of consciousness is closely tied to the assessment of eye findings because of the anatomic proximity of the midbrain to the ... Mod (0–9% of the time) (10–39% of the time) (40–69% of the time) Max (>70% of the time) Eye squeeze None Min Mod (0–9% of the time) (10–39% of the time) (40–69% of the time) Max (>70% of the time) ... of ice water is drawn into a syringe and attached to a butterfly catheter with the needle cut off Another individual holds the child’s eyes open during the rapid injection of the water into the...

Ngày tải lên: 16/02/2014, 22:20

... efficacy of the combination of acetaminophen, aspirin, and caffeine (Excedrin®) in migraine patients (studies recently published and not included in the AHCPR Technical Review) Approximately 66% of the ... trials tested the efficacy of a variety of oral codeinecontaining agents, including acetaminophen plus codeine and proprietary combinations of ∗ ∗ acetaminophen, codeine, and doxylamine (Mersyndol® ... series of trials examining the effect of adding an antiemetic or caffeine to tolfenamic acid or aspirin suggested that these combinations offered no advantages over the analgesics alone for the...

Ngày tải lên: 21/02/2014, 12:20

... for the future of the Internet economy is the deployment of IPv6 DSTI/ICCP(2007)20/FINAL In terms of public policy, IPv6 plays an important role in innovation and scalability of the Internet In ... IPv6 In other words, once the cost of deploying IPv4 infrastructure – determined by the cost of obtaining the addresses themselves and the cost of designing and operating networks that use fewer ... environment, including greater use and all forms of access In the future, vast numbers of objects may be connected to the Internet Growth in the use of the Internet has meant greater demand for Internet...

Ngày tải lên: 06/03/2014, 21:20

... will think of leaving People want to stay with their families, but then they sacrifice to go." Urban-inclined nursing student versus rural-inclined nursing student Those inclined to work in rural ... discussing the role of the nursing profession in their country, 88 percent of participants thought they made a difference in the country's well-being and that nurses were role models for other ... avenue of possible interventions to this problem Information on the views of the next generation of nursing professionals can help shape policy at training institutions as well as at the governmental...

Ngày tải lên: 18/06/2014, 17:20

... setting Involvement of the National TB and HIV Program staff in the development phase facilitated the use of the training materials by the National Program in the roll-out of TB/HIV training ... health care clinics The correlation between mean post-training scores of clinic's HCWs and the clinic's HIV testing acceptance rate suggests that the training was effective But providing a training ... Content of the training modules Table details the content of the training Topics included HIV epidemiology, transmission modes and natural course of HIV infection, HIV prevention within the health care...

Ngày tải lên: 18/06/2014, 17:20

... providing more accurate and sensitive quantification of the symptoms and the impact of these in patients with GERD, and thereby facilitating better management of disease Conclusion The findings of ... Overall, the findings of the RANGE program highlight the inability of medical therapy to sufficiently control this disease in every case Effective medical management of GERD relies upon the consulting ... that the RANGE findings are a reallife representation of primary care management of patients who actively consulted their PCP within the previous months While the results of controlled clinical...

Ngày tải lên: 18/06/2014, 18:20

... patients, positioning the patient supine with the head elevated 30–45 degrees, suctioning measures including continuous suctioning of subglottic secretions, and minimizing the use of sedating or paralytic ... characteristics of pathogens causing HAP These findings suggest areas for intervention and for developing guideline for prevention and control of HAP in HCFs THESIS STRUCTURE The thesis consists of 129 ... molecular characteristics of pathogens causing HAP in the Intensive care unit of Bach Mai Hospital which is the area with the highest incidence density of healthcare associated infections among Vietnamese...

Ngày tải lên: 25/07/2014, 13:57

... results of diagnostic measures and surgical interventions For vasopressor therapy, norepinephrine is the drug of first choice in our institution Mortality refers to death in the hospital Page of Table ... obtained during monitoring in the intensive care unit (ICU) [5,6,8,9,11,13] When pericardial tamponade was suspected, 52% of our patients had a improvement of the CV SOFA score, with a rise in ... tamponade following cardiothoracic surgery in the intensive care unit Journal of Cardiothoracic Surgery 2011 6:79 Competing interests The authors declare that they have no competing interests Received:...

Ngày tải lên: 10/08/2014, 09:21

... research into routine healthcare, thereby improving care for patients; it includes the study of both individual and organisational factors Within implementation science there has been increasing interest ... the clinical management behaviours of individual clinicians and the organisations they work in In the United Kingdom, patients are managed by the integrated activities of clinical and non-clinical ... positively inclined towards performing the behaviours These two groups of measures will together form a large part of our explanatory variables in explaining variation in rates of performing the behaviours...

Ngày tải lên: 10/08/2014, 10:23

... delivered to them in their office by a primary care physician/psychiatrist team; tailored, individualized feedback regarding their interviewing skills (either during or at the end of the study), ... medical director of their respective organization and the principal investigator The letter outlined the goals of the study, gave a general description of the interventions, and described the responsibilities ... receipt of the letter, patients either called the study office, or, if no refusal postcard was received within two weeks of the mailing, they were called by study staff In either case, during the...

Ngày tải lên: 11/08/2014, 05:21

... loudness of the alarms Analysing the significance of the alarm for the patient remains as the major difficulty commentary units have been conducted to examine the relevance of alarms in monitoring; they ... description of the signal composition is given in terms of its characteristics in time and frequency according to the level of priority, resulting in a sequence of notes in a distinctive rhythm ... monitoring in detecting false alarms On-line documentation of the events and the development of multiparametric procedures on the available data are other perspectives that are being explored Rather...

Ngày tải lên: 12/08/2014, 18:21

... of demeaning the clinical training of students and house officers, I Competing interests None declared Acknowledgements I am indebted to the medical, nursing, and respiratory therapy staffs of ... dehydration, thereby confusing the evaluation of the state of the ECF and the state of hydration [68] Cardiovascular evaluation is also (inappropriately) included in the evaluation of hydration, thereby ... of the Intermountain Respiratory Intensive Care Unit and of the ShockTrauma/Intermountain Respiratory ICU, and to the Respiratory Care Department of the LDS Hospital, for collaboration during the...

Ngày tải lên: 12/08/2014, 18:21