Search results for "REF"
showing 10 items of 8690 documents
Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
2017
A patient's willingness to cooperate is an absolute precondition for successful awake intubation of the trachea. Whilst drug-sedation of patients can jeopardize their spontaneous breathing, topical anesthesia of the airway is a popular technique. The spray-as-you-go technique represents one of the simplest opportunities to anesthetize the airway mucosa. The application of local anesthetic through the working channel of the flexible endoscope is a widespread practice for anesthetists as well as pulmonologists. There is neither need for additional devices nor special training as a pre-requisite to perform this technique. However, a known clinical problem is the coughing and gagging reflex tha…
Evidence-based medicine and the problem of healthy volunteers
2017
Abstract Healthy controls are subjects without the disease being studied but may have other conditions indirectly affecting outcome. In the present epidemics of obesity a few subjects with undiagnosed nonalcoholic fatty liver disease enter clinical studies as controls, producing biased results. Stricter selection criteria should be considered to prevent this risk.
Patient Preferences for Lung Cancer Treatment: A Qualitative Study Protocol Among Advanced Lung Cancer Patients
2021
Introduction: Lung cancer is the deadliest and most prevalent cancer worldwide. Lung cancer treatments have different characteristics and are associated with a range of benefits and side effects for patients. Such differences may raise uncertainty among drug developers, regulators, payers, and clinicians regarding the value of these treatment effects to patients. The value of conducting patient preference studies (using qualitative and/or quantitative methods) for benefits and side effects of different treatment options has been recognized by healthcare stakeholders, such as drug developers, regulators, health technology assessment bodies, and clinicians. However, evidence-based guidelines …
Refractory Death Rattle: Deep Aspiration Facilitates the Effects of Antisecretory Agents
2011
Anticholinergic drugs, including atropine, hyoscine butylbromide, and scopolamine, have been shown to be equally effective in the treatment of death rattle. However, anticholinergic drugs may only be effective in reducing the production of further secretions, rather than eliminating the existing ones. A case is described in which a preventive procedure was undertaken to carefully eliminate secretions before starting anticholinergic drugs. Airway aspiration under light anesthesia removed secretions before starting anticholinergic drugs. Low doses of propofol were given intravenously to make a laryngoscopy feasible, allowing the complete aspiration of large amounts of tracheal secretions. No …
Social research evolution in management accounting : reflection using Bunge’s theory
2004
Abstract Actually Management Accounting is considered for an important group of researchers as a social science. This is a consequence of an evolution from an economic view to social-oriented perspectives. Following Mario Bunge’s theory, we establish that break point in 1980s. Until 1980s, the accounting research was dominated by an economic analysis with both utilitarian and cognitive objectives. The scientific growth was in surface , without any relevant change in the foundations of Management Accounting. The development of new concerns regarding social implications promotes a growth in-depth in the 1980s. Socio-economic analysis, both in interpretative and critical research, is developed…
Giant schwannoma of the foot: a case report and literature review
2017
A schwannoma is a rare, benign tumor originating from Schwann cells of peripheral nerve sheath. It commonly occurs in subjects between 20 and 50 years of age, and its malignant transformation is exceptional. While schwannomas usually affect the head and neck region, localization in the lower extremity is exceptionally rare, and even fewer cases have described schwannomas occurring in the foot. We report a case of a giant schwannoma of the foot diagnosed in a 65-year-old woman. A giant schwannoma of the foot is an extremely rare soft tissue tumor. MRI may allow an earlier diagnosis and provide valuable information about the size and possible bone invasion. This case report noted that a compl…
Diffuse reflectance and fluorescence multispectral imaging system for assessment of skin
2014
The diffuse reflectance multispectral imaging technique has been used for distant mapping of in vivo skin chromophores (hemoglobin and melanin). The fluorescence multispectral imaging is not so common for skin applications due to complicity of data acquisition and processing, but could provide additional information about skin fluorophores. Both techniques are compatible, and could be combined into a multimodal solution. The multispectral imaging system Nuance based on liquid crystal tunable filters was adapted for diffuse reflectance and fluorescence spectral imaging of in vivo skin. Uniform illumination was achieved by LED ring light. Combination of four LEDs (warm white, 770 nm, 830 nm a…
Water detection in skin by dual-band photodiodes
2013
Purpose of this study was to develop a simple model for possibilities to detect water in skin by diffuse reflectance spectra. The model is based on comparison of diffuse reflectance spectra when illuminating water sample with LEDs of different wavelengths (1200 nm, and 1450 nm). The illumination LEDs were chosen due to water absorption differences in near-infrared spectral range. For detection, dual-band photodiode DSD2 by Thorlabs was used. Due to differences of water absorption at different wavelengths in the near-infrared spectral region, this correlation could be used for mapping of water content in skin or, in other words, determine relative moisture level in skin. Simple experimental …
Determination of chromophore distribution in skin by spectral imaging
2012
Possibilities to determine chromophore distribution in skin by spectral imaging were explored. Simple RGB sensor devices were used for image acquisition. Totally 200 images of 40 different bruises of 20 people were obtained in order to map chromophores bilirubin and haemoglobin. Possibilities to detect water in vitro and in vivo were estimated by using silicon photodetectors and narrow band LEDs. The results show that it is possible to obtain bilirubin and haemoglobin distribution maps and observe changes of chromophore parameter values over time by using a simple RGB imaging device. Water in vitro was detected by using differences in absorption at 450 nm and 950 nm, and 650 nm and 950 nm.
Application principles of excimer lasers in ophthalmology
2010
Abstract Excimer lasers (193 nm) can be used for photoablation of the human cornea due to their specific physical characteristics. This laser is applied in corneal refractive surgery for the targeted removal of corneal tissue for the purpose of correcting refractive errors. This article provides a short overview of the scientific development of excimer lasers for use in ophthalmic surgery and of the range of applications of these tools.