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  1. Article ; Online: Correction

    Rifat Latifi / Kee B Park / Haitham Shoman / Lubna Samad / Luke Caddell / Patricia Garcia / Tariq Khan / Leonidas Quintana / Sergio Aguilera / Roxanna Garcia / Robert Dempsey / Jeffrey V Rosenfeld / Corey Scurlock / Nigel Crisp / Montray Smith / Laura Lippa / Rashid Jooma / Russell J Andrews

    BMJ Global Health, Vol 5, Iss

    Who are the real community health workers in Tshopo Province, Democratic Republic of the Congo?

    2020  Volume 1

    Keywords Medicine (General) ; R5-920 ; Infectious and parasitic diseases ; RC109-216
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  2. Article ; Online: Global health, global surgery and mass casualties

    Rifat Latifi / Kee B Park / Haitham Shoman / Lubna Samad / Luke Caddell / Patricia Garcia / Tariq Khan / Leonidas Quintana / Sergio Aguilera / Roxanna Garcia / Robert Dempsey / Jeffrey V Rosenfeld / Corey Scurlock / Nigel Crisp / Montray Smith / Laura Lippa / Rashid Jooma / Russell J Andrews

    BMJ Global Health, Vol 5, Iss

    II. Mass casualty centre resources, equipment and implementation

    2020  Volume 1

    Abstract: Trauma/stroke centres optimise acute 24/7/365 surgical/critical care in high-income countries (HICs). Concepts from low-income and middle-income countries (LMICs) offer additional cost-effective healthcare strategies for limited-resource settings when ... ...

    Abstract Trauma/stroke centres optimise acute 24/7/365 surgical/critical care in high-income countries (HICs). Concepts from low-income and middle-income countries (LMICs) offer additional cost-effective healthcare strategies for limited-resource settings when combined with the trauma/stroke centre concept. Mass casualty centres (MCCs) integrate resources for both routine and emergency care—from prevention to acute care to rehabilitation. Integration of the various healthcare systems—governmental, non-governmental and military—is key to avoid both duplication and gaps. With input from LMIC and HIC personnel of various backgrounds—trauma and subspecialty surgery, nursing, information technology and telemedicine, and healthcare administration—creative solutions to the challenges of expanding care (both daily and disaster) are developed. MCCs are evolving initially in Chile and Pakistan. Technologies for cost-effective healthcare in LMICs include smartphone apps (enhance prehospital care) to electronic data collection and analysis (quality improvement) to telemedicine and drones/robots (support of remote regions and resource optimisation during both daily care and disasters) to resilient, mobile medical/surgical facilities (eg, battery-operated CT scanners). The co-ordination of personnel (within LMICs, and between LMICs and HICs) and the integration of cost-effective advanced technology are features of MCCs. Providing quality, cost-effective care 24/7/365 to the 5 billion who lack it presently makes MCCs an appealing means to achieve the healthcare-related United Nations Sustainable Development Goals for 2030.
    Keywords Medicine (General) ; R5-920 ; Infectious and parasitic diseases ; RC109-216
    Subject code 360
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  3. Article: Chromium Infusion Reverses Extreme Insulin Resistance in a Cardiothoracic ICU Patient

    Via, Michael / Corey Scurlock / Gabriele Di Luozzo / Jayashree Raikhelkar / Jeffrey I. Mechanick

    Nutrition in clinical practice. 2008 June, v. 23, no. 3

    2008  

    Abstract: Insulin resistance is common and often multifactorial in acutely critically ill patients. At our institution, glycemic control is achieved in these patients using an intravenous insulin protocol. The authors present a case in which a patient developed ... ...

    Abstract Insulin resistance is common and often multifactorial in acutely critically ill patients. At our institution, glycemic control is achieved in these patients using an intravenous insulin protocol. The authors present a case in which a patient developed severe insulin resistance following surgical repair of a thoracic aorta aneurysm. Postoperatively, the patient required 2110 units of insulin over 40 hours while receiving pressors and glucocorticoids. After the administration of intravenous chromium at 3 μg/h, the blood sugar normalized and insulin therapy was discontinued. This case represents a unique approach using intravenous chromium to achieve glycemic control in a patient with extreme insulin resistance and acute critical illness. Prospective clinical trials using intravenous chromium may provide the means to optimize intensive insulin therapy for critically ill patients.
    Keywords aneurysm ; aorta ; blood glucose ; chromium ; glucocorticoids ; glycemic control ; insulin ; insulin replacement therapy ; insulin resistance ; intravenous injection ; patients ; prospective studies ; protocols ; surgery
    Language English
    Dates of publication 2008-06
    Size p. 325-328.
    Publishing place SAGE Publications
    Document type Article
    ZDB-ID 645074-x
    ISSN 1941-2452 ; 0884-5336
    ISSN (online) 1941-2452
    ISSN 0884-5336
    DOI 10.1177/0884533608318676
    Database NAL-Catalogue (AGRICOLA)

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