Báo cáo y học: "Recently published papers: small pieces of the puzzle and the long-term view" pps

... Theyreported an alarmingly high incidence of peripheralneurological deficits on examination (13/22, 59% of CommentaryRecently published papers: small pieces of the puzzle and the long-term viewJonathan ... study undoubtedly provides furtherevidence to support the enormous ongoing efforts to tacklethis phenomenon.ObesityAgainst the background of the global epidemic of obesity, the impact of body ... respiratorysyndrome) epidemic and a war in Iraq beamed live into ourdaily lives. The weekly medical journals have covered theseevents and contributed to the debates surrounding them.These events...

Báo cáo y học: " Recently published papers: A review of novel strategies in the prevention of hospital-acquired infections, the ability of intensivists to perform echocardiography, and the benefit of polymyxin B haemoperfusion in abdominal sepsis" pot

... specificearly exercise and mobilisation (physical and occupationaltherapy). In their group of 104 patients, early physical and occupational therapy significantly increased the number of patients ... toCommentaryRecently published papers: A review of novel strategies in the prevention of hospital-acquired infections, the ability of intensivists to perform echocardiography, and the benefit of polymyxin ... re-established.Schweickert and colleagues present the argument that earlyphysical and occupational therapy can reduce the duration of time on a ventilator, and can thereby reduce the mortalityassociated...

Báo cáo y học: "Recently published papers: A number of treatment controversies" pptx

... suggestion is the possibility of diuretic responsiveness imbuing a false sense of security, resulting in delayed renal replacement therapy.However, in the study reported by Mehta and coworkers ... days, and ICU and hospital duration of stay did not differ between the groups.Although no outcome benefit was demonstrated in this trial and the authors admitted that in their study the cost of ... measures wereemployed, including costing, quality of sedation,haemodynamic stability and time to extubation, among others.Unsurprisingly, the studies showed wide clinicalheterogeneity and this precluded...

Báo cáo y học: "Recently published papers: More about EGDT, experimental therapies and some inconvenient truths" potx

... of breathing a hydrogen oxygen atmosphere and half to nitrogenoxygen. The anti-inflammatory effects of the hydrogen werevery striking. The impracticality of repeating this study in anyclinical ... mitochondrialtherapies yet prove to be the therapies that end the optimalinopressor debate?Hydrogen?Staying in the realm of novel therapies, hydrogen may also bein ICUs in the future. My personal ... supportive therapies had beenused. Secondly, the investigators were only able to recruitone third of eligible patients, as always, raising the issue of the representative nature of the study sample....

Báo cáo y học: "Recently published papers: Renal replacement therapy: which route and how much? Intracerebral haematomas: does the size matter? β blockers and steroids: will we ever know" doc

... DECREASEseries [10] by Poldermans and colleagues, which were“mainly observational, done primarily only on vascular surgerypatients and in only one country in the world”. However,patients in these series ... patients in the POISE study.Steroids for meningitis and acute respiratorydistress syndrome The study by Mongelluzzo and co-workers [11] aimed toevaluate the relationship of adjuvant corticosteroid ... cumulativeincidence of 2.2% at 7 days and 3.1% at 28 days afteradmission. Adjuvant corticosteroid therapy was not associatedwith reduced mortality in any age group. The hazard ratio (HR)for children younger...

Báo cáo y học: " Recently published papers: A series of negative results" pptx

... insulin therapy (between10.0 and 11.1 mmol/L). The primary end point of ICUmortality was used. A plethora of secondary end points wereassessed, including rates of hypoglycaemia.Results showed there ... mortality. On the other hand, mortality may not have been affected because the interventions were ineffective. This needs further study.Competing interests The authors declare that they have ... electricalactivity), the drug was given immediately. If in a shockablerhythm, then it was given after the third shock if there hadbeen no return of spontaneous circulation. The primary endpoint was 30 day...

Báo cáo y học: " Recently published papers: Topical issues in pharmacology" pptx

... recent paper on the effects of methylprednisolone inunresolving acute respiratory distress syndrome [10], and may account for a therapeutic modality by which high-dosesteroid therapy works. It ... levels is of significance because this proinflammatory cytokine has beencorrelated with severity of septic shock, and this may explain the quicker resolution of organ-related morbidity in the treatment ... study, but it positively contributes towards arationale for the use of steroids in management of the inflammatory response.Thromboembolic disease is a frequent cause of morbidity and mortality...

Báo cáo y học: " Recently published papers: We are what we eat" pot

... to accelerate recovery of gastrointestinal motility may be effective salt and waterbalance. In a study by Lobo and colleagues [4], prompted byCommentaryRecently published papers: We are what ... study reported by Yap and coworkers [7]. They retrospectively studied more than1000 patients over an 18-month period, their hypothesisbeing that serum hypoalbuminaemia may be predictive of mortality ... of mortality risk in the critically ill. This was no doubt triggeredby the Acute Physiology and Chronic Health Evaluation(APACHE) III as well as the study reported by McCluskey and colleagues...

Báo cáo y học: " Recently published papers: New evidence for old debates, new drugs and some timely reminders" pps

... in the case of negative results. Criticism of their investigationmight include the small study number and lack of anyoutcome benefit demonstrated, although this was not the aim of the study. ... nasogastrictube and to only employ the alternatives in cases of failure. The long-term success of renal allografts from nonheart-beating donors is reported by Weber and colleagues [22].Sadly, adoption of ... this technique, in the UK at least, awaits the deliberation of the government and judiciary.Finally, if you have been seduced by the attractive qualities of alcohol-based hand rubs to reduce...

Báo cáo y học: "Recently published papers: of head injuries, high frequencies and haemodynamic optimization" pps

... surgery, trauma and sepsis patients. Their findings confirmed further thatwhen therapy is aimed at improving oxygen delivery(especially in the severely ill, in whom control group mortalitywas ... further implicating involvement of the neuroendocrinesystem in sepsis, have they found a highly predictive marker?Time and further investigation will surely tell.Are we drawing too many blood ... verge on unity,pointing out the problems of analysis with just so manyvariables. One day soon someone may take up the gauntlet of a matched interventional study so that we can really besure that...

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