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The effects of colloids or crystalloids on acute respiratory distress syndrome in swine (Sus scrofa) models with severe sepsis: analysis on extravascular lung water, IL-8, and VCAM-1

The effects of colloids or crystalloids on acute respiratory distress syndrome in swine (Sus scrofa) models with severe sepsis: analysis on extravascular lung water, IL-8, and VCAM-1

Background: Acute respiratory distress syndrome (ARDS) is a fatal complication of severe sepsis. Due to its higher molecular weight, the use of colloids in fluid resuscitation may be associated with fewer cases of ARDS compared to crystalloids. Extravascular lung water (EVLW) elevation and levels of interleukin-8 (IL-8) and vascular cell adhesion molecule-1 (VCAM-1) have been studied as indicators playing a role in the pathogenesis of ARDS. The aim of the study was to determine the effects of colloid or crystalloid on the incidence of ARDS, elevation of EVLW, and levels of IL-8 and VCAM-1, in swine models with severe sepsis.
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VALIDITAS CHEST TRAUMA SCORE (CTS) DALAM MEMPREDIKSI TERJADINYA ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) PADA PASIEN TRAUMA THORAKS DI RUMAH SAKIT SANGLAH DENPASAR.

VALIDITAS CHEST TRAUMA SCORE (CTS) DALAM MEMPREDIKSI TERJADINYA ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) PADA PASIEN TRAUMA THORAKS DI RUMAH SAKIT SANGLAH DENPASAR.

ARDS pertama kali dideskripsikan pada tahun 1967, ketika Asbaugh dan rekannya mendeskripsikan 12 pasien dengan acute respiratory distress, refractori sianosis terhadap terapi oksigen, penurunan komplians paru, infiltrat menyeluruh pada rongent thoraks. Awalnya gejala ini disebut adult respiratory distress syndrome, saat ini istilah tersebut diganti dengan acute respiratory distress syndrome (ARDS). Pada tahun 1988 definisinya diperluas dengan mempertimbangkan kerusakan fisiologi respirasi menggunakan sistem scoring kerusakan paru. Sistem scoring ini berdasarkan tekanan positif akhir ekspirasi, rasio dari PaO2/FiO2, komplians paru dan derajat infiltrat pada radiografi. Pada tahun 1994 definisi baru direkomendasikan berdasarkan American-European Consensus Conference Committee (AECC). Konsensus ini memiliki dua keuntungan. Pertama, dapat mengetahui variasi keparahan cedera paru secara klinis, pasien dengan hipoksia ringan (PaO2/FiO2 <300) merupakan acute lung injury (ALI) dan hipoksia berat (PaO2/FiO2 <200) merupakan ARDS. Kedua, mudah digunakan pada situasi klinis (Ware, et al., 2000).
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Gestational Age Conformity between New Ballard Score and Last Menstrual Period in Newborn with Respiratory Distress Syndrome | Sakinah | Althea Medical Journal 888 3233 1 PB

Gestational Age Conformity between New Ballard Score and Last Menstrual Period in Newborn with Respiratory Distress Syndrome | Sakinah | Althea Medical Journal 888 3233 1 PB

Background: Gestational age is required to determine diagnosis and optimal management of newborns. The gold standard for gestational age determination is the first day of last menstrual period (LMP). However, not all mothers remember their LMP. Another method for gestational age determination after birth is the New Ballard Score (NBS). This method measures gestational age using two main components, namely neorumuscular and physical maturity. In premature infants, surfactant deficiency leads to hypoxia which eventually leads to neuromuscular disorders. This situation may cause younger gestational age estimation when using NBS. The objective of this study was to analyze the conformity between NBS and LMP in determining gestational age in newborns with respiratory distress syndrome (RDS).
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LAPORAN KASUS MENDALAM revisi fix

LAPORAN KASUS MENDALAM revisi fix

Acute Respiratory Distress Syndrome (ARDS) adalah ketidakmampuan sistem pernafasan untuk mempertahankan oksigenasi darah normal (PaO2), eliminasi karbon dioksida (PaCO2) dan pH yang adekuat disebabkan oleh masalah ventilasi difusi atau perfusi (Susan Martin T, 1997). ARDS terjadi bilamana pertukaran oksigen terhadap karbondioksida dalam paru-paru tidak dapat memelihara laju komsumsioksigen dan pembentukan karbon dioksida dalam sel-sel tubuh. Sehingga menyebabkan tegangan oksigen kurang dari 50 mmHg (Hipoksemia) dan peningkatan tekanan karbondioksida lebih besar dari 45 mmHg (hiperkapnia). (Brunner & Sudarth, 2001).
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PERBANDINGAN MORTALITAS PASIEN ANAK DENGAN ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) YANG MENGGUNAKAN DELTA PRESSURE TINGGI DAN RENDAH - UNS Institutional Repository

