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As the coronavirus spread in New York City and reached its peak in April, some disturbing statistics were revealed: Black and Latino patients were disproportionately affected by the disease, and they were dying at twice the rate of other patients. Even after the peak of the outbreak in New York, intensive care units in hospitals across the city are still busy caring for COVID-19 patients. In this episode of Latino USA, we go inside the frontlines in Manhattan's Bellevue Hospital, part of the NYC Health + Hospitals system, where we learn about the Latino patients fighting for their lives against COVID-19.

Gaza evacuation order, Israel Defense Forces, Bill C-69 decision, Bed bug activity, Barbie Halloween decorations and more

Includes index

This registration includes the protocol for the scoping review for the Management of post-extubation dysphagia in intensive care units

Quebec doctors, Icelandic volcano erupts, Thrift store case, Red Sea task force, Reading: "The Gift of the Magi," Spreadsheet runner-up, Deep space cat video and more

"Intensive Care Unit," improvisation by New Loft, 2010-12-01. (ca. 26:00) Jimmy Ghaphery: tenor sax. Tim Harding: synthesizer. Sam Byrd: drums. New Loft is a free improv/free jazz group based in Richmond VA. http://www.myspace.com/newloft

"Intensive Care Unit," improvisation by New Loft, 2010-12-01. (ca. 26:00) Jimmy Ghaphery: tenor sax. Tim Harding: synthesizer. Sam Byrd: drums. New Loft is a free improv/free jazz group based in Richmond VA. http://www.myspace.com/newloft

"Intensive Care Unit," improvisation by New Loft, 2010-12-01. (ca. 26:00) Jimmy Ghaphery: tenor sax. Tim Harding: synthesizer. Sam Byrd: drums. New Loft is a free improv/free jazz group based in Richmond VA. http://www.myspace.com/newloft

The eighth issue of "Hellblazer".

The eighth issue of "Hellblazer".

The eighth issue of "Hellblazer".

The eighth issue of "Hellblazer".

The eighth issue of "Hellblazer".

The photos of the attackers are at the end. The reason was he asked the 7 men not to bring their own booze to the restaurant. Source: https://www.bitchute.com/video/k4Uto4gFYQyt Uploader: tubeup.py

228p. ; 25cm

228p. ; 25cm

228p. ; 25cm

228p. ; 25cm

Document from Tamil Nadu Legislative Assembly Digital Archive

Dr. O'Connell and Dr. \"Raj\" Dasgupta discuss questions about why someone might require a ventilator, why it's important to slow the spread of disease to avoid overwhelming our ICUs, what's the place of the pneumonia and flu vaccines during this pandemic, and the responsibilities of the media and individuals in sharing information about COVID-19. Learn more about your ad choices. Visit megaphone.fm/adchoices

Aim: We aimed to investigate the prognostic utility of thiol disulfide levels, a novel parameter for oxidative stress, in critically ill patients who presented at the emergency room and required intensive care.

Aim: We aimed to investigate the prognostic utility of thiol disulfide levels, a novel parameter for oxidative stress, in critically ill patients who presented at the emergency room and required intensive care.

This article is from The Korean Journal of Thoracic and Cardiovascular Surgery , volume 47 . Abstract Background: Our objectives were to review our institutional early and midterm experience with primary tetralogy of Fallot (TOF) repair, and identify predictors of intensive care unit (ICU) morbidity. Methods: We analyzed perioperative and midterm follow-up data for all cases of primary TOF repair from 2001 to 2012. The primary endpoint was early mortality and morbidity, and the secondary endpoint was survival and functional status at follow-up. Results: Ninety-seven patients underwent primary repair. The median age was 4.9 months (range, 1 to 9 months), and the median weight was 5.3 kg (range, 3.1 to 9.8 kg). There was no early surgical mortality. The incidence of junctional ectopic tachycardia and persistent complete heart block was 2% and 1%, respectively. The median length of ICU stay was 6 days (range, 2 to 21 days), and the median duration of mechanical ventilation was 19 hours (range, 0 to 136 hours). By multiple regression analysis, age and weight were independent predictors of the length of ICU stay, while the surgical era was an independent predictor of the duration of mechanical ventilation. At the 8-year follow-up, freedom from death and re-intervention was 97% and 90%, respectively. Conclusion: Primary TOF repair is a safe procedure with low mortality and morbidity in a medium-sized program with outcomes comparable to national standards. Age and weight at the time of surgery remain significant predictors of morbidity.

