the management of the multiply injured elderly patient

... small proportion of patients (one-fourth of patients with presumed diagnosis of infection and one-tenth of the patients with the diagnosis of colonization) At first glance, these results seem ... hepatic failure [4] These underlying conditions are not included in the proposed criteria and they should be added to the list This may avoid the misclassification of these high risk patients if semiquantitative ... algorithm based on the criteria defined by an international conference on the diagnosis of aspergillosis in immunocompromised patients [11] With this approach, approximately 50% of the patients were...

Ngày tải lên: 12/08/2014, 23:22

... characteristics of the young and the elderly pulmonary tuberculosis patients Table Presenting clinical symptoms and signs of the young and the elderly pulmonary tuberculosis patients Young (

Ngày tải lên: 15/03/2014, 03:20

... disease All the patients underwent selective coronary artery bypass grafting by the same anesthetic and surgical team The inclusion criteria for the patients were the following: Page of 12 Patients ... an infusion rate of 22 ml/h Neither the surgeon nor the anesthetist or any other in the operating room except from this nurse did know the kind of infused solution, in each patient Ten minutes ... termination of the cardiopulmonary bypass Finally, the last phase (phase-5) was recorded at hours following transfer of the patient in ICU The recorded parameters of hemodynamic profile were the following:...

Ngày tải lên: 10/08/2014, 10:20

... Care in the Elderly 2012:4 Elderly patient with multiple sclerosis Pain Pain is one of the most common symptoms of MS and can be seen in more than half of all patients with MS Pain can either be ... in the Elderly 2012:4 Elderly patient with multiple sclerosis as CVA and CAD Many symptoms of diabetes can overlap or mimic symptoms of MS For example, the neuropathy of diabetes consists of ... mobility in patients with MS.5 Furthermore, exercise can help counteract the effects of disuse atrophy Given the potential implications of serious falls, many older patients may develop a “fear of falling”...

Ngày tải lên: 22/03/2014, 14:20

... photocopy of each form before sending it 24 The management of patients with venous leg ulcers Appendix 2: Audit Form The management of patients with venous leg ulcers Notes 25 26 The management of patients ... occurrence of the first ulcer; the site of the ulcers and of any previous ulcers; the number of previous episodes of ulceration; the time taken to heal in previous episodes; the time free of ulcers; ... 1995) Strength of the evidence II The management of patients with venous leg ulcers Assessment 2.1 Assessment of Patients with Leg Ulcers The records show that the measurement of ABPI has been...

Ngày tải lên: 15/03/2014, 23:20

... Bipolar Illness Bipolar illness - onset often early in life 10% of patient with BPI onset >50 years First onset of mania or hypomania is rare in the elderly Patient often presents with depression first ... therapy Individual psychotherapy Supportive psychotherapy Cognitive behavioral therapy Group therapy Family therapy Caregiver support group therapy Treatment Evidence-based research minimal Elderly ... acquisition to know when to suspend or altogether omit them.” Phillipe Pinel, physician 1806 Citizen Pinel Orders Removal of the Chains of the Mad at the Salpêtriére Tony Robert-Fleury (1838–1911)...

Ngày tải lên: 22/03/2014, 14:20

... cases, they took their money, and upon discovery of the extent of the elders’ needs, returned them to the shelter One of the problems that occurred at the RAC was the difficulty in securing the ... evacuation to the RAC The trauma resulting from the disaster, the process of evacuation, the disruption of regular care, and the stress of residing in the shelter complex further increased their vulnerability ... reviewed the effects of the 1966 tornado in Topeka, Kansas, on family functioning to assess the impact of the tornado on persons 60 years of age and older The authors found that the elderly, for the...

Ngày tải lên: 28/03/2014, 16:20

... also observed in the subgroup of 28 elderly patients Despite efforts in including the elderly in RCTs, most ­ tudies on the use of laxatives in the elderly are s limited because of small sample ... to office biofeedback.54 However, the efficacy of biofeedback in the elderly remains unclear Since biofeedback is based on operant l­ arning conditioning techniques, an evaluation of the e patient s ... with soiling The treatment of DD consists of fiber rich diet, ­axatives, l timed toilet training and biofeedback therapy The ­ urpose of p biofeedback is to restore the normal pattern of d­ fecation...

Ngày tải lên: 28/03/2014, 20:20

... aggressive behaviour, which have recently been the object of a specific publication [4] The present paper focuses mainly on the management of SPDC patients and their attitudes towards pharmacological ... enrolled into the study All patients were admitted to the study only once over the enrolment period The subjects were evaluated at admission, and then daily for the first days of hospital stay ... focuses on the subjective effect of antipsychotic medications To assess the prevalence of aggressive behaviours, the Modified Overt Aggression Scale (MOAS) [9], which is the modified version of the...

Ngày tải lên: 08/08/2014, 23:20

... aripiprazole at the start of the switching treatment period, the starting dose of which was determined by the investigator After weeks of adverse event (AE)-free aripiprazole dosing, the treating ... days of drug dispensed based on the assessment schedule Patients with values between 80% and 100% were considered to be treatment compliant Of the 153 patients enrolled in the study, 106 patients ... effectiveness trials of aripiprazole in patients with schizophrenia conducted in the US [21] and Page of Europe [24] These studies evaluated the broad effectiveness of aripiprazole in patients with...

