The Medical Student’s Anesthesia Pocketbook

. . The Medical Student’s Anesthesia Pocketbook . . . . . . . University of Texas Health Science Center Houston Table of Contents Acknowledgements  2 Anesthesia Overview  3 Introduction  3 Preoperative History and Physical  3 IV’s and Premedication  6 Room Setup and Monitors  6 Induction and Intubation  9 Maintenance  10 Emergence  11 PACU concerns  12 Commonly Used Medications  13 Volatile Anesthetics  13 IV Anesthetics  14 Local Anesthetics  15 Opioids  15 Muscle Relaxants  16 Reversal Agents/ Anticholinergics  16 Pharm Charts  18 Inhalational Anesthetics  18 MAC  18 Intravenous Anesthetics  19 IV Fluids  20 ASA Classification  21 Mallampati Classification  22 Quick Reference/Review  23 Procedure Checklist  26 Intubation  27 IV line placement  27 Bag Mask Ventilation  27 Ventilator Settings  28 Arterial Line Placement  28 Central Line Placement  28 Spinal  29 Epidural  29 Resources  30 Notes  31 Contributors: Trent Bryson MS4, Tanner Baker MS4, Claudia Moreno MS4, Darrell Wilcox MS3, and Allison DeGreeff MS3...

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The Main Objective Of This Study Is To Determine De Frequency Of Herpes Virus Ii Simplex Igg And Igm In Pregnant Women

. . . . . . . Í N D I C E . CONTENIDO  Pág. . AGRADECIMIENTO  ii DEDICATORIA  iii RESPONSABILIDAD  vi RESUMEN  vi SUMMARY  viii . CAPÍTULO I . %1.1.PLANTEAMIENTO DEL PROBLEMA  2 %1.2.JUSTIFICACIÓN  5 . CAPÍTULO II . %1.2.MARCO TEÓRICO  8 %1.%2.1.Herpes Viral Simplex – Generalidades  8 %1.%2.2.Etiología  9 %1.%2.3.Biología del Herpes Virus Simplex II  9 %1.%2.%3.1.Estructura del virón y eventos tempranos  9 %1.%2.%3.2.Infección primaria  10 %1.%2.%3.3.Expresión génica  11 %1.%2.4.Epidemiología  15 %1.%2.5.Factores de riesgo  16 %1.%2.6.Transmisión de herpes genital  17 %1.%2.7.Etapas de la infección por HVS 2  19 %1.%2.8.Inmunidad humoral frente a la infección  19 %1.%2.9.Infección materna  21 %1.%2.10.Diagnóstico del herpes genital  22 %1.%2.11.Profilaxis…….  25 . CAPÍTULO III . %1.1.OBJETIVOS  27 %1.%2.1.Objetivo General  27 %1.%2.2.Objetivos Específicos  27 %1.2.DISEÑO METODOLÓGICO  28 %1.%2.3.Tipo de Estudio  28 %1.%2.4.Universo y Muestra  28 %1.%2.5.Criterios de Inclusión  29 %1.%2.6.Criterios de Exclusión  30 %1.%2.7.Operacionalización de Variables  30 %1.%2.8.Plan de Observación de campo  31 %1.%2.9.Procedimientos  31 . CAPÍTULO IV . 4.1. RESULTADOS Y ANÁLISIS DE LA INFORMACIÓN  37 . CAPÍTULO V . 5.1. DISCUSIÓN  59 . CAPÍTULO VI . %1.1.CONCLUSIONES  62 %1.2.RECOMENDACIONES  63 . REFERENCIAS BIBLIOGRÁFICAS  64 BIBLIOGRAFÍA  66 ANEXOS  69...

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The Hospital Emergency Department(ed) Is One Of The Most Important Components Of The Health Care Delivery System

LIST OF ABBREVIATIONS USED . S.L NO. ABBREVIATIONS EXPANSIONS 1. ED Emergency Department 2. STP Structured Teaching Programme 3. SD Standard Deviation 4. ESI Emergency Severity Index 5. A.V.AIDS Audio Visual Aids 6. DF Degree of Freedom 7. DV Dependent Variable 8. IV Independent Variables 9. r Reliability 10. ECG Electro cardio graph 11. MRI Magnetic Resonance Image 12. IV Intra Venous VIII ABSTRACT BACKGROUND STUDY The hospital emergency department(ED) is one of the most important components of the health care delivery system. ED has an important role in triaging patients who have a range of problems of variable urgency, from life-threatening to mild. Triage is usually performed in the ED by nursing staff who allocate a triage designation and initiate emergency care before the patient is examined by a doctor. The present study focuses “to assess the effectiveness of structured teaching program on knowledge regarding triage system of patient in emergency department among nursing personnel in a selected hospital at Bhubaneswar. This study attempts to fulfill the following objectives: 1.To assess the knowledge regarding triage system of patient in Emergency Department among nursing personnel on the basis of pre test score. 2.To develop a structure teaching programme on triage system of patients in Emergency Department. 3.To conduct a structure teaching programme on triage system of patient in Emergency Department among nursing personnel in selected hospital at Bhubaneswar. 4.To evaluate the effectiveness of structured teaching programme regarding triage system of patient in Emergency Department by comparing pre test and pos test knowledge scores among nursing personnel. 5.To determine the association between the knowledge of nursing personnel regarding triage system of patients in Emergency Department with selected demographic variables. . . IX . METHODOLOGY: . A Pre experimental with one group pre and post test design is selected for the study with the evaluative research approach. Von Bertalanffy General system model was felt appropriate for the present study. In order to assess the effectiveness of the structure teaching programme on triage system, a total of 50 nursing personnel from ETCM hospital at Kolar were selected by simple random sampling technique using lottery method who met inclusive criteria. The investigator obtained consent from the participants and data was collected using structure questionnaire which consisted partl-demographic variables and Part – II: 35 items pertaining to Structured knowledge questionnaires on Triage System. The collected data was analyzed using descriptive and inferential statistics. RESULT The...

