All nurses should possess core critical assessment skills in order to appropriately assess critically ill patients. It is anticipated that the possession of these core skills will enable nurses to appropriately assess and identify those patients who are at risk of deterioration. By comprehensively assessing individual patients and identifying problems early, nurses can initiate specific interventions that may stabilize and improve patient outcomes and help prevent unnecessary intensive care unit admission.

Hamera et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Objectives: To compare the economic burden and health care utilizations of U.S. veteran patients diagnosed with hypertension. MethOds: A retrospective database analysis was performed using the Veterans Health Administration Medical SAS datasets from October 1, 2008 to September 30, 2012. Patients diagnosed with hypertension were identified using International Classification of Disease 9th Revision Clinical Modification (ICD-9-CM) diagnosis codes 401.x, 402.xx, 403.xx, and 404. xx, with the first diagnosis date designated as the index date. A comparison group of patients without hypertension but of the same age, region, gender and index year were identified and matched by baseline Charlson Comorbidity Index. The index date for the comparator group was randomly chosen to reduce selection bias. Patients in both groups were required to be at least 18 years old, and have continuous medical and pharmacy benefits 1 year pre-and 1 year post-index date. Study outcomes, including health care costs and utilizations, were compared between the disease and comparator groups using 1:1 propensity score matching. Results: A total of 2,422,810 patients were included in the hypertension and comparison cohorts. After 1:1 matching, a total of 748,857 patients were matched from each group, and baseline characteristics were well-balanced. Patients diagnosed with hypertension utilized more health care resources for inpatient (8.21% vs. 1.01%, p< 0.01), emergency room (ER) (12.78% vs. 3.60%, p< 0.01), physician office (99.43% vs. 39.45%, p< 0.01), outpatient visits (99.61% vs. 40.14%, p< 0.01), and pharmacy visits (85.51% vs. 35.66%, p< 0.01). The disease group also had higher patient expenditures for inpatient

Resumo:O ladrilho hidráulico é uma placa de cimento constituída de areia, pó de mármore e pigmentos com superfície de textura lisa, sendo mais utilizado como piso. A ideia inicial da pesquisa surgiu em razão da recolha de ladrilhos hidráulicos de demolições e reformas de edificações históricas da cidade de Cachoeira, no Recôncavo da Bahia. A pesquisa compôs dois planos de trabalho: um relativo à necessidade de compreender as técnicas de produção e sua cadeia operatória nos locais de produção - oficinas tradicionais -, bem como seus padrões compositivos; e o outro à realização do levantamento da existência e preservação de ladrilho hidráulico nas edificações do centro da cidade. A pesquisa, também, buscou sensibilizar os moradores para a manutenção e preservação desses pisos artísticos em Cachoeira, Bahia. Abstract:The hydraulic tile is a cement tile made of sand, marble powder and pigments. It has fine texture and has been used as floor coverings. The original idea of this research began from collecting tiles discarded from renovations and demolitions of historical buildings in the city of Cachoeira, Recôncavo da Bahia. The research was done in two work plans: one related to understanding the manufacturing process in the traditional workshops, and the other to document and preserve all the existing hydraulic tiles within buildings in the downtown area. The research also tried to sensitize its residents for the maintenance and preservation of these artistic floors in Cachoeira, Bahia.

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