... on the contemporary treatment of SARS [2], and the whole topic has also been reviewed elsewhere [3] In this article, we aim to focus on themanagementof a subgroup of critically ill SARS patients ... another subgroup of 44 patients, there were significant reductions in the need for rescue pulsed corticosteroid therapy, intubation rate and overall mortality In addition to the prevalence of ... suggested as the best possible compromise between patient and operator safety by administration of a combination of midazolam, fentanyl and lidocaine until thepatient reaches the desired level of sedation...
... Province of Zambia with an estimated population of 374,757 persons [5], representative of many urban towns along the line of rail in Zambia At the time ofthe study, the Ndola District Health Management ... percent ofthe respondents reported that they knew they were cured of their last TB episode, but when asked how they knew they were cured, reasons ranged from feeling better (80%), the fact that they ... knowledge ofthe importance of follow-up sputum submission; whereas, nearly 90% knew the importance of treatment completion, only 57% knew the importance ofthe latter, reflective ofthe low importance...
... a cost-effective strategy for managementof ARDS patients [8] The impact of ECMO on mortality in severe respiratory failure by influenza A may be associated with the specific population included ... was 23% [7] This rate is higher than the mortality reported in patients with ARDS without ECMO (9%), but is significantly lower than that reported with the use of ECMO for ARDS due to heterogeneous ... high-frequency oscillation, is preferred should be further assessed by randomized controlled trial Competing interests The authors declare that they have no competing interests References Rello J,...
... Following generation ofthe first fibrin filaments between the pin and the wall ofthe test cup, the rotational range ofthe pin is reduced The increasing restriction ofthe pin's movement is ... colleagues showed that the first FFP was given at a median of 93 minutes after arrival ofthepatient in the ER [49] In contrast, 52% ofthe patients in our study received the first dose of fibrinogen ... starting the analysis; the full results followed 10 to 20 minutes after starting the analysis The ROTEM analyses were performed on admission to the ER and at the end ofthe operation (arrival at the...
... limit the generalizability ofthe study’s findings as the population included in this study may not be fully representative of all patient types encountered in real-world settings Furthermore, the ... open-label study of aripiprazole effectiveness in themanagementof patients with schizophrenia or schizoaffective disorder in a general psychiatric outpatient setting Annals ofGeneral Psychiatry ... al Annals ofGeneral Psychiatry 2010, 9:35 http://www.annals -general- psychiatry.com/content/9/1/35 Page of Figure Patient disposition Efficacy Mean CGI-I scores over the course ofthe study are...
... the use for direction of care in the acute setting [15] When used appropriately, diagnostic tests may be of help in themanagementofthe intoxicated patient In thepatient whose history is generally ... http://www.sjtrem.com/content/17/1/29 Conclusion Ultimately, themanagementofthe critically poisonedpatient centers on careful supportive care Care ofthe critically poisonedpatient may be further maximized with appropriate ... administered in cases of suspected or confirmed ingestion of ethylene glycol or methanol Fomepizole prevents the conversion of these agents to the metabolites associated with the majority ofthe toxic effects...
... photocopy of each form before sending it 24 Themanagementof patients with venous leg ulcers Appendix 2: Audit Form Themanagementof patients with venous leg ulcers Notes 25 26 Themanagementof patients ... at the end ofthe audit or if thepatient is lost to follow-up/ is referred/ has a healed ulcer/ has died Please state the date of completion General information The beginning ofthe form is general ... occurrence ofthe first ulcer; the site ofthe 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;...
... density in patients with MS There are currently no clinical guidelines in the evaluation, prevention and treatment of osteoporosis in MS patients.53 The current recommendations of screening thegeneral ... training.24 Generally, these approaches teach patients to monitor their bodies for signs of stress, to engage in deep breathing and other stress management approaches, to evaluate their thoughts ... 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”...
... considered the minimum important difference in thegeneral US population [7] There is extensive evidence demonstrating the reliability and validity ofthe SF-36 [4] in general populations The SF-36 ... between the clinical study patients and thegeneral US population, adjusted for age, sex, and race Patients and methods Patient population Moderate to severe psoriasis patient sample The data ... impact on patients' HRQOL Adalimumab treatment of patients with psoriasis improved the physical and psychological health of these patients to levels comparable with or greater than the physical...
