... 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 aspre-hospital emergency physicians in many countries. However, limited data are available on the actual quality andsafety of anaesthesiologist-managed ... much better than those reportedfrom many non-physician-staffed EMS systems [4,5] andsimilar to other physician-manned EMS systems [17,18].The safety of pre-hospital ETIs should, therefore,...
... 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.auDepartment of Critical Care Medicine, Nepean Hospital School, Sydney Medical School, Sydney, NSW 2750, AustraliaHuang...
... emergency call should be responded toimmediately and the nearest ambulance should be dis-patched to the scene immediately.Priority code C; the patient needs assessment by anemergency care ... between the municipality-based centersand the new EMCC indicates that priority codes A andC were used in a different way in the new system, withmore priority A and fewer priority C dispatch assess-ments ... EMCCdispatched the highest priority to 7.4 percent of the calls compared to 3.6 percent in the old system. The highpriority cases not detected by dispatchers increased significantly (p < 0.001) in the...
... statisticalanalysis. WI had full access to all of the data in the study andtakes responsibility for the integrity of the data and the accu-racy of the data analysis.AcknowledgementsThis study received ... may have facilitatedsuccessful measurements in many of these patients. Second,the majority of patients enrolled in our study had sepsis orhypovolemia as the etiology of their circulatory insufficiency.This ... responsive.IntroductionCirculatory insufficiency is a common clinical problem facedby physicians caring for critically ill patients. The decision toemploy volume expansion (VE) in these patients...
... treatment ofhypertension [4].Gout is a clinical syndrome caused by the deposition ofmonosodium urate monohydrate crystals into synovial,bursal, and cartilaginous tissue. The underlying metabolicdisorder ... 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 changesbecause of better management, it is possible that clini-cians may not ... acid levels may be normalduring an attack due to pro-inflammatory cytokines [5].The majority of untreated patients will experience anotheracute attack within 2 years [4]. Prophylactic treatment...
... 3 months - 1 year 1 - 5 years over 5 yearsAre 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 intothe practice setting because of its brevity. A comparativestudy of MYMOP and the SF-36 has been conducted [1].MYMOP concurrent validity was supported by its abilityto ... respondent to specifyone or two symptoms which are concerning them mostand which they are seeking treatment for. A daily activitythat is being restricted or prevented by these symptomsis also...
... 5[36,37], the reliability of a mortality estimate can varywidely. If one were to rely only on the first estimate fromthat study, as many have, one would incorrectly infer that500,000 children ... L, Belyakdoumi F, Cobey L, Roberts L, Belyakdoumi F, CobeyL, 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 2ndnationwide retrospective mortality survey conducted byInternational Rescue Committee. Conducted duringApril-July 2004, the survey inquired about deaths betweenJanuary 2003...
... 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;...
... 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...
... 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...
... 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...
... removal. A first deep layer with Vicryl 3-0, slightly affecting the mus-cle fascia. A second subcutaneous deep layer with Monocryl 4/0 and a subderm layer with Monocryl 5/0. We used interrupted ... the patient for publication of this case report and accom -panying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. AUTHORS' CONTRIBUTIONS ... closed with Dermabond. We recom-mended Light compression with Reston square for 4 days was applied followed by the use of a sticking plaster (Leukoplast®). In the postoperative phase, we recommend...