... RG, Piva JP: End- of- lifecarein Brazil Intensive Care Med 2007, 33:1014-1017 10 Lisboa T, Friedman G: Forgoing life support in Intensive care units of South Brazil: the results ofand ethical ... Mulkerin C, Puntillo KA, Ray DE, Weissman DE; Improve PalliativeCarein the Intensive Care Unit Project: Models for structuring a clinical initiative to enhance palliativecarein the intensive care ... of Critical Care Medicine: Recommendations for end- of- lifecarein the intensive care unit: a consensus statement by the American College of Critical Care Medicine Crit Care Med 2008, 36:953-963...
... Critical Care February 2003 Vol No Rubenfeld and Curtis helping families weigh the burdens and benefits of ongoing intensive care, are essential to excellent end- of- lifecare These communication and ... avoided and responsible clinicians asked to provide a rationale for this inconsistent level ofcare Although providing some life- sustaining treatments while withholding others may reflect informed ... Great strides have been made in defining ethical principles to guide end- of- lifecarein the 35 years since a panel reached consensus on guidelines to define brain death [20] Nevertheless, it is...
... cultural and spiritual view towards endoflife care, strategies and principles inendoflife care, loss and grief, palliativecareand its challenges and role of social workers in end- of- lifecare ... given at endoflife care? How caregivers explain cultural values at endoflife care? How caregivers explain religious values at endoflife care? What are the impacts of religious and cultural ... Understanding The Service Provision At EndOfLifeCare ……… ……………… 78 5.2 Explanation Of Caregivers About Cultural Values At EndOfLifeCare ………… 80 5.3 Religious Components At EndOfLifeCare Treatment...
... Medicare since 1983[13] International advances inpalliativecare have identified key priorities inpalliative care, including financial support, professional training, research, prioritizing pain ... control, and global awareness ofpalliative medicine[14-16] Palliativecare is becoming increasingly valued in the age of modern medicine where technological advances are prolonging lifeand extending ... education inpalliativeand end- of- lifecarein emergency medicine Acad Emerg Med 2009, 16(2):181-183 Michelson KN, Steinhorn DM: Pediatric end- of- life issues andpalliativecare Clin Pediatr...
... difficulties and documentation of end- of- life decisions in European intensive care units: the ETHICUS Study Intensive Care Med 2008, 34:271-277 Hall RI, Rocker GM: End- of- lifecarein the ICU: treatments ... support including unsuccessful CPR (group A), and the group of patients in whom therapy was limited in any way (including withholding of CPR, withholding of some form oflife support besides CPR, and ... 2009 Levin PD, Sprung CL: Cultural differences at the endoflife Crit Care Med 2003, 31:S354-S357 Giannini A, Pessina A, Tacchi EM: End- of- life decisions in intensive care units: attitudes of physicians...
... was conducted in seven clinics in three epicentres of Vietnam: Ha Noi, Hai Phong, and Ho Chi Minh City The survey included inpatients and outpatients who were attending ART clinics in three district ... Morbidity Meanwhile, binge drinking was only associated with a small increase in the Social dimension This finding that binge drinking remained constant throughout the stages of ART and is associated ... suppression and preventing drug resistance, intervention for ART adherence should be maintained throughout the stages of ART, and especially during the stable periods, beginning in the second year of treatment...
... commissioner of prisons, ZPS] and judge fellow inmates and mete out punishments, including beatings, through night-time courts in their cells According to both inmates and prison officials, drinking water ... period of time At each facility visited, researchers requested interviewing the officer in charge, deputy officer in charge, medical officer and female officer in charge; additional officers were invited ... Prison officer interviews focused on HIV and tuberculosis testing andtreatment availability in the prison, healthcare delivery, deaths in custody, prison administration, prisoner discipline and treatment, ...
... beneficial in the treatmentof a variety of illnesses in all age groups, but only a handful of studies have focused on the use of pentoxifylline in the treatmentof sepsis in adults and neonates [93] In ... [30] In both the recent recommendations of the American College of Critical Care [69] and an extensive evidence-based review of vasopressor support in septic shock [70], dopamine and norepinephrine ... large clinical trial in pediatric patients with sepsis was stopped early due to a lack of demonstrated benefit and the finding of an increased risk of intracranial hemorrhage, especially in infants...
... severity of COPD in a patient population We were interested in further investigating the strengths and limitations of disease- specific and generic HRQL measures, particularly EQ-5D, SF-36 and SGRD, ... self-administered and includes 50 items in three components: symptoms, activity, and impact on daily life [21] The SGRQ scores range from to 100, with indicating no impairment in the quality oflife ... 2:441-449 Page of 27 Juniper E, Guyatt G, Jaeschke R: Chapter 6: How to develop and validate a new health-related quality oflife instrument In Quality ofLifeand Pharmacoeconomics in Clinical Trials...
