Introduction: Hospital overcrowding is common and can lead to delays in intensive care unit (ICU) admission, resulting in increased morbidity and mortality in medical and surgical patients. Data on delayed ICU admission are limited in the postsurgical trauma cohort. Damage control laparotomy with temporary abdominal closure (DCL-TAC) for severely injured patients is often followed by an aggressive early resuscitation phase, usually occurring in the ICU.
View Article and Find Full Text PDFIntroduction: Primary tracheal cancer is uncommon, with poor survival. While surgical resection is the mainstay of therapy, the role of chemotherapy and radiation is poorly defined. We aimed to study the impact of treatment modalities on survival.
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January 2020
Numerous toxicants contaminate soil and negatively affect the environments that children explore. Accurately measuring these toxicants and characterizing the level of soil contamination may be difficult and must include measurements of both the environmental concentrations and the exposure responses of human populations. This article reviews the current methods and technologies available for quantifying soil contamination.
View Article and Find Full Text PDFPollution is a concerning and highly studied area, especially in the arena of children's health. The focus of this concern, however, is typically limited to air and water pollution, leaving an important source under-studied and out of the concern of the general public. Soil pollution provides a unique threat to children's health, due to their increased exposure and susceptibility to its contaminants.
View Article and Find Full Text PDFCurr Probl Pediatr Adolesc Health Care
January 2020
Soil pollution is a global phenomenon, and children are uniquely susceptible to the wide range of toxicants that persist in topsoil. Given their increased exposure through mouthing activities, increased body surface area, likelihood of breathing air closer to soil, and immature immune and elimination systems, it is essential to understand the mechanisms of children's exposure and the potential health effects of toxicants found in soil. Here we describe the sources and toxicological profiles of a range of inorganic and organic soil contaminants, including arsenic (As), cadmium (Cd), lead (Pb), mercury (Hg), benzene, toluene, ethylbenzene and xylenes, chlorinated dibenzo-p-dioxins, polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs), per and polyfluoroalkyl substances (PFAS), as well as agricultural and domestic sources of pollution.
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