Severity: Warning
Message: file_get_contents(https://...@pubfacts.com&api_key=b8daa3ad693db53b1410957c26c9a51b4908&a=1): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
Filename: helpers/my_audit_helper.php
Line Number: 176
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 176
Function: file_get_contents
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 250
Function: simplexml_load_file_from_url
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 1034
Function: getPubMedXML
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3152
Function: GetPubMedArticleOutput_2016
File: /var/www/html/application/controllers/Detail.php
Line: 575
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 489
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
I discussed following four points. 1. Weaning means an increase in energy demand. For successful weaning, stable hemodynamics and good nutrition are mandatory. 2. Success or failure is closely related with the "reserve" factors of the patients, including those discussed in 1. These "reserve" factors may be difficult to evaluate from the spirometry/pulmonary function data only. 3. A dissociative movement between chest wall and abdomen indicates that the weaning is likely to fail. The data, however, are inconclusive. 4. Few occasional patients are successfully weaned by the classical on-off method, after failing to be weaned by the standard IMV. We interpret that the classical on-off method has more elements of training. This point should be taken into consideration and this aspect of training should be pursued for weaning.
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