issues in the management of acute heart failure

... Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of ... is the principal investigator of the ongoing investigator initiated study: The TEAM-project: multi-center trial on the effect of anesthetics on morbidity and mortality in patients undergoing ... achieving adequate perfusion of the peripheral organs, thereby facilitating survival in the ICU, increasingly the objective of modern ventricular assist device therapy is to obtain a level of functionality...

Ngày tải lên: 13/08/2014, 19:20

... guide the choice of antibiotic therapy and confirm the diagnosis of VAP What is clear is that avoiding delay in sampling and initiating therapy quickly are more important than the type of quantitative ... pneumonia in the EPIC (European Prevalence of Infection in Intensive Care) study [19], accounting 31% of the 836 cases in which pathogens were identified Anaerobic bacteria may be found in 20–30% of ... Enterobacteriaceae [including extended spectrum β-lactamase-producing strains], and Enterococcus spp and S aureus, including methicillinresistant strains [46] Against P aeruginosa, tigecycline exhibits...

Ngày tải lên: 12/08/2014, 20:20

... variables The primary outcomes of interest were the risk of the development of acute organ failure within three years of the baseline examination, in- hospital mortality related to any acute organ failure ... of BMI in the development of acute organ failure and subsequent mortality in a large, population-based, prospective cohort We also wished to determine the role of DM in modifying the effect of ... prepared in collaboration with investigators of the ARIC study and does not necessarily reflect the opinions or views of the ARIC study or the NHLBI The coauthors had full access to all of the data in...

Ngày tải lên: 13/08/2014, 03:20

... Since there are commonalities in the pathophysiology of PAH and RP, particularly in the context of connective tissue disease, inhibition of the renin–angiotensin system may prove effective in ... than nifedipine in reducing both the frequency and the severity of attacks [14] PDE type V inhibitors such as sildenafil inhibit the degradation of cGMP, which mediates the signalling of several ... combine vasodilator and antiproliferative activity include angiotensin-converting enzyme inhibitors, angiotensin receptor blockers and PDE type V inhibitors [5] The use of angiotensin-converting...

Ngày tải lên: 09/08/2014, 06:23

... common in the group whose position was varied than in the group that remained continuously supine Con: prone positioning is not useful in the management of ARDS patients Gordon Rubenfeld Imagine the ... Finally, intensivists are strongly motivated by the ‘rule of rescue’ Intensivists feel obliged to offer some therapy, any therapy, to a patient in imminent danger of dying [16] As is often the ... another route to understanding this debate [14] At the heart of a discussion about the use of prone ventilation (or of nitric oxide) is an understanding of how clinicians make decisions when the...

Ngày tải lên: 12/08/2014, 18:21

... controlled trials of high-frequency ventilation in infants have been performed, with nine of these trials using HFOV [12] The overall results of these trials are equivocal In a meta-analysis, ... CMV in the management of adult acute respiratory failure Two case series have been published [5,6]; however, the data from these trials raise concerns regarding lung protection during HFOV In ... However, the utility of these animal studies in guiding the practical management of patients with severe hypoxemia is limited by the need for pressure–volume curve measurements [11] and the use of...

Ngày tải lên: 12/08/2014, 18:21

... guidelines for the diagnosis and treatment of acute and chronic heart failure: the Task Force for the diagnosis of Acute and Chronic Heart Failure of the European Society of Cardiology Eur Heart ... current understanding suggests that in the setting of volume expansion or pressure overload, the resulting wall stress initiates synthesis of pre-pro-brain natriuretic peptide (BNP) in the ventricular ... measurements of BNP could be useful not only in guiding the diagnosis of HF, but also in guiding decisions towards therapy and the evaluation of HF stabilization [16-18] There is a large body of evidence...

Ngày tải lên: 13/08/2014, 20:22

... Concerning penetrating injury of the pancreas; if a parenchymal injury is noted, it is important to determine the integrity of the main pancreatic duct keeping in mind the intra operative criteria introduced ... anastomosis to incorporate the injured area in the head of the pancreas at the time of injury is ill advised because of the high risk of anastomotic breakdown Injury to the neck, body or tail of the pancreas ... Furthermore, the application of the Satinski includes a significant portion of the wall within the limbs of the clamp Therefore at the end, there is not enough "cloth" left to repair the vein...

Ngày tải lên: 13/08/2014, 23:20

... symptoms Whether this may truly prove a useful diagnostic biomarker among the increasing number of alternatives investigated [17-19], or merely be yet another blind alley in the surge for the correct ... inflammation The mechanism of inflammation and damage is binding to toll-like receptor (TLR4), which mediates HMGB1-dependent activation of macrophage cytokine release This positions HMGB1 at the intersection ... HMGB1 at the intersection of sterile and infectious inflammatory responses Thus, the increased level of HMGB1 likely reflects a systemic inflammatory response syndrome (SIRS) in patients with appendicitis,...

Ngày tải lên: 13/08/2014, 23:20

... in the development of the oxidative stress (68) If our findings are proven by further studies involving a larger number of patients, ultra-low microcurrent therapy might change the concept of management ... pathogenesis of insulin resistance in humans using magnetic resonance spectroscopy Obesity (Silver Spring) 2006;14 (Suppl 1): 34S–40S 31 Boden G Role of fatty acids in the pathogenesis of insulin resistance ... improves insulin sensitivity in insulin-resistant individuals (16,62) The acute effects of hyperglycemia-dependent endothelial cells dysfunction are counterbalanced by antioxidants (63-65) But clinical...

