... hypotension common in fulminant hepatic failure Often respiratory arrest and brain death due to tentorial herniation is first sign * keys to recognition are: o hypertension (bursts of systolic pressure ... BBB: allows entry of toxic metabolites into the brain and thus contributes to cerebral oedema - major cause of death: present in 32% of patients at PM Ammonia currently thought to be the main pathophysiological ... benzodiazepine agonists (hepatic coma can be reversed temporarily by flumazenil) and altered GABA status Cerebral oedema * common but onset difficult to determine Related to acuteness of presentation...
Ngày tải lên: 29/07/2014, 02:20
... tremor Total serum bilirubin increased further Page of to 66.7 mg/dL, INR reached 7.7 and ammonia (NH ) rose to 95.7 μmol/L (normal range 11 to 51) Hemolysis caused the hematocrit (Ht) level to drop ... of acute liver failure Hepatology 2005, 41:1179-1197 doi:10.1186/1752-1947-4-256 Cite this article as: Andreadis et al.: Leptospirosis presenting in a woman with fulminant hepatic failure from ... patient appeared to have fulminant hepatic failure (FHF) with a Nazer score of eight in accordance with the prognostic index [3] As the score was relatively high, she was referred to the National...
Ngày tải lên: 11/08/2014, 03:21
Báo cáo y học: "Leptospirosis presenting in a woman with fulminant hepatic failure from Wilson’s disease: a case report" pdf
... tremor Total serum bilirubin increased further Page of to 66.7 mg/dL, INR reached 7.7 and ammonia (NH ) rose to 95.7 μmol/L (normal range 11 to 51) Hemolysis caused the hematocrit (Ht) level to drop ... of acute liver failure Hepatology 2005, 41:1179-1197 doi:10.1186/1752-1947-4-256 Cite this article as: Andreadis et al.: Leptospirosis presenting in a woman with fulminant hepatic failure from ... patient appeared to have fulminant hepatic failure (FHF) with a Nazer score of eight in accordance with the prognostic index [3] As the score was relatively high, she was referred to the National...
Ngày tải lên: 11/08/2014, 07:20
Báo cáo y học: " Primary hepatic lymphoma presenting as fulminant hepatic failure with hyperferritinemia: a case report" ppt
... and contributed to the literature review regarding hepatic failure and hepatic lymphoma SSK contributed to the interpretation of the histopathological data, the oncologic aspect of hepatic lymphoma ... Hanau C, Munoz SJ, Rubin R: Histopathological heterogeneity in fulminant hepatic failure Hepatology 1995, 21:345-351 Page RD, Romaquera JD, Osborne B: Primary Hepatic Lymphoma: Favorable outcome ... syndrome (HPS), it can be a red herring Figure hepatic parenchyma Liver: Atypical large lymphoid infiltrates with distortion of Liver: Atypical large lymphoid infiltrates with distortion of hepatic...
Ngày tải lên: 11/08/2014, 21:22
báo cáo khoa học: "Emergency adrenalectomy due to acute heart failure secondary to complicated pheochromocytoma: a case report" docx
... doi:10.1186/1477-7819-9-49 Cite this article as: Salinas et al.: Emergency adrenalectomy due to acute heart failure secondary to complicated pheochromocytoma: a case report World Journal of Surgical Oncology 2011 9:49 ... prior to tumor removal, he later developed hypotension which responded well to crystalloid infusion Disscusion Although pheochromocytomas are rare tumors, a relatively high prevalence (up to 0.05%) ... Pheochromocytoma is often referred to as the great mimic, and differential diagnosis is rendered complex by the very wide range of clinical symptoms reported [2] Whilst pheochromoytoma is found...
Ngày tải lên: 09/08/2014, 01:24
Báo cáo y học: " De Toni-Debré-Fanconi syndrome in a patient with Kearns-Sayre syndrome: a case report" pot
... also glucosuria (de ToniDebré -Fanconi syndrome) , a syndrome, to date, rarely diagnosed in association with complete Kearns-Sayre syndrome Figure patient with Kearns-Sayre syndrome at the first ... approach in a case of Pearson's syndrome Minerva Pediatr 2005, 57(3):143-146 Berio A, Piazzi A: Kearns-Sayre syndrome associated with de Toni-Debré -Fanconi syndrome due to cytochrome-c-oxidase (COX) ... presence of de Toni-Debré -Fanconi syndrome and Kearns Sayre syndrome [13-20] This highly unusual clinical presentation emphasizes the need for systemic investigation of patients with Fanconi syndrome...
