nursing care of families in clinical areas
Tài liệu Nursing Care of the Pediatric Neurosurgery Patient pdf
Ngày tải lên :
16/02/2014, 22:20
... Physiologic imaging techniques - nuclear medicine imaging SPECT Nuclear medicine study utilizing injection of isotopes and imaging of brain to determine if there is increased activity in an area of abnormality; ... frowning Turning down of mouth, not smiling Lips puckering up, tight, pouting, or quivering Clenching or grinding teeth, chewing or thrusting tongue out 3 3 Facial 10 2 2 0 0 III 1 1 VII Eating/Sleeping ... surgical release of the fluid, puncturing the ventricles to drain the fluid, injection of iodine or potassium hydriodate into the ventricles, binding of the head, application of a plaster of herbs to...
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APPLICATIONS OF EMG IN CLINICAL AND SPORTS MEDICINE doc
Ngày tải lên :
27/06/2014, 16:20
... complaints of pain in other regions of the trunk A model that divides the spine into more segments, while not reflecting the total number of vertebrae in the spine, would bring the study of the internal ... adjusted by including/excluding weight plates like those used in strength training 6 Applications of EMG in Clinical and Sports Medicine Each participant performed two series of ten repetitions of the ... affect the spine Due to the invasive nature of measuring these internal loads, models employing indirect means of estimating the loads that act on the lumbar region of the spine during lifting activities...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 1) pptx
Ngày tải lên :
07/07/2014, 01:20
... tolerance occurs in 40% of siblings and in 30% of the offspring of an affected individual Despite the fact that diabetes affects 5% of the population and exhibits a high degree of heritability, ... seeing other specialists The internist has an important role in educating patients about the indications, benefits, risks, and limitations of genetic testing in the management of a number of ... also influence the severity of infirmity, effect of treatment, and progression of disease The primary care clinician is now faced with the role of recognizing and counseling patients...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 2) pptx
Ngày tải lên :
07/07/2014, 01:20
... underscoring the importance of family history for these prevalent disorders Pending further advances in genetic testing, the key to assessing the inherited risk for common adult-onset diseases rests in ... presence or absence of nonhereditary risk factors among those affected with diseases, and the finding of multiple diseases in an individual patient For instance, a woman with a history of both colon ... disease-causing mutations are more prevalent in certain ethnic groups For instance, >2% of the Ashkenazi population carry one of three specific mutations in the BRCA1 or BRCA2 genes The prevalence of...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 3) potx
Ngày tải lên :
07/07/2014, 01:20
... before initiating genetic testing is to ensure that the correct clinical diagnosis has been made, whether based on family history, characteristic physical findings, or biochemical testing Careful clinical ... breast cancer, representing another confounding variable in the pedigree analysis Some of the aforementioned features of the family history are illustrated in Fig 64-1 In this example, the proband, ... pedigree obtained in such families may not exhibit a clear Mendelian inheritance pattern, as not all family members carrying the disease-associated alleles will manifest a clinical disorder...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 4) potx
Ngày tải lên :
07/07/2014, 01:20
... established disease, genetic testing for susceptibility to chronic disease is being increasingly integrated into the practice of medicine In most cases, however, the discovery of disease-associated genes ... provided informed consent In the majority of cases, genetic testing should be offered only to individuals with a suggestive personal or family medical history or in the context of a clinical trial ... blotting (Chap 63) Protein truncation tests (PTTs) are used to detect mutations that result in the premature termination of a polypeptide occurring during protein synthesis In this assay, the isolated...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 5) pptx
Ngày tải lên :
07/07/2014, 01:20
... notions of their personal likelihood of disease in preparing pretest educational strategies Often, patients harbor unwarranted fear or denial of their likelihood of genetic risk Genetic testing has ... concern that testing during childhood violates a child's right to make an informed decision regarding testing upon reaching adulthood On the other hand, testing should be offered in childhood for disorders ... mechanics of testing Most molecular testing for hereditary disease involves DNA-based analysis of peripheral blood In the majority of circumstances, test results should be given only to the individual,...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 6) pot
Ngày tải lên :
07/07/2014, 01:20
... Genetic Counseling and Education Genetic counseling should be distinguished from genetic testing and screening, even though genetic counselors are often involved in issues related to testing Genetic ... expression of disease; Address medical management issues; Assist in determining the role of genetic testing for the individual and family; Ensure that the patient is aware of the indications, ... elements of uncertainty Counseling therefore includes genetic education as well as psychosocial counseling Genetic counselors may be called upon by other health care professionals (or by individual...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 7) pdf
Ngày tải lên :
07/07/2014, 01:20
... Gastrointestinal Familial AR MEFV Mediterranean fever Hemochromatosis Pulmonary Colchicine treatment AR HFE Phlebotomy α1 Antitrypsin AR PI deficiency Avoidance of smoking Avoidance occupational of ... Familial Parkinson AD disease SNCA, PARK2 Amantadine, anticholinergics, levodopa, monoamine oxidase B inhibitors Wilson disease AR ATP7B Zinc, trientene Abbreviations: AD, autosomal dominant; AR, ... treatment (phlebotomy) before the development of organ damage Table 64-2 Examples of Genetic Testing and Possible Interventions Genetic Disorder Inherita Genes Interventions AD MSH2, Early endoscopic...
