Echocardiography is a key tool for hemodynamic assessment in Intensive Care Units (ICU). Focused echocardiography performed by nonspecialist physicians has a limited scope, and the most relevant parameters assessed by focused echocardiography in Pediatric ICU are left ventricular systolic function, fluid responsiveness, cardiac tamponade and pulmonary hypertension. Proper ability building of pe...

pulmonary arteriovenous malformations are rare clinical entities thai are associated with right to left shunts, and are often clinically presented by the triad of dyspnea, cyanosis, and digital clubbing. currently, transcatheter embolization of fistula is gaining increasing popularity as the superior therapeutic option. in certain situations, however, surgery is preferred. two cases of direct p...

BACKGROUND to describe clinical, radiologic and pathologic features of lung lesions in Birt-Hogg-Dubè syndrome (BHDS) (MIM 135150). METHOD review of 12 patients of BHDS from 3 unrelated Italian families evaluated at GB Morgagni Hospital, Forlì, from 2005 to 2010. RESULTS mean age (±SD) at diagnosis was 44.6 (±16) years, 8 (66%) were male. All three index cases presented with a history of re...

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OBJECTIVE To explore how students learn in community-based family physicians' offices from the student's point of view. METHOD Each student completing a community-based family medicine clerkship wrote a "critical incident" narrative about an event that was particularly educational. A coding system was developed by a multidisciplinary research team and thematic analysis was conducted. RESULT...

BACKGROUND Nosocomial outbreaks of tuberculosis (TB) have been attributed to unrecognized pulmonary TB. Accurate assessment in identifying index cases of active TB is essential in preventing transmission of the disease. OBJECTIVES To develop an artificial neural network using clinical and radiographic information to predict active pulmonary TB at the time of presentation at a health-care faci...

A young man presented to the emergency room in extremis and deteriorated into a state of pulseless electrical activity. Bedside echocardiography by emergency medicine physicians was crucial to the clinical decision to implement thrombolytic therapy for suspected massive pulmonary embolus.

interactions between physicians and nurses are regarded as an indicator to present the desirable care for the patient. the present study was conducted with aim of clarifying the status of communication and collaboration of nurses and physicians as well as the correlation between these two factors from the nurses' viewpoint. this research was a descriptive - analytical study of the cross-se...

in orders to promote the level of healthcare in societies, governments try to have different policies to transform the health system. the aim of this study was to measure the level of awareness of practitioners in iran, after initiating the new transformation of the health system in the country, starting from may 2014. this is a descriptive–cross-sectional study, which was inducted in october 2...