... body position (kinetic bed thera py and semirecumbancy). Other nonpulmonary approaches are pharmacologic (selective digestive decontamination and stress ulcer prophylaxis) or nutritional (the type, ... intolerance, thereby predisposing them to aspiration pneumonia. The goal of this systematic review is to critically appraise and sum- marize the randomized trials of nutritional strategies...
Ngày tải lên: 12/08/2014, 18:20
... kidney has long been postulated to play a central role in the pathophysiology of malignant hypertension [42]. Activation of the renin–angiotensin system has been strongly implicated in the initiation ... adequately controlled. One the basis of the clinical evaluation, the physician should be able to make the distinc- tion between a hypertensive emergency/crisis and a hyper- tens...
Ngày tải lên: 12/08/2014, 19:22
Báo cáo y học: "Clinical review: The meaning of acid–base abnormalities in the intensive care unit – effects of fluid administration" potx
... primarily by differential alteration in [Na + ] and [Cl – ]. If these changes increase SID then the effects of A TOT dilution are enhanced, and if they decrease SID then they oppose them (Table ... A TOT . If the SBE is below –3.0 mEq/l then there is metabolic acidosis, either primary or compensatory. The deviation below zero is the increase in extracellular SID needed to correct the...
Ngày tải lên: 12/08/2014, 20:20
Báo cáo y học: "Clinical review: The role of the intensive care physician in mass casualty incidents: planning, organisation, and leadership" pot
... the resuscitation room. On the day of the bombings, there were three ICU physicians present in the emergency department who were directly involved in the resuscitation phase of the most seriously injured casualties. Critical ... discharged to the community under the care of the primary health care system. Elective operating was sus- pended at the RLH as well as two nearby...
Ngày tải lên: 13/08/2014, 10:20
Báo cáo y học: "Clinical review: The impact of noise on patients’ sleep and the effectiveness of noise reduction strategies in intensive care units" ppsx
... for the selection of guidelines of behaviour modification: they must be easy to implement and they must not diminish the safety of the patients. Both noise and light are often the primary paired concerns ... of the incubator. The noise was reduced by 3.3 dBA inside the incubator. In a study by Blomkvist and colleagues [48], after the replacement of the ceiling tiles the no...
Ngày tải lên: 13/08/2014, 11:23
Báo cáo y học: "Clinical review: The role of biomarkers in the diagnosis and management of communityacquired pneumonia" potx
... depends on the clinical setting in which it is used and, crucially, on the sensitivity of the assay. e Kryptor assay (Brahms, Hennigsdorf, Germany) has a functional sensitivity of 0.06 μg/l ... technique permits early diagnosis and appropriate ther- apy, and use of the procedure will probably become the standard of care in the next few years. Indicators of prognosis CAP is...
Ngày tải lên: 13/08/2014, 19:20
Báo cáo y học: "Termites in the woodwor" potx
... biochemical analysis of some of the enzymes they discovered. The team began by sampling the luminal contents of the P3 hindgut segment, pooling the material from 165 adult worker termites. This is the largest ... dominated the community. Notably, Warnecke et al. [3] did not detect any archaeal sequences, nor did they find much eukaryotic material (there was apparently very littl...
Ngày tải lên: 14/08/2014, 08:20
Báo cáo y học: " Intricacies in the surgical management of appendiceal mucinous cystadenoma: a case report and review of the literature" ppt
... interpretation of pathology along with drafting the manuscript. MRK conceived the study, helped in the interpretation of the data, drafted the manuscript and provided overall supervision in the project. All ... non-specific inflammation were also seen in the wall of the appendix. No significant cytological atypia or invasion of the appen- diceal wall by atypical glands was n...
Ngày tải lên: 11/08/2014, 12:20
Báo cáo y học: " Meta-review of the effectiveness of computerised CBT in treating depression" pps
... Although they searched only three electronic data bases, they identified and carefully investigated 12 RCTs. They admit that their results could be affected by the heterogeneity of studies. Similarly ... directly discussed in the review. General conclusion of the review: There is evidence for progression in the field of internet-delivered psychotherapy. (cCBT: Computerised Cognitive...
Ngày tải lên: 11/08/2014, 15:22
Báo cáo y học: "Cetuximab in the treatment of metastatic mucoepidermoid carcinoma of the salivary glands: A case report and review of literature" doc
... Oncology, Azienda Spedali Civili, Brescia, Italy, 2 Department of Radiotherapy Oncology, University of Brescia, Brescia, Italy, 3 Department of Neurology, University of Brescia, Brescia, Italy ... Post- operative radiotherapy was not advised, and three months later, the disease progressed locally and in the cervical lymph nodes. At our institution, he was then treated with three cycles...
Ngày tải lên: 11/08/2014, 21:22