[Understanding lower gynaecological cancer consultation delay and help-seeking behavior in patients over 65].

Introduction: Delays for consultation of more than six months exist for uterine cancer. Delays in diagnosis of more than five years exist for vulvar cancer. The peak incidence of these neoplasms appear after the age of 65 years.

Late results of surgical venous thrombectomy with iliocaval stenting.

Purpose: Iliac vein occlusive disease leads to 73% of rethrombosis that occurs after venous thrombectomy when left untreated. The goal of this study is to present our long-term results of stenting of iliocaval occlusive lesions persisting after surgical venous thrombectomy.

Methods: From November 1995 to April 2007, 29 patients (19 women), with a median age of 38 years, had surgical venous thrombectomy with creation of an arteriovenous fistula and angioplasty and stenting.

Hospital morphine preparation for abstinence syndrome in newborns exposed to buprenorphine or methadone.

Objective: This study was undertaken to evaluate the adequacy of a hospital formulated oral morphine preparation for management of neonatal abstinence syndrome (NAS) and to compare clinical features in infants exposed to methadone or buprenorphine in utero.

Method: Between October 1998 and October 2004 all infants born to mothers treated with buprenorphine or methadone during pregnancy were enrolled into this prospective study. Morphine hydrochloride solution (0.

Pulmonary contusion in severe head trauma patients: impact on gas exchange and outcome.

Study Objective: To evaluate the impact on morbidity and mortality of pulmonary contusion in multiple-trauma patients with severe head trauma.

Design: Matched-paired, case-control study

Setting: ICU at a tertiary university hospital.

Patients: During a 3-year period, 313 consecutive multiple-trauma patients with severe head trauma (Glasgow coma scale [GCS], View Article and Find Full Text PDF

Empirical antimicrobial therapy of septic shock patients: adequacy and impact on the outcome.

Objective: To assess the adequacy of empirical antimicrobial therapy prescribed in septic shock patients and to evaluate the relationship between inadequate antimicrobial therapy and 30-day mortality.

Design: Prospective observational study.

Setting: Medical-surgical (16-bed) intensive care unit in an urban teaching hospital.

Influence on outcome of ventilator-associated pneumonia in multiple trauma patients with head trauma treated with selected digestive decontamination.

Objective: Ventilator-associated pneumonia is said to be associated with an increased mortality or a prolonged intensive care unit stay. In multiple trauma, the use of selective digestive decontamination has been reported to decrease morbidity and mortality associated with pneumonia. We performed a study to evaluate the attributable morbidity and mortality of ventilator-associated pneumonia in multiple trauma patients with head trauma treated with selective digestive decontamination.