Systematic Review and Synthesis Essay Example | Topics and Well Written Essays - 1250 words

Systematic Review and Synthesis - Essay Example presence of hypothermia on admission was correlated with worse outcomes including ICU LOS, functional outcomes (GCS and Glascow Outcome Scored-Extended), and death in their sample of brain injured patients Binks et al (2010) carried out a study to determine how many intensive care units in the United Kingdom were using Hypothermia as part of their post-cardiac arrest management. The study was conducted in all UK ICUs that were present in the 2008 UK directory of critical care. However, the information important to this study was obtained 243 intensive care units (98.4%). After carrying out the study, Binks et al (2010), found out that out of 243 investigated intensive care units, about 85.6% (208) had used therapeutic hypothermia for patients after suffering from cardiac arrest. Further, out of the ICUs using therapeutic hypothermia; 206 (99%) usually or sometimes considered the use of TH in patients who had an out of hospital VF/ Ventricular tachycardia (VT) arrest. In addition, 126 (61%) usually or sometimes used TH after patients had undergone pulse less electrical activity (PEA). Finally, 132 (64%) usually or sometimes used TH following in-hospital cardiac arrest. The study showed that the use of TH in the United Kingdom’s intensive care units had increased after the introduction of the international Liaison Committee on Resuscitation (ILCOR) recommendations. Several intensive care units across UK have decided to use therapeutic hypothermia to treat patients suffer from cardiac arrest. Clinical practice based on previous research (evidence based practice) has since shaped the way patients are being cared for. Clinicians had decided to use the available research on therapeutic hypothermia to treat cardiac arrest patients. According to Thompson, Catherine and Mitchell (2010), the presence of hypothermia on admission was correlated with worse outcomes including ICU length of stay (LOS), functional outcomes (GCS and Glascow Outcome Scored-Extended), and

Answer 2 question Essay Example | Topics and Well Written Essays - 500 words

Answer 2 question - Essay Example According to Schneider (2011), checks may be unsafe because merchants handling checks usually get access to individual account number, names, and other contact information that may make it easy to perpetrate fraud. Moreover, when checks are processed as electronic debits, merchants have access to personal account that may give them chance to make unauthorized deductions. In addition, compared to the debit cards that only require a four digit PIN, checks usually need signatures, which may be easily imitated by a third party. On the other hand, when an account holder or signatory to the check gets serious accidents that, they cannot sign the checks; it is obvious that the checks cannot work because there may be issues of mismatch in signatures. Not all merchants because of payment delays and possibility of bounced checks may accept checks (Schneider, 2011). Keeping accurate financial record may is very cumbersome and time consuming especially when dealing with cancelled checks because they normally leave paper trails that the account owner must follow in case of fraud or theft. Reconciling the bank statement with the canceled checks is not an easy task. Schneider (2011) explains that phishing has been rampant in the recent years as expert criminals turn to the huge amount of money involved in the online payment systems. The technique that involves committing fraud against clients of online business is common amongst financial institutions whose customers expect high degree of security. The basic structure of a phishing attack sees an attacker sending e-mail messages to several recipients who may be account holders at the targeted Web site such as PayPal or Skrill. The messages that also include some links that appear as the link to the login Web site, normally informs the recipients that their accounts have been compromised and that they should log in to the account to correct the issue. Instead, the links