186,289 research outputs found
Early outcomes in CAP: Clinical stability, clinical failure and nonresolving pneumonia
No full textClinical stability is the first step of clinical improvement in patients with pneumonia. Clinical stability has been proven to be useful in guiding the switch of antibiotic therapy from intravenous to oral formulations. Given its importance in patient management, several sets of criteria have been created to standardise its definition. However, a single set of criteria cannot fit everybody; therefore, a personalised approach based on the resolution of the patient's most prominent clinical features should be considered. Moreover, it is important to choose the set of criteria that best fits the standard of care at each site of practice. Clinical failure is considered a predictive factor of adverse clinical outcomes. The identification of the aetiology of clinical failure is important to determine the subsequent patient management. The term 'nonresolving pneumonia' is used to indicate a failure to improve without clinical deterioration. Few epidemiological data have been published on this condition. Therefore, future studies should specifically address this topic
Hospital admission decision for patients with community-acquired pneumonia
No full textWhere to treat patients is probably the single most important decision in the management of community-acquired pneumonia (CAP), with a substantial impact on both patients' outcomes and health-care costs. Several factors can contribute to the decision of the site of care for CAP patients, including physicians' experience and clinical judgment and severity scores developed to predict mortality, as well as social and health-care-related issues. The recognition, both in the community and in the emergency department, of the presence of severe sepsis and acute respiratory failure and the coexistence with unstable comorbidities other than CAP are indications for hospital admission. In all the other cases, physician's choice to admit CAP patients should be validated against at least one objective tool of risk assessment, with a clear understanding of each score's limitations
Using Critical Factors for Assessing Critical Activities in ERP Implementation within SMEs
No full textThe Application of a Process Based Model for IS Check-Up within SMEs
No full textThe focus on production activities, together with their limited investment budget, often make SME entrepreneurs exclude Information Systems (IS) issues when planning organizational development. It is questionable whether anyone in a small company considers IS efficiency, effectiveness and strategic alignment as issues. As a consequence, SMEs could greatly benefit from an IS check-up tool supporting the monitoring of IS adequacy and the decision making process about IS development. In order to pursue these aims, the literature suggests considering determinants such as the strategic importance of business processes as well as the extent to which information and communication technologies (ICT) support them. This paper proposes a new check-up model specifically designed according to SME requirements. It aims at evaluating the alignment between the company strategy and the ICT support, highlighting possibile weaknesses on the IS management process. The model has been tested on a sample of 366 companies through direct invterviews with the entrepreneurial MD, the CIO and/or the process managers. The paper reports the main results of the analysis of collected data
Janus-faced amiodarone-induced pneumopathy
No full textThe authors describe a patient showing bilateral, peripheral, predominantly basal ground-glass and reticular opacities consistent with a non-specific interstitial pneumonia (NSIP) radiological pattern. This was followed by the occurrence of two nodules that progressively decreased in size after oral steroids had been given and therefore they were interpreted as an unusual manifestation of amiodarone-related pulmonary toxicity (APT)
Una metodologia per la Pianificazione del Sistema Informativo per le Piccole-Medie Imprese
No full textAuthor-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
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