end of life care in the acute heart failure patient
Báo cáo y học: "Beyond ethical dilemmas: improving the quality of end-of-life care in the intensive care unit" pps
Ngày tải lên :
12/08/2014, 19:22
... implemented Stuttering withdrawal of life- sustaining treatments (e.g the decision to withhold necessary dialysis in a patient with acute renal failure while continuing all other forms of life support) ... aspects of end- of- life care in the ICU exist and have been written about at great length We should not let the exciting challenge of resolving areas of disagreement dissuade us from working on interventions ... process of care measures, tools are just becoming available to measure the quality of end- of- life care in the ICU [14] Until we can agree on what outcomes constitute a good or bad death in the ICU,...
- 3
- 310
- 0
Báo cáo y học: " End-of-life issues in the acute and critically ill patient" pdf
Ngày tải lên :
13/08/2014, 23:20
... choose to forego life- sustaining medical therapies and interventions near the end- of- life The primary role of the emergency physician near the endof -life is to coordinate and administer appropriate ... presence of family and friends at the patient' s bedside near the end- of- life, if desired by the patient Protect the privacy of patients and families near the end of life Promote liaisons with individuals ... An integral element of palliative care is advanced care planning in which the patient and their family discuss and finalize their wishes regarding end- of- life care Ideally this would involve the...
- 10
- 356
- 0
Báo cáo y học: " End of life care in Brazil: the long and winding road" pps
Ngày tải lên :
14/08/2014, 07:21
... American Academy of Critical Care Medicine: Recommendations for end- of- life care in the intensive care unit: a consensus statement by the American College of Critical Care Medicine Crit Care Med 2008, ... RG, Piva JP: End- of- life care in Brazil Intensive Care Med 2007, 33:1014-1017 10 Lisboa T, Friedman G: Forgoing life support in Intensive care units of South Brazil: the results of and ethical ... Mulkerin C, Puntillo KA, Ray DE, Weissman DE; Improve Palliative Care in the Intensive Care Unit Project: Models for structuring a clinical initiative to enhance palliative care in the intensive care...
- 2
- 214
- 0
Báo cáo y học: "End-of-life decisions in Greek intensive care units: a multicenter cohort study" pot
Ngày tải lên :
14/08/2014, 07:21
... differences at the end of life Crit Care Med 2003, 31:S354-S357 Giannini A, Pessina A, Tacchi EM: End- of- life decisions in intensive care units: attitudes of physicians in an Italian urban setting Intensive ... documentation of end- of- life decisions in European intensive care units: the ETHICUS Study Intensive Care Med 2008, 34:271-277 Hall RI, Rocker GM: End- of- life care in the ICU: treatments provided when life ... nature of relatives’ involvement in the decision-making process, the reasons for not discussing end- of- life dilemmas with the patient Page of and family, whether a consensus was reached in the medical...
- 9
- 440
- 0
Báo cáo y học: "Combination of lung ultrasound (a comet-tail sign) and N-terminal pro-brain natriuretic peptide in differentiating acute heart failure from chronic obstructive pulmonary disease and asthma as cause of acute dyspnea in prehospital emergency
Ngày tải lên :
14/08/2014, 08:21
... especially brain natriuretic peptide (BNP) and N-terminal pro-brain natriuretic peptide (NTproBNP), help in determining the cause of acute dyspnea in the prehospital setting [2,7] Point -of- care bedside ... of The inclusion criterion for the study was shortness of breath as the primary complaint (defined as either the sudden onset of dyspnea without history of chronic dyspnea or an increase in the ... = 0.001) The feasibility of ultrasound examination in the prehospital setting was 100%, and the duration of the examination was always less than minute For the identification of independent predictors...
- 9
- 243
- 0
Effects of micromechanical factors in the strain invariant failure theory for composites
Ngày tải lên :
05/10/2015, 13:53
... fiber and matrix failure by using critical strain invariants The theory is called strain invariant failure theory, Effects of Micromechanical Factors in the Strain Invariant Failure Theory for Composites ... in the fiber (or 1-) direction for one of the faces, the 20 Effects of Micromechanical Factors in Strain Invariant Failure Theory for Composites model is constrained in the other five faces The ... strain The single cell is taken in the middle of the multi cell model (Figure 3-7a) Twenty points in the single cell are then chosen for the extraction of local strain values (Figure 3-7b); the...
