Wynik wyszukiwania w bazie Polska Bibliografia Lekarska GBL

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Tytuł oryginału: Protocol for rapid sequence intubation in pediatric patients - a four-year study.
Autorzy: Marvez-Valls Eduardo, Houry Debra, Ernst Amy A., Weiss Steven J., Killeen James
Źródło: Med. Sci. Monitor 2002: 8 (4) s.CR229-CR234, tab., bibliogr. 9 poz.
Sygnatura GBL: 313,278

Hasła klasyfikacyjne GBL:
  • pediatria

    Typ dokumentu:
  • praca przeglądowa
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie

    Streszczenie angielskie: Background: The purpose of the study was to evaluate a protocol for rapid sequence intubation (RSI) for pediatric patients in a Level 1 trauma center. Material/Methods: Retrospective review of prospectively gathered Continuing Quality Improvement (CQI) data at an inner city Level 1 trauma center with an emergency medicine residency program. Protocols for RSI were established prior toinitiating the study. All pediatric intubations at the center from February 1996 to February 2000 were included. Statistical analysis included descriptive statistics for categorical data and Chi-square for comparisons between groups. Results: Over the 4-year study period there were 83 pediatric intubations ranging in age from 18 months to 17 years; mean age 8.6. All had data collected at the time of intubation. There were 20 (24 p.c.) females and 62 (76 p.c.) males (p 0.001). Resons for intubation were related to trauma in 71 (86 p.c.) and medical reasons in 12 (14 p.c.) (p 0.001). Of the trauma intubations 7 (10 p.c.) were for gunshot wounds, 39 (55 p.c.) were secondary to MVCs, and the remainder (25; 35 p.c.) were from assaults, falls, and closed head injuries. The non-trauma intubations were for smoke inhalation, overdose, seizure, HIV related complications, eclapsia, and near drowning. Intubations were successful with one attempt in 65 (78 p.c.) cases. No surgical airways were necessary. Rocuronium was used in 4 cases. Protocol deviations did not lead to complications. Conclusions: This protocol based pediatric rapid sequence intubation method worked well in an EM residency program. More intubations were in males and more were necessary due to trauma in this group.


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    Tytuł oryginału: Development of a site sampling form for evaluation of ED overcrowding.
    Autorzy: Weiss Steven J., Arndahl Jeanine, Ernst Amy A., Derlet Robert, Richards John, Nick Todd G.
    Źródło: Med. Sci. Monitor 2002: 8 (8) s.CR549-CR553, tab., bibliogr. 17 poz.
    Sygnatura GBL: 313,278

    Hasła klasyfikacyjne GBL:
  • organizacja ochrony zdrowia

    Typ dokumentu:
  • praca epidemiologiczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie

    Streszczenie angielskie: Background: ED overcrowding is fast becoming a national crisis although no definition exists. The purpose of this study is to develop and pilot a sampling form that accurately reflects the concept of ED Overcrowding. Material/Methods: A 26-question site-sampling form was designed based on input from academic physicians at 11 medical schools nationwide. The study was conducted at an inner city Academic medical center. Site-samplings were conducted at 20 times over a one-week period by an independent observer. These times ranged from very slow to severely overcrowded. Information was obtained by counting patients in the waiting room, ED rooms, ED halls and registration/triage, ancillary services, the charge nurse, and the attending physicians. The charge nurse, and ED physicians rated the degree of overcrowding and the ED physician rated the feeling of being rushed. A 'combined outcome variable'was created which consisted of the average responses of nurses and physician's opinion of ED overcrowding and physician's feeling of being rushed. All other data was compared to this outcome variable. Results: Sever questions were significantly correlated with the combined outcoe variable. Tese were the number of people in the waiting room, patients awaiting triage, patients awaiting registration, full patient rooms, hallway patient, patients awaiting beds, and total registred patients. Accoridng to this scale our ED was overcrowded 20 p.c. of the time. Conclusions: This analysis clarifies the definition of overcrowding, helps indicate the variance among responses to overcrowding questions, and provides the foundation for prospective analysis of overcrowding in multiple EDs.


