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Báo cáo khoa học: "Bench-to-bedside review: Outcome predictions for critically ill patients in the emergency department" potx
... improve the quality of patient care, enhance the precision of clinical research, aid in resource allocation, improve the accuracy of prognostic decisions, and objectively measure the impact of clinical ... validation of a prediction rule to risk stratify ED patients at risk for infection and predict their mortality The areas under the ROC curve were 0.82 for the derivation set (n = 2070) and 0.78 for the ... Use of the SOFA score to assess the incidence of organ dysfunction/failure in intensive care units: results of a multicenter, prospective study Working group on “sepsis-related problems” of the...
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Báo cáo y học: " Critical Care in the Emergency Department: An assessment of the length of stay and invasive procedures performed on critically ill ED patients" doc
... venous catheter (CVC) and arterial cannulation (AC), and chest tubes insertion Data on the management of critically ill patients in the ED is incomplete The primary objective of this study is to ... CTAS level and 20/70 (28.6%) CTAS level The ED diagnosis of critically ill patients varied (Table 2) The majority of patients received at least one invasive procedure in the ED (Table 3) Of the ... Little data is available for countries other than the USA, and therefore this study highlights a potential global issue Emergency Department LOS of critically ill patients is likely multifactorial...
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Adherence to and efficacy of an evidence based management algorithm for acute asthma in the emergency department
... and this might lead to the failure to evaluate the outcome of our clinical pathway In view of this, we plan a formal examination of the effect of the algorithm on EMD length of stay and admission ... epithelial cells As the mechanism of asthma has not been completely uncovered, the definition of this disease is not unified Here, we introduce the one from the expert panel report 2, published ... for the disease are still high That is due mainly to underdetection of disease severity and inappropriate therapy The National Asthma Education and Prevention Program (NAEPP) comprised of the...
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Báo cáo hóa học: " Transvaginal evisceration progressing to peritonitis in the emergency department: a case report" potx
... because of the large amount of bowel present and to the patient’s discomfort during the attempt Intravenous morphine was administered for pain control Sterile moist gauze was placed over the eviscerated ... two areas of ischemia This was followed by resection and repair of the vaginal cuff by gynecologic surgery The patient was discharged from the hospital days later in improved condition Discussion ... bowel resection as well as vaginal cuff repair The combined approach allows for more thorough inspection of the bowel and resection of ischemic sections as necessary Gynecology can then proceed...
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Báo cáo hóa học: " Evaluation of the diagnostic indices and clinical utility of qualitative cardiodetect® test kit in diagnosis of ami within 12 hours of onset of chest pain in the emergency department" pptx
... subjective nature of the reports of the patients about the exact onset of their ischemic symptoms may potentially overestimate or underestimate the duration of their ischemic symptoms This may ... for the Redefinition of Myocardial Infarction published new criteria for the diagnosis of AMI They proposed the use of cardiac troponin (I or T) as the most sensitive and specific marker of AMI ... between the temperatures of 2-8°C, as recommended by the manufacturer (rennesens GmbH: instructions for use) As the med Page of card is retrieved, the plastic pouch is opened, and it is placed...
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Báo cáo hóa học: " Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department" docx
... will not, until the time that MC is diagnosed Despite aggressive chemotherapy and radiotherapy, survival is limited The role of the emergency physician is to appropriately diagnose the condition ... thickening - arrow Page of Discussion This case of meningeal carcinomatosis is somewhat unique in its presentation The patient was not known to have cancer at the time of her presentation, and ... Page of Conclusion Meningeal carcinomatosis is a malignancy with poor survival rates The primary sites of this type of metastatic cancer are typically breast and lung, but may include other solid...
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Báo cáo hóa học: " Albuterol enantiomer levels, lung function and QTc interval in patients with acute severe asthma and COPD in the emergency department" pptx
... subjects, and the BSLs were recorded in 31 subjects However, 24 of the serum potassium results were considered inconclusive and excluded from the analysis because of the subjects’ medication histories ... Acknowledgements The authors wish to acknowledge the staff of the RHH DEM for their assistance with patient recruitment, RHH Department of Clinical Chemistry for assistance with sample collection, and ... University of Tasmania) for assistance with the LC-MS analysis of (R/S)-albuterol The authors also wish to thank the Asthma Foundation Australia (Tasmania branch) and School of Pharmacy, University of...
