Báo cáo y học: "Further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume" docx

... regular rhythm, and ventilatory settings similar to those in the original studies.  e current studies add another limitation and importantly indicate that indiscriminant use of these indicators ... determines the response, there are important limitations to their use. Two papers in a previous volume add pulmonary hypertension as limitations. Uncritical use of ventilatory-induced changes in ... number of monitoring devices. Important to remember, however, is that these indicators are only useful if prerequisites are met – including the absence of any spontaneous ventilatory eﬀ orts,...

Báo cáo y học: "New indications for the use of therapeutic hypothermia" doc

... unusualneurological injuries, including focal brain injury due to vascular disruption, spinal cord injury and global anoxic injuryfollowing asphyxial cardiac arrest. In these conditions, anyCommentaryNew indications ... and there were numerous anecdotal reports of the use of TH in the treatment of neurological injury followinghead injury, stroke and anoxic brain injury [1]. For reasons thatare unclear, there ... reports of the use of TH between1960 and 1992 [2]. Interestingly, at the same time thatintensive care units were developing, the use of TH wasbecoming rare. Presumably, intensive care physicians...

Báo cáo y học: "Clinical Strategy for the Management of Solid Pseudopapillary Tumor of the Pancreas: Aggressive or Less"

... experience with the management of disseminated disease is very limited in the literature6, therefore, attention to the therapy strategy of this neoplasm in the future may allow a more reasonable ... might in turn result in the uncertainty of the strategy for its treatment. While further delineati n g the clinicopathological and radiological features, and summarizing the surgical therapy strategy ... 4-20). Nine patients had their tumors within the head, 2 in the body and 7 in the tail of the pancreas. Notably one patient was demonstrated to have liver metastasis. The predominant presenting...

Báo cáo y học: " Exercise therapy for the management of osteoarthritis of the hip joint: a systematic review" pot

... review.Interventions The interventions included (a) hydrotherapy, which was prima-rily of low intensity and involved walking, leg swinging, andmobility exercises; (b) land-based swinging, mobility, andstretching ... sufficiently on exercise. The infor-mation relating to each article included in the review, is shown in Table 2.Quality The scores related to the quality of the articles (QS) variedfrom 6 to 21 of ... evidence for evaluating the efficacy of exercise therapy in the management of osteoarthritis of the hipLevel of evidence DefinitionStrong evidence Generally consistent findings in multiple trials of...

Báo cáo y học: "Clinical guidelines for the recognition of melanoma of the foot and nail unit." doc

... may bring the patient’sattention to an existing lesion.TheuseofthesimpleacronymABCDE[19]isause-ful tool in remembering the main clinical signs of apotential melanoma (See Table 2) but may ... skin types and is frequently observed in darker skintypes and represents about half of the melanoma occur-ring on the hands and feet. In the early stages, the clini-cal symptoms for this type ... compared to other forms of skin cancer, the dise ase is relativ elyuncommon [6]. However in the UK, like much of the world, the incidence of cutaneous melanoma c ontinues to rise accounting for the...

Báo cáo y học: "Knowledge transfer for the management of dementia: a cluster-randomised trial of blended learning in general practice" docx

... because barriers to the use of the CME internet activities for German GPs still exists[33]. Secon d, the minority of the part icipating GPswho self-reported that they had actually used the online ... used the online modules(’users’ respectively ‘per protocol’) and 37 ind icated thathad not used them (’non-users’). Most of the usersfound the online-modules useful (44 out of 47, 94%).They ... final manuscript.Competing interestsNone of the investigators involved in the study have a conflict of interest. The work was supported by a grant from the Federal Ministry of Educationand Research...

Báo cáo y học: " Study protocol for the development of a European measure of best practice for people with long term mental health problems in institutional care (DEMoBinc)" pptx

... Organ-isation, the Departments of Health and care standard set-ting agencies in the participating countries including the practicalities of incorporating the toolkit into existingreview systems for institutional ... delineate the main, independent predictors in the toolkit of service users' perceived autonomy, dignity, sat-isfaction with care and markers of recovery. The main output from this study ... psy-chiatric institutions in Europe. This is the first attempt to establish an international tool of this type. The multifac-eted approach to identifying the items to be included in the toolkit (a...

Báo cáo y học: "Pulsed moxifloxacin for the prevention of exacerbations of chronic obstructive pulmonary disease: a randomized controlled trial" pps

... includedthosewith:useofinhaledsteroidsatanytimeduring the study; use of systemic steroids at any time during the study; use of long-acting bronchodilators at anytime during the study; past smokers at baseline; ... locally for Gram stainand culture. For the following organisms, defined in the protocol as potential respiratory pathogens in COPD,moxiflo xacin susceptibility te sting was performed locallyby ... Respiratory Research 2010, 11:10http://respiratory-research.com/content/11/1/10Page 3 of 13 in worsening airway physiology, ultimately manifestingas respiratory and systemic symptoms [10,11]. The...

Báo cáo y học: "Aerosolized colistin for the treatment of nosocomial pneumonia due to multidrug-resistant Gram-negative bacteria in patients without cystic fibrosis" ppt

... therapy before aerosolized colis-tin for 7 days and continued to receive the intravenous therapyafter the end of aerosolized therapy (for 32 days). The pneumonia was observed to respond to treatment ... susceptibility of the pathogen(s) to commonlytested antimicrobial agents, as well as the outcome of the infection and of the patient. The mean age of the patients was 59.6 years and most of themwere ... especially in the ICU setting, and the absence of new and effective alternative therapeutic options[16-18]. The idea of using colistin or polymyxin B (which belongs to the same group of antibiotics,...

Báo cáo y học: "Aerosolized colistin for the treatment of nosocomial pneumonia due to multidrug-resistant Gram-negative bacteria in patients without cystic fibrosi" pdf

... non-susceptibility amongorganisms such as Acinetobacter spp., the necessity to explore other therapeutic avenues has led investigators to consider older agents, including the tetracyclines andpolymixins. The ... with the intravenous administration of colistin include mainly nephrotoxicity and neurotoxicity,specifically neuromuscular blockade. The latter is particularlynoted in the context of renal dysfunction, ... class of antimicrobials. The spectrum of activity of the polymixins islimited to some, but not all, Gram-negative organisms. Use of the intravenous formulation for inhalation results in incomplete...

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