1,749 research outputs found

    Liver transplantation: post-transplant management

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    Medical care for patients following liver transplantation is complex and requires a holistic approach to management. Patients and clinicians are faced with multiple challenges: immunosuppressive regimens must be optimized to avoid and treat graft rejection, the risk and atypical features of sepsis in the immunocompromised patient must be recognized, steps are required to reduce the recurrence of liver disease and the long-term increased risks of malignancy, renal failure and metabolic complications need managing. Despite the benefits of liver transplantation there are additional concerns regarding the impact upon quality of life. This review will focus upon the care of patients following liver transplantation. As these patients will present to a broad range of clinicians, an understanding of the common drugs used post-transplantation and general approach to management of these patients will be of benefit to the general clinical audience

    Liver transplantation: need, indications, patient selection and pre-transplant care

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    Chronic or acute liver failure and primary liver cancers can be effectively managed with liver transplantation. The range of indications for liver transplantation is increasing but there is a mismatch between the numbers of available donations and current needs. Specific criteria for listing patients exist but, at minimum, the predicted mortality without transplantation must exceed that with transplantation, coupled with a 50% predicted 5-year survival following liver transplantation. The risk posed by liver disease must be weighed against the risk of liver transplantation, considering the patient's comorbidities, age, nutritional status and behavioural factors in a complex assessment process. This article reviews current UK practice in the selection and care of patients being assessed for liver transplantation

    USER STUDIES FOR DIGITAL LIBRARIES EVALUATION AND DEVELOPMENT

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    This tutorial - the only one in JCDL 2012 Conference - introduces a range of methods which can be applied to understand better user needs and expectations (surveys, questionnaires, interviews, deep log analysis, personas, eye tracking, ethnographic studies) and to give a practical feel how they work in real practice through a series of recent studies. It includes real life international case study which will help the participants to get a better understanding what studies could be particularly helpful according to the products and services they develop, how to involve user s in digital library evaluation, and how to engage better with users

    Effective Hamiltonian study of excitations in a boson- fermion mixture with attraction between components

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    An effective Hamiltonian for the Bose subsystem in the mixture of ultracold atomic clouds of bosons and fermions with mutual attractive interaction is used for investigating collective excitation spectrum. The ground state and mode frequencies of the 87^{87}Rb and 40^{40}K mixture are analyzed quantitatively at zero temperature. We find analytically solutions of the hydrodynamics equations in the Thomas- Fermi approximation. We discuss the relation between the onset of collapse and collective modes softening and the dependence of collective oscillations on scattering length and number of boson atoms.Comment: 9 pages, 5 figure

    Specular reflection of matter waves from a rough mirror

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    We have made a high resolution study of the specularity of the atomic reflection from an evanescent wave mirror using velocity selective Raman transitions. We have observed a double structure in the velocity distribution after reflection: a peak consistent with specular reflection and a diffuse reflection pedestal, whose contribution decreases rapidly with increasing detuning. The diffuse reflection is due to two distinct effects: spontaneous emission in the evanescent wave and a roughness in the evanescent wave potential whose amplitude is smaller than the de Broglie wavelength of the reflected atoms

    Changes in nurses’ work associated with computerised information systems: Opportunities for international comparative studies using the revised Work Observation Method by Activity Timing (WOMBAT)

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    An important step in advancing global health through informatics is to understand how systems support health professionals to deliver improved services to patients. Studies in several countries have highlighted the potential for clinical information systems to change patterns of work and communication, and in particular have raised concerns that they reduce nurses’ time in direct care. However measuring the effects of systems on work is challenging and comparisons across studies have been hindered by a lack of standardised definitions and measurement tools. This paper describes the Work Observation Method by Activity Time (WOMBAT) technique version 1.0 and the ways in which the data generated can describe different aspects of health professionals’ work. In 2011 a revised WOMBAT version 2.0 was developed specifically to facilitate its use by research teams in different countries. The new features provide opportunities for international comparative studies of nurses’ work to be conducted
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