PERBANDINGAN MORTALITAS PASIEN ANAK DENGAN ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) YANG MENGGUNAKAN DELTA PRESSURE TINGGI DAN RENDAH - UNS Institutional Repository

Acute respiratory distress syndrome (ARDS) adalah salah satu penyakit paru akut yang memerlukan perawatan di Pediatric Intensive Care Unit (PICU) dan mempunyai angka kematian yang tinggi. 1 Pendekatan dalam penggunaan model ventilasi mekanis pada pasien ARDS masih kontroversial. American European Concencus Conference Committee (AECC) merekomendasikan pembatasan volume tidal dan positive end expiratory pressure (PEEP) sebagai strategi penanganan ARDS. 2

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Faktor-Faktor yang Mempengaruhi Mortalitas Pasien Acute Respiratory Distress Syndrome di ICU

Faktor-Faktor yang Mempengaruhi Mortalitas Pasien Acute Respiratory Distress Syndrome di ICU

Hasil: Total sampel penelitian berjumlah 101 dengan persentase meninggal dunia dan hidup masing-masing 71% dan 29%,. Uji bivariat menunjukkan ada enam faktor yang mempunyai pengaruh signifikan terhadap kematian pasien ARDS yang dirawat di ICU, yaitu pneumonia, penyakit paru obstruktif kronik (PPOK), multi organ dysfunction syndrome (MODS), efusi pleura, jumlah leukosit saat masuk ICU, dan penggunaan vasopresor. Pada uji logistik ganda, semua faktor mempunyai kontribusi signifikan, kecuali efusi pleura (p = 0.81). Odd ratio (OR) paling besar adalah pneumonia (6,4), sedangkan OR terkecil adalah penggunaan vasopresor (4,9).
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Clinical characteristics of acute respiratory distress syndrome survived patients at a tertiary hospital in Jakarta

Clinical characteristics of acute respiratory distress syndrome survived patients at a tertiary hospital in Jakarta

10. Moss M, Mannino D. Race and gender differences in acute respiratory distress syndrome deaths in the United States: an analysis of multiple-cause mortality data (1979–1996). Crit Care Med. 2002;30(8):1679–85. 11. Venet C, Guyomarc’h S, Pingat J, Michard C, Laporte S, Bertrand M, et al. Prognostic factors in acute respiratory distress syndrome: a retrospective multivariate analysis including prone positioning in management strategy. Intensive Care Med. 2003;29(9):1435–41.

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MUSTIKA RAHMALIA 22010111110148 LAP.HASIL KTI BAB VIII

MUSTIKA RAHMALIA 22010111110148 LAP.HASIL KTI BAB VIII

58. Tagliaferro T , D Bateman, C Ruzal, RA Polin. Early radiologic evidence of severe respiratory distress syndrome as a predictor of nasal continuous positive airway pressure failure in extremely low birth weight newborns. Journal of Perinatology.2014. [disitasi : 23 Desember 2014].

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TAP.COM -   MIDDLE EAST RESPIRATORY SYNDROME (MERS) CORONAVIRUS mers cov situpdate

TAP.COM - MIDDLE EAST RESPIRATORY SYNDROME (MERS) CORONAVIRUS mers cov situpdate

5. Drosten C, Meyer B, Müller MA, Corman VM, Al-Masri M, Hossain R, et al. Transmission of MERS-Coronavirus in Household Contacts. New England Journal of Medicine 2014;371(9). 6. Lipkin WI. Middle East Respiratory Syndrome Coronavirus Recombination and the Evolution of Science and Public Health in China.8 September 2015 mBio vol. 6 no. 5 e01381-15. 7. World Health Organization. WHO Risk Assessment, Middle East respiratory syndrome coronavirus (MERS-CoV)

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ASEP TORNADO G2A009053 BAB 8 KTI

