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Academic literature on the topic 'Critical care medicine – Case studies'

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Published: 27 July 2024
Last updated: 29 July 2024

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Journal articles on the topic "Critical care medicine – Case studies"

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GEER, RALPH T. "Case Studies In Critical Care Medicine." Anesthesiology 66, no. 2 (February 1, 1987): 258. http://dx.doi.org/10.1097/00000542-198702000-00038.

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Gafford, Frank H. "Case Studies in Critical Care Medicine." Critical Care Medicine 14, no. 2 (February 1986): 173. http://dx.doi.org/10.1097/00003246-198602000-00028.

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Hoyt, John W. "Case Studies in Critical Care Medicine." Anesthesia & Analgesia 65, no. 3 (March 1986): 323???324. http://dx.doi.org/10.1213/00000539-198603000-00034.

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Porter, K. M. "Case studies in critical care medicine." Injury 17, no. 6 (November 1986): 422. http://dx.doi.org/10.1016/0020-1383(86)90093-8.

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Haupt, Marilyn T. "Case Studies in Critical Care Medicine." JAMA: The Journal of the American Medical Association 254, no. 21 (December 6, 1985): 3109. http://dx.doi.org/10.1001/jama.1985.03360210125050.

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Scuderi, Phillip E. "Critical Care Management Case Studies." Anesthesiology 88, no. 2 (February 1, 1998): 556–57. http://dx.doi.org/10.1097/00000542-199802000-00052.

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Stack, C. G. "Case Studies in Paediatric Critical Care." British Journal of Anaesthesia 103, no. 4 (October 2009): 619. http://dx.doi.org/10.1093/bja/aep244.

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Henke, Vanessa G., Edward A. Bittner, and Michael J. Avram. "Case Studies in Pediatric Critical Care." Anesthesiology 113, no. 2 (August 1, 2010): 504. http://dx.doi.org/10.1097/aln.0b013e3181e4f99e.

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Weldon, B. Craig. "Case Studies in Pediatric Critical Care." Anesthesia & Analgesia 112, no. 1 (January 2011): 252–53. http://dx.doi.org/10.1213/ane.0b013e3181f0b8c8.

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Thorburn, Kentigern. "Case Studies in Pediatric Critical Care." Critical Care 14, no. 1 (2010): 301. http://dx.doi.org/10.1186/cc8836.

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Dissertations / Theses on the topic "Critical care medicine – Case studies"

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Grajales, III Francisco Jose. "Social media : a comprehensive knowledge synthesis and case studies of applications in medicine and health(care)." Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/42806.

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Social media are dynamic tools that have allowed virtual socialization and dialogue to emerge on the Internet. Although the term is often used synonymously with social networking and web 2.0, social media have penetrated intra-personal and professional communication extensively and their use has become essentially tacit knowledge among teenagers, and increasingly in the general population. To date, the value of social media to health professionals as a tool for clinical activity and in public health has not been extensively studied. Blogs, Facebook, Twitter, Wikipedia, YouTube, Flickr, Mashups and Second Life are no longer obscure words in the vocabularies of highly technical people. These spaces are starting to replace face-to-face interaction in a large majority of populations and institutions. Healthcare has not been isolated from this trend. The evidence base for the use of social media is rising exponentially, with applications in medical education, collaboration, surveillance, clinical trials, public health, and health services research. However, the comprehensive documentation of how, where and why these tools are affecting health(care) is not well documented. This thesis provides a comprehensive review of the impact of social media in medicine and health(care). Chapter 1 provides an overview of the conceptual and theoretical frameworks, along with the assumptions, that guide the use of social media in the health domain. Chapter 2 synthesizes the what, where, when, how and why social media are being adopted, structured according to the different functionalities of social media. These include blogs, microblogs, social networking, professional and thematic networking, wikis, media sharing tools, mashups, collaborative filtering/bookmarking and other social media (e.g., Second Life). Chapter 2 also discusses a series of clinical implications and recommendations for stakeholders wishing to engage these dynamic spaces. Chapter 3 reviews three recent administrative and judicial cases that have emerged from the inappropriate use of social media and Chapter 4 concludes with the main implications of and significance of the findings. Further research is clearly required to solidify the evidence on the use of social media in health care and to explore and document its economic, clinical, governance and tactical impact and utility.
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Mitchell, Cecilia F. "Health Safety-Net Crisis: A Case Study of News Discourse." Digital Archive @ GSU, 2013. http://scholarworks.gsu.edu/communication_theses/101.

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This study is the first to analyze news coverage of a hegemonic struggle over a crisis that threatened to close a Southern safety net hospital. Such closure could have left indigent, African American men and women without health care access. The study utilizes critical discourse analysis to focus on news portrayals of patients and the struggle over whether the hospital would continue to be governed by a majority-Black, public board of directors or a nonprofit, private board recommended by a majority-White civic group. Results indicate that newspaper coverage privileged the elite, White view, while stereotypically representing indigent, Black patients as problematic. Coverage legitimized privatizing the hospital’s board through a neoliberal discourse that also portrayed its majority-Black board as incompetent.
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Norton, Matthew J. "The impact and consequences of inspection on residential care for older people : a critical analysis of four case studies of Commission for Social Care Inspection (CSCI) inspection." Thesis, University of York, 2009. http://etheses.whiterose.ac.uk/842/.

