The anticipated birth of an extremely low gestational age (,25 weeks) infant presents many difficult questions, and variations in practice continue to exist.Decisions regarding care of periviable infants should ideally be well informed,ethically sound, consistent within medical teams, and consonant with the parents' wishes. Each health care institution should consider having policies and proced...

The generalized anatomic and physiologic immaturity of preterm infants of very low birth weight (VLBW) (<or=1,500 g) and extremely low birth weight (ELBW) (<or=1,000 g) places them at high risk for death or associated negative sequelae, including chronic lung disease of infancy (CLDI). The standard treatment for pulmonary immaturity, mechanical ventilation (MV) at birth, can lead to barotrauma,...

Neurologists feel uneasy when asked about temporary anticoagulant interruption for surgery in patients with atrial fibrillation (AF). Rational decisions can be made based on current scientific evidence. Method Critical review of international guidelines and selected references pertaining to bleeding and thromboembolism during periods of oral anticoagulant interruption. Results Withholding oral ...

Objective. Infants with respiratory failure may require prolonged intubation. There is no consensus on the time of tracheotomy in neonates. Methods. We evaluated infants applied tracheotomy, time of procedure, and early complications in our neonatal intensive care unit (NICU) retrospectively from January 2012 to December 2013. Results. We identified 9 infants applied tracheotomy with gestationa...

With the generalization of real-time traveler information, the behavior of modern transport networks becomes harder to analyze and to predict. It is now critical to develop simulation tools for mobility policies makers, taking into account this new information environment. Information is now individualized, and the interaction of a huge population of individually guided travelers have to be tak...

concerning each of these aspects was imperative throughout the progress of World War II and the mechanisms of dispersing current information regarding personal health measures were effective only insofar as they became highly individualized. The military experiences in provision of adequate clothing and in maintaining optimum nutritional status, based on careful physiological observation, are e...

In order to maintain a desirable patient-physician relationship, we need to continue our efforts to cultivate the idea of informed consent and to promote better communication. This seems to be particularly important for Japanese physicians. Disclosure of information needs to be individualized, and social and cultural background has to be taken into consideration. We also need to refine our effo...

There is an increasing awareness that the inclusion of quality of life as an outcome measure is important in ensuring a client-centred and holistic assessment. This review outlines the benefits of quality of life as an outcome measurement in the field of prosthetics. It introduces the key concepts and challenges in the definition and assessment of quality of life post-amputation, including the ...

Many obese and hypertensive individuals reside in suburban areas with poor health infrastructure low levels of public awareness. The adult morbidity mortality rates are currently being dominated by diet-related non-communicable diseases like obesity, hypertension, metabolic syndrome various countries. Applying both individualized community-based promotion strategies can result the prevention co...

Dalam menjalankan tugasnya, seorang pemimpin pastinya mengalami kendala dan hambatan, seperti masih ada saja berita negatif mengenai lembaga pemasyarakatan yang diterbitkan ke masyarakat. Seperti terselip informasi penyebaran narkoba di dalam lapas, masuknya smartphone narapidana mengatur dari lainnya. Serta terdapat perihal petugas membantu memasukkan itu bisa jadi disebabkan minimnya integrit...