Objective: Cardiovascular diseases (CVDs) are the world’s leading cause of death, affecting an estimated 17.9 million people. CVDs have been primary risk factor for mortality in developed countries. Smoking, hypertension, diabetes, abdominal obesity, psychological stressors, insufficient vegetable and fruit intake could significantly alleviate burden disease. The present review sought to docume...

Dynamic variables of fluid responsiveness are useful guides for fluid management in patients under controlled positive pressure ventilation. In the previous issue of Critical Care, Jacques and colleagues show that these variables remain reliable predictors of fluid responsiveness in a porcine model of intra-abdominal hypertension, but threshold values are higher than during normal intra-abdomin...

Introduction. Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) often develop in critically ill patients can lead to affected splanchnic blood flow, intestinal mucosal ischemia, bacterial translocation, sepsis, multiorgan dys-function. There is limited literature data on the effect of analgesic methods flow IAG / AСS. The aim study was define different postoperative an...

BACKGROUND Prone position and PEEP can both improve oxygenation and other parameters, but their interaction has not been fully described. Limited data directly compare selection of mechanically "optimal" or "best" PEEP in both supine and prone positions, either with or without changes in chest wall compliance. To compare best PEEP in these varied conditions, we used an experimental ARDS model t...

We present a case of a 65-year-old Hispanic man with a history of disseminated cutaneous coccidioidomycosis who presented to the emergency room for progressively worsening abdominal pain associated with shortness of breath. The patient was found to have pleural effusion and moderate ascites on physical examination. Abdominal ultrasound and computed tomography scan were consistent with moderate ...

Ascites is the accumulation of the fluid in the peritoneal cavity seen in variety of disease states. It is usually a clinical finding confirmed by diagnostic paracentesis, but sub-clinical amount of fluid as little as 100ml may be detected by abdominal sonography1. The various causes of ascites and its pathogenesis are mentioned in Table I. The common causes of ascites in India are chronic live...

Introduction: Due to increase in survival of HIV positive patients on antiretroviral therapies, longer term complications of HIV infection have started to surface including HIV related pulmonary arterial hypertension (HIV­PAH). In the 1990’s the occurrence of HIV­PAH was estimated to be at 0.5% (1:1200) in HIV positive patients which is 2500 times higher than in the general population (1­2:1,00...

BACKGROUND Truck driver sleepiness is a primary cause of vehicle accidents. Several causes are associated with sleepiness in truck drivers. Obesity and metabolic syndrome (MetS) are associated with sleep disorders and with primary risk factors for cardiovascular diseases (CVD). We analyzed the relationship between these conditions and prevalence of sleepiness in truck drivers. METHODS We anal...

An 87yearold man presented with recent intermittent claudication in the thighs and calves. Moreover, he complained of bilateral calf and foot pain at midnight. He was a former smoker and had a significant medical history of hypertension, hyperlipidemia, and depression. On physical examination, we found that his dorsal artery pulse was reduced, and he had an anklebrachial index score of 0.4 in b...

background: obesity is a significant risk factor for metabolic disorders including increase in blood pressure. body mass index (bmi), waist circumference (wc) and waist/hip ratio (whr) are simple and effective indicators of obe­sity. the objectives of this study were to examine the relationships between obesity anthropometric indicators and hy­pertension and to identify the best anthropometric ...