Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : The integrated care pathway reduced the number of hospital days by half: a prospective comparative study of patients with acute hip fracture
In 1978 the Conference of Alma Ata stated in Section VI: “Primary health care is essential
health care based on practical, scientifically sound and socially acceptable methods and
technology made universally accessible to individuals and families in the community through
their full participation and at a cost that the community and country can afford to maintain at
every stage of their development in the spirit of self-reliance and self-determination.
The first conclusion of the review was that the later generation of social
funds had better integration of sustainability elements in their project
design than the earlier generation of social funds. There was more em-
phasis on active community participation throughout the project cycle,
including at the disbursement and supervision stages in cases when user
committees organized maintenance and operated accounts from which
they disbursed resources.
The management of patients with vascular disease is complex and requires a
multi-disciplinary approach of which nurses play an integral part. Recent
years have witnessed the development of vascular nursing in the UK as a
specialist area, with appointments of vascular nurse specialists and nurse
Specialist vascular courses are now available for nurses in the UK and vascular
nurses have their own professional society.
This book aims to provide nurses with the appropriate knowledge to meet the
challenge of caring for patients with vascular disease.
Previous chapters emphasized physiologic
concepts concerning cardiac and vascular
function at the cellular and organ level. In addition,
they examined mechanisms, such as
baroreceptors and circulating hormones, that
regulate overall cardiovascular function. This
chapter integrates all the components of the
cardiovascular system and shows how they
work together to maintain normal perfusion of
organs under conditions of increased organ
demand for blood flow (e.g., during exercise
and pregnancy) or during abnormal stressful
conditions such as hemorrhage....
Skilled Nursing Facility SNPs allow specialization in patients who are already institutionalized. Health
centers may wish to explore partnering with such plans if their physicians are serving a significant number
of nursing home residents or if they contract with or own nursing homes. Typically such plans can
provide a more comprehensive and coordinated package of medical care to SNF residents than would be
normally provided, thus saving on high cost care and, ideally, providing better quality of life for residents.
Critical care nursing is a complex, challenging area of nursing
practice, where clinical expertise is developed over time
by integrating critical care knowledge, clinical skills, and
caring practices. Finding a textbook that comprehensively
yet succinctly presents essential information about how best
to safely and competently care for critically ill patients and
their families is a challenge for those charged with the education
of new critical care practitioners.
It is innately human to comfort and provide care to those suffering
from cancer, particularly those close to death. Yet what seems self-evident
at an individual, personal level has, by and large, not guided policy at the
level of institutions in this country. There is no argument that palliative
care should be integrated into cancer care from diagnosis to death.
“Life, liberty, and the pursuit of happiness,” a phrase taken directly
from the Declaration of Independence, indicates the basic values identified
by the founders of our nation. Of the three, life is the most fundamental
as without it, liberty and the pursuit of happiness are meaningless.
Health, of course, is the underpinning of life and therefore, it is puzzling
that there is so little general demand for an explicit public emphasis on
nourishing health as a personal and social resource.
We successfully built capacity of a team of public sector health care workers to provide integrated coaching in both clinical skills and QI across a province. The PCT is a feasible and effective model to spread and sustain quality activities and improve HIV care services in a decentralized rural setting.
“Standard” refers to the actual threshold or level of performance in a given assessment
that, in the judgment of relevant stakeholders, constitutes an acceptable or targeted level of
achievement. “Standard,” in its CBE definition is integrally tied to the judgment that someone is
“competent,” i.e., has reached an acceptable level of performance on a designated competency.
In this usage, “standard” refers to learner performance and contrasts with the frequent use of
“standard” in reference to a “standard curriculum” and even a “standardized examination.
In almost all Western countries, health care is in a state of radical transformation.
How can we meet the needs and demands of increasingly empowered
‘consumers’, contain costs, incorporate ‘evidence based’ modes of working, and
re-motivate health care professionals—and all at the same time? The health care
systems in Western countries are usually compared and contrasted along their
axes of difference: nationalized versus fully market-driven; tax-based versus
insurance-based financing; ‘gatekeeping’ general practitioners versus self-referral
to hospital care....
Members of the Patient Care Assessment Committee work with hospitals and other health care
institutions to improve quality assurance programs by reviewing Major Incident Reports. These
reports describe adverse outcomes, full medical reviews of the incidents, and the corrective action
plans implemented by the institutions. The plans are part of the Committee’s commitment to
preventing patient harm through the strengthening of medical quality assurance programs in all
Endocrinology: Basic and Clinical Principles, Second
Edition aims to provide a comprehensive knowledge
base for the applied and clinical science of
endocrinology. The challenge in its presentation was
to produce a volume that was timely, provided integration
of basic science with physiologic and clinical principles,
and yet was limited to 500 pages. This length
makes the volume suitable as a text; and the timeliness
we have striven for allows the book to serve as an offthe-
In the 4th edition we have distilled the text to a set of fl ow diagrams with
linked tables. Our aim is to provide the doctor caring for an acutely ill patient
with rapid access to key information, including a balanced interpretation of
current national and international guidelines.
We have substantially broadened the scope of the book to cover all problems
in general medicine likely to be encountered in the emergency department.
Integration of the use of echocardiography, which we believe is as
important in acute medicine as ECG interpretation, is a particular feature of
Nearly a decade elapsed between publication of the second and third editions
of Basic Medical Endocrinology due in large part to the turmoil in the publishing
industry brought on by massive consolidation.Although this edition is new and the
publisher is new, the aims of earlier editions of this work are unchanged. Its focus
remains human endocrinology with an emphasis on cellular and molecular
mechanisms presented in the context of integration of body functions.
Soon after the 5th edition of this volume appeared, the WHO published details
on the pathology and genetics of the hematopoietic and lymphatic tissues.
Work in progress found in short journal articles had already been integrated
into the last edition. Now it was possible to incorporate the new
proposals for classification and diagnosis and to include figures of new types
of leukemia and lymphoma.