will be implemented by the development of an eCourse that will be mandatory for all medical acute and critical care nurses to complete as well as a Situation, Background, Assessment, and Recommendation (SBAR) on the new tools that will be sent to every unit system-wide. The implementation of qSOFA and SOFA screening will provide nurses a resource to helpl to help detect early signs of sepsis in medical acute and critical care settings. Research and evidenced-based practice has shown SOFA and…
A randomized stratified survey was conducted using Pre-tested Questionnaire to study the treatment regimens being used for the management of acute attack and prophylaxis of Migraine. Those factors that assist choice of drugs by the doctors in Karachi, are also explored. A total sample size of 100 family physicians and non-specialist doctors working in hospitals from different socio-economic areas of Karachi were included in the study conducted from February 2009 to December 2010. Response…
PT 826 Reading Assignment The information given in the article by Lau, Chiu, & Lam (2010) about using thoracic manipulation for the treatment of neck pain was very new to me. There were several instances in the past where I treated patients with neck pain by giving mobilizations techniques and modalities in and around cervical area. This article was a convincing one which helped me to understand the concept of biomechanical and etiological…
MEMORANDUM TO: Dr. Cliff Curtis, Head of Administration FROM: Yvanne Vannessa Prezil RE: Shortage of Hospital Beds that may cause a crisis in the coming months DATE: April 18, 2016 It has been brought to my attention that there is an acute shortage of hospital beds for patients in our institution, the Winnipeg Regional Health Authority. The purpose of this memo is to bring this matter to your urgent attention so that you may take appropriate steps in this regard. With increase in population…
Silicos disease form part of the lung disorder known as pneumoconioses and is characterized by nodules and fibrous scar tissue within the lungs. It is often caused by inhaling silica particles from the quartz in rocks, sand and similar other substances. These particles gets entrapped in the alveoli and macrophages that are present in the alveoli consumes the silica particles and died with the resulting inflammation attracting more macrophages, resulting into the formation of nodules and fibrous…
Usually when patients go to the hospitals the doctors will review the medication regiment and they will adjust the medications by decreasing or discontinuing some of the medications. John is receiving Methadone, Neurontin and Norco together with Tylenol PM. Norco and Methadone both contain opioid which is addictive and can cause withdrawal if these meds are cut down or discontinued. John is undergoing a procedure that will also require to reduce opioids intake due to risk for diminished or…
seems intuitive that scores using a larger number of data inputs would perform better than more niggardly scoring systems, simpler scores may actually outperform more complex scores when the population has been well-defined. For example, the original Acute Physiology and Chronic Health Evaluation (APACHE) score had 34 variables and when reduced to 12 for APACHE II, it performed better in aggregate than did its predecessor…
are seen in approximately 6% of men and 9% of women. The incidence in children is not known; however, gallstones/biliary sludge are likely to form in one and five children with hemolytic anemia before their adolescent years. Most patients with an acute attack of cholecystitis have complete remission in 1-5 days; however, approximately 20% require surgical intervention.…
different illnesses which include bronchitis, asthma, diabetes, hypertension, and renal colic. Aim of the study: In the present study, the anti-inflammatory activity of hydro-alcoholic extract from aerial parts of N. officinale was investigated in acute and sub¬¬-acute models of inflammation. Materials and methods: Different models like carageenan induced hind paw edema in rats, formalin induced paw edema in rats and 12-O-tetradecanoylphorbol-13-acetate (TPA) evoked ear edema in mice were used…
Nuclear Factor Kappa B as A Prognostic Factor in Nephrotic Syndrome and acute kidney injury Abstract: Background: Nephrotic syndromes and acute kidney injury (AKI) are very common diseases. Nuclear Factor (NF)-кB is a protein complex controlling the transcription of DNA. NF-кB is activated in tubules and glomeruli in various experimental models. Several studies have suggested that detection of NF-кB could be considered as a sign of renal injury. Objectives: This study aims to determine the…