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Book PREVALANCE  RISK FACTORS AND OUTCOMES OF VENTILATOR ASSOCIATED PNEUMONIA IN CHILDREN ADMITTED IN PEDIATRIC INTENSIVE CARE UNIT IN BIKANER  NORTHWETERN INDIA

Download or read book PREVALANCE RISK FACTORS AND OUTCOMES OF VENTILATOR ASSOCIATED PNEUMONIA IN CHILDREN ADMITTED IN PEDIATRIC INTENSIVE CARE UNIT IN BIKANER NORTHWETERN INDIA written by Gajanand Singh Tanwar and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: PREVALANCE, RISK FACTORS AND OUTCOMES OF VENTILATOR ASSOCIATED PNEUMONIA IN CHILDREN ADMITTED IN PEDIATRIC INTENSIVE CARE UNIT IN BIKANER, NORTHWETERN INDIAAbstractOBJECTIVES: The epidemiology and outcomes of ventilator associated pneumonia (VAP) are well described in adults. Although children have different anatomy and physiology, have different underlying illnesses, and undergo different surgical procedures from adults, few data exist for pediatric patients, particularly with respect to risk factors and outcomes. This prospective study was executed to determine the prevalence, the risk factors and outcomes associated with VAP in children admitted in pediatric intensive care unit (PICU) in PBM children hospital.METHODS: This prospective cohort study enrolled all children (u226415 years aged) who were admitted to the PICU from January 2017 to December 2017, except those who died within 24 hours. The primary outcome measured was the development of VAP. Secondary outcomes were death and length of stay in PICU. Multiple logistic regression analysis was performed to determine independent predictors for VAP.RESULTS: There were 124 episodes of VAP in 334 mechanically ventilated children. The mean VAP rate was 11.6/1000 ventilator days. Patients with VAP had been in the PICU for a mean of 8.9 days before the development of VAP. There was a preponderance of Gram-negative organisms, particularly P aeruginosa and Klebsiella pneumoniae. By logistic regression analysis, genetic syndrome (odds ratio [OR]: 2.37; 95% confidence interval [CI]: 1.01-5.46), reintubation (OR: 2.71; 95% CI: 1.18-6.21), and transport out of the PICU (OR: 8.90; 95% CI: 3.82-20.74) independently predicted VAP. Total parental nutrition, steroids, and histamine type 2 receptor blockers were common drugs that associated with VAP.CONCLUSIONS: VAP occurs at significant rates among mechanically ventilated PICU children and is associated with processes of care. Additional studies are necessary to develop interventions to prevent VAP.

Book Management of Severe Malaria

    Book Details:
  • Author : World Health Organization
  • Publisher : World Health Organization
  • Release : 2000-04
  • ISBN : 9241545232
  • Pages : 84 pages

Download or read book Management of Severe Malaria written by World Health Organization and published by World Health Organization. This book was released on 2000-04 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: Malaria continues to be a major health problem in many parts of the world, with over 2,400 million people in 100 countries at risk of infection. This handbook is an updated edition of 'Management of severe and complicated malaria', providing practical guidance on the diagnosis and management of severe falciparum malaria, a form of the disease that can have life-threatening complications if treatment is delayed.

Book Neurological Complications of Infectious Diseases

Download or read book Neurological Complications of Infectious Diseases written by Rodrigo Hasbun, MD MPH and published by Springer Nature. This book was released on 2020-12-13 with total page 389 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a comprehensive review of the most common infectious diseases that affect the nervous system. Written by international experts, it provides a guide to clinicians for accurately diagnosing and treating these challenging syndromes. Organized into six sections, the book presents didactic, up-to-date information on the following topics relating to central nervous system (CNS) infections: diagnosis and evaluation of the patient, bacterial, viral, fungal and mycobacterial infections, disorders of the spinal cord, and a myriad of miscellaneous infections. Chapters specifically reflect and look to resolve the common obstacles clinicians face in the field, such as having unknown etiologies on the majority of CNS infections, insensitive and slow microbiological techniques, an increasing number of immunosuppressed individuals with atypical presentations and pathogens, and a lack of standardized diagnostic algorithms. A complex yet accessible addition to the Current Clinical Neurology Series, Neurological Complications of Infectious Diseases invaluably examines a wide range of infections that have neurological complications and sequelae.

