principles of research in critical care
Báo cáo y học: " ‘Relation, association, attribution …’ – the multiple faces of death in critical care medicine" pps
Ngày tải lên :
13/08/2014, 16:20
... of hospital stay, and mortality of central line-associated bloodstream infection in intensive care departments in Argentina: a prospective, matched analysis Am J Infect Control 2003, 31:475-480 ... significantly prolonged length of stay, increased economic burden, and an almost twofold increased risk of death Two other examples: in women younger than 65, influenza was shown to increase mortality substantially ... bloodstream infections seem to be associated with an intrinsic excess mortality In critically ill HIV patients, Tumbarello and colleagues [13] assessed a crude mortality of 43%, with an infection-associated...
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Báo cáo y học: "Natriuretic peptide determinations in critical care medicine: part of routine clinical practice or research test only" pps
Ngày tải lên :
13/08/2014, 11:23
... Critical Care Vol 13 No Collinson occurs in a range of other clinical conditions other than cardiac dysfunction, including sepsis [11] Values are frequently raised in the intensive care ... measurement should form part of routine monitoring of the patient once they have been admitted Competing interests The author declares that they have no competing interests References Coquet I, ... R, Barnes S, Boa F, Grounds R, Collinson P, Bennet E: A prospective study into the use of NT-proBNP measurements in critically ill patients Clin Intensive Care 2004, 15:31-36 13 Almog Y, Novack...
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Báo cáo khoa học: "The ethical analysis of risk in intensive care unit research" pdf
Ngày tải lên :
12/08/2014, 20:20
... degree of protection ought to be afforded to adults incapable of providing informed consent – a vulnerable group comprising a large proportion of participants in ICU research [10] To determine whether ... me to participate in this study, as opposed to being treated in accordance with routine clinical care? ’ Competing interests None declared Acknowledgements Professor Weijer’s research is supported ... by a Canadian Institutes of Health Research Investigator Award and Operating Grant He is a Fellow of the Hastings Center in Garrison, New York References US Government: 21 – Code of Federal Regulations...
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Báo cáo y học: " Monitoring and oversight in critical care research" pptx
Ngày tải lên :
12/08/2014, 20:20
... Oversight and monitoring practices Research monitoring and oversight encompass four types of activity [8]: annual review of continuing research, monitoring of informed consent, monitoring of adherence ... and in public trust in the research enterprise Challenges in oversight and monitoring The lack of effective oversight and monitoring in clinical research makes it similar in many respects to clinical ... monitoring the integrity of data These activities are intended as means of quality assurance in research, and as means of establishing expectations of rigorous and ethical conduct in research...
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Báo cáo khoa học: "Worldwide research productivity in critical care medicine" pdf
Ngày tải lên :
12/08/2014, 22:21
... (GDP) icine are published in journals other than those included in the 'critical care medicine' category Furthermore, a proportion of articles published in journals included in the 'critical care ... presented in Table A total of 23,403 articles published in journals included in the 'critical care' category of the JCR database and indexed in PubMed within the period 1995–2003 were evaluated in the ... Leaders of research productivity in critical care medicine, in terms of absolute numbers of published papers during the study period (1995–2003), were Western Europe and the USA • Articles originating...
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Báo cáo khoa học: "The role of leadership in overcoming staff turnover in critical care" pptx
Ngày tải lên :
12/08/2014, 22:22
... use of a team work approach Team work training in the areas of conflict resolution, learning styles and giving feedback will help the staff to work together to create and achieve an inspiring ... satisfaction: Examination of a team-building approach J Nurs Adm 2005, 35:110-120 13 Kelley M, Angus D, Chalfin D, Crandall E, Ingbar D, Johanson W, Medina J, Sessler C, Vender J: The critical care crisis: ... work Competing interests The author(s) declare that they have no competing interests References Laporta D, Burns J, Doig C: Bench to bedside review: Dealing with increased intensive care unit...
