... exercise capacity of heart transplant recipients? Journal of Cardiothoracic Surgery 2010 5:113 Page of Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online ... rhythm, 6) No clinically significant active transplant rejection at the time of study entry, and 7) No prescription of b-adrenergic receptor blocker at the time of CPX The study design for the present ... although 48% of the patients had a history of histological-determined transplant tissue rejection in the past, all were subclinical with less than International Society for Heart and Lung Transplantation...
... 1Department of Medicine, State University of New York Upstate Medical University, 750 E Adams Street, Syracuse, NY 13202, USA and 2Department of Radiology, State University of New York Upstate Medical ... Paul et al., Successful medicalmanagementof emphysematous gastritis with concomitant portal venous air: a case report Journal ofMedical Case Reports 2010, 4:140 Page of ... section Although this condition often requires surgery, this case resolved with appropriate medicalmanagement To the best of our knowledge, this is the second report of emphysematous gastritis associated...
... Division of Cardiology, Hartford Hospital, Hartford, and Professor of Medicine, University of Connecticut School of Medicine, Farmington, Connecticut Thomas A Buchanan, M.D Professor, Departments of ... University of Southern California Keck School of Medicine, Los Angeles, California William T Cefalu, M.D Associate Professor, Department of Medicine, University of Vermont College of Medicine, ... Corcoran, M.D Fellow, Section of Endocrinology, Department of Medicine, University of Chicago Pritzker School of Medicine, Chicago, Illinois John S Douglas, Jr., M.D Professor of Medicine; Director,...
... results of the 6.4-year mean follow-up of the Cardiovascular Health Study indicated ‘‘that most of the traditional cardiovascular risk factors were not significant predictors of the risk of CVD ... disturbance of endothelial function results in increased synthesis of growth factors and adhesion molecules, proliferation of matrix and smooth muscle cell, and increased expression of PAI-1 gene ... type diabetic patients require treatment of both abnormalities from the onset of the illness Types of Diabetes 25 Figure A hypothesis for the pathogenesis of macrovascular disease in type diabetic...
... treatment of insulin resistance was associated with a decrease in PAI-1 and improvement of the fibrinolytic activity in the majority of these studies VI CLINICAL INTERVENTIONS IN THE MANAGEMENTOF THE ... elevation of both systolic and diastolic blood pressures In contrast, nearly 50% of patients with type diabetes mellitus have hypertension at the time of diagnosis of diabetes The prevalence of hypertension ... After a mean of years of follow-up, the Data and Safety Monitoring Committee of the ABCD trial recommended that the nisoldipine treatment be terminated because of the higher incidence of fatal and...
... Furthermore, the severity of the dyslipidemia, independent of glycemic control, is an indicator of the presence of genetic causes of the dyslipidemia that are independent of the DM This can also ... effects of estrogen therapy may be modulated by the addition of progestins, some of which may reduce the effect of estrogen on HDL cholesterol who have very high risk for development of CHD, ... diabetics have a twofold increased rate of death within years of surviving a myocardial infarction Overall, CHD is the leading cause of death in individuals with DM who are over the age of 35 years...
... increased risk of presenting with one or more of the manifestations of syndrome X If 25 to 33% of the population at large is sufficiently insulin resistant to be at increased risk of syndrome X ... the kidney, and there are two features of syndrome X that are likely to be dependent on the retention of normal insulin action on the kidney hyperuricemia and salt-sensitive hypertension—both of ... clearance secondary to the effect of compensatory hyperinsulinemia on the handling of uric acid by the kidney This is one of several instances in which a manifestation of syndrome X occurs because...
... University of Chicago Pritzker School of Medicine, Chicago, Illinois I INTRODUCTION Polycystic ovary syndrome (PCOS) affects up to 10% of women of reproductive age (1,2), making it one of the most ... Indians who have one of the highest rates of diabetes in the world (16) Evidence for an enhanced rate of development of diabetes is also evident from long-term follow-up of women with PCOS (17) ... increased sodium resorption by the kidneys Additional effects of nitric oxide, including inhibition of growth and migration of vascular smooth muscle cells and attenuation of the vascular inflammatory...
... regarding the use of PCI in this group of patients A complete understanding of the mechanisms responsible for the reduced survival is of critical importance in the managementof diabetic patients ... greatly reduce the risk of diabetic eye, kidney, and nerve disease Indeed, any lowering of average glycemia and hemoglobin A1C concentrations can lower the risk of all three of these complications ... glucose management) had a mean HbA1C that was ϳ1% lower than the HbA1C of the less intensive management group HbA1C levels increased in both groups over time The development of eye, kidney, and...
... the managementof patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Managementof ... and the change in focus toward aggressive managementof blood glucose and lipids, one aspect ofmanagement has not changed: the patient still provides 95% of the treatment Therefore, he or she needs ... The care of the diabetic patient requires the expertise of many disciplines and a multidisciplinary team approach remains central to the care of the diabetic patient The team of health professionals...
... of type II diabetes in the offspring of diabetic parents Ann Intern Med 1990; 113:909–915 About the Editors BURTON E SOBEL is Amidon Professor and Chair of the Department of Medicine and Professor ... Professor of Biochemistry at the University of Vermont College of Medicine and Physician-in-Chief, Fletcher Allen Health Care, Burlington, Vermont The editor ofMedicalManagementof Heart Disease ... is Associate Professor of Medicine and Director of the Vascular Biology Unit at the University of Vermont College of Medicine, Burlington, Vermont He is the author or coauthor of more than 50...
