Publications by authors named "J Bewley"
Article Synopsis
- Aortic dissections are serious medical emergencies caused by a tear in the aorta's inner lining, leading to complications that can result in high mortality if not treated quickly.
- They are classified into types A and B (Stanford) or I, II, and III (De Bakey) based on their location and severity, impacting treatment strategies.
- Early diagnosis through appropriate imaging and quick treatment including resuscitation, blood pressure control, and possible surgery is essential, with ongoing post-operative care to manage complications.
The objectives of this research were (1) to study different factors affecting milk total bacterial count (TBC) and (2) to estimate the economic value associated with TBC in Holstein dairy herds in Iran. The relationships between bulk tank TBC and farm management and economic factors were examined on 56 randomly selected intensive dairy farms. Herd management factors associated with bulk tank TBC were determined using mixed linear models.
View Article and Find Full Text PDFBackground: Extubation failure, defined as reintubation within 48 h, is associated with increased intensive care unit (ICU) length of stay and higher mortality risk. One cause of extubation failure is secretion retention, resulting from an inability to cough effectively. Mechanical insufflation-exsufflation (MI-E) simulates a cough aiding secretion clearance.
View Article and Find Full Text PDFArticle Synopsis
- Guidelines suggest maintaining normal carbon dioxide levels for adults in a coma resuscitated from cardiac arrest, but mild higher levels may help increase brain blood flow and improve outcomes.
- In a study involving 1,700 patients, participants were randomly assigned to either mild hypercapnia or normocapnia for 24 hours and were assessed 6 months later for neurologic recovery.
- Results showed no significant difference in favorable neurological outcomes or mortality between the two groups, indicating that mild hypercapnia did not improve recovery compared to normal levels.