... of problematic judgments of EEG manifestations, a case management system is needed to allow a remote epileptologist to review eEEGs recorded in acute settings, such as theED where an epileptologist ... comprised of an inexpensive single-use “EEG-kit” with disposable/ refurbishable components used to collect the EEG all gathered in a sealed plastic bag, and software to wirelessly collect and then ... use ofED resources for managing these patients Prior work investigated the effects of incorporating an EEG in the workup of patients with mental status in theED typically by comparing the initial...
... presented withabdominal pain, and 68 patients (50.1%) presented with both vaginal bleeding and abdominalpainThe average age ofthe patients was 25.1 years (range 16-42 years) The average number of ... participated in the study had presented with pregnancy-related complaints ofabdominalpain and/or vaginal bleeding Research associates were present in theED days per week from a.m until midnight The ... participated in the study during the 16-month period Of these, 23 patients (17%) presented with vaginal bleeding, 44 Discussion Approximately 70% of neural tube defects could be prevented with the...
... discharged or referred by theemergency room physician Total ED length of stay was defined as the time the patient arrived in theED until the time they left the ED, either after discharge by theemergency ... department (ED) visit length of stay, and total emergencydepartment (ED) length of stay ED visit length of stay was defined as the time the patient arrived in theED until the time they were either ... Foundation of Ontario (Emily Austin) Author details Departmentof Medicine, Division ofEmergency Medicine, University of Toronto, Toronto, Canada 2Queen’s University, Kingston, Canada Department of...
... (relative risk of 2.46) compared with patients admitted tothe intensive care unit directly from theED Conclusion The emerging role oftheED in severe sepsis and septic shock is a much needed and evolving ... mentioned If these sepsis therapies are to be questioned or re-studied, then it should be done with respectful scientific methodology Although the data presented by the authors based on their ... EP; Society of Critical Care Medicine; American College ofEmergency Physicians; Society of Academic Emergency Medicine; Council ofEmergency Medicine Residency Directors; Emergency Medicine Residents...
... (relative risk of 2.46) compared with patients admitted tothe intensive care unit directly from theED Conclusion The emerging role oftheED in severe sepsis and septic shock is a much needed and evolving ... mentioned If these sepsis therapies are to be questioned or re-studied, then it should be done with respectful scientific methodology Although the data presented by the authors based on their ... EP; Society of Critical Care Medicine; American College ofEmergency Physicians; Society of Academic Emergency Medicine; Council ofEmergency Medicine Residency Directors; Emergency Medicine Residents...
... in older ED patients Second, the magnitude ofthe rise in PCT correlated withthe severity of infectious disease (Figure 3) Indeed, more than half ofthe patients with PCT above μg/l in theemergency ... them [11,12] During the duration ofthe present study, the patients included accounted for 1.3% ofthe total number of medical emergency consultations, assuming that the majority of febrile patients ... were either transferred tothe ICU or had died by day 30 For five patients initially admitted to a medical ward but who subsequently died or were admitted tothe ICU, the availability of PCT...
... diagnosis oftheemergency physician found in the medical chart, we observed that administration of antibiotics was not always in accordance with that diagnosis, emphasizing the complex issue ofthe ... prescription of antibiotics and the potential added value of biomarkers like PCT Therefore we think that the next important steps in assessing PCT diagnostic values are the following: Firstly, assess the ... subgroups of patients, according tothe pretest probability determined by the physician; secondly, test an algorithm that includes PCT measurement; thirdly, test the usefulness of PCT on the outcome...
... also used in activation of medical emergency teams All other systems reached level except the GS which only reached level as it is not validated but only derived Most ofthe parameters used to calculate ... who presented to an EmergencyDepartment and were thus excluded as the patients were not later admitted tothe hospital A total of 13 articles were included in this review, see figure The articles ... will be used by more inexperienced doctors and nurses in assessing the risk of deterioration of their patients To clarify the level of evidence in this field, we therefore decided to perform...
... concerned with variational methods on the existence of certain types of solutions tothe planar three-body problem with various choices of masses There is a natural way of classifying orbits by their ... + m2 + m3 is the total mass The homotopy class ofthe ˜ ˜ projection αφ of αφ in V \ Δ over t ∈ [0, 1] is one ofthe two generators for ˜ \ Δ) The left side of Figure depicts the path α over t ... Proof of Main Theorems We begin withthe proof of Theorem 1: Proof of Theorem Assume m3 = 1, M = m1 + m2 + Let F (m1 , m2 ), G(m1 , m2 ) be as in (5), (6) Suppose F (m1 , m2 ) > G(m1 , m2 ) Then...
