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Current therapy of trauma and surgical critical care

Báo cáo y học:

Báo cáo y học: "Strict glycaemic control in patients hospitalised in a mixed medical and surgical intensive care unit: a randomised clinical trial"

... efficacy and safety of intensive insulin therapy compared with standard glucose control in patients hospitalised for medical problems, surgical non-cardiovascular procedures or trauma in a mixed medical/ surgical ... [1-4] A randomised trial of 1548 patients hospitalised in a surgical intensive care unit (ICU) showed that maintaining normal glucose levels reduces morbidity and mortality [5] In another randomised ... noncardiovascular surgeries and trauma, intensive insulin therapy did not reduce the mortality or morbidity of patients admitted to a mixed medical/ surgical ICU • Intensive insulin therapy was associated...
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Tài liệu Human Breast Milk: Current Concepts of Immunology and Infectious Diseases pptx

Tài liệu Human Breast Milk: Current Concepts of Immunology and Infectious Diseases pptx

... Dynamic Nature of the Immune Benefits of Breast Milk Walker and Wagner and many other researchers have referred to the concept of dynamic changes or interactions or evolution of breast milk and the immune ... postpartum), and mature milk.116 Many factors affect the volume and composition of human milk: stage of lactation; parity; volume of milk production; infant feeding; maternal diet and energy status; and ... advantages of breastfeeding over formula feeding Immunologic benefits of breastfeeding can be measured in terms of mortality and risk of infection in breastfed infants compared with nonbreastfed...
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current status of micro and nano structured optical fiber sensors

current status of micro and nano structured optical fiber sensors

... preparation and operando investigation of the two polymorphic forms of the M nanosized - In2O3 brought novel and interesting results: the high sensitivity to ozone of the rh - In2O3 films, the values of ... analysis of the interplay of the microscopic parameters allowed to additionally explain the trends of the samples when operated in regions situated outside of the standard model validity 14 Page 14 of ... properties of nanocrystalline ITO thick films Sensors and Actuators BChemical, 89 (2003) 180-186 [19] D.W Chu, Y.P Zeng, D.L Jiang, J.Q Xu, Tuning the phase and morphology of In2O3 nanocrystals...
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key questions in surgical critical care

key questions in surgical critical care

... vein thrombosis Intra-aortic balloon pump Intra-abdominal hypertension Intra-abdominal pressure Intracellular fluid Intra-cranial pressure Intensive care unit Internal jugular vein Interleukin ... Page i KEY QUESTIONS IN SURGICAL CRITICAL CARE Kqs-FM.qxd 5/11/02 11:15 AM Page ii This page intentionally left blank Kqs-FM.qxd 5/11/02 11:15 AM Page iii KEY QUESTIONS IN SURGICAL CRITICAL CARE ... B Norepinephrine is a potent vasoconstrictor MCQs Key Questions in Surgical Critical Care 17 Kqs-Q-s1-1.qxd 5/11/02 11:19 AM Page 18 Cardiovascular System C Norepinephrine is indicated in the...
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surgical critical care vivas

surgical critical care vivas

... Surgical Critical Care Vivas Mazyar Kanani BSc (Hons) MBBS (Hons) MRCS (Eng) Greenwich Medical Media Limited Surgical Critical Care Vivas For my wife, Pauline Cornelia O’Keeffe Surgical Critical ... Pulmonary vascular resistance ᭢ SURGICAL CRITICAL CARE VIVAS Epithelial injury ↑ Secretions & retention A ACUTE RESPIRATORY DISTRESS SYNDROME 17 SURGICAL CRITICAL CARE VIVAS A ACUTE RESPIRATORY DISTRESS ... insertion’) Pulmonary Thromboembolism Pulse Oximetry vi 161 171 173 177 180 183 187 192 ᭢ SURGICAL CRITICAL CARE VIVAS Renal Replacement Therapy Respiratory Assessment Respiratory Failure (see also...
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Báo cáo hóa học:

Báo cáo hóa học: " Efficient integration of secure and safety critical industrial wireless sensor networks" doc

... Efficient integration of secure and safety critical industrial wireless sensor networks EURASIP Journal on Wireless Communications and Networking 2011 2011:100 Submit your manuscript to a journal and ... using existing automation equipment and standards, addressing safety and security, using Profinet IO, Profisafe, and WirelessHART In order to retrofit security in Profinet IO we introduce a concept ... framework with a proof -of- concept implementation using Profisafe, Profinet IO, and WirelessHART using an industrial control system The integration method allows security and safety- related configuration...
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Báo cáo hóa học:

Báo cáo hóa học: " Current methods of diagnosis and treatment of scaphoid fractures" ppt

... Page of Figure Treatment of scaphoid fractures Figure X-ray after percutaneous screw fixation of the scaphoid (patient F) Pseudo-arthrosis in case of an operative treatment depends on the type of ... WP: Scaphoid fractures: current treatments and techniques Instr Course Lect 2003, 52:197-208 28 Russe O: Fracture of the carpal navicular Diagnosis, non-operative treatment, and operative treatment ... systematic review and meta-analysis Clin Orthop Relat Res 2010, 468(3):723-34 doi:10.1186/1865-1380-4-4 Cite this article as: Rhemrev et al.: Current methods of diagnosis and treatment of scaphoid fractures...
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KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 2 pdf

KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 2 pdf

... shift increases the affinity of Hb for O2 C The Bohr effect is most prominent in the lungs MCQs Key Questions in Surgical Critical Care 33 Kqs-Q-s 1 -2 .qxd 5/11/ 02 11 :21 AM Page 34 D Increasing temperature ... B Increasing FRC will improve oxygenation MCQs Key Questions in Surgical Critical Care 31 Kqs-Q-s 1 -2 .qxd 5/11/ 02 11 :21 AM Page 32 C IRV increases mean airway pressure (MAWP) without increase in ... high FIO2: A B C D E Q Questions Pneumothorax Pneumomediastinum Subcutaneous emphysema Pneumoperitoneum Air embolus Key Questions in Surgical Critical Care 21 Kqs-Q-s 1 -2 .qxd 5/11/ 02 Q Page 22 The...
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KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 3 doc

KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 3 doc

... anti-diuretic hormone (ADH) Increased thyroxine Increased catecholamines Increased cortisol Key Questions in Surgical Critical Care Kqs-Q-s 1 -3 .qxd 5/11/02 11:22 AM Page 43 A B C D E Ampicillin ... during the reaming process of intramedullary nailing E Causes hypoxaemia and hypercarbia 52 MCQs Key Questions in Surgical Critical Care Kqs-Q-s 1-4 .qxd Q 5/11/02 Problems in Intensive Care Questions ... – penicillin Surgical wound – ceftazidime Questions 54 MCQs Key Questions in Surgical Critical Care Kqs-Q-s 1-5 .qxd 5/11/02 11:24 AM Page 55 Principles of Intensive Care Q The following score...
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KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 4 doc

KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 4 doc

... surface area, when it is called the cardiac index (normal range 2.5 4 l/min/m2) An increase in filling 68 MCQs Key Questions in Surgical Critical Care Kqs-A-s 1-1 .qxd 5/11/02 11:18 AM Page 69 SCC pp ... through treating the cause e.g laparotomy for intra-abdominal sepsis, volume replacement, antibiotics, and inotropes SCC pp 49 –55 78 MCQs Key Questions in Surgical Critical Care Kqs-A-s 1-1 .qxd 5/11/02 ... stimulates - and ␤-adrenoceptors It tends to produce vasoconstriction and an increase in afterload, particularly at higher doses Myocardial 84 MCQs Key Questions in Surgical Critical Care Kqs-A-s 1-1 .qxd...
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KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 5 ppsx

KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 5 ppsx

... ability to maintain PEEP in the ‘good’ lung, thus reducing alveolar recruitment resulting in worsening hypoxaemia SCC pp 91–96 106 MCQs Key Questions in Surgical Critical Care Kqs-A-s 1-2 .qxd 5/ 11/02 ... venous return by increasing intra-thoracic pressure The negative intra-thoracic pressure of spontaneous ventilation 100 MCQs Key Questions in Surgical Critical Care Kqs-A-s 1-2 .qxd 5/ 11/02 11:20 ... overall clinical picture and the technique of the patient in obtaining the data Restrictive conditions can give a normal 94 MCQs Key Questions in Surgical Critical Care Kqs-A-s 1-2 .qxd 5/ 11/02 11:20...
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KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 7 doc

KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 7 doc

... occult intra-abdominal sepsis and how would you diagnose and treat it? Vivas Key Questions in Surgical Critical Care 151 Kqs-Q-s 2-5 .qxd 5/11/02 11:31 AM Page 152 Principles of Intensive Care Questions ... how may these vary with critical illness? Questions 150 Vivas Key Questions in Surgical Critical Care Kqs-Q-s 2-4 .qxd 5/11/02 11:30 AM Page 151 Problems in Intensive Care Questions Q What are the ... apnoea, misplacement Continuing care: infection, tracheitis, tracheal stenosis & necrosis, tube blockage/displacement, surgical Key Questions in Surgical Critical Care Kqs-A-s 1-6 .qxd 5/11/02 11:25...
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KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 8 ppsx

KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 8 ppsx

... ischaemia, continued pain, or retrograde progression into the ascending aorta, then surgery is indicated SCC pp 26–27 Vivas Key Questions in Surgical Critical Care 165 Kqs-A-s 2-1 .qxd 5/11/02 ... examining the patient for signs of hypovolaemia or volume overload, examining fluid balance charts, and reviewing a CXR (Table 1.4) Vivas Key Questions in Surgical Critical Care 167 Kqs-A-s 2-1 .qxd ... In septic shock, cardiac output is usually high and SVR low Vasoconstricting inotropes e.g adrenaline or noradrenaline are appropriate 1 68 Vivas Key Questions in Surgical Critical Care Kqs-A-s 2-1 .qxd...
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KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 9 pdf

KEY QUESTIONS IN SURGICAL CRITICAL CARE - PART 9 pdf

... neck injury (in conjunction with in- line stabilisation) Key Questions in Surgical Critical Care Kqs-A-s 2-2 .qxd 5/11/02 11:27 AM Page 197 These techniques may be supplemented by: ᭿ ᭿ Definitive ... the advantage of maintaining muscular activity, thereby minimising the risks of disuse atrophy Key Questions in Surgical Critical Care Kqs-A-s 2-2 .qxd 5/11/02 11:27 AM Page 193 SCC pp 80–87 Respiratory ... tests Key Questions in Surgical Critical Care Kqs-A-s 2-3 .qxd 5/11/02 ᭿ ᭿ ᭿ ᭿ Page 2 09 Answers Intubation is necessary for life-threatening haemoptysis, hypovolemic shock, worsening hypoxemia in...
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