OBJECTIVE. The objective of this study was to determine the attitude of neonatal providers toward delivery room resuscitation of an infant with confirmed trisomy 18 with known congenital heart disease at ≥36 weeks of gestation.. METHODS. A multiple-choice questionnaire listing this clinical scenario was completed by neonatologists and fellows staffing level III NICUs. Potential factors influencing the decision to initiate resuscitation included maternal preference, neonatal condition at birth, obstetric care, and legal concerns.. RESULTS. Fifty-four (76%) of 71 surveys were completed. Of respondents, 44% indicated that they would be willing to initiate resuscitation. Maternal preference (70%) was the primary reason to initiate resuscitation, with the appearance of the neonate in the delivery room (46%) and legal concerns (25%) as additional factors.. CONCLUSIONS. Until recently, there was universal consensus that trisomy 18 was a lethal anomaly for which resuscitation in the delivery room was ...

It culminated preparations dating from the mid-1890s to modernise hospital design, with special regard to advances in antiseptic treatment in surgery and the application of plenum ventilation. Notable elements of the original hospital design were in layout and technology. The hospital was built at a time in the UK when there was concern (during a period of relative social responsibility) for having sufficient hospital treatment facilities in (or close to) city centres, when it was recognised there was little available space for expanding existing hospitals or building new institutions.. The Royal Victoria Hospital's design paid less attention to the usual requirements of hospital sites for access to sunshine and fresh air, and traditional pavilion-style hospital design was forsaken. Wards were placed compactly side-by-side, on one level, wall-to-wall, without intervening opening spaces. There were many long, communal wards with large windows at each end, with clerestory windows also providing ...

a) The patient care: We cater for the room setup that serves as a foundation for the optimum patient care. This may include the furnishings, the space- and lighting conditions, but also the noise intensity on the station.. b) Clinical/medical support: It is important to consider the ICU as a whole. In planning and implementation the position and parameter of the interdisciplinary team center or the patient surveillance play a key role. Even an optimum monitoring is essential for ICUs.. c) Unit support: Rooms like administration-, conference rooms or lounges should be supporting the whole unit and should definitely be considered as an option.. d) Family support: The family is a valuable support for the recovery of the patient: The hospital can support the families with family lounges, sleeping rooms, strengthening of privacy and good guidance.. ...

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Researchers at City, University of London have launched new midwifery standards in partnership with the Midwifery Unit Network (MUNet) to support the growth of midwifery units and enable them to becoming the main care pathway for healthy women with straightforward pregnancies in Europe.. Announced at the Midwifery Unit Network Conference, the aim of the standards is to guide midwives, managers and commissioners across Europe in creating and developing midwifery units, which provide a safe and cost effective alternative to hospital obstetric unit care for healthy women with uncomplicated pregnancies. The standards also have the aim of improving the quality of midwifery unit care and reducing variability in practice.. Endorsed by the European Midwives Association (EMA), the list of 29 standards around 10 themes focus on philosophy of care and the organisation of services, and involved a robust and inclusive co-production process, including evidence-based process, a systematic review and study, ...

When surgery is completed, the patient is transferred to the post-operative recovery room. The responsible surgeon will often come in to give information about the operation. It is helpful, therefore, that you be present in the waiting room at the expected time of the completion of the operation. Staff will come to the waiting room to escort you to the recovery room. The recovery room is a large room with space for several children of different sizes and ages. It is possible for two parents or accompanying persons to be present. Siblings are not allowed. Neither children nor adults are allowed to eat or drink in the recovery room, as this can be disturbing to those children who are fasting. We ask that you leave coats and jackets as well as large bags on the ward or in lockers in the waiting room. Mobile/cell phones can interfere with medical and technical equipment and also be disturbing for children emerging from anesthesia and we ask that they be turned off in the recovery room. Some children ...