- 116
- 318
- 0
báo cáo hóa học:" Quality of life after acute myocardial infarction: A comparison of diabetic versus non-diabetic acute myocardial infarction patients in Quebec acute care hospitals" pdf
Ngày tải lên :
20/06/2014, 15:20
... acquisition of data, or analysis and interpretation of data They have been involved in drafting the article or revising it critically for important intellectual content and they have given final approval ... at baseline, there were several clinically significant differences in the use of revascularization procedures within the two patient populations (Table 2) Fewer diabetic patients were initially ... improvements in their DASI scores, diabetic patients reported poorer functioning than nondiabetic patients at year following the AMI (51% versus 71% said that they can anything/almost anything) Page of...
- 6
- 462
- 0
Báo cáo y học: " International perspectives on intensive care at the end-of-life: the futility movement seems alive and well" ppt
Ngày tải lên :
12/08/2014, 19:22
... 115:478-485 The Ethics Committee of the Society of Critical Care Medicine: Consensus statement of the Society of Critical Care Medicine Ethics Committee regarding futile and other possibly inadvisable ... A, Streiner DL: Determinants in Canadian health care workers of the decision to withdraw life support from the critically ill JAMA 1995, 273:703-708 Vincent JL: Forgoing life support in western ... European intensive care units: results of an ethical questionnaire Crit Care Med 1999, 16:1626-1633 American Thoracic Society Withholding and withdrawing lifesustaining therapy Ann Intern Med...
- 2
- 312
- 0
Báo cáo y học: "Pulmonary artery catheters in acute heart failure: end of an era" doc
Ngày tải lên :
13/08/2014, 19:20
... Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology Eur Heart J 2005, 26:384-416 ... Ashcroft J, Jones CM, Elbourne D, Brampton W, Williams D, Young D, Rowan K: Assessment of the clinical effectiveness of pulmonary artery catheters in management of patients in intensive care ... dysfunction in acute heart failure and septic patients: an observational study Crit Care 2009, 13:R133 Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D Catheterization of the heart in man...
- 2
- 274
- 0
Báo cáo y học: "Pulmonary artery catheters in acute heart failure: end of an era" ppt
Ngày tải lên :
13/08/2014, 19:20
... Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology Eur Heart J 2005, 26:384-416 ... Ashcroft J, Jones CM, Elbourne D, Brampton W, Williams D, Young D, Rowan K: Assessment of the clinical effectiveness of pulmonary artery catheters in management of patients in intensive care ... dysfunction in acute heart failure and septic patients: an observational study Crit Care 2009, 13:R133 Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D Catheterization of the heart in man...
- 2
- 244
- 0
Tài liệu Báo cáo khoa học: "Is the End of Supervised Parsing in Sight?" pdf
Ngày tải lên :
20/02/2014, 12:20
... probabilities of the derivations producing that tree The probability of a derivation is the product of the subtree probabilities The original DOP model in Bod (1998) takes the occurrence frequencies of the ... Table indicates that there is a monotonous increase in f-score on the WSJ test set if NANC text is added to our training data in both cases, independent of whether the sentences come from the WSJ ... where the number of subtrees of all trees increases with the Catalan number, and only ad hoc sampling could make the method work Since U-DOP* computes the shortest derivations (in the training...
- 8
- 525
- 0
Báo cáo khoa học: Origins of DNA replication in the three domains of life pdf
Ngày tải lên :
07/03/2014, 21:20
... (DnaA) The AAA+ domains of both proteins are shown in cyan with ADP indicated in red The helix-turn-helix (HTH)-containing DNA binding domain of DnaA is in green and the winged helix (WH)-containing ... confirmed the position of the origin of replication in Pyrococcus, providing the first experimental proof of a localized origin of replication in the archaea [52] Interestingly, in a situation reminiscent ... seen in Fig 4, both proteins possess N-terminal AAA+ domains and C-terminal DNA binding domains (DBDs) In DnaA, the DBD contains a helix-turn-helix; in the archaeal proteins, the DBD has a winged...
- 10
- 504
- 0
THE FACTORS AFFECTING THE USE OF ELDERLY CARE AND THE NEED FOR RESOURCES BY 2030 IN FINLAND pot
Ngày tải lên :
14/03/2014, 17:20
... declining in the late 90’s As the DiffAGE85+ parameter is indefinite in sign results not indicate a pressure to increase the supply of care in homes for the elderly The contribution of each independent ... Simulations The growth in operating costs is of the same order of magnitude as the rise in the number of care personnel The € 508 million operating cost of the domicile elderly care in the year ... for the elderly and inpatient care as well as to domicile care The expected changes are summarised in Table 13 The care personnel in inpatient care and homes for the elderly is sized according the...
