... small proportion of patients (one-fourth of patients with presumed diagnosis of infection and one-tenth ofthe patients with the diagnosis of colonization) At first glance, these results seem ... hepatic failure [4] These underlying conditions are not included in the proposed criteria and they should be added to the list This may avoid the misclassification of these high risk patients if semiquantitative ... algorithm based on the criteria defined by an international conference on the diagnosis of aspergillosis in immunocompromised patients [11] With this approach, approximately 50% ofthe patients were...
... characteristics ofthe young and theelderly pulmonary tuberculosis patients Table Presenting clinical symptoms and signs ofthe young and theelderly pulmonary tuberculosis patients Young (
... disease All the patients underwent selective coronary artery bypass grafting by the same anesthetic and surgical team The inclusion criteria for the patients were the following: Page of 12 Patients ... an infusion rate of 22 ml/h Neither the surgeon nor the anesthetist or any other in the operating room except from this nurse did know the kind of infused solution, in each patient Ten minutes ... termination ofthe cardiopulmonary bypass Finally, the last phase (phase-5) was recorded at hours following transfer ofthepatient in ICU The recorded parameters of hemodynamic profile were the following:...
... Care in theElderly 2012:4 Elderlypatient with multiple sclerosis Pain Pain is one ofthe most common symptoms of MS and can be seen in more than half of all patients with MS Pain can either be ... in theElderly 2012:4 Elderlypatient with multiple sclerosis as CVA and CAD Many symptoms of diabetes can overlap or mimic symptoms of MS For example, the neuropathy of diabetes consists of ... mobility in patients with MS.5 Furthermore, exercise can help counteract the effects of disuse atrophy Given the potential implications of serious falls, many older patients may develop a “fear of falling”...
... photocopy of each form before sending it 24 Themanagementof patients with venous leg ulcers Appendix 2: Audit Form Themanagementof patients with venous leg ulcers Notes 25 26 Themanagementof patients ... occurrence ofthe first ulcer; the site ofthe ulcers and of any previous ulcers; the number of previous episodes of ulceration; the time taken to heal in previous episodes; the time free of ulcers; ... 1995) Strength ofthe evidence II Themanagementof patients with venous leg ulcers Assessment 2.1 Assessment of Patients with Leg Ulcers The records show that the measurement of ABPI has been...
... Bipolar Illness Bipolar illness - onset often early in life 10% ofpatient with BPI onset >50 years First onset of mania or hypomania is rare in theelderlyPatient often presents with depression first ... therapy Individual psychotherapy Supportive psychotherapy Cognitive behavioral therapy Group therapy Family therapy Caregiver support group therapy Treatment Evidence-based research minimal Elderly ... acquisition to know when to suspend or altogether omit them.” Phillipe Pinel, physician 1806 Citizen Pinel Orders Removal ofthe Chains ofthe Mad at the Salpêtriére Tony Robert-Fleury (1838–1911)...
... cases, they took their money, and upon discovery ofthe extent ofthe elders’ needs, returned them to the shelter One ofthe problems that occurred at the RAC was the difficulty in securing the ... evacuation to the RAC The trauma resulting from the disaster, the process of evacuation, the disruption of regular care, and the stress of residing in the shelter complex further increased their vulnerability ... reviewed the effects ofthe 1966 tornado in Topeka, Kansas, on family functioning to assess the impact ofthe tornado on persons 60 years of age and older The authors found that the elderly, for the...
... also observed in the subgroup of 28 elderly patients Despite efforts in including theelderly in RCTs, most tudies on the use of laxatives in theelderly are s limited because of small sample ... to office biofeedback.54 However, the efficacy of biofeedback in theelderly remains unclear Since biofeedback is based on operant l arning conditioning techniques, an evaluation ofthe e patient s ... with soiling The treatment of DD consists of fiber rich diet, axatives, l timed toilet training and biofeedback therapy The urpose of p biofeedback is to restore the normal pattern of d fecation...
... aggressive behaviour, which have recently been the object of a specific publication [4] The present paper focuses mainly on themanagementof SPDC patients and their attitudes towards pharmacological ... enrolled into the study All patients were admitted to the study only once over the enrolment period The subjects were evaluated at admission, and then daily for the first days of hospital stay ... focuses on the subjective effect of antipsychotic medications To assess the prevalence of aggressive behaviours, the Modified Overt Aggression Scale (MOAS) [9], which is the modified version of the...
... aripiprazole at the start ofthe switching treatment period, the starting dose of which was determined by the investigator After weeks of adverse event (AE)-free aripiprazole dosing, the treating ... days of drug dispensed based on the assessment schedule Patients with values between 80% and 100% were considered to be treatment compliant Ofthe 153 patients enrolled in the study, 106 patients ... effectiveness trials of aripiprazole in patients with schizophrenia conducted in the US [21] and Page of Europe [24] These studies evaluated the broad effectiveness of aripiprazole in patients with...
