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management mechanical vent

Adeyinka M Akinsulure-Smith, Adriana Espinosa, Tracy Chu, Ryan Hallock
To promote a better understanding of the impact of refugee resettlement work on refugee resettlement workers, this study examined the prevalence rates of deleterious mental health and occupational outcomes, such as secondary traumatic stress and burnout, among a sample of 210 refugee resettlement workers at six refugee resettlement agencies in the United States. The study also explored coping mechanisms used by service providers to manage work-related stress and the influence of such strategies and emotional intelligence on secondary traumatic stress and burnout...
April 2018: Journal of Traumatic Stress
Taylor K Dunivin, Justine Miller, Ashley Shade
Arsenic (As), a toxic element, has impacted life since early Earth. Thus, microorganisms have evolved many As resistance and tolerance mechanisms to improve their survival outcomes given As exposure. We isolated As resistant bacteria from Centralia, PA, the site of an underground coal seam fire that has been burning since 1962. From a 57.4°C soil collected from a vent above the fire, we isolated 25 unique aerobic As resistant bacterial strains spanning seven genera. We examined their diversity, resistance gene content, transformation abilities, inhibitory concentrations, and growth phenotypes...
2018: PloS One
Katrina L Gillette, Yaling Qian, Ronald F Follett, Stephen Del Grosso
Few studies have quantified nitrous oxide (NO) emissions from intensively managed turfgrass systems on golf courses. Fertilizer treatments consisting of urea with inhibitors of nitrification and urease (INU), polymer-coated urea (PCU), and uncoated balanced methylene urea (BMU) chain, which use different mechanisms to control the release of N substrate, were applied to a golf course fairway and rough three times during the 2011 growing season at a rate of 50 kg N ha per application. The vented chamber method was used to measure turf-soil-atmospheric NO exchange...
September 2016: Journal of Environmental Quality
Se Yong Jung, Hong Ju Shin, Jo Won Jung, Han Ki Park, Yu Rim Shin, Young Hwan Park, Nam Kyun Kim, Jae Young Choi
OBJECTIVES: The clinical outcome of children with severe acute myocarditis who require mechanical circulatory support is not well known. Therefore, we studied the survival and clinical courses of patients with acute fulminant myocarditis supported by extracorporeal life support (ECLS). METHODS: We performed a retrospective chart review of 13 consecutive children with acute fulminant myocarditis who were treated with ECLS between April 2013 and April 2015. Demographics, initial symptoms, laboratory results, management, clinical courses and last follow-up status were investigated...
August 2016: Interactive Cardiovascular and Thoracic Surgery
Robert M DiBlasi, Dave N Crotwell, Shuijie Shen, Jiang Zheng, James B Fink, Delphine Yung
Iloprost is a selective pulmonary vasodilator approved for inhalation by the Food and Drug Administration. Iloprost has been increasingly used in the management of critically ill neonates with hypoxic lung disease. This in vitro study was designed to test the hypothesis that aerosol drug delivery could be effectively administered to infants with both conventional ventilation and high-frequency oscillatory ventilation (HFOV). A neonatal test lung model configured with newborn lung mechanics was ventilated with a conventional ventilator and an HFOV with standard settings...
March 2016: Pulmonary Circulation
Francisco José Clemente López
CPAP (continuous positive airway pressure) is to establish a supraatmosferica pressure throughout the respiratory cycle on which the patient vent spontaneously. Its use improves the clinical and gasometrics parameters when applied with appropriate selection criteria in the context of respiratory failure acute (IRA) hypoxemic. It has been demonstrated that applying CPAP early, decreases the need for intubation and associated complications, as well as survival, reducing health care costs and hospital stay. The use of valve Boussignac for applying a CPAP is spreading especially in the delivered environment and emergencies as a device not mechanical, simple, easy to use and transport, which can manage enough pressures to manage the patient hypoxemia...
February 2016: Revista de Enfermería
Anna Brytek-Matera, Lony Schiltz
BACKGROUND: The aim of this research was to assess the relationship between coping mechanisms and eating disorders as well as to determine coping strategies as predictors of eating disorders pathology. SUBJECTS AND METHODS: Participants included 52 females meeting the DSM-IV criteria for anorexia nervosa and bulimia nervosa and 55 university students. Assessment tools were the Brief Coping Orientation to Problems Experienced Scale and the Stress Coping Questionnaire...