- 56
- 625
- 0
Accuracy of Clinical Signs in the Diagnosis of Pulmonary Tuberculosis: Comparison of Three Reference Standards Using Data from a Tertiary Care Centre in Rwanda doc
Ngày tải lên :
22/03/2014, 18:20
... testing was part of routine examination For HIV testing, specific informed consent was asked and counseling offered Approval for this study was obtained from the relevant authorities of the Ministry ... in this study including clinical, bacteriological and Julie et al radiological findings not permit the measurement of disease status directly, because they are all (imperfect) indicators of the ... conditional independence of the manifest variables L2: the likelihood ratio chi-squared statistic is used to assess how well the model fits the data It indicates the amount of the relationship between the...
- 7
- 506
- 0
Báo cáo khoa học: Acute intermittent porphyria – impact of mutations found in the hydroxymethylbilane synthase gene on biochemical and enzymatic protein properties pdf
Ngày tải lên :
23/03/2014, 04:21
... mutated amino acids are indicated in red; and the position of the last amino acid before the frameshift is shown in black The interacting partners of the mutated residues are shown in yellow and the ... N-terminal and central domains and the dipyrromethane cofactor is covalently linked to Cys261 The interaction of the cofactor with the enzyme side chains is well understood The position of the ... Although the imidazole group in the 2110 ˚ The amide nitrogen of Arg173 forms a 2.7 A hydrogen bond with the carboxyl oxygen of the propionic acid side chain of the C1 ring of the cofactor (Fig...
- 10
- 587
- 0
báo cáo hóa học: " Development and validation of a French patient-based health-related quality of life instrument in kidney transplant: the ReTransQoL" pot
Ngày tải lên :
18/06/2014, 19:20
... determinant of quality of life than it is specific to kidney transplantation The RTQ can be utilized alone or in complement with the SF36, according to the clinician's objective The interest of using ... and FG = 0.76 loading Nevertheless, they were retained due to their clinical relevance in terms of content validity For the same reasons, the item "stress" (Q23) remained in the MH dimension, ... confirmed the pertinence of the five dimensions, and the relevance of the items The dimension of "Medical Care, " which is not evoked in other QOL RTR-specific questionnaires, seems to be of high...
- 12
- 520
- 0
báo cáo hóa học: " Health-related quality of life assessment in Indonesian childhood acute lymphoblastic leukemia" potx
Ngày tải lên :
18/06/2014, 19:20
... quality of life; PedsQL™: the Pediatric Quality of Life Inventory™ Competing interests The authors declare that they have no competing interests Authors' contributions All authors collaborated in the ... determinants: monthly income level of parents and assigned hospital class during the diagnostic process Both determinants are obtained routinely during admission to the clinic and recorded in the ... or inaccuracies in the intermediary forward version of the questionnaire Finally, the translated questionnaire was tested in cancer families, both in children and their guardians, to determine...
- 8
- 415
- 0
báo cáo hóa học: " Comparing a disease-specific and a generic health-related quality of life instrument in subjects with asthma from the general population" pot
Ngày tải lên :
18/06/2014, 22:20
... the manuscript UAL participated in the design of the study and revised the manuscript TR participated in the design of the study and revised the manuscript MWG participated in the design of the ... "depression" than the SF-36 domains assessing physical impairment In the subgroup of subjects defined as having an exacerbation of asthma at the interview in 2002 (n = 143), the Page of 11 (page number ... For the purpose of this analysis, subjects included in the subgroup with exacerbation of asthma were defined by the reports of regular use of asthma medication in the three months preceding the...
- 11
- 767
- 0
Health and Quality of Life Outcomes BioMed Central Research Open Access Life at the end of life: pptx
Ngày tải lên :
20/06/2014, 15:20
... Quality of Life Outcomes 2003, distinctive as are the cultures, and they change and evolve with them [2] The "role of dying" and the belief in Everlasting Life In the past, the acceptance of the ... more acceptable: the suffering of seeing the other dying; or the suffering of dying knowing that the other is left alone? In your opinion, what is meant by death "occurring in a natural way"? ... sometimes worrying and threatening, perhaps because lacking in the certainty of a superior design Death and medicine In the Western world the process of individualization (i.e the definition of all elements...
- 10
- 370
- 0
báo cáo hóa học:" Cross-cultural validation and analysis of responsiveness of the QUALIOST®: QUAlity of Life questionnaire In OSTeoporosis" pptx
Ngày tải lên :
20/06/2014, 15:20
... involved in the drafting of the document and revising it critically for important intellectual content PM, as the author of the QUALIOST® questionnaire, helped in the design of the analysis and the interpretation ... score of the SF-36 in discriminating between fracture cases and controls [6] It would be interesting to compare the discriminative properties of the QUALIOST® with those of these instruments in ... was involved in the supervision of the statistical analysis and revising the document critically for important intellectual content KS was involved in the drafting of the document RP was involved...
- 10
- 416
- 0