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This research examines the impact and consequences of inspection by the Commission for Social Care Inspection (CSCI). The study begins with a Systematic Review (SR) of existing literature that is divided into effectiveness and process questions. The results of this review show there is no international literature on the effectiveness of inspection at improving residential care for older people. There is also very little process literature. The second part of the research uses a multi-site case study approach with a longitudinal element, to qualitatively examine the impact of inspection in relation to the quality of care provided by residential care homes for older people. Four CSCI inspectors from four different inspection offices across England took part in the study. The case studies show inspection struggled to induce quality improvements in services and had little direct impact on residents. A ‘culture of ageism’ existed within the services and this influenced both provision and residents expectations of care. Provision in all four case studies was still dominated by institutional routine and a lack of service user empowerment. In this context despite clear evidence regarding the value of outcomes focused care this had, by enlarge, not filtered through to the services in this study and there was still a tendency to focus on outputs without relating these to service user outcomes. I argue that the complexity of residential care, which depends upon an interaction between environment, care home management, staff, residents, their relatives, and the government inspectorate means that the most successful method of quality improvement comes through partnership and negotiation between the these groups. My findings have shown that it is very rarely one group who is decisive in determining an improvement in quality and that change must come about through negotiation. Although inspection must incorporate a notion of ‘assessment’ that is standardised and measurable, it should also encompass professional judgement and actively seek to include elements of user-expertise. I argue that despite rhetoric that advocates this approach the inspection regime is hamstrung by a particular form of management values and practice. Constant ‘modernisation’ of the inspectorate has further emphasised a model of inspection that sees care as a series of discrete events, where each issue is clearly defined and decisions are taken by inspectors who choose between a prescribed set of judgement criteria. To this extent inspection is increasingly focused on audit. I raise the question whether in the changing landscape of inspection the CSCI has marginalised inspectors and risks losing a very valuable method of effecting change.
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Buser, Stacey. "A CASE STUDY ON CRITICAL THINKING SKILLS AND PROBLEM-BASED LEARNING IN ATHLETIC TRAINING EDUCATION." University of Akron / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=akron1491588873882199.

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Robinson, Catherine Douglass. "A Multi Case Analysis of Critical Success Factors in Vietnam Laboratories Implementing Quality Management Systems to Earn International Accreditation." Thesis, Central Michigan University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10840693.

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After decades of global intervention to conquer diseases, healthcare in many countries is still lacking. Assessments of medical laboratories in developing countries today find poor infrastructure conditions with no standardized processes or quality assurance to guarantee accurate results and enable quality healthcare. Bringing healthcare programs in developing countries up to international standards remains a challenge.

Currently, there is a scarcity of scientific research related to the determinants of success in implementing quality management systems (QMS). There has been little research dedicated to identifying the critical success factors for medical laboratories striving to improve the accuracy and reliability of their testing services in developing countries.

In over nine years of research, the author realized there was a need for incorporating Critical Success Factor (CFS) methodology into laboratory modernization efforts. This time frame included CDC sponsored trips to several African countries and collaborating with the Vietnam Administration for Medical Services/Ministry of Health (VAMS), Centers for Disease Control-Vietnam (CDC-vn) and seven universities to build laboratory capacity and initiate laboratory improvements to meet national and international laboratory standards. In 2017, VAMS approved a proposed study to identify CSFs in four laboratories in Vietnam.

The research question this study sought to answer was "What are the top five critical success factors for successful implementation of QMS into laboratories in Vietnam?" with an outcome of improved accuracy and reliability of testing results. This study utilized both qualitative and quantitative research methods employing principles of descriptive research. A demographic survey, semi-structured interview, content analysis, and benchmarking were utilized to identify the top five CSFs and barriers. Content analysis was employed to review CSF definitions and categorize all 220 listed CSFs into ten comprehensive and mutually exhaustive categories. Two research assistants assisted the researcher place each CSF into one of the ten categories. Rigorous and non-rigorous methods measured interrater reliability with the categorization of CSFs. Cohen Kappa values were > 0.85 indicating excellent reliability and accuracy between the assistants and the researcher. Chi-square values were all > 0.05 (p < 0.05) indicating demographic variables did not statistically impact findings.

Qualitative responses were gathered through personal interviews, a demographic survey, and benchmarking. Using a stratified convenience sampling, participants represented four levels of stakeholders: laboratory staff, laboratory managers, hospital administrators, and clinicians utilizing laboratory services.

Data from this study found the top five CSFs were: staff knowledge of QMS, laboratory management leadership knowledge and skills, staff commitment to the QMS change process, mentorship, and hospital administration support. In addition to determining the top five CSFs, the study revealed information about encountered or perceived barriers to successful QMS implementation. The participants in this study identified lack of staff knowledge on QMS, lack of financial support from the hospital administration, ineffective laboratory manager leadership knowledge and skills, lack of laboratory infrastructure, and lack of sufficient resources.

The study’s findings add to the body of knowledge in strengthening medical laboratory services and may serve as a basis for continued research in this area of health care. Local, national, and international partners may use this information to tailor training materials and activities to better meet the needs of participating laboratories across Vietnam.

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Hasselgren, Mikael. "Epidemiological Aspects of Asthma in Primary Care : Special Reference to Prevalence, Clinical Detection and Validation." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6144.

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O'Carroll, Veronica. "Practice mentors' attitudes and perspectives of interprofessional working, and interprofessional practice learning for students : a mixed-methods case study." Thesis, University of St Andrews, 2017. http://hdl.handle.net/10023/10482.

