medical management of the diabetic patient
Medical management of the hospitalized alcoholic patient
... Treatment of Alcohol Withdrawal Syndrome CPRC The Problem Patients may not tell physician about alcohol use if they are not asked about it Patients usually will state they use much less alcohol than they ... sedation (large, frequent doses of benzodiazepines) cannot stop DTs once they have begun CPRC Medical Complications in Patients with Alcoholism Increased risk of all types of infections due to: decreased ... manifestation of alcohol withdrawal Affects < 5% of patients Mortality 15%, due to: myocardial infarction respiratory arrest sepsis As age increases, risk of DTs increases Rare in patients < 30 years of...
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Assessment and Management of the Elderly Patient with Multiple Sclerosis pot
... Care in the Elderly 2012:4 Elderly patient with multiple sclerosis Pain Pain is one of the most common symptoms of MS and can be seen in more than half of all patients with MS Pain can either be ... mobility in patients with MS.5 Furthermore, exercise can help counteract the effects of disuse atrophy Given the potential implications of serious falls, many older patients may develop a “fear of falling” ... density in patients with MS There are currently no clinical guidelines in the evaluation, prevention and treatment of osteoporosis in MS patients.53 The current recommendations of screening the general...
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Báo cáo y học: "Roundtable debate: Controversies in the management of the septic patient – desperately seeking consensus" ppsx
... because they got blood but rather the timing of how much fluid they received At the end of 72 hours, both groups received the same amount of fluid but it was frontloaded in the early goal-directed therapy ... intake My immediate therapeutic concern is the tachycardia, the nature of the cardiac rhythm, and the possibility of myocardial ischemia Dr A As we stand at the bedside, reviewing the admission laboratory ... present the reasoning and preferences of a group of intensivists who met to discuss the management of an actual case Throughout this presentation, the focus is on management, with emphasis on the...
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báo cáo khoa học: "Implementing and managing self-management skills training within primary care organisations: a national survey of the expert patients programme within its pilot phase" pdf
... at the heart of public services The Stationery Office 2004 Kennedy A, Rogers A, Gately C: Assessing the introduction of the Expert Patients Programme into the NHS: a realistic evaluation of recruitment ... between PCT size and the number of courses administered Indeed, the bigger the PCT in terms of patient population (based on GMS census figures, 2004), the greater the number of courses run (r = ... findings with the Department of Health's response to EPP in its pilot phase, and, as such, the success of the EPP is interpreted primarily in terms of the numbers of courses run and the anticipated...
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Báo cáo khoa học: "Optimal management of the high risk surgical patient: beta stimulation or beta blockade" pdf
... assess the adequacy of DO2 Pearse et al [9] also measured ScvO2 in most of the patients investigated in their study assessing the efficacy of GDT [8] They reported that ScvO2 fluctuated over the ... that beta-blockade therapy increased the risk of death in patients with RCRI scores below is much more robust, as this analysis included the vast majority of the patients (80% of the cohort) Second, ... agents were used in 18% of 700,000 patients who had no contraindication for beta-blockade, and the outcome of these patients receiving beta-blockade was compared to the other patients, using a propensity...
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Báo cáo y học: "Management of the critically poisoned patient" potx
... which limits the use for direction of care in the acute setting [15] When used appropriately, diagnostic tests may be of help in the management of the intoxicated patient In the patient whose ... administered in cases of suspected or confirmed ingestion of ethylene glycol or methanol Fomepizole prevents the conversion of these agents to the metabolites associated with the majority of the toxic effects ... [24-27] There are several concerns in regard to utilizing the osmol gap as a screening tool in the evaluation of the potentially toxic-alcohol poisoned patient If a patient' s ingestion of a toxic...
