... DO2 value may also be adequate Mixed venous and central venous (ScvO2) oxygen saturations reflect the balance between oxygen requirements and DO2, and may thus be used to assess the adequacy ... (high RCRI scores) should be dissociated from Bland RD, Shoemaker WC, Abraham E, Cobo JC: Hemodynamic and oxygen transport patterns in surviving and nonsurviving postoperative patients Crit Care ... mortality was 6% to 7% in the patients with RCRI scores of and more A high-risk surgical procedure was performed in a minority of the patients, and the effects of beta-blockade were neutral in these...
Ngày tải lên: 12/08/2014, 23:20
... general intensive care units (ICUs) in England, Wales and Northern Ireland Data are collated locally by trained dedicated staff and are subject to local and central internal error checks [15] Page ... care on a standard ward Data were extracted on all adult surgical admissions to hospital (CHKS data) and to the ICU (ICNARC data) for 94 NHS hospitals in England, Wales and Northern Ireland between ... involved in data analysis and drafting the manuscript, and approved the final version All authors had full access to data and take responsibility for the integrity of the data and the accuracy of the...
Ngày tải lên: 12/08/2014, 23:23
Báo cáo hóa học: "Early detection of urothelial premalignant lesions using hexaminolevulinate fluorescence cystoscopy in high risk patients" potx
... the random biopsies showed one case each of CIS and DYS HAL cystoscopy showed 90.1% sensitivity (95% CI, 0.53-0.87) and 87.5% specificity (95% CI, 0.47-0.99) and 95.2% PPV (95% CI, 0.74-0.99) and ... lesions (CIS and DYS) compared with WL cystoscopy and cytology [11] In our study, we used a recently introduced, more lipophylic ester of 5-ALA, hexaminolevulinate (HAL) to study DYS and CIS, and compared ... evacuated Standard and fluorescence cystoscopy was performed using a double light system (Combilight PDD light source 5133, Wolf, Germany) which allowed an inspection under both white and blue light...
Ngày tải lên: 18/06/2014, 16:20
Tài liệu Topical Fluoride Recommendations for High-Risk Children Development of Decision Support Matrix pptx
... conducting research and working with low-income and high-risk populations, including Medicaid enrollees, migrant and seasonal farmworkers, children with special health care needs (CSHCN), and AI/ANs in ... Program Division of Child, Adolescent, and Family Health Maternal and Child Health Bureau Health Resources and Services Administration Department of Health and Human Services 5600 Fishers Lane, ... Professor and Chair Health Promotion and Policy University of Maryland Dental School 650 W Baltimore Street Baltimore, MD 21201 Phone: 410-706-7970 Fax: 410-706-4031 Email: ntinanoff@umaryland.edu...
Ngày tải lên: 12/02/2014, 19:20
Báo cáo hóa học: " Detection of epithelial apoptosis in pelvic ileal pouches for ulcerative colitis and familial adenomatous polyposis" pot
... participated in its design and performed the statistical analysis CSRC participated in its design and coordination, and helped to draft the manuscript All authors read and approved the final manuscript ... were obtained from terminal ileum (control) and from ileal pouch (UC and FAP) The study was performed in accordance with the Declaration of Helsinki and was approved by the local ethical committee ... membranes, and blotted with anti-Caspase-8 to FADD (extrinsic pathway apoptosis), and anti-Caspase-9 to APAF-1 antibodies (intrinsic pathway apoptosis) [21] Reagents for SDS-PAGE, immunoblotting and...
Ngày tải lên: 18/06/2014, 16:20
Báo cáo hóa học: " Comparison of p53 and the PDZ domain containing protein MAGI-3 regulation by the E6 protein from high-risk human papillomaviruses" pdf
... compare p53 and MAGI-3 degradation by E6 from several high risk HPV types and further, to compare E6-mediated ubiquitination of p53 and MAGI-3 The results of this study provide a better understanding ... type 33 E6-GFP and the 33 Western blottype 18 E6-GFP ,and MAGI-3 levels in typepresWestern blot analysis of p53 and MAGI-3 levels in the presence of HPV type 18 E6-GFP, type 33 E6-GFP and type 33 ... MAGI-3 protein proteasome expressing and and p53 HPV-33 E6 following levels in cells inhibition HPV-18 E6 p53 and MAGI-3 protein levels in cells expressing HPV-18 E6 and HPV-33 E6 following proteasome...
