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An 85-year-old Woman with Altered Mental Status and Hypotension 85岁女性，精神状态改变，低血压
Advanced journal of emergency medicine Pub Date : 2019-04-27 DOI: 10.22114/ajem.v0i0.144
Mehran Sotoodehnia, A. Abdollahi, Maryam Khodayar
{"title":"An 85-year-old Woman with Altered Mental Status and Hypotension","authors":"Mehran Sotoodehnia, A. Abdollahi, Maryam Khodayar","doi":"10.22114/ajem.v0i0.144","DOIUrl":"https://doi.org/10.22114/ajem.v0i0.144","url":null,"abstract":"An 85-year-old female patient was brought to emergency department (ED) from a nursing home with altered mental status (GCS: 12/15) and hypotension (90/60 mmHg). Bilateral fine crackles in lungs and severe cachexia were obvious in her physical examination. The ECG showed only sinus tachycardia. Several attempts at peripheral vein cannulation failed due to poor visualization of severely atrophied and contracted subcutaneous veins. Therefore, on two attempts, a central venous catheter (CVC) was inserted into the right internal jugular vein (IJV) using the Seldinger technique. After securing and taping the central line, fluid infusion started with no difficulty and a portable chest x-ray was ordered.","PeriodicalId":94293,"journal":{"name":"Advanced journal of emergency medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74940543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reteplase versus Streptokinase in Management of ST-segment Elevation Myocardial Infarction; a Letter to the Editor. 雷替普酶与链激酶治疗st段抬高型心肌梗死给编辑的信
Advanced journal of emergency medicine Pub Date : 2019-04-15 eCollection Date: 2019-01-01 DOI: 10.22114/ajem.v0i0.143
Fahimeh Giahchi, Mahmonir Mohammadi
{"title":"Reteplase versus Streptokinase in Management of ST-segment Elevation Myocardial Infarction; a Letter to the Editor.","authors":"Fahimeh Giahchi, Mahmonir Mohammadi","doi":"10.22114/ajem.v0i0.143","DOIUrl":"10.22114/ajem.v0i0.143","url":null,"abstract":"","PeriodicalId":94293,"journal":{"name":"Advanced journal of emergency medicine","volume":"44 1","pages":"e34"},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80713341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Educational Intervention on Nurses’ Attitude, Intention and Behaviour Towards Family-Centered Care in Pediatric Wards in Iran: A Randomized Control Trial Utilizing Prospect Theory 教育干预对伊朗儿科病房护士家庭护理态度、意向和行为的影响:一项应用前景理论的随机对照试验
Advanced journal of emergency medicine Pub Date : 2019-01-18 DOI: 10.18686/AEM.V8I1.144
F. Rostami
{"title":"Effect of Educational Intervention on Nurses’ Attitude, Intention and Behaviour Towards Family-Centered Care in Pediatric Wards in Iran: A Randomized Control Trial Utilizing Prospect Theory","authors":"F. Rostami","doi":"10.18686/AEM.V8I1.144","DOIUrl":"https://doi.org/10.18686/AEM.V8I1.144","url":null,"abstract":"Background: The concept, family-centered care (FCC), is used to describe the way families are involved in the health care of hospitalized children. In developing countries, most paediatric wards claim to be ‘family-centered’, which means that the wards adopt a philosophy where parents are acknowledged as being central to their children’s existence. Despite substantial investments in researchers, dissemination and advocacy, huge gap exist between what is known about effective health services and what is done in real world practice. There is no common agreement between health care workers on provision of FCC in Iran. Objectives: To identify the effect of educational intervention on Family-Centered Care model on attitude, intention and behaviour of pediatric nurses. Methods: Participants were randomly assigned to complete a questionnaire assessing paediatric nurses’ attitude towards providing FCC in Iran. Results: There is no significant relationship between socio-demographic characteristics and attitude towards provision of FCC for both intervention and control groups (p>0.05). The mean of behaviour in the intervention group (1.57 unit) increased and difference among pre- and post-tests in behaviour score in the intervention group was significant (P<0.05). Conclusion: The findings have important theoretical implication as theory of planned behaviour verified that nurses’ behaviours changed after educational intervention.","PeriodicalId":94293,"journal":{"name":"Advanced journal of emergency medicine","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90024722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Looming Success in Cancer Vaccination 癌症疫苗即将取得成功
Advanced journal of emergency medicine Pub Date : 2019-01-11 DOI: 10.18686/AEM.V8.137
S. Rahman
{"title":"The Looming Success in Cancer Vaccination","authors":"S. Rahman","doi":"10.18686/AEM.V8.137","DOIUrl":"https://doi.org/10.18686/AEM.V8.137","url":null,"abstract":"Cancer vaccination projects are on trial worldwide and the results are far-off being a remarkable success. Albeit, thousands of clinical trials are taking place, only a several of those are producing a significant result to increase the survival rate of the patients. Four vaccines (Human papillomavirus - HPV vaccines, Hepatitis B virus - HBV vaccines, Sipuleucel-T and Oncophage) are approved for market in the United States and Russia so far. Most of the prototype vaccines are yielding at phase III clinical trials after being successful at phase I and II. Apparently, new visions and approaches are required to guide these projects to harvest better results.","PeriodicalId":94293,"journal":{"name":"Advanced journal of emergency medicine","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73716793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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