the concept of holism applied to critical care nursing practice
Báo cáo y học: "Bench-to-bedside review: The evaluation of complex interventions in critical care" ppsx
... perceive their practice to be considerably different to that delivered in the ‘usual care arm of the trial and, therefore, question the applicability of the findings to their patients The outcome ... designed to determine whether the protocol is effective Randomization may also need to be at the level of the health care provider or service delivery organization when the aim of the study is to determine ... ways to ensure compliance with a protocol, refined protocols with more of one component and less of others, extending the scope of the new process to other populations or moving the process into...
Ngày tải lên: 13/08/2014, 08:21
Báo cáo toán học: "How to include organ interactions in models of the root system architecture? The concept of endogenous environment " potx
... represents the apparent extension of the interaction zone but only to that of their mother root The global response was essentially local, since only the laterals close to the tip of the mother root ... roots along the taproot The numbers correspond to their rank, from the base to the apex (after Thaler and Pagès [19]) roots growing in the poorer medium, especially at the vicinity of the enriched ... taking into account both the amount of structural carbohydrate and the energy cost The global demand of the root system, calculated as the sum of all root individual demands, can be compared to the...
Ngày tải lên: 08/08/2014, 14:22
Báo cáo y học: "The treatment of condylar fractures: to open or not to open? A critical review of this controversy" pdf
... principal factors that determined the treatment decision were the level of the fracture and the degree of displacement The level of the fracture influenced the degree of preoperative coronal and sagittal ... loss of teeth; influence of the affected TMJ(s) on mandibular movements and the masticatory system; degree and direction of dislocation of the condyles; difficulty of surgical access; risk of lesion ... that surgical access to the condylar process to perform open reduction and internal fixation requires exposure and dissection of some of the soft tissues of the condylar process to allow manipulation...
Ngày tải lên: 08/08/2014, 17:20
báo cáo khoa học: " Pilot study evaluating the effects of an intervention to enhance culturally appropriate hypertension education among healthcare providers in a primary care setting" pdf
... qualitative assessment of organisational factors that may have hampered or facilitated the use of the new tools in practice The results of these studies will then be used in the design of a subsequent ... understanding of experienced barriers to the application of the tools is needed Third, we studied PCHCs that belong to the same primary healthcare consortium Healthcare professionals from these PCHCs ... submitted to the Medical Ethical Committee of the Academic Medical Centre of the University of Amsterdam The Committee established that the study does not fall within the realm of the Dutch Law...
Ngày tải lên: 10/08/2014, 10:22
Báo cáo khoa hoc:" Applying the Stages of Change model to Type 2 diabetes care in Trinidad: A randomised trial" pptx
... were more ready to change their exercise behaviour by the end of the study A longitudinal comparison of the stage of change shifts for patients at the start of the study and at the end was performed ... hardship facing the patients who utilized the SMHC during the time of the study and contributed to the unusual results This economic hardship occurred because of the closure of the sugar factory, Caroni ... compared to baseline, the increase in HbA1c measured at the end of the 48-week period was 0.57% less with the intervention compared to the control (p = 0.025) Implications of the study The negative...
Ngày tải lên: 11/08/2014, 07:21
Báo cáo y học: "Shockingly complex: the difficult road to introducing new ideas to critical care" doc
... clinician’s ability to monitor adequacy of ‘flow’ phase resuscitation For advocates of the introduction of new diagnostic technology to the critical care setting, the road to widespread clinical ... and includes the ‘ABCs’ of resuscitation [11] In this phase, the clinician’s tools to achieve completeness of resuscitation of the circulation are probably adequate, namely monitoring the arterial ... consideration [9] Other investigators came to the same conclusion through different lines of reasoning, thus leading to the hypothesis that mitochondrial dysfunction leading to cell injury could...
Ngày tải lên: 12/08/2014, 20:20
Báo cáo y học: "Bispectral index versus COMFORT score to determine the level of sedation in paediatric intensive care unit patients: a prospective study" docx
... blinded to the BIS results [25,26,28], or uncontrolled repeated measurements in one patient were included in the study [25,27,28] The objective of the present study was to evaluate use of the BIS to ... interval of hour between measurements The set with the best impedance values was chosen for calculation of further statistics To interpret the significance of the data quality, we also calculated the ... opinion use of electrophysiological monitoring tools such as the BIS is imperative in paralyzed patients to prevent levels of sedation that are too light or too deep Furthermore, the terms 'under-sedation'...
Ngày tải lên: 12/08/2014, 20:20
Báo cáo y học: " Engendering enthusiasm for sustainable disaster critical care response: why this is of consequence to critical care professionals" pps
... employ to mitigate the future effects of a disaster In terms of impact, the education of healthcare professionals is at the top of the list [15] The educational initiatives we propose to accomplish ... Finally, there is a useful role for what is termed ‘just-in-time training’ The intent of these programs is to make concise knowledge available to providers, at the time of an event and at the point of ... according to the type and severity of injuries among the various hospitals Unfortunately, a significant percentage of casualties make their own way to the hospital, irrespective of these plans...
Ngày tải lên: 12/08/2014, 20:21
Báo cáo y học: "The essential nature of healthcare databases in critical care medicine" pptx
... reviewing the medical record [1] It is unclear whether these results are related to the OutcomeRea database, to local coding practices or training, to national effects specific to France, or to influences ... influences of critical care or critical care medical conditions Regardless, the results raise concerns about the accuracy of administrative coding, and particularly about the accuracy of post hoc ... interests The authors declare that they have no competing interests References Expectedly, there are significant limitations to all administrative and healthcare data Often this relates to the breadth...
