�The National Institute for Health and Clinical Excellence (NICE) in collaboration with the National Patient Safety Agency (NPSA) has issued guidance to improve the safety of patients in the NHS in England and Wales by reduction the risk of pneumonia in patients aged 16 years and older wHO are on a ventilator.
Pneumonia is an inflammatory condition of the lungs caused by bacterial, viral or fungous infection. Ventilator-associated pneumonia (VAP) can come as a complication of mechanical ventilating system, particularly when ventilation is required for a lengthened period of time and in patients who are critically ominous. VAP is a significant problem - data from the USA suggests that it represents 31% of all intensive care unit of measurement (ICU)-acquired infections, and that it occurs in 9-27% of all intubated patients. Patients wHO develop VAP are at risk of serious complications (for deterrent example, acute respiratory distress syndrome) and have a significantly longer stay on breathing machine machines and in ICU.
NICE/NPSA possess recommended that for patients who are on a ventilator and have a tube placed into their mouth, olfactory organ or through and through the neck and depressed into their windpipe, healthcare professionals should:
- position patients with their upper body elevated (in a semi-recumbent or seated status) for as much of the time as possible. For some patients this will not be conquer (for exercise, those with spinal injuries).
- Include oral antiseptics (for example, chlorhexidine) as part of the oral hygiene regime for all patients world Health Organization are intubated and receiving mechanical airing.
Professor Bruce Campbell, Chairman, Patient Safety Advisory Committee said: "This guidance recommends two particular measures which serve to foreclose ventilator
associated pneumonia, and which ar simple to implement. Nursing patients with their amphetamine body raised is already very common practice, and use of oral antiseptics fits readily into the regular upkeep of the upper airway.
It is important to emphasize that this was not intended to be a comprehensive guideline - there ar many other measures which may conduce to reducing the risk of VAP. For model, there was evidence to support the use of systemic decontamination of the digestive parcel of land (SDD), merely many specialists in the UK have concerns about the possibility of more infections by multi-resistant bacterium if this were used routinely. The guidance gives specific recommendations for farther research to increase our knowledge of SDD in the context of UK practice."
Kevin Cleary, Medical Director, National Patient Safety Agency said: "Evidence suggests that Ventilator Associated Pneumonia is a important patient safety problem and can confidential information to further serious complications. This significant guidance recommends actions that will aid improve the situation and help shorten the peril of pneumonia in patients who ar on a ventilator."
About NICE
1. The National Institute for Health and Clinical Excellence (NICE) is the independent arrangement responsible for providing national guidance on the furtherance of good health and the bar and handling of ill health.
2. NICE produces guidance in three areas of wellness:
- public health- guidance on the furtherance of sound health and the bar of ill health for those functional in the NHS, local authorities and the wider public and voluntary sector
- health technologies - guidance on the exercise of fresh and existing medicines, treatments and procedures within the NHS
- clinical practice - steering on the appropriate treatment and care of people with specific diseases and conditions within the NHS.
About the NPSA
3. The National Patient Safety Agency encompasses the National Research Ethics Service, Patient Safety Division and the National Clinical Assessment Service. Our vision is to lead and chip in to improved, safe patient care by informing, encouraging and influencing healthcare individuals and organisations. Each division works within its firmament of expertness to improve patient outcomes. For more information see: http://www.npsa.nhs.uk
About the affected role safety cowcatcher
4. As a result of the review of patient safety accredited by the Chief Medical Officer1, the National Institute for Health and Clinical Excellence (NICE) and the National Patient Safety Agency (NPSA) were asked to develop and evaluate a pilot project for the production of a proficient solution to address patient safety problems, which testament form steering for the NHS. NICE's core principles of guidance development volition be applied to the project. These principles include:
- A comprehensive evidence base
- Independent advisory committees
- Clinical and patient expert input
- Transparent process and decision making
- Genuine consultation
- Effective public exposure and effectuation
- Regular recapitulation.
5. Guidance on the technical patient role safety solutions for bar of ventilator-associated pneumonia in adults bum be found on the NICE web site at http://www.nice.org.uk/PatientSafetyPilot.
http://www.nice.org.uk
More information
Tuesday, 2 September 2008
Wednesday, 6 August 2008
Ketsumeishi
Artist: Ketsumeishi
Genre(s):
Pop: Japan
Folk
Discography:
Mata Kimi ni Aeru
Year: 2007
Tracks: 3
Ketsunopolis 5
Year: 2007
Tracks: 15
Tabibito
Year: 2006
Tracks: 4
Ketsu no Police 4
Year: 2005
Tracks: 14
Friday, 27 June 2008
Portishead and Smoke City
Artist: Portishead and Smoke City
Genre(s):
Rock
Discography:
Rare Remixes
Year:
Tracks: 15
Alec Baldwin - Baldwin Moans At Media
Thursday, 19 June 2008
Scenes from Mexico City show its human heart and soul in new book
"First Stop in the New World: Mexico City, the Capital of the 21st Century"
David Lida (Riverhead Books)
Mexico City is a sprawling, throbbing stew of 20 million people, but David Lida, in his new book, cuts through the chaos with an array of verbal snapshots that aim to paint the city's soul.
