Long-term care

We appear to be on the threshold of witnessing a substantial reduction in the longterm complications of diabetes. Modern treatment regimens, better monitoring of control and the huge impact of improved education all combine to offer the prospect of real progress towards prevention of complications and lessening of progression in those in whom complications may be present. The Diabetes Control and Complications Trial (DCCT) has provided eveidence that such can be achieved, while the St Vincent Declaration initiative has set the standards to enable these benefits to become reality....

260p crazy_sms 07-05-2012 56 12   Download

For decades, the majority of ophthalmologists have been embarrassed by and highly suspicious of refractive surgery, at times with good justification. They have been repelled by its tactics in patient recruitment, uneasy about its seemingly cavalier use without longterm data, eager to defend its unsuspecting victims, and deeply concerned that its shortterm benefits are outweighed by its burdensome long-term consequences.

521p ozon_ozon 04-05-2012 54 5   Download

Menstrual dysfunction can signal an underlying abnormality that may have longterm health consequences. Although frequent or prolonged bleeding usually prompts a woman to seek medical attention, infrequent or absent bleeding may seem less troubling, and the patient may not bring it to the attention of the physician. Thus, a focused menstrual history is a critical part of every female patient encounter. Pelvic pain is a common complaint that may relate to an abnormality of the reproductive organs but may also be of gastrointestinal, urinary tract, or musculoskeletal origin.

10p socolanong 25-04-2012 53 3   Download

The care of a woman and her baby in the immediate hours, days and weeks following birth can make an enormous difference to their longterm health and well-being. The content and timing of postnatal care led by midwives was formalised in the United Kingdom following a statutory legislation that was first introduced in England in 1902. Then there were concerns that too many women were dying following birth.

282p mnemosyne75 02-02-2013 51 3   Download

Since the penetration level of Photovoltaic (PV) system continuously increases, the negative impact caused by the fluctuation of PV power output needs to to be carefully managed. This paper proposes a coordinated control algorithm based on a discrete wavelet transform to eliminate both short-term and long-term fluctuations by using hybrid energy storage system (HESS). While the short-term fluctuation is mitigated by using an electric double-layer capacitor (EDLC), the longterm one is reduced by the support of a Li-ion battery.

6p doctorstrange1 15-06-2018 26 1   Download

Various noninvasive respiratory support modalities are available in neonatal critical care in order to minimize invasive ventilation. Continuous positive airway pressure (CPAP) is the more commonly used but noninvasive positive pressure ventilation (NIPPV) seems more efficacious in the early post-extubation phase, although it is not clear if NIPPV may influence longterm outcomes.

15p virome2711 13-01-2020 8 0   Download

Perinatal asphyxia and resulting hypoxic-ischemic encephalopathy is a major cause of death and longterm disability in term born neonates. Up to 20,000 infants each year are affected by HIE in Europe and even more in regions with lower level of perinatal care. The only established therapy to improve outcome in these infants is therapeutic hypothermia.

10p virome2711 13-01-2020 20 0   Download

Lung cancer surgery is associated with a high incidence of postoperative pulmonary complications (PPCs). Preliminary evidence suggests that ERAS processes can reduce overall incidence of PPCs as short- and longterm recovery improved by supporting units to adopt evidence-based care.

10p vimaine2711 26-03-2021 9 0   Download