Ngày tải lên: 11/08/2014, 17:21
Báo cáo y học: " Successful treatment of severe sinusoidal obstruction syndrome despite multiple organ failure with defibrotide after allogeneic stem cell transplantation: a case report" ppsx
... hyperfractionated total-body irradiation with Gy on day of the transplant, Gy on day (total dose Gy), fludarabine 30 mg/m2 on days to (total dose 120 mg/m2) and cyclophosphamide 30 mg/kg on days and (total ... former, almost lethal, severe SOS to date To increase response to treatment, ongoing investigations focus on the combination of defibritode with other drugs as the inhibitor of glutathione depletion ... failure requiring dialysis and ventilatordependent lung failure aggravated the clinical course Symptomatic treatment comprised of dialysis and diuretic therapy with torasemide 10 mg/hour Lung function...
Ngày tải lên: 11/08/2014, 17:21
Báo cáo y học: " Near fatal posterior reversible encephalopathy syndrome complicating chronic liver failure and treated by induced hypothermia and dialysis: a case report" pps
... remains incompletely understood but is probably related to the failure of cerebral autoregulation and endothelial damage [4] The favored pathogenetic theory suggests autoregulatory disturbance with ... acute liver failure A hypothesis of gradual cerebral hyperaemia J Hepatol 1996, 25(2):145-151 Blei AT, Larsen FS: Pathophysiology of cerebral edema in fulminant hepatic failure J Hepatol 1999, ... because hyperammonemia may cause both vasogenic and cytotoxic edema, we elected to pre-emptively dialyze our patient to reduce the ammonia level Peritoneal dialysis, hemodialysis, continuous veno-venous...
Ngày tải lên: 11/08/2014, 17:21
Báo cáo y học: "Mirizzi syndrome associated with hepatic artery pseudoaneurysm: a case report" potx
... inflammatory tissue and necrosis Due to the doubt over the presence of a malignant process, an exploratory http://www.jmedicalcasereports.com/content/2/1/351 laparotomy was performed The necrotic hepatic ... organised thrombus and stones was drained from the right lobe of the liver The gallbladder was excised A cm gallstone was found to have fistulated from the cystic duct into the common hepatic duct resulting ... common hepatic duct and forming a bilio- Figure Abdominal computed tomography scan Abdominal computed tomography scan White arrow, ring calcified lesion, gallstone Black arrows, extent of haematoma...
Ngày tải lên: 11/08/2014, 19:21
Báo cáo khoa học: "A The Molecular Adsorbent Recirculating System (MARS®) in the intensive care unit: a rescue therapy for patients with hepatic failure" pdf
... hemoperfusion and prognostic factors in fulminant hepatic failure Gastroenterology 1998, 94:1186-1192 Wilkinson AH, Ash SR, Nissenson AR: Hemodiabsorption in treatment of hepatic failure J Transpl Coord ... 8:43-50 Iwai H, Nagaki M, Naito T, Ishiki Y, Murakami N, Sugihara J, Muto Y, Moriwaki H: Removal of endotoxin and cytokines by plasma exchange in patients with acute hepatic failure Crit Care Med 1998, ... pruritus in cholestasis Acute intoxication or overdose with substances potentially bound to albumin Other indications Acute hepatic failure after major hepatectomy After liver transplantation...
Ngày tải lên: 12/08/2014, 23:21
Báo cáo y học: "A pilot study of a new test to predict extubation failure" pps
... failed to tolerate the test, it was interrupted immediately All patients that failed to tolerate the test received six hours of assist-control ventilation to aid in recovery from possible respiratory ... extubation failure due to respiratory failure (eight of nine) and aspiration excess secretion (one of nine) Extubation failure occurred in 13 of the 140 patients that successfully tolerated the ... the first to use a stress test to determine the likelihood of extubation failure Being able to tolerate an additional workload might, in theory, demonstrate the capacity of respiratory musculature...
Ngày tải lên: 13/08/2014, 16:20
Báo cáo y học: " Failure to detect Xenotropic murine leukaemia virus-related virus in Chinese patients with chronic fatigue syndrome" doc
... degradation or inhibitory factors that may be present in clinical samples [10] In previous studies of XMRV detection [4-7], non-competitive ICs, such as GAPDH, were used to monitor for false-negative ... previously described [11], to detect both XMRV proviral DNA and XMRV viral RNA In order to calibrate the constructed armored RNAs to an international (IU) value, primers were designed to amplify regions ... runs The within-run precision CV ranged from 1.76% to 2.80% or 1.70% to 2.59%, while the between-run CV ranged from 1.07% to 2.56% or 1.06% to 2.74% (Table 3) The amounts of XMRV DNA derived...
