the role of the pharmacist in caring for patients with acute heart failure
báo cáo khoa học: " Improvement of primary care for patients with chronic heart failure: A study protocol for a cluster randomised trial comparing two strategies" pps
... These workers in the other disciplines will be informed about the project and receive relevant information in line with the multidisciplinary guideline All materials are offered paper based in ... Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of ... developed in the Netherlands with a literature study in 2002, expert input, and tested in various projects in the Netherlands [20] Our main factors for ordering the barriers are related to the innovation,...
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Báo cáo y học: "One-year mortality, quality of life and predicted life-time cost-utility in critically ill patients with acute respiratory failure." potx
... differences in cost per QALY with increasing age and disease severity Our finding is in parallel with the study by Hamel and colleagues in patients with pneumonia and ARDS [14] However, in their study the ... therefore, used number of individual TISS points for each patient during their ICU stay and the exact number of ward days for cost calculation The average cost for one TISS-point (48€ per TISS point) ... factors 48 hours before ARF were recorded in the clinical report form The clinical report form data were combined with an internetbased interface to the quality consortium database Page of Qol Group,...
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Continuous renal replacement therapy (CRRT) in critically ill patients with acute renal failure (ARF
... also noted in patients with ARF There was a higher incidence of acute gastrointestinal tract (GIT) bleeding in patients with ARF Such bleeding was in turn associated with greatly increased mortality ... also studied the effects of theophylline in RCN A total of 39 patients undergoing radiocontrast study were recruited Forty-five minutes before the administration of radiocontrast, the patients were ... fenoldopam, theophylline) and endothelins Acute inflammatory infiltrate of tubulo-interstitium Acute tubular necrosis (ATN) 35 1 Pathophysiology of Acute Renal Failure (ARF) Besides recognising the pathophysiological...
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Báo cáo y học: "Systematic review: Intra-aortic balloon counterpulsation pump therapy: a critical appraisal of the evidence for patients with acute myocardial infarction" doc
... improved the prognosis of patients with AMI, the inhospital mortality rate of AMI patients with cardiogenic shock remains as high as 55% [8] The main cause for early mortality (within 48 h of onset of ... appraisal of randomized clinical trials of IABP therapy in AMI patients Thorough critical appraisal involves determining the validity of the study design, understanding the results and deciding whether ... hemodynamic instability necessitating the use of an IABP, cardiogenic shock, bleeding diathesis prohibiting the use of aspirin or heparin, precatheterization administration of thrombolytic therapy,...
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Báo cáo khoa học: "Tracheostomy timing and the duration of weaning in patients with acute respiratory failure" pdf
... duration of weaning and the total duration of MV The 21 patients in the ET group were demographically similar to the 53 patients in the ST group, except for the greater number of patients with TBI in ... to perform a tracheostomy at a point that has been defined by other investigators as 'early' Nonetheless, the findings of our study provide the basis for re-examining whether the timing of tracheostomy ... patients with acute respiratory failure Physician belief in the utility of tracheostomy, patient selection and the lack of blinding may introduce bias, leading to difficulties in comparing patients...
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Báo cáo y học: "Improved outcomes from the administration of progesterone for patients with acute severe traumatic brain injury: a randomized controlled trial" pdf
... standards Because of the nature of patients' injuries, subjects in this clinical study were incapable of granting informed consent Investigators therefore obtained informed consent from the subject's ... assessing neuroprotective properties of progesterone in the patients with acute severe brain trauma The effects of progesterone on neurological outcome of the TBI patients remain unclear The purpose ... (Tianjing Jinyao Pharmaceutical Co Ltd, Tianjing, China) or matching placebo within hours of the documented time of injury Qualifying patients were randomly assigned in a 1:1 manner to receive the...
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Báo cáo y học: " Effect of oral beta-blocker on short and longterm mortality in patients with acute respiratory failure: results from the BASEL II-ICU study" ppt
... Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of ... Tavazzi L, Maggioni AP: Role of betablockers in patients admitted for worsening heart failure in a real world setting: data from the Italian Survey on Acute Heart Failure Eur J Heart Fail 2009, 11:77-84 ... known to temper the sympathetic nervous system, including the reduction of heart rate Therefore, negative systemic effects in the disease progression of cardiovascular disease including CAD, CHF...