... care unit (ICU) management in kidneytransplantrecipients with ARF The objective of this study was to identify determinants of survival and graft function in kidneytransplantrecipients admitted ... strengths of our study include the multicenter design, including nine participating transplant centers, all of which had extensive experience with managing medical complications in kidneytransplantrecipients ... (96/4) 148/7 (95.5/4.5) 44/1 (97.8/2.2) Characteristics of the transplantation, n (%) First kidney allograft Kidney retransplantation Combined kidney- pancreas Cadaver/living donor 0.28 0.69 Immunosuppressive...
... post-synaptic effect of GABA (sedation) Alcohol withdrawal causes a sudden deficiency of GABA Deficiency of GABA causes hyperactivity in a patient…A large adrenergic stimulation CPRC Etiology of Alcohol ... and dopamine Due to lack of GABA receptor stimulation CPRC Stages of Alcohol Withdrawal Syndrome Stage 1: Autonomic hyperactivity (100%) Occurs within hours of last use of alcohol and lasts 24-48 ... seizures CPRC Hallucinations (Stage 2) Occur in 3-10 % of patients Increased risk with use of larger amounts of alcohol Are not predictive of DTs (stage 4) and are not necessarily related to DTs...
... multidisciplinary focus group composed of both chiropractic and medical professionals The goals of the focus group were to explore the attitudes and experiences ofmedical and chiropractic clinicians ... included two chiropractors, two medical cardiologists, and one dual-degreed chiropractic /medical physician The focus group was conducted in early 2004 at the offices of the medical cardiologists Support ... experience) of the effectiveness of manual/manipulative approaches to resolve chest pain of suspected musculoskeletal origin Chiropractic and medical participants both noted lack of formal clinical...
... Multi-organ system disease MEDICALMANAGEMENTOF LIVER TRANSPLANT CANDIDATES • Managementof complicated portal hypertension • Nutritional support • Aggressive managementof infection • Appropriate ... The success of pediatric liver transplantation has made the recognition of the importance of nutritional support in the pretransplant period imperative to optimize the success of the transplant ... correlate with the degree of vitamin or trace mineral deficiency or the degree of hepatic dysfunction Nutritional Assessment of the Child with Liver Disease • A number of obstacles complicate the...
... the managementofkidney disorders Kidney Patient Guide www.kidneypatientguide.org.uk An online guide, for patients and carers, to many aspects ofkidney disease including physical aspects of ... of SIGN; Co-Editor Member of SIGN Council Member of SIGN Council Member of SIGN Council SIGN Programme Director; Co-Editor Director of SIGN; Co-Editor 39 Diagnosis and managementof chronic kidney ... managementofkidney disease Kidney Research UK also dedicates its work to improving patient care and raising awareness ofkidney disease National Kidney Federation Helpline: 0845 601 02 09 www .kidney. org.uk...
... systematic review of reports of MTB infection in liver transplantrecipients published between 1963 (the first report of a liver transplant) and 2007 to evaluate the effectiveness of pretransplant tuberculosis ... cases of active MTB infection following liver transplantation or (2) cases of liver transplant candidates or recipients who received LTBI treatment prior to transplantation We excluded cases of ... known pretransplant TST result (39%) Of LIVER TRANSPLANTATION.DOI 10.1002/lt Published on behalf of the American Association for the Study of Liver Diseases TUBERCULOSIS IN LIVER TRANSPLANT RECIPIENTS...
... psychosocial and physical impact ofkidney transplantation [4,5] Kidney transplantation is the therapy of choice for endstage renal failure when focusing on survival transplantation [6-9] and also ... Djamali A, Samaniego M, Muth B, Muehrer R, Hofmann RM, Pirsch J, Howard A, Mourad G, Becker BN: Medical care ofkidneytransplantrecipients after the first posttransplant year Clin J Am Soc Nephrol ... time Most of time A good bit of the time Some of the time A little of the time None of time 35 36 37 38 39 40 41 42 43 44 45 Is taking medications a constraint for you? Are you scared of the possible...
... organ transplant were reported to be related to the age at the time of the organ transplant, the sex, the race, the type of immunosuppressant, a history of renal disease that required a transplant, ... after kidney transplantation JAMA 2006, 296:2823-2831 Villeneuve PJ, Schaubel DE, Fenton SS, Shepherd FA, Jiang Y, Mao Y: Cancer incidence among Canadian kidneytransplantrecipients Am J Transplant ... Identifying high risk groups and qualifying absolute risk of cancer after kidney transplantation: A cohort study of 15183 recipients Am J Transplant 2007, 7:2140-2151 Stratta P, Morellini V, Musetti...
... saturation Depth and symmetry of chest expansion Accessory muscles of respiration active? Volume of secretions? Tracheal position Signs of pleural effusion? Signs of pneumothorax? Focal/generalized ... and European Society of Cardiology Guidelines for the managementof patients with ventricular arrhythmias and the prevention of sudden cardiac death (2006) American College of Cardiology website ... 118–25 for managementof the unconscious patient Temperature Core temperature 38°C, with hypotension, hypoxemia, oliguria or confusional state See pp 59–65 for managementof sepsis Blood...