In this prospective study we interviewed 200 adult patients with newly diagnosed, active pulmonary tuberculosis treated at the Institute for Selleckchem Fludarabine Pulmonary Diseases of Vojvodina, Sremska Kamenica, Serbia (July, 2006-June, 2008). The information for analysis was obtained from two questionnaires
and patients’ medical records.
The majority of the patients, 158 (79%), were male, with a mean age of 49 years (+/- 15.4). Most of the patients knew that tuberculosis is an infectious disease (n=188, 92%), but they were unaware of the cause (n=84, 42%). The patients with a higher education level (61.2% vs. 90%, p=0.03), satisfactory living conditions (88.7% vs. 63.2%, p=0.02), and higher economic status (78.4% vs. 100%, p=0.04) demonstrated more knowledge about the disease. Half of the patients (n=98, 49%) believed that concomitant diseases (HIV, tumors) might contribute to the genesis of tuberculosis.
Patients with tuberculosis demonstrated good knowledge of their disease. Patients with higher socioeconomic status and education level were more knowledgeable about their disease.”
“We investigated one-lung ventilation (OLV) in pediatric patients under 10 kg. The feasibility of OLV using either Arndt endobronchial blocker (AEB) or mainstem
intubation technique is analyzed. Vorinostat manufacturer Arterial blood gases (ABG) monitored throughout the procedures are presented.
Following IRB approval, a retrospective chart review was conducted on 9 patients a parts per thousand currency sign6 months of age and 2 patients a parts per thousand yen12 months of age undergoing lung resections or aortic coarctations. For right thoracotomy, Akt inhibitor a conventional, cuffed, endotracheal tube (ETT) was inserted and guided into the left mainstem bronchus with a bronchoscope and the left lung was ventilated. For left thoracotomy, an AEB was inserted into the trachea 2 cm past the vocal cords and an ETT was placed through the cords adjacent to the blockers (extraluminal). A bronchoscope was then inserted through the ETT to visualize and manipulate the blocker into the left mainstem bronchus. The blocker
cuff was inflated slowly under direct vision while the ETT continued to ventilate the right, dependent lung. ABG values were collected intraoperatively in all cases.
One-lung ventilation could be accomplished within 15 min in all cases, and lung isolation was successful in all patients. All patients were extubated within 12 h of surgery and had an uneventful recovery. ABG values revealed modest arterial acidosis and hypercarbia and mild acute ventilatory insufficiency.
The use of extraluminal AEB or mainstem intubation for OLV can be successfully completed in infants weighing less than 10 kg. OLV may induce acute respiratory pathology; therefore we recommend routine intraoperative ABG monitoring for pediatric patients.”
“We report the first case of Weissella confusa bacteremia in an allogeneic hematopoietic stem cell transplant patient.