sleep in adult acute and critical care settings
Current concepts in pediatric and adult congenital cardiac critical care
... Current Concepts in Pediatric and Adult Congenital Cardiac Critical Care Introduction This one-day educational symposium will focus on the innovations in the care of pediatric and adult congenital ... Center is a leader in best outcomes for pediatric and adult congenital cardiac surgery providing cardiac care to children and adults locally and internationally Faculty from this institution will ... the care of pediatric and adult congenital cardiac patients Learning Objectives • Gain an understanding of the latest developments and techniques in neonatal, pediatric, and adult congenital cardiac...
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Báo cáo y học: " Short-term prediction of threatening and violent behaviour in an Acute Psychiatric Intensive Care Unit based on patient and environment characteristics" pps
... properties in forensic and acute settings [21,37], and now in a PICU setting The instrument is short, practical and easy to administer in routine care Systematic uses of standardised instruments ... used) Specially trained unit nurses did all the ratings The first rating with the items “frequency of testing out and pushing limits”, “intensity of testing out and pushing limits”, and “need to set ... space in a ward [33] In the present study the number of beds and the space were identical in the two inclusions [15] This finding indicates that an important factor in reducing aggressive incidents...
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Báo cáo y học: " Ethics and critical care in the new millennium" pps
... that the skills to approach and resolve ethical dilemmas are innate in all intensivists, and instead strive to create and develop our ability to think critically in bioethics so as to confront ... to think critically about our ability to reconcile the interests of society, patients, their families, and critical care practitioners, using logic and reaching agreement on common goals In the ... Critical Care February 2002 Vol No Hawryluck and Crippen involved in the design and/ or funding of a project, then what are the responsibilities and obligations of the investigator...
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Báo cáo khoa học: " Year in review in Critical Care, 2003 and 2004: respirology and critical care" potx
... during and after liberation from mechanical ventilation using pressure support, CPAP, and T-piece (n = 20 each) During weaning, plasma insulin and glucose as well as urinary vanilmandelic acid increased ... acute hypoxia Although plasma renin activity and angiotensin II immunoreactivity increased during hypoxia, angiotensin-converting enzyme inhibition and type angiotensin II receptor blockade did not ... Hubloue and coworkers [9] studied whether angiotensin-converting enzyme inhibition by enalaprilat and type angiotensin II receptor blockade by candesartan would inhibit HPV in dogs subjected to acute...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 3 pdf
... pressure using a part task trainer Continuing Education in Anaesthesia, Critical Care & Pain, 5(2), 45À8 Sinclair, R C F & Luxton, M C (2005) Rapid sequence induction Continuing Education in Anaesthesia, ... cuff by inserting a syringe into the valve housing and removing the air until a definite vacuum is noted in the syringe and the pilot balloon is collapsed 10 Extubate the patient, following currently ... carried out in Australia and Scandinavia over a number of years Myles et al (2004) published findings from a large randomised controlled trial using Bispectral Index (BIS) monitoring as a potential...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 6 doc
... anaesthesia are intravenous and inhalational Intravenous is more frequently used than inhalational induction in adults whereas in paediatric anaesthesia both intravenous and inhalational induction ... experience in the past with intravenous induction or prefer this method of induction An inhalational induction is often used in babies and small infants because of difficulties obtaining venous ... channel for oxygen insufflation, suction, and instillation of local anaesthetics and it is available in both adult and paediatric sizes (newborn infant and child) Managing difficult intubations Prism...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 7 pot
... commonplace in perioperative and acute- care settings and is used to aid diagnosis and to monitor the progress of the patient and the response to any interventions It is essential that staff working in ... curve resulting in an increased affinity of haemoglobin for oxygen Oxygen will, therefore, easily bind Understanding blood gases to haemoglobin in the lungs but because the haemoglobin will not ... of causing nausea and vomiting and can induce a general vasoconstriction leading to a rise in blood pressure, an effect unwanted if the mother is already hypertensive Interestingly, according to...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 8 ppt
... including staffing and training issues are addressed Basic good practice guidelines about consent and treatment have now been issued and ECT clinics are now being inspected and audited both internally ... internally and externally by health and government bodies including the Mental Health Act Commission and ECTAS This inevitably will bring about higher and better maintained standards for the care of ... College of Nursing (2005) Perioperative Fasting in Adults and Children À A Clinical Guideline Available at: www.rcn.org.uk/publications/pdf/ guidelines/Periopera tive fasting in Adults and Children...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 9 doc
... relevance to monitoring and therapy of ventilator induced lung injury Current Opinion in Critical Care, 5, 17À20 Shelly, M & Nightingale, P (1999) ABC of Intensive Care M Singer & I Grant, eds ... relevant information and evidence can be collected and stored centrally For some, portfolio building will have begun at an early stage in their career and will mainly include the education and training ... store of information This portfolio needs careful recording and sorting of information to help establish and build a picture of the individual’s development Organising the information into chronological...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 10 pps
... practitioners and remaining professional tensions seem increasingly less important in the face of NHS reform and modernisation Broad principles surrounding legal, 199 200 S Wordsworth professional and ... history of intestinal 34 intracranial 40, 46, 71 (see also brain; intracranial pressure) intracranial surgery 71 (see also intracranial pressure) justified risk taking during 54 obstetric and gynaecological ... Negligence Law: Seeking a Balance Aldershot: Dartmouth Publishing Index (tables and figures in italics) AAGBI (Association of Anaesthetists of Great Britain and Ireland), guidelines for ODP qualifications...