Introduction Pregnancy and childbirth are unique experiences in a family's lifetime. They are time periods of highest emotional sensitivity. Also, they may constitute substantial health risks for both the mother and the infant. With the advent of modern neonatal intensive care, ethical dilemmas have arisen more often in perinatology. Decisions on intensive vs. compassionate care for critically ill infants may have long-term emotional and mental health effects on parents. A questionnaire among parents of deceased newborns after delivery room resuscitation showed that predictions of morbidity and mortality were not central to their decision-making. However, religion, hope, spirituality and compassion were mentioned as being most valuable guidance to decision-making regarding delivery room resuscitation. Little is known about German professionals' views regarding the role of religion and spirituality in perinatology. We therefore administered a cross sectional survey to medical professionals ...

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This paper focuses on the patient's perspective and the philosophical underpinnings that support what might be considered optimal for the future design of the Intensive Care Unit (ICU) patient room. It also addresses the question of whether the aspects that support at-homeness are applicable to ICU patient rooms. The concept of 'at-homeness' in ICUs is strongly related to privacy and control of space and territory. This study investigates whether the sense of at-homeness can be created in an ICU, when one or more patients share a room. From an interdisciplinary perspective, we critically reflect on various aspects associated with conflicts surrounding the use of ICU patient rooms. Thus, from an architectural and a caring perspective, the significance of space and personal territory in ICU patient rooms is emphasized. Recommendations for further research are suggested. In conclusion, privacy and control are deemed to be essential factors in the stimulation of recovery processes and the promotion ...

Digital Pathology in Europe: Coordinating Patient Care and Research Efforts. COST Action IC0604. Marcial García Rojo Chair. Hospital General de Ciudad Real / Spain Vytenis Punys Kaunas University of Technology / Lithuania Slideshow 109957 by Solomon

Natural ventilation and passive cooling is the harnessing of natural forces - heat generated buoyancy, wind pressures, thermal mass, phase change, adiabatic processes and so on, to provide comfort conditions within buildings without the use of mechanical processes, ie, from air conditioning systems, chillers or refrigeration processes. Although the principles of natural ventilation have been understood for many years and have become increasingly popular in recent times, there are many ways in which these systems may fail or not work to best advantage. This article sets out to explain some of the issues surrounding the use of natural ventilation and passive cooling.. ...

Operating room management is the science of how to run an Operating Room Suite. Operational operating room management focuses on maximizing operational efficiency at the facility, i.e. to maximize the number of surgical cases that can be done on a given day while minimizing the required resources and related costs. For example, what is the number of required anaesthetists or the scrub nurses that are needed next week to accommodate the expected workload or how can we minimize the cost of drugs used in the Operating Room? Strategic operating room management deals with long-term decision-making. For example, is it profitable to add two additional rooms to the existing facility? Typically, operating room management in profit-oriented health-care systems (e.g. United States) emphasizes strategic thinking whereas in countries with publicly funded health care (e.g. the UK), the focus is on operational decisions. The act of coordinating and running all parts of a surgical suite to accomplish a defined ...

New surgical suite at San Juan Hospital - Crews are completing construction of a new surgical suite at the San Juan Hospital in Monticello. An open house for the public will be held on Friday May 14 in conjunction with National Hospital Week. Next...

TY - JOUR. T1 - Prevention of wound infection in elective colorectal surgery by local application of a gentamicin-containing collagen sponge. AU - Rutten, HJT. AU - Nijhuis, PHA. PY - 1997/4. Y1 - 1997/4. N2 - Preoperative antibiotic prophylaxis is known to significantly reduce the incidence of postoperative wound infection in elective colorectal surgery, and is a recognized part of surgical management. Antibiotics are usually given systemically or orally, or by a combination of the two routes. Local antibiotic delivery to the wound site using an implanted, reabsorbable, gentamicin-containing collagen sponge is a novel concept. We compared postoperative wound infection rates in 221 colorectal surgery patients randomized to receive systemic gentamicin/metronidazole with (Group I, n = 107) or without (Group II, n = 114) the gentamicin-collagen sponge. The two patient groups were identical on the basis of demographics and operations undergone. The postoperative wound infection rate was ...

Call the New York City recovery room errors attorneys at Rosenberg, Minc, Falkoff & Wolff LLP to discuss your injuries. Call a lawyer. 718-399-3100 or 1-866-516-5887.