Ngày tải lên: 26/10/2012, 09:39

... within seconds of coming into contact with them Almost all of the remaining phenol binds to the nerve tissue during the following few minutes; by 15 minutes from the start of the phenol administration, ... 0.1% of the administered dose remains in the CSF (Ichiyanagi et al., 1975) The magnitude of the clinical effect of the intrathecal block depends on the concentration of phenol and also on the ... second injection, the treatment effect is often enhanced by the additional in ltration of the proximal third of the muscle The superficial placement of the injection may result in the denervation of...

Ngày tải lên: 01/11/2013, 10:20

... secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public The Institute acts under the responsibility given to the ... from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine The members of the committee responsible for the report were chosen for their ... occurred in the IPO’s plans for NPOESS; in particular, the complement of sensor concepts for the satellite was fixed, thereby defining the limits of the planned observing system The scope of the committee’s...

Ngày tải lên: 17/02/2014, 07:20

... degenerate case of the NSI action In the case of the NSI action, the speaker and hearer mutually know of a plan that will result in identification of the intended referent, and in the case of the S[ action, ... along the horizontal axis of Figure There are really' two kinds of definite referring actions: one is that in which the precondition is mutual knowledge of a description and the other in which there ... description In such a situation, the speaker ran augment the description with additional descriptors for tile purpose of informing the hearer that they are true ,ff the denotation of the other part of the...

Ngày tải lên: 21/02/2014, 20:20

... for the future of the Internet economy is the deployment of IPv6 DSTI/ICCP(2007)20/FINAL In terms of public policy, IPv6 plays an important role in innovation and scalability of the Internet In ... IPv6 In other words, once the cost of deploying IPv4 infrastructure – determined by the cost of obtaining the addresses themselves and the cost of designing and operating networks that use fewer ... environment, including greater use and all forms of access In the future, vast numbers of objects may be connected to the Internet Growth in the use of the Internet has meant greater demand for Internet...

Ngày tải lên: 06/03/2014, 21:20

... digoxin therapy, digoxin should be stopped SUMMARY OF THE USE OF MAJOR DRUG CLASSES FOR TREATMENT OF HEART FAILURE The use of the major classes of drugs for the control of chronic heart failure ... Much of the evidence base for the management of heart failure relates to heart failure due to LVSD Although this is the most common underlying cardiac abnormality in patients with heart failure in ... early in the diagnostic pathway to look for supportive evidence of chronic heart failure and to investigate other potential causes of breathlessness Determining the underlying cause of heart failure...

Ngày tải lên: 08/03/2014, 14:20

... secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public The Institute acts under the responsibility given to the ... recognizes the superior achievements of engineers Dr Charles M Vest is president of the National Academy of Engineering The Institute of Medicine was established in 1970 by the National Academy of Sciences ... is the need to show clinical utility, which neither the FDA nor CLIA requires “We need to know [whether] these tests [are] usefully affecting the outcome of patients in the clinic Neither of these...

Ngày tải lên: 22/03/2014, 20:21

... secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public The Institute acts under the responsibility given to the ... recognizes the superior achievements of engineers Dr Charles M Vest is president of the National Academy of Engineering The Institute of Medicine was established in 1970 by the National Academy of Sciences ... is the need to show clinical utility, which neither the FDA nor CLIA requires “We need to know [whether] these tests [are] usefully affecting the outcome of patients in the clinic Neither of these...

Ngày tải lên: 23/03/2014, 11:20

... descriptive summary of the 72 individuals examined The data analysis occurred in two phases The first phase consisted of matching the database entries with the original hard copy versions of the SWiFT ... facilities In some cases, they took their money, and upon discovery of the extent of the elders’ needs, returned them to the shelter One of the problems that occurred at the RAC was the difficulty in ... activities of daily living The plan for the administration of the SWiFT tool was to pair social workers with either a doctor or nurse Each of these pairings walked among the cots on the Astrodome...

Ngày tải lên: 28/03/2014, 16:20

... out in the fields of linguistics and philosophy, concerning theories of verb generation and the temporal meaning of verbs, respectively, and the field of intelligent tutoring systems As far as the ... aroused the interest of linguists, philosophers, logi- - 125 - At the beginning of each session, the Tutor starts the interaction with the student by presenting him an exercise on a given topic The ... that of the expert in order to identify the errors, if any, present in the former and to formulate some hypotheses about their causes On the basis of these hypotheses, the Tutor selects the next...

Ngày tải lên: 01/04/2014, 00:20

... fixed to the rings of the Ilizarov device Intraporative photograph showing the way the wires are Intraporative photograph showing the way the wires are applied and fixed to the rings of the Ilizarov ... in drafting of the manuscript and in the interpretation of data TGB performed part of the literature review and contributed in the manuscript editing SP, EP, AK and GT contributing in analyzing ... removal of the device and was re-operated because of unawareness of the mechanism of injury and underestimating the ligamentous instability of the ankle joint (Figure 6) In patients of group...

Ngày tải lên: 20/06/2014, 04:20