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Báo cáo y học: " The Simple Triage Scoring System (STSS) successfully predicts mortality and critical care resource utilization in H1N1 pandemic flu: a retrospective analysis" doc
... Society of Intensive Care Medicine’s Task Force for intensive care unit triage during an influenza epidemic or mass disaster Intensive Care Med 2010, 36:428-443 Hick J, Rubinson L, O’Laughlin D, Farmer ... of inspired oxygen (SpO2/FiO2) ratio correlations derived by Pandharipande and colleagues [15] were used Our institution’s pandemic flu protocol called for the involvement of critical care in ... confidence interval Adeniji and Cusack Critical Care 2011, 15:R39 http://ccforum.com/content/15/1/R39 Page of Table Discrimination of initial SOFA score groupings in predicting mortality in our...
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The role of language in adult education and poverty reduction in Botswan
... exist in the country, the adult language program in Botswana maintains the hegemony and the gap between the poor and the rich, the major and minority groups In order to redress poverty the adult ... Planning language, planning inequality: language policy in the community, London, Longman Rachal J R (1989), ‘The social context of adult and continuing education,’ in Merriam S B and Cunningham ... vital in fighting poverty The adult education program can thus harness the local languages and indigenous knowledge of the minority and poor people and use them to mobilize the poor and minorities...
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Familial breast cancer - The classification and care of women at risk of familial breast cancer in primary, secondary and tertiary care potx
... options, including risk and benefits • Details of what should be expected in a specialist genetic service, including counselling and genetic testing For women being cared for in tertiary care • Standard ... family size and timing • Contact details of those providing support and information, including local and national support groups • The message that, to help provide support and understanding of the ... counselling regarding their risks and options 1.4.8.2 Women attending genetic counselling should receive standardised information beforehand describing the process of genetic counselling, information...
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báo cáo hóa học:" Ill-lighting syndrome: prevalence in shift-work personnel in the anaesthesiology and intensive care department of three Italian hospitals" doc
... questionnaire inspired by Scandinavian research into Sick-Building Syndrome We modified Andersson's MM Questionnaire, combining it with the Stockholm Indoor Environment Questionnaire [11,12], and introduced ... whereas in Ferrara employees work in conditions of between 700 and 2000 lux and finally in Treviso the light in the working environment was found to be between 1000 and 1500 lux Procedure In order ... collected and analyzed the data and collaborated in writing the article EF advised in all stages of the undertaking, analyzed the data and collaborated in writing the article PDP analyzed the data and...
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AGE RELATED MACULAR DEGENERATION – THE RECENT ADVANCES IN BASIC RESEARCH AND CLINICAL CARE potx
... receptor NLRP3 (NOD-, LRRand pyrin domain-containing 3) and the PYHIN (pyrin and HIN200 domain-containing) family protein AIM2 (absent in melanoma 2) are two PRRs that survilliance intracelluar DAMPs ... (Martinon et al., 2009) NLRs contain a central nucleotide-binding oligomerization domain (NACHT), an N-terminal effector domain (pyrin domain, caspase-recruitment domain or BIR domain) and C-terminal ... HIN200 domain in its C terminus interacts directly with dsDNA and triggers recruitment and activation of caspase-1 in an ASC-dependent manner via its N-terminal pyrin domain, thereby processing...