This article is from PLoS ONE , volume 9 . Abstract : The aim of this study was to describe the epidemiology of necrotising enterocolitis (NEC), antibiotic consumption and the usefulness of microbiological tests in very low birth weight (VLBW) Polish newborns. Methods: Prospective surveillance was performed in the year 2009 by local infection control teams. The study covered 910 infants hospitalized in six Polish neonatal intensive care units. Two kinds of indicators were used for the description of antibiotic usage: the duration of treatment (days of treatment, DOTs) and the defined daily dose (DDD). Results: NEC incidence was 8.7% and fatality rate was 19%. Chorioamnionitis, late gestational age and low birth weight were identified as risk factors for NEC. Catheterization, mechanical ventilation and other selected procedures were used considerably longer in newborns with NEC than in the remaining neonates. Total usage of antibiotics reached 2.9 DDDs or 1.437 days; the average use of drugs per case of NEC amounted to 0.47 DDD or 23.2 DOTs. The level of antibiotic usage was analysed with correlation to microbiological tests performed and it was non-significantly greater in the group of children with NEC in whom the tests were performed. Conclusions: A high risk of developing NEC is closely associated with VLBW and with inflammation of the amnion during labour. We observed no relationship between the consumption of antibiotics in neonates with NEC and positive results of microbiological testing indicating sepsis accompanying NEC or gut colonization with pathogens.

This article is from PLoS ONE , volume 9 . Abstract Background: Cytomegalovirus (CMV) infection is associated with severe diseases in immunosuppressed patients; however, there is a lack of data for pre-emptive therapy in patients with HIV/AIDS. Method: This was a retrospective study, which enrolled patients diagnosed with HIV/AIDS (CD4 1,000 copies/ml at baseline testing had significantly higher mortality compared to those who had 5,100 copies/ml and did not receive ganciclovir had 100% mortality compared to 58% mortality in those who received ganciclovir at VLs of >5,100 copies/ml, 50% mortality in those who were not treated and had low VLs of

Aim: In coronary artery bypass surgery patients length of stay in intensive care unit (ICU) has an important role in complication rates and costs. For that reason, the discharging of the patients from the hospital in shorter period can be provided by taking measures prior to surgical intervention via previously known factors which may affect hospitalization stay. The aim of this study was to determine the role of perioperative risk factors in term of clinical outcomes based on the time of ICU discharge.  Material and Method: In this retrospective study, we included 196 patients undergoing coronary artery bypass graft surgery in our clinic. The patients were divided into early (≤2 day) and late (>2 day) ICU discharge groups according to the duration of ICU stay. The preoperative and postoperative risk factors, the complications and the outcomes were evaluated.  Results: Age, sex, hyperlipidemia, diabetes mellitus, previous myocardial infarction, renal failure, cerebrovascular accident, hypertension, level of hematocrit and creatinine were not significantly different between the two groups. Patients with hemodynamic instability, respiratory dysfunction, ejection fraction <35%, inotrope administration, left main coronary artery disease, use of intraaortic balloon pump and arrhythmia had significantly longer length of stay in ICU (> 2 day) compared to other group (p< 0.05). The shorter duration of intubation time was the most significant factor affecting early discharge according to late discharge group (7.8 ± 3.8 vs 17 ± 9.9 hours, p< 0.001).  Discussion: Time of ICU discharge depends on especially to respiratory dysfunction and duration of intubation. Therefore, we assume that modification of preoperative risk factors for respiratory may improve clinical outcomes in ICU.

Includes bibliographies and index

http://uf.catalog.fcla.edu/uf.jsp?st=UF027741671&ix=pm&I=0&V=D&pm=1

vii, 95 pages : 30 cm

vii, 95 pages : 30 cm

vii, 95 pages : 30 cm

Aim: Identifying local determinants of the Healthcare-associated infections(HCAI) burden and improving reporting and surveillance systems is the first step to find active action programs against HCAI. The aim of this study was to evaluate and describe the results of surveillance of HCAIs in a Leve lIII intensive care unit( ICU ) between January 2011 and December 2016. Material and Methods: Children aged between 28 days and 18 years with HCAI in the ICU were included in the study. The definition of HCAI was based on the 2008 CDC diagnostic criteria. Results: During 6 years 7211 patients were admitted in the ICU. Infection rate was 12.6 infections per 1000 resident days. Between 2011 and 2016, %60.3 reduction in the central line-associated bloodstream infections (CLABSI), 61.1% reduction in ventilatory-associated pneumonia (VAP) was observed.Prior to implementation of VAP bundle in 2013, the incidence of VAP was 10.7/1000 ventilator days. After the implementation of VAP bundle, 71.7% reduction was reported in VAP between 2013 and 2016. Of 342 infections, the most common infections were pneumonia (n=182, 53.2%), bloodstream infections(n=86, 25.2%) and urinary tract infections (n=62, 18.1%). A total of 435 infectious agents were isolated. Acinetobacter baumanni was the most commonly reported pathogen(25.05%) followed secondly by Klebsiella pneumoniae (17.01% ). Discussion: Surveillance data are useful to identify interventions needed and to assess the interventions to improve infection rates.Education of the health care providers, multidisciplinary team approach and strict criteria to define appropriate indications for the use of indwelling catheters, devices and strict adherence to bundles are vital to decrease the HCAI rates.