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Medical Care of the Liver Transplant Patient pps
... Medical Care of the Liver Transplant Patient, 3E Medical Care of the Liver Transplant Patient, 3E Edited by Paul G Killenberg, MD Professor of Medicine Division of Gastroenterology ... retransplantation in the context of limited donor organs and the closely related problem of recurrence of the original liver disease in the liver graft Although the basic principles of medical care for the liver ... performed when the patient s condition and the 13 ! 14 ! MEDICAL CARE OF THE LIVER TRANSPLANT PATIENT natural history of the patient s disease portend a poor short-term survival The MELD system,...
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Preoperative medical evaluation of the adult healthy patient
... in 368 patients; of these, only one (0.3 percent) had an abnormal chest radiograph, which did not affect the surgery On the other hand, 504 patients had identifiable risk factors; of these, 114 ... preanesthesia evaluation: an updated report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation Anesthesiology 2012; 116:522 41 Association of Anaesthetists of Great ... 3782 patients required treatment; just one of these required pharmacologic treatment [44] In a prospective study of 1363 patients for whom laboratory testing was performed at the discretion of the...
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Báo cáo y học: "Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS)"
... on the contemporary treatment of SARS [2], and the whole topic has also been reviewed elsewhere [3] In this article, we aim to focus on the management of a subgroup of critically ill SARS patients ... another subgroup of 44 patients, there were significant reductions in the need for rescue pulsed corticosteroid therapy, intubation rate and overall mortality In addition to the prevalence of ... suggested as the best possible compromise between patient and operator safety by administration of a combination of midazolam, fentanyl and lidocaine until the patient reaches the desired level of sedation...
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Tài liệu Assessment of the AHRQ Patient Safety Initiative pptx
... involved in patient safety We adopted a national perspective, the goal of which was to assess the progress of the AHRQ initiative and the activities of other federal agencies in the context of the larger ... standards of practice Recent Events Two major events during 2003–2004 either have altered the scope of the patient safety initiative or were expected to so One of these was the shift in focus of patient ... Transportation and Safety Administration; Office of Management and Budget; Office of Personnel Management; and the U.S Coast Guard strengthening the patient safety knowledge base, ensuring accountability...
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Management of pulmonary tuberculosis patients in an urban setting in Zambia: a patient’s perspective ppt
... Province of Zambia with an estimated population of 374,757 persons [5], representative of many urban towns along the line of rail in Zambia At the time of the study, the Ndola District Health Management ... percent of the respondents reported that they knew they were cured of their last TB episode, but when asked how they knew they were cured, reasons ranged from feeling better (80%), the fact that they ... knowledge of the importance of follow-up sputum submission; whereas, nearly 90% knew the importance of treatment completion, only 57% knew the importance of the latter, reflective of the low importance...
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Type 1 Diabetes Clinical Management of the Athlete potx
... and racing In the early days of my diabetes, it was the consistency that had gone The main issue was not actually the controlling of the diabetes; it had more to with the refueling of my body To ... strongly supported by the growth in the clinical research knowledge base of the effects of diabetes on the physiological response to exercise, on the effect of exercise on the response to hypoglycaemia ... modulated as the duration of the exercise increases and as the intensity of the activity changes Since one of the main fuels for exercise is carbohydrate, glucose utilization by the working muscle...
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Assessment of the AHRQ Patient Safety Initiative docx
... engaged As the innovation matures, adoption then levels off After five years of the patient safety initiative, the United States stands at the threshold of the upward moving portion of the curve ... QIOs to promote the adoption of other kinds of health IT in a variety of health care settings AVAILABILITY OF PATIENT SAFETY MEASURES The absence of a comprehensive set of national patient safety ... has the lead responsibility for awarding and managing the health IT grants The two centers are also working together on the new ambulatory care patient- safety program At the start of the patient...
