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BACKGROUND Ventilator-associated pneumonia (VAP) is a nosocomial pneumonia that develops in patients on mechanical ventilation for >or=48 hours. VAP develops at an estimated rate of 1% to 3% per day of mechanical ventilation. METHODS Quality improvement project. Mechanically ventilated patients received the following oral care every 4 hours: the teeth(More)
Inflammatory gallbladder disease is not usually considered in the evaluation of septic newborn infants. When present, the radiographic findings are thought to be sparse. Three instances were recently encountered with radiographic evidence to indicate right upper quadrant abdominal disease. In one, a negative defect on the bodygram phase film of a high(More)
The effects of isometric and resistive strengthening exercises on myopathic distal muscles were examined by implementing a program of hand and wrist exercises during the rehabilitation of a patient with adult-onset hereditary distal myopathy. A 78-year-old man with this diagnosis for 18 years entered the hospital after a lumbar laminectomy and complete(More)