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Intensive care

Simo Raiskila, Anna Axelin, Liis Toome, Sylvia Caballero, Bente Silnes Tandberg, Rosario Montirosso, Erik Normann, Boubou Hallberg, Björn Westrup, Uwe Ewald, Liisa Lehtonen
AIM: Little is known about the amount of physical parent-infant closeness in neonatal intensive care units (NICUs) and this study explored that issue in six European countries. METHODS: The parents of 328 preterm infants were recruited in 11 NICUs in Finland, Estonia, Sweden, Norway, Italy and Spain. They filled in daily diaries about how much time they spent in the NICU, in skin-to-skin contact (SSC) and holding their babies in the first two weeks of their hospitalisation...
February 24, 2017: Acta Paediatrica
Zied Hajjej, Bilel Meddeb, Walid Sellami, Iheb Labbene, Andrea Morelli, Mustapha Ferjani
INTRODUCTION: Mitochondrial dysfunction and consequent cellular energetic failure play a key role in the development of sepsis-related organs failure. Evidence suggest that the pleiotropic effects of levosimendan may positively affect cellular metabolism during septic shock. OBJECTIVES: To investigate changes in the concentration of glucose, lactate, pyruvate and glycerol in the extracellular fluid of the skeletal muscle following levosimendan administration in patients with septic shock...
February 23, 2017: Shock
Suha Al Omar, Nadine Anabtawi, Wiam Al Qasem, Rawad Rihani
BACKGROUND: The aim of the study was to describe the incidence and type of bacterial infections associated with the use of ciprofloxacin prophylaxis as single agent in pediatric patients with acute myeloid leukemia (AML). PROCEDURE: This was a retrospective review of all patients with AML, who were treated according to the AML02 protocol between 2011 and 2015. The medical records were reviewed for any positive cultures from the initiation of the protocol until death or protocol discontinuation...
February 23, 2017: Journal of Pediatric Hematology/oncology
Yen Yen Yang, Hong-Gu He, Soke Yee Lee, Eleanor Holroyd, Shefaly Shorey, Serena S L Koh
Perceptions of parents with preterm infants who were hospitalized in a Singapore-based neonatal intensive care unit were observed. Convenience sampling method was used to recruit 8 parents of preterm infants. Semistructured face-to-face in-depth interviews were used to collect data between November 2013 and February 2014. Data were analyzed using thematic analysis. Four themes were identified: "Negative emotions versus positive emotions," "finding ways forward," "nature of support received from various sources," and "need more informational and professional support...
February 23, 2017: Journal of Perinatal & Neonatal Nursing
Diane L Spatz
No abstract text is available yet for this article.
March 2017: MCN. the American Journal of Maternal Child Nursing
Deborah A Raines
BACKGROUND: Simulation has become accepted as a method to increase confidence among healthcare professionals. We felt simulation might have similar benefits for parents of babies about to be discharged from the neonatal intensive care unit. PURPOSE: We developed the Neonatal Home Environment Learning Program to promote parental confidence in anticipation of their infant's discharge from the neonatal intensive care unit. METHODS: This evaluation study was conducted with 15 mother/father dyads...
March 2017: MCN. the American Journal of Maternal Child Nursing
Katie L Losenno, Philip M Jones, Matthew Valdis, Stephanie A Fox, Bob Kiaii, Michael W A Chu
BACKGROUND: Reoperative mitral valve (MV) surgery is associated with significant morbidity and mortality; however, endoscopic minimally invasive surgical techniques may preserve the surgical benefits of conventional mitral operations while potentially reducing perioperative risk and length of stay (LOS) in hospital. METHODS: We compared the outcomes of consecutive patients who underwent reoperative MV surgery between 2000 and 2014 using a minimally invasive endoscopic approach (MINI) with those of patients who underwent a conventional sternotomy (STERN)...
