Emergency departments (ED) across the United States see many patients with advanced disease nearing the end of life. ED providers make many important decisions that impact a patient’s hospital course, including resuscitation decisions. When patients’ preferences are not known, treatment in the ED frequently defaults to maximally aggressive care. The Physician Orders for Life Sustaining Treatment (POLST) form has been shown to lead to more goal-concordant care for these patients by providing detailed instructions regarding end-of-life interventions, made by the patient and/or medical decision maker.
This study is to conduct a study on the intake of nutritional supplements and doping awareness of bowling enthusiasts with physical disabilities. The subject of the study was a questionnaire for 649 bowling enthusiasts with physical disabilities belonging to the Korea Bowling Association for the Disabled, according to the purpose of the study, and after collection, the data that the answers were judged to be inadequate or unreliable were analyzed through a preliminary search. Excluded from the subject, data that can be analyzed were coded, and frequency analysis, cross-analysis (x²), and multiple response analysis were performed using the SPSS 23.0 statistical program. Got it. First, there was no significant difference in intake experience, which is a sub-factor of intake type according to the population background variable. Second, there was no significant difference in the reason for intake, a sub-factor of the intake type, according to the population background variable. Third, there was no significant difference in intake motivation, a sub-factor of intake type, according to demographic background variables. Fourth, there was no significant difference in doping education experience, a sub-factor of the doping perception survey according to demographic background variables. Fifth, there was no significant difference in the difference in doping items, which is a sub-factor of the doping recognition survey according to demographic background variables. Sixth, the difference in knowledge acquisition about doping items, which is a sub-factor of the doping recognition survey according to demographic variables, is a result of knowledge acquisition about doping items according to gender (x²=12.338, p<.01). There is a significant difference. Appeared. However, there was no significant difference in grade, career, sport, and winning career.
Abstract We have previously developed a bispectral electroencephalography (BSEEG) device, which was shown to be effective in detecting delirium and predicting patient outcomes. In this study we aimed to apply the BSEEG approach for a sepsis. This was a retrospective cohort study conducted at a single center. Sepsis-positive cases were identified based on retrospective chart review. EEG raw data and calculated BSEEG scores were obtained in the previous studies. The relationship between BSEEG scores and sepsis was analyzed, as well as the relationship among sepsis, BSEEG score, and mortality. Data were analyzed from 628 patients. The BSEEG score from the first encounter (1st BSEEG) showed a significant difference between patients with and without sepsis ( p = 0.0062), although AUC was very small indicating that it is not suitable for detection purpose. Sepsis patients with high BSEEG scores showed the highest mortality, and non-sepsis patients with low BSEEG scores showed the lowest mortality. Mortality of non-sepsis patients with high BSEEG scores was as bad as that of sepsis patients with low BSEEG scores. Even adjusting for age, gender, comorbidity, and sepsis status, BSEEG remained a significant predictor of mortality ( p = 0.008). These data are demonstrating its usefulness as a potential tool for identification of patients at high risk and management of sepsis.