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The state of Kansas has been ranked first in its region for economic development projects in Site Selection magazine's 2012 rankings. Site Selection, which has compiled annual economic development rankings since 1978, listed Kansas 13th among all states for expansions and new facilities opened in 2012.. "I'm thrilled that Kansas has been able to create a great business environment in the state," said Kansas Commerce Secretary Pat George. "We're doing a tremendous job within our region, but we're also one of the best performers across the country at helping businesses open and expand here. We will continue to work hard to become even more competitive in supporting the growth and job creation efforts of Kansas companies.". Site Selection ranked Kansas first in the seven state West North Central region that also included Iowa, Minnesota, Missouri, Nebraska, North Dakota and South Dakota. With 122 new facilities and expansions in 2012, Kansas led all states in this region. Kansas also had the most ...

Background: The detection of vaginal intraepithelial neoplasia (VAIN) in cervical samples is not a common finding. Therefore, we aimed to report VAINs detected in liquid-based cytology (LBC) from women examined at Hospital das Clínicas of Faculty of Medicine, Sao Paulo State University. Materials and Methods: We evaluated LBC samples from women referred to gynecology examination for different reasons (previous abnormal PapTest, follow up of treated cervical lesion, ecc) and women examined for regular screening proposals, and compared with biopsy diagnoses, including the controversial diagnoses of vaginal intraepithelial neoplasia (VAIN). Results: From 1866 patients, 1423 (76.3%) cases were negative and 443 (23.7%) were positive for any cellular alteration. Age of patients ranged from 12 to 86 years. We detected 25 histologically confirmed VAIN (1.3% p = 0.0002 by Fisher's exact test IC 95% 0.0090 - 0.0198) and 1.1% VAIN (p = 0.0031 by Fisher's exact test IC 95% 0.0077 - 0.0179). Conclusion

Fortis Healthcare Limited (Fortis), India's leading healthcare delivery company, was awarded the prestigious Golden Globe Tigers Award for the category of Best patient Safety Initiative as it successfully adopted and implemented the World Health Organisation's (WHO) Surgical Safety Checklist (SSCL) for patient safety and risk minimization in the operating room. It has been standardised and implemented as a single surgical safety checklist across all Fortis Hospitals in India. This has also improved consent practice and compliance of the "Fortis Anti-Microbial Stewardship" (AMS) programme, and has also given a boost to employee confidence, improved the efficiency of the system and reduced inter-fraternity barriers.. Fortis has identified Patient Centricity as one of its core value. In order to substantiate our value, it was decided to standardize and implement a single surgical safety checklist (SSCL) across all Fortis hospitals in India. Following the founding principle of medicine - Primum Non ...

The surface distribution of CH4, photoproduction capacity of seawater for CO, and CH4 and CO microbial oxidation rates and turnover times were determined for the surface waters of the southeastern Caribbean Sea and Gulf of Paria as affected by the Orinoco River. Measurements were made during the spring (low river flow) and the fall (high river flow) in order to determine the influence of Orinoco River discharge on these parameters. Methane concentrations were generally lower in the fall than in the spring. Low CH4 oxidation rates and similar surface distributions were observed during both seasons. Methane oxidation in the river plume was significantly higher in the fall. Potential CO photoproduction and CO oxidation rates were generally higher during the fall. Possible effects of the Orinoco River on potential CO photoproduction capacity were observed as far as Puerto Rico. Turnover times for CH4 were in the order of years, whereas CO turnover times were in the order of hours. The Orinoco River ...

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Posted in hospitals. Karuna Hospital Consulting timings: 11.30 am to 12.30 pm (daily except Sunday) Address: Karuna Hospital, LIC, Borivali West, Mumbai. Karuna Hospital is run by Mission Sisters of Ajmir (MSA). The foundation of this missionary hospital was laid in 1998 and by 2002, it was fully functional. This hospital in in vicinity of Bhagwati Municipal Hospital. It has 150 bed, five operation theaters, 20 beded ICU. Its operation theater has one of.... ...