Book Noninvasive Mechanical Ventilation

Download or read book Noninvasive Mechanical Ventilation written by ANTONIO ESQUINAS and published by Springer Science & Business Media. This book was released on 2010-08-12 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Noninvasive mechanical ventilation is an effective technique for the management of patients with acute or chronic respiratory failure. This comprehensive and up-to-date book explores all aspects of the subject. The opening sections are devoted to theory and equipment, with detailed attention to the use of full-face masks or helmets, the range of available ventilators, and patient-ventilator interactions. Clinical applications are then considered in depth in a series of chapters that address the use of noninvasive mechanical ventilation in chronic settings and in critical care, both within and outside of intensive care units. Due attention is also paid to weaning from conventional mechanical ventilation, potential complications, intraoperative applications, and staff training. The closing chapters examine uses of noninvasive mechanical ventilation in neonatal and pediatric care. This book, written by internationally recognized experts, will be an invaluable guide for both clinicians and researchers.

Book Case Studies in Medical Toxicology

Download or read book Case Studies in Medical Toxicology written by Leslie R. Dye and published by Springer. This book was released on 2017-12-22 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ACMT National Case Conference (NCC) is a monthly discussion of novel or interesting cases in medical toxicology. Participation is through online webinar, and the conferences are recorded to allow for review at any time. The cases in this book are taken from recordings of NCC with edits and revisions by contributors and editors to demonstrate educational points. The majority of the case information is from the original recording and represents actual patient presentations. However, some of the details have been changed and fictional information added to enhance the educational value. This volume covers a broad range of toxicological topics, and specialty guidance is offered at the end of every case to aid non-toxicologists. The dilemmas are applicable to both academic and clinical medicine. A list of relevant questions is also provided for each case. Subjects include common toxicological problems, rare presentations of common problems, common problems with controversial treatments or difficult diagnoses, and rare problems. Case Studies in Medical Toxicology from the American College of Medical Toxicology is a detailed reference text on specific toxicological issues and also serves as a practical review for those taking board exams. As a result, this volume is an important and necessary resource for medical students, residents, and fellows, as well as primary-care physicians, intensivists, and toxicologistsCase Studies in Medical Toxicology from the American College of Medical Toxicology is a detailed reference text on specific toxicological issues and also serves as a practical review for those taking board exams. As a result, this volume is an important and necessary resource for medical students, residents, and fellows, as well as primary-care physicians, intensivists, and toxicologists. All proceeds from this book will be donated to the Medical Toxicology Foundation.

Book Anagram Solver

    Book Details:
  • Author : Bloomsbury Publishing
  • Publisher : Bloomsbury Publishing
  • Release : 2009-01-01
  • ISBN : 1408102579
  • Pages : 719 pages

Download or read book Anagram Solver written by Bloomsbury Publishing and published by Bloomsbury Publishing. This book was released on 2009-01-01 with total page 719 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anagram Solver is the essential guide to cracking all types of quiz and crossword featuring anagrams. Containing over 200,000 words and phrases, Anagram Solver includes plural noun forms, palindromes, idioms, first names and all parts of speech. Anagrams are grouped by the number of letters they contain with the letters set out in alphabetical order so that once the letters of an anagram are arranged alphabetically, finding the solution is as easy as locating the word in a dictionary.

Book Synopsis of Clinical Ophthalmology E Book

Download or read book Synopsis of Clinical Ophthalmology E Book written by Jack J. Kanski and published by Elsevier Health Sciences. This book was released on 2012-11-01 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: Synopsis of Clinical Ophthalmology, by Jack J. Kanski and Brad Bowling, efficiently distills all the essential information you need to effectively diagnose and manage a comprehensive range of ophthalmic disorders. A concise format makes it easy to quickly learn and understand the "must-know" aspects of each condition. When time is of the essence, turn to Synopsis of Clinical Ophthalmology for accessible guidance to meet your diagnostic and point-of-care needs! Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Get guidance you can trust from a portable, practical handbook that distills all the key information from Clinical Ophthalmology: A Systematic Approach - Drs. Kanski and Bowling’s best-selling comprehensive eye reference. Visualize the most common eye disorders more clearly with the help of a completely revised image library, including clinical photographs and over 800 full-color illustrations, many of which are new. Remain current in practice with the latest advances in the treatment of retinal vascular disease (including new therapies for macular disorders); new drug therapies; updated surgery techniques for oculoplastic, corneal, and glaucoma surgery; and examination tips, imaging, and associated systemic conditions.

