Становлення та функціонування сучасних наукових шкіл

Background. Several studies have shown that the use of selective digestive tract decontamination (SDD) reduces mortality. However, fear for increasing multidrug resistance might prevent wide acceptance. A survey was performed among the units registered in the European Registry for Intensive Care (ERIC), in order to investigate the number of ICUs using SDD and the factors that prevented the use of SDD. Methods. One invitation to the electronic survey was sent to each ERIC unit. The survey focused on department characteristics (intensive care type, local resistance levels), local treatment modalities (antibiotic stewardship) and doctors' opinions (collaborative issues concerning SDD). All ICU's in countries participating in the European Centre for Disease Prevention and Control resistance surveillance program were analysed. Results. Seventeen percent of the ICUs registered in the ERIC database used SDD prophylaxis. Most of these ICUs were located in the Netherlands or Germany. ICUs using SDD were four times more likely to use antibiotic stewardship. Also larger ICUs were more likely to use SDD. On the contrary, resistance to antibiotics was not related to the use of SDD. Also the doctor's opinion that SDD is proven in duster-randomized trials was not a determinant for not using SDD. Conclusion. SDD is used in a minority of the European ICUs registered in the ERIC database. Larger ICUs and ICUs with a prudent antibiotic policy were more likely to use SDD. Neither antibiotic resistance nor the duster randomized study design were determinants of the non-use of SDD

Mapeamento da Ocorrência do Mal-do-Panamá em Rondônia.

Em Rondônia, o Mal-do-Panamá apresenta-se juntamente com a Sigatoka Negra e Amarela as doenças de maior relevância da bananicultura. Foi detectado Mal-doPanamá em diferentes municípios do Estado, tais como Mirante da Serra, Governador Jorge Teixeira, São Miguel do Guaporé, Machadonho do Oeste e Alvorada do Oeste, dentre outros. A doença é causada pelo fungo Fusarium oxysporum f.sp. cubense (E.F. Smith) Sn & Hansen. Este fungo pertence à classe dos deuteromicetos e caracteriza-se pela grande capacidade de sobrevivência na ausência do hospedeiro, permanecendo no solo por longos períodos de tempo...bitstream/CPAF-RO-2010/13273/1/cot330-maldopanama.pd

Pervasive and intelligent decision support in Intensive Medicine – the complete picture

Series : Lecture notes in computer science (LNCS), vol. 8649In the Intensive Care Units (ICU) it is notorious the high number of data sources available. This situation brings more complexity to the way of how a professional makes a decision based on information provided by those data sources. Normally, the decisions are based on empirical knowledge and common sense. Often, they don’t make use of the information provided by the ICU data sources, due to the difficulty in understanding them. To overcome these constraints an integrated and pervasive system called INTCare has been deployed. This paper is focused in presenting the system architecture and the knowledge obtained by each one of the decision modules: Patient Vital Signs, Critical Events, ICU Medical Scores and Ensemble Data Mining. This system is able to make hourly predictions in terms of organ failure and outcome. High values of sensitivity where reached, e.g. 97.95% for the cardiovascular system, 99.77% for the outcome. In addition, the system is prepared for tracking patients’ critical events and for evaluating medical scores automatically and in real-time.(undefined