...Nursing Practice Review Fluid balance Keywords: Fluid balance/Input/Output/ Dehydration/Overhydration ●This article has been double-blind peer reviewed Measuring and managing fluid balance In this article... What fluid balance is and how fluid moves around the body Causes and signs and symptoms of dehydration and overhydration How to assess fluid balance, including clinical assessment How to keep an accurate fluid balance chart Author Alison Shepherd is tutor in nursing, department of primary care and child health, Florence Nightingale School of Nursing and Midwifery, King’s College London. Abstract Shepherd A (2011) Measuring and managing fluid balance. Nursing Times; 107: 28, 12-16. Ensuring patients are adequately hydrated is an essential part of nursing care, yet a recent report from the Care Quality Commission found “appalling” levels of care in some NHS hospitals, with health professionals failing to manage dehydration. This article discusses the importance of hydration, and the health implications of dehydration and overhydration. It also provides an overview of fluid balance, including how and why it should be measured, and discusses the importance of accurate fluid balance measurements. Assessing hydration status and measuring fluid balance can ensure optimal hydration balance, including what fluid balance is, and how and why it is measured. It also discusses the importance of measuring fluid balance accurately, and the health implications of dehydration...
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...he had begun feeling nauseated. Each time he vomited, a significant volume of acidic gastric fluid was expelled. A physician examined him and ordered blood tests. The physician then diagnosed gastroenteritis caused by an unknown microorganism and prescribed medication for the infection. The next day, about 36 hours after Dan had begun to feel...
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...This test has shown relatively high prediction accuracy with an error of 9 years. However, this method cannot be applied to the age prediction of other body fluids that do not include T-cells and needs to be tested using patients’ blood samples because of its immune-dependent characteristics. In the meantime, the advancement of epigenetics led to the identification of a number of CpG markers, exhibiting age-associated DNA methylation changes in various types of tissues and cells. Several studies have reported age-predictive models that could be applied across broad spectrum of tissues as well as those based on the use of blood or saliva with considerable prediction accuracy (<5 years) (10–13). To date, DNA methylation is regarded as the most promising age-predictive...
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...to re-examine, test, and analyze the evidence. Now that the evidence has been assessed, it can be discussed between specialists and a report can be written based on their conclusions. The report is used during trials or hearings; however, the forensic scientist can also be called upon to personally testify as an expert witness. This career, which used to be an unknown field has now become a very trendy occupation thanks to the many popular investigative television series such as Bones, Castle, and Dexter. Some key forensic scientists that contributed to make this field so well-known are Mathieu Orfila and Bernard Spilsbury. Orfila was involved in the bringing of chemistry into forensic science by studying asphyxiation, decomposition of bodies, and exhumation (explained...
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...Analyse health revision notes 1. Cirrhosis Pathogenic process includes: 1. Necrosis of liver cells 2. repair by fibrosis 3. regeneration * Liver cells exposed to toxins become inflamed, liver cells then infiltrated with fat and white blood cells and are replaced by fibrotic tissue. * If damage continues over a long period of time more liver cells are replaced with fatty tissue and scar tissue, cirrhosis can develop. * Liver regeneration continues abnormally, the liver becomes hardened and lumpy. * Blood flow through the liver becomes impaired due to the nodules, resulting in portal venous hypertension. * Liver shrinks and is covered in gray connective tissue, progression of disease liver function is impaired and after prolonged time cirrhosis can lead to liver failure. Portal hypertension A raised venous pressure in the portal circulation caused by compression or occlusion in the portal or hepatic vascular system, Liver damage causes a blockage of the portal vein; the most serious result of portal hypertension is bleeding oesophageal varices. Complications of cirrhosis C: Clotting defects H: hepatorenal syndrome E: encephalopathy A: ascites P: portal hypertension 2. Diverticulitis A diverticulum is a herniation or out pouching of the bowel mucous membrane caused by increased pressure within the colon and weakness in the bowel wall. * Diverticulitis is defined as an inflammation of one or more diverticula. Its...
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...OTC 25233-MS Fluid-Structure Interaction: Lowering Subsea Structure / Equipment in Splash Zone During Installation D.Jia, Technip, M.Agrawal, ANSYS Copyright 2014, Offshore Technology Conference This paper was prepared for presentation at the Offshore Technology Conference held in Houston, Texas, USA, 5–8 May 2014. This paper was selected for presentation by an OTC program committee following review of information contained in an abstract submitted by the author(s). Contents of the paper have not been reviewed by the Offshore Technology Conference and are subject to correction by the author(s). The material does not necessarily reflect any position of the Offshore Technology Conference, its officers, or members. Electronic reproduction, distribution, or storage of any part of this paper without the written consent of the Offshore Technology Conference is prohibited. Permission to reproduce in print is restricted to an abstract of not more than 300 words; illustrations may not be copied. The abstract mus t contain conspicuous acknowledgment of OTC copyright. Abstract Successful installation of subsea structures and equipment is critical for offshore campaigns in development of deep-water fields. This paper presents a novel approach using Fluid-Structure Interaction (FSI) to predict wave induced motions, wave loads, dynamic stresses and deformation of subsea structure and equipments in the splash zone during installation. This approach combines transient multiphase CFD simulation...