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Chapter 064. The Practice of Genetics in Clinical Medicine (Part 8) pot
Ngày tải lên :
07/07/2014, 01:20
... intensive clinical screening, as it remains very challenging to predict disease penetrance, expression, or clinical course Although genetic diagnosis of these and other disorders is only beginning ... used in the clinical setting, predictive testing holds the promise of allowing earlier and more targeted interventions that can reduce morbidity and mortality We can expect the availability of ... permits individualized drug therapy, resulting in improved treatment outcomes, reduced toxicities, and more cost-effective pharmaceutical care Examples include succinylcholine sensitivity, thiopurine...
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Báo cáo y học: " The appropriate use of radiography in clinical practice: a report of two cases of biomechanical versus malignant spine pain" pps
Ngày tải lên :
13/08/2014, 14:20
... regarding clinical procedures and helps the clinician provide the best care available to patients by accurately interpreting that evidence and making those interpretations available to clinicians in ... outlines two cases where best practices were used in the decision making process regarding radiography of the spine in patients presenting to a chiropractor in a multi-disciplinary practice setting ... weeks of chiropractic care as measured by progressively decreasing VAS scores After the initial course of care which consisted of HVLA and continuous flexion distraction, she began having increasing...
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Báo cáo y học: "Trends in transfusion of trauma victims evaluation of changes in clinical practice" pdf
Ngày tải lên :
13/08/2014, 23:20
... Following transfusion of 15 units of Page of erythrocytes, unit of platelets was administered per units of erythrocytes The consultant anaesthesiologist in the trauma team used a variety of clinical ... data regarding pre-hospital and in- hospital volumes of infused fluids would also be of great interest and valuable when interpreting the changes in haemoglobin and transfusion found in our data ... hour 21 minutes in year 2002, hour 42 minutes in 2004 and hour 12 minutes in 2007 In the groups of transfused patients the mean number of erythrocyte units given day 1-10 decreased from 9.4 in 2002...
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guide to consolidation of concrete in congested areas
Ngày tải lên :
24/10/2014, 21:59
... provided for lapping reinforcing steel bars without causing undue congestion problems More stringent seismic requirements have resulted in a dramatic increase in the amount of reinforcing steel per ... is forcing architects/engineers to take into consideration the construction aspects of placing and consolidating quality concrete Some reinforcing steel arrangements are incorporating openings ... sections can also be improved by bundling reinforcing bars into groups of two or three bars to increase spacing When encasing permanent steel plate liners in underground work, it is essential...
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Role of pharmacists in clinical risk management
Ngày tải lên :
14/09/2015, 18:33
... on ADR reporting as a major initiative in contributing to maintaining drug safety at both the institutional and national level in many healthcare systems The reporting of ADRs is of great importance ... adverse drug reaction algorithms in a patient sample in Singapore Proceedings of European Society of Clinical Pharmacy 4th Spring Conference, Clinical Pharmacy and the Ageing Patient”, Lisbon, Portugal, ... prophylaxis, performing pharmacokinetic monitoring, initiation and discontinuation of drug therapy, suggesting of alternative pharmacotherapy, as well as influencing the modification of drugs’ dose,...
