Download or read book Influye la estructura hospitalaria en la etiolog a de la neumon a asociada a ventilaci n mec nica written by Ignacio Javier Catalán Gómez and published by . This book was released on 2017 with total page 187 pages. Available in PDF, EPUB and Kindle. Book excerpt: Las neumonías relacionadas con la ventilación mecánica (NVM) son una de las infecciones más frecuentes y graves en los pacientes críticos ingresados en los Servicios o Unidades de Cuidados Intensivos (UCI). A lo largo de los años se han realizado numerosos estudios para identificar los factores de riesgo asociado a esta infección. Sin embargo, su relación con las características estructurales y funcionales de los hospitales ha sido un aspecto que no ha sido estudiado. En este trabajo (motivo de la tesis doctoral) se ha analizado la relación de las tasas de infección de las NVM (expresadas como densidad de incidencia), su etiología y la presencia de bacterias multirresistentes (BMR) con respecto a la estructura y función hospitalaria definida por tamaño hospitalario (200, 200-500 y 500 camas), gestión y/o administración (hospitales públicos o privados) y docencia pre y/o postgrado (hospitales docentes y no docentes) con la hipótesis de que las características estructurales y funcionales de los hospitales influyen en la frecuencia, etiología y presencia de BMR de las NVM. Para demostrar la hipótesis se han utilizado los datos de los pacientes incluidos en el registro "Estudio Nacional de Vigilancia de Infecciones Nosocomiales" (ENVIN) en UCI de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC), entre los años 2007-2013 (117.354 pacientes) en la que han participado más de 200 UCI española. Las NVM se han diferenciado por su etiología y presencia de bacterias multirresistentes (BMR) identificadas como Pseudomonas spp. multirresistente (resistente a tres o más familias de antibióticos), Acinetobacter spp. resistente a imipenem, enterobacterias resistentes a cefotaxima/ceftriaxona, enterobacterias resistentes a imipenem, Stenotrophomonas spp. resistente a cotrimoxazol y Staphylococcus aureus resistente a meticilina (SARM). Así mismo se han analizado 21 variables relacionadas con las características de los pacientes que sirvieron para describir el case-mix para cada uno de los subgrupos de pacientes analizados. Finalmente se realizó un análisis multivariado para identificar las variables relacionadas de forma independiente con la presencia de BMR en las NVM. De esta forma se han seleccionado 4.914 NVM que se utilizaron para identificar las tasas de incidencia (episodios de NVM por 1.000 días de ventilación mecánica) y microbiología asociada. En 3.911 casos se disponía de un diagnóstico bacteriano de seguridad y de ellos, en 3.555 NVM se disponía del antibiograma respecto del germen responsable, siendo este grupo el que se utilizó en los estudios de resistencia. El resumen de los resultados se describe a continuación. Los hospitales de mayor tamaño y docentes presentaron una tasa de incidencia de NVM superior a los de menor tamaño y no docentes (p
Download or read book Blood Conservation in Cardiac Surgery written by Karl H. Krieger and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 678 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here, two of the foremost cardiothoracic surgeons have brought together many of the top cardiologists and haematologists to produce the most current reference source on all aspects of blood conservation, from an overall clinical approach to the use of erythropoietin and the benefits of post-operative blood salvage. The subject matter covers numerous areas involved in the preoperative considerations in cardiac surgery, the intraoperative decision-making in cardiac surgery, postoperative bleeding and management and a section on the algorithm for bloodless surgery used at the New York Hospital-Cornell Medical Center.
Download or read book ABC of Major Trauma written by David V. Skinner and published by John Wiley & Sons. This book was released on 2013-01-29 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prehospital care is a growing area in medicine, and emergency treatments are becoming more sophisticated as the potential to save lives grow. The fourth edition of this ABC has been thoroughly updated and includes new chapters on nuclear and biological emergencies. Each chapter gives concise and clear guidance and is accompanied by excellent photographs and diagrams. Edited and written by leading UK trauma authorities, this is a truly comprehensive and practical book for everyday use by emergency medicine staff, nurses, hospital doctors, paramedics, and ambulance services. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from iTunes, Google Play or the MedHand Store.
