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Maternal Somatic Support After Brain Death
Maternal somatic support after brain death occurs when a brain dead patient is pregnant and their body is kept alive to deliver a fetus. It occurs very rarely internationally. Even among brain dead patients, in a U.S. study of 252 brain dead patients from 1990–96, only 5 (2.8%) cases involved pregnant women between 15 and 45 years of age. Past cases In the 28-year period between 1982 and 2010, there were "30 eportedcases of maternal brain death (19 case reports and 1 case series)." In 12 of those cases, a viable child was delivered via cesarean section after extended somatic support. However, according to Esmaelilzadeh, et al. there is no widely accepted protocol to manage a brain dead mother "since only a few reported cases are found in the medical literature." Moreover, the mother's wishes are rarely, if ever, known, and family should be consulted in developing a care plan. Life support complications Throughout their care, brain dead patients could experience a wide ra ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Brain Death
Brain death is the permanent, irreversible, and complete loss of brain function which may include cessation of involuntary activity necessary to sustain life. It differs from persistent vegetative state, in which the person is alive and some autonomic functions remain. It is also distinct from comas as long as some brain and bodily activity and function remain, and it is also not the same as the condition locked-in syndrome. A differential diagnosis can medically distinguish these differing conditions. Brain death is used as an indicator of legal death in many jurisdictions, but it is defined inconsistently and often confused by the public. Various parts of the brain may keep functioning when others do not anymore, and the term "brain death" has been used to refer to various combinations. For example, although one major medical dictionary considers "brain death" to be synonymous with "cerebral death" (death of the cerebrum), the US National Library of Medicine Medical Subject ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Abortion
Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus. An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion"; these occur in approximately 30% to 40% of pregnancies. When deliberate steps are taken to end a pregnancy, it is called an induced abortion, or less frequently "induced miscarriage". The unmodified word ''abortion'' generally refers to an induced abortion. The reasons why women have abortions are diverse and vary across the world. Reasons include maternal health, an inability to afford a child, domestic violence, lack of support, feeling they are too young, wishing to complete education or advance a career, and not being able or willing to raise a child conceived as a result of rape or incest. When properly done, induced abortion is one of the safest procedures in medicine. In the United States, the risk of maternal mortality is 14 times lower after induced abortion than after chi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Chargemaster
In the United States, the chargemaster, also known as charge master, or charge description master (CDM), is a comprehensive listing of items billable to a hospital patient or a patient's health insurance provider. In practice, it usually contains highly inflated prices at several times that of actual costs to the hospital. The chargemaster typically serves as the starting point for negotiations with patients and health insurance providers of what amount of money will actually be paid to the hospital. It is described as "the central mechanism of the revenue cycle" of a hospital. Description The chargemaster may be alternatively referred to as the "charge master", "hospital chargemaster", or the "charge description master" (CDM). It is a comprehensive listing of items billable to a hospital patient or a patient's health insurance provider. It is described as "the central mechanism of the revenue cycle" of a hospital. Chargemasters include thousands of hospital services, medical proc ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
John Peter Smith Hospital
John Peter Smith Hospital (also known as JPS Hospital) is a Level 1 Trauma Center, 573-bed county hospital located in Fort Worth, Texas that provides inpatient, outpatient and behavioral healthcare. About John Peter Smith Hospital is part of the tax-supported JPS Health Network of the Tarrant County Hospital District. The hospital has an Emergency Department, Trauma Services Department, Urgent Care Center and is home to the county's only Psychiatric Emergency Center. Established in 1906, the hospital is named for John Peter Smith, a former mayor of Fort Worth. Smith is considered by many to be "the Father of Fort Worth." He was instrumental in changing the county seat to Fort Worth. Smith served six terms as mayor and donated many acres of land for public works projects such as cemeteries, parks, and the county hospital which bears his name. The hospital is the only Level I Trauma Center in Tarrant County. The facilities at 1500 Main Street on Fort Worth's Near Southside, in ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Death Of Marlise Muñoz
Marlise Nicole Muñoz (August 20, 1980 – November 28, 2013) was an American woman at the center of a medical ethics controversy between November 2013 and January 2014. She suffered a suspected pulmonary embolism and was declared brain dead. Because she was pregnant, doctors at a Texas hospital kept her body on a ventilator in the intensive care unit despite the determination of brain death. Muñoz's husband entered a legal battle to have her removed from organ support. A Texas law restricts the application of advance directives in pregnant patients, but Muñoz's husband argued that the law was not applicable because his wife was legally dead. A judge ordered the hospital to remove organ support and her cardiac functions stopped on January 26, 2014. Background On November 26, Erick Muñoz found his 33-year-old wife unconscious in their family home and rushed her to John Peter Smith Hospital. The cause of her condition was speculated to be a pulmonary embolism. At the hospit ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Household Income In The United States
