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Parts I and II of this series discussed general facial wound repair, forehead and scalp trauma, eye trauma, nasal trauma, and midface fractures. This third and final part of the series covers mandible, mouth, ear, and pediatric trauma.
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This meta-analysis of clinical trials of steroids in septic shock demonstrates that whereas short-term, high-dose administration actually worsens survival, giving lower doses for a longer period hastens shock resolution and improves survival.
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Ventilator-associated pneumonia (vap) is nosocomial pneumonia occurring in a mechanically ventilated patient > 48 hours after intubation. It is categorized as early-onset (defined by most experts as 48-96 hours after intubation) and late-onset (> 2-96 hours after intubation): these differ with respect to responsible bacterial agents as well as outcomes. With an estimated incidence of 8-28% of intensive care unit (ICU) patients, or 13-35 cases per 1000 ventilator-days, VAP is common.
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Cognitive Effects of Estrogen Therapy; Vitamin Therapy and Restenosis; Echinacea and the Common Cold; Effects of Paxil in Children Under 18; FDA Actions.
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Jonas and colleagues have collected the largest series of cases of unilateral hemispherectomy and assessed outcomes for the parameters listed in the title of their manuscript. In 21 of 115 patients, the indication for surgery was Rasmussen encephalitis (RE). In the realm of non-surgical treatment of RE, Bien and colleagues administered tacrolimus to 7 patients with histopathologically proven RE.
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Inflammation in the brain is one of the established features of the neuropathology of Alzheimers Disease (AD). A large case-control study now indicates that patients with elevated serum markers of inflammation have an increased risk of developing AD.