December 2013: Psychiatria Danubina
Petros Evangelou, Jürgen Meixensberger, Matthias Bernhard, Wolfgang Hirsch, Wieland Kiess, Andreas Merkenschlager, Ulf Nestler, Matthias Preuss
BACKGROUND: Spinal intradural arachnoid cysts are rare with only a few patients reported so far. Idiopathic, traumatic, posthemorrhagic, and postinflammatory causes have been reported in the literature. Especially, idiopathic lesions, in which other possible etiological factors have been ruled out, seem to be rare. PATIENTS AND METHODS: We systematically reviewed the literature in regards to localization within the spinal canal, treatment options, complications, and outcome...
April 2013: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Michael Camilleri, Adil E Bharucha, Gianrico Farrugia
Recent evidence of the significant impact of gastroparesis on morbidity and mortality mandates optimized management of this condition. Gastroparesis affects nutritional state, and in diabetics it has deleterious effects on glycemic control and secondary effects on organs that increase mortality. First-line treatments include restoration of nutrition and medications (prokinetic and antiemetic). We review the epidemiology, pathophysiology, impact, natural history, time trends, and treatment of gastroparesis, focusing on diabetic gastroparesis...
January 2011: Clinical Gastroenterology and Hepatology
James B Heffernan, Dina M Liebowitz, Thomas K Frazer, Jason M Evans, Matthew J Cohen
Contradictions between system-specific evidence and broader paradigms to explain ecosystem behavior present a challenge for natural resource management. In Florida (U.S.A.) springs, increasing nitrate (NO3-) concentrations have been implicated as the cause of algal overgrowth via alleviation of N-limitation. As such, policy and management efforts have centered heavily on reduction of nitrogen (N) loads. While the N-limitation hypothesis appears well founded on broadly supported aquatic eutrophication models, several observations from Florida springs are inconsistent with this hypothesis in its present simplified form...
April 2010: Ecological Applications: a Publication of the Ecological Society of America
L Lamb, T B Hoshizaki
Head injuries are a major cause of morbidity and mortality worldwide, many resulting from sporting activities. There is a constant need in the head protection industry for improved methods to manage impacts and to reduce the risk of mild and severe head injuries. Contemporary head protection primarily consists of foam with several inherent disadvantages, including a limited ability to provide effective energy absorption under both low and high impact velocities. Recently, thin-walled collapsible chambers were engineered to address this problem and have been implemented into sport helmets...
November 2009: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
Marie Crandall, Michael B Shapiro, Michael A West
Activation of the innate immune system results from severe trauma and the resultant systemic inflammatory response is thought to mediate remote organ injury. In animal models, vagal-mediated innate immune responses have been shown to modulate proinflammatory cytokine release in response to trauma or sepsis. In those models, vagal nerve transaction and splenectomy decreased cytokine release and protected against lung injury and mortality. We hypothesized that, if similar mechanisms are active in humans, patients who require splenectomy for trauma would have better outcomes than injured patients without splenectomy...
July 2009: Molecular Medicine
H K Parmentier, T B Rodenburg, G De Vries Reilingh, B Beerda, B Kemp
To mimic airborne immune challenges, layer hens were intratracheally and concurrently challenged with various doses of the protein antigen human serum albumin (HuSA) and the pathogen-associated molecular pattern lipopolysaccharide (LPS) at 7 and 13 wk of age. All groups received 1 similar dose of HuSA plus LPS at 11 mo of age. Evaluation of plumage and body condition at 12 mo of age revealed that birds that had undergone intratracheal immunization with a high dosage of HuSA, irrespective of the concurrent dose of LPS, had significantly more feather damage but less wounds to the vent region, as opposed to birds not receiving HuSA...
March 2009: Poultry Science
P K Andy Hong, Shamit Nakra
Sediment contamination is a significant issue. Assessment, management, and monitoring of contaminated sediment require routine analyses of a large volume of sediment samples, which require significant preparation time including extraction of contaminants from samples prior to analysis. This work tested a new method of extracting contaminants from sediment based on the use of rapid, successive pressurization cycles, which involve compression of a gas into the extractive solvent in contact with the sediment immediately followed by decompression via venting...