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...composition, structure of physical evidence/s collected from the scene of the crime are needed to support in the speedy solution of crime. Application of forensic chemistry is legally applied to the following: 1. Primarily, Forensic Chemistry deals in the recognition, identification, preservation, packaging & transportation of physical evidence collected at the crime scene. 2. In crime detection, it is applied in the identification of poisons, blood, semen, feces, urine, saliva, and other body fluids whether fresh or dried. It also include other stains of interests from ob-gynecological origin, mineral stains, fruits and/or vegetable stains. 3. It is involved in determining the kind of ink used in signature writings, and the kind of paper of a questioned document. 4. The knowledge of properties of volatile substance like organic solvents (alcohol, acetone, etc), accelerants (gasoline, kerosene, oils), and miscible materials such as textile fibers from clothing, are applied in forensic analyses of arson cases. 5. Identification of air,...
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...survey related to the influence of acceleration on the pulsatile blood flow and the characteristics of blood and the main handling is the effected of external body acceleration to the flow of blood in the human artery, showing the results that gained and considering the conclusions revealed from those studies. In the normal situation, blood flow in the human blood vessels based on the normal functioning of heart. The heart pump produce the pressure gradient throughout the blood vessel. This consist of two components, one is constant or non-fluctuating and the other is fluctuating or pulsatile. (V.K.SUD AND G.S.SEKHON) The pulsatile flow...
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...In Partial Fulfillment of the Requirements in Health Economics Submitted by: Agub, Glenna Mae L. Badua, Evelinda S. Casimiro, John Louis Desor, Queenie Jane G. Marcolino, Marjorie Paggao, Karen Kaye Santos, Maricar Taradel, Dexter Valdez, Rafael Mark Submitted by: Dr. Sherwin Banan Names | No Report | No Contribution | Absent | Grade | Badua,Evelinda -Leader | | | | | Agub,Glenna Mae | | | | | Casimiro,John Louis | | | | | Desor,Queenie Jane | | | | | Marcolino,Marjorie | | | | | Paggao,Karen Kaye | | | | | Santos,Maricar | | | | | Taradel,Dexter | | | | | Valdez,Rafael Mark | | | | | TABLE OF CONTENTS LESSON IV: THE STUDY OF HEALTH CARE DELIVERY SYSTEM (Summary) I. An Indication on the Financial and Operational Presentation of Health Maintenance Organization i. Mishandled Care ii. Paying Low and Late II. Health Transformation III. Varying Functions of Allied Medical Professionals IV. Philippine Health Insurance Corporation I. An Indication on the Financial and Operational Presentation of Health Maintenance Organization i. Mishandled Care 1965 was the earliest Health maintenance organization(HMO) in our country and there are more or less 30 HMO who pay thousands of physicians who will going to serve the people/community. But, according to Homobono Calleja, who is renounced cardiologist and a four-term president of Philippines Medical Association...
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...Laboratory Scientist |medical procedures as are needed to maintain a patent airway with adequate breathing and | |(40 pts) |Obstetrics |cardiovascular circulation. | | |Surgical Practitioner |Medical Laboratory perform chemical, hematological, immunologic, microscopic, and | | | |bacteriological diagnostic analyses on body fluids, such as blood, urine, sputum, stool, and | | | |pericardial fluids. | | |...
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...Grand Canyon University Concepts in Community and Public Health NRS 427V Colleen Darrow RN June 28, 2014 Epidemiology Paper “World wide, two billion people have been infected with hepatitis B Virus” (Shepard & Simard, 2006, p. 112) Hepatitis B virus cause liver tissue infections which is life threatening potentially. And both acute and chronic hepatitis B has a profound impact on global health. “More than 240 million people have chronic liver infections, and more than 780,000 people die every year due to the acute or chronic consequences of hepatitis B.”("WHO Media Center," 2014) The HBV is transmitted from an infected carrier to the others via contact with blood and other body fluid. Hepatitis B is also a major occupational hazard for health workers. Fortunately the infection can be effectively prevented by safe vaccine. Since 1982, safe Hepatitis B vaccine has been available; the effectiveness of preventing the infection and its long-term consequences has been established. Hepatitis B vaccine is the first vaccine which against a major human cancer. “HBV infection may result in subclinical or asymptomatic infection, acute self-limited hepatitis, or fulminant hepatitis requiring liver transplant.” (Shepard & Simard, 2006, p. 113) The average incubation period is 90 days for a newly infected person who may develop acute hepatitis. The common signs and symptoms for acute hepatitis are nausea, abdominal pain...