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    Tytuł oryginału: Comparison of three instruments for assessing ongoing intimate partner violence.
    Autorzy: Ernst Amy A., Weiss Steve J., Cham Elaine, Marquez Martina
    Źródło: Med. Sci. Monitor 2002: 8 (3) s.CR197-CR201, il., tab., bibliogr. 23 poz.
    Sygnatura GBL: 313,278

    Typ dokumentu:
  • praca epidemiologiczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dorośli 19-44 r.ż.
  • dorośli 45-64 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: Background: Acitve injury surveillance programs need to address 'ongoing' intimate partner violence (IPV). While the Abuse Assessment Screen (AAS) has been validated for 'present' (within a year) IPV it is not clear that it is valid for 'present' (ongoing) IPV. We have created an OAS (Ongoing Abuse Screen, OAS) by changing the AAS to specifically request information related to 'ongoing' IPV. The hypothesis of this study was that the OAS represents a construct that is different from either the original AAS or a single question asking about ongoing IPV. Material/Methods: All patietns presenting to the ED during a convenience sampling of shifts completed the survey. The survey included the OAS, the AAS, and the question "Are you presently a victim of IPV?' Comparisons were made between these 3 using the kappa statistic for agreement. Results: A total of 488 surveys were completed. The AAS was positive in 288/488 (59 p.c., 95 p.c. CI = 55-63 p.c.), the OAS was positive in 78/488 (16 p.c., 95 p.c. CI = 13-19 p.c.), and the single question for DV was positive in 14/488 (3 p.c., 95 p.c. CI - 2-5 p.c.). Kappa was 0.28 for the AAS and the OAS. When compared to the single question about present DV, kappa was 0.05 for the AAS and 0.27 for the OAS. Conclusion: The OAS may be a useful tool for evaluating ongoing IPV. The OAS resulted in rates different from that of the AAS and may be more specific to ongoing IPV than the AAS and more sensitive than a single question about DV.


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    Tytuł oryginału: Increased IL-10 production during spontaneous apoptosis of monocytes.
    Autorzy: Bzowska Małgorzata, Guzik Krzysztof, Barczyk Katarzyna, Ernst Martin, Flad Hans-Dieter, Pryjma Janusz
    Źródło: Eur. J. Immunol. 2002: 32 (7) s.2011-2020, il., bibliogr. 46 poz.
    Sygnatura GBL: 312,318

    Hasła klasyfikacyjne GBL:
  • immunologia

    Typ dokumentu:
  • praca doświadczalna
  • praca opublikowana za granicą
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie

    Streszczenie angielskie: Monocytes/macrophages undergo apoptosis and are in contact with apoptosis cells both in vitro and in vivo. The data show that monocytes undergoing spontaneous apoptosis in vitro change their cytokine production profile. We demonstrate that the lipopolysaccharide (LPS)-induced production of interleukin-10 (IL-1)) is up-regulated, while production of proinflammatory cytokines such as tumor necrosis factor-ŕ (TNF-ŕ) and interleukin-1á (IL-1á) is either not affected or reduced. These differences seen both at the protein and mRNA level directly correlate with the appearance of apoptotic cells in the culture. Flow cytometry analysis using double staining, surface with annexin V and intracellular with anti-IL-10, suggested that annexin V-negative monocytes are the predominant source of IL-10. Analysis of sorted populations of monocytes indicated that the increase in IL-10 synthesis appears to result from direct interactions between non-apoptotic and apoptotic cells at the time of stimulation. Also non-apoptotic, freshly isolated monocytes produced more IL-10 upon stimulation with LPS, Staphylococcus aureus or zymosan when apoptotic neutrophils were added to the culture. In contrast, monocyte-derived macrophages did not produce more IL-10 in the presence of apoptotic neutrophils. Finally, we found that the presence of apoptotic monocytes in the culture may influence specific immune responses. The data show that in the presence of annexin V-positive monotocyes CD-4 positive memmory T cells produce less IFN-ç upon stimulation with purified protein derivative of tuberculin...

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