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Báo cáo y học: "Successful resuscitation of an elderly man with deep accidental hypothermia using portable extracorporeal circulation in the emergency department: a case report" pps
... of core rewarming, at a core temperature of 34.9°C (Figure 1) The patient was then transferred to the operating room for decannulation and repair of the femoral vessels under direct vision His ... The first factor is youth (which is not applicable here, but the other factors were relevant) Second, the patient had deep hypothermia Third, although the patient had Alzheimer's disease, no asphyxia ... accompanying images A copy of the written consent is available for review by the Editor-in-Chief of this journal Acknowledgements This report involved no sources of funding for any of the authors References...
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Báo cáo khoa học: " Procalcitonin as a marker of bacterial infection in the emergency department: an observational study" pptx
... the ability of PCT in discriminating the presence of infection was lower The subjects of the present study were patients admitted to the hospital through the ED, and theoretically the mean PCT ... infection and sepsis, however, intact PCT is found in the blood and, more importantly, its level is related to the severity of sepsis [10,11,13] We evaluated the value of PCT as a marker of bacterial ... further support the diagnosis of infection, and as a marker of disease severity CRP levels, PCT might be used to further support the presence of infection and to predict the disease severity...
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Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department" ppsx
... monitoring Metabolic acidosis and lactic acidosis are byproducts of anaerobic metabolism, and when they are measured in serum they can be useful markers of persistent tissue hypoxia or oxygen debt ... occult tissue hypoxia in the ED Measurement of the elimination rate of an elevated lactate is also a valuable indicator of restoration of tissue oxygenation and relief from regional ischemia ... epidemiologic survey [48] indicated that intensive care is used in one out of five deaths in the USA, raising significant concerns regarding the appropriateness of the type of care offered to terminally...
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Báo cáo y học: "Risk assessment in the first fifteen minutes: a prospective cohort study of a simple physiological scoring system in the emergency department" ppsx
... selected subgroups of emergency patients The concept of adding up the VSS criteria applied in this study is analogous to the use of the sum of failing organs for the calculation of organ dysfunction ... and otherwise suboptimal care is the inability to recognize signs of organ dysfunction early enough to initiate the necessary therapeutic interventions [13,33,34] The aim of this prospective ... outcome of these patients is an unanswered question which should be addressed by future research The main strength of our study is the use of wellestablished criteria for the evaluation of vital...
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báo cáo hóa học: " A protocol for the emergency department management of acute undifferentiated febrile illness in India" potx
... AR is Medical Director and Head of Department, Department of Surgery at Sundaram Medical Foundation JSD is International Emergency Medicine Fellow at Long Island Jewish Medical Center List of ... eligible for the protocol The majority of these patients were presenting on the 1st or 2nd day of fever (Figure 2) Of the 113 AUFI patients who presented within the first days of fever, 57.5% (65/113) ... antimicrobial therapy All patients experienced resolution of fever, with ten being lost to follow-up The final etiology of fever was never determined in the majority of cases (Figure 3) Discussion Given the...
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Báo cáo khoa học: Neuroserpin Portland (Ser52Arg) is trapped as an inactive intermediate that rapidly forms polymers Implications for the epilepsy seen in the dementia FENIB ppt
... inhibitor of tPA and the resistance of the reactive loop to cleavage The lower portion of b-sheet A is filled by unfolding of the F-helix (yellow) Right, the F-helix is displaced by the reactive loop of ... this, the CD profile of Ser52Arg neuroserpin is similar to that of the polymeric conformation in which b-sheet A is filled with the reactive loop of another neuroserpin molecule Moreover the emission ... rate of °CÆmin)1 at a concentration of 0.7 mgÆmL)1 The second derivative of the resulting data was used to calculate the inflection point of the transition and hence the Tm [14] Assessment of the...
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báo cáo hóa học: " Folic acid use in pregnant patients presenting to the emergency department" pptx
... of folic acid at the time of their visit may have been too late to prevent neural tube defects, given that the range of reported gestational age extended to 147 days As a convenience sample of ... (range 06) The average estimated gestational age was 73.2 days (range 13-147 days) (see Table 1) Of the women, 62.2% reported current use of a prenatal vitamin at the time of the ED visit We noted ... parental vitamin use Of the patients, 25.9% identified their primary language as a language other than English Sixty-six percent of patients who stated their primary language was English reported prenatal...
