Continuous Subglottic Suctioning of Intubated Patients in the ICU

Ventilator associated pneumonia (VAP) is a common complication in mechanically ventilated patients. It causes substantial morbidity and mortality, as well as substantial cost to the patients and healthcare systems. One of the major risk factors identified for risk of VAP is the aspiration of secretions from the oropharynx. One intervention aimed at decreasing the incidence of secretion aspiration is an endotracheal tube (ETT) that can be hooked up to suction, providing continuous subglottic suctioning. The purpose of this paper was to explore the use of continuous subglottic suctioning and its effects on the incidence of ventilator-associated pneumonia. Review of literature explored studies including randomized control trials and metaanalyses that measured the effects of continuous subglottic suction on the incidence of VAP as well as length of time on ventilator. This information was utilized to determine if there is a statistically significant difference in the rates of VAP with continuous subglottic suction as compared to traditional oral care measures. The review demonstrated that there was a statistically significant decrease in the rates of VAP in ventilated patients that receive continuous subglottic suctioning.https://commons.und.edu/pas-grad-posters/1130/thumbnail.jp

The Control of Air and Water Pollution in the United States of America

14 pages. Contains 2 pages of references

An Analysis of Regulations Under the Resource Conservation and Recovery Act

This Article analyzes efforts to deal with the generation, transportation, treatment, storage and disposal of hazardous wastes under the Resource Conservation and Recovery Act and the Environmental Protection Agency\u27s regulations promulgated thereunder

Quantum Computing Without Entanglement

It is generally believed that entanglement is essential for quantum computing. We present here a few simple examples in which quantum computing without entanglement is better than anything classically achievable, in terms of the reliability of the outcome after a xed number of oracle calls. Using a separable (that is, unentangled) n-qubit state, we show that the Deutsch-Jozsa problem and the Simon problem can be solved more reliably by a quantum computer than by the best possible classical algorithm, even probabilistic. We conclude that: (a) entanglement is not essential for quantum computing; and (b) some advantage of quantum algorithms over classical algorithms persists even when the quantum state contains an arbitrarily small amount of information|that is, even when the state is arbitrarily close to being totally mixed.Comment: 18 pages. Presented at FoCM'02 (Aug 2002, see http://www.cs.technion.ac.il/~danken/pub/QCnoEnt.pdf), QIP'03 (Dec 2002, see http://www.msri.org/publications/ln/msri/2002/qip/brassard/1/), Qubit'03 (Apr 2003, see http://www.cs.technion.ac.il/~talmo/Qubitconf/QUBIT-2003/program/