Ngày tải lên: 12/08/2014, 01:21
Báo cáo khoa học: "Bench-to-bedside review: Thrombocytopenia-associated multiple organ failure – a newly appreciated syndrome in the critically ill" pdf
... exchange Restores procoagulant factors Restores anticoagulant factors (protein C, antithrombin III, TFPI) Restores prostacyclin Restores tPA Restores ADAMTS 13 Restores procoagulant factor homeostasis ... Removes tissue factor Removes excess PAI-1 PAI, plasminogen activator inhibitor type I; TFPI, tissue factor pathway inhibitor; tPA, tissue plasminogen activator; vWF, von Willebrand factor Figure need ... Restores anticoagulant factor homeostasis (protein C, antithrombin III, TFPI) Restores prostacyclin homeostasis Restores tPA homeostasis Restores ADAMTS 13 homeostasis Removes ADAMTS 13 inhibitors...
Ngày tải lên: 13/08/2014, 03:20
Báo cáo y học: "Bench-to-bedside review: The MET syndrome – the challenges of researching and adopting medical emergency teams"
... suboptimal care included failure of organisation, failure to appreciate clinical urgency, and failure to seek advice [6] In summary, there is much evidence that failure to rescue’ is common in ... Tee et al airway, breathing, circulation, and monitoring occurred in over half of patients These errors were essentially due to the failure to apply or appreciate the need for basic resuscitation ... also evidence that failure to appreciate the clinical urgency of situations is common, that the knowledge and skills to deal with such situations are limited among ward doctors and nurses, and...
Ngày tải lên: 25/10/2012, 10:35
Introduction to Static Failure Theories
... employed historically to relate the experimental data to strength quantities used for static design, are presented Subsequent tutorials, Static Failure of Ductile Materials and Static Failure of ... required to characterize the material behavior of a brittle material, Sut and Suc SUMMARY This tutorial has attempted to provide a focused introduction to the development of static failure theory ... criteria specific to ductile and brittle materials, have been used in the development of the static failure theories outlined earlier Characteristics of Ductile Materials The strain at failure is,...
Ngày tải lên: 25/10/2013, 04:15
Lessons Learned: Top Reasons for PCI Audit Failure and How To Avoid Them docx
... stored W H I T E PA P E R • Unencrypted spreadsheet data Users may be storing card data in spreadsheets, flat files, or other formats that are difficult to control as they are transferred to laptops, ... and monitor all access to network resources and cardholder data Lack of log monitoring and IDS data; poor logging tools Install intrusion detection or prevention devices; improve log monitoring ... need to store the card’s transaction history with the need to store the number itself Increasingly, companies are discovering that they may not need to store card numbers at all; or that they...
Ngày tải lên: 06/03/2014, 19:20
Báo cáo khoa học: Induction of PPARb and prostacyclin (PGI2) synthesis by Raf signaling: failure of PGI2 to activate PPARb potx
... an antiapoptotic effect to colonic epithelial cells Cancer Res 63, 1748–1751 Amano H, Hayashi I, Endo H, Kitasato H, Yamashina S, Maruyama T, Kobayashi M, Satoh K, Narita M, Sugimoto Y, Murata ... Peroxisome-proliferator-activated receptors and cancers: complex stories Nat Rev Cancer 4, 61–70 31 Bishop-Bailey D & Wray J (2003) Peroxisome proliferator-activated receptors: a critical review ... Cox-1 ⁄ inhibitor acetylsalicylic acid (ASA) and the Cox-2 inhibitor SC-58125 (Fig 1B), pointing to a key role for Cox-2 in the induction of prostanoid synthesis by Raf In contrast to PGE2 and...
Ngày tải lên: 07/03/2014, 12:20
Failure to yield " Biotechnology ’s Broken Promises "
... 864-9405 Union of Concerned Scientists Page banner photo: © iStockphoto.com/Bjorn Kindler Washington, DC, Office 1825 K St NW, Ste 800 Washington, DC 20006-1232 Phone: (202) 223-6133 Fax: (202) ... productivity, and in order to invest wisely, policy makers must evaluate those tools to see which ones hold the most promise for increasing intrinsic and operational yields To ensure that adequate ... local levels of food production is © iStockphoto.com/Dustin Steller an urgent priority, to make these more promising and affordable methods available • Regulatory agencies should develop and require...
Ngày tải lên: 13/03/2014, 21:58
Optical Fiber Sensors to Detect Volatile Organic Compound in Sick Build- ing Syndrome Applications potx
... sensing system only needs to install the fiber, and it is not necessary any treatment to make it sensitive to the gas to detect This sensing architecture is related to spectrography: the wavelength ... NH3[47] CONCLUSIONS SBS is a health issue that has to be taken into account both in work and house buildings It is due not only to a single factor, but to a global effect of physical conditions, air ... Reflected Power(dB) EtOH Regarding to the selectivity, it is similar than with transmissive sensors: it depends mainly on the chemical dye fixed onto the fiber (Fig 5) The techniques used to fix the sensing...
Ngày tải lên: 14/03/2014, 20:20