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Báo cáo hóa học: " Troponin utilization in patients presenting with atrial fibrillation/flutter to the emergency department: retrospective chart review" ppt
... length of stay ED visit length of stay was defined as the time the patient arrived in the ED until the time they were either discharged or referred by the emergency room physician Total ED length of ... as the time the patient arrived in the ED until the time they left the ED, either after discharge by the emergency physician or a consulting service, or after being admitted Results Characteristics ... hypotension compared to other variables, as reflected in the lower kappa statistic This is likely related to the fact that while even the data abstraction protocols stated that the ‘presenting’ blood...
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báo cáo khoa học: " Efficacy and tolerability of intravenous methylergonovine in migraine female patients attending the emergency department: a pilot open-label study" pdf
... oral administration of methylergonovine could be effective in the control of the drug induced refractory headache [6] as well as in the management of cluster headache [7] The purpose of the present ... study, the pronounced effect over pain, and the low interindividual variability of the data support the consistency of our results An additional limitation is the fact that patients were dismissed ... active metabolite of methysergide Cephalalgia 1986, 6:35-41 Graff-Radford SB, Bittar GT: The use of methylergonovine (Methergin(r)) in the initial control of drug induced refractory headache Headache...
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Báo cáo khoa học: " Serum procalcitonin measurement as diagnostic and prognostic marker in febrile adult patients presenting to the emergency department" pdf
... for PCT assay in detecting bacteraemia in older ED patients Second, the magnitude of the rise in PCT correlated with the severity of infectious disease (Figure 3) Indeed, more than half of the ... diagnoses of the patients are summarized in Table Agreement between the two experts occurred in 89% of cases for the diagnosis of bacterial/parasitic infection and in 93% of cases for the diagnosis of ... CRP PCT Emergency physician Shown is a comparison of performance of procalcitonin (PCT) and C-reactive protein (CRP) with emergency physician for the diagnosis of bacterial/parasitic infection,...
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Báo cáo y học: "Does serum procalcitonin have a diagnostic value in febrile adult patients presenting to the emergency department" potx
... administration of antibiotics was not always in accordance with that diagnosis, emphasizing the complex issue of the prescription of antibiotics and the potential added value of biomarkers like PCT ... pretest probability This hypothesis deserves further studies Thirdly, it should be pointed out that, in contrast to the etiological diagnosis of the emergency physician found in the medical chart, ... biomarkers like PCT Therefore we think that the next important steps in assessing PCT diagnostic values are the following: Firstly, assess the LR in subgroups of patients, according to the pretest probability...
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Báo cáo y học: " Risk scoring systems for adults admitted to the emergency department: a systematic review" potx
... of mortality, one could argue that the introduction of the scoring system itself forces the clinician to reflect on the risk of the patient, and that this carries all of the effect However, the ... applied directly to the patient This runs the risk of misclassifying the patient and thus directing therapy in, perhaps, a wrong direction As none of the scoring systems presented in this paper ... and nurses in assessing the risk of deterioration of their patients To clarify the level of evidence in this field, we therefore decided to perform a systematic review of the literature on scoring...
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Tìm thêm: hệ việt nam nhật bản và sức hấp dẫn của tiếng nhật tại việt nam xác định các mục tiêu của chương trình xác định các nguyên tắc biên soạn khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo của các đơn vị đào tạo tại nhật bản xác định thời lượng học về mặt lí thuyết và thực tế tiến hành xây dựng chương trình đào tạo dành cho đối tượng không chuyên ngữ tại việt nam khảo sát thực tế giảng dạy tiếng nhật không chuyên ngữ tại việt nam khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu nội dung cụ thể cho từng kĩ năng ở từng cấp độ xác định mức độ đáp ứng về văn hoá và chuyên môn trong ct phát huy những thành tựu công nghệ mới nhất được áp dụng vào công tác dạy và học ngoại ngữ mở máy động cơ lồng sóc mở máy động cơ rôto dây quấn các đặc tính của động cơ điện không đồng bộ đặc tuyến dòng điện stato i1 fi p2 sự cần thiết phải đầu tư xây dựng nhà máy phần 3 giới thiệu nguyên liệu từ bảng 3 1 ta thấy ngoài hai thành phần chủ yếu và chiếm tỷ lệ cao nhất là tinh bột và cacbonhydrat trong hạt gạo tẻ còn chứa đường cellulose hemicellulose chỉ tiêu chất lượng 9 tr 25