Assuntos
Dissecção Aórtica/tratamento farmacológico , Dissecção Aórtica/fisiopatologia , Artérias Carótidas/fisiopatologia , Transtornos Cerebrovasculares/tratamento farmacológico , Transtornos Cerebrovasculares/fisiopatologia , Dissecção Aórtica/patologia , Artérias Carótidas/patologia , Transtornos Cerebrovasculares/patologia , Fibrinolíticos/uso terapêutico , Heparina/uso terapêutico , HumanosRESUMO
Knowledge of legal mechanisms in a medical malpractice case is the defendant physician's power. Truth cannot be compromised; however, information can be displayed in the best light, which requires intense preparation, the best predictor of a successful case presentation.
Assuntos
Imperícia/legislação & jurisprudência , Papel do Médico , Prova Pericial/legislação & jurisprudência , Humanos , Prontuários Médicos/legislação & jurisprudência , Relações Médico-PacienteRESUMO
Preparing the nursing staff is essential when implementing bedside computers. Realistically, all staff may not be trained before the clinical information system (CIS) goes "live," but resource personnel and the vendor can alleviate stressors associated with the change. Promoting the system early is vital to gain interest and support.
Assuntos
Terminais de Computador , Unidades de Terapia Intensiva , Recursos Humanos de Enfermagem Hospitalar/educação , Quartos de Pacientes , Capacitação de Usuário de Computador , Humanos , Recursos Humanos de Enfermagem Hospitalar/psicologiaRESUMO
A multidisciplinary approach was used to select a bedside computer in a tertiary medical center's medical intensive care unit. Three committees were formed both by the medical center and the vendor: selection, configuration and implementation. A similar committee structure also existed with the vendor. The sets of committees formed a strong partnership to ensure a state-of-the-art system which would be easy to use and provide nursing staff with more time at the patient's bedside.
Assuntos
Cuidados Críticos , Sistemas de Informação Administrativa , Serviço Hospitalar de Enfermagem/organização & administração , Capacitação de Usuário de Computador , Custos e Análise de Custo , Humanos , Sistemas de Informação Administrativa/economia , Recursos Humanos de Enfermagem Hospitalar/educaçãoRESUMO
Historically, alpha-particle detectors have been limited by the very short range of alpha particles in air. This results in a number of problems inherent to alpha contamination detectors, such as relatively poor sensitivity, geometry limitations, and inefficient monitoring techniques. In this paper, we document tests of a new long-range alpha detector. The charges generated by the interaction of alpha particles with air can be transported over significant distances (several meters) in a moving current of air generated by a small fan. An ion chamber located in front of the fan measures the current carried by the moving ions and, hence, detects the alpha decays.