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Báo cáo y học: " Assessment of disease-severity scoring systems for patients with sepsis in general internal medicine departments" pdf
... for infection” [16] Such patients were included in the original study if blood cultures were drawn from them upon admission by order of the attending physician Almost 45% of the patients in the ... participated in the design of the study, the process of data analysis and interpretation, and helped in preparing the manuscript for publication Competing interests The authors declare that they have ... patients with sepsis admitted to general internal medicine departments, for all of the examined time points The scoring systems evaluated in the present study are simple and based on available clinical...
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Evaluation of methods for measurement of facial fat in HIV infected patients with lipoatrophy
... deposits in other locations Facial wasting, especially of the cheeks Loss of subcutaneous fat in all parts of the body, most visibly in the limbs Wasting of the buttocks Prominent leg veins Others ... to light by the “3 by 5” initiative with vigorous efforts; finally, to gather, analyze, interpret and disseminate strategic information about the scaling-up of HIV/AIDS programmes in the health ... location of facial fat in patients with lipoatrophy using the volumetric MRI scanning and to compare the pattern of soft tissue depletion with that seen in patients without lipoatrophy To quantify the...
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báo cáo hóa học:" Short term effects of milrinone on biomarkers of necrosis, apoptosis, and inflammation in patients with severe heart failure" pot
... competes with membrane-bound Fas for ligand binding, therefore reducing apoptotic signaling Procedures All treatments including milrinone dosing was at the discretion of the patient's attending physician, ... failure, and the effect milrinone in ischemic subset of patients deserves further investigation Conclusion Initiation of milrinone therapy in patients with severe heart failure and reduced cardiac ... Mabuchi N, Sawaki M, Kinoshita M: Interleukin-6 spillover in the peripheral circulation increases with the severity of heart failure, and the high plasma level of interleukin-6 is an important...
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Báo cáo sinh học: "Increase of plasma IL-9 and decrease of plasma IL-5, IL-7, and IFN-g in patients with chronic heart failure" potx
... pathogenesis of heart failure, in the identification of subjects at risk of heart failure, risk stratification, therapeutic agents response monitoring [17] The aim of this study was to investigate the inflammatory ... described here for the first time, was the increase of IL-9, and decrease of IL-5, IL-7 and IFN-g plasma levels in patients with chronic heart failure Using the bioinformatic analysis from the http://www ... stable heart failure for six consecutive months were enrolled at the Cardiology Unit of the Catholic University of Sacred Heart of Rome out of 210 patients admitted to the unit during the same...
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báo cáo hóa học:" Increase of plasma IL-9 and decrease of plasma IL-5, IL-7, and IFN-g in patients with chronic heart failure" pptx
... pathogenesis of heart failure, in the identification of subjects at risk of heart failure, risk stratification, therapeutic agents response monitoring [17] The aim of this study was to investigate the inflammatory ... described here for the first time, was the increase of IL-9, and decrease of IL-5, IL-7 and IFN-g plasma levels in patients with chronic heart failure Using the bioinformatic analysis from the http://www ... stable heart failure for six consecutive months were enrolled at the Cardiology Unit of the Catholic University of Sacred Heart of Rome out of 210 patients admitted to the unit during the same...
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Báo cáo y học: "Four-year follow-up of infliximab therapy in rheumatoid arthritis patients with long-standing refractory disease: attrition and long-term evolution of disease activity" pot
... obtained in 142 of the 184 patients who discontinued infliximab therapy Fifty percent of patients were switched to another biological therapy (Table 2) Evolution of the DAS28 score over time Patients ... onward All patients gave written informed consent Variables evaluated in the prediction of infliximab continuation To predict long-term continuation of infliximab therapy early in the treatment ... week 22 These findings indicate that the likelihood of withdrawing from therapy increases by 70% to 90% when the DAS score increases by one unit To translate this hazard ratio in terms of sensitivity...
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Báo cáo y học: "A step-by-step diagnosis of exclusion in a twin pregnancy with acute respiratory failure due to non-fatal amniotic fluid embolism: a case report" pps
... highlights the need for extreme vigilance and a high index of suspicion for AFE by the attending physician in a case of any postpartum individual with respiratory failure, especially in the presence of ... conceived of the idea for the publication, performed the literature search and was the principal writer of the manuscript, CD helped to draft the manuscript and assisted with the collection of biomedical ... Written informed consent was obtained from the patient for publication of this case report and any accompanying images A copy of the written consent is available for review by the Editor -in- Chief of...