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Báo cáo khoa học: " Evaluation of rapid screening and pre-emptive contact isolation for detecting and controlling methicillin-resistant Staphylococcus aureus in critical care: an interventional cohort study" doc
Ngày tải lên :
12/08/2014, 23:21
... figure indicates the initiation of rapid on-admission screening in November 2003 (phase II) The dashed vertical line indicates the initiation of pre-emptive isolation for all patients in April ... line on the figure indicates the initiation of rapid MRSA screening on admission and extension of pre-emptive isolation in November 2003 (phase II) ICU, intensive care unit; MRSA, methicillin-resistant ... substantial decrease in MRSA infections was seen in the medical ICU after increasing compliance with on-admission screening and linking the rapid test to preemptive isolation and cohorting of MRSA patients...
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Báo cáo khoa học: "A Key advances in critical care in the out-of-hospital setting: the evolving role of laypersons and technology" docx
Ngày tải lên :
12/08/2014, 23:21
... impact of AEDs is potentially dramatic, in terms of both life-saving and ICU resources In summary, the use of AEDs by the average person may be considered one of the greatest advances in critical care ... quality of basic CPR techniques has come center-stage in resuscitation research efforts [8] In addition to evaluating the concept of markedly abbreviating the time taken to provide effective training ... ‘hands-off’ intervals between interruption of chest compressions and the delivery of the countershock should be limited to only a few seconds [8,20] In all of these areas of concern, evolving technology...
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Báo cáo khoa học: "Rapid molecular detection of methicillin-resistant Staphylococcus aureus: a cost-effective tool for infection control in critical care" pdf
Ngày tải lên :
12/08/2014, 23:22
... commended for performing this intervention study that documents the benefit of replacing conventional screening by rapid PCR testing and re-organizing critical care towards systematic use of barrier precautions ... spread of methicillin-resistant Staphylococcus aureus? Clin Infect Dis 2005, 40:405-409 Verbrugh HA: Value of screening and isolation for control of methicillin-resistant Staphylococcus aureus Clin ... Critical Care Vol 10 No Struelens and Denis endemic MRSA in The Netherlands and Scandinavia [5,6] Clinical practice recommendations include MRSA carrier screening to inform patient...
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Báo cáo khoa học: " eal-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients" pot
Ngày tải lên :
13/08/2014, 03:20
... (longitudinal axis) anterior (Top internal jugular veinof the needle entering the(arrow) wall of the right internal jugular vein (RIJV) (longitudinal axis) (arrow) (Bottom left): Visualisation of the ... result in a lower incidence of CVC-BSI compared with the landmark technique ods in the intensive care unit setting, and helped to draft the manuscript GK performed both methods in the intensive care ... concerning catheter associated blood stream infections DAT participated in the design of this study and performed both methods in the intensive care unit setting MMK participated in the design of...
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Báo cáo y học: "Clinical review: Sleep measurement in critical care patients: research and clinical implications" pdf
Ngày tải lên :
13/08/2014, 08:20
... more interventions In clinical practice, they offer the only real means of assessing the efficacy of interventions in attempting to improve individual patients’ sleep Patient assessment Using ... polysomnography SEI in one critical care group [11] Patient sleep perception has been used as the endpoint in three interventional studies in critical care patients [40,41,45] Patients in a critical care area ... pertaining to sleep measurement in adult patients during their critical care admission and published in full in English Study comparing different sleep measurement techniques In the context of...
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Báo cáo y học: "Bench-to-bedside review: The evaluation of complex interventions in critical care" ppsx
Ngày tải lên :
13/08/2014, 08:21
... The results of RCTs of complex critical care interventions must be examined closely so that an ongoing program of research aimed at improving the care of the critically ill can be sustained Each ... ensure blinding of the clinical trial Available online http://ccforum.com/content/12/2/210 Blinding Blinding, defined as attempts to keep trial participants, investigators or assessors unaware of ... for researchers conducting trials and for clinicians attempting to critically appraise their results These difficulties include determining a representative study population, defining the intervention...
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Báo cáo y học: "Bench-to-bedside review: Avoiding pitfalls in critical care meta-analysis — funnel plots, risk estimates, types of heterogeneity, baseline risk and the ecologic fallacy" ppsx
Ngày tải lên :
13/08/2014, 11:22
... Kirby A: A comparison of sucralfate and ranitidine for the prevention of upper gastrointestinal bleeding in patients requiring mechanical ventilation Canadian Critical Care Trials Group N Engl ... contexts or interventions is problematic only if the intervention’s efficacy is influenced by one of these factors In critical care, this is often the case: for example, with activated protein C, which ... to facilitate scrutiny of the results Unfortunately in critical care medicine this is frequently not the case A systematic review of 139 meta-analyses relevant to critical care found overall...