Aim: Identifying local determinants of the Healthcare-associated infections(HCAI) burden and improving reporting and surveillance systems is the first step to find active action programs against HCAI. The aim of this study was to evaluate and describe the results of surveillance of HCAIs in a Leve lIII intensive care unit( ICU ) between January 2011 and December 2016. Material and Methods: Children aged between 28 days and 18 years with HCAI in the ICU were included in the study. The definition of HCAI was based on the 2008 CDC diagnostic criteria. Results: During 6 years 7211 patients were admitted in the ICU. Infection rate was 12.6 infections per 1000 resident days. Between 2011 and 2016, %60.3 reduction in the central line-associated bloodstream infections (CLABSI), 61.1% reduction in ventilatory-associated pneumonia (VAP) was observed.Prior to implementation of VAP bundle in 2013, the incidence of VAP was 10.7/1000 ventilator days. After the implementation of VAP bundle, 71.7% reduction was reported in VAP between 2013 and 2016. Of 342 infections, the most common infections were pneumonia (n=182, 53.2%), bloodstream infections(n=86, 25.2%) and urinary tract infections (n=62, 18.1%). A total of 435 infectious agents were isolated. Acinetobacter baumanni was the most commonly reported pathogen(25.05%) followed secondly by Klebsiella pneumoniae (17.01% ). Discussion: Surveillance data are useful to identify interventions needed and to assess the interventions to improve infection rates.Education of the health care providers, multidisciplinary team approach and strict criteria to define appropriate indications for the use of indwelling catheters, devices and strict adherence to bundles are vital to decrease the HCAI rates.

Aim: Identifying local determinants of the Healthcare-associated infections(HCAI) burden and improving reporting and surveillance systems is the first step to find active action programs against HCAI. The aim of this study was to evaluate and describe the results of surveillance of HCAIs in a Leve lIII intensive care unit( ICU ) between January 2011 and December 2016. Material and Methods: Children aged between 28 days and 18 years with HCAI in the ICU were included in the study. The definition of HCAI was based on the 2008 CDC diagnostic criteria. Results: During 6 years 7211 patients were admitted in the ICU. Infection rate was 12.6 infections per 1000 resident days. Between 2011 and 2016, %60.3 reduction in the central line-associated bloodstream infections (CLABSI), 61.1% reduction in ventilatory-associated pneumonia (VAP) was observed.Prior to implementation of VAP bundle in 2013, the incidence of VAP was 10.7/1000 ventilator days. After the implementation of VAP bundle, 71.7% reduction was reported in VAP between 2013 and 2016. Of 342 infections, the most common infections were pneumonia (n=182, 53.2%), bloodstream infections(n=86, 25.2%) and urinary tract infections (n=62, 18.1%). A total of 435 infectious agents were isolated. Acinetobacter baumanni was the most commonly reported pathogen(25.05%) followed secondly by Klebsiella pneumoniae (17.01% ). Discussion: Surveillance data are useful to identify interventions needed and to assess the interventions to improve infection rates.Education of the health care providers, multidisciplinary team approach and strict criteria to define appropriate indications for the use of indwelling catheters, devices and strict adherence to bundles are vital to decrease the HCAI rates.

Kelly talks to the president of the Ontario Hospital Association Dr. Anthony Dale and the Toronto Star's Chief Investigative Reporter Kevin Donovan.Learn more about your ad choices. Visit megaphone.fm/adchoices

Intensive Care Medicine 1977: Volume 3 , Issue CONTENTS. Digitized from IA1643906-06 . Next issue: sim_intensive-care-medicine_1977-04_3_1 .

This article is from Nigerian Medical Journal : Journal of the Nigeria Medical Association , volume 55 . Abstract Background:: In critically ill patients, several scoring systems have been developed over the last three decades. The Acute Physiology and Chronic Health Evaluation (APACHE) and the Simplified Acute Physiology Score (SAPS) are the most widely used scoring systems in the intensive care unit (ICU). The aim of this study was to assess the prognostic accuracy of SAPS II and APACHE II and APACHE III scoring systems in predicting short-term hospital mortality of surgical ICU patients. Materials and Methods:: Prospectively collected data from 202 patients admitted to Mashhad University Hospital postoperative ICU were analyzed. Calibration was estimated using the Hosmer-Lemeshow goodness-of-fit test. Discrimination was evaluated by using the receiver operating characteristic (ROC) curves and area under a ROC curve (AUC). Result:: Two hundred and two patients admitted on post-surgical ICU were evaluated. The mean SAPS II, APACHE II, and APACHE III scores for survivors were found to be significantly lower than of non-survivors. The calibration was best for APACHE II score. Discrimination was excellent for APACHE II (AUC: 0.828) score and acceptable for APACHE III (AUC: 0.782) and SAPS II (AUC: 0.778) scores. Conclusion:: APACHE II provided better discrimination than APACHE III and SAPS II calibration was good at APACHE II and poor at APACHE III and SAPS II. Use of APACHE II was excellent in this post-surgical ICU.

