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OBJECTIVE Immobilization and subsequent weakness are consequences of critical illness. Despite the theoretical advantages of physical therapy to address this problem, it has not been shown that physical therapy initiated in the intensive care unit offers benefit. DESIGN AND SETTING Prospective cohort study in a university medical intensive care unit that(More)
Methods for assessing early characteristics and late outcome after severe head injury have been devised and applied to 700 cases in three countries (Scotland, Netherlands, and USA). There was a close similarity between the initial features of patients in the three series; in spite of differences on organisation of care and in details of management , the(More)
OBJECTIVE To evaluate possible estrogenic effects of dong quai on vaginal cells and on endometrial thickness in postmenopausal women. DESIGN Double-blind, randomized, placebo-controlled clinical trial. SETTING Department of Obstetrics and Gynecology in a large health maintenance organization (HMO). PATIENT(S) Seventy-one postmenopausal women (mean age(More)
A prospective study of 213 patients with severe head injury and Glasgow Coma Scores of 8 or less was conducted to identify, at 24 hours postinjury, the favorable and unfavorable clinical factors that relate to outcome one year later. According to the Glasgow Outcome Scale, 35 percent were classified Moderate Disability or Good Recovery, 13 percent were(More)
THsi study was designed to define the effect of positive end expiratory pressure (PEEP) ventilation on intracranial pressure (ICP). In 25 patients with severe head trauma with and without associated pulmonary injury the following parameters were simultaneously monitored under mechanical ventilation with and without PEEP:ICP, arterial blood pressure, central(More)
A new tong has been designed that can be attached to the skull using the three-prong principle. It may act as a rigid integral part of the skull, or may simply swivel in the same manner as all contemporary tongs. This ability to function as a rigid attachment allows for flexion or extension of the patient's neck if indicated. The need for incisions or extra(More)
OBJECTIVE To determine whether long-term postmenopausal estrogen therapy is associated with use of other prescription medications. METHODS Using computer pharmacy records from 1969 to 1973 for members of the Kaiser Permanente Medical Care Program in San Francisco, we identified the 215 most commonly used prescription medications in the pharmacy database(More)
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