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...Discussion……………………………………………………………………………………………………….Pg. 5,6,7 7. Conclusion………………………………………………………………………………………………………Pg. 7 8. References……………………………………………………………………………………………………..Pg. 8 9. Appendix………………………………………………………………………………………………………..Pg. 9,10 1. Abstract. Soccer players during training and match-play perform intermittent work demanding high metabolic rates to be sustained. Players require a diet that provides sufficient macro and micro nutrients, as well as fluid intakes, to allow them to meet the demands of the sport. As well as providing a daily balanced diet, strategic intake of carbohydrate and protein before and after training sessions can optimise performance and recovery. As each player is unique so will requirements need to be tailored to the individual to manipulate and match energy intakes with expenditure. 2. Introduction There is consensus in scientific literature that athletic performance and recovery after exercise are enhanced by optimal nutrition. (Bean, 2009). What an athlete chooses to eat and drink will have direct influence on health, body composition and weight, substrates for fuel during exercise, recovery time after exercise and overall performance. (J Am Diet Assoc. 2000). For the professional soccer player engaging in a number of training sessions in a day or more than one match per week the energy costs can be significant. Soccer players perform high intensity, intermittent activity during a typical training week, involving speed, strength and endurance. (Bangsbo et al...
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...have been air-conditioned using conventional methods of turbulent air distribution but, as with clean rooms, this proves unsatisfactory in the prevention of airborne contamination. This paper emphasizes different types of air-conditioning strategies, their advantages and disadvantages in the case of operation theatres. It also brings out the impact of computational fluid dynamics codes in Indoor air flow simulation. Keywords: Operation theatres, Air conditioning systems, operating room air distribution, Room air-conditioning strategies, Air- quality & computational fluid dynamics. 1.Introduction There are three sources of bacterial contaminations: the supply of air to the theatre; the surgical team; and the emissions of bodily vapors and organisms from the patient. To deal with these and to prevent turbulent air movement and convection currents from lifting pathogens, mixing them by entrainment with the supply air and depositing them on the patient, the best steps to take are as follows: (1) Provide special body exhaust suits for the surgical team, with extract openings at the crotch, armpits and nose, or body exhaust systems each comprising a face mask with a removable transparent visor, a hood and a gown of low...
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...Rationale: I have conducted this research paper because I want to discover or shall we say explore more about the essence of using paper coal rather than gas stove or wood. I want to learn more about the advantages and disadvantages of using paper coal. I hope that other people may read my research paper and understand its content.I wanted to find out whether paper charcoal could be an alternative for regular charcoal so that fewer trees will be cut down for the purpose of making charcoal. I also hope to prove that paper charcoal is better than charcoal in terms of: a. Speed b. Reliability c. Reusability d. Value for money Statement of problem. This study aims of comparing paper charcoal composed of newspaper against commercial charcoal made of wood. Specifically on the following manner: 1. Which type of charcoal has the best speed? 2. Which type of charcoal is the more trusted in cooking? 3. Can each type of charcoal be used more than once? 4. Which one is worth your money? Significance of my research: 1. Environment- the study aims to prove that paper charcoal is better, thus reducing the number of trees cut down. 2. Community- the study benefits the community because if proven right, people start to buy or make paper charcoal and doing either is cheaper than buying regular charcoal. Many schools had already conducted this research paper but I still choose this because I want to endorse this research paper within my own school. This research is limited...
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...Chapter 1 INTRODUCTION The project ‘Heat Transfer Studies on a 7.5 Watt LED Lighting Load using Finite Element Analysis’ is mainly concerned with the heat generated by an LED lighting load and its dissipation to the surrounding such that the LED junction temperature is maintained low. The LED chosen for this project is 7.5 Watt, which has a maximum operating temperature of around 80°C, exceeding which the LED will fail. The LED is best operated at room temperature conditions and may be just above. The project implements a specific method of cooling or rather maintaining the LED junction temperature as low as possible by using a Thermo Electric Cooling device, more specifically known as the Peltier device. The project looks into the various methods by which a Peltier cooler can be implemented such as, with or without a fan or simply a fan would provide sufficient cooling for the LED module. A Heat sink is a necessary component which is always associated with cooling electronic components. Before getting into the depth of the project detailing we will look into the basic components that have been used in the project setup which include: a. LED Module b. Peltier Cooler c. Heat Sink d. Cooling Fan 1.1 Light Emitting Diode: Light-emitting diodes (LEDs) are small but powerful devices in terms of their diverse applications. LED lights assume greater significance in the context of need for electrical energy conservation and pollution control world over. LED is basically...
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