Báo cáo y học: "Pro/con clinical debate: Are steroids useful in the management of patients with septic shock" ppt

... new or ongoing infection. You wonder whether steroids might help facilitate his recovery. Commentary Pro/con clinical debate: Are steroids useful in the management of patients with septic shock? Frank ... Walley The debate surrounding the use of corticosteroids in septic patients has continued for over 30 years. Two meta- analyses in the mid-1990s see...

Ngày tải lên: 12/08/2014, 18:21

... vein resulting in disruption of the endothelial-intercellular junctions and seepage of the drug into the interstitial space [1]. Extravasation of the highly albumin-bound (70- 90%) phenytoin increases the ... the advantage of blocking the sympathetic innervation of the upper limb, thus improving the perfusion and relieving the ischaemic pain associated with v...

Ngày tải lên: 11/08/2014, 11:22

... have identified an increase in proteolytic activity within the glomerulus coinciding with the development of proteinuria in the (NXB×NZW)F 1 mouse model of systemic lupus erythematosus. Here we ... with evidence of central nervous system involvement. There are reports indicating a central role for MMPs in increasing permeability of the blood-brain barrier in infl...

Ngày tải lên: 09/08/2014, 13:22

... quantities of Vpr. 2). Vpr promotes the binding of the PIC (including MA, integrase (IN) and proviral DNA) to importins and nucleoporins, thereby facilitating nuclear entry of HIV-1 provirus into the ... found in brains of patients suffering from HIV-D [155]. The presence of TNF-a protein and mRNA in patients with HIV-D has been reported to sig- nificantly correlat...

Ngày tải lên: 13/08/2014, 01:20

... haemody- namic instability (five patients) , one refusal to continue in the study and nine complications were related to the ventilator and the automatic mode of weaning. In six of the patients, the ... during the weaning process. In some, instead of the pressure support decreasing gradually, it increased for a while and then decreased until the point of extuba...

Ngày tải lên: 13/08/2014, 11:23

... spine pain [11] Definition of non specific Thoracic spine pain Midline back pain – for the purposes of this trial, the pain will be bound by the lateral margins of the thorax laterally and the ... the person requesting the randomisation has confirmed that they wish to proceed with entry into the trial. The participants will be analysed in the groups to which they...

Ngày tải lên: 13/08/2014, 14:20

... (V A /Q) areas, indicating sustained derecruitment of the lungs. This phenomenon has also been demonstrated in the clinical setting by Richard and colleagues [7] in ARDS patients while reducing the ... the concept of setting PEEP according to a table becomes evident, and in the present study, what is very probably a ‘false’ PEEP reduction (obviously triggered by the...

Ngày tải lên: 13/08/2014, 15:22

... study investigating ‘opinions about food’ in the Denver Metro and Northern Colorado areas. No further information regarding the purpose of the study was given. Indivi- duals were excluded if they had a visual ... level of fullness and interactions where included in the repeated mea- sures analyses of vari ance model when testing the effect of portion size on ratings. In...

Ngày tải lên: 14/08/2014, 08:20

... no obvious signs of infection, you wonder whether antibiotics are useful in the patient’s management. Review Pro/con clinical debate: Antibiotics are important in the management of patients with pancreatitis ... attractive as it may allow the use of prophylaxis without the risk of inducing superinfec- tions through the use of long-term broad-spectrum...

Ngày tải lên: 12/08/2014, 19:22

... positioning. Commentary Pro/con clinical debate: The use of prone positioning in the management of patients with acute respiratory distress syndrome John J Marini* and Gordon Rubenfeld † *Professor of ... feel obliged to offer some therapy, any therapy, to a patient in imminent danger of dying [16]. As is often the case in critical care, a therapy that looks grea...

Ngày tải lên: 12/08/2014, 18:21