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The demands on health and social care organisations require professions to work more collaboratively. During pre-registration training, health care and social work students learn within practice settings, supported by practice mentors. These settings are rich learning environments to experience interprofessional working (IPW) and for students to learn together through interprofessional practice learning (IPPL). There is, however, evidence that students' experiences of both are varied or limited. The value placed on IPW, and IPPL, is therefore of interest. This thesis will investigate practice mentors' attitudes to IPW and IPPL, and explore their perspectives of the enablers and barriers to these occurring in practice settings. A mixed-methods case study approach was used to measure the attitudes of practice mentors from health and social work, and to identify enablers and barriers to IPW, and IPPL for students. Online surveys and semi-structured face to face interviews were carried out with a range of professions within one Scottish health board and associated local authority. Results showed that attitudes to IPW, and IPPL for students were generally positive. Attitudes were not significantly affected by governing body, gender, area of work, years of experience, or prior experience of IPE. IPW was perceived to be enabled by shared processes and policies, IPPL for staff, effective communication, established teams, and shared processes and policies. Proximity to other professions and shared spaces encouraged informal communication and positive interprofessional relationships. Regular structured IPPL opportunities for students were limited. However, where opportunities did occur, this was linked to areas where practice mentors perceived that there was a strong interprofessional team identity. Although attitudes to IPW, and IPPL for students are positive, further work is needed to identify systems for improving IPW, to strengthen professions' identity as interprofessional teams, and to increase IPPL opportunities for students.
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Sandberg, Johanna. "Institutionally Shaped Response to the Introduction of National Guidelines : Case Studies in the Swedish Regional Health Policy Arena." Licentiate thesis, Linköpings universitet, Avdelningen för hälso- och sjukvårdsanalys, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-152648.

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The purpose of this thesis is to explore the institutionally shaped response to the introduction of the national guidelines on the Swedish regional health policy arena. The thesis consists of two case studies. Adapting a qualitative approach, the data is based on individual interviews and these were analysed thematically. The first paper explores the response by four Swedish regional health authorities to the introduction of the National Guidelines for Cardiac Care, while the second paper aims to broaden the understanding of how the national guidelines are used for strategic purposes among politicians. As illustrated in this thesis, organizations will respond, adjust and react to external pressure according to conditions shaped by the institutional context. Key findings here are that the national guidelines are a complex policy instrument that, beyond being able to be used in an instrumental fashion by the medical managment, can also serve a legitimizing function for political decision-makers. The goals of the national guidelines, i.e. equal and efficient care, and the uncertainty about who, among multiple stakeholders, is responsible for the guidelines in the regional health authority, is a source of ambiguity and potential conflict. Those who are potentially responsible represent different rationales – a political rationale and a scientific rationale. The dominating scientific rationale of the national guidelines can create instability, when pushing towards the use of explicit priority-setting. Priority-setting in the institutional setting of a regional health authority has strong elements of becoming “wicked problems” since the dilemma of prioritization remains regardless of ambitions to apply a “technocratic fix”. A wicked problem is characterized by high complexity and being persistently hard to solve (Williams et al. 2012). A recurring dilemma is that priority-setting still contains many wicked problems, as social values and political considerations remain important parts of the policy process. One weakness of the national guidelines, identified in this thesis, is that the guidelines discuss each service area separately, and thereby reinforce a silo mentality in the Swedish health policy arena. To sum up, the national guidelines create a multifaceted and complex response in the Swedish health policy arena where different rationalities collide, and where conflicts appear and are dealt with within the regional health authorities.
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Austin, Stacy Theodora. "International and Domestic Student Health-Information Seeking and Satisfaction." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/804.

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This study examines two groups -international and domestic students at Portland State University (PSU) - in terms of their motivations to seek university-health services, and their satisfaction with university-health services. The Theory of Motivated Information Management (W. A. Afifi & Weiner, 2004) served as the foundation for this study to examine the preferences of students in terms of the ways they seek information about their health concerns. Differences in international and domestic students' anxiety, efficacy, and satisfaction with physicians were supported. International students reported more anxiety than domestic students. Domestic students reported being more efficacious than international students when talking to a medical provider about a current medical issue. Also, international students reported higher satisfaction with a medical provider at their last university health services visit. First, subjects were asked if they currently have a medical concern for which they might consider consulting a physician at PSU health services. If this scenario applied, subjects were asked to rate a variety of possible, theoretically informed motivations for seeking medical information by consulting a physician, to test the Theory of Motivated Information Management. Second, subjects were asked if they have previously consulted a physician at PSU health services. If this scenario applied, subjects were asked to provide satisfaction ratings of the physician and staff. The results contribute to the understanding of information-seeking processes and support the theory's effectiveness in this situation, explaining where international and domestic students are significantly different in regard to their responses.
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Ott, Kenneth Brad. "The Closure of New Orleans' Charity Hospital After Hurricane Katrina: A Case of Disaster Capitalism." ScholarWorks@UNO, 2012. http://scholarworks.uno.edu/td/1472.

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Abstract Amidst the worst disaster to impact a major U.S. city in one hundred years, New Orleans’ main trauma and safety net medical center, the Reverend Avery C. Alexander Charity Hospital, was permanently closed. Charity’s administrative operator, Louisiana State University (LSU), ordered an end to its attempted reopening by its workers and U.S. military personnel in the weeks following the August 29, 2005 storm. Drawing upon rigorous review of literature and an exhaustive analysis of primary and secondary data, this case study found that Charity Hospital was closed as a result of disaster capitalism. LSU, backed by Louisiana state officials, took advantage of the mass internal displacement of New Orleans’ populace in the aftermath of Hurricane Katrina in an attempt to abandon Charity Hospital’s iconic but neglected facility and to supplant its original safety net mission serving the poor and uninsured for its neoliberal transformation to favor LSU’s academic medical enterprise.
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Books on the topic "Critical care medicine – Case studies"

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D, Cane Roy, and Shapiro Barry A. 1937-, eds. Case studies in critical care medicine. Chicago: Year Book Medical Publishers, 1985.

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D, Cane Roy, Shapiro Barry A. 1937-, and Davison Richard 1937-, eds. Case studies in critical care medicine. 2nd ed. Chicago: Year Book Medical Publishers, 1990.

