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Ngày tải lên: 24/10/2012, 16:37

... emergency system (HEMS) in Norway, have used anaesthesiologists as pre- hospital emergency physicians for many decades [7-9]. However, anaesthesiologists active as pre-hospital emer- gency physicians ... which is one of the reasons why they serve as pre-hospital emergency physicians in many countries. However, limited data are available on the actual quality and safety of anaesthesiologist-managed ... much better than those reported from many non-physician-staffed EMS systems [4,5] and similar to other physician-manned EMS systems [17,18]. The safety of pre-hospital ETIs should, therefore,...

Ngày tải lên: 25/10/2012, 09:56

... patient to a gynaecologist. Although pap smear examination was carried out, the pathology laboratory incorrectly reported the  ndings to be ‘mild squamous atypical cells possibly due to in ... decades, it is only in the past 10 to 15 years that critical care physicians have increasingly become aware of its usefulness. For example, critical care echocardio graphy was initially used in patients ... J Huang and Anthony S McLean* VIEWPOINT *Correspondence: mcleana@med.usyd.edu.au Department of Critical Care Medicine, Nepean Hospital School, Sydney Medical School, Sydney, NSW 2750, Australia Huang...

Ngày tải lên: 25/10/2012, 10:02

... emergency call should be responded to immediately and the nearest ambulance should be dis- patched to the scene immediately. Priority code C; the patient needs assessment by an emergency care ... between the municipality-based centers and the new EMCC indicates that priority codes A and C were used in a different way in the new system, with more priority A and fewer priority C dispatch assess- ments ... EMCC dispatched the highest priority to 7.4 percent of the calls compared to 3.6 percent in the old system. The high priority cases not detected by dispatchers increased significantly (p < 0.001) in the...

Ngày tải lên: 25/10/2012, 10:02

... statistical analysis. WI had full access to all of the data in the study and takes responsibility for the integrity of the data and the accu- racy of the data analysis. Acknowledgements This study received ... may have facilitated successful measurements in many of these patients. Second, the majority of patients enrolled in our study had sepsis or hypovolemia as the etiology of their circulatory insufficiency. This ... responsive. Introduction Circulatory insufficiency is a common clinical problem faced by physicians caring for critically ill patients. The decision to employ volume expansion (VE) in these patients...

Ngày tải lên: 25/10/2012, 10:06

... treatment of hypertension [4]. Gout is a clinical syndrome caused by the deposition of monosodium urate monohydrate crystals into synovial, bursal, and cartilaginous tissue. The underlying metabolic disorder ... Subchon- dral cysts may be present as they were in this case. (See Fig- ure 1) Due to the increasing rarity of these x-ray changes because of better management, it is possible that clini- cians may not ... acid levels may be normal during an attack due to pro-inflammatory cytokines [5]. The majority of untreated patients will experience another acute attack within 2 years [4]. Prophylactic treatment...

Ngày tải lên: 25/10/2012, 10:06

... 3 months - 1 year 1 - 5 years over 5 years Are you taking any medication FOR THIS PROBLEM ? Please circle: YES/NO IF YES: 1. Please write in name of medication, and how much a day/week 2. ... easily incorporated into the practice setting because of its brevity. A comparative study of MYMOP and the SF-36 has been conducted [1]. MYMOP concurrent validity was supported by its ability to ... respondent to specify one or two symptoms which are concerning them most and which they are seeking treatment for. A daily activity that is being restricted or prevented by these symptoms is also...

Ngày tải lên: 25/10/2012, 10:06

... 5 [36,37], the reliability of a mortality estimate can vary widely. If one were to rely only on the first estimate from that study, as many have, one would incorrectly infer that 500,000 children ... L, Belyakdoumi F, Cobey L, Roberts L, Belyakdoumi F, Cobey L, Ondeko R, Despines M, Keys J, et al.: Mortality in eastern Dem- ocratic Republic of Congo: results from 11 mortality surveys. International ... mortality survey and 2 nd nationwide retrospective mortality survey conducted by International Rescue Committee. Conducted during April-July 2004, the survey inquired about deaths between January 2003...

Ngày tải lên: 25/10/2012, 10:31

... is sufficiently adequate to continue. It is also possible that quantitative disease activity measures such as the DAS28 may not adequately capture underlying RA disease activity for some patients ... concomitant fibromyalgia). Moreover, patients may fear that they will worsen after switching to a new therapy, or may have trepidation regarding new side effects [28], and thus may be reluctant ... Activity Index; CORRONA: Consortium of Rheumatology Researchers of North America; DAS: disease activity scores; DMARD: disease-modifying agent in rheumatic diseases; DSS: Decision Support System;...

Ngày tải lên: 25/10/2012, 10:45

... fragility of loaded erythrocyte at 2, 4, 8 mg/ml pravastatin when com- pared to that of unloaded erythrocytes (Table 4). Table 4, Erythrocyte osmotic fragility of unloaded eryth- rocytes and erythrocytes ... loaded erythrocytes Hematological Indices To determine the effect of loading process on erythrocytes, normal erythrocytes, erythrocytes sus- pended in PBS, and pravastatin-loaded erythrocytes ... in erythrocytes either by physical methods such as endocytosis and osmosis-based systems or by chemical perturbation of the erythrocytes membrane [16]. Endocytosis is the process by which cells...

Ngày tải lên: 25/10/2012, 11:10

... Shara M. A review of the safety and efficacy of Citrus aurantium in weight management. In: Bagchi D and Preuss HG, editors. Obesity: epidemiology, pathophysiology, and preven- tion. Boca Raton ... pre-existing hypertensives (systolic blood pres- sure > 140 mm Hg). Blood pressures for the hyper- tensive individuals did not change significantly in response to the dietary supplement. ... HG. The Safety of bitter orange (Citrus au- rantium) and its primary alkaloid p-synephrine. HerbalGram 2011; 89: 34-39. 13. Haller CA, Duan M, Peyton J III, et al. Human pharmacology of a performance-enhancing...

Ngày tải lên: 25/10/2012, 11:10

... epicardial vessel. The secondary end-point was definite stent thrombo- sis (acute, <1 day; subacute, 1 to 30 days; late, >30 days and very late, >1 year). Myocardial infarction was defined ... advent of new DES systems, it is important to elucidate any differences in efficacy and safety when utilizing the currently availab l e DESs. Therefore, we report the two-year outcomes of unselected ... that they con- sidered to be best. Study End Points and Definitions The primary clinical efficacy end points included major adverse cardiac events (MACE) at two year (MACE: Death, myocardial...

Ngày tải lên: 25/10/2012, 11:18