Báo cáo y học: " Blood transfusion in the critically ill: does storage age matter?" potx

... those transfused with blood less 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 ... following six weeks of storage[ 4]. The mechanism associated with the membrane changes lead- ing to inability to maintain structure and stiffening is likely rel...

Ngày tải lên: 13/08/2014, 23:20

... concerning gastric emptying in the prone position and the ability of continued enteral feeding. This crossover study in critically ill patients compared gastric residual volumes during the supine ... significantly in the prone compared with the supine position. Dopamine inhibits gastric motility in a dose-dependent way via DA2 receptors of the gastric wall and independen...

Ngày tải lên: 12/08/2014, 18:21

... single event that 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 ... descriptors, feeding intolerance and intra- abdominal hypertension. They demonstrate convincingly that their Gastrointestinal Failure Score correlates in a graded manner with mortali...

Ngày tải lên: 13/08/2014, 11:22

... screening [2]. While there has been ongoing research into delirium in noncritically ill patients for many years, only recently has attention been given to delirium in the ICU [3]. The instru- ments ... fluctuates during the course of the day. There also must be evidence from the history, physical exami- nation, or laboratory findings that this disturbance is caused by the dire...

Ngày tải lên: 13/08/2014, 08:21

... firmness, reflecting thrombin’s cleavage of soluble fibrinogen. The a is the angle between the tangent line drawn from the horizontal base line to the beginning of the crosslinking process. The MA, or maximum ... reliably in the acutely bleeding patient. After the tracing has reached MA, an EPL index is obtained based on the decreasing rate of clot strength. Epsilon-amin...

Ngày tải lên: 13/08/2014, 23:20

... Angiotensin Converting Enzyme CYP = Cytochrome P450 + Not all agents are appropriate for monotherapy. Inclusion in this table does not necessarily imply efficacy. * Currently FDA approved for use in ... portacaval shunting, thereby decreasing first pass metabolism; decrease in quantities and affinity of plasma proteins, thereby increasing free-drug levels; increase in volume of dis...

Ngày tải lên: 25/10/2012, 10:51

... analysis offers the advantage of not assuming that any of the genotyped polymorphisms is functional; rather, it allows for the possibility of an ungenotyped functional variant to be in linkage ... continuously being identified, and these polymorphisms may play a pivotal role in sporadic carcinogenesis. A growing body of literature, including observations of inter-individual di...

Ngày tải lên: 31/10/2012, 14:59

... 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). Analysis of the primary structure ... T. & Hoshi, M. (1992) The primary structure of the alpha subunit of a starfish guanosine-nucleotide-binding regulatory protein involved in 1-methyladenine-induced oocyte mat...

Ngày tải lên: 17/03/2014, 23:20

... 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 to atrophy and drying of the ... aging, predisposes the elderly to rhinitis. There are a number of specific factors that affect medical treatment of the elderly including polypharmacy, cognitive dysfunct...

Ngày tải lên: 08/08/2014, 21:20

... patients using the RPAS and the AIMS, the second using the PANSS and the EPSE and the third using the BARS. Information from the patient's his- tory, concerning social-demographic and clinical ... psychopathol- ogy symptoms, estimated by both the PANSS and the BPRS. We did not find any studies exploring the the relationship between physical anhedonia and motor side...

Ngày tải lên: 08/08/2014, 21:20