Book Surgical Oncology

    Book Details:
  • Author : Graeme J. Poston
  • Publisher : CRC Press
  • Release : 2016-11-25
  • ISBN : 1498715982
  • Pages : 931 pages

Download or read book Surgical Oncology written by Graeme J. Poston and published by CRC Press. This book was released on 2016-11-25 with total page 931 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgical oncology is now a recognized specialty in the US and several European countries, and cancer surgery takes up a significant part of any general surgeon’s workload. This thoroughly updated second edition of this bestseller is officially endorsed as a textbook for the syllabus and curriculum of the UEMS examination in Surgical Oncology, which is administered by ESSO (European Society for Surgical Oncology). The examination is for trainees at the end of training or established consultants seeking to expand their accreditation.

Book Handbook of Neonatal Anaesthesia

Download or read book Handbook of Neonatal Anaesthesia written by David Graham Hughes and published by Bailliere Tindall Limited. This book was released on 1996 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text is a guide to the options available for managing the neonate under anaesthesia and how to decide which to adopt. It covers areas such as monitoring in neonates, fluid therapy, and the very premature infant.

Book Veterinary Ophthalmic Surgery

Download or read book Veterinary Ophthalmic Surgery written by Kirk N. Gelatt and published by Elsevier Health Sciences. This book was released on 2011-08-13 with total page 413 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purchasers of Veterinary Ophthalmic Surgery have at their disposal a comprehensive, step-by-step guide to all types of ophthalmic surgical techniques across all species. Techniques are covered topographically, and species-by-species, with difficulty gradings for each one. Many of these procedures will be undertaken by the veterinary generalist, not only the specialized ophthalmologist. Nearly 1,000 large-sized illustrations, 750 of them in full colour, allow the practitioner to follow the techniques step-by-step. Internationally recognized as an authority on small animal ophthalmic surgery, Dr Gelatt is joined by expert contributors who together provide authoritative and definitive solutions to practitioners' eye surgery requirements. Whatever your field of specialism, this is the only eye surgery book you are ever likely to need. For: residents in veterinary ophthalmology; general, small animal, and equine veterinary practitioners; veterinary ophthalmologists; veterinary medicine students. -Comprehensive coverage of all species -Lavishly illustrated sequenced figures of all procedures -Step-by-step approach for maximum clarity -A superb collection of online video clips gives clarification of the most common procedures -The only ophthalmic surgery text for veterinarians

Book All India PG Entrance Examination

Download or read book All India PG Entrance Examination written by Bhatia and published by Elsevier India. This book was released on 2008 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Cleft and Craniofacial Orthodontics

Download or read book Cleft and Craniofacial Orthodontics written by Pradip R. Shetye and published by John Wiley & Sons. This book was released on 2023-03-28 with total page 852 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive reference work for managing patients with orofacial clefts and complex craniofacial conditions from birth to skeletal maturity Cleft and Craniofacial Orthodontics is a comprehensive and detailed reference work on the management of patients with orofacial clefts and complex craniofacial conditions. Covering patients ranging from birth to skeletal maturity, the book provides orthodontists, plastic and oral and maxillofacial surgeons, speech and language therapist, pediatric dentists, and prosthodontists with the information they need to evaluate and treat these conditions. Highlighting the multidisciplinary team approach, the book aids clinicians in developing a complete plan for their patients. Each chapter is organized to reflect clinical practice, making it easy to apply the information to the treatment setting. Additionally, a companion website offers video clips of surgical and orthodontic procedures to further aid in reader comprehension and application. Sample topics covered within the work include: Introduction to orofacial clefting: cleft lip and palate anatomy, cleft types and classification, epidemiology, and genetics of cleft lip and palate Early management of orofacial clefting: prenatal diagnosis and counselling, feeding infants with clefts, and development of nasoalveolar molding therapy Orthodontic treatment: interceptive orthodontics, management of anteroposterior and transverse discrepancies, preparation for alveolar bone grafting, and combined orthodontic-orthognathic management. Orthodontic and multidisciplinary management of twenty complex craniofacial conditions including craniofacial microsomia, Treacher-Collins syndrome, and syndromic craniosynostosis Orthodontists, plastic surgeons, craniofacial surgeons, oral and maxillofacial surgeons, speech and language therapist, pediatric dentists, prosthodontists, and otolaryngologists can use this book to attain essential knowledge on managing patients with orofacial clefts and complex craniofacial conditions and understand how to apply that knowledge to practical patient settings.