This article is from BMJ Open , volume 3 . Abstract Objective: To determine the frequency of birth weight digit preference for infants admitted to a large neonatal intensive care unit (NICU), the scale of rounding and its dependence on birth weight, and time and the impact on prescribing accuracy. Design: A consecutive cohort of birth weights extracted retrospectively from a single clinical database. Setting and participants: Birth weights from 9170 inborn infants recorded on an electronic prescribing database admitted to NICU over 20 years. Statistical approach: Data are presented for the frequency of each of the possible pairs of final digits. A statistical model of digit preference assuming rounding is used to quantify the proportions rounding to specific accuracy levels. These proportions are compared between those

This article is from Iranian Journal of Nursing and Midwifery Research , volume 17 . Abstract Background:: Since the family is a social system, the impairment in each of its component members may disrupt the entire family system. One of the stress sources for families is accidents leading to hospitalization particularly in the intensive care unit (ICU). In many cases, the families’ needs in patient care are not met that cause dissatisfaction. Since the nurses spend a lot of time with patients and their families, they are in a good position to assess their needs and perform appropriate interventions. Therefore, this study was conducted to determine the effectiveness of nursing interventions based on family needs on family satisfaction level of hospitalized patients in the neurosurgery ICU. Materials and Methods:: This clinical trial was conducted in the neurosurgery ICU of Al-Zahra Hospital, Isfahan, Iran in 2010. Sixty four families were selected by simple sampling method and were randomly placed in two groups (test and control) using envelopes. In the test group, some interventions were performed to meet their needs. In the control group, the routine actions were only carried out. The satisfaction questionnaire was completed by both groups two days after admission and again on the fourth day. Findings:: Both of the intervention and control groups were compared in terms of the mean satisfaction scores before and after intervention. There was no significant difference in mean satisfaction scores between test and control groups before the intervention. The mean satisfaction score significantly increased after the intervention compared to the control group. Conclusions:: Nursing interventions based on family needs of hospitalized patients in the ICU increase their satisfaction. Attention to family nursing should be planned especially in the ICUs.

This article is from Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences , volume 19 . Abstract Background:: Echocardiography is one of the diagnostic tools that can be applied at the bedside, along with avoiding transporting critically ill patients. This prospective observational study was designed to assess the clinical applicability of the transthoracic echocardiography (TTE) device by noncardiologist intensivists. Materials and Methods:: Intensivists performed a limited TTE examination on critically ill patients admitted to the surgical intensive care unit (ICU). After initial cardiac clinical assessment in 85 critically ill adult patients, a limited TTE was performed by an intensivist to assess left ventricular (LV) function and LV volume status as well as valvular function and qualitative factors. Data were analyzed and presented in proportions using descriptive statistics. The setting was in surgical ICU of an academic medical center. Results:: Valvular abnormalities (44.8%) as well as qualitative indices (68.3%) were the most frequently detected abnormalities. The ejection fraction was the only alteration, which was affected by the risk factors (P = 0.05, mean = 55.57). Conclusion:: Transthoracic approach can provide useful information on cardiac anatomy and function in most ICU patients along with detecting severe previously unknown conditions in some patients.

This article is from Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences , volume 19 . Abstract Background:: Echocardiography is one of the diagnostic tools that can be applied at the bedside, along with avoiding transporting critically ill patients. This prospective observational study was designed to assess the clinical applicability of the transthoracic echocardiography (TTE) device by noncardiologist intensivists. Materials and Methods:: Intensivists performed a limited TTE examination on critically ill patients admitted to the surgical intensive care unit (ICU). After initial cardiac clinical assessment in 85 critically ill adult patients, a limited TTE was performed by an intensivist to assess left ventricular (LV) function and LV volume status as well as valvular function and qualitative factors. Data were analyzed and presented in proportions using descriptive statistics. The setting was in surgical ICU of an academic medical center. Results:: Valvular abnormalities (44.8%) as well as qualitative indices (68.3%) were the most frequently detected abnormalities. The ejection fraction was the only alteration, which was affected by the risk factors (P = 0.05, mean = 55.57). Conclusion:: Transthoracic approach can provide useful information on cardiac anatomy and function in most ICU patients along with detecting severe previously unknown conditions in some patients.

This article is from Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences , volume 19 . Abstract Background:: Echocardiography is one of the diagnostic tools that can be applied at the bedside, along with avoiding transporting critically ill patients. This prospective observational study was designed to assess the clinical applicability of the transthoracic echocardiography (TTE) device by noncardiologist intensivists. Materials and Methods:: Intensivists performed a limited TTE examination on critically ill patients admitted to the surgical intensive care unit (ICU). After initial cardiac clinical assessment in 85 critically ill adult patients, a limited TTE was performed by an intensivist to assess left ventricular (LV) function and LV volume status as well as valvular function and qualitative factors. Data were analyzed and presented in proportions using descriptive statistics. The setting was in surgical ICU of an academic medical center. Results:: Valvular abnormalities (44.8%) as well as qualitative indices (68.3%) were the most frequently detected abnormalities. The ejection fraction was the only alteration, which was affected by the risk factors (P = 0.05, mean = 55.57). Conclusion:: Transthoracic approach can provide useful information on cardiac anatomy and function in most ICU patients along with detecting severe previously unknown conditions in some patients.

