PubMed · 11968396
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L R Pembroke. Damage limitation.. https://pubmed.ncbi.nlm.nih.gov/11968396/
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OBJECTIVE: To analyze the relationship between the rate of the in-hospital medical staff SARS infection and the measure of isolation which including the application of the emergency-isolation radiology information system (EIRIS) in polyclinic. METHODS: The groups were classified according to the application of the prevention and protection measure. Group A referred to the stage before the declaration of infectious area was made. Group B was defined as the stage in which the application of common measures of the prevention and protection were made, but the isolation measure was not taken (the suspected or diagnosed cases had the chest X ray film examination in the department of radiology). Group C was the stage after the startup of the isolation measure including the application of EIRIS. the number of the diagnosed cases, the medical staffs exposed, and the diagnosed cases of medical staffs were recorded. RESULTS: In group A, the infectious rate of in-hospital medical staffs showed a marked ascending trend with the regression coefficient of 0.000545, P = 0.04. The rate showed a little descending trend in Group B compared with that in Group A with the regression coefficient of 0.000164, P = 0.140. While marked descending trend compared with group A was demonstrated in group C with the regression coefficient of 0.000037, P = 0.02. CONCLUSION: The trend of the in-hospital medical staffs infection rate changed with different style of prevention and protection measures. With the application of the common measure of the prevention and protection, the rate was significantly lower than that in group A. After the application of the isolation measures including EIRIS, the rate showed the descending trend much further.
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Acute liver failure is characterized by a dynamic clinical course associated with high mortality. The main prognostic determinant is the development of extrahepatic complications. Close monitoring is mandatory, and prophylactic measures to avoid complications should be initiated. In case of complications, early and aggressive treatment is indicated. To date, artificial liver support devices are still in the experimental phase. Liver transplantation should be considered in patients with predictors of a poor spontaneous prognosis. Therefore, a transplant center should be contacted in every case of acute liver failure.