Ngày tải lên: 20/06/2014, 01:20
Báo cáo hóa học: " Research Article New Structured Illumination Technique for the Inspection of High-Reflective Surfaces: Application for the Detection of Structural Defects" doc
... wR,S , and wR,T The values of S and I are reported in Figure 13 Those two Graphes clearly illustrates two items First, the average values S and I of defect surfaces, sets wR,S and wR,T , and nondefective ... surface (S) to inspect and a fast detection and discrimination of the twoand three-dimensional defects on it We define LPprojected as the projected light pattern onto the surface (S) and LPreflected as ... Lambertian diffuse light (D), and a light aperture (AL ) (a) Side view of the whole illumination, (b) front and side views of the ray aperture (AR ), and (c) front and side views of the Lambertian...
Ngày tải lên: 22/06/2014, 19:20
situation of hiv, hbv, hcv infection and associated factors in some high risk populations in hanoi, 2008-2010
... 5.3%, 3.3%) were the same and had an decreasing tendency HIV genotype of injecting drug users and female sex workers was CRF_AE01 and HCV genotype was HCV-6 (-6a, -6e) and HCV-1 (-1a, -1b) For ... injecting drug users and female sex workers: Study results about distribution HIV genotype and subtype showed that stability and predominant of CRF01_AE recombinant among IDUs and FSWs Subjects, ... HBV and HIV - According to UNAIDS, about 40 million people are infected with HIV world and the majority of them live in Asia and Africa Approximately 10% of them has concurrent chronic HBV and...
Ngày tải lên: 25/07/2014, 14:07
Báo cáo y học: "Fluvoxamine may prevent onset of psychosis: a case report of a patient at ultra-high risk of psychotic disorde" ppt
... NK, and SK contributed to the clinical and rating evaluations during the follow-up periods KH and MI conceived of the study and participated in its execution and coordination All authors read and ... response, he had begun to delay his meal and bath times in order to shun contact with them, and to his laundry several times a day His QoL was highly disturbed and his work performance had worsened ... loss of appetite, concentration deficit, and a sense of guilt for over month, and was diagnosed with major depressive disorder according to Diagnostic and Statistical Manual of Mental Disorders,...
Ngày tải lên: 09/08/2014, 01:21
báo cáo khoa học: "Sentinel lymph node biopsy for high-risk cutaneous squamous cell carcinoma: clinical experience and review of literature" ppsx
... collection and data analysis, reviewed the literature, and wrote the manuscript ZD provided the pathology figures and legends PW wrote the manuscript and supervised the work All authors read and approved ... been widely accepted as a minimally invasive and highly accurate technique for detecting occult nodal metastases in breast cancer and cutaneous melanoma and has been validated as an independent prognostic ... head and face did not undergo intraoperative blue dye injection A small skin incision was made overlying the SLN location as determined by preoperative lymphoscintigraphy and intraoperative hand-held...
Ngày tải lên: 09/08/2014, 02:20
Báo cáo khoa học: " High-risk surgical stage 1 endometrial cancer: analysis of treatment outcome" pdf
... five and ten year overall survival and event free survival rates were 78.5% and 57.6%, 72.4% and 56%, respectively (figure 1, 2) The locoregional control rate in five and ten year was 92.4% and ... patients were followed every months for years and then every months for year and then yearly Pap smear and chest radiographs were performed yearly History and physical examination, Karnofsky per- ... survival and overall survival rates (13% and 11% at years, respectively) compared with whole-abdominal RT Future trials should explore the optimal adjuvant therapy and the use of concurrent RT and...
Ngày tải lên: 09/08/2014, 10:21
Báo cáo khoa học: " Comparing two strategies of dynamic intensity modulated radiation therapy (dIMRT) with 3-dimensional conformal radiation therapy (3DCRT) in the hypofractionated treatment of high-risk prostate cancer" doc
... prostate gland while also treating the pelvic node bearing regions if the physician can reliability identify these treatment volumes In the area of head and neck radiotherapy, standardized and reliable ... targeting the prostate gland (± seminal vesicles) using the same fractionation schedule to a radical total dose Androgen suppression therapy can be given in neo-adjuvant, concurrent, and/ or adjuvant form ... Methods and materials Patients and target/normal tissue contours A sample of ten patients were scanned on a helical CT scanner (Phillips 5000) with mm slice thickness with comfortably full bladder and...
Ngày tải lên: 09/08/2014, 10:21
báo cáo khoa học: "Development of a primary care-based complex care management intervention for chronically ill patients at high risk for hospitalization: a study protocol" potx
... M: Effectiveness and efficiency of primary care based case management for chronic diseases: rationale and design of a systematic review and meta-analysis of randomized and non-randomized trials ... and refined The two phases will be elaborated below Theory and modelling Phase 0/I involves planning and evaluating complex improvement strategies for patient care and benefits from careful and ... of care and reduce costs [10] These programs are designed to assist patients and their support systems in managing medical and non-medical conditions by individualized care planning and monitoring...