"Selected by Toi Derricotte as the 1990 Capricorn Poetry Prize winner."

This article is from Journal of Anaesthesiology, Clinical Pharmacology , volume 27 . Abstract Background:: We conducted this study to analyze the data of patients admitted to intensive care unit (ICU) following postpartum hemorrhage (PPH) during one-year period, the interventions they received, and the outcome. Materials and Methods:: Case records of patients admitted to ICU with PPH were analyzed. Data retrieved were as follows: Primary admission or referred case, duration between onset of PPH and arrival, condition at admission, resuscitative measures, procedures to manage PPH, presence of disseminated intravascular coagulation (DIC) and its management, duration of ICU stay, and the outcome. Results:: Of 21 patients with PPH, 15 were admitted in the ICU. All were referred from other hospitals. Duration between onset of PPH and arrival was 6 (15) hours (mean [standard deviation]). All were conscious on arrival. In 10 patients, blood pressure was not recordable. Tachycardia was a common feature. One patient had bradycardia (54 bpm/BP not recordable). Resuscitative measures included oxygen supplementation and fluid resuscitation. Eight patients underwent uterine artery embolization, 2 patients underwent embolization followed by surgery, and 11 patients underwent surgical intervention only. Twelve patients had DIC on admission which was managed with blood component therapy. Duration of stay in ICU was 12.6 (5.4) days (mean [standard deviation]). Two patients expired following intractable DIC and multiorgan dysfunction syndrome. Though these 2 patients had severe shock on presentation, they did not have DIC at the time of presentation. Conclusions:: Despite early resuscitation and intensive care management, DIC is a major cause of mortality. Late onset DIC (onset after admission to ICU) was associated with poor outcome in this study.

This article is from Journal of Biomedical Semantics , volume 2 . Abstract Background: Free text is helpful for entering information into electronic health records, but reusing it is a challenge. The need for language technology for processing Finnish and Swedish healthcare text is therefore evident; however, Finnish and Swedish are linguistically very dissimilar. In this paper we present a comparison of characteristics in Finnish and Swedish free-text nursing narratives from intensive care. This creates a framework for characterising and comparing clinical text and lays the groundwork for developing clinical language technologies. Methods: Our material included daily nursing narratives from one intensive care unit in Finland and one in Sweden. Inclusion criteria for patients were an inpatient period of least five days and an age of at least 16 years. We performed a comparative analysis as part of a collaborative effort between Finnish- and Swedish-speaking healthcare and language technology professionals that included both qualitative and quantitative aspects. The qualitative analysis addressed the content and structure of three average-sized health records from each country. In the quantitative analysis 514 Finnish and 379 Swedish health records were studied using various language technology tools. Results: Although the two languages are not closely related, nursing narratives in Finland and Sweden had many properties in common. Both made use of specialised jargon and their content was very similar. However, many of these characteristics were challenging regarding development of language technology to support producing and using clinical documentation. Conclusions: The way Finnish and Swedish intensive care nursing was documented, was not country or language dependent, but shared a common context, principles and structural features and even similar vocabulary elements. Technology solutions are therefore likely to be applicable to a wider range of natural languages, but they need linguistic tailoring. Availability: The Finnish and Swedish data can be found at: http://www.dsv.su.se/hexanord/data/.

This article is from Clinics , volume 67 . Abstract OBJECTIVES:: The World Health Organization has recommended investigating near-misses as a benchmark practice for monitoring maternal healthcare and has standardized the criteria for diagnosis. We aimed to study maternal morbidity and mortality among women admitted to a general intensive care unit during pregnancy or in the postpartum period, using the new World Health Organization criteria. METHODS:: In a cross-sectional study, 158 cases of severe maternal morbidity were classified according to their outcomes: death, maternal near-miss, and potentially life-threatening conditions. The health indicators for obstetrical care were calculated. A bivariate analysis was performed using the Chi-square test with Yate's correction or Fisher's exact test. A multiple regression analysis was used to calculate the crude and adjusted odds ratios, together with their respective 95% confidence intervals. RESULTS:: Among the 158 admissions, 5 deaths, 43 cases of maternal near-miss, and 110 cases of potentially life-threatening conditions occurred. The near-miss rate was 4.4 cases per 1,000 live births. The near-miss/death ratio was 8.6 near-misses for each maternal death, and the overall mortality index was 10.4%. Hypertensive syndromes were the main cause of admission (67.7% of the cases, 107/158); however, hemorrhage, mainly due to uterine atony and ectopic pregnancy complications, was the main cause of maternal near-misses and deaths (17/43 cases of near-miss and 2/5 deaths). CONCLUSIONS:: Hypertension was the main cause of admission and of potentially life-threatening conditions; however, hemorrhage was the main cause of maternal near-misses and deaths at this institution, suggesting that delays may occur in implementing appropriate obstetrical care.