Abate, Cassandra Ann, Assistant Professor, Theatre & Dance, M.F.A., San Diego State University. Alley, Debbie Ruth, Chair - Professor, Theatre & Dance, M.F.A., Illinois State University. Alvarez, Miguel Angel, Lecturer, Theatre & Dance, M.F.A., University of Texas at Austin. Baer, Ana Carrillo, Associate Professor, Theatre & Dance, M.F.A., University of Colorado Boulder. Bolin, Gregory B, Senior Lecturer, Theatre & Dance, D.M.A., University of Texas at Austin. Breining, Linda Nenno, Lecturer, Theatre & Dance, B.A., University of Colorado Boulder. Brown, Kaysie Seitz, Assistant Professor, Theatre & Dance, M.F.A., Case Western Reserve University. Busa, Susan Brewer, Lecturer, Theatre & Dance, M.F.A., University of Texas at Austin. Canavan, Claire M, Lecturer, Theatre & Dance, Ph.D., University of Texas at Austin. Cochran, Denise Marie, Lecturer, Theatre & Dance, B.A.T., Sam Houston State University. Copeland, Thomas W, Lecturer, Theatre & Dance. Costello, J Michael, Professor, Theatre & Dance, ...

Background: The choice to give birth at home with a regulated midwife in attendance became available to expectant women in British Columbia in 1998. The purpose of this study was to evaluate the safety of home birth by comparing perinatal outcomes for planned home births attended by regulated midwives with those for planned hospital births.. Methods: We compared the outcomes of 862 planned home births attended by midwives with those of planned hospital births attended by either midwives (n = 571) or physicians (n = 743). Comparison subjects who were similar in their obstetric risk status were selected from hospitals in which the midwives who were conducting the home births had hospital privileges. Our study population included all home births that occurred between Jan. 1, 1998, and Dec. 31, 1999.. Results: Women who gave birth at home attended by a midwife had fewer procedures during labour compared with women who gave birth in hospital attended by a physician. After adjustment for maternal age, ...

Background-Out-of-hospital cardiac arrest (OHCA) claims millions of lives worldwide each year. OHCA survival from shockable arrhythmias (ventricular fibrillation/tachycardia) improved in several communities after implementing American Heart Association resuscitation guidelines that eliminated "stacked" shocks and emphasized chest compressions. "Non-shockable" rhythms are now the predominant presentation of OHCA, upon which the benefit of such treatments is uncertain. Methods and Results-We studied 3960 patients with nontraumatic OHCA from non-shockable initial rhythms treated by pre-hospital providers in King County, WA over a 10 year period. Outcomes during a 5 year intervention period after adoption of new resuscitation guidelines were compared to the previous 5 year historical control period. The primary outcome was 1-year survival. Patient demographics and resuscitation characteristics were similar between control (n=1774) and intervention (n=2186) groups, among whom 471/1774 (27%) versus ...

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06/13/2013 // Camfil Farr USA // Camfil // (press release). In today's economic climate, every organization - from manufacturers to health care providers to educational institutions - is looking for savings. Where they can find it, however, might come as a surprise. Case in point: the commercial air filter. For most of us, it is a basic component of buildings that barely gets a second thought. But today's innovative air filter designs, from company's like Camfil - the world's leading provider of clean air solutions - can dramatically reduce energy bills, while increasing the quality of indoor air.. Consider two facts that may surprise you, as well:. o In the average commercial building, 50 percent of the energy bill is for the HVAC system.. o Of overall HVAC energy costs, 30 percent is directly related to the air filters.. Clearly, the key to reducing energy costs is to use a less costly air filter solution. But here, perhaps, is the biggest surprise of all: The filter that costs least to ...