Ngày tải lên: 09/08/2014, 01:21

... is the only chance these patients have for a cure, we suggest that PD is justified, even in the elderly If appropriate management of elderly patients is provided, the safety of perioperative management ... larger We must investigate the management of elderly patients after PD and prepare further for more experiences of PD If appropriate surgical management is provided to elderly patients, we suggest ... their safer management In fact, it has been reported that PD can be performed safely in elderly patients [10-12] The purpose of the present study was to evaluate the safety of PD in patients older...

Ngày tải lên: 09/08/2014, 02:21

... of the right heart valves [8] Less commonly, the left side of the heart can be effected by carcinoid heart disease In this situation, PFO represents the major etiologic factor [9] In 20% of patients ... from the patient for publication of this case report and accompanying images A copy of the written consent is available for review by the Editor-in-Chief of this journal Competing interests The ... that they have no competing interests Authors' contributions The management of pneumatosis intestinalis in this patient also proved quite challenging Given the timing of onset after evidence of...

Ngày tải lên: 09/08/2014, 07:22

... [49,51,52] with the PCP being the target of the intervention in two of them [51,52] The unit of allocation was the patient in seven [46-49,52-54], the physician in one [50], and the family practice ... of the hands of the PCP [49,53], and in one the investigation was carried out but the results were sent to the PCP to act on [54] Results Selection of studies for inclusion Development of the ... may limit their generalisability to other countries and healthcare systems Although we pooled the results of the studies (reflecting their homogeneity of patient groups and settings), there were...

Ngày tải lên: 10/08/2014, 10:23

... 13.0 software Results Characteristics of the patients Characteristics of the patients at the time of diagnosis are listed in Table The median age of these patients was 70 (60–84) years Seven patients ... study, the response results of HA are comparable with these and other reported results in elderly patients with AML [15-21] The response rates of HA are also comparable with the data of elderly patients ... chemotherapy of homoharringtonine Probability of overall survival in elderly patients with AML Probability of overall survival in elderly patients with AML undergoing induction chemotherapy of...

Ngày tải lên: 10/08/2014, 22:20

... agreement with the outcomes of OPNS in studies of patients without NF-1 and is independent of the etiology of occipital neuralgia [7,20-23] Our patient s recovery from implantation of the leads was ... nerve as well as two divisions of the greater occipital artery as they pierce the substance of the trapezious muscle 1.0 cm to 1.2 cm from the skin Re-implantation of the peripheral nerve-stimulating ... neurofibromas of the peripheral nervous system [8] According to the National Institutes of Health, a definitive diagnosis of NF-1 is made when two of seven cardinal clinical features of the disease...

Ngày tải lên: 11/08/2014, 00:23

... characteristics of the patients managed using one of the three main initial therapeutic options (conservative measures, BAE or surgery) and to help better define the role of BAE, according to the severity of ... of the volume of haemoptysis (median, quartile) on admission according to the cause Distribution of the volume of haemoptysis (median, quartile) on admission according to the cause Plots of the ... arteriography Distribution of the cumulated volume of haemoptysis on ICU admission, according to the first attempt of bronchial arteriograFigure phy Distribution of the cumulated volume of haemoptysis on...

Ngày tải lên: 12/08/2014, 15:20

... motivated by the ‘rule of rescue’ Intensivists feel obliged to offer some therapy, any therapy, to a patient in imminent danger of dying [16] As is often the case in critical care, a therapy that ... treatment is useless Rather than enter the usual fray, let me suggest another route to understanding this debate [14] At the heart of a discussion about the use of prone ventilation (or of nitric oxide) ... lives The available evidence on prone ventilation neither conclusively proves nor disproves its benefit, but makes the probability of benefit small in the majority of ARDS patients When the evidence...

Ngày tải lên: 12/08/2014, 18:21

... in the management of septic shock Katherine G Craig and Keith R Walley The debate surrounding the use of corticosteroids in septic patients has continued for over 30 years Two metaanalyses in the ... “appropriate supplementation of corticosteroids [be] part of the regimen of supportive care” There are several problems with this statement First, with the level of evidence currently available ... increased in patients treated with steroids In addition, there were trends toward earlier reversal of organ dysfunction There was not, however, a mortality difference between the two groups [8] There...

Ngày tải lên: 12/08/2014, 18:21

... However, the utility of these animal studies in guiding the practical management of patients with severe hypoxemia is limited by the need for pressure–volume curve measurements [11] and the use of ... nine of these trials using HFOV [12] The overall results of these trials are equivocal In a meta-analysis, Thome and Carlo [12] indicate there is no difference in mortality between the use of HFOV ... HFOV There is no data to indicate that the survival of adult patients with ARDS is improved with the use of HFOV Animal data Most of the studies published over the past 40 years comparing HFOV with...

Ngày tải lên: 12/08/2014, 18:21

... potential risk of the development of bacterial resistance While there is inconclusive data supporting the use of prophylactic antibiotics in the setting of severe pancreatitis, there is some evidence ... decontamination of the digestive tract Selective decontamination is attractive as it may allow the use of prophylaxis without the risk of inducing superinfections through the use of long-term broad-spectrum ... Pooling of the data from these 183 patients by Bosscha and colleagues in a meta-analysis resulted in a group of 95 patients treated with prophylactic antibiotics and 88 patients without [5] These...

Ngày tải lên: 12/08/2014, 19:22