This article is from Clinics , volume 67 . Abstract OBJECTIVES:: The World Health Organization has recommended investigating near-misses as a benchmark practice for monitoring maternal healthcare and has standardized the criteria for diagnosis. We aimed to study maternal morbidity and mortality among women admitted to a general intensive care unit during pregnancy or in the postpartum period, using the new World Health Organization criteria. METHODS:: In a cross-sectional study, 158 cases of severe maternal morbidity were classified according to their outcomes: death, maternal near-miss, and potentially life-threatening conditions. The health indicators for obstetrical care were calculated. A bivariate analysis was performed using the Chi-square test with Yate's correction or Fisher's exact test. A multiple regression analysis was used to calculate the crude and adjusted odds ratios, together with their respective 95% confidence intervals. RESULTS:: Among the 158 admissions, 5 deaths, 43 cases of maternal near-miss, and 110 cases of potentially life-threatening conditions occurred. The near-miss rate was 4.4 cases per 1,000 live births. The near-miss/death ratio was 8.6 near-misses for each maternal death, and the overall mortality index was 10.4%. Hypertensive syndromes were the main cause of admission (67.7% of the cases, 107/158); however, hemorrhage, mainly due to uterine atony and ectopic pregnancy complications, was the main cause of maternal near-misses and deaths (17/43 cases of near-miss and 2/5 deaths). CONCLUSIONS:: Hypertension was the main cause of admission and of potentially life-threatening conditions; however, hemorrhage was the main cause of maternal near-misses and deaths at this institution, suggesting that delays may occur in implementing appropriate obstetrical care.

This article is from Clinics , volume 67 . Abstract OBJECTIVES:: The World Health Organization has recommended investigating near-misses as a benchmark practice for monitoring maternal healthcare and has standardized the criteria for diagnosis. We aimed to study maternal morbidity and mortality among women admitted to a general intensive care unit during pregnancy or in the postpartum period, using the new World Health Organization criteria. METHODS:: In a cross-sectional study, 158 cases of severe maternal morbidity were classified according to their outcomes: death, maternal near-miss, and potentially life-threatening conditions. The health indicators for obstetrical care were calculated. A bivariate analysis was performed using the Chi-square test with Yate's correction or Fisher's exact test. A multiple regression analysis was used to calculate the crude and adjusted odds ratios, together with their respective 95% confidence intervals. RESULTS:: Among the 158 admissions, 5 deaths, 43 cases of maternal near-miss, and 110 cases of potentially life-threatening conditions occurred. The near-miss rate was 4.4 cases per 1,000 live births. The near-miss/death ratio was 8.6 near-misses for each maternal death, and the overall mortality index was 10.4%. Hypertensive syndromes were the main cause of admission (67.7% of the cases, 107/158); however, hemorrhage, mainly due to uterine atony and ectopic pregnancy complications, was the main cause of maternal near-misses and deaths (17/43 cases of near-miss and 2/5 deaths). CONCLUSIONS:: Hypertension was the main cause of admission and of potentially life-threatening conditions; however, hemorrhage was the main cause of maternal near-misses and deaths at this institution, suggesting that delays may occur in implementing appropriate obstetrical care.

We will develop the checklists for the POIP using cognitive systems engineering methodologies and iteration. To validate the model, we will measure clinician perception of patient condition and care priorities; we will observe the frequencies that healthcare teams complete key elements of patient care; and we will measure communication, teamwork, cognitive work load, and provider quality of life before and after units implement the POIP. To assess the model's effect, we will observe patient outcomes and complication rates before and after units implement the POIP. To further assess the model's capacity to rapidly incorporate new knowledge into burn critical care, we will update the phase specific checklists six months after initial implementation and continue data collection.

An intensive care unit (ICU) provides specialised treatment, and care for adults and children with acute, and life-threatening conditions. Working as a nurse in the ICU requires a distinct set of competencies to manage the complexity of ICU patients, advanced technologies, and rapidly changing clinical situations. To the best of our knowledge, no review has yet systematically mapped the existing literature on competence assessment methods for nurses working in ICU. The aim of this scoping review is to map existing literature on competence assessment methods used for nurses working in the ICU across the continuum of their professional careers. The scope of the review includes: 1. What competencies are being assessed in the ICU (e.g., clinical, technical, non-technical, pedagogical, social)? 2. Which competence assessment methods are used to assess competences among nurses working in the ICU? 3. How is the assessment performed?