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Textbook of Neuroanaesthesia and Critical Care - part 1 potx
... sufficiently to avulse the bridging veins, provoking brisk venous bleeding from multiple points in the sinus when the clot is evacuated Tearing of bridging veins may also occur during or early after neurosurgical ... margin and result in ischaemia or infarction of the prolapsing tissue Preservation of the draining veins is another factor which should be considered when planning the approach in order to minimize ... characteristics and increasing rCBF However, this may result in a reduction in O2 delivery Page 24 if maximal vasodilatation is already present and since clinical results in the setting of acute ischaemia...
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Textbook of Neuroanaesthesia and Critical Care - part 2 ppsx
... pulsation, with breathing and during coughing and straining Each of the intracranial constituents occupies a certain volume and, being essentially liquid, is incompressible In the closed box of ... Pathology of brain damage in brain injury In: Tindall G, Cooper R, Barrow D (eds) The practice of neurosurgery Williams and Wilkins, Baltimore, 1996, pp 1385–1400 Andrew K Head injuries In: Andrews K ... haemorrhage and vessel disruption with subsequent infarction These injuries are typically followed by brain swelling, leading to an increase in intracranial volume and intracranial pressure and a consequent...
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Textbook of Neuroanaesthesia and Critical Care - part 3 doc
... (MMN) in oddball paradigms of AEP recording The relationship of MMN to outcome was examined in a group of head-injured patients82 and is summarized in Table 5.6 The other interesting finding in ... which are seen on the EEG in acute brain injury This knowledge may allow EEG to be even more widely applied in determining the severity of brain injury and predicting clinical outcome Conclusion ... Ti and Tm are the temperature of blood, indicator and mixture of blood and indicator respectively, Vb and Vi the volumes (ml) of blood and indicator, λb and λi the specific heat of blood and indicator,...
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Textbook of Neuroanaesthesia and Critical Care - part 6 pps
... paid to maintaining body temperature Induction may be intravenous or inhalational with the aim of maintaining oxygenation and haemodynamic stability and preventing an acute rise in intracranial ... Management of Spinal Injuries and Surgery to the Cervical Spine Karen J Heath & Richard E Erskine Introduction 241 Clinical Anatomy and Biomechanics 241 Aetiology and Incidence of Spinal Injuries 242 ... treatment in acute spinal injury is to prevent further damage to the spinal cord that could increase the level of the injury Careful handling of patients and the prevention of hypoxaemia and hypovolaemia...
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Textbook of Neuroanaesthesia and Critical Care - part 7 pptx
... thickening GH plays a pivotal role in intermediate metabolism It acts with insulin to encourage protein production and, in insulin-depleted states, as a fat-mobilizing agent It increases amino acid ... posterior fossa is being exposed Entrainment can occur at pin sites, veins in muscle, diploic veins, emissary veins and intracranial venous sinuses The cited incidence varies depending on the sensitivity ... respiratory tract, carcinomas originating in these regions can readily invade the posterior fossa In recent years, combined surgical approaches involving neurosurgery, ear, nose and throat and plastic surgery...
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Tìm thêm: xác định các mục tiêu của chương trình xác định các nguyên tắc biên soạn khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo của các đơn vị đào tạo tại nhật bản xác định thời lượng học về mặt lí thuyết và thực tế điều tra đối với đối tượng giảng viên và đối tượng quản lí điều tra với đối tượng sinh viên học tiếng nhật không chuyên ngữ1 khảo sát thực tế giảng dạy tiếng nhật không chuyên ngữ tại việt nam khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu nội dung cụ thể cho từng kĩ năng ở từng cấp độ xác định mức độ đáp ứng về văn hoá và chuyên môn trong ct phát huy những thành tựu công nghệ mới nhất được áp dụng vào công tác dạy và học ngoại ngữ mở máy động cơ rôto dây quấn các đặc tính của động cơ điện không đồng bộ đặc tuyến dòng điện stato i1 fi p2 động cơ điện không đồng bộ một pha sự cần thiết phải đầu tư xây dựng nhà máy thông tin liên lạc và các dịch vụ chỉ tiêu chất lượng theo chất lượng phẩm chất sản phẩm khô từ gạo của bộ y tế năm 2008 chỉ tiêu chất lượng 9 tr 25