A clinical score, including biohumoral parameters, is a useful pretest index to discriminate pulmonary infections from radiation damage in chemoradiation-treated lung cancer patients.

To obtain an easy and prompt differential diagnosis between lower airways infections and acute radiation pneumonitis in chemoradiation lung cancer patients. From 303 patients treated, only patients with severe pulmonary symptoms were hospitalized. Clinical and radiation scores were calculated evaluating clinical, biohumoral, dosimetric parameters.

Association between NOD2/CARD15 polymorphisms and coronary artery disease: a case-control study.

Inflammation and immune response play an important role in the pathogenesis of atherosclerosis. In this prospective study we tested the hypothesis of whether polymorphic variations in the NOD2/CARD15 gene may influence the risk of developing clinically evident coronary artery disease (CAD). ARG702TRP, GLY908ARG, and Leu1007fsinsC NOD2/CARD15 polymorphisms were analyzed in 109 consecutive patients with angiographically documented CAD and in 109 age- and sex-matched healthy controls.

A pediatric learning experience: respite care for families with children with special needs.

Respite care provides temporary relief from the demands of constant caregiving for primary care givers. While better known in geriatrics, respite care can also promote family well-being and enhance the coping abilities of parents with children with special needs. The authors describe how a respite care service and a department of nursing collaborated to provide respite care to parents of children with special needs, thus providing a much needed service in the community as well as a unique clinical experience for nursing students.

Reliability and sensitivity of frozen-section pancreatic biopsy.

A collaborative Veterans Administration and University of California, Davis Medical Center group of 586 patients with histologically proved pancreatic carcinoma was reviewed. During laparotomy, 159 patients underwent 251 frozen-section pancreatic biopsies with subsequent permanent section examination of the same tissue block. All 112 positive frozen-section diagnoses were corroborated on permanent sectioning.

SURPRISE REALISTIC MOCK DISASTERS. THE MOST EFFECTIVE MEANS OF DISASTER TRAINING.

Realism introduced in several large scale surprise mock-disaster tests proved to be a real challenge to a disaster-conscious hospital staff that had previously undergone fairly extensive disaster training and testing, utilizing conventional methods. Serious weaknesses, flaws, omissions and deficiencies in disaster capability were dramatically and conclusively revealed by use of what appeared to be a "live" disaster setting with smoke, fire, explosions; adverse weather and light conditions; realistically-simulated "casualites" especially prepared not only to look but to act the part; selected harassment incidents from well-documented disasters, such as utility failures, automobile accident on the main access route, overload of telephone switchboard, and invasion of hospital and disaster site by distraught relatives and the morbidly curious.