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Urgent Treatment (urgent + treatment)

Distribution by Scientific Domains

Medical Sciences	80%

Selected Abstracts

A peer-to-peer IPTV service architecture for the IP multimedia subsystem

INTERNATIONAL JOURNAL OF COMMUNICATION SYSTEMS, Issue 6-7 2010
A. Bikfalvi
Abstract During these last years the Internet Protocol Television (IPTV) service and the different peer-to-peer (P2P) technologies have generated an increasing interest for the developers and the research community that find in them the solution to deal with the scalability problem of media streaming and reducing costs at the same time. However, despite of the benefits obtained in Internet-based applications and the growing deployment of commercial IPTV systems, there has been a little effort in combining them both. With the advent of the next-generation-network platforms such as the IP Multimedia Subsystem (IMS), which advocates for an open and inter-operable service infrastructure, P2P emerges as a possible solution in situations where the traditional streaming mechanisms are not possible or not economically feasible. In this paper, we propose an IPTV service architecture for the IMS that combines a centralized control layer and a distributed, P2P-like, media layer that relies on the IMS devices or peers located in the customers' premises to act as streaming forwarding nodes. We extend the existing IMS IPTV standardization work that has already been done in 3GPP and ETSI TISPAN in order to require a minimum number of architectural changes. The objective is to obtain a system with a similar performance to the one in currently deployed systems and with the flexibility of P2P. One of the main challenges is to achieve comparable response times to user actions such as changing and tuning into channels, as well as providing a fast recovery mechanism when streaming nodes leave. To accomplish this we introduce the idea of foster peers as peers having inactive multimedia sessions and reserved resources. These peers are on stand-by until their functionality is required and at that moment, they are able to accept downstream peers at short notice for events requiring urgent treatment like channel changing and recovery. Copyright © 2009 John Wiley & Sons, Ltd. [source]

Oral Health Status of San Francisco Public School Kindergarteners 2000,2005

JOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 4 2006
Lisa H. Chung DDS
Abstract Objectives:To determine the prevalence of dental caries and oral health disparities in San Francisco kindergarten public school children from 2000,2005. Methods:The San Francisco Department of Public Health in partnership with the San Francisco Dental Society and assistance from the National Dental Association, has been conducting annual dental screenings of kindergarten children enrolled in the San Francisco Unified School District since 2000. Outcomes assessed from this series of cross-sectional screenings included prevalence of caries experience, untreated caries, treatment needs, and caries severity by child's sex, race/ethnicity, residential zip code, and a proxy for socioeconomic status. Results:Of 76 eligible schools, 62,72 participated, and 86,92% of enrolled children (n=3,354-3,527) were screened yearly. Although there was a small, significant decrease over the time period, in 2005, 50.1% of children had caries experience; 28.8% had untreated caries and 7.6% had urgent treatment needs. Each year caries prevalence was greatest for Asian children, those attending schools with > 50% children eligible for the free or reduced-price meal program, and children living in zip codes in and around Chinatown and San Francisco's southern border. Conclusions:Despite signs of improvement, caries remains a public health problem especially in Asian and Hispanic children, and children living in certain sections of San Francisco. [source]

Grand mal seizures: an unusual and puzzling primary presentation of ruptured hepatic hydatid cyst

PEDIATRIC ANESTHESIA, Issue 6 2006
PHILIPPE G. MEYER MD
Summary We report a case of hepatic hydatidosis where the first clinical manifestations, generalized seizures after minor head and abdominal trauma, and delayed anaphylaxis, made the primary diagnosis difficult. Severe anaphylaxis has been reported as initial presentation of quiescent hepatic hydatidosis. In endemic areas, the diagnosis must be carefully ruled out in patients experiencing abrupt anaphylactic shock of uncertain etiology. The occurrence of unexplained vascular collapse after minor abdominal trauma in a patient originating from an endemic area should prompt the diagnosis and urgent treatment should be initiated; firstly emergency management of the anaphylactic shock and later, surgical treatment of the cysts. [source]

Risk Factors for Mortality of Bacteremic Patients in the Emergency Department

ACADEMIC EMERGENCY MEDICINE, Issue 8 2009
Jiun-Nong Lin MD
Abstract Objectives:, Patients with bacteremia have a high mortality and generally require urgent treatment. The authors conducted a study to describe bacteremic patients in emergency departments (EDs) and to identify risk factors for mortality. Methods:, Bacteremic patients in EDs were identified retrospectively at a university hospital from January 2007 to December 2007. Demographic characteristics, underlying illness, clinical conditions, microbiology, and the source of bacteremia were collected and analyzed for their association with 28-day mortality. Results:, During the study period, 621 cases (50.2% male) were included, with a mean (±SD) age of 62.8 (±17.4) years. The most common underlying disease was diabetes mellitus (39.3%). Escherichia coli (39.2%) was the most frequently isolated pathogen. The most common source of bacteremia was urinary tract infection (41.2%), followed by primary bacteremia (13.2%). The overall 28-day mortality rate was 12.6%. Multivariate stepwise logistic regression analysis showed age > 60 years (odds ratio [OR] = 2.52, 95% confidence interval [CI] = 1.29 to 4.92, p = 0.007), malignancy (OR = 2.66, 95% CI = 1.44 to 4.91, p = 0.002), liver cirrhosis (OR = 2.08, 95% CI = 1.02 to 4.26, p = 0.044), alcohol use (OR = 5.73, 95% CI = 2.10 to 15.63, p = 0.001), polymicrobial bacteremia (OR = 3.99, 95% CI = 1.75 to 9.10, p = 0.001), anemia (OR = 2.33, 95% CI = 1.34 to 4.03, p = 0.003), and sepsis (OR = 1.94, 95% CI = 1.16 to 3.37, p = 0.019) were independent risk factors for 28-day mortality. Conclusions:, Bacteremic patients in the ED have a high mortality, particularly with these risk factors. It is important for physicians to recognize the factors that potentially contribute to mortality of bacteremic patients in the ED. [source]

Nationwide study of the outcome of popliteal artery aneurysms treated surgically

BRITISH JOURNAL OF SURGERY (NOW INCLUDES EUROPEAN JOURNAL OF SURGERY), Issue 8 2007
H. Ravn
Background: The aim was to study the epidemiology and outcomes of popliteal artery aneurysm (PA) treated surgically. Methods: Among 110 000 procedures registered prospectively in the Swedish Vascular Registry (Swedvasc), there were 717 primary operations for PA among 571 patients. Patient records were reviewed and data validated against other registries. Results: The median age of the patients was 71 years; 5·8 per cent were women. Among 264 legs treated urgently, 235 had acute ischemia and 24 had rupture. Of patients with unilateral PA, 28·1 per cent had an aortic aneurysm, 8·4 per cent an iliac aneurysm and 9·4 per cent a femoral aneurysm. Extra-popliteal aneurysms were more common when the PAs were bilateral (P = 0·004). The rate of limb loss within 1 year of operation was 8·8 per cent; 12·0 per cent for symptomatic and 1·8 per cent for asymptomatic limbs (P < 0·001). Risk factors for amputation were symptomatic disease, poor run-off, urgent treatment, age over 70 years, prosthetic graft and no preoperative thrombolysis when the ischaemia was acute. Amputation rates decreased over time (P = 0·003). Crude survival was 91·4 per cent at 1 year and 70·0 per cent at 5 years. Conclusion: Multiple aneurysm disease was common when PAs were bilateral. Preoperative thrombolysis of acute thrombosis and the use of vein grafts for bypass improved outcome. Copyright © 2007 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. [source]