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Báo cáo y học: "Fluid balance as a biomarker: impact of fluid overload on outcome in critically ill patients with acute kidney injury" potx
... 100]) at the time of initiation of continuous RRT (CRRT) to be associated with lower survival, independent of severity of illness This finding was further confirmed in two additional investigations ... for the Kidney (BEST Kidney) Investigators: Timing of renal replacement therapy and clinical outcomes in critically ill patients with severe acute kidney injury J Crit Care 2008 [Epub ahead of ... Changes in the incidence and outcome for early acute kidney injury in a cohort of Australian intensive care units Crit Care 2007, 11:R68 Hoste EA, Schurgers M: Epidemiology of acute kidney injury:...
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Báo cáo y học: "Delivered dose of renal replacement therapy and mortality in critically ill patients with acute kidney injury" pps
... parameters for the calculation were not collected as part of routine practice This is consistent with the findings of the VA/ NIH group in their pre-trial survey that assessment of the delivered dose of ... Group for Treatment of ARF in the ICU A randomized clinical trial of continuous versus intermittent dialysis for acute renal failure Kidney Int 2001, 60:1154-1163 Page 13 of 14 (page number not for ... to be surgical patients The mean serum creatinine at RRT initiation was 265 μmol/L Nearly 60% of all patients were in RIFLE class Failure at RRT initiation A small minority of patients did not...
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Báo cáo y học: "Effects of positive end-expiratory pressure on respiratory function and hemodynamics in patients with acute respiratory failure with and without intra-abdominal hypertension: a pilot study" docx
... hemodynamics in ALI/ARDS patients with normal IAP or IAH However, PEEP significantly increased EVLWI in patients with normal IAP but not in patients with IAH IAH, within the limits of IAP measured in the ... 2008, 20 patients meeting AECC criteria for ALI or ARDS with and without IAH were included in the study As the inclusion rate during the study period was similar we evaluated 10 patients in each ... exchange in ALI/ARDS patients with increased IAP compared with patients with normal IAP [7] More recently, in a study including mainly extrapulmonary ALI/ARDS patients, a strategy titrating PEEP...
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Báo cáo y học: "Serum neutrophil gelatinase-associated lipocalin at inception of renal replacement therapy predicts survival in critically ill patients with acute kidney injury" potx
... during the clinical course in patients with established AKI Therefore, we aimed to investigate the outcome-specific value of NGAL, measured at initiation of RRT in critically patients with severe ... prior to initiation of the first RRT Enrollment was performed in a randomized consecutive fashion after obtaining written informed consent from the patients or their legal representatives If the patient ... according to the International Sepsis Definitions [25] Patient groups were comparable with respect to baseline demographics, LOS in the ICU before start of RRT, indications for RRT, and the proportion...
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Báo cáo y học: "Renal replacement therapy is an independent risk factor for mortality in critically ill patients with acute kidney injury" potx
... early initiation may expose other patients unnecessarily to the risks of RRT [5] The AKI Network reviewing the evidence in this field, stated that the indications for RRT must be viewed within the ... severity in the RRT group • Within the group of RRT patients, this study confirmed that mortality was equal in patients treated with intermittent or continuous RRT • An individualized approach, integrating ... designs There is still insufficient data to determine absolute indications and optimal timing for initiation of RRT in patients with AKI In some patients, early start of renal support may improve...
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Báo cáo y học: "Endothelial A comparison of early versus late initiation of renal replacement therapy in critically ill patients with acute kidney injury: a systematic review and meta-analysis" pdf
... Importantly, the incidence is increasing [48] These critically ill patients have a risk of death approaching 60% [2,7] The decision to initiate RRT is a modifiable intervention for these patients; ... remaining studies [21,34-37,40,42] (Table 3) Six studies defined timing of initiation of RRT based on cut-offs in serum urea [15,21,34,35,37,42], two studies based on cut-offs in serum creatinine ... identifying the “optimal timing of initiation of RRT” in AKI have been given the highest priority for investigation by the Acute Kidney Injury Network (AKIN) [24,25] Accordingly, we conducted a systematic...
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