ABSTRACT
Recent advances in intensive care medicine, especially in the last 30 years, have brought numerous new therapeutic methods, devices and materials. On the other hand, more complicated therapy results in higher rates of nosocomial infections, many of which are typical for intensive care. The article provides more detailed information about the issues related to ventilator-associated pneumonia and venous catheter-related infections. In the future, evidence-based medicine may bring higher quality to intensive care medicine and decrease the incidence of nosocomial infections.
Subject(s)
Cross Infection/etiology , Intensive Care Units , Catheters, Indwelling/adverse effects , Cross Infection/prevention & control , Humans , Pneumonia, Ventilator-Associated/diagnosis , Pneumonia, Ventilator-Associated/prevention & controlABSTRACT
The authors compare the causes and severity of non-penetrating chest injuries during two three-year periods: 1986-1989 and 1996-1999. Within the 10-year interval the incidence of blunt chest injuries increased by almost 124%, the mean age of the casualties reduce by five years and the most frequent cause were road accidents. Chest injuries are in more than half the casualties part of multiple injuries or polytraumatism. During the period 1996-1999 the authors recorded more serious intrathoracic injuries, incl. severing of the v. azygos in three patients. With regard to the danger associated with delay it is essential that these casualties should be taken from the site of the accident directly to a specialized department.
Subject(s)
Thoracic Injuries , Wounds, Nonpenetrating , Adolescent , Adult , Aged , Aged, 80 and over , Child , Female , Humans , Male , Middle Aged , Retrospective Studies , Thoracic Injuries/diagnosis , Thoracic Injuries/etiology , Thoracic Injuries/therapy , Wounds, Nonpenetrating/diagnosis , Wounds, Nonpenetrating/etiology , Wounds, Nonpenetrating/therapyABSTRACT
Spontaneous rupture of the oesophagus (Boerhaave's syndrome) is a life threatening disease the successful treatment of which depends on early diagnosis and effective comprehensive treatment. The authors present an account on three patients who were successfully treated on account of spontaneous rupture of the oesophagus.
Subject(s)
Esophageal Diseases/surgery , Humans , Male , Middle Aged , Rupture, Spontaneous , SyndromeABSTRACT
A non-invasive, immunological method for sexing mammalian sperm would be of benefit to agricultural industries. This paper presents a new approach, based on the hypothesis that sex-specific proteins (SSPs) are evolutionarily more highly conserved than non-SSPs. Antibodies to non-SSPs were raised and used in an affinity procedure to remove non-SSPs and enrich for SSPs. Thereafter, using column chromatography, purified SSPs were obtained. Sex-specific antibodies (SSAbs) raised against these SSPs appear to bind to sex-chromosome-specific proteins (SCSPs) on the sperm membrane and make possible a sperm-sexing procedure. Antibodies to SCSPs were raised and used to identify putative SCSPs by affinity chromatography. The preliminary results presented here suggest that a viable immunological sperm sexing procedure can be developed.
Subject(s)
Membrane Proteins/analysis , Sex Determination Analysis/methods , Spermatozoa , Animals , Antibodies , Biological Evolution , Cattle , Female , Immunoassay/methods , Kidney/embryology , Liver/embryology , Male , Ovary/embryology , Spermatozoa/immunology , Spleen/embryology , Testis/embryologyABSTRACT
The authors describe the case of a patient who suffered multiple injuries and who after diagnosis of anisocoria was subjected to CT examination of the brain with a negative result. Because of deterioration of the clinical condition CT of the brain was repeated after five hours; it revealed an epidural haematoma in the left frontal area which led to indication of urgent surgery. The patient recovered. Key words: epidural haematoma, diagnosis, computed tomography.