"First Stop in the New World: Mexico City, the Capital of the 21st Century" is his gritty, nostalgic ode to the city he calls home: a quick-read collection of short essays and vignettes on life, work and love in one of the world's biggest capitals.
Focusing more on psychology than scenery, Lida tells tales he has gathered across social circles over 18 years, crossing barriers that many of the city's class-conscious citizens rarely transcend.
He talks to artists, prostitutes, cops and corporate managers; to socialites, street vendors and cantina singers. He tells of a manic taxi driver who works an eight-day shift on a diet of onions, and of a solvent-sniffing waif who has lived since age 10 on the streets with her brothers and a spotted dog.
Lida's approach is often amusing: He cites Nobel Prize-winning Octavio Paz to deconstruct lucha libre, Mexico's circuslike form of pro wrestling, and systematically analyzes gossip items in the city's trashiest tabloid by theme, treating them a lot like high art.
He paints a city of contrasts: rich and poor, camp and conservative, sin and redemption, ingenuity and fatalism. And some stereotypes are busted - crime in the city is not as rampant as it was a decade ago, he shows. But others are unfortunately perpetuated - Mexico City mothers are "often meddlesome and guilty of emotional blackmail," while "male adultery is nearly universal," he writes.
Lida, who first moved to Mexico City in 1990 to work as a freelance journalist and magazine editor, is best when he sticks to the microcosm, recounting his characters' surprisingly frank confessions or literally listing the colourful contents of the chaos he encounters on the streets: "A toothless lady sucking on a mango pit. A blind man with dark glasses and a cane, leading a single-file parade of three other blind men rickshaw taxi drivers an old man stealthily filling a plastic bottle from the fount of holy water," he writes, describing a mosaic of scenes.
"First Stop in the New World" does not dig deep into the city's history, economy or politics, and the premise behind its title - that Mexico City is the world's original megacity and, for better or worse, a model for urban growth - is only briefly explored.
Instead, Lida addresses a broad range of the city's most universal problems - crime, corruption, pollution, poverty, sprawl - largely through the eyes of the citizens most affected. The result is a fundamentally human collection of stories and reflections, a reminder that any city is about its people, their constant clash and coexistence.
The book, Lida writes, is meant to read as "a love letter" to the many resigned, resilient, forgotten and ingenious people of Mexico City that he has come to know. That is exactly what it is.
See Also
Wednesday, 11 June 2008
Mario Lopez - Lopez And Smirnoff Split
MARIO LOPEZ has split from his DANCING WITH THE STARS partner and real life girlfriend KARINA SMIRNOFF.
The pair hooked up when they were contestants on the show last year (07), and they moved in together soon after.
But their romance has failed to last the distance - despite Smirnoff insisting just a month ago that they were "still going strong".
Smirnoff revealed the news of the split to the New York Post's Pop Wrap blog, saying, "He's a great guy, I think the world of him, he's is wonderful man, he's a great aspect of the entertainment industry but we're both concentrating on our own careers right now. I wouldn't be a good girlfriend to anyone, I'm so busy."
See Also
Thursday, 5 June 2008
Robin Spielberg
Artist: Robin Spielberg
Genre(s):
New Age
Jazz
Discography:
Vanilla Sweet-Talks
Year: 2004
Tracks: 12
Dreaming of Summer
Year: 2000
Tracks: 12
Beautiful Dreamer
Year: 1999
Tracks: 14
In The Heart Of Winter
Year: 1998
Tracks: 9
Heal Of The Hand
Year: 1998
Tracks: 11
In the Arms of the Wind
Year: 1997
Tracks: 12
Songs Of The Spirit
Year: 1996
Tracks: 12
Unchained Melodies
Year: 1995
Tracks: 14
Born into a melodic house, Robin Spielberg began piano lessons at the age of heptad; she besides played organ and violin while a baby. She attended Michigan State University and New York University, working extensively in each school's field department. After gradation, Spielberg began playing professionally, ofttimes at hotels in the New York area. That caper of course grew into a vehicle for her original compositions and later, a recording calling. She has released Heal of the Hand, Heart of the Holidays, Unshackled Melodies and In the Heart of Winter; Songs of the Spirit appeared in 1996.
Monday, 2 June 2008
Jessica Alba Marries Partner
Jessica Alba has announced that she married her partner of four years, Cash Warren, on Monday (May 19).The couple, who are expecting their first child together, were married in a private ceremony according to her spokesman Brad Cafarelli.Alba and Warren met while filming the first 'Fantastic Four' movie and have started a website together called www.ibeatyou.com, where players can issue challenges via videos.Photo courtesy of the Weinstein Company.
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