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BACKGROUND Central venous catheters are a principal source of nosocomial bloodstream infections, which are difficult to control. OBJECTIVE To determine the efficacy of catheters coated with minocycline and rifampin in preventing catheter-related colonization and bloodstream infections. DESIGN Multicenter, randomized clinical trial. SETTING Five(More)
Both epidural and paravertebral blocks are effective in controlling post-thoracotomy pain, but comparison of preoperative and balanced techniques, measuring pulmonary function and stress responses, has not been undertaken previously. We studied 100 adult patients, premedicated with morphine and diclofenac, allocated randomly to receive thoracic epidural(More)
Eighty-two patients were investigated on their first visit to the outpatient department of St. Mark's Hospital, London, for the assessment of abdominal symptoms. In addition to the clinical examination, a rectal biopsy, routine tests and appropriate special investigations, blood was taken from each patient for the determination of erythrocyte sedimentation(More)
UNLABELLED The paravertebral nerve blocks used in upper abdominal or thoracic surgery provide excellent pain relief and can inhibit some aspects of the neuroendocrine stress response to surgical trauma, which suggests that a very high-quality afferent block can be effected. To confirm this, we evaluated intercostal somatosensory evoked potentials (SSEPs) in(More)
We performed a retrospective audit of 1235 patients presenting between 1992 and 1997, following the introduction of intra-operative blood salvage at our hospital. Twenty-two cases of severe abdominal trauma requiring emergency laparotomy and intra-operative blood salvage were identified. The impact of intra-operative blood salvage in aiding resuscitation(More)
The prevalence, aetiology and epidemiological features of subclinical mastitis were investigated in 358 lowland ewes in seven flocks in southern England. Milk samples (2092) were collected at 3-weekly intervals; those which were both bacteriologically and Whiteside test positive were deemed to have originated from glands with subclinical mastitis. The(More)
In each of two experiments, subclinical mastitis was induced by inoculating both mammary glands of Welsh-Mountain and Dorset-Horn ewes with a coagulase-negative staphylococcus; groups of control ewes were also included. After inoculation, the somatic cell counts of milk of the inoculated ewes increased (P less than 0.01) and the milk yield decreased (P less(More)
Neostigmine 1.25 mg or 0.625 mg was used to antagonize neuromuscular blockade produced by either atracurium 0.5 mg kg-1 or vecuronium 0.1 mg kg-1 in four groups of patients (n = 45) when the first EMG response of the train-of-four (A') had recovered to 10% of control (A). The time for A'/A and the train-of-four ratio (D'/A') to reach 70% was recorded. It(More)
The 24 h urinary excretion of adrenaline, noradrenaline, metadrenaline, normetadrenaline and vanillylmandelic acid, plasma renin activity and plasma and urinary debrisoquine were measured before and during chronic treatment with oral debrisoquine in 14 in-patients with essential hypertension. There was a significant fall (mean +/- SD) in the 24 h urinary(More)
BACKGROUND Previous cesarean section, oxytocin administration, and fetal macrosomia increase the risk of uterine rupture or dehiscence (URD). METHODS All 25,718 deliveries at Riverside Regional Medical Center from January 1990 to June 2000 were reviewed to describe complications and identify risk factors for URD. RESULTS Eleven uterine ruptures and 10(More)