listen to the heart sounds gives us valuable information about existence of disorder in heart rate and rhythm, ventricular fibrillation and movement of blood through valves. this required a lot of skills. so it is necessary to understand and apply these skills for nurses in cardiac and intensive care. abnormal sounds can be recognized by them. for facilitation this work, nurses should be have i...

One of the most frequent complications associated with endotracheal intubation itself in intensive care units is unplanned extubation, which represents a potentially serious complication given that many patients may need reintubation while in poor condition. This scenario may account for an increase in morbidity and even in mortality. To be able to compare the rates of unplanned extubation in c...

A Hindu male, aged 45 years, an educationist by profession, had a previous history of duodenal ulcer from 1932-39. One of his molar teeth was extracted in November 1943, followed by persistent bleeding from the gums, stopping after 10 days of intensive treatment with haemostatics. A month later he developed severe burning sensation in the chest and back rendering him very weak and anaemic. Inte...

OBJECTIVE This paper sought to determine the accumulated incidence and analyze the risk factors associated with the development of weakness acquired in the intensive care unit and its relationship to inspiratory weakness. METHODS We conducted a prospective cohort study at a single center, multipurpose medical-surgical intensive care unit. We included adult patients who required mechanical ven...

 In order to investigate the effects of artificial substrates (vertical surface of polypropylene fabrics) on cultured shrimp, we reared 28-day old Litopenaeus vannamei post-larvae (PL28) intensively for 90 days at a density of 510 shrimp/m2 in each of 8 tanks. Two tanks containing no artificial substrate were a control group, and 1, 3 and 5 artificial substrates were present in other 6 tanks. T...

Despite being challenging, delivery of effective nursing care to patients with acute intermittent porphyria is a matter of utmost importance. In this paper, the diversity of symptoms and the difficult diagnosis of this condition are emphasized, and details concerning the treatment of this disorder in the intensive care unit are presented. We believe that acute intermittent porphyria should be b...

Increasingly, genome-wide association studies are being used to identify positions within the human genome that have a link with a disease condition. The number of genomic locations studied means that computationally intensive and bioinformatic intensive solutions will have to be used in the analysis of these data sets. In this paper we present an integrated Workbench that provides user-friendl...

A 40-year-old woman was admitted to the intensive care unit after a radical resection of a recurrent abdominal malignancy. Her postoperative course was complicated by sepsis requiring numerous abdominal operations with the abdomen being left open for drainage and dressings. Use of povidone-iodine soaked abdominal packs to reduce secondary infection led to development of thyrotoxicosis, which re...

Understanding condition of road surface is very important especially for road maintenance and asset management. There are many approaches to obtain road surface condition data, however almost all of them are either low speed with intensive human intervention techniques (visual inspection) or techniques that require advanced measurement equipment (sophisticated profilers), which usually comes wi...

Since the earliest days of organized intensive care, pulmonary infection has been a problem in patients undergoing artificial ventilation of the lungs [43]. Hospital-acquired pneumonia is an important cause of morbidity and mortality among Intensive Care Unit (ICU) patients, and its incidence has not been reduced by developments in medical technology. Pneumonia in artificially ventilated patien...