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D, Cane Roy, and Shapiro Barry A. 1937-, eds. Case studies in critical care medicine. Chicago: Year Book Medical Publishers, 1985.

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Henry, Fok, and Nabeebaccus Adam, eds. 100 cases in acute medicine. London: Hodder Arnold, an Hachette UK Company, 2012.

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Power, Kenneth J. Case presentations in anaesthesia and intensive care. Oxford: Butterworth-Heinemann, 1992.

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Sahn, Steven A. Critical care pearls. 2nd ed. Philadelphia: Hanley & Belfus, 1998.

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Holstege, Christopher P. Visual diagnosis in emergency and critical care medicine. Malden, Mass: Blackwell Pub., 2006.

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Moskowitz, Harold. I.C.U. chest radiology: Principles and case studies. Hoboken, N.J: Wiley-Blackwell, 2010.

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Brock-Utne, MD, PhD, FFA(SA), John G. Case Studies of Near Misses in Clinical Anesthesia. New York, NY: Springer Science+Business Media, LLC, 2011.

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Powell, Lisa L. Small animal emergency and critical care: Case studies in client communication, morbidity, and mortality. Ames, IA: Blackwell Pub., 2010.

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Book chapters on the topic "Critical care medicine – Case studies"

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Supinski, Gerald S., and Leigh A. Callahan. "Hydroxymethylbutyrate and Eicosapentaenoic Acid: Preclinical Studies to Improve Muscle Function in Critical Care Medicine." In Diet and Nutrition in Critical Care, 1–16. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4614-8503-2_132-1.

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Supinski, Gerald S., and Leigh A. Callahan. "Hydroxymethylbutyrate and Eicosapentaenoic Acid: Preclinical Studies to Improve Muscle Function in Critical Care Medicine." In Diet and Nutrition in Critical Care, 1135–48. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4614-7836-2_132.

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Segaran, Ella. "Critical care." In Dietetic and Nutrition Case Studies, 157–59. Chichester, UK: John Wiley & Sons, Ltd, 2016. http://dx.doi.org/10.1002/9781119163411.ch41.

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Liss, David. "Critical Care Case Studies." In Pain Management for Veterinary Technicians and Nurses, 393–95. Chichester, UK: John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119421436.app3.

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Patterson, Jo Ellen, Todd M. Edwards, Gene A. Kallenberg, and Sol D'Urso. "Collaborative Care for an Immigrant Couple." In Collaborative Medicine Case Studies, 143–52. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-76894-6_13.

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Strosahl, Kirk, and Patricia Robinson. "The Primary Care Behavioral Health Model: Applications to Prevention, Acute Care and Chronic Condition Management." In Collaborative Medicine Case Studies, 85–95. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-76894-6_8.

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Kessler, Rodger, and Dale Stafford. "Primary Care Is the De Facto Mental Health System." In Collaborative Medicine Case Studies, 9–21. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-76894-6_2.

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Hodgson, Jennifer, Charles Shuman, Ryan Anderson, Amy Blanchard, Patrick Meadors, and Janie Sowers. "Bringing the Family into Focus: Collaborative Inpatient Psychiatric Care." In Collaborative Medicine Case Studies, 351–63. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-76894-6_29.

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Peek, C. J. "Planning Care in the Clinical, Operational, and Financial Worlds." In Collaborative Medicine Case Studies, 25–38. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-76894-6_3.

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Collins, Charlotte A., Barbara B. Walker, Jeff R. Temple, and Peter Tilkemeier. "Integrated Care in a Cardiac Rehabilitation Program: Benefits and Challenges." In Collaborative Medicine Case Studies, 255–66. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-76894-6_20.

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Conference papers on the topic "Critical care medicine – Case studies"

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Jasim, Kawthar Hasan. "The Critical Care Medicine Research: A Systematic Review." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0205.

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Objectives: The cost-effectiveness terminology is a common term used in the critical care medicine research. A systematic review analysis was conducted to study the patterns of the use and misuse of the cost-effectiveness terminology in the critical care medicine literature between 1998 and 2018. Methods: A search in the inCite journal citation report was done to identify all the critical care medicine journals. An independednt search done to identify all the articles between 1980 to 2018 that claimed in their abstracts/article to perform a cost-effectiveness analysis (CEA). Eligible articles were included and analyzed using x2-test. The articles were categorized into four different levels based on the appropriateness of CEA terminology use. The analysis performed to assess the association between the appropriateness of CEA terminology and the journal impact factor (IF), author background, and the publication year (5-year time points). Results: Out of 7,835 articles in targeted subject category, 76 met the inclusion criteria, but 50 of them were analyzed. Of these 50 articles, 32 (64.0%) met the appropriate criterion of CEA terminology use. 71.4% of articles published in journals with IF: 3.0 - 21.4 were appropriately using CEA term compared to 54.5% studies that are published in journals with IF: 0.4 - 2.8. Of these articles, which are appropriately use CEA terminology, 56.2% of the articles have at least one author with health economics expertise. Conclusion and recommendation: The preliminary data suggest that there is an association between the level of appropriateness and journal impact factor and the author health-economic background authorship. However, we did not demonstrate changes in the level of appropriateness with time. Decision-makers, authors, and editors should pay better attention in seeking ways to monitor the appropriate use of “cost-effectiveness” terminology. More future studies should be done in this context.
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Kahlen, Franz-Josef, George Swingler, Anabela C. Alves, and Shannon Flumerfelt. "Decision-Making Competencies in Engineering and Medicine." In ASME 2014 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/imece2014-39891.

