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ABCDE approach

Luis A Berrios
More than one-third of the US adult population and 17% of the youth are now obese, and obesity is associated with more than $147 billion a year in health care costs. Critical care nurses should understand the physiological differences and practice guidelines for patients with a body mass index greater than 30. The ABCD approach encompasses key clinical concepts in the management of critically ill obese and morbidly obese patients, including management of airways and breathing, minimizing nurses' back and other injuries, increasing awareness of bias, circulation problems, risks of decubitus ulcers and other skin breakdown, differences in drug calculations and metabolism, limitations in diagnostic equipment and imaging, diet and nutritional recommendations, and concerns with durable medical equipment...
October 2016: Critical Care Nurse
Jody Vaughan, Andy Parry
Sepsis has gained increasing publicity in recent years, and is now a strong focus of clinical education and training following the launch of the 'Surviving Sepsis' campaign. The assessment and management of a septic patient are far from simple and requires a systematic approach in both identifying and managing the condition. This two-part series explores the assessment and management of a septic patient, with this article emphasising the need to identify the signs and symptoms of sepsis at the early stages if positive patient outcomes are to be realised...
September 22, 2016: British Journal of Nursing: BJN
Edward Caplan, Indranil Dey, Andrea Scammell, Katy Burnage, Siba Prosad Paul
Seizure is defined as 'a sudden surge of electrical activity in the brain, which usually affects how a person appears or acts for a short time'. Children who have experienced seizures commonly present to emergency departments (EDs), and detailed history taking will usually help differentiate between epileptic and non-epileptic events. ED nurses are often the first health professionals to manage children with seizures, and this is best done by following the ABCDE approach. Treatment involves termination of seizures with anticonvulsants, and children may need other symptomatic management...
September 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Hagen Frickmann, Dorothea Wiemer, Claudia Frey, Ralf Matthias Hagen, Rebecca Hinz, Andreas Podbielski, Thomas Köller, Philipp Warnke
This assessment describes the enteric colonization of German soldiers 8-12 weeks after returning from mostly but not exclusively subtropical or tropical deployment sites with third-generation cephalosporin-resistant Enterobacteriaceae, vancomycin-resistant enterococci (VRE), and methicillin-resistant Staphylococcus aureus (MRSA). Between 2007 and 2015, 828 stool samples from returning soldiers were enriched in nonselective broth and incubated on selective agars for Enterobacteriaceae expressing extended-spectrum beta-lactamases (ESBL), VRE and MRSA...
2016: PloS One
D A Cheshkov, D O Sinitsyn, K F Sheberstov, V A Chertkov
The novel algorithm for a total lineshape analysis of high-resolution NMR spectra has been developed. A global optimization by simulated annealing has been applied that has allowed to overcome the main trouble of common approaches which had frequently returned solutions for local minima rather than for global ones. The algorithm has been verified for the four-spin test systems ABCD, and has been successfully used for analysis of experimental NMR spectra of proline. The approach has allowed to avoid a sophisticated manual setup of initial parameters and to conduct the analysis of complicated high-resolution NMR spectra nearly automatically...
August 23, 2016: Journal of Magnetic Resonance
Foad Abd-Allah, Tarek Zoheir Tawfik, Reham Mohammed Shamloul, Montasser M Hegazy, Assem Hashad, Ayman Ismail Kamel, Dina Farees, Nevin M Shalaby
BACKGROUND: Patients with transient ischemic attack (TIA) are generally clinically unstable, with fear of developing a handicapping stroke. Identification of those at highest and lowest risk of stroke in the first days and weeks after a TIA would allow appropriate use of worthy secondary prevention strategies. OBJECTIVE: Incorporation of a clinical scoring system, neurovascular imaging, and magnetic resonance-diffusion-weighted imaging (MR-DWI) to help predicting risk of developing an ischemic stroke following a TIA...
June 2016: Journal of Vascular and Interventional Neurology
Sun Y S Chow, Dennis K P Ng
Unsymmetrical phthalocyanines with a low symmetry can exhibit unique and intriguing properties that can facilitate their applications in certain disciplines. The synthesis of these compounds, however, has posed a great difficulty. A novel and unprecedented approach for phthalocyanine synthesis is reported that involves intramolecular cyclization of prelinked tetrakisphthalonitriles. By using this strategy, the first ABCD-type phthalocyanine has been prepared in 7.2% yield.
July 1, 2016: Organic Letters
Peter Taylor
Much debate has appeared in the literature over the generality of the inclusive fitness approach in the modeling of evolutionary behavior. Here I focus on the capacity of the inclusive fitness approach to effectively handle non-additive or synergistic interactions. I work with a binary interaction with the matrix game [abcd] and I restrict attention to transitive (homogeneous) populations with weak selective effects. First of all I observe that the construction of "higher-order" relatedness coefficients permits these synergistic interactions to be analyzed with an inclusive fitness analysis...
May 21, 2016: Journal of Theoretical Biology
Pedro Monteiro Menezes, Timothy Wayne Cook, Luciana Tricai Cavalini
OBJECTIVES: To present the technical background and the development of a procedure that enriches the semantics of Health Level Seven version 2 (HL7v2) messages for software-intensive systems in telemedicine trauma care. METHODS: This study followed a multilevel model-driven approach for the development of semantically interoperable health information systems. The Pre-Hospital Trauma Life Support (PHTLS) ABCDE protocol was adopted as the use case. A prototype application embedded the semantics into an HL7v2 message as an eXtensible Markup Language (XML) file, which was validated against an XML schema that defines constraints on a common reference model...
