• Circulating sex and thyroid hormones, as well the pituitary function, were assessed in 63 male patients with epilepsy receiving either a single medication of carbamazepine, phenytoin, or valproate combination carbamazepine plus phenytoin valproate. All therapeutic regimens, including and/or associated low levels circulating thyroxine (T4), free (FT4), dehydroepiandrosterone sulfate, values for androgen index, high serum concentrations hormone-binding globulin. These hormone parameters...

The aim of this study was to elucidate the impact intensive care unit (ICU)-acquired infection on hospital mortality.Patients with a longer than 48 hour stay in mixed 10 bed ICU tertiary-level teaching were prospectively enrolled between May 2002 and June 2003. Risk factors for mortality analyzed logistic regression model.Of 335 patients, 80 developed ICU-acquired infection. Among patients infections, always higher, regardless whether or not had admission (infection group (IAG), 35.6% versus...

Background Our purpose was to analyse the association of pneumonia types with hospital and long‐term outcomes intensive care unit ( ICU )‐treated patients. Methods The occurrence retrospectively evaluated among prospectively registered patients admitted into a mixed university‐level during 14‐month period. Their age, severity underlying disease, malignancy, immunosuppressive therapy organ dysfunctions were recorded, as well length stay short‐ mortalities. Results There 117 severe...

Background: Endotracheal-suctioning (ETS) is a procedure that may constitute risk factor for ventilator-associated pneumonia (VAP) by increasing microbial colonization of the lower airway. Unsafe ETS practices have been observed worldwide during recent years. Because adverse reactions, practioners need to take all necessary precautions ensure patient safety and high quality nursing care. The aim present study was evaluate critical-care nurses' performance in relation current recommendations...

Background: Our aim was to evaluate the epidemiology of intensive care unit (ICU)‐acquired infections in a prospective cohort study. Methods: Patients with longer than 48‐h stay an adult mixed medical–surgical ICU tertiary level teaching hospital were included. The incidence (per cent) and density 1000 patient days) ICU‐acquired device‐associated infection rates per device days analysed prospectively 14‐month Results: Eighty (23.9%) 335 patients, whose 48 h, acquired total 107 (1.3 patient)...

The aim of this study was to compare the epidemiology, risk factors, severity and outcome two types ICU-treated candidemias: namely, ICU-acquired candidemia (acquired after 48-hour ICU stay) (ICUAC group), those needing treatment for acquired before admission or during first stay (non-ICUAC group).

ABSTRACT Coxsackievirus A6 (CV-A6) caused hand, foot, and mouth disease (HFMD) with a unique manifestation of epididymitis. The patient underwent operation due to suspicion testicular torsion. Epididymitis was diagnosed by ultrasound examination. Enterovirus detected from epididymal fluid PCR typed partial sequencing viral protein 1 as CV-A6.

Background: There is a lack of studies showing the overall impact multi‐detector computed tomography (MDCT) on treatment critically ill patients in general intensive care unit (ICU) setting. Methods: A prospective observational study effects MDCT 12‐bed medical–surgical ICU university hospital providing tertiary care. Results: During 9‐month period, there were 343 admissions with length stay longer than 48 h. Of these patients, 64 (19%) had inconclusive findings other modalities radiological...

The aim of this study was to evaluate the impact intensive care unit (ICU)-acquired infection on long-term survival and quality life.Long-term prospectively evaluated among hospital survivors who had stayed in a mixed, university-level ICU for longer than 48 hours during 14-month period 2002 2003. Health-related life assessed using five-dimensional EuroQol (EQ-5D) questionnaire January 2005.Of 272 survivors, 83 (30.5%) died after discharge follow-up period. median time 22 months. Among...

We compared in a single mixed intensive care unit (ICU) patients with influenza A(H1N1) pdm09 between pandemic and postpandemic periods. Retrospective analysis of prospectively collected data 2009–2016. Data are expressed as median (25th–75th percentile) or number (percentile). Seventy-six were admitted to the ICU: 16 during period 60 period. Postpandemic significantly older (60 years vs. 43 years, p < 0.001) less likely have epilepsy other neurological diseases (5 [8.3%] 6 [38%],...

The aim of this study to compare the incidence Clostridium difficile (CD) infections in five university hospital districts Finland based on national register. clinical findings CD cases Oulu University Hospital (OUH) one-year cohort were also analyzed.The numbers from register used for district comparison. A retrospective was conducted among all adult (> 16 years) patients treated OUH 2013, who had positive toxin B gene test stools. selection data microbiology laboratory and characteristics...

Abstract Background Echinocandins are recommended as a first‐line empiric treatment for fungal infections of patients in an intensive care unit (ICU) with critical illness. The primary aim the study was to compare outcomes among ICU treated anidulafungin (ANI), caspofungin (CASPO), or micafungin (MICA). Methods A retrospective cohort mixed adult ICU. Patient demographics, reason admission, risk scores and organ support therapies were analyzed. Outcome parameters included hospital stay,...