Observation

2018 ◽  
pp. 110-118
Author(s):  
Debra J. Faulk
Keyword(s):  
Respiratory Function ◽  
Clinical Deterioration ◽  
Physical Separation ◽  
Processed Eeg ◽  
Therapeutic Procedures ◽  
Physiologic Parameters ◽  
Monitoring Physiologic

Assessing a child’s level of sedation is critical to the safe provision of sedation for diagnostic and therapeutic procedures. Providers must recognize when patients enter deeper than intended levels of sedation where cardiorespiratory compromise can occur and promptly intervene to prevent clinical deterioration. Observational scales and processed EEG monitors have been used to assess levels of sedation. In circumstances where there is physical separation of provider and patient, increased vigilance and frequency of monitoring physiologic parameters is critical. The use of capnography to monitor respiratory function should be employed in these situations.

Improving soil remediation through characterization

1995 ◽  
Vol 53 ◽  
pp. 386-387
Author(s):  
E. C. Buck ◽  
N. L. Dietz ◽  
J. K. Bates
Keyword(s):  
Dust Particles ◽  
Radiochemical Analysis ◽  
Solid Product ◽  
Uranium Contamination ◽  
Physical Separation ◽  
X Ray ◽  
Rocky Flats ◽  
Remediation Strategies ◽  
Bearing Materials ◽  
X Ray Absorption

Operations at former weapons processing facilities in the U. S. have resulted in a large volume of radionuclidecontaminated soils and residues. In an effort to improve remediation strategies and meet environmental regulations, radionuclide-bearing particles in contaminant soils from Fernald in Ohio and the Rocky Flats Plant (RFP) in Colorado have been characterized by electron microscopy. The object of these studies was to determine the form of the contaminant radionuclide, so that it properties could be established [1]. Physical separation and radiochemical analysis determined that uranium contamination at Fernald was not present exclusively in any one size/density fraction [2]. The uranium-contamination resulted from aqueous and solid product spills, air-borne dust particles, and from the operation of an incinerator on site. At RFP the contamination was from the incineration of Pu-bearing materials. Further analysis by x-ray absorption spectroscopy indicated that the majority of the uranium was in the 6+ oxidation state [3].

130 Myocarditis in hypertrophic cardiomyopathy patients presenting acute clinical deterioration

2007 ◽  
Vol 6 (1) ◽  
pp. 32-32
Author(s):  
C CHIMENTI ◽  
R VERARDO ◽  
M ACCONCIA ◽  
M CALDARULO ◽  
M RUSSO ◽  
...  
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Clinical Deterioration

Introduction of a quality management system compliant with DIN EN ISO 9001:2000 into a university department of nuclear medicine

2001 ◽  
Vol 40 (06) ◽  
pp. 228-238 ◽  
Author(s):  
U. Paschen ◽  
S. Kröger ◽  
K. H. Bohuslavizki ◽  
M. Clausen ◽  
V. Jansen-Schmidt
Keyword(s):  
Nuclear Medicine ◽  
Quality Management System ◽  
Iso 9001 ◽  
Total Quality ◽  
System A ◽  
General Rules ◽  
Therapeutic Procedures ◽  
University Department ◽  
Referring Physicians ◽  
The University

SummaryIn 1995, the management of the University Clinic Hamburg-Eppendorf proposed to establish a total quality assurance (QA) system. A revised QA-system has been introduced stepwise in the department of nuclear medicine since 1997, and certification was achieved in accordance with DIN EN ISO 9001:2000 on February 14,2001.The QA-handbook is devided into two parts. The first part contains operational (diagnostic and therapeutic) procedures in so-called standard operating procedures (SOP). They describe the indication of procedures as well as the competences and time necessary in a standardized manner. Up to now, more than 70 SOPs have been written as a collaborative approach between technicians and physicians during daily clinical routine after analysing and discussing the procedures. Thus, the results were more clearly defined processes and more satisfied employees.The second part consists of general rules and directions concerning the security of work and equipment as well as radialion protection tasks, hygiene etc. as it is required by the law. This part was written predominantly by the management of the department of nuclear-medicine and the QA-coordinator. Detailed information for the patients, documentation of the work-flows as well as the medical report was adapted to the QM-system. Although in the introduction phase of a QA-system a vast amount of time is necessary, some months later a surplus for the clinical workday will become available. The well defined relations of competences and procedures will result in a gain of time, a reduction of costs and a help to ensure the legal demands. Last but not least, the QA-system simply helps to build up confidence and acceptance both by the patients and the referring physicians.

Surgical treatment of alveolar echinococcosis: a single centre experience and systematic review of the literature

2019 ◽  
Vol 98 (4) ◽  
pp. 167-173
Keyword(s):  
Case Report ◽  
Echinococcus Multilocularis ◽  
Alveolar Echinococcosis ◽  
Lymphatic System ◽  
Surgical Intervention ◽  
Clinical Symptoms ◽  
Safety Margin ◽  
Surgical Removal ◽  
Single Centre Experience ◽  
Therapeutic Procedures

Introduction: Alveolar echinococcosis (AE) is a zoonosis caused by Echinococcus multilocularis. AE is primarily localised in the liver. Echinococcus multilocularis imitates tumour-like behaviour. It can metastasise through blood or lymphatic system to distant organs. Echinococcosis often remains asymptomatic due to its long incubation period and indistinct symptoms. Clinical symptoms are determined by the parasite’s location. Diagnosis of echinococcosis is based on medical history, clinical symptoms, laboratory tests, serology results, imaging methods and final histology findings. Surgical removal of the cyst with a safety margin, followed by chemotherapy is the therapeutic method of choice. Case report: We present a case report of alveolar echinococcosis in a thirty-year-old female patient in whom we surgically removed multiple liver foci of alveolar echinococcosis. The disease recurred after two years and required another surgical intervention. Conclusions: Alveolar echinococcosis is a disease with a high potential for a complete cure provided that it is diagnosed early and that the recommended therapeutic procedures are strictly adhered to.

Improved Respiratory Function and Analgesia Control After Endovascular AAA Repair

1997 ◽  
Vol 4 (1) ◽  
pp. 62-65 ◽  
Author(s):  
Jonathan R. Boyle ◽  
Jonathan P. Thompson ◽  
Matthew M. Thompson ◽  
Robert D. Sayers ◽  
Graham Smith ◽  
...  
Keyword(s):  
Respiratory Function
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