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A number of studies conducted since the turn of the millennium have identified several deficits in engineering education; the most widely cited are deficits in critical analysis, systems thinking, and visualizing non-linear cause-effect chains. The field of engineering education has undergone a number of notable changes in response to such identified deficits but recent field studies such as Vision 2030 identified remaining shortfalls in engineering competencies as well as significant discrepancies in the perception of the severity of these deficits. While academic engineering programs feel that their programs adequately prepare engineering students for the practice of engineering, entry-level hiring managers disagree. In the practice of medicine, decision-making in practicing physicians is a critical competency which can make the difference between appropriate and incorrect diagnoses, and may affect the patient’s well-being or his life. Making a decision for an appropriate treatment plan in the face of insufficient or contradicting data points often times is compounded by the fact that time-scales can be significantly shorter than in the case of a machine design project. And while the majority of patients is discharged from hospital care in better health, medical professionals and educators are questioning their own approach to decision making in light of technological advances affecting their disciplines, and because of an improved understanding of the biochemistry and opportunities of genetic manipulations of the human body. Therefore, the field of medical decision making is also undergoing an overhaul in the education and training of medical students. This paper contrasts the current decision-making competencies that are imparted as part of the respective fields’ academic education, identifies the challenges in each discipline, and identifies opportunities for cross-pollination of better practices to develop decision-making competencies.
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Gharib, Mohamed, Tala Katbeh, G. Benjamin Cieslinski, and Brady Creel. "An Integrated Engineering Agriculture STEM Program." In ASME 2020 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/imece2020-23584.

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Abstract Pre-college project-based learning programs are essential means to increase the students’ interest toward STEM (science, technology, engineering, and mathematics) disciplines and careers. Engineering-based projects have shown significant impact on the students’ interests. Therefore, developing countries are investing strategically in their emphasis to attract students to careers in STEM fields, specifically engineering and medicine. That resulted in a steady expansion of their educational pipeline in STEM; and while that emphasis remains, there is a new and urgent need for expertise in agriculture, environmental science, life sciences and sustainability to support the agriculture industry, which is working to secure independent sources of food for their population. New interventions must be devised to stimulate broader interest in STEM fields while also increasing students’ academic readiness for advanced studies in those areas. To target the requirement of increasing people’s competencies in STEM fields, various programs have been created and designed to inspire and broaden students’ inquisitiveness toward STEM. This paper presents an integrated science-engineering program, called Qatar Invents, designed to support and enhance students’ learning of science concepts while also increasing students’ understanding of global challenges in food and water security. This goes with close connection to the desire to increase in the domestic production of agricultural resources in developing countries in recent years. Qatar Invents would engage students into learning and applying fundamental engineering skills onto relatable real-world issues: namely, in the design of hydroponics systems. Qatar Invents challenges students to develop critical thinking and problem solving skills in solving modern problems through the use of the engineering design process. With hands-on challenges, modeling, and communication training, students are motivated to tackle problems related to food security where they create hydroponics projects. Qatar Invents’ learning objectives included: teamwork, using proper toolbox skills, understanding what is engineering, the process of brainstorming, creating successful innovative designs, building prototypes, and developing presentation skills. Throughout this program, the participants were equipped with hands-on knowledge and critical thinking skills that helped them achieve their objectives. Utilizing the engineering design process, the students worked in small teams to brainstorm ideas and create inventions. The topics covered during the program included the importance of an engineering notebook and documentation, principals of engineering graphics, basics of agricultural science, foundations of hydroponics, the brainstorming practice, generating a decision matrix, proof of concept, and pitching ideas. At the end of the program, the students came up with novel solutions to serious problems wherein unique hydroponics projects were produced and presented to a panel of experts. This program attempts to build bridges between developing countries’ STEM education pipeline and the new demand of talent in the agriculture sector. All pertinent details including the preparation, instructional materials, prototyping materials, and case studies are presented in this paper.
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Ramadurai, D., M. T. Kearns, E. Sarcone, and A. Neumeier. "Health Disparities Education Implemented Through a Case-Based Critical Care Curriculum for Internal Medicine Residents." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a1427.

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Iles, Tinen L., Timothy G. Laske, David L. Garshelis, Lars Mattison, Brian Lee, Val Eisele, Erik Gaasedelen, and Paul A. Iaizzo. "Medtronic Reveal LINQ™ Devices Provide Better Understanding of Hibernation Physiology in the American Black Bear (Ursus Americanus)." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3498.

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The American black bear (Ursus americanus) has been called a metabolic marvel6. In northern Minnesota, where we have conducted long-term physiological and ecological studies of this species, bears may remain in their winter dens for 6 months or more without eating, drinking, urinating or defecating and yet lose very little muscle mass2. We also found that hibernating black bears elicit asystolic events of over 30 seconds and experience an exaggerated respiratory sinus arrhythmia2. In this previous work we employed Medtronic Reveal® XT devices that required us to visit the den and temporarily extract the bear (under anesthesia) to download the stored data.4 Here we describe Medtronic’s latest generation of Insertable Cardiac Monitor (ICM), the Reveal LINQ™, which enables continuous transmission of data via a relay station from the den site3. Black bear hibernation physiology remains of high interest because of the multiple potential applications to human medicine. ICMs have been used for nearly two decades by clinicians as a critical diagnostic tool to assess the nature of cardiac arrhythmias in humans. Such devices are primarily implanted subcutaneously to record electrocardiograms. The device size, battery life and transmission capabilities have evolved in recent years. The first devices were relatively large and a programmer was needed to retrieve information during each clinical (or in our case, den visit). These devices were programmed to capture cardiac incidents such as asystolic events, arrhythmias and tachycardias and apply algorithms that ensure proper data collection: e.g. ectopy rejection and p-wave presence algorithms. The new generation Reveal LINQ was made to telemetrically transmit heart data from human patients, but we needed to develop a system to enable transmission from bear dens, which are remote (cannot easily be checked and adjusted) and are subject to extreme winter weather conditions. Besides the advantage of these devices transmitting data automatically, they are considerably smaller and thus less prone to rejection by the extraordinary immune system of the hibernating bear1.
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Kawaguchi, Yaeko, and Yasunobu Ito. "The Invisible Work and its Value of Outpatient Nurses: A Case Study of an Internal Medicine Clinic in Fukuoka, Japan." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002551.

