BACKGROUND Diagnosis of ventilator-associated pneumonia (VAP) is difficult. The usefulness of high-sensitivity procalcitonin (ProCa-S) and high-sensitivity C-reactive protein (CRPH) in bronchoalveolar lavage (BAL) fluid and serum in the prediction of VAP was determined. METHODS The study was conducted over a 28-month period (November 1999-June 2002) at the University Hospital Maastricht. BAL ...

Precision irrigation in fuzzy control system based on crop water stress acoustic monitoring was designed in the paper. Moreover, conventional double fuzzy control model was found to carry out two work mode, normal irrigation and precision irrigation, which aims to both ensure normal growth of crops and achieve effective water-saving. Since five input signals affect output in different degree, t...

A theory based on Manning roughness equation, Philip equation and water balance equation was developed which only employed the advance distance in the calculation of the infiltration parameters and irrigation coefficients in both the border irrigation and the surge irrigation. The improved procedure was validated with both the border irrigation and surge irrigation experiments. The main results...

OBJECTIVE To phenotypically evaluate biofilm production by Pseudomonas aeruginosa clinically isolated from patients with ventilator-associated pneumonia. METHODS Twenty clinical isolates of P. aeruginosa were analyzed, 19 of which were from clinical samples of tracheal aspirate, and one was from a bronchoalveolar lavage sample. The evaluation of the capacity of P. aeruginosa to produce biofil...

Despite of the water use increment for other sectors than agriculture, the water use for irrigation is the main water consumer in global scale. However, irrigation has been pressured by the civil society to improve water use efficiency in agriculture, to prevent water scarcity for human population that grows continuously, mainly in developing areas of the planet. On the other hand, the irrigati...

Agricultural irrigation practices will likely be affected by climate change. In this paper, we use a statistical model relating observed water use by U.S. producers to the moisture deficit, and then use this statistical model to project climate changes impact on both the fraction of agricultural land irrigated and the irrigation rate (m³ ha⁻¹). Data on water withdrawals for US states (1985-2005...

The ideal diagnostic approach for ventilator-associated pneumonia currently is based on invasive procedures to obtain respiratory tract cultures. Given the lack of consensus and relatively poor acceptance of full bronchoscopic bronchoalveolar lavage (BAL) and protected specimen brush (PSB), less invasive procedures have been developed. We review the nonbronchoscopic procedures (nonbronchoscopic...

The optimal strategy for ventilator-associated pneumonia remains controversial. To clarify the tradeoffs involved, we performed a decision analysis. Strategies evaluated included antibiotic therapy with and without diagnostic testing. Tests that were explored included endotracheal aspirates, bronchoscopy with protected brush or bronchoalveolar lavage, and nonbronchoscopic mini-bronchoalveolar l...

Ventilator-associated pneumonia (VAP) is a leading cause of health care-associated infection. It has a high rate of attributed mortality, and this mortality is increased in patients who do not receive appropriate empirical antimicrobial therapy. As a result of the overuse of broad-spectrum antimicrobials such as the carbapenems, strains of Acinetobacter, Enterobacteriaceae, and Pseudomonas aeru...

Maximizing utilization of effluent nutrients by forage grasses requires a better understanding of irrigation rate and timing effects. This study was conducted in 1998 and 1999 on a Vaiden silty clay (very-fine, smectitic, thermic Aquic Dystrudert) soil to determine the effects of swine lagoon effluent irrigation rate and timing on bermudagrass [Cynodon dactylon (L.) Pers.] growth, nitrogen (N) ...