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We found that using CASS in patients undergoing MHS is a safe procedure that significantly reduces the antibiotic burden. In the population that was at high risk (ie those persons receiving MV for > 48h); CASS reduced the incidence and incidence density of VAP. It also reduced ICU stay’ duration of MV; and antibiotic consumption. VAP is a very severe disease that is associated with a high degree of mortality and few of the variables influencing mortality can be modified. The incidence and severity of VAP are particularly high in patients undergoing MHS. Data for …

Study Population Overall, 1,101 patients underwent MHS during the study period. Of them, 387 patients were excluded either because they did not give their consent (268 patients) or the consent could not be requested due to the emergent condition of the surgery (119 patients). Accordingly, 714 patients undergoing MHS were randomized immediately before undergoing anesthesia (24 patients were excluded from the study; CASS group, 359 patients; control group, 331 subjects). The exclusions were due to death during surgery or immediately after in 19 cases, and because the protocol was violated (ie, the wrong tube was …

Ventilator-associated pneumonia (VAP) is the most frequent infection occurring in patients who are admitted to the ICU. The accumulation of respiratory secretions in the subglottic space is a well-proven cause of VAP. Therefore, prevention should include the aspiration of secretions from the subglottic space, and techniques to avoid leakage between the tube and the tracheal wall. A conventional endotracheal tube (ETT) permits only intermittent aspiration of secretions through the central lumen, distal to the tracheal cuff, while new tubes with an independent dorsal lumen permit the continuous aspiration of secretions in the subglottic space. Only …

A retrospective review of charts, TTCE, and imaging was conducted. One hundred fifty-five consecutive newly referred patients to the Toronto HHT Center (adult clinic) were screened with TTCE between June 2002 and September 2004. All patients with positive TTCE results were included in this study and underwent thoracic CT scanning. This was the routine screening protocol followed for all patients referred to the HHT Center from 2002 to 2004. For each patient, the TTCE was reviewed for the presence of a patent foramen ovale (PFO). The Toronto HHT Center at St. Michael’s Hospital and University …

Quinsy is an infectious disease at which there is palate almonds inflammation. Various bacteria (most often – a beta and haemo lytic streptococcus A and staphylococcus, pneumococcus), viruses, fungus can be its activator. Infection can occur at contact with the sick person in the airborne way. Besides, entrance of activators in almonds from other organs is possible. In the latter case the person has to have centers of chronic infections (caries, chronic diseases of a nose and its bosoms, etc.). At all forms of quinsy patients complain of sore throat (during the swallowing, conversation and …

Because critical care clinicians are nourished by the culture of survival, until recently they have prioritized patient survival to long-term outcome, However, a number of ICU patients experience significant problems with physical, psychological, and social functioning for some time after discharge from the ICU, In addition to mortality, health-related quality of life (HRQOL) has increasingly been claimed as an important and entire outcome variable of interest. Quality of life is constituted, but not restricted, by the sum of values themselves difficult to assess, such as cognitive, affective, and spiritual capacity of a person, and submitted …

Oh, women are crazy about shopping. Oh no, men may say they are obsessed.  Women cannot live without going shopping. They are ready to go for long hours and rub their heels to find a jumper from their dreams. Moreover they are ready to carry the men near during this process. Women are very glad and pleased when they go shopping together. But our innovating world gives us one more opportunity to go shopping without living your home, ever your room. The internet is a fields of shops, the virtual windows of which all women …

After the appearance of the first symptoms of the bronchial asthma, it is very important to consult the lung specialist. He will collect the full information about duration of disease, operating and working conditions, bad habits and at the end you will undergo the medical examination. Sometimes it is rather difficult to differentiate bronchial asthma from other pulmonary diseases. But after computer lung tomography X-ray examination the doctors can identify the exact diagnosis. The treatment of asthma is a long-term process demanding the patience. But I can point out that asthma is a chronic disease, …

Nicorrete is a preparation for treating smoking addiction. After quitting cold turkey the side effects may appear such as dysphoria, insomnia, hyperirritability, anxiety, destruction of attentiveness, appetite enhancement or weight gain. In the process of nicotine treatment a substitutive therapy may lower down the with to smoke, symptom load appeared after the complete quit of smoking who get rid of this disorder and lower down the wish to smoke of people who are in the process of giving up.

The immortal problem of parents is their children. They take care of them sometimes too much-twenty-four hours per day. Their fears are explainable, we live in time of crimes, death and the Internet. Yeah, you do not hear me wrong I have said the Internet. The main threat for children is the Internet. There are too many web sites which can cause the psychiatric disorders of children. The Internet is brier patch nowadays where people especially children can get lost. Sometimes children can mix up two worlds: virtual and reality. This is very dangerous.