... combination of subtle presenting complaints and the need for a pelvic exam to obtain the clinical diagnosis predispose these patients to delayed diagnosis Emergencydepartment management of a patient with ... tothe National Hospital Ambulatory Medical Care Survey data, abdominalpain is the most common presentation to US emergency departments [9] Emergencydepartment overcrowding has been associated ... assessed in a semi-private triage area to reduce the morbidity and mortality associated with delayed diagnosis Triage nurses should be educated on the importance of regular reassessment of vital...
... affecting the absorption, distribution, metabolism and excretion of drugs [7] The altered physiology ofold age is related to reduced total body water, reduced lean body mass and body fat, reduced serum ... Doxazosin Metoclopramide Authors’ contributions AB conceived the idea for the study; AB and DM designed the study and the data collection proforma; TFC assisted with collation ofthe data; AB, ... collected retrospectively and also because for any given presentation there may be the coexistence of multiple factors contributing tothe presentation The study highlights theemergency department...
... measurement for the diagnosis and estimation ofthe severity of shock in theED Gastric mucosal and sublingual PCO2 are measured using tonometric catheters inserted into the stomach or beneath the tongue, ... However, the urgency ofacute resuscitation and the impaired ability ofthe patient to make a reasonable autonomous decision both conspire against adequate consideration ofthe principles of medical ... concerns regarding the appropriateness ofthe type of care offered to terminally ill, hospitalized patients That survey emphasizes the importance of informed participation of patients and surrogates...
... exhibited notable decreases in predicted mortality during theED stay The nontraditional use of these scores allowed the authors to show that the highest scores and predicted mortalities occurred ... a predictor of outcome in patients admitted tothe ICU from theED [52] SIRS in combination with an elevated lactate (≥ mmol/l) in theED was found to be 98.2% specific for admission tothe hospital ... prognosticate to outcome based only on the first 24 hours in the ICU) or need to be recalibrated to include physiologic parameters in theED [51] 378 SIRS, part ofthe definition of sepsis, has been used...
... limitations First, the study was based on self-reported perceptions ofthe medical directors ofthe EDs Some physicians liked the way questionnaire was asked, while others did not, therefore certain ... asthma Data showed that in the management ofacute asthma in the ED, a PEFR guided protocol neither improved overall PEFR response to treatment nor reduced admission rates when compared with current ... self-administered survey ofED asthma care was conducted in 1996 to 1997 Sixty-four EDs took part in the study, with a response rate of 71.9% Systemic steroids (either IV or po) were estimated to be given to...
... Med Sci 2009, 119 this case the patient had a panuveitis, which recovered only after a combination of medical treatment and surgery, with a final visual acuity of 40% in the affected eye [1] The ... The only case of Lyme disease affected a 31 year -old farmer and his ocular manifestations are described in the specific section Figure 1: Geographical location ofthe province of Parma (Italy) ... References Mora P, Vecchi M, Barbera L, Toscani M, Orsoni JG Use of systemic cyclosporin A in a case of severe Toxocara uveitis J Infect 2006; 52:159-161 http://www.medsci.org ...
... shows the data related tothe solutions tothe constraints ofthe teachers’ lack and misunderstanding of CLT Nearly all the teachers (95%) wanted to participate in seminars organized withthe help ... think the researcher wants to read rather than their real feelings Moreover, the number ofthe subjects is small which may influence the implications ofthe thesis to some extent The results ofthe ... a vital factor in the class The teacher should stimulate the students to volunteer to speak, and the passive students need the teacher’s attention They have to be appointed to speak The easy questions...
... requested to provide the Commission with a description ofthe types of conflicts of interest between the various actors as referred to in Article 14(1) ofthe AIFMD Furthermore, ESMA was requested to ... retention of no less than % ofthe nominal value of each ofthe tranches sold or transferred tothe investors; (b) in the case of securitisations of revolving exposures, retention ofthe originator’s ... Execution of decisions to deal on behalf ofthe managed AIF AIFM should act in the best interest ofthe AIF or the investors ofthe AIF they manage when executing decisions to deal on behalf of the...
... TSQLConnection component from the dbExpress tab ofthe Component Palette onto the form Right-click on this component to start the Connections Editor, and edit the settings to connect tothe IBLocal InterBase ... fairly painless, several migration issues are related tothe differences in the Win32 and NET platforms These issues are related tothe fact that NET code is executed by the CLR in a safe, managed ... Microsoft, Windows, and other Microsoft product names are trademarks or registered trademarks of Microsoft Corporation in the U.S and other countries All other marks are the property of their...
... correlated withthe PedsQL™ total scores at FU, withthe exception of caregiver missed work or school (Table 1) The negative direction ofthe correlation reflects that the longer the duration of fever ... calculated based on the ability to detect an effect size of 0.5 or greater with a power of 90% and a α-level of 0.05 An estimated sample of 85 patients was needed To account for an anticipated 20% ... remained abnormal was then asked † Outcomes were adjusted to include subjects impaired at FU in the analysis, withthe days to FU telephone call assumed as the final day of impairment Page of (page...