ASEP TORNADO G2A009053 BAB 8 KTI

18. Fanelli V, Vlachou A, Ghannadian S, Simonetti U, Slutsky AS, Zhang H. Acute Respiratory Distress Syndrome: New Definition, Current and Future Therapeutic Options. Journal of Thoracic Disease .2013;5(3):326-334 19. Raghavendran K, Napolitano LM. ALI and ARDS: Challenges and

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Directory UMM :Data Elmu:jurnal:A:Animal Reproduction Science:Vol60-61.Issue1-4.Jul2000:

Directory UMM :Data Elmu:jurnal:A:Animal Reproduction Science:Vol60-61.Issue1-4.Jul2000:

respiratory syndrome virus PRRSV are the most common viral causes of porcine reproductive failure. A typical epidemic of PPV-induced reproductive failure is presented as an increased number of mummified fetuses and sometimes, entire litters are mummified. If infection with PPV is very early in gestation, the number of liveborn pigs may be further reduced as a result of embryonic death and resorption. During the acute stage of infection gilts and sows have few, if any, clinical signs, and it is unlikely that PPV is ever the direct cause of abortion. In contrast, a typical epidemic of PRRSV-induced reproductive failure is presented as a broader spectrum of clinical features including abortions, late-term dead fetuses, stillborn pigs, and weakborn pigs. In the later stages of an epidemic, there may also be an increase in the number of mummified fetuses, but their prevalence is likely to be far less than during an epidemic of PPV-induced reproductive failure. During the acute stage of infection with PRRSV, gilts and sows may have few, if any, clinical signs, or they may be severely affected and even die. This difference largely reflects the relative virulence of the strain of PRRSV causing the epidemic. A timely and reliable laboratory diagnosis of either disease can be made when appropriate tests are performed with appropriate
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Role of CT in evaluating upper aerodigestive tract injuries

Role of CT in evaluating upper aerodigestive tract injuries

This study was aimed to assess the role of CT in upper aerodigestive tract injuries. Twenty six patients presenting with upper aerodigestive tract injury were examined by CT. Nineteen patients had blunt trauma to the neck while seven had penetrating injury. Most of the patients presented soon after injury. Symptoms included respiratory distress (14), neck tenderness (18), hoarseness (7), haemoptysis (2) and odynophagia (3). Soft tissue injuries were seen in 8 patients, aryepiglottic fold edema in 4, aryepiglottic fold haematoma in 1, vocal cord edema in 2 and pyriform sinus obliteration in 5 patients. Supraglottic injuries were seen in six patients, glottic injury in 8 patients and subglottic injuries in 4 patients. Tracheal injuries were seen in 8 patients and included cricotracheal separation (1), tracheal tears (5) and tracheal narrowing (4). Hypopharyngoesophageal injuries were seen in 2 patients. CT was helpful for localization of foreign bodies in 2 cases. CT is useful in deciding management of patients with upper aerodigestive tract injuries obviating the need of open exploration in patients with minimal mucosal injuries, undisplaced fracture and sealed tears. It is particularly helpful in cases when indirect laryngoscopy was not possible. (Med J Indones 2006; 15:81-9)
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TAP.COM -   2015 MIDDLE EAST RESPIRATORY SYNDROME CORONAVIRUS (MERS-COV ... peerj 1505

TAP.COM - 2015 MIDDLE EAST RESPIRATORY SYNDROME CORONAVIRUS (MERS-COV ... peerj 1505

Health Organization, 2003; Bauch et al., 2005), which is relatively high when compared with other wide-spread respiratory infectious diseases such as influenza. However, with prompt interventions, the 2003 SARS epidemic quickly ended in all affected areas in a matter of a few months and has not emerged again; giving indication that SARS virus also had in fact a very low transmissibility in community settings with the exception of the superspreading event at the Amoy Gardens in Hong Kong (Yu et al., 2004). This hypothesis is further affirmed by the recent MERS-CoV outbreak in South Korea, where community spread was effectively prevented with timely intervention measures.
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HYALINE MEMBRANE DISEASE – RESPIRATORY DISTRESS SYDROME (RDS) | Karya Tulis Ilmiah