... law shifted the focus of care from mental hospitals to community services Since their institution, patients remain in SPDCs only during the acute phase of their illness At discharge, they usually ... aggressive behaviour, which have recently been the object of a specific publication [4] The present paper focuses mainly on themanagementof 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...
... ofthe right heart valves [8] Less commonly, the left side ofthe heart can be effected by carcinoid heart disease In this situation, PFO represents the major etiologic factor [9] In 20% of patients ... from thepatient for publication of this case report and accompanying images A copy ofthe 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 Themanagementof pneumatosis intestinalis in this patient also proved quite challenging Given the timing of onset after evidence of...
... [49,51,52] with the PCP being the target ofthe intervention in two of them [51,52] The unit of allocation was thepatient in seven [46-49,52-54], the physician in one [50], and the family practice ... may limit their generalisability to other countries and healthcare systems Although we pooled the results ofthe studies (reflecting their homogeneity ofpatient groups and settings), there were ... ofthe hands ofthe 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...
... agreement with the outcomes of OPNS in studies of patients without NF-1 and is independent ofthe etiology of occipital neuralgia [7,20-23] Our patient s recovery from implantation ofthe leads was ... nerve as well as two divisions ofthe greater occipital artery as they pierce the substance ofthe trapezious muscle 1.0 cm to 1.2 cm from the skin Re-implantation ofthe peripheral nerve-stimulating ... neurofibromas ofthe 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 ofthe disease...
... they can change the performance of physicians and/or improve the quality of life of patients [69] Ethics Approval Approval was granted by the Ethics Committee ofthe Medical Faculty of Witten/Herdecke ... improvement of knowledge, though the knowledge gain at t2’ (1.48; p = 0.019) was lower compared to the intervention groups at both times Page of 10 Discussion Summary ofthe findings The purpose ofthe ... similar between the two groups [45] The subgroup analysis ofthe actual users ofthe online modules might be biased, because these GPs were probably a more motivated group Nevertheless, there is a...
... at the heart of public services The Stationery Office 2004 Kennedy A, Rogers A, Gately C: Assessing the introduction ofthe Expert Patients Programme into the NHS: a realistic evaluation of recruitment ... between PCT size and the number of courses administered Indeed, the bigger the PCT in terms ofpatient population (based on GMS census figures, 2004), the greater the number of courses run (r = ... findings with the Department of Health's response to EPP in its pilot phase, and, as such, the success ofthe EPP is interpreted primarily in terms ofthe numbers of courses run and the anticipated...
... ofthe pain program The IOPP consisted of a theoretical section, painting therapy, medical training therapy (MTT), group psychotherapy, relaxation therapy, medical motion therapy, and physiotherapeutic, ... required for the treatment of diverse patients? Should the inclusion criteria be narrowed? Has the number of patients to be increased? Are the methods used sufficiently sensitive? Are the patients ... months after the beginning ofthe study in the performance ofthe step test (p = 0.028 fup2 vs pre) and ofthe arm holding Page of 10 (page number not for citation purposes) Journal of Negative...
... they can change the performance of physicians and/or improve the quality of life of patients [69] Ethics Approval Approval was granted by the Ethics Committee ofthe Medical Faculty of Witten/Herdecke ... improvement of knowledge, though the knowledge gain at t2’ (1.48; p = 0.019) was lower compared to the intervention groups at both times Page of 10 Discussion Summary ofthe findings The purpose ofthe ... similar between the two groups [45] The subgroup analysis ofthe actual users ofthe online modules might be biased, because these GPs were probably a more motivated group Nevertheless, there is a...
... characteristics ofthe patients managed using one ofthe three main initial therapeutic options (conservative measures, BAE or surgery) and to help better define the role of BAE, according to the severity of ... ofthe volume of haemoptysis (median, quartile) on admission according to the cause Distribution ofthe volume of haemoptysis (median, quartile) on admission according to the cause Plots ofthe ... arteriography Distribution ofthe cumulated volume of haemoptysis on ICU admission, according to the first attempt of bronchial arteriograFigure phy Distribution ofthe cumulated volume of haemoptysis on...
... 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...
... in themanagementof 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 ofthe 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...