1Esperanto Self-Taught with Phonetic Pronunciation, Volume 1

By William W. Mann

This is Volume 1 of William Mann’s “Esperanto Self-Taught with Phonetic Pronunciation”. It is part of a series of Self-Taught books written by various authors that include vocabularies of common words, elementary grammars and conversational phrases. The present volume contains thirty-seven vocabularies of common Esperanto words. If you want to learn Esperanto words or improve your Esperanto vocabulary, this volume may be of use to you. Mann writes, in the preface, that his work “supplies very full and comprehensive vocabularies of the words required by the tourist or traveller, visitor or resident abroad, health or pleasure seeker, and professional or business man, together with a large number of conversational sentences of a typical and practical character. The words and phrases are classified according to subject, and the phonetic pronunciation of every word is added in accordance with Marlborough's simple and popular system of phonetics. With the aid of this book anyone may undertake a trip to a foreign land, even if he know nothing of the language of the country he is going to, and, if he will put himself beforehand in communication with Esperantists in the various places he intends to visit, he will find them ready to help him in many ways, and his stay abroad will thus be made much more entertaining and instructive than if he had spent his time in the conventional manner of the ordinary tourist. A further great advantage of this international language is, that it opens up to the traveller, not merely one particular country, but the whole of Europe.”<BR><BR>(Summary by Nicholas James Bridgewater)<BR>For convenience, his book has been divided into 3 volumes in this audiobook version, the other 2 volumes will be recorded in the future.

2Esperanto Self-Taught with Phonetic Pronunciation, Volume 2

By William W. Mann

This is Volume 2 of William Mann’s “Esperanto Self-Taught with Phonetic Pronunciation”. It is part of a series of Self-Taught books written by various authors that include vocabularies of common words, elementary grammars and conversational phrases. The present volume contains an elementary grammar of Esperanto. If you want to understand Esperanto grammar, this volume may be of use to you. Mann writes, in the preface, that with “the aid of this book anyone may undertake a trip to a foreign land, even if he know nothing of the language of the country he is going to, and, if he will put himself beforehand in communication with Esperantists in the various places he intends to visit, he will find them ready to help him in many ways, and his stay abroad will thus be made much more entertaining and instructive than if he had spent his time in the conventional manner of the ordinary tourist. A further great advantage of this international language is, that it opens up to the traveller, not merely one particular country, but the whole of Europe.”

3Esperanto Self-Taught with Phonetic Pronunciation, Volume 3

By William W. Mann

Volume 3 of William Mann’s “Esperanto Self-Taught with Phonetic Pronunciation” is part of a series of Self-Taught books written by various authors that include vocabularies of common words, elementary grammars and conversational phrases. The present volume contains an conversational phrases in Esperanto. If you want to learn Esperanto phrases or improve your knowledge of conversational Esperanto, this volume may be of use to you. Mann writes, in the preface, that with “the aid of this book anyone may undertake a trip to a foreign land, even if he know nothing of the language of the country he is going to, and, if he will put himself beforehand in communication with Esperantists in the various places he intends to visit, he will find them ready to help him in many ways, and his stay abroad will thus be made much more entertaining and instructive than if he had spent his time in the conventional manner of the ordinary tourist. A further great advantage of this international language is, that it opens up to the traveller, not merely one particular country, but the whole of Europe.” (Introduction by Nicholas James Bridgewater)

4Present Picture of New South Wales

By David Dickinson Mann

Convicted of forgery at the age of 23, David Dickenson Mann narrowly escaped hanging and was transported instead to New South Wales, where he arrived in 1799. Three years later he received a full pardon and was soon working in the secretary's office of the colonial government. Mann fell foul of Governor William Bligh and was about to leave for England, but in 1808 found himself in favour with the rebel government that deposed him. The Present Picture of New South Wales, dedicated to the recently arrived Governor John Hunter, gives a detailed account of the colony . It includes a brief history, an A-Z encyclopedia of political and economic progress and Mann's own ideas on the future development of New South Wales. Mann returned to England in 1809, where he published his book in 1811, dying in the same year. - Summary by Phil Benson

5Royal Highness

By Thomas Mann

Royal Highness is the story of Prince Klaus Heinrich, a member of a struggling German duchy and an exotic American heiress who comes to live as his neighbor. The novel is a microcosm of Europe before World War I, with Mann's depiction of a decaying society that is rejuvenated by modern forces. A true modern day fairy tale. (Summary by Margaret Espaillat)

Horace Mann is called The Father of the Common School and was one of the first progressive thinkers on education in the United States. His <i>Annual Reports to the Massachusetts Board of Education</i>, written between 1837 and 1848, are wide-ranging essays on topics, including philosophical arguments on the role of education in a democracy, curricular matters such as textbook choice and methods of reading instruction, and nitty-gritty details of classroom furnishings and buildings. Even in the much-changed society of the 21st century, much of Mann's writing still speaks to us, recalling us to the roots of our faith in education for all. - Summary by Maria Kasper

