PURPOSE OF REVIEW Medication-overuse headache (MOH) is a chronic daily headache in which acute medications used at high frequency cause transformation to headache occurring 15 or more days per month for 4 or more hours per day if left untreated. MOH is a form of US Food and Drug Administration-defined chronic migraine. This review will describe (1) MOH clinical features and diagnosis, (2) patho...

A total of 312 samples in two experiments were analyzed to determine mean nutrient concentrations of swine lagoons and hoop barns in Kansas. First, in a retrospective study (Exp. 1), we obtained 41 sample analyses from the Kansas Department of Agriculture of sow, nursery, wean-to-finish, finish, and farrow-to-finish operations in 1999. The average total N concentration was 899 ppm (SD = 584 ppm...

BACKGROUND Weaning is the process during which mechanical ventilation is withdrawn and the work of breathing is transferred from the ventilator back to the patient. Prolonged weaning is associated with development of ventilator-related complications and longer stays in the Intensive Care Unit (ICU). Computerized or Automated Weaning is a novel weaning strategy that continuously measures and ada...

Eric S. Gordon1, Lisa Dilling1,2, Elizabeth McNie1 and Andrea J. Ray1,3 1Western Water Assessment, Cooperative Institute for Research in Environmental Sciences, University of Colorado Boulder, 216 UCB, Boulder, CO 80309, USA 2Environmental Studies Program and Center for Science and Technology Policy Research, Cooperative Institute for Research in Environmental Sciences, University of Colorado B...

abstract background: family psycho-education is one of the most effective interventions for preventing relapse in patients with schizophrenia. we evaluated the efficacy of a needs-assessment–based educational program in comparison with a current program (textbook based) in the treatment of schizophrenia. materials and methods: patients with schizophrenia and their families (n = 60) were allocat...

Method The patient was extubated in 6 hours after the operation. During next two days progressive dyspnea was observed and patient became ventilation dependent. Six attempts to wean patient from ventilator failed. Elevation of diaphragm up to the 3rd rib have been registered. Since there was no improvement after respiratory muscle training, plication of the hemidiaphragm was performed by a left...

The pathophysiology of failure to wean from mechanical ventilation consists of depressed central respiratory drive, impaired respiratory mechanics, respiratory muscle weakness, increased load, impaired gas exchange, and compromised cardiovascular performance. Among patients with weaning failure, depressed central respiratory drive occurs in only a small portion (approximately 10%),1 whereas mos...

We report an unusual case of a thoracic opacity due to a huge mediastinal malignant schwannoma which compressed the whole left lung and the mediastinum causing respiratory failure in a 73-year-old woman without von Recklinghausen's disease. Although the tumor was resected, the patient failed to wean from mechanical ventilation and died one month later because of multiple organ dysfunction syndr...

Methods This is a prospective observational study conducted between June 2013 and November 2013 in intensive care unit patients planned to wean with spontaneous breathing trial. After 1-hour of T-piece trial, the patient’s RSBI, TV, VC and NIP were recorded. By ultrasound, we measured the amplitude of diaphragmatic movement (ADM), time to the maximum amplitude (TTMA), and the diaphragmatic thic...