Download or read book Biopolymeric Nanomaterials written by Shamsher S. Kanwar and published by Elsevier. This book was released on 2021-09-24 with total page 732 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biopolymeric Nanomaterials: Fundamentals and Applications outlines the fundamental design concepts and emerging applications of biopolymeric nanomaterials. The book also provides information on emerging applications of biopolymeric nanomaterials, including in biomedicine, manufacturing and water purification, as well as assessing their physical, chemical and biological properties. This is an important reference source for materials scientists, engineers and biomedical scientists who are seeking to increase their understanding of how polymeric nanomaterials are being used for a range of biomedical and industrial applications. Biopolymeric nanomaterials refer to biocompatible nanomaterials, consisting of biopolymers, such as protein (silk, collagen, gelatin, ß-casein, zein, and albumin), protein-mimicked polypeptides and polysaccharides (chitosan, alginate, pullulan, starch, and heparin). Biopolymeric nanomaterials may be used as i) delivery systems for bioactive compounds in food application, (ii) for delivery of therapeutic molecules (drugs and genes), or for (iii) tissue engineering. Provides information on the design concepts and synthesis of biopolymeric nanomaterials in biomedical and industrial applications Highlights the major properties and processing methods for biopolymeric nanomaterials Assesses the major challenges of producing biopolymeric nanomaterials on an industrial scale
Download or read book Stroke in Childhood written by Paediatric Stroke Working Group and published by Royal College of Physicians. This book was released on 2004 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stroke occuring in childhood although less common, presents serious challenges. This guideline is based on the expertise of a multidisciplinary working group and include the views of patients, parents and families.
Download or read book An Interpretation of Universal History written by José Ortega y Gasset and published by W W Norton & Company Incorporated. This book was released on 1975 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ortega traces the course of Western civilization backward, searching out what makes a civilization rise or fall and offering a way of looking at our own time. Based on a series of lectures on A. J. Toynbee's A Study of History.
Download or read book Water and Electrolyte Metabolism and Acid base Balance written by Edward Muntwyler and published by . This book was released on 1968 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Applied Physiology in Intensive Care Medicine 1 written by Michael R. Pinsky and published by Springer Science & Business Media. This book was released on 2013-05-22 with total page 430 pages. Available in PDF, EPUB and Kindle. Book excerpt: The two previous editions of Applied Physiology in Intensive Care Medicine proved extremely successful, and the book has now been revised and split into two volumes to enhance ease of use. This first volume comprises three elements -- "physiological notes," “technical notes,” and seminal studies. The physiological notes concisely and clearly capture the essence of the physiological perspectives underpinning our understanding of disease and response to therapy. The technical notes then succinctly explain some of the basics of “how to” in this technology-centered field of critical care medicine. Finally, a number of seminal studies are provided on diverse topics in intensive care. Applied Physiology in Intensive Care, written by some of the most renowned experts in the field, is an up-to-date compendium of practical bedside knowledge that will serve the clinician as an invaluable reference source on key issues regularly confronted in everyday practice.
Download or read book Postanesthetic Care written by Elizabeth A. M. Frost and published by . This book was released on 1990 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Washington Manual of Medical Therapeutics written by Charles F. Carey and published by . This book was released on 1998 with total page 644 pages. Available in PDF, EPUB and Kindle. Book excerpt: Established for over 50 years as the "Bible" of the medical ward, the Washington Manual is now in its Twenty-Ninth Edition. This edition has been updated up to the moment of publishing to put recent and accurate dosages and patient management recommendations at your fingertips. It also features a new chapter on critical care and medical emergencies. The book's handy pocket size, easy-to-use outline format, bold headings, plentiful charts and tables, and extensive index ensure fast access to specific information.
