Articles: outcome.
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We tried to evaluate the clinical outcomes (mortality, postoperative bleeding and perioperative myocardial infarction) of patients who underwent first elective coronary artery bypass grafting and received aspirin during the preoperative period. ⋯ Preoperative aspirin administration increased postoperative bleeding and red blood cell requirements with no effect on mortality, re-exploration rate and perioperative myocardial infarction. We recommend withdrawal of aspirin seven days prior to surgery. (Cardiol J 2007; 14: 453-457).
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Ann Burns Fire Disasters · Dec 2006
Maternal and foetal outcome of burns during pregnancy in kermanshah, iran.
Burn injury is rare during pregnancy. However, severe burn injury during pregnancy is very dangerous for both mother and foetus. ⋯ Our study on pregnant women over a period of 12 years in Kermanshah, Iran, found 59.5% maternal mortality in the age range 21-40 yr. This study shows a positive correlation between foetal and maternal mortality, morbidity, and TBSA burned, with the highest rate in women with more than 50% TBSA.
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The medical "brain drain" has been described as rich countries "looting" doctors and nurses from developing countries undermining their health systems and public health. However this "brain-drain" might also be seen as a success in the training and "export" of health professionals and the benefits this provides. This paper illustrates the arguments and possible policy options by focusing on the situation in one of the poorest countries in the world, Malawi. ⋯ There is concern about the negative impacts of the medical "brain-drain". However a closer look at the evidence for and against the medical "brain-drain" in Malawi suggests that there are potential gains in managing medical migration to produce outcomes that are beneficial to individuals, households and the country. Finally we present several policy options.
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Pediatr Crit Care Me · Nov 2006
Is there a "right" way to wean my patient from the ventilator? A critical appraisal of Randolph et al: Effect of mechanical ventilator weaning protocols on respiratory outcomes in infants and children: A randomized controlled trial (JAMA 2002; 288:2561-2568).
To review the findings and discuss the implications of mechanical ventilator weaning protocols in children. ⋯ The majority of children are weaned from mechanical ventilation over a short period of time. Weaning protocols may not shorten this brief duration of weaning but may have other advantages such as improved collaboration between healthcare team members. Future research into the effects of sedation on weaning from mechanical ventilation is needed in children.