Assessment of stroke rehabilitation is complicated by the heterogeneity of patients and settings and by difficulties in disentangling effects of organization from effects of types and amounts of treatment input.. A prospective controlled study was undertaken in 245 stroke patients stratified into three groups according to prognosis and managed on a stroke rehabilitation unit (n = 124) or general medical wards (n = 121). Patients were randomly allocated to either setting 2 weeks after stroke and were comparable for baseline characteristics.. Patients on general medical wards received more physiotherapy on average (16.2 +/- 7.2 versus 14.3 +/- 3.2 hours; P , .05) but similar amounts of occupational therapy (9.3 +/- 2.8 versus 9.5 +/- 3.2 hours) compared with stroke unit patients. More time was spent on individual rehabilitation on the stroke unit compared with general wards (P , .001). Functional abilities at discharge, destination of discharge, and length of hospital stay in patients with good ...

abortion (2) academics (10) ACOG (7) agriculture (3) amniotic sac (1) autonomy (28) babies at work (2) babywearing (22) belly shots (48) birth activism (2) Birth Around the World (25) birth art (56) birth beds (2) birth blogs (4) birth centers (8) birth culture (4) birth environment (8) birth plans (13) birth pools (6) birth preparation (13) birth quilt (3) birth stories (39) birth trauma (1) birth videos (14) Blessingway (12) book reviews (58) breastfeeding (110) breastmilk sharing (10) breech (137) Canada (9) cars (4) celebrities (8) Certified Professional Midwives (CPMs) (1) cesarean recovery (2) cesarean section (45) childbirth teaching aids (1) circumcision (2) cloth diapering and toilet paper (21) co-sleeping (6) Code Mec (1) conferences (45) cord clamping (2) cord prolapse (1) court-ordered obstetrical interventions (6) cross nursing (1) death (3) defensive medicine (1) delivery room conflict (3) Dio (59) direct-entry midwifery (1) DIY (15) doctors (12) doulas (4) dreams (1) due dates (1) ...

abortion (2) academics (10) ACOG (7) agriculture (3) amniotic sac (1) autonomy (28) babies at work (2) babywearing (22) belly shots (48) birth activism (2) Birth Around the World (25) birth art (56) birth beds (2) birth blogs (4) birth centers (8) birth culture (4) birth environment (8) birth plans (13) birth pools (6) birth preparation (13) birth quilt (3) birth stories (39) birth trauma (1) birth videos (14) Blessingway (12) book reviews (58) breastfeeding (110) breastmilk sharing (10) breech (136) Canada (9) cars (4) celebrities (8) Certified Professional Midwives (CPMs) (1) cesarean recovery (2) cesarean section (45) childbirth teaching aids (1) circumcision (2) cloth diapering and toilet paper (21) co-sleeping (6) Code Mec (1) conferences (45) cord clamping (2) cord prolapse (1) court-ordered obstetrical interventions (6) cross nursing (1) death (3) defensive medicine (1) delivery room conflict (3) Dio (59) direct-entry midwifery (1) DIY (15) doctors (12) doulas (4) dreams (1) due dates (1) ...

Best laparoscopic partial nephrectomy doctor in Delhi NCR. View appointment fee, patient reviews and feedback, OPD schedule, contact number of laparoscopic partial nephrectomy specialist near you in Delhi NCR. Book appointment online with laparoscopic partial nephrectomy doctor at top hospitals - Credihealth

In summary: What is it like to recover from rhinoplasty? Learn about what happens after surgery and what to expect in the hours, days and months following a rhinoplasty.. This is the most common subject discussed in most plastic surgery blogging sites.. So let's dive in with the recovery room and the first day or two to begin. Most rhinoplasty surgeons, including myself do not use packing in the nose. However you will still be stuffy or congested from a breathing perspective. And that's because there is swelling Inside the nose, a small amount of blood and mucus crusting. Although the crusting and mucus production is minor, it can last for several weeks after surgery. Your surgeon will clean your nose with regular frequency in the first few weeks to help you breathe better.. Most patients are discharged from the recovery room within 45-90 minutes. It's normal after nasal surgery to be a little nauseous. That will disappear by that evening or the next morning.. Almost immediately the nose swells ...

The patient underwent an uneventful induction of anesthesia with midazolam, sodium thiopental, pancuronium, and metocurine. After induction, the patient was placed in a right flexed lateral decubitus position on a padded table with the kidney bolster raised. All pressure points were padded. Anesthesia was maintained with a combination of nitrous oxide, isoflurane, and intravenous fentanyl. The patient had no episodes of hypotension and had a urine output , 0.75 ml *symbol* kg sup -1 *symbol* h sup -1. The patient remained in a lateral position for 7 h during the surgical procedure. The long duration was due to extensive scarring surrounding the kidney. The patient did not complain of flank or hip pain in the recovery room. Biochemical testing was performed on discharge of the patient from the recovery room because of periods of renal ischemia during the partial nephrectomy. The results were remarkable for an increased serum glutamic oxaloacetic transaminase (SGOT) of 95 u/l (normal , 35 u/l) and ...

