Báo cáo y học: "Gastrointestinal dysfunction in the critically ill: can we measure it" doc

... scale for measuring gastrointestinal dys- function, using as descriptors, feeding intolerance and intra- abdominal hypertension. They demonstrate convincingly that their Gastrointestinal Failure ... jeopardizes the recovery of the critically ill patient, but rather an evolving state of physiologic insufficiency, often affecting organs remote to the site of the initial insult and nec...

Ngày tải lên: 13/08/2014, 11:22

... during this study, no other sedatives were used. Sedation in most patients was necessary in the prone position but not in the supine position. Significantly more sedatives were therefore used in ... sedation in the prone position. Six other patients were sedated in the prone position but not in the supine position. The remaining four patients were not sedated in ei...

Ngày tải lên: 12/08/2014, 18:21

... than 21 days old. Whether or not the magnitude of the observed decline is clinically meaningful in any way remains uncertain. Red Cell Storage and Clinical Outcomes The association between the transfusion ... significant increases in hemoglobin's affinity for oxy- gen, which ultimately decreases oxygen delivery to the peripheral tissues upon re-infusion, because oxygen will...

Ngày tải lên: 13/08/2014, 23:20

... & Therapy October 2005 Vol 7 No 5 Meyer and Pap at the same time they strengthen the concept of p38 and ERK as important MAPKs in the inflamed synovium. In line with previous data, the results ... MAPK kinases (MKKs), which largely determine the balance of MAPK activation in response to inflammatory stimuli [8,9]. The second interesting observation by Goertz and colleagu...

Ngày tải lên: 09/08/2014, 07:20

... helping the helpers: the role of critical incident management. Crit Care 2001, 5:315-317. 7. Lingard L, Espin S, Evans C, Hawryluck L: The rules of the game: interprofessional collaboration on the ... the closest hospital. Crit Care 2005, 9 :in press. 2. Frykberg ER: Terrorist bombings in Madrid. Crit Care 2005, 9 :in press. 3. Martinez C, Gonzalez D: The World Trade Center...

Ngày tải lên: 12/08/2014, 20:20

... colleagues (including, eventually, someone nominated by the family) about the futility of further insistence, I would talk again with the family, hoping to obtain their consensus. My proposal ... neurological intervention. Finally, I always give the family the option of changing the plan, cutting their losses, and opting for comfort at any point down the road if they feel th...

Ngày tải lên: 13/08/2014, 20:21

... bipolar disorder in the general population are likely receiving even less medical care. The significance of this finding is that the psychiatrist may be the only physician caring for these patients ... primarily in patients with seizure disorders. Carbamazepine-induced increase in total cholesterol is primarily due to an increase in HDL [34]. This occurs during the initial w...

Ngày tải lên: 25/10/2012, 10:51

... continuously being identified, and these polymorphisms may play a pivotal role in sporadic carcinogenesis. A growing body of literature, including observations of inter-individual differences in measures ... important for maintaining DNA integrity and preventing carcinogenesis. Recent lung cancer studies have focused on identifying the effects of single nucleotide polymorphisms (SNP...

Ngày tải lên: 31/10/2012, 14:59

... then 5 min at 72 °C. Cloning and sequencing The amplified cDNAs were ligated into the plasmid pCR TM -II using the TOPO cloning kit from Invitrogen (the Netherlands). Recombinant plasmids were isolated using ... proposed to be the start of the protein coding domain. Sequence analysis of the 3¢ end cDNA revealed that there is a polyadenylation signal upstream of the poly(A). Ana...

Ngày tải lên: 17/03/2014, 23:20

... paid in the general medical literature. In the most recently pub- lished highly regarded geriatric text, rhinitis is not included in the index whereas rhinophyma is [1]. The number of Americans ... mucous-secreting glands; the effectiveness of the mucociliary system is reduced, resulting in symptoms of nasal stuffiness. In addition, a decrease in nasal blood flow leads...

Ngày tải lên: 08/08/2014, 21:20