Palliative Care in Cardiac Intensive Care Units


Book Description

This book analyzes the main topics of Palliative Care in Cardiac Intensive Care Units (CICU), from the changing epidemiology of patients admitted to the ICU, to the main clinical and ethical issues. The changing epidemiology of patients has led to new and emerging patient needs at the end of life. Care has shifted from acute coronary syndrome patients towards elderly patients, with a high prevalence of non-ischemic cardiovascular diseases and a high burden of non-cardiovascular comorbid conditions: both increase the susceptibility of patients to developing life-threatening critical conditions. These conditions are associated with a significant symptom burden, high mortality rate, and increased length of stay. The main new challenges involve shared decision-making, symptom control (pain, dyspnea, etc.), and ethical issues (withholding/withdrawing life sustaining treatments, deactivation of implanted cardiac devices, palliative sedation), all of which necessitate formal education on end-of-life care. Written by opinion leaders in their respective fields, who share their experience with improving the cultural and clinical competence of medical/nursing teams, this volume is chiefly intended for cardiologists, anesthesiologists, palliative care doctors and nursing staff.







Feature Selection for Knowledge Discovery and Data Mining


Book Description

As computer power grows and data collection technologies advance, a plethora of data is generated in almost every field where computers are used. The com puter generated data should be analyzed by computers; without the aid of computing technologies, it is certain that huge amounts of data collected will not ever be examined, let alone be used to our advantages. Even with today's advanced computer technologies (e. g. , machine learning and data mining sys tems), discovering knowledge from data can still be fiendishly hard due to the characteristics of the computer generated data. Taking its simplest form, raw data are represented in feature-values. The size of a dataset can be measUJ·ed in two dimensions, number of features (N) and number of instances (P). Both Nand P can be enormously large. This enormity may cause serious problems to many data mining systems. Feature selection is one of the long existing methods that deal with these problems. Its objective is to select a minimal subset of features according to some reasonable criteria so that the original task can be achieved equally well, if not better. By choosing a minimal subset offeatures, irrelevant and redundant features are removed according to the criterion. When N is reduced, the data space shrinks and in a sense, the data set is now a better representative of the whole data population. If necessary, the reduction of N can also give rise to the reduction of P by eliminating duplicates.




Management of the Patient in the Coronary Care Unit


Book Description

Designed for quick, easy use in emergency situations, this concise coronary care manual focuses on the diagnosis and management of acute cardiac conditions. The authors succinctly summarize the evidence-based strategies and successful diagnostic and therapeutic modalities used at the world-renowned Cleveland Clinic. Chapters are written in outline format with short narratives to explain the diagnostic or management decisions. Bulleted lists, sidebars, figures, tables, and algorithms help readers grasp key information at a glance.




Guidelines for Coronary Care Units


Book Description







Monitoring in Neurocritical Care


Book Description

Ideal for neurosurgeons, neurologists, neuroanesthesiologists, and intensivists, Monitoring in Neurocritical Care helps you use the latest technology to more successfully detect deteriorations in neurological status in the ICU. This neurosurgery reference offers in-depth coverage of state-of-the-art management strategies and techniques so you can effectively monitor your patients and ensure the best outcomes. Understand the scientific basis and rationale of particular monitoring techniques and how they can be used to assess neuro-ICU patients. Make optimal use of the most advanced technology, including transcranial Doppler sonography, transcranial color-coded sonography, measurements of jugular venous oxygen saturation, near-infrared spectroscopy, brain electrical monitoring techniques, and intracerebral microdialysis and techniques based on imaging. Apply multimodal monitoring for a more accurate view of brain function, and utilize the latest computer systems to integrate data at the bedside. Access practical information on basic principles, such as quality assurance, ethics, and ICU design. Seamlessly search the full text of Monitoring in Neurocritical Care online at www.expertconsult.com.




Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies


Book Description

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.




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Book Description




Acute Heart Failure


Book Description

For many years, there has been a great deal of work done on chronic congestive heart failure while acute heart failure has been considered a difficult to handle and hopeless syndrome. However, in recent years acute heart failure has become a growing area of study and this is the first book to cover extensively the diagnosis and management of this complex condition. The book reflects the considerable amounts of new data reported and many new concepts which have been proposed in the last 3-4 years looking at the epidemiology, diagnostic and treatment of acute heart failure.