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HEALTH STATUS AND MEDICAL TREATMENT OF THE FUTURE ELDERLY: IMPLICATIONS FOR MEDICARE PROGRAM EXPENDITURES potx
... receiver, of the energy that emerges from the tissue (in the case of x-ray, CT, or ultrasound) or the change in the state of the tissue as a result of application of some energy (in the case of MRI) ... prevention of disease was the subject of breakthroughs in all three of the medically focused panels These breakthroughs include the prevention of cardiovascular disease, the prevention of a variety of ... guidance on the likely future of advances in the medical treatment of specific illnesses and the early detection and prevention of diseases Most of these panels consist of physicians or biomedical...
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Authoring and Generating Health-Education Documents That Are Tailored to the Needs of the Individual Patient doc
... contains a list of the patient conditions that the author is using to specify the selection of pieces of text The right-hand portion of the screen contains a window on the text of the master document ... persuasive to the patient For more discussion, see DiMarco, et al (1995) other parts of the system—i.e., the user interface for the clinician, the software interface to the online medical- records ... both the patient s medical condition and any other personal and cultural characteristics that might either be included in their medical record or available from the clinician Patient data The...
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Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy pot
... of BP BP should be measured with the woman in the sitting position with the arm at the level of the heart (II-2A) An appropriately sized cuff (i.e., length of 1.5 times the circumference of the ... as the objective of statin therapy is to decrease long-term cardiovascular risk, the potential risks of statin therapy (over the nine months of pregnancy) may outweigh the potential benefits of ... Of note, the protocol for women in the MgSO4 arm of the largest of these trials, the Collaborative Eclampsia Trial, did not include administration of benzodiazepines for seizure termination The...
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NASA’S MANAGEMENT OF THE MARS SCIENCE LABORATORY PROJECT potx
... checks the overall health of the spacecraft Central control of the entire flight system is under control of the flight software running in the RCE, the same architecture as was used for the Mars ... (Flight Software, continued) Task Description The RCE is the key element of the MSL avionics subsystem, which entirely controls the MSL spacecraft Rover flight software is the software in the main ... 2014 In light of the importance of the MSL Project to NASA’s Mars Program, the Office of Inspector General conducted an audit to examine whether the Agency has effectively managed the Project to...
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Guideline for Management of the Clinical Stage 1 Renal Mass pptx
... experience The number of patients who have undergone OPN reported in the literature exceeds the number of patients who have undergone all other forms of treatment combined (excluding ORN) for the treatment ... discuss with the patient the current understanding of the natural history of clinical stage renal masses, the relative risks of benign vs malignant pathology and the potential role of active surveillance ... comments; the Panel revised the document based on the comments received The guideline was submitted first for approval to the Practice Guidelines Committee of the AUA and then forwarded to the AUA...
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báo cáo hóa học:" Psychometric evaluation of the Osteoporosis Patient Treatment Satisfaction Questionnaire (OPSAT-Q™), a novel measure to assess satisfaction with bisphosphonate treatment in postmenopausal women" potx
... characteristics A total of 104 patients participated in the study Patient characteristics of the enrollment sample are summarized in Table The average age of the sample was 65.1 years Page of (page number ... clinical characteristics of the study population at baseline The analysis of the OPSAT-Q data focused on how well the items satisfied assumptions underlying The distributions of the individual OPSAT-Q ... to assess the impact of osteoporosis on a patient' s quality of life [12,13] For the psychometric evaluation study of the OPSAT-Q, the OPTQoL was administered, which includes domains, the following...
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Atlas of the Diabetic Foot - part 1 pot
... Atlas of the Diabetic Foot Professor Nicholas Katsilambros, MD Director of the 1st Department of Propaedeutic Medicine and the Diabetic Centre Athens University Medical School Laiko ... attention to the efficient functioning of the clinic and to the upkeep of patient records Thanks are also due the numerous doctors who have assisted the Outpatient Diabetic Foot Clinic either as specialists ... at a temperature of ◦ C and the other at 40 ◦ C) on the dorsum of the feet Typically, in diabetic peripheral neuropathy the sensory deficit is pronounced at the periphery of the extremities (in...
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