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The Connective Tissue Is Edematous And Densely Infiltrated With Plasma Cells

The connective tissue is edematous and densely infiltrated with plasma cells (approximately 80%) and lymphocytes and a scattering of PMNs. The blood vessels are increased in number, dilated, and engorged. The connective tissue exhibits varying degrees of degeneration. Single or multiple necrotic foci are occasionally present. In addition to exudative and degenerative changes, the connective tissue shows proliferation of the endothelial cells, with newly formed capillaries, fibroblasts, and collagen fibers. The junctional epithelium at the base of the pocket is usually much shorter than that of a normal sulcus. Although marked variations are found as to length, width, and condition of the epithelial cells, usually the coronoapical length of the junctional epithelium is reduced to only 50 to 100 mm. The cells may be well formed and in good condition or may exhibit slight to marked degeneration. The most severe degenerative changes in the periodontal pocket occur along the lateral wall. The epithelium of the lateral wall of the pocket presents striking proliferative and degenerative changes. Epithelial buds or interlacing cords of epithelial cells project from the lateral wall into the adjacent inflamed connective tissue and frequently extend farther apically than the junctional epithelium. These epithelial projections, as well as the remainder of the lateral epithelium, are densely infiltrated by leukocytes and edema from the inflamed connective tissue. The cells undergo vacuolar degeneration and rupture to form vesicles. Progressive degeneration and necrosis of the epithelium lead to ulceration of the lateral wall, exposure of the underlying – markedly inflamed connective tissue, and suppuration. In some cases acute inflammation is superimposed on the underlying chronic changes. The severity of the degenerative changes is not necessarily related to pocket depth. Ulceration of the lateral wall may occur in shallow pockets, and deep pockets are occasionally observed in which the lateral epithelium is relatively intact and shows only slight degeneration. The epithelium at the gingival crest of a periodontal pocket is generally intact and thickened, with prominent rete pegs. Bacterial Invasion: Bacterial invasion of the apical and lateral areas of the pocket wall may occur in human chronic periodontitis. Filaments, rods, and coccoid organisms with predominant gram-negative cell walls have been found in intercellular spaces of the epithelium. Bacteria invade the intercellular space initially under exfoliating epithelial cells, but they are also found between deeper epithelial cells and accumulating onthe basement lamina. Some bacteria traverse the basement lamina and invade the subepithelial connective...

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Stochastic Finite Element Method For Slope Stability Analysis

Stochastic finite element method for slope stability analysis . This article is not included in your organization’s subscription. However, you may be able to access this article under your organization’s agreement with Elsevier. . Kiyoshi Ishii and Makoto Suzuki Ohsaki Research Institute, Shimizu Construction Co., Ltd., Fukoku-Seimei Bldg., 2-2-2, Uchisaiwai-cho, Chiyoda-ku, Tokyo, 100, Japan Civil Engineering Development Dept., Shimizu Construction Co., Ltd., Mita-43-Mori Bldg., No. 13-16, Mita 3-chome, Minato-ku, Tokyo, 108, Japan Received 2 August 1985; accepted 4 March 1986. ; Available online 22 January 2003. . Abstract This paper describes a stochastic finite element method using the first-order approximation at a failure point of a set of random variables. The method is extended to equivalent normal represtation of non-normal distributions and offers two advantages: (1) It gives a consistent measure of failure probability for the limit-states defined in terms of different but equivalent performance function formulations, (2). It can be applied to reliability analysis for non-normal variants. Results using this method are compared favorably with that of Monte Carlo simulation in a simple example. Furthermore, this method will be applied to earth slope stability analysis to give probability levels for local and global failures on a potential failure surface. Author Keywords: Soil mechanics; probability theory; stability; finite element method; failure; safety Article Outline • References The stochastic finite element method in structural reliability*1 . This article is not included in your organization’s subscription. However, you may be able to access this article under your organization’s agreement with Elsevier. . Armen Der Kiureghian and Jyh-Bin Ke Department of Engineering, University of California, Berkeley, CA 94720, USA Available online 21 February 2003. . Abstract First-order reliability and finite element methods are used to develop a methodology for reliability analysis of structures with stochastically varying properties and subjected to random loads. Two methods for discretization of random fields are examined and the influence of the correlation length of random property or load fields on the reliability of example structures are investigated. It is found that the correlation length of load fields has significant influence on the reliability against displacement or stress limit states. The correlation length of property fields is significant for displacement limit states, but may not be significant for stress limit states. Examples studied include a fixed ended beam with stochastic rigidity and a plate with stochastic elasticity. Article Outline The presence of weak materials, bedding, or discontinuities at critical locations...

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