... is the only chance these patients have for a cure, we suggest that PD is justified, even in theelderly If appropriate managementofelderly patients is provided, the safety of perioperative management ... larger We must investigate themanagementofelderly patients after PD and prepare further for more experiences of PD If appropriate surgical management is provided to elderly patients, we suggest ... their safer management In fact, it has been reported that PD can be performed safely in elderly patients [10-12] The purpose ofthe present study was to evaluate the safety of PD in patients older...
... ofthe right heart valves [8] Less commonly, the left side ofthe heart can be effected by carcinoid heart disease In this situation, PFO represents the major etiologic factor [9] In 20% of patients ... from thepatient for publication of this case report and accompanying images A copy ofthe written consent is available for review by the Editor-in-Chief of this journal Competing interests The ... that they have no competing interests Authors' contributions Themanagementof pneumatosis intestinalis in this patient also proved quite challenging Given the timing of onset after evidence of...
... [49,51,52] with the PCP being the target ofthe intervention in two of them [51,52] The unit of allocation was thepatient in seven [46-49,52-54], the physician in one [50], and the family practice ... ofthe hands ofthe PCP [49,53], and in one the investigation was carried out but the results were sent to the PCP to act on [54] Results Selection of studies for inclusion Development ofthe ... may limit their generalisability to other countries and healthcare systems Although we pooled the results ofthe studies (reflecting their homogeneity ofpatient groups and settings), there were...
... 13.0 software Results Characteristics ofthe patients Characteristics ofthe patients at the time of diagnosis are listed in Table The median age of these patients was 70 (60–84) years Seven patients ... study, the response results of HA are comparable with these and other reported results in elderly patients with AML [15-21] The response rates of HA are also comparable with the data ofelderly patients ... chemotherapy of homoharringtonine Probability of overall survival in elderly patients with AML Probability of overall survival in elderly patients with AML undergoing induction chemotherapy of...
... agreement with the outcomes of OPNS in studies of patients without NF-1 and is independent ofthe etiology of occipital neuralgia [7,20-23] Our patient s recovery from implantation ofthe leads was ... nerve as well as two divisions ofthe greater occipital artery as they pierce the substance ofthe trapezious muscle 1.0 cm to 1.2 cm from the skin Re-implantation ofthe peripheral nerve-stimulating ... neurofibromas ofthe peripheral nervous system [8] According to the National Institutes of Health, a definitive diagnosis of NF-1 is made when two of seven cardinal clinical features ofthe disease...
... characteristics ofthe patients managed using one ofthe three main initial therapeutic options (conservative measures, BAE or surgery) and to help better define the role of BAE, according to the severity of ... ofthe volume of haemoptysis (median, quartile) on admission according to the cause Distribution ofthe volume of haemoptysis (median, quartile) on admission according to the cause Plots ofthe ... arteriography Distribution ofthe cumulated volume of haemoptysis on ICU admission, according to the first attempt of bronchial arteriograFigure phy Distribution ofthe cumulated volume of haemoptysis on...
... motivated by the ‘rule of rescue’ Intensivists feel obliged to offer some therapy, any therapy, to a patient in imminent danger of dying [16] As is often the case in critical care, a therapy that ... treatment is useless Rather than enter the usual fray, let me suggest another route to understanding this debate [14] At the heart of a discussion about the use of prone ventilation (or of nitric oxide) ... lives The available evidence on prone ventilation neither conclusively proves nor disproves its benefit, but makes the probability of benefit small in the majority of ARDS patients When the evidence...
... in themanagementof septic shock Katherine G Craig and Keith R Walley The debate surrounding the use of corticosteroids in septic patients has continued for over 30 years Two metaanalyses in the ... “appropriate supplementation of corticosteroids [be] part ofthe regimen of supportive care” There are several problems with this statement First, with the level of evidence currently available ... increased in patients treated with steroids In addition, there were trends toward earlier reversal of organ dysfunction There was not, however, a mortality difference between the two groups [8] There...
... However, the utility of these animal studies in guiding the practical managementof patients with severe hypoxemia is limited by the need for pressure–volume curve measurements [11] and the use of ... nine of these trials using HFOV [12] The overall results of these trials are equivocal In a meta-analysis, Thome and Carlo [12] indicate there is no difference in mortality between the use of HFOV ... HFOV There is no data to indicate that the survival of adult patients with ARDS is improved with the use of HFOV Animal data Most ofthe studies published over the past 40 years comparing HFOV with...
... potential risk ofthe development of bacterial resistance While there is inconclusive data supporting the use of prophylactic antibiotics in the setting of severe pancreatitis, there is some evidence ... decontamination ofthe digestive tract Selective decontamination is attractive as it may allow the use of prophylaxis without the risk of inducing superinfections through the use of long-term broad-spectrum ... Pooling ofthe data from these 183 patients by Bosscha and colleagues in a meta-analysis resulted in a group of 95 patients treated with prophylactic antibiotics and 88 patients without [5] These...