March 2009: Chemosphere
D A Enoch, C Summers, N M Brown, L Moore, M I Gillham, R M Burnstein, R Thaxter, L M Enoch, B Matta, O Sule
Multidrug-resistant Acinetobacter baumannii resistant to carbapenems (MRAB-C) has become endemic in many hospitals in the UK. We describe an outbreak of MRAB-C that occurred on two intensive care units using ORION criteria (Outbreak Reports and Intervention studies Of Nosocomial infection). All patients colonised or infected with MRAB-C were included. Enhanced infection control precautions were introduced in Phase 1 of the outbreak. The adult neurosciences critical care unit (NCCU) was partially closed in Phase 2 and strict patient segregation, barrier nursing and screening thrice weekly was introduced...
October 2008: Journal of Hospital Infection
Heath R Jennings, Eric C Miller, Tina S Williams, Sherry S Tichenor, Eugene A Woods
BACKGROUND: The conventional standard of care for many patients at Saint Joseph HealthCare, a three-hospital system in Kentucky, includes the use of anticoagulant therapy. In view of the morbidity and mortality associated with anticoagulation-related complications, the prevention of bleeding and thrombotic adverse drug events was identified as a primary process improvement initiative. METHODS: Following establishment of an interdisciplinary team, formal evaluations of anticoagulant-use practices and associated patient outcomes occurred via several mechanisms...
April 2008: Joint Commission Journal on Quality and Patient Safety
G Ferrara, S K Willacy, H N Phylaktou, G E Andrews, A Di Benedetto, E Salzano, G Russo
Relief ducts fitted to venting openings is a widespread configuration in the industrial practice. The presence of a duct has been reported to severely increase the violence of the vented explosion posing a problem for the proper design of the venting device. Several studies have reported the leading importance--in the whole complex explosion phenomenology--of a secondary explosion in the duct. Modern approaches in the study of simply vented explosions (without ducts) have focused on the study of the interaction between internal and external explosion as a key issue in the mechanisms of pressure generation...
June 30, 2008: Journal of Hazardous Materials
J R Barton, I Issaias, E I Stentiford
Due to initiatives such as the clean development mechanism (CDM), reducing greenhouse gas emissions for a developing country can offer an important route to attracting investment in a variety of qualifying project areas, including waste management. To date CDM projects have been largely confined to schemes that control emission from landfill, but projects that avoid landfilling are beginning to be submitted. In considering the waste options which might be suitable for developing countries certain ones, such as energy from waste, have been discounted for a range of reasons related primarily to the lack of technical and other support services required for these more sophisticated process trains...
2008: Waste Management
J Bakhach, J Sentucq-Rigal, P Mouton, R Boileau, B Panconi, J C Guimberteau
The authors report a new technique of pulley plasty of the flexor digital system. It is not an operative procedure to reconstruct a damaged pulley but an original way to expand the volume of an intact pulley in order to adapt its volume to the diameter of the repaired flexor tendon. The flexor tendons ruptures in Verdan zone II and particularly in Tang zones IIA and IIB are often accompanied by an osteofibrous tunnel injury. Initially, the tendon sheath closure was advised after tendons repair. This sheath recovery had to have an effect on tendons nutrition by establishing the synovial cavity continuity and particularly to protect the tendons from adhesions formation...
December 2005: Annales de Chirurgie Plastique et Esthétique
Julie A Shinn
The first bridge to transplant with a left ventricular assist device (LVAD) was preformed over 20 years ago. Since that time, the devices have continued to evolve and now patients are being supported with devices as an alternative to transplantation. The primary indication of end-stage heart failure remains the same but increased knowledge about patient selection, the timing of implant, and patient management have contributed to improved outcomes with decreasing adverse events. Multiorgan failure, right ventricular failure, bleeding, infection, thromboembolism, and device malfunction continue to be the most serious threats to long-term survival in these patients...
September 2005: Journal of Cardiovascular Nursing
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