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In recent years, the environment surrounding medical care in Japan has been changing drastically with the development and sophistication of medical care and the declining birthrate and aging of the population. In response to the changes in medical care, nurses are now required to provide high quality direct care to patients with various diseases and living environments. For this reason, work that does not involve patients, such as clerical work, has been regarded as less valuable as a nurse’s job. However, in practice, many of the nurses’ jobs do not involve patients. These jobs are not valued by society and the nursing community, making them “invisible”. In order to visualize the nurses' work based on facts, it is necessary to clarify the invisible work of nurses and its value. Until now, there have been a few ethnographic studies that have attempted to reveal the invisible work of Japanese nurses. The purpose of this paper is to clarify the invisible work of outpatient nurses and what their value is through a case study of an internal medicine clinic in Japan. As a result of the study, it was found that outpatient nurses not only assist with medical treatment, which is defined by law as nurses’ work, but they play an important role in the functioning of outpatient clinics by performing other duties. This is where the value of the invisible work performed by outpatient nurses is thought to exist.
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Heinz, Manuela, Mary Fleming, Pauline Logue, and Joseph McNamara. "Collaborative learning, role play and case study: Pedagogical pathways to professionalism and ethics in school placement." In Learning Connections 2019: Spaces, People, Practice. University College Cork||National Forum for the Enhancement of Teaching and Learning in Higher Education, 2019. http://dx.doi.org/10.33178/lc2019.26.

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Teachers are moral agents. Acting professionally in loco parentis teachers have a legal and moral duty of care to students (DES, 2017). Moreover, they can be regarded as moral ‘role models’ (Bergen, 2006; Lumpkin, 2013). Professional codes of practice assist teachers in their moral agency (Alberta Teachers’ Association, 2004; CDET, 2017; DfE, 2011; Education Council, 2017; Teaching Council, 2012; 2016; World Class Teachers, 2017). In conjunction with official codes of conduct, TE ethics programmes contribute to the development of “a moral language” and raise awareness of moral agency in teaching (Shapira-Lishchinsky, 2010). In 2014 the National University of Ireland, Galway (NUIG) and the Galway-Mayo Institute of Technology (GMIT) jointly developed a cross-institutional training programme entitled ‘The Ethical Teacher Programme’, designed to facilitate student teachers to reflect upon professionalism and ethics during School Placement. The programme incorporated both a study of the Teaching Council Code of Professional Conduct for Teachers (Code) (2012) and explorations of selected ethical ‘case studies’ in teaching, using collaborative learning (CL) and role play strategies. The ‘ethical dilemma’ approach employed mirrored literature studies (Colenerud, 1997; Husu & Tiri, 2003; Klassen, 2002). Unique to the approach, however, was the method of application of selected classical and contemporary ethical philosophies to moral dilemmas in teaching. The programme was designed to include a one-hour introductory lecture on professionalism and ethics (from the perspectives of moral literacy and ethical theory) followed by a two-hour applied workshop. The workshop employed student-centred, active teaching and learning methods, specifically, collaborative learning, role play and case study analysis. Six ethical philosophical principles (or ‘lenses’) were integrated into programme delivery - teleology, deontology, virtue ethics, justice ethics, care ethics and relationality ethics. These lenses were applied to real-world teaching case studies. One cohort to which this training programme is offered annually is the student teachers on the Professional Master of Education (PME) programme in NUIG. The PME cohort (2015-2016) is the focus of the present study. The study sought a critical reflection on, and evaluation of, this training programme, from a student perspective. This study is phase one of a larger on-going study.
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Ettema, Roelof, Goran Gumze, Katja Heikkinen, and Kirsty Marshall. "European Integrated Care Horizon 2020: increase societal participation; reduce care demands and costs." In CARPE Conference 2019: Horizon Europe and beyond. Valencia: Universitat Politècnica València, 2019. http://dx.doi.org/10.4995/carpe2019.2019.10175.