Download or read book An Introduction to Anthropology written by Ralph Leon Beals and published by New York : Macmillan. This book was released on 1966 with total page 824 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Cardiac Anesthesia written by Joel A. Kaplan and published by W B Saunders Company. This book was released on 1993-01-01 with total page 1353 pages. Available in PDF, EPUB and Kindle. Book excerpt: Molecular & cata
Download or read book Veterinary Anesthesia and Analgesia written by Diane McKelvey and published by . This book was released on 2003 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical resource is a concise guide designed to prepare veterinary technicians to administer anesthesia in animals. It discusses essential topics such as preanesthetic preparation of the patient, induction procedures, monitoring animals' vital signs during the anesthetic period, and postoperative care. The operation of anesthetic machines and breathing circuits are described in detail, as well as: the actions and side effects of anesthetic agents; the physiology of respiration, heart rate, and blood pressure; emergency response; and specialized techniques such as local anesthesia, postoperative analgesia, and the use of muscle-paralyzing agents and ventilators. In addition to canine and feline anesthesia, this edition has added information on anesthesia of rodents, rabbits, and other animals used in research, plus a new section on anesthesia of cattle, horses, small ruminants and pigs. This is the only book on veterinary anesthesia written explicitly for technicians, providing detailed, essential information that technicians must know. Concepts are presented in a clear, readable, well-organized format with key points, learning objectives, and review questions. Health and Safety issues surrounding anesthesia are discussed and safety procedures are outlined, as required by OSHA. Emphasis is placed on appropriate response to emergencies, and provisions of the effective pain control. Effective learning features such as objectives, key points, and review questions, help reinforce key information. All drugs and procedures included throughout the book are fully are up-to-date. Clear, useful illustrations and tables highlight important facts and concepts. A solid balance of theory and application takes the reader from learning to real-world practice. Step-by-step Procedures boxes clarify the technician's role in anesthesia delivery. Notes throughout the text highlight important precautions and/or emergency interventions. A section on client education focuses on compliance with NPO instructions and age-related complications of anesthesia. New information is provided on the use of NSAID (nonsteroidal antiinflammatory drugs - aspirin, ibuprofen) and opioid analgesics for pain control - now accepted as an indispensable aspect of anesthesia. Expanded discussions of sophisticated monitoring instruments and equipment address capnography, pulse oximetry, blood pressure measurement, and electrocardiology. An expanded section on anesthestic agents includes newer drugs such as medetomidine (Domitor) seroflurane, and analgesics such as carprofen (Rimadyl) and meloxicam (Metacam). The new title, previously published as Small Animal Anesthesia and Analgesia, reflects this edition's expanded scope and inclusion of other species. A new chapter on large animal anesthesia focuses predominantly on horses and cows. A new chapter on exotics covers various exotic pets, with an emphasis on pocket pets and birds. New line drawings and photographs of new equipment and techniques for delivery bring the book up to date with advances in the field.
Download or read book Elegy for Iris written by John Bayley and published by Macmillan + ORM. This book was released on 2013-10-15 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: "I was living in a fairy story--the kind with sinister overtones and not always a happy ending--in which a young man loves a beautiful maiden who returns his love but is always disappearing into some unknown and mysterious world, about which she will reveal nothing." So John Bayley describes his life with his wife, Iris Murdoch, one of the greatest contemporary writers in the English-speaking world, revered for her works of philosophy and beloved for her incandescent novels. In Elegy for Iris, Bayley attempts to uncover the real Iris, whose mysterious world took on darker shades as she descended into Alzheimer's disease. Elegy for Iris is a luminous memoir about the beauty of youth and aging, and a celebration of a brilliant life and an undying love.
Download or read book The Rebirth of Nature written by Rupert Sheldrake and published by Simon and Schuster. This book was released on 1994-04-01 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rupert Sheldrake, one of the world's preeminent biologists, has revolutionized scientific thinking with his vision of a living, developing universe--one with its own inherent memory. In The Rebirth of Nature, Sheldrake urges us to move beyond the centuries-old mechanistic view of nature, explaining why we can no longer regard the world as inanimate and purposeless. Sheldrake shows how recent developments in science itself have brought us to the threshold of a new synthesis in which traditional wisdom, intuitive experience, and scientific insight can be mutually enriching.
Download or read book Limits to Medicine written by Ivan Illich and published by Marion Boyars. This book was released on 1995 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: The medical establishment has become a major threat to health, says Ivan Illich. He outlines the causes of iatrogenic diseases.
Download or read book Epidemics and Society written by Frank M. Snowden and published by Yale University Press. This book was released on 2019-10-22 with total page 603 pages. Available in PDF, EPUB and Kindle. Book excerpt: A wide-ranging study that illuminates the connection between epidemic diseases and societal change, from the Black Death to Ebola This sweeping exploration of the impact of epidemic diseases looks at how mass infectious outbreaks have shaped society, from the Black Death to today. In a clear and accessible style, Frank M. Snowden reveals the ways that diseases have not only influenced medical science and public health, but also transformed the arts, religion, intellectual history, and warfare. A multidisciplinary and comparative investigation of the medical and social history of the major epidemics, this volume touches on themes such as the evolution of medical therapy, plague literature, poverty, the environment, and mass hysteria. In addition to providing historical perspective on diseases such as smallpox, cholera, and tuberculosis, Snowden examines the fallout from recent epidemics such as HIV/AIDS, SARS, and Ebola and the question of the world’s preparedness for the next generation of diseases.