HYALINE MEMBRANE DISEASE – RESPIRATORY DISTRESS SYDROME (RDS) | Karya Tulis Ilmiah

KEPERAWATANKolaboratif problem : Insufisiensi respiratory berhubungan dengan penurunan volume dan komplians paru, perfusi paru dan vintilasi alveolarTujuan 1 : Tanda dan gejala disstres pernafasan, deviasi dari fungsi dan resiko infant terhadap RDS dapat teridentifikasi Intervensi Rasional 1. Kaji infant yang beresiko mengalami RDS yaitu :- Riwayat ibu dengan daibetes mellitus atau perdarahan placenta- Prematuritas bayi- Hipoksia janin- Kelahiran melalui operasi caesar Pengkajian diperlukan untuk menentukan intervensi secepatnya bila bayi menunjukkan adanya tanda disstres nafas dan terutama untuk memperbaiki prognosa 2. Kaji perubahan status pernafasan termasuk :- Takipnea (pernafasan diatas 60 x per menit, mungkin 80 ? 100 x)- Nafas grunting- Nasal flaring- Retraksi intercostal, suprasternal atau substernal dengan penggunaan otot bantu nafas- Cyanosis - Episode apnea, penurunan suara nafas dan adanya crakles Perubahan tersebut mengindikasikan RDS telah terjadi, panggil dokter untuk tindakan secepatnya- Pernafasan bayi meningkat karena peningkatan kebutuhan oksigen- Suara ini merupakan suara keran penutupan glotis untuk menghentikan ekhalasi udara dengan menekan pita suara- Merupakan keadaan untuk menurunkan resistensi dari respirasi dengan membuka lebar jalan nafas- Retraksi mengindikasikan ekspansi paru yang tidak adekuat selama inspirasi- Cyanosis terjadi sebagai tanda lanjut dengan PO2 dibawah 40 mmHg- Episode apneu dan penurunan suara nafas menandakan distress nafas semakin berat 3. Kaji tanda yang terkait dengan RDS- Pallor dan pitting edema pada tangan dan kaki selama 24 jam-
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TAP.COM -   MIDDLE EAST RESPIRATORY SYNDROME CORONAVIRUS (MERS-COV ...

TAP.COM - MIDDLE EAST RESPIRATORY SYNDROME CORONAVIRUS (MERS-COV ...

WHO understands that detailed epidemiologic investigations are underway in Qatar, SAU and UAE. Enhancing infection prevention and control awareness and implementation measures is critical to prevent the possible spread of MERS-CoV in healthcare facilities. It is not always possible to identify patients with MERS-CoV early because some have mild or unusual symptoms. For this reason, it is important that healthcare workers apply standard precautions consistently with all patients, regardless of their diagnosis, in all work practices all the time. Droplet precautions should be added to the standard precautions when providing care to any patient with symptoms of acute respiratory infection.
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Perbandingan Mortalitas Pasien Anak dengan Acute Respiratory Distress

Perbandingan Mortalitas Pasien Anak dengan Acute Respiratory Distress

Latar belakang. Strategi ventilasi protektif paru (protective lung strategy) direkomendasikan dalam penanganan pasien acute respiratory distress syndrome (ARDS). Strategi tersebut mencakup pembatasan PEEP dan delta pressure pada penggunaan ventilator untuk mencegah mortalitas. Pembatasan delta pressure ≤13 mmHg diharapkan dapat menurunkan angka mortalitas pasien ARDS dengan ventilator. Tujuan. Mengetahui perbandingan mortalitas pasien anak dengan ARDS yang menggunakan delta pressure tinggi dan rendah. Metode. Penelusuran rekam medis pasien anak berusia 1 bulan-18 tahun yang menderita ARDS yang dirawat di PICU dengan menggunakan ventilator.
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ASEP TORNADO G2A009053 BAB 0 KTI

ASEP TORNADO G2A009053 BAB 0 KTI

Background: Sepsis is a systemic infection disease which often occurs in the ICU (Intensive Ca re Unit) and is one of the causes of death that still exists nowda ys. One of the complications often found in sepsis ARDS (Acute Respiratory Distress Syndrome). That complications exacerbate the sepsis which have been suffered by ICU patients. The incidence of patients in the ICU is commonly found in Indonesia, that is why this resea rch is important to know what the truth.