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BackgroundCare recipients in care and welfare are increasingly presenting themselves with complex needs (Huber et al., 2016). An answer to this is the integrated organization of care and welfare in a way that personalized care is the measure (Topol, 2016). The reality, however, is that care and welfare are still mainly offered in a standardized, specialized and fragmented way. This imbalance between the need for care and the supply of care not only leads to under-treatment and over-treatment and thus to less (experienced) quality, but also entails the risk of mis-treatment, which means that patient safety is at stake (Berwick, 2005). It also leads to a reduction in the functioning of citizens and unnecessary healthcare cost (Olsson et al, 2009).Integrated CareIntegrated care is the by fellow human beings experienced smooth process of effective help, care and service provided by various disciplines in the zero line, the first line, the second line and the third line in healthcare and welfare, as close as possible (Ettema et al, 2018; Goodwin et al, 2015). Integrated care starts with an extensive assessment with the care recipient. Then the required care and services in the zero line, the first line, the second line and / or the third line are coordinated between different care providers. The care is then delivered to the person (fellow human) at home or as close as possible (Bruce and Parry, 2015; Evers and Paulus, 2015; Lewis, 2015; Spicer, 2015; Cringles, 2002).AimSupport societal participation, quality of live and reduce care demand and costs in people with complex care demands, through integration of healthcare and welfare servicesMethods (overview)1. Create best healthcare and welfare practices in Slovenia, Poland, Austria, Norway, UK, Finland, The Netherlands: three integrated best care practices per involved country 2. Get insight in working mechanisms of favourable outcomes (by studying the contexts, mechanisms and outcomes) to enable personalised integrated care for meeting the complex care demand of people focussed on societal participation in all integrated care best practices.3. Disclose program design features and requirements regarding finance, governance, accountability and management for European policymakers, national policy makers, regional policymakers, national umbrella organisations for healthcare and welfare, funding organisations, and managers of healthcare and welfare organisations.4. Identify needs of healthcare and welfare deliverers for creating and supporting dynamic partnerships for integrating these care services for meeting complex care demands in a personalised way for the client.5. Studying desired behaviours of healthcare and welfare professionals, managers of healthcare and welfare organisations, members of involved funding organisations and national umbrella organisations for healthcare and welfare, regional policymakers, national policy makers and European policymakersInvolved partiesAlma Mater Europaea Maribor Slovenia, Jagiellonian University Krakow Poland, University Graz Austria, Kristiania University Oslo Norway, Salford University Manchester UK, University of Applied Sciences Turku Finland, University of Applied Sciences Utrecht The Netherlands (secretary), Rotterdam Stroke Service The Netherlands, Vilans National Centre of Expertise for Long-term Care The Netherlands, NIVEL Netherlands Institute for Health Services Research, International Foundation of Integrated Care IFIC.References1. Berwick DM. The John Eisenberg Lecture: Health Services Research as a Citizen in Improvement. Health Serv Res. 2005 Apr; 40(2): 317–336.2. Bruce D, Parry B. Integrated care: a Scottish perspective. London J Prim Care (Abingdon). 2015; 7(3): 44–48.3. Cringles MC. Developing an integrated care pathway to manage cancer pain across primary, secondary and tertiary care. International Journal of Palliative Nursing. 2002 May 8;247279.4. Ettema RGA, Eastwood JG, Schrijvers G. Towards Evidence Based Integrated Care. International journal of integrated care 2018;18(s2):293. DOI: 10.5334/ijic.s22935. Evers SM, Paulus AT. Health economics and integrated care: a growing and challenging relationship. Int J Integr Care. 2015 Jun 17;15:e024.6. Goodwin N, Dixon A, Anderson G, Wodchis W. Providing integrated care for older people with complex needs: lessons from seven international case studies. King’s Fund London; 2014.7. Huber M, van Vliet M, Giezenberg M, Winkens B, Heerkens Y, Dagnelie PC, Knottnerus JA. Towards a 'patient-centred' operationalisation of the new dynamic concept of health: a mixed methods study. BMJ Open. 2016 Jan 12;6(1):e010091. doi: 10.1136/bmjopen-2015-0100918. Lewis M. Integrated care in Wales: a summary position. London J Prim Care (Abingdon). 2015; 7(3): 49–54.9. Olsson EL, Hansson E, Ekman I, Karlsson J. A cost-effectiveness study of a patient-centred integrated care pathway. 2009 65;1626–1635.10. Spicer J. Integrated care in the UK: variations on a theme? London J Prim Care (Abingdon). 2015; 7(3): 41–43.11. Topol E. (2016) The Patient Will See You Now. The Future of Medicine Is in Your Hands. New York: Basic Books.
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Elkefi, Safa, Onur Asan, and Tina W F Yen. "Using Human factors approach to evaluate patient-centered cancer care." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002186.

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Patient-centered care (PCC) approaches are critical for the delivery of high-quality care in cancer care where the therapeutic alliance between patients and the oncologists is frequent over extended periods of time. The concept of patient-centered care has received increased attention since the publication of the 2001 Institute of Medicine (IOM) report Crossing the Quality Chasm. In this study, we create and evaluate a new framework for patient-centered care in cancer using human factors approaches. Many initiatives focused on developing technologies that help foster PCC by increasing patients’ access to information and facilitating self-monitoring and patient convenience. This paper makes an important contribution to the literature by historically examining the evolution of the definitions of care approaches from disease-centered care focusing on curing the diseases to patient-centered care satisfying patients’ needs to person-centered care. Instead of treating people like victims of diseases, this model recognizes their need for more than one professional to support them emphasizing their capabilities and potential to improve their own health by themselves. It also provides a different and complementary way to the visit-oriented approach furnishing more accessible and continuous care over time, Our contribution also covers summarizing the existing measures adopted to measure its components and finally suggests a socio-technical framework based on the human factors approach to measuring PCC effectiveness. Our approach to measuring PCC is grounded in the conceptual framework we are suggesting that evaluates the effectiveness of patient-centered care based on a socio-technical perspective. We link the cognitive perception of patients towards PCC (Cognitive Sensory Input) to their exposure to external factors (Exposure) that may affect their (Cognition) behavior. A holistic approach recognizing health care as a dynamic socio-technical system in which sub-elements interact with each other remains necessary to better understand the system and its constraints in cancer care. We use a case study to emphasize the importance and need of such a human factors-based framework in providing a better quality of care and improving health outcomes. Achieving high-quality care is a complex pursuit in any setting especially for cancer care and improving the patient journey requires an integrated system of care and productive interactions among many system levels. By understanding the work system components, the design and integration of tasks, technology, and clinical processes can be reviewed to better support the respective needs of individuals while optimizing system performance. A supportive work environment and a highly engaged workforce are highly correlated with improved quality of patient-centered care and hospital performance. At the population level, case managers, navigators, quality officers, and administrators may track outcomes across patients.This framework can help organize clinical interventions that aim to control cancer patients’ behavior from a patient-centered perspective. It can also help technology designers by giving them insight into how patient-centeredness in the design of health informatics can impact cancer patients’ behavior. In addition, patient-centered designs can enhance technology acceptance among cancer patients making it easier to adopt technology for follow-up reasons by involving human factors and ergonomics principles in order to ensure successful results.
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Gomes, Fernanda Klein, Antonio Sérgio Mathias, Andressa Naomi Kume, Eda Silva Cesar, Gabriel Henrique Silva Nogueira, Nicolas Kipman Cerqueira, and Matheus Santos Castilho. "Staphylococcus aureus brain abscess due to chronic sinusopathy and mastoiditis: a case report." In XIV Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2023. http://dx.doi.org/10.5327/1516-3180.141s1.525.