December 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Bardiya Zangbar, Bradley Serack, Peter Rhee, Bellal Joseph, Viraj Pandit, Randall S Friese, Ansab A Haider, Andrew L Tang
The type, location, and size of intracranial hemorrhage are known to be associated with variable outcomes in patients with traumatic brain injury (TBI). The aim of our study was to assess the outcomes in patients with isolated epidural hemorrhage (EDH) based on the location of EDH. We performed a 3-year (2010-2012) retrospective chart review of the patients with TBI in our level 1 trauma center. Patients with an isolated EDH on initial head CT scan were included. Patients were divided into four groups based on the location of EDH: frontal, parietal, temporal, and occipital...
December 1, 2016: American Surgeon
Mathew Edavettal, Brian W Gross, Katelyn Rittenhouse, James Alzate, Amelia Rogers, Lisa Estrella, Jo Ann Miller, Frederick B Rogers
A growing body of literature indicates that beta-blocker administration after traumatic brain injury (TBI) is cerebroprotective, limiting secondary injury; however, the effects of preinjury beta blocker status remain poorly understood. We sought to characterize the effects of pre- and postinjury beta-blocker administration on mortality with subanalyses accounting for head injury severity and myocardial injury. In a Level II trauma center, all admissions of patients ≥18 years with a head Abbreviated Injury Scale Score ≥2, Glasgow Coma Scale ≤13 from May 2011 to May 2013 were queried...
December 1, 2016: American Surgeon
Paula Ferrada, David Evans, Sara Parker, Sammy Pedram, Curtis N Sessler
Limited transthoracic echocardiogram (LTTE) has been introduced as a tool to direct resuscitation. At our institution, a multidisciplinary training program was instituted. Our hypothesis is that in spite all efforts for multidisciplinary training, certification, and credentialing, limited echocardiograms are under billed for. A training program was implemented in August 2010. This was followed by a process of credentialing and adding LTTE to the billing privileges for providers. Institutional Review Board approval was obtained to review all the studies performed from August 2010 to October 2014...
January 1, 2017: American Surgeon
Ik Yong Kim, Bo Ra Kim, Young Wan Kim
To evaluate the influence of timing of open conversion on short-term and oncologic outcomes after minimally invasive surgery for colorectal cancer. Six hundred forty-six consecutive patients were enrolled. All patients converted to open surgery were classified into early (n = 10) or late (n = 67) groups based on conversion timing using a 60-minute cutoff. A comparison of early conversion and nonconverted groups showed that history of prior abdominal surgery and pT4 tumor was more common in the early conversion group...
January 1, 2017: American Surgeon
S W Kim, J-P Myong, H K Yoon, J-W Koo, S S Kwon, Y H Kim
SETTING: Despite the clinical importance of idiopathic pulmonary fibrosis (IPF), its epidemiology has been rarely reported. The economic burden from IPF is therefore difficult to predict. OBJECTIVE: To analyse the health care burden and current situation with respect to medical resource utilisation in patients with IPF in Korea. METHODS: We analysed nationwide data collected between 2009 and 2013 from the Korean Health Insurance Review and Assessment (HIRA) database...
February 1, 2017: International Journal of Tuberculosis and Lung Disease
S S Chiang, S Roche, C Contreras, H Del Castillo, P Canales, J Jimenez, K Tintaya, M C Becerra, L Lecca
SETTING: In 2012, Peru's National TB Program (NTP) reported approximately 2400 incident cases of tuberculosis (TB) disease in children aged <15 years. Peru's TB burden is concentrated in the Lima metropolitan area, particularly in poor districts such as El Agustino and La Victoria, where this study was conducted. OBJECTIVE: To identify barriers to the treatment of childhood tuberculous infection and TB disease in Lima from the perspective of front-line providers and patients' families...
February 1, 2017: International Journal of Tuberculosis and Lung Disease
(no author information available yet)
INTRODUCTION: Hospitals strive, over the long term, to reduce the incidence of falls of hospitalized patients. Falls are monitored, analyzed, and regularly evaluated and corrective and preventive actions are established based on the findings. To establish preventive actions, it is essential to determine the circumstances under which the patient fell and in what type of health care facility. OBJECTIVES: The goal of the study consisted in retrospectively analyzing falls in selected hospitals of the South Bohemian Region in 2014 and 2015...
