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OBJECTIVE Delirium in the intensive care unit is poorly defined. Clinical evaluation is difficult in the setting of unstable, often intubated patients. A screening tool may improve the detection of delirium. METHOD We created a screening checklist of eight items based on DSM criteria and features of delirium: altered level of consciousness, inattention,(More)
OBJECTIVES (1) To establish risk factors for the development of delirium in an intensive care unit (ICU) and (2) to determine the effect of delirium on morbidity, mortality and length of stay. DESIGN Prospective study. SETTING Sixteen-bed medical/surgical ICU in a university hospital. PATIENTS Two hundred and sixteen consecutive patients admitted to(More)
OBJECTIVES To determine the aetiology of urethritis in Bangui, Central African Republic. METHODS 410 men presenting with urethral discharge and 100 asymptomatic controls were enrolled. Urethral swabs were obtained and processed by gonococcal culture and polymerase chain reaction for the detection of Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma(More)
BACKGROUND AND OBJECTIVES Multiple blood transfusions are considered a common cause of acute respiratory distress syndrome (ARDS). We hypothesized that ARDS is more a consequence of ARDS risk factors (in particular circulatory shock) requiring transfusions than a result of the transfusions themselves. METHODS This retrospective study included 103 patients(More)
BACKGROUND Interventions for upgrading sexually transmitted disease (STD) management in sub-Saharan Africa have focused on the public sector, and to a much lower extent on private medical practitioners and pharmacies. However, in most African cities there is a large informal sector that provides care to many patients with STD symptoms. GOAL To compare the(More)
Our study of mouflon (Ovis musimon) rams in the Caroux-Espinouse massif (southern France) shows that several forms of philopatry occur. Some of the rams were sedentary, as were the ewes, up to the age of four years. Most of the rams, however, started to enlarge their home range from the age of two years. Rams of intermediate age visited their birth ranges(More)
The spatial occupation of female Corsican mouflon (Ovis ammon) in medium Mediterranean mountains of southern France, was studied between the end of 1987 and June 1989. It can be divided into two seasonal home ranges, one in fall/winter, and one in spring/summer. Both seasonal home ranges start with a period of intense locomotive activity in the different(More)
Various techniques have been used at bedside to assess the microcirculation of critically ill patients, including nailfold videomicroscopy, laser doppler techniques, and orthogonal polarization spectral imaging. Nailfold videomicroscopy was introduced first, but its value may be limited by the extreme sensitivity of nailfold microcirculation to external(More)
We studied the space use of mouflons (Ovis musimon) for more than four years in a population living in low Mediterranean mountains. The different behaviour of ewes and rams, which is related to social and spatial segregation outside the rut, has an effect on spatial use. Depending on the season, ecological or psychophysiological contexts influence the way(More)