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Báo cáo y học: "Randomized trial comparing daily interruption of sedation and nursing-implemented sedation algorithm in medical intensive care unit patients"
Ngày tải lên :
25/10/2012, 10:35
... medications discontinued in the ABC trial, thereby resulting in a blunted stress response during sedation interruption and minimizing the symptoms of withdrawal during sedation interruption [32] ... ical Care Medicine (ACCM) of the Society of Critical Care Medicine (SCCM), American Society of Health-System Pharmacists (ASHP), American College of Chest Physicians: Clinical practice guidelines ... ventilation In our patient population, a nursing- implemented sedation algorithm was superior to a strategy of daily interruption of sedation in decreasing the duration of mechanical ventilation In our...
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Tài liệu Nutrition and Nutritional Care of Elderly People in Finnish Nursing Homes and Hospitals pptx
Ngày tải lên :
13/02/2014, 18:20
... studies of this thesis were living in institutional care settings In studies II and III residents were living in nursing homes, whereas in studies I and V in dementia wards, and in study IV in long-term ... collected from a nursing home in which a total of 150 residents were residing Of these, 62 residents were in long-term care In the wards specialised for dementia care of this nursing home, 21 residents’ ... nutrient intake, factors related to nutritional care, and nutritional care options to support nutrition in elderly individuals who lived in institutional care settings in Finland were investigated...
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báo cáo hóa học:" A Population-Based and Longitudinal Study of Sexual Behavior and Multidrug-Resistant HIV Among Patients in Clinical Care" pdf
Ngày tải lên :
20/06/2014, 08:20
... low frequency One of the most interesting findings in this study is the wide variability in distribution of sexual risk in the population The number of individuals engaging in risk behaviors, ... with HIV infection and provide insight into the growing rate of drug resistance in incident HIV infections in areas where ARVs has been available for several decades In our previous baseline cross-sectional ... percent of partners exposed to any type of resistance ranged from 27% (19/70) to 30% (13/43) Discussion In this study of a diverse population of HIV-positive patients in clinical care, we obtained...
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A work force model to support the adoption of best practice care in chronic diseases – a missing piece in clinical guideline implementation pot
Ngày tải lên :
11/08/2014, 05:21
... delivery of best practice care Because of the large involvement of governments in the funding and delivery of health care, and the joint control over training and accreditation by governments and professional ... Proliferation of Clinical Practice Guidelines Guidelines have been collected and displayed on internet websites including: ▪ Agency for Healthcare Research and Quality National Guideline Clearinghouse, ... of professional boundaries The challenge in defining scope is to achieve a balance between the benefits of breadth of scope by including overlapping skills and approaches to management, and increasing...
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Báo cáo y học: " Act In case of Depression: The evaluation of a care program to improve the detection and treatment of depression in nursing homes. Study Protocol" pptx
Ngày tải lên :
11/08/2014, 15:22
... Diagnosing The elderly care physician and psychologist of each unit perform a diagnostic procedure including the use of chart information, caregiver interview, and examination of the resident (interview, ... research In conclusion, the care program is expected to be effective in reducing the frequency of depression and in increasing the quality of life of residents The study also will provide insight in ... be invested additionally in the care program to gain one percentage point decrease in frequency of depression?’ and ‘How much money has to be invested additionally in the care program to gain...
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báo cáo khoa học: " A work force model to support the adoption of best practice care in chronic diseases – a missing piece in clinical guideline implementation" ppt
Ngày tải lên :
11/08/2014, 16:21
... delivery of best practice care Because of the large involvement of governments in the funding and delivery of health care, and the joint control over training and accreditation by governments and professional ... Proliferation of Clinical Practice Guidelines Guidelines have been collected and displayed on internet websites including: ▪ Agency for Healthcare Research and Quality National Guideline Clearinghouse, ... of professional boundaries The challenge in defining scope is to achieve a balance between the benefits of breadth of scope by including overlapping skills and approaches to management, and increasing...
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