Book The Technical Writer s Handbook

Download or read book The Technical Writer s Handbook written by Matt Young and published by Sterling Publishing Company. This book was released on 2002 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Technical Writer's Handbook is by a practising scientist who screens hundreds of manuscripts each year. It is directed at scientists, engineers and others who want to improve their writing and communication. It teaches that technical writing, although it has its own special requirements, is no different from ordinary writing and should be written with short, clear sentences and in the active voice.

Book The Scramble for China

    Book Details:
  • Author : Robert Bickers
  • Publisher : Penguin UK
  • Release : 2016-02-25
  • ISBN : 0141983507
  • Pages : 638 pages

Download or read book The Scramble for China written by Robert Bickers and published by Penguin UK. This book was released on 2016-02-25 with total page 638 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the early nineteenth century China remained almost untouched by British and European powers - but as new technology started to change this balance, foreigners gathered like wolves around the weakening Qing Empire. Would the Chinese suffer the fate of much of the rest of the world, carved into pieces by Europeans? Or could they adapt rapidly enough to maintain their independence? This important and compelling book explains the roots of China's complex relationship with the West by illuminating a dramatic, colourful and sometimes shocking period of the country's history.

Book Manual of Canine and Feline Cardiology

Download or read book Manual of Canine and Feline Cardiology written by Lawrence P. Tilley and published by Elsevier Health Sciences. This book was released on 2008-01-01 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most effective, practical approach to the recognition and management of cardiovascular and cardiopulmonary medicine, MANUAL OF CANINE AND FELINE CARDIOLOGY, 4th Edition takes a user-friendly approach to the challenges and conditions you encounter in everyday practice. This completely revised and updated edition includes vital information on diagnostic modalities and techniques, therapeutic options, surgical procedures, and pharmaceutical management of the dog and cat cardiac patient. This invaluable, practical reference covers the full breadth of canine and feline cardiology diagnosis and management in a straightforward and clinically focused format. Covers common cardiovascular disorders and practical treatment methods for cardiac failure, cardiac arrhythmias, conduction disturbances, cardiopulmonary arrest, as well as procedures for resuscitation.Includes numerous reproductions of electrocardiograms, thoracic radiographs, and pressure curves Vibrant, full-color format helps important material stand out and includes vivid illustrations to aid in diagnosis and treatment.A user-friendly format with bullet points, tables, key points, and boxes offers at-a-glance access to key information.Cardiac Surgery chapter provides illustrated, step-by-step coverage of cardiovascular surgical procedures and techniques.Chapters on Pacemaker Therapy and Cor Pulmonale and Pulmonary Thromboembolism expand the scope of coverageA completely updated drug formulary presents the most current therapies used to pharmacologically manage cardiovascular disease.Twenty-nine expert contributors share their knowledge and clinical exposure to ensure you are using the most trustworthy and up-to-date information available.

Book Forensic Medicine

    Book Details:
  • Author : Jason Payne-James
  • Publisher : Cambridge University Press
  • Release : 2003
  • ISBN : 9781841100265
  • Pages : 856 pages

Download or read book Forensic Medicine written by Jason Payne-James and published by Cambridge University Press. This book was released on 2003 with total page 856 pages. Available in PDF, EPUB and Kindle. Book excerpt: This multi-author, multinational book has provided a source of information about the forensic aspects of medicine and related fields for those currently involved in the clinical and pathologic aspects of health care, forensic assessment, investigation and diagnosis for victims, assailants and others involved in police or judicial systems.

Book The Great Rebalancing

Download or read book The Great Rebalancing written by Michael Pettis and published by Princeton University Press. This book was released on 2014-10-26 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: How trade imbalances spurred on the global financial crisis and why we aren't out of trouble yet China's economic growth is sputtering, the Euro is under threat, and the United States is combating serious trade disadvantages. Another Great Depression? Not quite. Noted economist and China expert Michael Pettis argues instead that we are undergoing a critical rebalancing of the world economies. Debunking popular misconceptions, Pettis shows that severe trade imbalances spurred on the recent financial crisis and were the result of unfortunate policies that distorted the savings and consumption patterns of certain nations. Pettis examines the reasons behind these destabilizing policies, and he predicts severe economic dislocations that will have long-lasting effects. Demonstrating how economic policies can carry negative repercussions the world over, The Great Rebalancing sheds urgent light on our globally linked economic future.