A syndrome of generalized weakness, areflexia, and difficulty with weaning from a ventilator is a common clinical presentation in the critically ill patient, especially in the setting of sepsis, multiorgan failure, and hyperglycemia. At first believed to be a manifestation of nerve (critical illness neuropathy, CIN) or muscle (critical illness myopathy, CIM) dysfunction, our current conceptuali...

IT IS WIDELY RECOGNIZED that health care expenditures in the United States are increasing at unsustainable rates, and pressures are mounting for finding effective cost containment strategies, especially those that maintain access to care and assure quality. In 2004, health care spending will reach $1.6 trillion, or $6,167 per capita. Moreover, pre-Medicare Prescription Drug, Improvement, and Mo...

Safe Transfer and Retrieval provides a comprehensive review of the organisational and management strategy of the transportation of critically ill or injured patients. This book is quite original because it discusses the interhospital transfer risk management — and the number of interhospital transfers continues to rise. The book has different objectives: to understand why critically ill patient...

OBJECTIVE Patients with chronic obstructive pulmonary disease have perceptions of their illness and its management that determine their coping behaviors (e.g., adherence, self-management) and, consequently, their outcomes. This article reviews the empirical literature on illness perceptions in patients with COPD to provide clinicians with information regarding the potential utility of incorpora...

The management of diabetes during terminal illness is complex, with lack of agreement and consensus among physicians and multidisciplinary teams. Despite the plethora of guidelines available for the management of diabetes, there exists no agreed, evidence-based strategy for managing diabetes during terminal illness and at the end of life. A number of physiological factors may influence glycaemi...

in daily life, complexity results from countless factors. culture, environment, social and economic status and physical ability all contribute, and all complicate managing ill health. pharmacists bear witness to many of these complexities and increasingly must care for what have come to be known as ‘complex patients’.  the issue of  ‘complex patients’ is one that has been addressed by healthcar...

Background:Child health improvement is one of the most important indexes in health programs among all countries. One of the eight millennium development goals for 2015 is reduction of child mortality. Based on WHO recommendation Integrated Management of Childhood Illness (IMCI) is one of the most effective strategies to reduce under five mortality rates. In this study, we tried to compare knowl...

Objective: Educating families and caregivers of schizophrenic patients on controlling and managing the disorder, has found particular importance in clinical psychology. The present study aims to examine the effect of Psychoeducational interventions on illness management in families of schizophrenic patients. Methods: The present study is a quasi-experimental research with pretes...

OBJECTIVES To examine development in illness perceptions of type 1 diabetes across adolescence and relationships with intelligence, diabetes responsibility, and diabetes outcomes. METHODS Illness perceptions were measured via the Illness Perceptions Questionnaire at 3 times, every 6 months in 213 adolescents (M age = 13.00; SD = 1.54) with type 1 diabetes. Intelligence and adolescents' percei...