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PEDOMAN SURVEILANS DAN RESPON KESIAPSIAGAAN MENGHADAPI MIDDLE EAST RESPIRATORY SYNDROME CORONA VIRUS

PEDOMAN SURVEILANS DAN RESPON KESIAPSIAGAAN MENGHADAPI MIDDLE EAST RESPIRATORY SYNDROME CORONA VIRUS

ĞďĞƌĂƉĂŶĞŐĂƌĂĚŝdŝŵƵƌdĞŶŐĂŚƚĞůĂŚŵĞůĂƉŽƌŬĂŶŬĂƐƵƐŝŶĨĞŬƐŝDZ^Ͳ ŽsƉĂĚĂŵĂŶƵƐŝĂ͕ĂŶƚĂƌĂůĂŝŶ:ŽƌĚĂŶŝĂ͕YĂƚĂƌ͕^ĂƵĚŝƌĂďŝĂ͕ĚĂŶhŶŝŵŝƌĂƚ ƌĂď͘ĞďĞƌĂƉĂŬĂƐƵƐũƵŐĂĚŝůĂƉŽƌŬĂŶĚĂƌŝŶĞŐĂƌĂͲŶĞŐĂƌĂĚŝƌŽƉĂĂŶƚĂƌĂ lain  Inggris,  Perancis,  Italia,  dan  Tunisia.  Hampir  semua  kasus  di  Eropa  dan   dƵŶŝƐŝĂ ŵĞŵƉƵŶLJĂŝ ŬĞƐĂŵĂĂŶ LJĂŝƚƵ ƟŵďƵůŶLJĂ ŐĞũĂůĂ ƉĞŶLJĂŬŝƚ ƐĞƚĞůĂŚ ŵĞůĂŬƵŬĂŶ ƉĞƌũĂůĂŶĂŶ ŬĞ ŶĞŐĂƌĂ ƚĞƌƚĞŶƚƵ Ěŝ dŝŵƵƌ dĞŶŐĂŚ LJĂŶŐ ĚŝŝŬƵƟ ĚĞŶŐĂŶ ĂĚĂŶLJĂ ƉĞŶƵůĂƌĂŶ ƚĞƌďĂƚĂƐ Ěŝ ůŝŶŐŬƵŶŐĂŶ ŬĞůƵĂƌŐĂ͘ ŝ ƐĂŵƉŝŶŐ itu  penularan  MERS-­‐CoV  antar  manusia  juga  terjadi  di    rumah  sakit  pada   ƉĞƚƵŐĂƐ LJĂŶŐ ŵĞƌĂǁĂƚ ŬĂƐƵƐ ŬŽŶĮƌŵĂƐŝ DZ^ͲŽs͘ EĂŵƵŶ ĚĞŵŝŬŝĂŶ͕ ƐĞũĂƵŚŝŶŝďĞůƵŵĚĂƉĂƚĚŝďƵŬƟŬĂŶĂĚĂŶLJĂƉĞŶƵůĂƌĂŶLJĂŶŐďĞƌŬĞůĂŶũƵƚĂŶ͘ ĞƌĚĂƐĂƌŬĂŶ ĚĂƚĂ t,K͕ ŬĂƐƵƐ DZ^ͲŽs ƐĞďĂŐŝĂŶ ďĞƐĂƌ ŵĞŶƵŶũƵŬŬĂŶ tanda   dan   gejala   pneumonia.   Hanya   satu   kasus   dengan   gangguan   ŬĞŬĞďĂůĂŶ ƚƵďƵŚ ;immunocompromised)   yang   gejala   awalnya   demam   ĚĂŶ ĚŝĂƌĞ͕ ďĞƌůĂŶũƵƚ ƉŶĞƵŵŽŶŝĂ͘ <ŽŵƉůŝŬĂƐŝ ŬĂƐƵƐ DZ^ͲŽs ĂĚĂůĂŚ ƉŶĞƵŵŽŶŝĂ ďĞƌĂƚ ĚĞŶŐĂŶ ŐĂŐĂů ŶĂƉĂƐ LJĂŶŐ ŵĞŵďƵƚƵŚŬĂŶ ĂůĂƚ ďĂŶƚƵ ŶĂƉĂƐ ŶŽŶ ŝŶǀĂƐŝĨ ĂƚĂƵ ŝŶǀĂƐŝĨ͕ Acute   Respiratory   Distress   Syndrome   ;Z^Ϳ ĚĞŶŐĂŶ ŬĞŐĂŐĂůĂŶ ŵƵůƟͲŽƌŐĂŶ LJĂŝƚƵ ŐĂŐĂů ŐŝŶũĂů͕ Disseminated  
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