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Báo cáo y học: "Bench-to-bedside review: The inflammation-perpetuating" potx

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Báo cáo y học: "Systematic review: The relation between nutrition and nosocomial pneumonia: randomized trials in critically ill patients" doc

... bodyposition (kinetic bed thera py and semirecumbancy).Other nonpulmonary approaches are pharmacologic(selective digestive decontamination and stress ulcerprophylaxis) or nutritional (the type, ... intolerance, therebypredisposing them to aspiration pneumonia. The goal ofthis systematic review is to critically appraise and sum-marize the randomized trials of nutritional strategiesand their ... reviewedindependently in duplicate. Any additional relevant arti-cles were thereby identified and retrieved.Study selection The following selection criteria were applied t o the fullmanuscripts by two reviewers...
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Báo cáo y học: "Clinical review: The management of hypertensive crises" ppsx

... kidney has long beenpostulated to play a central role in the pathophysiology ofmalignant hypertension [42]. Activation of the renin–angiotensin system has been strongly implicated in the initiation ... adequately controlled. One the basis of the clinicalevaluation, the physician should be able to make the distinc-tion between a hypertensive emergency/crisis and a hyper-tensive urgency [21].Initial ... emergency or crisis. The dynamic physiologic changes that occur in the earlypostoperative period deserve special mention. Postoperativehypertension has arbitrarily been defined as a systolic...
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Báo cáo y học: "Clinical review: The meaning of acid–base abnormalities in the intensive care unit – effects of fluid administration" potx

... primarily bydifferential alteration in [Na+] and [Cl–]. If these changesincrease SID then the effects of ATOTdilution are enhanced,and if they decrease SID then they oppose them (Table ... ATOT. If the SBE is below –3.0 mEq/l then there ismetabolic acidosis, either primary or compensatory. The deviation below zero is the increase in extracellular SIDneeded to correct the acidosis. ... of weak base (e.g. tris-hydroxymethylaminomethane) [6], which is normally absent from body fluids.ReviewClinical review: The meaning of acid–base abnormalities in the intensive care unit –...
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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 werethree ICU physicians present in the emergency departmentwho 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 hospitals.Fortunately, the number of severely injured ... scenarios, especially highlyemotionally charged situations, with the potential breakdownof the normal decision-making hierarchy.On the day of the bombings, the senior nurse in the ICUbecame responsible...
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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 ofguidelines of behaviour modification: they must be easy toimplement and they must not diminish the safety of the patients. Both noise and light are often the primary pairedconcerns ... 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 noise level wasreduced by ... methods were effectivelyintegrated by the investigators in order to enhance the accuracy and reliability of the research outcomes. Table 1summarises the characteristics of the key studies.Importance...
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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 prognosisCAP is the leading cause ... signifi cantly higher than in survivors. ProADM was more closely related to mortal-ity than PCT, CRP or the leukocyte count, and had approxi-mately the same prognostic accuracy as the PSI. ...
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Báo cáo y học: "Termites in the woodwor" potx

... biochemical analysis of some of the enzymes theydiscovered. The team began by sampling the luminal contents of the P3hindgut segment, pooling the material from 165 adultworker termites. This is the largest ... dominated the community.Notably, Warnecke et al. [3] did not detect any archaealsequences, nor did they find much eukaryotic material(there was apparently very little contaminating DNA from the ... any). They discovered 216 distinct 'phylotypes' ofbacteria (that is, groups of 16S sequences with at least 99%sequence identity) and estimated from the redundancy inthese phylotypes...
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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-specificinflammation were also seen in the wall of the appendix.No significant cytological atypia or invasion of the appen-diceal wall by atypical glands was noted (Figures 2 and 3).A ... diagnosis of mucinous cystade-noma was made. The patient remained well post-opera-tively and was discharged after an uneventful hospitalstay. At one-year follow-up, the patient was symptom-free.DiscussionMucinous...
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Báo cáo y học: " Meta-review of the effectiveness of computerised CBT in treating depression" pps

... Although theysearched only three electronic data bases, they identifiedand carefully investigated 12 RCTs. They admit that theirresults 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-deliveredpsychotherapy.(cCBT: Computerised Cognitive Behaviour Therapy; ... Kaltenthaler E, Parry G, Beverley C: Computerized cognitive behaviourtherapy: A systematic review. Behavioural and Cognitive Psychotherapy2004, 32:31-55.11. Kaltenthaler E, Parry G, Beverley C, Ferriter...
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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, 2Department of Radiotherapy Oncology, University of Brescia, Brescia, Italy, 3Department of Neurology, University of Brescia, Brescia, Italy ... Post-operative radiotherapy was not advised, and three monthslater, the disease progressed locally and in the cervicallymph nodes. At our institution, he was then treated withthree cycles of the paclitaxel, ... or dueto a synergistic effect with the restoration of cisplatin sen-sitivity. The chromosome 7 polysomy, documented in the patient, may account for increased protein expression at the membrane...
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