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Skip to main content. Log In Sign Up. College of Nursing Nursing. All Departments 37 Documents 40 Researchers. Los ojos de mi princesa 2. Askep tbc ibu ulin home core. Occupational contact dermatitis is one of skin disease in industrial settings which may reduce worker Occupational contact dermatitis kontaj one of skin disease in industrial settings which may reduce worker productivities.
This chemical contact could lead to an occupational contact. Comparative jontak of threein vitro exposure methods for combustion toxicity. A comparative assessment of three approaches for the use of human cells in vitro to investigate combustion toxicity was conducted.
These included one indirect and two dfrmatitis passive and dynamic exposure methods. The indirect method used The cytotoxic effects of thermal decomposition products were assessed using the MTS 3- 4,5-dimethylthiazolyl 3-carboxymethoxyphenyl 4-sulfophenyl -2H-tetrazolium assay Promega on a selection of human cells including: HepG2, A and skin fibroblasts.
A small scale laboratory fire test using a vertical tube furnace was designed for the generation of combustion products.
xermatitis Polymethyl methacrylate PMMA was selected as a model polymer to study the cytotoxic effects of combustion products. Assessment using the NRU neutral red uptake and ATP adenosine triphosphate assays on human lung derived cells A was also undertaken.
This exposure method may be a potential system for in vitro cytotoxicity testing in combustion toxicity. A prospective cross-sectional study of motor vehicle crash victims transported to any of the 12 hospitals in a suburbadrural county by local ambulance services was performed.
Demographic and individual ACS criteria were collected using structured data instruments. EDs provided patient disposition within 24 hours of patient arrival. Medical records were reviewed. Major outcomes were admission, operative interventions ORmajor nonorthopedic operative interventions or death Maj-ORand injury severity score ISS. To optimize sensitivity and specificity of out-of-hospital triage decision rules, receiver operating characteristic ROC curves were derived.
For all outcomes, the most useful criteria were physiologic and anatomic. Physiologic and anatomic trauma triage criteria predicted increased hospital resource utilization and severe injury.
Level of training, wound care practices, and infection rates. To evaluate the effect of a documentation checklist and on—line medical control contact on ambulance transport of out—of—hospital patients refusing medical assistance. Consecutive patients served by four suburban Consecutive patients served by four suburban ambulance services who initially refused emergency medical services EMS transport to the hospital were prospectively enrolled.
In phase 1 control phaseall patients konyak initially refused medical attention or transport had an identifying data card completed. In phase 2 documentation phaseout—of—hospital providers completed a similar data card that contained a checklist of high—risk criteria for a poor outcome if not transported. In phase 3 intervention phasea data card similar to that used in phase 2 was completed, and on—line medical control was contacted for all patients with high—risk criteria who refused transport.
The primary endpoint was the percentage of patients transported to the hospital. A total of patients were enrolled. Transport rate varied by phase: Transport of high—risk patients improved with each intervention: Transport of patients without high—risk criteria decreased with each intervention: Contact with on—line medical control increased the likelihood of transport of high—risk patients who initially refused medical assistance.
The appropriateness of the decreased transport rate of patients not meeting high—risk criteria needs further dermatitiw.
To validate high-risk historical and physiologic out-of-hospital criteria as predictors of the need for hospitalization following ED evaluation. Consecutive patients entered into the Suffolk County advanced life support Consecutive patients entered into the Suffolk County advanced life support system were enrolled. Criteria were associated with the need for hospital admission following ED evaluation. Factors associated with an increased likelihood of admission or death among the transported patients were: Unresponsiveness and other abnormal vital signs were not associated with admission on univariate analysis.
Logistic regression dermatitjs identified two other factors associated with admission or death: These criteria may aid the design of out-of-hospital refusal-of-care policies. To describe the consistency of a cosmetic scale for repaired lacerations and to determine whether the appearance of lacerations at the time of suture removal correlates with the appearance six to nine months later.
A convenience sample of patients who had lacerations repaired in a university teaching hospital were evaluated at the time of suture removal and sin to nine months following repair. All lacerations were assigned 0 or 1 point each for the presence or absence of a step-off of borders, contour irregularities, margin separation, edge inversion, excessive distortion. A total cosmetic score 0—6 was calculated by adding the scores for the categories above.
The consistency of the cosmetic scale was assessed by comparison of scores given by two different practitioners evaluating each patient at suture removal and long-term follow-up. The 38 axkep practitioners were assigned based on availability and did not necessarily perform serial evaluations of the same patient.
The 41 participating patients had a median age of 19 years range.
Long-term follow-up was performed at a median of days range, — days after suture removal. For our clinicians, the six-item categorical scale appears consistent as a tool for the assessment of the cosmetic appearance of wounds. Evaluation of American college of surgeons kontqk triage criteria in a suburban and rural setting.
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To determine the association between emergency practitioner level of training and cosmetic appearance of primarily closed wounds as evaluated at the time of suture removal. A retrospective analysis of wound registry A retrospective analysis of wound registry data was performed. At the time of wound closure, standard data were collected including details of patient demographics, wound characteristics, preparation, closure, and postoperative care, for consecutive patients sutured in the ED. Follow—up data were obtained at the time of the return visit using a previously described cosmetic scale.
With the scale, all lacerations were assigned 0 or 1 point each for the presence or absence of six items: For analysis, the proportion of wounds with a score of 6 optimal cosmetic appearance in all categories was associated with practitioner level of training. Five hundred fifty—two patients’ wounds were evaluated.
The percentages of various practitioners’ achieving an optimal cosmetic score were: Significant improvement in short—term cosmetic results following wound repair is associated with a training level beyond PGY1.
These data reinforce the need for careful patient selection and close supervision of wound repair by trainees, especially of wound repair by medical students and interns. More than 11 million patients with traumatic wounds are seen annually in emergency departments. We developed and validated a data registry for traumatic wounds treated in the ED.
Prospective, consecutive patient enrollment with a Prospective, consecutive patient enrollment with a validation cohort of a convenience sample of patients. For all patients with traumatic wounds requiring sutures, wound registry data sheets were completed at the time of initial visit using a closed-question format.
Data recorded included demographic characteristics, time from injury to evaluation, pertinent medical history, wound characteristics, type of anesthesia, details of wound-cleansing methods, details of wound closure, and postoperative care. We devised a follow-up tool to evaluate for the presence of infection and short-term cosmetic appearance. Interphysician reliability was assessed for wound description, presence of infection, and cosmetic appearance by jontak of the kappa statistic.
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A wound registry data collection instrument that takes less than 1 minute to complete and enables the collection of most wound management techniques used by emergency physicians was found to have substantial interobserver concordance for wound description kappa range. The wound registry is a reliable data collection instrument that is easy to use. It may be useful as a continuous quality-improvement tool or for standardization of wound surveillance and treatment data to facilitate future prospective studies in wound management.
Overcrowding in America’s Emergency Departments: Inpatient Wards Replace Emergency Care. Outcome of patients who refused out-of-hospital medical assistance.
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