亚太临床营养杂志Asia Pacific Journal of Clinical Nutrition,download,BACKGROUND:Pre-pregnancy weight and gestational weight gain (GWG) are important factors in both maternal and infant outcomes. Little information is available inrelation to different levels of pre-pregnancy body mass index (BMI) and body weight gain on obstetric outcomes in Taiwan. This study investigated the associations between pregnancy complications with pre-pregnant BMI and GWG, in Taiwanese women. METHODS: Data were extracted from a delivery room information bank on all women delivering singleton babies in a medical center. Eight hundred and sixty pregnant women were included. The collected variables included basic information, GWG, and pregnancy and neonatal outcomes. Pregnant women were categorized according to their pre-pregnant BMI and GWG to evaluate the impacts of pre-pregnant BMI and maternal weight gain on the risk of pregnancy complications. Univariate and multivariable logistic regression analyses were

This study aims to compare an algorithm for IV sedation dosing to the current standard of care in patients undergoing first trimester surgical abortion. The primary outcome is subjects' pain score with suction curettage on a 0-100 21-point scale. Secondary outcomes include pain scores with cervical dilation and 15 minutes post-procedure, subjective pain ratings, incidents of side effects and adverse events, the frequency of additional doses of medication, recovery room time, and physician assessment of and satisfaction with pain control. Investigators hypothesize that this algorithm will result in improved pain control, decreased frequency of additional medication doses, improved patient and physician satisfaction, without differences in side effects, adverse events or recovery room time ...

Acute myocardial infarction (AMI) may culminate in sudden death by ventricular fibrillation, cardiogenic shock, and cardiac rupture. We present a case of postinfarction rupture treated by direct closure and coronary artery bypass grafting after thrombolytic therapy. A 67-year-old woman with cardiac risk factors of hypertension, diabetes mellitus, and being post-menopausal was admitted complaining of chest pain and sweating. Thrombolytic therapy with streptokinase was started due to acute myocardial infarction. But, reperfusion criteria were not achieved. Echocardiography revealed a moderate pericardial effusion with mild right chamber collapse and pericardial thrombus. Cardiac catheterization revealed totally occluded left anterior descending (LAD) and circumflex coronary arteries. She was taken to the operating-room immediately. The pericardium was opened and a large amount of blood with thrombus was removed. Her hemodynamic indices improved immediately. There was active bleeding from multiple sites

Introduction The volume and complexity of knowledge today has exceeded any single individual's ability to manage it consistently without error despite advances in technology, years of training, and specialization of functions and responsibilities. Checklists have been employed since the 1930s in aviation and high-risk industries to prevent accidents caused by human error. Only recently has their use been introduced to surgery after the World Health Organization (WHO) heightened awareness of the significant number of deaths, about a half million worldwide, that occur each year as a result of avoidable surgical error.1 With over 275,000 surgical procedures performed daily, an emphasis on perioperative safety is a necessity.2 The WHO developed the first surgical safety checklist for use in the operating room in 2007. Since implementation, the checklist has reduced morbidity and mortality by over 30%.3 Subsequently, many hospitals have adapted and implemented checklists to improve patient outcomes. Moreover

A new fluoride filter manufacturing facility, the first of its kind in Ethiopia, was inaugurated Friday in Modjo town, some 70km south-east of the Ethiopian capital, Addis Ababa.. The new USAID-supported facility will help mitigate fluorosis in the Ethiopian Rift Valley through innovative fluoride reduction products and services. While some fluoride in water is good for people, consuming too much fluoride causes a condition called fluorosis which results in affecting the teeth of almost 90 percent of the people living in the Great Rift Valley.. The facility will also produce water filters which utilize locally available bone char and low-cost chemicals. These filter materials will reduce the amount of fluoride in local water sources, thereby reducing the incidence of fluorosis.. Additionally, the products made at the new facility can be recycled more than five times after their initial use and disposed of as an environmentally-friendly phosphate fertilizer.. In his keynote address, USAID Mission ...

