THE RADIOLOGICAL FINDINGS IN RADIATION-INDUCED ENTERITIS AND COLITIS A REVIEW…

Following radiotherapy to the abdomen, clinically significant radiation damage may occur to the gastrointestinal tract. The disease process when observed directly (as at surgery or at autopsy) may extend far more than that seen on the radiological examination. One radiological finding is a roundish pool of barium due to many loops of small bowel being matted together and encased in a thick,…

Severe Complications of Bronchoscopy

Bronchoscopy is a widely performed procedure that is generally considered to be safe and effective. In recent years, the flexible bronchoscope has been refined, and its range of applications has been greatly expanded [1] , which has led to an increase in the complication rate in our hospital

Pathophysiology, Diagnosis and Clinical Management of Hepatorenal Syndrome: F…

Advanced cirrhosis is frequently associated with renal dysfunction. Hepatorenal syndrome (HRS) is characterized by the occurrence of kidney injury in cirrhotic patients in the absence of other identifiable causes. HRS is classified in 2 different types. Type 1 is characterized by acute renal failure and rapid functional deterioration of other organs, usually related to a precipitating event.…

Sepsis and septic shock

Sepsis is a common condition that is associated with unacceptably high mortality and, for many of those who survive,rnlong-term morbidity. Increased awareness of the condition resulting from ongoing campaigns and the evidence arisingrnfrom research in the past 10 years have increased understanding of this problem among clinicians and lay people, andrnhave led to improved outcomes. The World Hea…

Updated Neonatal Resuscitation Guidelines 2015 – Major Changes

The latest guidelines on neonatal resuscitation from American Heart Association (AHA) [1] and European Resuscitation Council (ERC) [2] were released in October 2015. There have been slight variations between these guidelines; although they use nearly identical literature for evidence evaluation. We present here the major changes in the recent guidelines [3,4], and comparison between the ERC a…

NEONATAL RESUSCITATION PROGRAM 7th EDITION UPDATES

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Preeclampsia and cardiovascular disease: interconnected paths that enable det…

The potent and now longstanding evidence of the association between placentationrelated disorders and cardiovascular disease should be translated into clinical practice in order to introduce a preventive approach to future obstetric and cardiovascular diseases. The purpose of this review is to integrate cardiovascular risk/disease and obstetric complications, which are linked by endothelial dy…

Developing a Systematic Approach to Obstetric Emergencies

Comparison of pre- and postassessments revealed improvements in perceived confidence and competence when managing obstetric emergencies. Nurse confidence increased by 35% and nurse competence increased by 32%. The 2-day educational program also realized significant cost savings. Overall costs for the educational program decreased from $94849 to $42974.

Cardiovascular Aspects of Septic Shock: Pathophysiology,Monitoring, and Treat…

Septic shock is one of the most feared medical conditions. Mortality due to severe sepsis is approximately 29%, with 215000 deaths each year (comparable to the number of deaths due to acute myocardial infarction)

Norepinephrine or dopamine for the treatment of hyperdynamic septic shock?

To compare the ability of dopamine and norepinephrine to reverse hemodynamic and metabolic abnormalities of human hyperdynamic septic shock.