Household income is an economic standard that can be applied to one household, or aggregated across a large group such as a county, city, or the whole country. It is commonly used by the United States government and private institutions to describe a household's economic status or to track economic trends in the US. A key measure of household income is the median income, at which half of households have income above that level and half below. The U.S. Census Bureau reports two median household income estimates based on data from two surveys: the Current Population Survey (CPS) and the American Community Survey (ACS). The CPS is the recommended source for national-level estimates, whereas the ACS gives estimates for many geographic levels. According to the Current Population Survey, CPS, the median household income was $63,179 in 2018. According to the ACS, the U.S. median household income in 2018 was $61,937. Estimates for previous years are given in terms of real income, wh ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Healthcare Bluebook
Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health professionals and allied health fields. Medicine, dentistry, pharmacy, midwifery, nursing, optometry, audiology, psychology, occupational therapy, physical therapy, athletic training, and other health professions all constitute health care. It includes work done in providing primary care, secondary care, and tertiary care, as well as in public health. Access to health care may vary across countries, communities, and individuals, influenced by social and economic conditions as well as health policies. Providing health care services means "the timely use of personal health services to achieve the best possible health outcomes". Factors to consider in terms of health care access include financial limitations (such as insurance coverage), geographi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cesarean Section
Caesarean section, also known as C-section or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen, often performed because vaginal delivery would put the baby or mother at risk. Reasons for the operation include obstructed labor, twin pregnancy, high blood pressure in the mother, breech birth, and problems with the placenta or umbilical cord. A caesarean delivery may be performed based upon the shape of the mother's pelvis or history of a previous C-section. A trial of vaginal birth after C-section may be possible. The World Health Organization recommends that caesarean section be performed only when medically necessary. Most C-sections are performed without a medical reason, upon request by someone, usually the mother. A C-section typically takes 45 minutes to an hour. It may be done with a spinal block, where the woman is awake, or under general anesthesia. A urinary catheter is used to drain t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Neonatal
An infant or baby is the very young offspring of human beings. ''Infant'' (from the Latin word ''infans'', meaning 'unable to speak' or 'speechless') is a formal or specialised synonym for the common term ''baby''. The terms may also be used to refer to juveniles of other organisms. A newborn is, in colloquial use, an infant who is only hours, days, or up to one month old. In medical contexts, a newborn or neonate (from Latin, ''neonatus'', newborn) is an infant in the first 28 days after birth; the term applies to premature, full term, and postmature infants. Before birth, the offspring is called a fetus. The term ''infant'' is typically applied to very young children under one year of age; however, definitions may vary and may include children up to two years of age. When a human child learns to walk, they are called a toddler instead. Other uses In British English, an ''infant school'' is for children aged between four and seven. As a legal term, ''infancy'' is more lik ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Uterus
The uterus (from Latin ''uterus'', plural ''uteri'') or womb () is the organ in the reproductive system of most female mammals, including humans that accommodates the embryonic and fetal development of one or more embryos until birth. The uterus is a hormone-responsive sex organ that contains glands in its lining that secrete uterine milk for embryonic nourishment. In the human, the lower end of the uterus, is a narrow part known as the isthmus that connects to the cervix, leading to the vagina. The upper end, the body of the uterus, is connected to the fallopian tubes, at the uterine horns, and the rounded part above the openings to the fallopian tubes is the fundus. The connection of the uterine cavity with a fallopian tube is called the uterotubal junction. The fertilized egg is carried to the uterus along the fallopian tube. It will have divided on its journey to form a blastocyst that will implant itself into the lining of the uterus – the endometrium, where it will ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Fetal Viability
Fetal viability is the ability of a human fetus to survive outside the uterus. Medical viability is generally considered to be between 23 and 24 weeks Gestational age (obstetrics), gestational age. Viability depends upon factors such as birth weight, gestational age, and the availability of advanced medical care. In Developing country, low-income countries, half of newborns born at or below 32 weeks gestational age died due to a lack of medical access; in World Bank high-income economy, high-income countries, the vast majority of newborns born above 24 weeks gestational age survive. As of 2022, the world record for the lowest gestational age newborn to survive is held by Curtis Zy-Keith Means, who was born on 5 July 2020 in the United States, at 21 weeks and 1 day gestational age, weighing 420 grams. Definitions ''Viability'', as the word has been used in the United States constitutional law since ''Roe v. Wade'', is the potential of the fetus to survive outside the uterus after bi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Intensive Care Unit
220px, Intensive care unit An intensive care unit (ICU), also known as an intensive therapy unit or intensive treatment unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that provides intensive care medicine. Intensive care units cater to patients with severe or life-threatening illnesses and injuries, which require constant care, close supervision from life support equipment and medication in order to ensure normal bodily functions. They are staffed by highly trained physicians, nurses and respiratory therapists who specialize in caring for critically ill patients. ICUs are also distinguished from general hospital wards by a higher staff-to-patient ratio and access to advanced medical resources and equipment that is not routinely available elsewhere. Common conditions that are treated within ICUs include acute respiratory distress syndrome, septic shock, and other life-threatening conditions. Patients may be referred dire ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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