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排序方式: 共有2974条查询结果,搜索用时 15 毫秒
31.
Kamal Medlej Amin Antoine Kazzi Ahel El Hajj Chehade Mothana Saad Eldine Ali Chami Rana Bachir Dina Zebian Gilbert Abou Dagher 《The Journal of emergency medicine》2018,54(1):47-53
Background
The placement of a central venous catheter for the administration of vasopressors is still recommended and required by many institutions because of concern about complications associated with peripheral administration of vasopressors.Objective
Our aim was to determine the incidence of complications from the administration of vasopressors through peripheral venous catheters (PVC) in patients with circulatory shock, and to identify the factors associated with these complications.Methods
This was a prospective, observational study conducted in the emergency department (ED) of a tertiary care medical center. Patients presenting to the ED with circulatory shock and in whom a vasopressor was started through a PVC were included. Research fellows examined the i.v. access site for complications twice daily during the period of peripheral vasopressor administration, then daily up to 48 h after treatment discontinuation or until the patient expired.Results
Of the 55 patients that were recruited, 3 (5.45% overall, 6% of patients receiving norepinephrine) developed complications; none were major. Two developed local extravasation and one developed local thrombophlebitis. All three complications occurred during the vasopressor infusion, none in the 48 h after discontinuation, and none required any medical or surgical intervention. Two of the three complications occurred in the hand, and all occurred in patients receiving norepinephrine and with 20-gauge catheters.Conclusions
The incidence of complications from the administration of vasopressors through a PVC is small and did not result in significant morbidity in this study. Larger prospective studies are needed to better determine the factors that are associated with these complications, and identify patients in whom this practice is safe. 相似文献32.
Fernández-Ávila Daniel Gerardo Patino-Hernandez Daniela Kowalskii Sergio Vargas-Caselles Alfredo Sapag Ana Maria Cachafeiro-Vilar Antonio Meléndez-Muñoz Lucia Santiago-Pastelín Carlos Graf Cesar Rossetto Chayanne Palleiro Daniel Trincado Daniela Fernández-Ávila Diana Arrieta Dina Reyes Gil Then Baez Jossiel Ugarte-Gil Manuel F. Cardiel Mario Colman Nelly Chávez Nilmo Burgos Paula I Montúfar Ruben Sandino Sayonara Fuentes-Silva Yurilis Soriano Enrique R. 《Clinical rheumatology》2021,40(7):2913-2920
Clinical Rheumatology - Studies conducted by various scientific societies have shown that the demand for specialized rheumatology care is greater than the projected growth of the workforce. Our... 相似文献
33.
Lobna F. El Toony Dina Ali Hamad Omar Mohammed Omar 《Diabetes & Metabolic Syndrome: Clinical Research & Reviews》2018,12(5):761-767
Background
Ramadan fasting is associated with the risk of acute complications including hypoglycaemia. Therefore, patients' education before Ramadan and follow up during Ramadan is essential for safe fasting.Objectives
To evaluate the effect of pre-Ramadan education program on biochemical parameters and the risk of hypoglycaemia in patients with type 2 diabetes mellitus.Methods
A prospective interventional controlled design was carried out on 320 Muslim patients with type 2 diabetes. They were divided into 2 groups; the control group (n?=?200) who received standard diabetic care and the intervention group (n?=?120) who received focused individualized diabetic education sessions before Ramadan. The study was carried out on 3 phases (before, during and after Ramadan). Post-education change of hypoglycaemia risk and biochemical parameters during Ramadan fasting were the primary outcomes.Results
Fasting blood glucose decreased significantly during, and after Ramadan in both groups (P?<?0.001). Hypoglycaemia during fasting occurred in 4.1% of patients in the intervention group vs. 19.5% in the control group. Post Ramadan reduction of HbA1c?<?7% increased statistically significantly in the intervention group (from 20.8% of patients before Ramadan to 55.8% after Ramadan). Low-density lipoprotein cholesterol decreased in the intervention group (P?=?0.024). The body weight of the patients did not significantly change in both groups.Conclusion
There was a significant impact of pre-Ramadan educational program on reduction of hypoglycaemic risk and other acute complications, reduction of low-density lipoprotein cholesterol and improvement of high-density lipoprotein cholesterol. Therefore, it is recommended for the fasting patients especially those with high and very high risk during Ramadan. 相似文献34.
35.
The study examined the relative contribution of caregivers’ conduct and physical conditions of the hospital setting to patients’
global satisfaction with health care, while controlling for self-assessed health status. The study was performed in the Soroka
Medical Center, which is the only inpatient facility for a population of 360,000 in southern Israel. Patients were interviewed
using a structured questionnaire. Inclusion criteria were patients over 17 years of age, fluency in Hebrew, and hospitalization
in the internal medicine wards for 24 hours or more. The dependent variable was “global satisfaction.” The independent variables
were “satisfaction with caregivers’ conduct,” “satisfaction with physical surroundings and conditions,” and “self-assessment
of health.” The three independent variables accounted for 36.8% of the variation in patients’ satisfaction with care, of which
87% related to “satisfaction with caregivers’ conduct.” In conclusion, hospital patients value the caregivers’ conduct more
than the physical environment.
From the Department of Epidemiology and Evaluation of Health Services, Faculty of Health Sciences, Ben-Gurion University of
the Negev and Soroka Medical Center, Beer-Sheva, Israel The author is a Senior Lecturer of Epidemiology and Biostatistics. 相似文献
36.
Infection by the retrovirus associated with the acquired immunodeficiency syndrome. Clinical, biological, and molecular features 总被引:14,自引:0,他引:14
J A Levy L S Kaminsky W J Morrow K Steimer P Luciw D Dina J Hoxie L Oshiro 《Annals of internal medicine》1985,103(5):694-699
Peripheral mononuclear cells from more than 160 persons from groups at risk for the acquired immunodeficiency syndrome (AIDS) have yielded AIDS-associated retroviruses (ARV). Antibodies to ARV can also be found in these risk groups. Antibody-negative, virus-positive persons have been identified with early infection or possible viremia with immune complex formation. Established lines of human T and B cells, monocytes, and promyelocytes have been infected with ARV. Moreover, infectious virus has been recovered from macrophages cultured from the blood of some persons with AIDS. The cytopathic effects of ARV in T cells is associated with the accumulation of unintegrated viral forms in the infected cells. The ARV has also been isolated from plasma, serum, saliva, semen, urine, cerebrospinal fluid, and brain tissue. All these results reflect the wide host range of ARV and support its role in neurologic abnormalities seen in some patients. Molecular studies of independent ARV isolates indicate a polymorphism of nucleotide sequences, particularly in the viral envelope region. All these features place ARV in the lentivirus subfamily of human retroviruses. 相似文献
37.
James Reigle Dina Secic Jacek Biesiada Collin Wetzel Behrouz Shamsaei Johnson Chu Yuanwei Zang Xiang Zhang Nicholas J. Talbot Megan E. Bischoff Yongzhen Zhang Charuhas V. Thakar Krishnanath Gaitonde Abhinav Sidana Hai Bui John T. Cunningham Qing Zhang Laura S. Schmidt W. Marston Linehan Mario Medvedovic David R. Plas Julio A. Landero Figueroa Jarek Meller Maria F. Czyzyk-Krzeska 《The Journal of clinical investigation》2021,131(1)
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