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Báo cáo y học: "The essential nature of healthcare databases in critical care medicine" pptx
Ngày tải lên :
13/08/2014, 11:22
... Outcomerea Database Investigators: Reliability of diagnostic coding in intensive care patients Crit Care 2008, 12:R95 Martin GS: Epidemiology studies in critical care Crit Care 2006, 10:136-137 ... Critical Care Vol 12 No Martin many healthcare databases, their use has expanded from the original intent to permit novel research investigations for important areas in healthcare For ... to the OutcomeRea database, to local coding practices or training, to national effects specific to France, or to influences of critical care or critical care medical conditions Regardless, the...
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Báo cáo y học: "Achieving the aims of education: curricular decisions in critical care" potx
Ngày tải lên :
13/08/2014, 11:23
... ensuring that acute and critical care topics are covered within a comprehensive curriculum spanning the entire training period The fact that a condition might not be reversible should not diminish ... above brain death in the needs assessment listing In summary, the authors should be complimented for conducting a needs assessment and also for reporting strong concurrence between trainees and ... importance in the ICU curriculum On the contrary, one might reasonably argue that brain death, fulminant organ failure and end -of- life decision-making ought to be pushed near the top of the priority...
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Báo cáo y học: "Delta inflation: a bias in the design of randomized controlled trials in critical care medicine" ppsx
Ngày tải lên :
13/08/2014, 20:22
... accord with the findings of a recent report that found low rates of efficacy in trials in critical care medicine, a finding the authors attributed to the use of mortality as an endpoint [1] We extend ... tables of contents of five high-impact medical journals (BMJ, New England Journal of Medicine, Journal of the American Medical Association, Lancet, Annals of Internal Medicine) for titles containing ... documented argues against this [24,33,34] The insistence on mortality as the gold standard outcome measure in critical care research combined with funding constraints may pressure investigators to...
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Báo cáo y học: "The interpretation of brain natriuretic peptide in critical care patients; will it ever be useful" pps
Ngày tải lên :
13/08/2014, 20:22
... the interpretation of BNP concentrations in the critical care setting Rudiger [9] found that BNP levels in patients with sepsis were similar to those in patients with DHF and that cardiac index ... prediction of outcome in cardio-renal syndrome type It is clear that the interpretation of BNP concentrations in critical care is fraught with difficulty, but in selected patients there are indications ... no competing interests Author details General Intensive Care, St George’s Hospital NHS Trust, Cranmer Terrace, London SW17 0QT, UK 2Intensive Care Medicine, Clinical Sciences, Jenner Wing, St...
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Báo cáo y học: "Clinical review: Medication errors in critical care"
Ngày tải lên :
25/10/2012, 10:35
... errors involving continuously infused medications in a surgical intensive care unit Crit Care Med 2004, 32:428-432 80 Stambouly JJ, McLaughlin LL, Mandel FS, Boxer RA: Complications of care in a ... Impact of a clinical pharmacist in a multidisciplinary intensive care unit Crit Care Med 1994, 22:10441048 66 Baldinger SL, Chow MS, Gannon RH, Kelly ET 3rd: Cost savings from having a clinical ... interception Intensivist participation in ICU care Adequate staffing Pharmacist participation in ICU care Incorporation of quality assurance into academic education ICU, intensive care unit Bar...
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Tài liệu Principles of Women’s Health Care docx
Ngày tải lên :
13/02/2014, 06:20
... provision www.whnsw.asn.au Principles of Women’s Health Care Community based feminist women's health services are based on principles of social justice and an understanding of a gendered approach ... other women’s health initiatives While the services vary in focus and size, their core principles remain consistent with those expressed in this document The following definition of women’s health ... industry association of, nongovernment, community, feminist women's health centres in New South Wales In addition, we are responsible for promoting a coordinated approach to policy and planning,...
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