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Waikakul S, Sakkarnkosol S, Vanadurongwan V: Vascular injuries in compound fractures of the leg with initially adequate circulation.
Using the initial 30 participants' data, we demonstrate the relatively lower rates of recruitment than anticipated initially, adequate responses to questionnaires and satisfactory consent rates to provide biological samples.
Source control interventions may include surgery but also other measures can be – initially – adequate such as PCD or removal of infected tissues or devices.> Therefore it is crucial that institutions that care for these severely ill patients should have 24/7 access to all diagnostic imaging techniques as well as interventional radiology and surgery.
It is difficult to understand the lack of benefit of the de-escalation approach, particularly since it did lead to more initially adequate therapy and less antibiotic usage, although relatively few patients had VAP (<10%) and more patients in the de-escalation group had MDR pathogens than in the control group.
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Many of the most vulnerable patients rely on family, friends or others to help them manage at home after hospital discharge, yet the participating organizations initially lacked adequate procedures to identify these individuals or include them in discharge plans.
All three of these patients had initially had adequate debulking surgery.
Seventythree of the 82 patients with pneumonia were initially treated with adequate antibiotics according to the microbiological results.
This observation (hypovolemia) explains the unexpected baseline tachycardia (which was attributed initially to not adequate depth of anaesthesia or administration of atropine, and so on).
Patients with OA initially begin with adequate fluid content and healthy cartilage but gradually deteriorate over time, showing progressively decreased joint composition.
In our study, 73 out of the 82 patients (89%) with pneumonia were initially treated with adequate antibiotics according to the microbiological results.
Failure to send Legionella urinary antigens on presentation in this case led to a delay in diagnosis, though fortunately this patient was initially placed on adequate empiric therapy anyway.
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