Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về y học đề tài: Usefulness of procalcitonin for diagnosis of sepsis in the intensive care unit...
Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: G-CSF and IL-8 for early diagnosis of sepsis in neonates and critically ill children – safety and cost effectiveness of a new laboratory prediction model: study protocol of a randomized controlled trial [ISRCTN91123847]...
Sepsis is a complex syndrome characterized by systemic inflammation in response
to infection. It is a significant health problem with an estimated 750,000 new cases
in the USA annually . It is also the third leading cause of death in developed
countries, equalling the number of fatalities from acute myocardial infarction. The
incidence of sepsis has increased in recent decades and is predicted to continue to
rise. The high sepsis-related mortalities and the burden on healthcare systems means
there is an urgent need to improve the diagnosis and management of sepsis patients....
Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Bench-to-bedside review: The promise of rapid infection diagnosis during sepsis using polymerase chain reaction-based pathogen detection...
Martha1 is a caregiver with Likii HIV a home based care group in the Nanyuki region. She is a widow and her
husband passed away in 2000, leaving her with three children. After the death of her husband, Martha became
very sick and was taken to hospital where she tested positive and was put on treatment. In 2002, Martha ran
away from her marital home because of stigma and discrimination, she took her children to her maternal home.
Life was very difficult for her as she lived on the streets, and got her...
The completion of risk assessments, appropriate in scope, can help decision-makers to
select the most efficient and effective evidence based strategies. With limited
government health budgets challenged by an aging population demographic such an
understanding can improve resource allocation. Risk assessment must be sufficiently
broad to ensure adequate understanding of the risk and to identify effective risk
It has been considered that vitamin E is the
major membrane bound antioxidant employed in humans, and thus this lipophilic chain
breaking antioxidant has the ability to inhibit lipid peroxidation. Synergistic actions
between vitamin C and vitamin E therefore appear important in their preventive activity
against lipid peroxidation. Human trials and in-vitro studies have shown that oxidative
stress causes a rapid depletion of vitamin C and vitamin E (reviewed by Bouayed & Bohn,
The presence of the lagged dependent variable Ci(-1) has a dual interpretation. On the
one hand, it reflects relationship banking in the vein of the literature discussed in section 2.1.
Long-term enterprise-bank relations help to reduce information asymmetries; banks would be
more willing to lend again if they have already done so (we consider the banking sector as a
whole as the lending party). On the other hand, a positive association can be interpreted as
evidence of soft budget constraints on the part of the banks in the sense of Berglof and Roland
Leveraging refers to the process by which private sector capital is mobilised as a consequence of the use of
public sector finance and financial instruments. Public finance can „crowd in‟ private capital by compensating private
investors for what would otherwise be lower than their required risk-adjusted rates of return (AGF, 2010). There is no
uniform methodology to calculate leverage ratios of public to private finance, and different financial institutions report
this ratio in different ways.
This document sets out a strategy for securing the benefits of greater openness for
our economy, for British business, for the global economy and especially for the
world’s poorest people. This White Paper is the Government’s initial statement to our
trade and investment partners across the world about how we plan to work together
for mutual benefit. It also sets out the Government’s commitment to addressing the
barriers that hold businesses back from trading and investing, and to ensuring that the
UK is one of the most attractive places in the world to invest and do business....
There has been a case report of exaggerated
pigmented granulomatous reaction to the artificial joint implant in a 72-year-old man who
had undergone bilateral total hip arthroplasty, in whom, aspirate from the inguinal region
was misinterpreted as metastatic melanoma from an unknown primary. Microscopically, the
smears of this patient showed both intracellular and extracellular black pigment with
obscured cytomorphology; although, appreciable cells were reported to be pleomorphic
with prominent nucleoli. The patient had no evidence of primary cutaneous melanoma.
This report contains two analyses. The first is a review of historical AHS data to determine if
there are trends in the housing consumption patterns of the elderly. The second analysis
contains projections of housing demand by the elderly through 2030.
This section is organized with a brief discussion of the methodology for the historical analysis,
followed by the longer discussion of the methodology for the housing projections analysis.
The primary data source for our research has been the AHS. We used the national samples
from 1995 through 2003. To derive historical trends for...
Mortality rates among children and the absolute number of children dying annually in developing countries have
declined considerably over the past few decades. However, the gains made have not been distributed evenly:
childhood mortality remains higher among poorer people and the gap between rich and poor has grown. Several poor
countries, and some poorer regions within countries, have experienced a levelling off of or even an increase in
childhood mortality over the past few years.
Health care providers* tend to talk to patients about their disease
rather than train them in the daily management* of their condition.
Therapeutic patient education* is designed therefore to train patients
in the skills* of self-managing or adapting treatment to their particular
chronic disease*, and in coping* processes and skills*. It should also
contribute to reducing the cost* of long-term care to patients and to
This paper examines the memory system behavior of
database management systems on simultaneous multi-
threaded processors. Simultaneous multithreading (SMT)
 is an architectural technique in which the processor
issues instructions from multiple threads in a single
cycle. For scientific workloads, SMT has been shown to
substantially increase processor utilization through fine-
grained sharing of all processor resources (the fetch and
issue logic, the caches, the TLBs, and the functional
units) among the executing threads .
The concept called “lean management” or “lean thinking” is most commonly associated with
Japanese manufacturing, particularly the Toyota Production System (TPS). Much of the TPS way
of thinking is based on the work of quality guru W. Edwards Deming, who taught, among other
things, that managers should stop depending on mass inspection to achieve quality and, instead,
focus on improving the production process and building quality into the product in the first place.
So what is meant by “lean thinking”? Simply put, lean means using less to do more.
Finally, more efficiency-driven project selection could possibly deliver the greatest
gains. An independent bank with a professional staff could rank project proposals by
expected economic and social returns, and allot funds accordingly. They would not
have to be constrained by outmoded formulas or arbitrary allocation processes, and
could instead ensure that each dollar lent out achieves the greatest possible impact
for the greatest number of people.
The business man, especially the business man of wide and authoritative discretion, has become a controlling
force in industry, because, through the mechanism of investments and markets, he controls the plants and
processes, and these set the pace and determine the direction of movement for the rest.
Diagnosis The diagnosis of clostridial disease, in association with positive cultures, must be based primarily on clinical findings. Because of the presence of clostridia in many wounds, their mere isolation from any site, including the blood, does not necessarily indicate severe disease. Smears of wound exudates, uterine scrapings, or cervical discharge may show abundant large gram-positive rods as well as other organisms. Cultures should be placed in selective media and incubated anaerobically for identification of clostridia.
While the detection of CoNS at sites of infection or in the bloodstream is not difficult by standard microbiologic culture methods, interpretation of these results is frequently problematic. Since these organisms are present in large numbers on the skin, they often contaminate cultures. It has been estimated that only 10–25% of blood cultures positive for CoNS reflect true bacteremia. Similar problems arise with cultures of other sites. Among the clinical findings suggestive of true bacteremia are fever, evidence of local infection (e.g.