Tissue plasminogen activator

INTRODUCTION Acute limb ischemia (ALI) is defined as a sudden decrease in limb perfusion that threatens the viability of the limb and requires urgent evaluation and management.1 There are more than one treatments for ALI and these interventions of ALI have shown similar outcomes. A meta-analysis of five randomized trials comparing catheter-directed thrombolytic therapy (CDT) with surgery showed similar rates of limb salvage but thrombolysis was associated with higher rates of stroke and major hemorrhage

Cerebrovascular disease or the term stroke is used to describe the effects of an interruption of the blood supply to a localised area of the brain. It is characterized by rapid focal or global impairment of cerebral function lasting more than 24 hours or leading to death (Hatano, 1976). As such it is a clinically defined syndrome and should not be regarded as a single disease. Stroke affects 174-216 people per 10,000 population in the UK per year and accounts for 11% of all deaths in England and

1.1 Innate immunity The innate immunity provides an early phase of defence mechanism against intruding microorganisms, mediated by phagocytes such as macrophages and dendritic cells (DCs), having the ability to distinguish between self and non-self (pathogens). The innate immune system recognises microorganisms by germ-line encoded pattern recognition receptors (PRRs), expressed on all types of cells. The metabolic products generated by microbial pathogens rather than the host allow the immune system

Introduction The aim of this assignment is to reflect on the management of a patient with multiple organ dysfunction syndrome (MODS). Reflective practice is associated with learning from experience, (Johns & Freshwater 1998) and viewed as an important strategy for health professionals who embrace life long learning (Department of Health 2000). Engaging in reflective practice is associated with the improvement of the quality of care, stimulating personal and professional growth and closing the

the parenchyma cells stimulate the formation of an abundant collagenous stroma, referred to as desmoplasia. Some tumours e.g. some cancers of breast are stony hard or scirrhous. Sarcomas have little connective tissue stroma and so are fleshy. Pseudo tumours: i) An ectopic rest of normal tissue is sometimes called a choristoma e.g a rest of adrenal cells under the kidney capsule or a pancreatic nodular rest in the mucosa of the small intestine may mimic neoplasm.

Quality Improvement in Healthcare Course Project HIM420 By: Karon O’Brien Table of Contents Introduction Page 3 Risk Scenario Related to Patient Care and Safety Page 5 Risk Scenario Related to the Physical Plant Page 9 Risk Scenario Related to Staffing Page 13 Best Practices in 4 Hospitals Page 15 Tenet Healthcare Page 16 Cleveland Clinic Stroke Improvement Plan Page 17 Conclusion Page 18

International Classification of Diseases Coding II Chapter 17 – 27 Chapter 17: 1. Which of the following anemias is caused by a failure of the bone marrow to produce red blood cells and may be congenital or acquired? A. Bone marrow deficiency anemia B. Sickle-cell anemia C. Aplastic anemia D. Thalassemia 2. Which of the following terms refers to either a reduction in the quantity of hemoglobin or a reduction in the volume of red blood cells? E. Anemia

INTRODUCTION 1.0 BACKGROUND The world has witnessed a marked increase in patients presenting to infertility clinics in the past three decades.1 Nigeria lies within the infertility belt where prevalence of infertility is at the highest.2 Infertility has been found to be the leading reason for gynaecological consultations (accounting for about 60%) with a prevalence of about 15% in Nigeria.3 According to the World Health Organization (WHO) and International Committee for Monitoring Assisted Reproductive

blood glucose levels are controlled and if there is increased intracranial pressure, it is treated. All these factors are shown to have a significant role in the outcome of stroke patients. Thrombolysis is induced by the use of recombinant tissue plasminogen activator (rtPA) within 3 hours of onset of stroke is approved in most countries. Use of intravenous rtPA has proven to improve clinical outcome in ischemic stroke and is cost-effective and

PART ONE Medical-Surgical Cases 1 1 Cardiovascular Cardiovascular Disorders Case Study 1 Heart Failure Difficulty: Beginning Setting: Emergency department, hospital Index Words: heart failure (HF), cardiomyopathy, volume overload, quality of life X Scenario M.G., a “frequent flier,” is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come to the hospital today because I