integrative therapies in critical care and sleep disorders

... those pertaining to sleep measurement in adult patients during their critical care admission and published in full in English Study comparing different sleep measurement techniques In the context ... generally considered inaccurate and manual sleep staging remains the preferred option Even manual sleep staging may be subjective, particularly in identifying drowsiness and sleep onset in stage All ... merit in measuring sleep variability over multiple nights and the efficacy of various interventions in insomniacs [58] In healthy individuals, actigraphy is more accurate in recording total sleep...

Ngày tải lên: 13/08/2014, 08:20

... striking finding from these data is the variability in experiences of and desire for involvement in treatment decision making, both within and across clients, clinicians and services Yet involvement, ... involved in so far as providing information and being informed, but that the clinician should make the final decision Caregiver involvement Most caregivers had similar experiences of the ways in which ... they were involved both in the care of their offspring and also in the decision-making processes Caregivers reported having essential roles in terms of practical support such as facilitating service...

Ngày tải lên: 11/08/2014, 16:21

... participants and in public trust in the research enterprise Challenges in oversight and monitoring The lack of effective oversight and monitoring in clinical research makes it similar in many respects ... their monitoring and oversight We not see it that way Although perplexing challenges related to monitoring and oversight in critical care research will invariably arise [13–15], such as informed ... research administration, we are forging what we believe is a fruitful new direction in research monitoring and oversight We are working to create a climate and culture within the institution...

Ngày tải lên: 12/08/2014, 20:20

... 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

... during and after liberation from mechanical ventilation using pressure support, CPAP, and T-piece (n = 20 each) During weaning, plasma insulin and glucose as well as urinary vanilmandelic acid increased ... acute hypoxia Although plasma renin activity and angiotensin II immunoreactivity increased during hypoxia, angiotensin-converting enzyme inhibition and type angiotensin II receptor blockade did not ... in pediatric patients when uncuffed ETTs are used, effective VT is inaccurate and VT is most accurately estimated at the airway opening Conditioning inspired gases with heat and moisture in invasively...

Ngày tải lên: 12/08/2014, 22:22

... onto ORSA plates (Oxacillin Resistance Screening Agar; Oxoid, Basingstoke, UK) and then suspended in ml colistin-salt broth (brain–heart infusion with 10 µg colistin/ml and 2.5% NaCl) as a backup ... saved using the qMRSA test • A substantial decrease in MRSA infections was seen in the medical ICU after increasing compliance with onadmission screening and implementing a strategy that linked ... in MRSA infections was seen in the medical ICU after increasing compliance with on-admission screening and linking the rapid test to preemptive isolation and cohorting of MRSA patients Despite...

Ngày tải lên: 12/08/2014, 23:21

... Critical Care Vol 10 No Pepe and Wigginton survivors, who typically remained in coma for significant periods [10,11], these rapidly wakening patients clearly did not ... survivors had never been trained how to use them [9] In essence, technology has now made the average person readily capable of delivering life-saving critical care Considering that sudden cardiac ... laypersons and health professionals with significant life-saving effects [12] However, its infrequent performance has been cited as perhaps the weakest link in the worldwide chain of survival and a...

Ngày tải lên: 12/08/2014, 23:21

... expanding the use of simulations Microsimulation in critical care is no experiment, no hobby; it is present and part of the very near future If intensivists remain at the barrier, they will definitely ... paper by Saka and colleagues, however, included additional data from the clinical course before they entered the intensive care unit (age, gender, and ethnicity), thus ‘recreating individual patients’ ... of the Working Group on Sepsis-related Problems of the European Society of Intensive Care Medicine Intensive Care Med 1996, 22:707-710 Clermont G, Kaplan V, Moreno R, Vincent JL, Linde-Zwirble...

Ngày tải lên: 13/08/2014, 03:21

... groups taking Drug (dark lines) and Drug (light lines) OA and OC represent the results of one trial, and AB and CD the other trial OA has the lesser slope, meaning Drug is superior in this trial ... uses individual patient data and is prospectively planned, suggesting future clinical investigators should carefully consider the advantages and disadvantages of this approach Competing interests ... A: A comparison of sucralfate and ranitidine for the prevention of upper gastrointestinal bleeding in patients requiring mechanical ventilation Canadian Critical Care Trials Group N Engl J Med...

Ngày tải lên: 13/08/2014, 11:22

... hormone-producing and cytokine-producing machinery, adipose tissue cannot stand passively by in the face of severe threat to life, and is involved in numerous inflammatory responses including production ... Pratley RE, Tataranni PA: Hypoadiponectinemia in obesity and type diabetes: close association with insulin resistance and hyperinsulinemia J Clin Endocrinol Metab 2001, 86:1930-1935 13 Kern PA, ... Nisbett J, Cohen J, Prins J: Changes in serum adiponectin concentrations in critical illness: a preliminary investigation Crit Care 2009, 13:R105 Friedman JM: Obesity in the new millennium Nature 2000,...

Ngày tải lên: 13/08/2014, 18:22

... errors involving continuously infused medications in a surgical intensive care unit Crit Care Med 2004, 32:428-432 80 Stambouly JJ, McLaughlin LL, Mandel FS, Boxer RA: Complications of care in a ... Reporting near misses would substantially increase the number of reports Some systems such as the AIMS-ICU (Australian Incident Monitoring Study in Intensive Care) and the ICUSRS (Intensive Care ... errors in critical care are frequent, serious, and predictable Human factor research in nonmedical settings suggests that demanding greater vigilance from providers of medical care may not result in...

