OBJECTIVE To determine the percentage of deaths in the pediatric intensive care unit (PICU) attributed to do not resuscitate (DNR) orders, and to compare our DNR practice with the international experience. METHODS Retrospective chart review of all children less than 14 years of age who died in the PICU at King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia from January 2...

AIM The objective of this study was the retrospective evaluation of tolerability and activity of pemetrexed with carboplatin (AC) or cisplatin (AP) as neoadjuvant chemotherapy in a consecutive series of patients with malignant pleural mesothelioma (MPM). PATIENTS AND METHODS Patients with operable MPM received three cycles of AC or AP followed by surgery and radiotherapy. RESULTS Since 2005...

In spite of the fact that e-government agency (ega) in Tanzania emphasize on the use of ICT within public institutions in Tanzania, accessibility, usability and web security vulnerabilities are still not considered by the majority of web developers. The main objective of this study is to assess the usability, accessibility and web security vulnerabilities of selected Tanzania e-government websi...

introduction: limited data are available on the effectiveness of antidepressants in the treatment of functional gastrointestinal disorders in children. we evaluated the effectiveness of citalopram in the treatment of childhood functional abdominal pain (fap).   material and methods: children with fap (n=115, aged 6-18 years) received either citalopram 20 mg/day or placebo for 4 weeks. treatment...

This article throws light on Lord Mountbatten’s enduring involvement in India after 1964, an overlooked feature of his later life. On a number issues such as the abolition titles, privileges and privy purses Indian Princes (1967–71), imposition Emergency (1975), arms sales, expulsion BBC (1970–72) evolution history-writing Partition, this evaluates changing role ‘friend India’ Britain, while be...

In this paper one optimization heuristic search technique, Hybrid Evolutionary Programming (HEP) is applied to the process of synthesizing three-ring Concentric Circular Antenna Array (CCAA) focused on maximum sidelobe-level reduction. This paper assumes non-uniform excitations and uniform spacing of excitation elements in each three-ring CCAA design. Experimental results reveal that the design...

Tension Pneumothorax Tension pneumothorax occurs when a one-way valve develops in the injured lung and allows entry of air into the pleural space during inspiration without being able to escape during expiration. Tension physiology occurs when the increased intrathoracic pressure (15 to 20 mm Hg) limits the return of venous blood flow from the body to the right heart and compresses the great ve...

Alabama, Alaska, Arizona, California, Colorado, Connecticut, Delaware, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South ...