Ngày tải lên: 10/08/2014, 10:23
báo cáo khoa học: "Journal of Hematology & Oncology BioMed Central Short report Open Access Detection of NPM1 exon 12 mutations and FLT3 – internal tandem duplications by high resolution melting analysis in normal karyotype acute myeloid leukemia" docx
... controls and negative samples Normal controls and negative samples Normal controls and negative samples B Normal controls and negative samples D F Figure Detection of NPM1 mutations and FLT3-ITD ... controls Three patients (#6, #33 and #43) are FLT3-ITD positive and three patients (#12, #14 and #48) are FLT3-ITD negative (E) The melt curve of FLT3 exon 14 and (F) The difference plot of FLT3 ... critical molecular changes in NPM1 and FLT3 Results and Discussion In this study, we developed HRM assays allowing rapid assessment of the mutation status of NPM1 and the presence of the FLT3-ITD...
Ngày tải lên: 10/08/2014, 22:20
Cytologic Detection of Urothelial Lesions - part 1 ppt
... intermediate cells, polygonal; and the surface cells round and large, and often binucleate When the bladder is distended, the mucosa may be only 2–3 layers thick and the intermediate and surface cells may ... find this series useful and welcome your feedback as you place these handbooks by your microscopes, and into your bookbags Dorothy L Rosenthal, M.D., FIAC Baltimore Maryland drosenthal@jhmi.edu ... tract for its ability to expand and contract, and as a barrier against the toxic urine This stratified epithelium is morphologically intermediate between cuboidal and squamous, hence its old name,...
Ngày tải lên: 11/08/2014, 01:22
Cytologic Detection of Urothelial Lesions - part 2 potx
... Histology and Cytology 11 Figure 1.4 Glandular Cells—bladder washing: Columnar cells in a urinary specimen, if benign appearing, are of no clinical significance They may arise in a focus of normal glandular ... mistaken for a glandular lesion Cytomorphologic criteria should be applied as for any body site (600x) 12 Normal Morphology Figure 1.5 Glandular Cells—bladder washing: Elongated glandular cells ... prominent nucleoli and vesicular cytoplasm In this photograph, several squamous cells are present and are characteristically without nucleoli (400x) Normal Urothelial Histology and Cytology 17 Figure...
Ngày tải lên: 11/08/2014, 01:22
Cytologic Detection of Urothelial Lesions - part 3 pdf
... urothelial cells show slightly increased nuclear to cytoplasmic ratios and variably sized nuclei The cytoplasm is homogeneous and only mildly atypical (600x) 36 Diagnostic Categories Figure 2.14 ... Cells—bladder washing: Numerous neutrophils, benign squamous cells and reactive urothelial cells are present Several of the cells show degeneration and nuclear hyperchromasia The nuclear to cytoplasmic ratio ... urothelial cells is seen The cells are admixed with acute inflammatory cells and show either marked nuclear hyperchromasia and degeneration or a prominent nucleolus (600x) Benign Cellular Changes...
Ngày tải lên: 11/08/2014, 01:22
Cytologic Detection of Urothelial Lesions - part 4 ppt
... present: cells are enlarged and NC ratios high; nuclear chromatin is variable in texture and distribution; nucleoli are prominent Differentiation into squamous (Fig 3.27) and glandular cell types (Fig ... invasion Terminology used in this Handbook The newest terminology considers the natural history of urothelial neoplasia and the relationship to premalignant and preinvasive lesions In 1998, members ... potentially fatal, and often accompanies papillary low grade lesions Fortunately, most urologists and cytopathologists are knowledgeable about this lesion’s biologic behavior, its detection and management...
Ngày tải lên: 11/08/2014, 01:22
Cytologic Detection of Urothelial Lesions - part 5 pdf
... washing: Characteristic is the disorderly architecture and oval nuclei with occasional longitudinal nuclear grooves Chromatin is relatively bland and nucleoli, if present, are indistinct (600x) 78 ... carcinomas, extensive cellular dissociation and degeneration is seen In this case the cells are small, and the cells exhibit homogeneous cytoplasm and eccentrically placed nuclei The nuclei exhibit ... with nuclei that are relatively small, uniform in size, and frequently oval Although this fragment is quite thick, a transparent stain and careful focusing will enable appreciation of the nuclear...
Ngày tải lên: 11/08/2014, 01:22