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Introduction: A brain abscess is an intraparenchymal collection of pus and a life-threatening infection. Despite the advancements in imaging and diagnostic techniques, observational studies suggest mortality rate still remains high. The clinical presentation usually includes fever, headache and focal neurologic deficits. About 90% result from pericranial infection such as sinusitis, mastoiditis and otitis media, and many are hematogenous borne such as bacterial endocarditis. Bacteroides, Peptostreptococcus and Streptococcus are the most pathogens identified in brain abscesses due to contiguous spread from pericranial infection, while Peptostreptococcus and Streptococcus are the ones in patients with cardiac origin. Staphylococcus is common in posttraumatic and postoperative cases. The treatment must be individualized according to the pathogen and the patient. Initial therapy should include broad spectrum antibiotics. Most pyogenic abscess also requires a surgical intervention. The aim is to describe a brain abscess case as a result of an untreated chronic sinusopathy and mastoiditis. Case report: A 31-year-old man presented to the Emergency Department of our hospital with fever and progressive cognitive decline, which had been worsened the last five days. Associated with headache for over a year, that didn’t get relieved with analgesics, chronic cold and right otorrhea. His past medical history included splenectomy as a kid with immunizations up to date and a chronic sinusopathy and mastoiditis without any treatment. His social history included chronic alcohol consumption and smoking. Admitted with normal ranges of vital signs and physical examination, except for his neurological examination which showed notable disorientation. Complete blood count and metabolic panel results were normal. Serologic testing for human immunodeficiency virus and hepatitis were negative. Head computed tomography scan revealed a large mass (64 x 37 mm) involving the left frontal lobe with edema and 9 mm midline shift. After admission, empirical parenteral antibiotics were started with ceftriaxone 2 g, oxacillin 2 g, metronidazole 500 mg and the patient underwent immediate neurosurgical drainage of the large abscess. The cerebrospinal fluid cultures were positive for Staphycoccus aureus. The patient had previous brain magnetic resonance imaging that indicated a chronic sinusopathy of all four paranasal sinuses and a right mastoiditis. Since the normality of blood exams and no better hypothesis to explain the abscess, the chronic sinusopathy had been considered the main cause for the patient’s outcomes. The patient underwent a sinusectomy. After five days, the patient was discharged from the Intensive Care Unit due to better clinical evolution. The patient signed the informed and consent form to participate in this research. Conclusion: As the brain abscess continues with a high mortality rate, it could be important to focus attention on recognizing the risk factors and early treat them, including sinusopathy and mastoiditis, in order to avoid severe complications such as brain abscess and eventually prevent the occurrence of critical outcomes.
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Reports on the topic "Critical care medicine – Case studies"

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Ding, Huaze, Yiling Dong, Kaiyue Zhang, Jiayu Bai, and Chenpan Xu. Comparison of dexmedetomidine versus propofol in mechanically ventilated patients with sepsis: A meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2022. http://dx.doi.org/10.37766/inplasy2022.4.0103.

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Review question / Objective: The aim of the present study was to evaluate the effects of dexmedetomidine compared with propofol in mechanically ventilated patients with sepsis. Condition being studied: Sepsis, which is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection, contributes the highest mortality to intensive care units (ICU) worldwide . Because of the high incidence of respiratory failure in sepsis care, mechanical ventilation is always adopted to give life support and minimize lung injury . And sedation is a necessary component of sepsis care who suffers from mechanical ventilation. The Society of Critical Care Medicine suggested using either propofol or dexmedetomidine for sedation in mechanically ventilated adults. However, it remained unknown whether patients with sepsis requiring mechanical ventilation will benefit from sedation with dexmedetomidine.
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Jalil, Yorschua, and Ruvistay Gutierrez. Myokines secretion and their role in critically ill patients. A scoping review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, September 2021. http://dx.doi.org/10.37766/inplasy2021.9.0048.

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Review question / Objective: 1-How and by which means stimulated muscle from critically ill patients can liberate myokines?, 2-Which are the main characteristics of the critically ill population studied and if some of these influenced myokine´s secretion?, 5-Can myokines exert local or distant effects in critically ill patients?, 5-Which are the potential effects of myokines in critically ill patients? Eligibility criteria: Participants and context: We will include primary studies (randomized or non-randomized trials, observational studies, case series or case report) that consider hospitalized critically ill adult patients (18 years or older) in risk for developing some degree of neuromuscular disorders such as ICU-AW, diaphragmatic dysfunction, or muscle weakness, therefore the specific setting will be critical care. Concept: This review will be focused on studies regarding the secretion or measure of myokines or similar (exerkines, cytokines or interleukin) by any mean of muscle activation or muscle contraction such as physical activity, exercise or NMES, among others. The latter strategies must be understood as any mean by which muscle, and there for myocytes, are stimulated as result of muscle contraction, regardless of the frequency, intensity, time of application and muscle to be stimulated (upper limb, lower limb, thoracic or abdominal muscles). We also will consider myokine´s effects, local or systemic, over different tissues in terms of their structure or function, such as myocytes function, skeletal muscle mass and strength, degree of muscle wasting or myopathies, among others.
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