Ngày tải lên: 13/08/2014, 11:22
Báo cáo y học: " Bench-to-bedside review: Hydrogen sulfide – the third gaseous transmitter: applications for critical care" pptx
... 63)* 48 (41 to 59)* Stroke volume (μl) 33 (19 to 62) 29 (23 to 53) 27 (21 to 39) 25 (20 to 32) Ejection fraction (%) 45 (38 to 55) 40 (35 to 48) 50 (37 to 57) 47 (35 to 54) End-diastolic pressure ... (60 to 88) 76 (54 to 88) 71 (60 to 81) IL-6 (pg/mg protein) 449 (264 to 713) 366 (252 to 483) 338 (140 to 500) 260 (192 to 339)* MCP-1 (pg/mg protein) 194 (102 to 280) 114 (77 to 138)* 99 (68 to ... secretion in microglia exposed to LPS [20] In the context of these contradictory findings, the doses of the H2S donors administered may assume particular importance Even the physiologically relevant...
Ngày tải lên: 13/08/2014, 11:23
The concept of irony in jane austen, with constant reference to virginia woolf
... process of giving it a centre or of referring it to a point of presence, a fixed origin… The history of metaphysics, like the history of the West, is the story of these metaphors and metonymies ... in the Novel A Rhetoric of Irony The Rhetoric of Fiction Le Facteur de la Verité Structure, Sign and Play in the Discourse of the Human Sciences The Journals of Søren Kierkegaard The Concept of ... denial of the affective powers of irony If the critics admit their emotional reaction to irony, then they risk becoming the object of irony: this personal stake in the concept of irony removes the...
Ngày tải lên: 16/10/2015, 12:00
An investigation into metaphors related to the concept of Dignity in Oliver Twist by Charles Dickens via its Vietnamese version translated by Phan Ngoc
... order to help students reach to the ideas of the author, the teachers should guide them to employ appropriate and approaches On the part of the students, with a good understanding and using of the ... ideas from TL to TL Instead, they should focus on the meanings of the messages that the author wants to send to readers in the ST and apply the apprpopriate strategy to find out the Vietnamese ... added in the target language with the aim of making the source text smoother and more elegant Besides the original meaning, the translator adds meaning to clarify the ideas, which he intends to express...
Ngày tải lên: 02/06/2016, 17:08
Cognitive linguistic features of idioms related to the concept of black, white in english versus vietnamese
... related to the concept of “Black”, “White” and vice versa 10 + Type 4: Vietnamese idiom related to the concept of “Black”, “White” has no English equivalents related to the concept of “Black”, ... Interpreting the denotative meaning of the given idioms related to the concept of “Black”, “White” in the source language + Clarifying the connotative of the idiom mentioned + Explaining the general ... Up to now, there has been hardly an M.A thesis which studies the semantic, syntax, rhetorical devices of idioms related to the concept of “Black”, “White” under a cognitive perspective 2.2 THEORETICAL...
Ngày tải lên: 06/06/2016, 15:00
An action research on the use of continuous feedback to improve the first year students' pronunciation at the english department, college of foreign languages, vietnam national university, hanoi part 1
... SATISFACTION Over the years, the development of different theories of management and different approached to organization has affected the way we view motivation In the 19th century, the writer Federick ... beat them at the noble art of queuing The British actually look forward to spending their weekends in a queue, waiting for a shop to open or waiting for a parking space at the furniture superstore ... ever decide to visit Britain, you will need to know some of the basic rules of the sport First of all, remember that you only need one person to make a queue If you are alone at a bus stop, for...
Ngày tải lên: 07/11/2012, 14:58
An action research on the use of continuous feedback to improve the first year students' pronunciation at the english department, college of foreign languages, vietnam national university, hanoi part 2
... terms of: (1) The height of the bulk of the tongue in the mouth (2) The front/back position of the tongue in the mouth (3) The degree of lip-rounding (4) The length of vowels (Roach, 1998: 13-14) ... have the habit of pronounce a new-formed word according to the pronunciation of the root one For example, they tend to pronounce the sounds of Exhibition like the sound of Exhibit With the help of ... English The voice of the students was recorded and then played again for the students themselves to find out the mistakes they had made After the students realized the mistakes they had made, the...
Ngày tải lên: 07/11/2012, 14:58
153 The role of marketing activities to bankcard and actual state of Ngân hàng nông nghiệp và phát triển nông thôn (AgriBank) cards
... directly to big accumulation of 12 months The growth of total profit showed that the Department has continuously made an effort to diversify the variety of services to meet and satisfy better customers’ ... services of the banks For each group of customers, the branch need to identify which features of a card that attract each group of customers most Then, the branch has specific policy to recommend ... members The exchange of financial information is called clearing The exchange of the actual funds for the transaction and the fees associated with them is called settlement The term used to refer to...
Ngày tải lên: 03/04/2013, 12:13
494 The role of marketing activities to bankcard and actual state of Ngân hàng nông nghiệp và phát triển nông thôn (AgriBank) cards
... giá khuyến khích to n băng tiền mặt to n nhanh: Đó việc giảm giá cho khách hàng to n nhanh tiền mặt to n nhanh cho hoá đơn mua hàng Mục đích chiết giá khuyến khích khách hàng to n nhanh, giảm ... “bộ” “trọn gói” theo nguyên tắc giá gói nhỏ tổng số tiền mua hàng theo phương thức riêng rẽ Định giá theo nguyên tắc địa lý: cách thức mà doanhnghiệp định giá bán sản phẩm theo nguyên tắc địa ... thời hạn to n….đó việc xác định mức giá cụ thể cho mặt hàng, kiểu kênh phân phối, thời gian địa điểm tiêu thụ, phương thức to n Ra định thay đổi giá bao gồm định điều chỉnh thay đổi giá theo môi...
Ngày tải lên: 08/04/2013, 17:01