7Bashan And I

By Thomas Mann

Simple and unpretentious as a statement by Francis d’Assisi, yet full of a gentle modern sophistication and humour, this little work will bring delight and refreshment to all who seek flight from the heavy-laden hour. It is, moreover, one of the most subtle and penetrating studies of the psychology of the dog that has ever been written—tender yet unsentimental, realistic and full of the detail of masterly observation and description, yet in its final form and precipitation a work of exquisite literary art. - Summary from the Foreword by Herman George Scheffauer

8Untertan

By Heinrich Mann

Der Untertan ist ein Roman von Heinrich Mann aus dem Jahr 1914. Die erste Buchausgabe erschien 1918 im Kurt Wolff Verlag. Heinrich Mann erzählt mit scharfem Witz die Lebensgeschichte des fiktiven Opportunisten und Karrieristen Diederich Heßling von dessen Kindheit bis hin zur Sicherung seiner Stellung in der wilhelminischen Gesellschaft des deutschen Kaiserreichs um die Jahrhundertwende vom 19. zum 20. Jahrhundert. Die Satire ist eine unverhohlene Kritik am Kaiserreich unter dem Regiment Wilhelms II., eine politische Kritik am kaiserfanatischen Bürgertum wie dem erschlafften Altliberalismus und eine Mentalitätsstudie über den autoritären Typus. Der Roman gilt als das wichtigste literarische Dokument über das Kaiserreich. Zeitgenossen und spätere Autoren wie Historiker erkannten im Untertan die mustergültige Zeichnung eines zeitgeistigen Männertypus und Darstellung der Vorgeschichte zum Ersten Weltkrieg. Als Gegenspieler des kaisertreuen Heßling ist der Honoratior Buck gezeichnet, ein Teilnehmer der Revolution von 1848, der durch Heßlings Ränke nicht nur den Verlust seiner Anhänger und das Ende der städtischen Bürgerlichkeit wie auch die Isolation seiner Familie, sondern den politischen Sieg der Kaisertreuen mit Hilfe korrupter Gewerkschafter erleben muss, ehe ihm auf dem Sterbebett ausgerechnet Heßling als der Leibhaftige vor der Türe erscheint. Der Untertan wird als Heinrich Manns größter Beitrag zur deutschen Literatur des 20. Jahrhunderts gewertet. (Wikipedia)

9Death in Venice

By Thomas Mann

Thomas Mann, author of Death in Venice (German: Der Tod in Venedig) was a winner of the Nobel Prize for literature. The main character in this novella is Gustav von Aschenbach, a famous author in his early 50s who was widowed at an early age. In poor health, he visits Venice and becomes increasingly obsessed by the sight of a stunningly beautiful lad of 14. This book has been acclaimed a masterpiece and in 1971 was adapted as a film starring Dirk Bogarde. (Summary by Lee Smalley)

When Thomas Mann was awarded the Nobel Prize in Literature (1929), the citation made special mention of his first novel, “Buddenbrooks,” published in 1901, describing it as “the first great novel of the 20th century.” <br><br> Events in the novel center on the Buddenbrook family, bourgeois owners of a wholesale grain enterprise in the northern German city of Lübeck. (The city is never named as such, but detailed references to landmarks leave no doubt that the setting is closely based on Mann’s hometown, just as the story is inspired by the Mann family history.) We follow four generations of Buddenbrooks through the middle decades of the 19th century. The novel is subtitled “The Decline of a Family.” This “decline” occurs through subtle interplay of character and circumstance. Family members — individuals each with their own romantic, social, and artistic interests — struggle to adapt to the expectations of the “family firm” and to the evolving conditions of German society in the 1800s. <br><br> Mann views his characters with both irony and intense empathy, propelling the reader’s journey through this momentous narrative. - Summary by Bruce Pirie

Thomas Mann’s epic novel depicts a decaying, corrupted European society on the eve of the First World War. Set in a luxurious sanatorium high up in the Swiss mountains, we follow the destinies of a variety of exotic characters – members of a bourgeois elite drawn from all parts of Europe. Most suffer from consumption, dream of a cure - yet are at the same time squeezing as much pleasure and distraction as they can out of a situation ever-shadowed by sickness, pain, and death. Part surreal comedy, part grim tragedy, part allegory, and part novel of ideas, Mann’s novel is regarded by many as one of the key literary texts of the twentieth century. Summary by Steve Gough

Thomas Mann’s epic novel depicts a decaying, corrupted European society on the eve of the First World War. Set in a luxurious sanatorium high up in the Swiss mountains, we follow the destinies of a variety of exotic characters – members of a bourgeois elite drawn from all parts of Europe. Most suffer from consumption, dream of a cure - yet are at the same time squeezing as much pleasure and distraction as they can out of a situation ever-shadowed by sickness, pain, and death. Part surreal comedy, part grim tragedy, part allegory, and part novel of ideas, Mann’s novel is regarded by many as one of the key literary texts of the twentieth century. - Summary by Steve Gough