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 ... (sensitive to colistin and gentamycin)COS COS COS MDR (sensitive to colistin and gentamycin)COS MDR (sensitive to colistin and gentamycin)MDR (sensitive to colistin and gentamycin)Open ... treatment of nosocomial pneumonia due to multidrug-resistant Gram-negative bacteria in patients without cystic fibrosis. Colistin and polymyxin E are old antibiotics; colistin was almost abandoned for...

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

... with the intravenous administration of colistin include mainly nephrotoxicity and neurotoxicity,specifically neuromuscular blockade. The latter is particularlynoted in the context of renal dysfunction, ... 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 ... 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...

Báo cáo y học: " Risk factors for the development of nosocomial pneumonia and mortality on intensive care units: application of competing risks models" ppt

... stay longer in the ICU.There are two possible explanations for this: firstly, there is aneffect independent of whether they acquire NP during theirICU stay, and secondly via a nosocomial pneumonia ... colos-tomy, enterostomy, jejunostomy, nasogastric tube and urinarycatheter. Age and SAPS II score were included in the modelas continuous variables; all other factors were binary variablesonly.Analysis ... ICUmortality. Some studies found an increase in mortality due to NP, while other did not or found an increase for certain patho-gens only [24]. When comparing and evaluating these find-ings the possibility...

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

... 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 ... complaint was abdominal pain (8/18). The rest of the patients were asymptomatic and tumors were de-tected incidentally during routine physical examina-tion. All these patients had no other ... 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

... 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 ... 3:25http://www.jfootankleres.com/content/3/1/25Page 8 of 13suggests many cases of melanoma are brought to the attention of the patient by co-incidental trauma andinjury. The role of trauma in the aetiology of melanomaremains controversial,...

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

... 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 ... 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 modules ... strategy addressing the needs or interest of physi-cians interested in computer-based training, e.g., due to the geographic location of their practice [3].SummaryEven though our study was not...

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 ... 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 ... components factor analysis in order to obtain the smallest number that will give mostinformation and increase the internal consistency of the factors (subscales) arising. The scree plot will be inspectedto...

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

... respiratory and systemic symptoms [10,11]. The pre-senceofbacteriaintheairwaysinstableCOPD,longthought to be innocuous, may also contribute to COPDpathogenesis by causing inflammation and therebystructural ... 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; ... the treatment of exacerbations, including increasing the exacerbation-free interval [18,19].Therefore, the PULSE study was conducted to deter-mine whether intermittent pulsed therapy with the respiratory...

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

... 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 ... treatment for unusualneurological injuries, including focal brain injury due to vascular disruption, spinal cord injury and global anoxic injuryfollowing asphyxial cardiac arrest. In these conditions, ... 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...

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