January 2016: Healthcare Informatics Research
Christopher N Floyd
A conference organised in conjunction with the British Hypertension Society at the Royal College of Physicians (London) assembled an expert panel to present recent advances in the understanding and management of hypertension - the leading reversible risk factor for global morbidity and mortality. Despite recognised therapeutic approaches, less than half of patients on treatment for hypertension achieve blood pressure control to international guideline-based targets. This failure may, in part, be due to uncertainty into optimum treatment strategies, and the PATHWAY studies reporting later this year will hopefully address some outstanding questions relating to the standardised ABCD approach to drug selection...
February 2016: Clinical Medicine: Journal of the Royal College of Physicians of London
G G Krikke, I J Grooten, T G M Vrijkotte, M van Eijsden, T J Roseboom, R C Painter
OBJECTIVE: To explore whether maternal vitamin B12 and folate status during early pregnancy are associated with cardiometabolic risk factors in the offspring at age 5-6. DESIGN: Prospective multi-ethnic birth cohort, the Amsterdam Born Children and their Development study (ABCD). SETTING: 12,373 pregnant women living in Amsterdam were approached between 2003 and 2004 for participation in the study. POPULATION: Mother-child pairs for whom information on maternal vitamin B12 or folate status in early gestation and health at age 5-6 years was available (n = 1950)...
February 2016: BJOG: An International Journal of Obstetrics and Gynaecology
Davide Mazzon
Bioethical reflection is often raised to qualify medical treatment in relation to the concept of "dignity" of the human being. In philosophy, the concept of human dignity is used to refer to the intrinsic value of every human being but it has been framed in many different ways depending on the theoretical matrix we refer to. According to Christian principles, the dignity of human beings resides on their being created in the image and likeness of God: hence, the holiness of life for the believer and the condemnation of all means of action intended to anticipate death from suicide to euthanasia...
December 2015: Recenti Progressi in Medicina
J Jaworek-Korjakowska, R Tadeusiewicz
Malignant melanoma, which is the most dangerous type of skin cancer, is commonly diagnosed in all people, regardless of age, gender, or race. In the last several years an increasing melanoma incidence and mortality rate has been observed worldwide. In this research we present a new approach to the detection and classification of border irregularity, one of the major parameter in a widely used diagnostic algorithm ABCD rule of dermoscopy. Accurate assessment of irregular borders is clinically important due to a significantly different occurrence in benign and malignant skin lesions...
August 2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Jenkin J Tsui, Ban C H Tsui
No abstract text is available yet for this article.
May 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Christina A Zioga, Chariklia T Destouni
A pathway to the procedure of interpreting radiology images or pathology slides is presented. This simplified mnemonic can be used as a memory aid determining the order in which diagnosis should be approached. First, before we place the radiology image in front of the lightbox or the slide under the microscope we have to be sure that it is adequately labelled and prepared (Correct). It is also necessary to have or gather all available information concerning the patient and if possible his full medical history (A, Available Information)...
September 2015: Hellenic Journal of Nuclear Medicine
E Shaddock, G Richards
There have been significant changes in the approach to the management of chronic obstructive pulmonary disease (COPD) over the pastdecade. The World Health Organization suggests four componentsto a COPD management plan: (i) assess and monitor disease; (ii) reducerisk factors; (iii) manage stable COPD; and (iv) manage exacerbations. Encouraging patients to limit their risk exposure is essential, whetherit be smoking cessation or removing exposure to biomass.The main objective of treatment is to relieve daily symptoms, improve quality of life and importantly decrease the risk of futureexacerbations...
September 2015: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Joanna Jaworek-Korjakowska
BACKGROUND: One of the most important lesion features predicting malignancy is border irregularity. Accurate assessment of irregular borders is clinically important due to significantly different occurrence in benign and malignant skin lesions. METHOD: In this research, we present a new approach for the detection of border irregularities, as one of the major parameters in a widely used diagnostic algorithm the ABCD rule of dermoscopy. The proposed work is focused on designing an efficient automatic algorithm containing the following steps: image enhancement, lesion segmentation, borderline calculation, and irregularities detection...
2015: Computational and Mathematical Methods in Medicine
Hao-Min Cheng, Chern-En Chiang, Chen-Huan Chen
The prevalence rate of hypertension in Asian countries grows faster than in other parts of the world, where stroke exceeds coronary heart disease in causing morbidities and mortalities. The optimal management of hypertension is therefore an especially important task in Asia. In a transparent and rigorous guideline development process, the most updated information available on the management of hypertension was summarized in the 2015 Taiwan Society of Cardiology (TSOC)/Taiwan Hypertension Society (TSH) hypertension guideline...
May 2015: Pulse (Basel, Switzerland)
Mike Barker, Melanie Rushton, Joyce Smith
No abstract text is available yet for this article.
November 11, 2015: Nursing Standard
Wenchuan Xie, Junfeng Huang, Yang Liu, Jianan Rao, Da Luo, Miao He
Flowering is one of the important defining features of angiosperms. The initiation of flower development and the formation of different floral organs are the results of the interplays among numerous genes. But until now, just fewer genes have been found linked with flower development. And the functions of lots of genes of Arabidopsis thaliana are still unknown. Although, the quartet model successfully simplified the ABCDE model to elaborate the molecular mechanism by introducing protein-protein interactions (PPIs)...
2015: Frontiers in Plant Science
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