... a-Enolase was found in almost all hepatocytes and epithelial cells of hile ductules and interlobular and septal bile ducts in all five cases The intensity of the staining of this antigen in bile duct ... results of the distribution of the isozymes in various cells are summarized in Table Chronic active hepatitis and cirrhosis Staining patterns of a- and ^-enolases were almost the same inchronic ... Grant -in- Aid for Encouragement of Young Scientists ofthe Ministry of Education, Science, and Culture of Japan Reprint requests: Yoshihide Fukuda, M.D Second Department of Internal Medicine Nagoya...
... Committee of the Society of Critical Care Medicine: Consensus statement of the Society of Critical Care Medicine Ethics Committee regarding futile and other possibly inadvisable tratments Crit Care ... European intensive care units: results of an ethical questionnaire Crit Care Med 1999, 16:1626-1633 American Thoracic Society Withholding and withdrawing lifesustaining therapy Ann Intern Med ... A, Streiner DL: Determinants in Canadian health care workers of the decision to withdraw life support from the critically ill JAMA 1995, 273:703-708 Vincent JL: Forgoing life support in western...
... Non-surgical intervention for SUI = 27 Include = 21 Figure incontinence) Results of search (quality oflifeand distress and urinary incontinence) and search (quality oflifeand bother and urinary ... Results of search (quality oflifeand distress and urinary incontinence) and search (quality oflifeand bother and urinary incontinence) Page of (page number not for citation purposes) Health and ... Health and Quality ofLife Outcomes 2009, 7:8 Urinary incontinence (UI) is defined by the International Continence Society as the "complaint of any involuntary leakage of urine" [1] Urinary incontinence...
... in understanding death Medicine is defining for, and unwittingly imposing on the dying a new role, and understanding this is crucial to correctly and coherently provide that end- of- life assistance ... 'believers' Loss of individuality Endof subjective life Being aware of dying Not losing control of the situation Attention given to scene of death Importance of living well in the "here and now" Little ... mortal remains Search for a secular modality of dying Permanence of individuality Passage to another life Dying unaware Hope in miracles andin eternal life Decorum in dying Importance of getting to...
... baseline the responders sustained a significant decrease in the domain score of vitality, while of the domain scores declined in non responders at the endoftreatment At the 24 week post -treatment ... changes in HRQOL measures in the different domains of SF-36 instrument during treatment, were assessed at the previously mentioned time points and the data was compared to the baseline In addition, ... were excluded Sustained virologic response was defined as loss of serum HCV RNA at follow-up 24 weeks after discontinuation oftreatment Measurement and scoring of quality oflife The HRQOL data...
... psychological (including emotional and cognitive) and social functioning [11] The measures are seen as methods of capturing patient's opinions and feelings regarding their diseaseand treatment, ... oflifein Malaysian children with thalassaemia Health and Quality ofLife Outcomes 2006, 4:39 Anie KA, Steptoe A, Bevan DH: Sickle cell disease: Pain, coping and quality oflifein a study of ... Holland JC: Impact of azacytidine on the quality oflifeof patients with myelodysplastic syndrome treated in a randomized phase III trial: a Cancer and Leukemia Group B study Journal of Clinical...
... staff at management and clinic level; involvement in initial training and continuing support of nurse training at intervention sites; teaching in the Free State ART training programme alongside ... during STRETCH intervention Free State Department of Health ART course (Standard training) PALSA PLUS training (Standard training) STRETCH Training (Additional training in intervention clinics) ... were made to train staff at the outstanding clinic Training at intervention clinics The PALSA PLUS model of training was expanded to include extra training in nurse prescription of ART One established...
... Critical care organization Crit Care Clin 2005, 21:43-53 Ferdinande P: Recommendations on minimal requirements for intensive care departments Intensive Care Med 1997, 23:226-232 Fisher M: Critical care- the ... having problems in usual activities, 56% had pain and 56% had mobility problems; in contrast, most of patients (74%) reported having no problems in self -care Depression and anxiety were more often ... quality oflife is reduced to the same level in both groups This means that survival and quality oflife after critical illness are independent; when evaluating outcome after intensive care, it...
... direct and indirect costs of insomnia and improve quality oflife A number of study limitations resulted in a conservative estimate of the costs of insomnia treatmentin New Zealand Despite this conservative ... gained ranged between $240 and $8,102 Discussion We now have a greater understanding of the treatmentof insomnia in New Zealand in terms of the types of diagnostic andtreatment options being ... productivity and quality oflifeof having an insomniac within a family setting Thus, we did not calculate the burden of illness as a percentage of GDP As healthcare practitioners were interviewed (and...
... status index years post-intensive care unit of 25% and 50%, respectively (bold solid line) Moreover, the remaining life years were modelled, again considering an increase and a decrease of 25% (fine ... the domain mean of the normative data obtained from apparently healthy Germans [15], summing each domain index, and dividing by the number of domains) The HSI multiplied by life years gained results ... depicting costs per and 50%, respectively (QALY) saved tus index years post-intensive care unit of 25%quality-adjusted life year(bold solid line) considering both an increase and a decrease in health...