December 24, 2016: Neuro Endocrinology Letters
Mahnaz Yadollahi, Aida Ghiassee, Mehrdad Anvar, Hale Ghaem, Mohammad Farahmand
PURPOSE: The administrative data from trauma centers could serve as potential sources of invaluable information while studying epidemiologic features of car accidents. In this cross-sectional analysis of Shahid Rajaee hospital administrative data, we aimed to evaluate patients injured in car accidents in terms of age, gender, injury severity, injured body regions and hospitalization outcome in the recent four years (2011-2014). METHODS: The hospital registry was accessed at Shiraz Trauma Research Center (Shiraz, Iran) and the admission's unit data were merged with the information gathered upon discharge...
January 20, 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
C Delahaye, A Chauveau, S Kiefer, P Dumond
INTRODUCTION: Food protein-induced enterocolitis syndrome (FPIES) is a particular non-IgE-mediated food allergy, manifested by profuse and repetitive vomiting with hypotonia and lethargy in its acute form. METHODS: A retrospective descriptive single-center study was conducted. Subjects included in this study were children with acute FPIES who consulted the allergy outpatient clinic of the Nancy Regional University Hospital between November 2013 and June 2016. RESULTS: Among the 14 patients (eight boys and six girls), nine had a history of atopy: a family history for six (42...
February 20, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Anna-Karin Ednell, Sara Siljegren, Åsa Engström
BACKGROUND: Writing a diary for intensive care patients has been shown to facilitate patientrecovery and prevent post-traumatic stress following hospitalisation. AIM: This study aimed to describe the experiences of critical care nurses' (CCNs') in writing personal diaries for ICU patients. METHOD: The study was conducted with a qualitative design. Ten CCNs from two hospitals participated. Data were collected with semi-structured interviews and analysed using a qualitative thematic content analysis...
February 20, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Ettore Bartoli, Luca Rossi, Daniele Sola, Luigi Castello, Pier Paolo Sainaghi, Carlo Smirne
Resolution of edema requires a correct interpretation of body fluids-related renal function, to excrete the excess volume while restoring systemic hemodynamics and avoiding renal failure. In heart failure, the intensive diuresis should be matched by continuous fluids refeeding from interstitium to plasma, avoiding central volume depletion. The slowly reabsorbed ascites cannot refeed this contracted volume in cirrhosis: the ensuing activation of intrathoracic receptors, attended by increased adrenergic and Renin release, causes more avid sodium retention, producing a positive fluid and Na balance in the face of continuous treatment...
February 20, 2017: European Journal of Internal Medicine
Iris De Castro, Thomas R Easterling, Nisha Bansal, J Ashley Jefferson
In the absence of uncontrolled hypertension or renal insufficiency, many consider the perinatal outcomes in pregnant women with nephrotic syndrome to be good. To further investigate this we performed a retrospective chart review of women with biopsy-proven nephrotic syndrome due to primary glomerular disease during pregnancy at a single tertiary center. Our review determined characteristics, presentation, management, pathologic diagnoses, and associated renal and maternal-fetal outcomes of 19 individuals with 26 pregnancies and 26 offspring...
February 20, 2017: Kidney International
Giuseppe Cali, Francesco Forlani, Gabriella Minneci, Francesca Foti, Sergio Di Liberto, Alessandra Familiari, Giovanni Scambia, Francesco D'Antonio
OBJECTIVE: Ultrasound assessment of the relationship between the ectopic gestational sac and the endometrial line (COS sign) in caesarean scar pregnancy (CPS) has been shown to be useful in predicting its evolution towards different types of abnormal invasive placenta (AIP). The aim of this study was to ascertain whether COS sign can be used to predict surgical outcome in women with AIP. METHODS: Retrospective analysis of early first trimester (6-8 weeks of gestation) ultrasound images of women with AIP treated in the third trimester of pregnancy...
February 24, 2017: Ultrasound in Obstetrics & Gynecology
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