The optimal management of paediatric empyema thoracis remains controversial. The objective of the study was to analyse evolving experience in clinical presentation, management, outcome and factors contributing to adverse morbidity in thoracic empyema. Forty-seven patients presenting to a paediatric surgical centre were studied in three consecutive 6-y periods during 1980-97 to compare any chang...

BACKGROUND Perioperative hypovolemia and fluid overload have effects on both complications following surgery and on patient survival. Therefore, the administration of intravenous fluids before, during, and after surgery at the right time and in the right amounts is of great importance. This review aims to analyze the literature concerning perioperative fluid therapy in abdominal surgery and to ...

BACKGROUND There is limited information on the impact on perioperative fluid intervention on complications and length of hospital stay following pancreaticoduodenectomy. Therefore, we conducted a detailed analysis of fluid intervention in patients undergoing pancreaticoduodenectomy at a university teaching hospital to test the hypothesis that a restrictive intravenous fluid regime and/or a neut...

Bu çalışmanın amacı, kalkınma ajansları personel yönetimindeki kısıtlayıcı kurallara riayet düzeyini ölçmek ve bu konudaki sorunları tespit etmektir. Çalışmada doküman analizi araştırma yöntemi kullanılarak ilgili literatür mevzuat taranmış, resmi raporlar elde edilen veriler analiz edilmiştir. Türkiye’de 2006 yılından itibaren kurulmaya başlanan ajanslarının yönetimi düzenlenirken başlıca iki ...

We have isolated and characterized temperature-sensitive endocytosis mutants in Dictyostelium discoideum. Dictyostelium is an attractive model for genetic studies of endocytosis because of its high rates of endocytosis, its reliance on endocytosis for nutrient uptake, and tractable molecular genetics. Endocytosis-defective mutants were isolated by a fluorescence-activated cell sorting (FACS) as...

OBJECTIVE To assess the predictive impact of morphological, haemodynamic, and clinical variables in the management of patients with isolated ventricular septal defect. DESIGN Retrospective analysis of variables by a sophisticated database management system. PATIENTS AND METHODS 263 consecutive patients with isolated ventricular septal defect diagnosed by echocardiography. The morphological ...

This paper contains an asymptotic analysis of a fluid model for a heavily loaded processor sharing queue. Specifically, we consider the behavior of solutions of critical fluid models as time approaches ∞. The main theorems of the paper provide sufficient conditions for a fluid model solution to converge to an invariant state and, under slightly more restrictive assumptions, provide a rate of co...

in his insightful editorial, nir eyal explores the connections between nudging and shaming. one upshot of his argument is that we should question the principle of the least restrictive alternative in public health and health policy. in this commentary, i maintain that eyal’s argument undermines only a rather implausible version of the principle of the least restrictive alternative and i sketch ...

Estimates suggest that over half of critically ill patients receive fluid resuscitation early in the course of their illness; however, volumes and types of fluid vary substantially. Moreover, the association between overzealous fluid administration and numerous deleterious outcomes across variable patient populations has challenged the traditional reflexive instinct that fluids are the answer t...