[Prioritization of intensive medical treatment places - Concept proposal].

Chirurg

Neurologische Intensivstation, Klinik und Poliklinik für Neurologie, Universität zu Köln, Medizinische Fakultät und Uniklinik, Köln, Deutschland.

Published: September 2021

In the situation of a shortage of ventilation beds, ethically justifiable, transparent and comprehensible decisions must be made. This concept proposes that all patients are first intubated depending on necessity and then assessed by a triage team afterwards. In this situation newly admitted COVID patients compete with newly admitted Non-COVID patients as well as patients already treated in intensive care units for a ventilator. The combination of short-term and long-term prognoses should enable the interprofessional triage team to make comprehensible decisions. The aim of the prioritization concept is to save as many human lives as possible and to relieve the treatment team of the difficult decision on prioritization.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7786159PMC
http://dx.doi.org/10.1007/s00104-020-01334-0DOI Listing

Publication Analysis

Top Keywords

comprehensible decisions
8
newly admitted
8
[prioritization intensive
4
intensive medical
4
medical treatment
4
treatment places
4
places concept
4
concept proposal]
4
proposal] situation
4
situation a shortage
4

Similar Publications

The multiple facets of ovarian high grade serous carcinoma: a review on morphological, immunohistochemical and molecular features.

Crit Rev Oncol Hematol

December 2024

Pathology Unit, Department of Woman and Child's Health and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; Pathology Institute, Catholic University of Sacred Heart, 00168 Rome, Italy. Electronic address:

High-grade serous ovarian carcinoma (HGSOC) is the most aggressive subtype of epithelial ovarian cancer and a leading cause of mortality among gynecologic malignancies. This review aims to comprehensively analyze the morphological, immunohistochemical, and molecular features of HGSOC, highlighting its pathogenesis and identifying biomarkers with diagnostic, prognostic, and therapeutic significance. Special emphasis is placed on the role of tumor microenvironment (TME) and genomic instability in shaping the tumor's behavior and therapeutic vulnerabilities.

View Article and Find Full Text PDF

n-butanol extract of Pulsatilla decoction alleviates vulvovaginal candidiasis via the regulation of mitochondria-associated Type I interferon signaling pathways.

J Ethnopharmacol

December 2024

Department of Pathogenic Biology and Immunology, College of Integrated Chinese and Western Medicine (College of Life Science), Anhui University of Chinese Medicine, Hefei, China; Institute of Integrated Traditional Chinese and Western Medicine, Anhui University of Chinese Medicine, Hefei, China; Anhui Province Key Laboratory of Chinese Medicinal Formula, Hefei, China. Electronic address:

Ethnopharmacological Relevance: Vulvovaginal candidiasis (VVC) is a relatively common fungal infectious disease in the female reproductive tract. The pathogenesis of VVC not only involves Candida albicans (C. albicans) infection, but also the improper immune response of the vaginal mucosal immune system to the fungus.

View Article and Find Full Text PDF

An MRI-Based Radiomics Model for Preoperative Prediction of Microvascular Invasion and Outcome in Intrahepatic Cholangiocarcinoma.

Eur J Radiol

December 2024

Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China; Department of Cancer Center, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Medical Imaging, Shanghai, China. Electronic address:

Purpose: Microvascular invasion (MVI) serves as a significant predictor of poor prognosis in intrahepatic cholangiocarcinoma (ICC). This study aims to establish a comprehensive model utilizing MR radiomics for preoperative MVI status stratification and outcome prediction in ICC patients.

Materials And Methods: A total of 249 ICC patients were randomly assigned to training and validation cohorts (174:75), along with a time-independent test cohort consisting of 47 ICC patients.

View Article and Find Full Text PDF

Intrinsic plasticity coding improved spiking actor network for reinforcement learning.

Neural Netw

December 2024

School of Artificial Intelligence, Anhui University, Hefei, 230601, Anhui, China; Engineering Research Center of Autonomous Unmanned System Technology, Ministry of Education, Hefei, 230601, Anhui, China; Anhui Provincial Engineering Research Center for Unmanned Systems and Intelligent Technology, Hefei, 230601, Anhui, China; School of Automation, Southeast University, Nanjing, 211189, Jiangsu, China. Electronic address:

Deep reinforcement learning (DRL) exploits the powerful representational capabilities of deep neural networks (DNNs) and has achieved significant success. However, compared to DNNs, spiking neural networks (SNNs), which operate on binary signals, more closely resemble the biological characteristics of efficient learning observed in the brain. In SNNs, spiking neurons exhibit complex dynamic characteristics and learn based on principles of biological plasticity.

View Article and Find Full Text PDF

Purpose: To linguistically and cross-culturally translate Hip Disability and Osteoarthritis Outcome Score into Urdu language (HOOS-U), and test its psychometric properties among patients with hip pain.

Materials And Methods: Translation and cross-cultural adaptation of English version of HOOS were carried out following international guidelines. Psychometric testing included reliability (internal consistency and test-retest reliability), validity (content and construct validity) and responsiveness.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!