Symptom Assessment for Mechanically Ventilated Patients: Principles and Priorities: An Official American Thoracic Society Workshop Report.

Mechanically ventilated patients experience many adverse symptoms, such as anxiety, thirst, and dyspnea. However, these common symptoms are not included in practice guideline recommendations for routine assessment of mechanically ventilated patients. An American Thoracic Society-sponsored workshop with researchers and clinicians with expertise in critical care and symptom management was convened for a discussion of symptom assessment in mechanically ventilated patients.

Development of a pharmacist-managed protocol for the transition from intravenous to subcutaneous insulin in critically ill adults.

Purpose: To evaluate the efficacy and safety of a pharmacist-managed protocol for transitioning critically ill patients from intravenous (IV) to subcutaneous insulin.

Methods: This single-center, retrospective, observational study included patients admitted to the medical or surgical/trauma intensive care unit who received a continuous infusion of IV insulin from January 2019 to April 2021. Patients were excluded if they were less than 18 years old, pregnant, or incarcerated or received IV insulin for the diagnosis of diabetic ketoacidosis, hyperglycemic hyperosmolar state, calcium channel blocker or β-blocker overdose, or hypertriglyceridemia.

Arsenic release from pyrite ashes: kinetic studies.

Arsenic mobility in pyrite ashes was studied because of the possible effects on water systems. The batch extraction method was used to assess kinetics and extent of As release induced by contact of the material either with rainwater or groundwater. Self-established pH-Eh range of pyrite ashes/water mixtures brought both As(III) and As(V) to be present in the water phase, as neutral arsenite H3AsO3 and anionic arsenate HAsO42-, respectively.

Decision support tool for used oil regeneration technologies assessment and selection.

Regeneration is the most efficient way of managing used oil. It saves money by preventing costly cleanups and liabilities that are associated with mismanagement of used oil, it helps to protect the environment and it produces a technically renewable resource by enabling an indefinite recycling potential. There are a variety of processes and licensors currently offering ways to deal with used oils.

Overview of remediation technologies for persistent toxic substances.

This paper gives a review of established and emerging technologies for the treatment of wastes and soils contaminated by Persistent Toxic Substances which include the Persistent Organic Pollutants. The technologies are classified as biological, physico-chemical, and thermal treatments, describing main unit operations and comparing technical, social and environmental limitations, including some potential risks and environmental impacts. Estimated overall costs, cleanup times, reliability, and maintenance levels are also presented in order to assess advantages and limitations of each technology.

[Perforated colonic diverticulitis: its diagnosis and treatment. Our experience].

Six cases of perforated diverticulitis are presented that needed urgency surgery. The objective is to consider our guides of diagnosis and treatment towards this pathology and to justify Hartmann's operation as the technique of choice for these cases of generalised peritonitis.

[Intraeffort tension evolution in normotensive, borderline, and mild hypertensive subjects].

391 patients were studied, 288 males whose average age was forty years old, and 103 females whose average age was forty-five years old. They were divided into three groups, according to the values of the diastolic blood pressure in basal conditions: a) Normotensive (less than 90); b) Borderline (90); c) Mild Hypertensive (95-100 mm Hg). Comparison between sexes and ages was also carried out, being these last results analyzed in two groups: from 20 to 40 years old and from 41 to 69 years old.

[Actinomycosis of the abdominal wall. Report of a case].

Actinomycosis is a chronic infectious disease, caused by an anaerobic gram positive microorganism, the actinomyces israelii. It grows by continuity toward adjacent organs, with formation of dense masses of woody tissue, producing draining abscesses and fistulae. General symptoms of this disease are fever, chills, in association with symptoms proper of each localization.

[Arterial hypertension in childhood and adolescence].

One thousand six hundred and ninety-eight children and adolescents four to eighteen years-old were studied, eight hundred and forty of them were males and eight hundred and fifty-eight females. No individual following, was performed. Two determinations of both systolic and diastolic pressure were registered after a fifteen minutes rest, and the average figures of both, of them was registered.