Ngày tải lên: 25/10/2012, 10:35

... dementia and their carers in health and social care, managing depression in primary and secondary care, assessing and preventing falls in older people, obesity, commonly used methods to increase ... developing training programmes and setting competencies, standards and continuing professional development schemes • NHS and local authority senior managers, human resources and training providers and ... 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...

Ngày tải lên: 05/03/2014, 18:20

... Colonization and Infection in the Critical Care Unit 102 C Glen Mayhall PART II: CLINICAL SYNDROMES IN CRITICAL CARE Clinical Approach to Sepsis and Its Mimics in Critical Care Burke A Cunha Meningitis and ... in the critical care unit Infectious diseases maintain their preeminence in the critical care unit setting because of their frequency and importance in the critical unit patient population Since ... present and are becoming important in critical care Infectious Diseases in Critical Care Medicine (third edition) remains the only book exclusively dedicated to infectious diseases in critical care...

Ngày tải lên: 06/03/2014, 06:20

... ung th in vitro, thấy quercetin làm thoái giáng đột biến p53 - protein, làm ngừng chu kỳ tế bào giai đoạn G1 , ức chế tyrosin - kinase, ngăn chặn hoạt tính protein - ras In vitro, quercetin ức ... Curcumin có nhiều ảnh hởng đến sinh lý bệnh học tế bào ung th: in vitro, curcumin làm ngừng chu kỳ tế bào u, thúc đẩy chết theo chơng trình (apoptosis) Tuy nghiên cứu hạn chế, nhng thấy curcumin ... bào khác nhau, thấy quercetin làm tăng hiệu lực điều trị cisplatin, adriamycin, busulfan, cyclophosphamid làm tế bào ung th giảm đề kháng với gemcitabin topotecan Bromelain Là hỗn hợp protease chứa...

Ngày tải lên: 20/03/2014, 03:20

... sanitary and maintained to provide adequate drainage RELATED STANDARDS: Preparing, Feeding, and Storing Human Milk Preparing, Feeding, and Storing Infant Formula Playing Outdoors REFERENCES: Kleinman, ... health care needs have difficulty with feeding, including delayed attainment of basic chewing, swallowing, and independent feeding skills Food, eating style, food utensils, and equipment, including ... sanitized by washing in a dishwasher or by washing, rinsing, and boiling them for one minute RATIONALE: Infant feeding bottles are contaminated by the child's saliva during feeding Formula and milk promote...

Ngày tải lên: 22/03/2014, 09:20

... Co-staining of AQP4-IgG and MOG-IgG antibodies (red) and TCC (green) was investigated in a blinded fashion (SM, KS and VG), and dead cells were visualized by DAPI staining Control experiments using ... (1:160-1:2,560) in NMO, 1:2,560 (1:640-1:5,120) in HR-NMO, 1:2,560 (1:160-1:20,480) in ADEM, 1:640 and 1:5,120 in CIS, 1:160 and 1:160 in MS and 1:320 (1:160-1:640) in CTRL (Figure and Table 1) The clinical ... were excluded by DAPI staining and the presence and titer levels of MOG-IgG were analyzed by three clinically blinded and experienced investigators (SM, KS and VG) - 17 - In order to exclude unspecific...

Ngày tải lên: 19/06/2014, 22:20

... adequate for training in basic CCE for most critical care residents when combined with a 12-hour learning program blending didactics, interactive clinical cases, and tutored hands on sessions ... reviewed) In Australia and New Zealand, the critical care community has developed a two-tier system for training in CCE Basic level training requires 10 hours of course Mayo Annals of Intensive Care ... when presenting themselves as trained in advanced CCE Training fellows is less challenging than training attending level intensivists who did not have opportunity to gain experience during their...

Ngày tải lên: 21/06/2014, 00:20

... (O), and Italy and Spain none TRAINING IN INTENSIVE CARE MEDICINE IN THE UK An increasing number of appointments in ICM are now available to trainees in general internal medicine at senior house ... rehabilitation.9 TRAINING IN INTENSIVE CARE MEDICINE Improved training of medical and nursing staff and organisational changes have undoubtedly played their part in improving the outcome of critical illness ... vigorous intravenous uid loading and inotropes, usually dobutamine The mathematical linkage caused by calculating both VO2 and DO2 using common measurements of Qt and CaO23 and the physiological linkage...

Ngày tải lên: 29/06/2014, 11:20

... These include endotoxins and polysaccharide binding proteins, cytokines, leukotrienes, clotting factors, C-reactive protein, histamine, uric acid, catecholamines, and procalcetonin, to name but a ... electrocardiogram and, echocardiography, end-tidal CO2, and urine flow together with measurements of sublingual PCO2 and metabolic measurements in blood, including lactate Invasive measurements, including ... plasma renin, aldosterone, neurophysins and urinary ADH, and prostaglandins Anesthesiology 58:136–141 75 Andrivet P, Adnot S, Sanker S, et al (1991) Hormonal interactions and renal function during...

Ngày tải lên: 10/08/2014, 18:21

... mucosa and serosa This decrease was accompanied by an increase in the intestinal PCO2 gap Administering fluids alone or together with SIN-1 increased flow and mucosal µPO2 to baseline levels SIN-1 ... prostacyclin when no further increase in DO2 could be obtained by volume resuscitation and dobutamine infusion Gastric intramucosal pH (pHi) improved after starting prostacyclin, suggesting an increase ... aggressive therapy to maintain brain perfusion has a major impact on secondary brain ischemia in brain trauma patients Maintaining adequate brain perfusion allows the brain lesion to the limited...

Ngày tải lên: 10/08/2014, 18:21