Ambulance under National Health Mission. Currently under NHM 123 ambulances 4 critical Care ambulances Service available in the state, which are all attached to the PHCs, CHCs and District Hospitals/General Hospitals. These vehicles carry non-emergency and emergency patients, under the JSSK scheme. Additionally, a call-centre (102) is operational. This call centre (102) is integrated with the ambulances under NHM.. The referrals of any kind of emergencies are tackled through the ambulances available with the Department under the disposal of RKS. The priority is to transport complicated pregnancies, severely sick children especially belonging to BPL. In the state, there is no private player to provide transport / referral facilities to be outsourced as is done in developed state. Overall, the referral depends fully on Govt. facility.. Further, For DH / GH which are FRUs, better equipped ambulances will be provided with facility for caring cardiac and neurological cases since number of patients ...

Patrick Marcellin1, Maria Buti2, Edward Gane3, Naoky Tsai4, William Sievert5, Ira M. Jacobson6, George Germanidis7, Phillip Dinh8, John F. Flaherty8, Kathryn M. Kitrinos8, John G. McHutchison8, Nezam H. Afdhal9 1H pital Beaujon, Clichy, France; 2Hospital General Universitari Vall d'Hebron and Ciberehd, Barcelona, Spain; 3Auckland City Hospital, Auckland, New Zealand; 4University of Hawaii at Manoa, Honolulu, HI, United States; 5Monash University and Monash Medical Centre, Melbourne, VIC, Australia; 6Weill Cornell Medical College, New York, NY, United States; 7AHEPA University Hospital, Aristotle University Medical School, Thessaloniki, Greece; 8Gilead Sciences, Inc., Foster City, CA, United States; 9Beth Israel Deaconess Medical Center, Boston, MA, United States ...

Authors' Affiliations: 1Complutense University and Hospital General Universitario Gregorio Maranon, Servicio De Oncologia Medica, Madrid, Spain; 2Andrew Love Cancer Centre, Barwon Health, Geelong, Victoria, Australia; 3Clinique Victor Hugo-Centre Jean Bernard, Cedex 2, France; 4University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; 5Onkologische Schwerpunktpraxis, Mannheim, Germany; 6Institutul Oncologic Ion Chiricuta, Cluj-Napoca, Romania; 7Cancer Research UK, University of Sussex, Falmer, Brighton, United Kingdom; 8National Cancer Center Hospital, Tokyo, Japan; 9Medical University of Gdansk, Gdańsk, Poland; 10Tom Baker Cancer Centre, Calgary, Alberta, Canada; 11Beatson Oncology Centre, Glasgow, Scotland, United Kingdom; 12Allgemeines Krankenhaus St. Georg, Clinical Division of Oncology, Waehringer Guertel, Vienna, Austria; 13Arizona Cancer Center, University of Arizona, Tucson, Arizona; 14Sylvester Comprehensive Cancer Center at Deerfield, Deerfield Beach, Florida; and Departments ...

This is an 8-week randomized, double blind, placebo-controlled pilot study with 4- week follow up assessment, of ramelteon 8 mg/day, administered to subjects for 8 consecutive weeks as an adjunctive therapy in 40 non-diabetic schizophrenia subjects to examine ramelteon effects on body composition, glucose and lipid metabolism, sleep quality and symptoms of tardive dyskinesia using the Massachusetts General Hospital General Clinical Research Center. As far as we know, no previous study has been done to explore the potential role of ramelteon in improving metabolic, sleep, and movement disturbances in schizophrenia subjects. The novel approach of adjunctive ramelteon treatment in the schizophrenia population is promising ...

2014 1st Place Façade Award, World Architecture News. 2015 Named one of the most beautiful research labs in the world, Gizmodo.com. 2015 Education Facility Design Award of Excellence, AIA Committee for Architecture in Education. 2013 Most Challenging Project, Arizona Commercial Real Estate Development (RED) Award, AZRE Magazine. 2013 North American Copper in Architecture, Copper Development Association. 2013 Best of LA Architects Award, Los Angeles Business Council. 2013 Merit Award for Architectural Design, American Institute of Architects - Arizona. 2013 Honor Award for Architectural Design, American Institute of Architects - California Council. 2013 Citation "Next LA", American Institute of Architects - Los Angeles. 2013 Best Project - Higher Education/Research, Engineering News Record Magazine Southwest. 2013 Award of Merit - Buildings and Structures, Arizona Forward Environmental Excellence. 2013 Stellar Architecture Using BIM, AIA Technology in Architectural Practice (TAP) Building ...

Background Skin-to-skin contact (SSC) is an important factor to consider in the care of late preterm infants (born between 34 0/7 and 36 6/7 completed weeks of gestation). The literature suggests that SSC between preterm infants and their mothers facilitates breastfeeding. However, more studies are needed to explore potential dose-response effects between SSC and breastfeeding as well as studies that explicitly investigate SSC by fathers among late preterm infants. The aim was to investigate the duration of healthy late preterm infants' SSC with the mother and father, respectively, during the first 48 h after birth and the associations with breastfeeding (exclusive/partial at discharged), clinical and demographic variables. Methods This was an observational cohort study in which parents to healthy late preterm infants, born between 34 5/7 and 36 6/7 completed weeks of gestation, recorded duration of SSC provided by mother and father, respectively. Demographic and clinical variables were retrieved from

Peri-operative fluid therapy is a controversial area with few randomized trials to guide practice. Fluid management has a significant influence on outcome following surgery. Yet practically, fluid prescription practice during this period is sub-optimal, resulting in avoidable iatrogenic complications.. Several studies have assessed the effect of a 'liberal' vs. a 'restrictive' perioperative fluid regimen on post-operative outcome. However, most of these studies have focused primarily on intra-operative fluid management, whereas postoperative strategies have been less well defined, even though the immediate postoperative period is of critical importance to the patient's recovery. Moreover, whereas intra-operative fluid administration is monitored by the anesthesiologist, postoperatively it is less supervised and may result in excess or lack of intravenous (IV) fluids. Therefore, fluid management audit at the post-anesthesia care unit (PACU) is of paramount importance for patient healthcare. The ...

The sterile insect technique has in many countries become an important control tactic for integration in area-wide integrated pest management programmes against fruit flies of economic importance. An important prerequisite of these programmes is the availability of adequate numbers of sterile male flies that are produced in large mass-rearing facilities. This document combines an interactive spread sheet in Excel on a CD Rom and a procedures manual to assist in technical and economic decision making with the design, costing, construction, equipping and operating of such mass-rearing facilities. The model can be used by managers as a support tool for facility design, required investments and financial planning of facilities of different sizes using different scenarios. The software was designed using the Mediterranean fruit fly (Ceratitis capitata) as a model for planning insect mass-rearing facilities, but its default settings can be easily changed to suit any other fruit fly or other pest ...

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Chest physiotherapy compared to no chest physiotherapy for cystic fibrosis: Cochrane systematic review answers are found in the Cochrane Abstracts powered by Unbound Medicine. Available for iPhone, iPad, Android, and Web.

Masimo (NASDAQ: MASI) announced today that in a study published in Injury, researchers used Masimo SpHb® - noninvasive, continuous hemoglobin monitoring - to investigate possible delays in the detection of perioperative anemia assessed using invasive, intermittent laboratory hemoglobin values in elderly patients undergoing hip fracture surgery.1 In addition, they investigated associations between a) this delay and cumulative perioperative time with anemia, monitored using SpHb, and b) patient outcomes (postoperative delirium and mortality or severe complications). This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20190922005060/en/ Masimo Radical-7® with SpHb® (Photo: Business Wire) Dr. Christopher G. Clemmesen and colleagues at Copenhagen University Hospital in Denmark sought to investigate the impact of anemia during surgery on patient outcomes - and whether noninvasive hemoglobin monitoring using Masimo SpHb might provide an e