sleep disordered breathing in high risk children

... high- risk children n Reviewing the concept of risk and defining high- risk children n Identifying risk factors and settings using fluoride interventions with high- risk children n Developing a decision ... from fluoride interventions and should be included in the high- risk category In defining the category of high- risk children, the group questioned whether the high- risk category was in the context ... populations at highest risk for dental caries and the process for assessing risk in group settings Review professional dental guidelines within the context of high- risk children Translate guidelines and...

Ngày tải lên: 12/02/2014, 19:20

... 11 patients, high risk transitional cancer was the first episode while in the remaining patients high risk episode was recurrent (range, 2-11 resections; average 2.8 resections) In all patients, ... urothelial carcinoma in situ with hexaminolevulinate fluorescence cystoscopy J Urol 2004, 171(1):135-8 Algaba F, Amin M, et al: Tumours of the urinary system: non invasive urothelial neoplasias In WHO ... precursors of CIS may play an important role in preventing disease progression In our opinion, HAL cystoscopy should be recommended in the early follow-up of high risk patients Author details Department...

Ngày tải lên: 18/06/2014, 16:20

Ngày tải lên: 09/08/2014, 13:22

Ngày tải lên: 09/08/2014, 13:22

... to ritonavirboosted lopinavir, and over the next couple weeks made significant clinical improvements, regaining continence, becoming increasingly lucid, and improving in gait and balance By the ... mental status change were normal including electrolytes, B12, TSH, and a urine drug screen Serum tests looking for an infectious etiology were also negative, including an RPR, fluorescent treponemal ... infection As sometimes clinical history is not available in patients with a high- suspicion for HIV infection and negative or indeterminate serology for HIV-1, additional testing should be performed...

Ngày tải lên: 10/08/2014, 05:21

... from the inflammatory response induced by open heart surgery This may explain the more pronounced protective effect of statins in our high risk cohort Statins have also been shown in clinical trials ... contribution of statins to operative risk However the absence of statin treatment was associated with an increase in mortality in the subset of high risk patients with an estimated risk of mortality ... heparinization (300 mg/kg heparin sulfate) to maintain an activated clotting time (ACT) >450 seconds Off pump cardiac surgery utilized 100 mg/kg loading dose of heparin with a goal to maintain...

Ngày tải lên: 10/08/2014, 10:20

... possible, to inform the development of semistructured interviews about each intervention When informants answered questions and provided information during interviews, the interviewer followed up in order ... than one informant was interviewed for the CCR for influenza and standing orders interventions [Standing orders (for this project): a protocol or a limited general order for influenza vaccine.] ... arose during the project Table 2: Overview of interventions Implementation Intervention Directed at Reminder letters and information Patients with SCI&D CCR for influenza vaccine Standing orders...

Ngày tải lên: 11/08/2014, 05:21

... possible, to inform the development of semistructured interviews about each intervention When informants answered questions and provided information during interviews, the interviewer followed up in order ... than one informant was interviewed for the CCR for influenza and standing orders interventions [Standing orders (for this project): a protocol or a limited general order for influenza vaccine.] ... arose during the project Table 2: Overview of interventions Implementation Intervention Directed at Reminder letters and information Patients with SCI&D CCR for influenza vaccine Standing orders...

Ngày tải lên: 11/08/2014, 16:21

... change in patient outcome has been driven by the pre-existing knowledge of risk for that patient In the future, risk assessment in medical practice, particularly in intensive care medicine where risks ... http://ccforum.com/content/9/4/390 patients in different ways with a benefit in patient outcome, however that is to be defined In our opinion the two most useful scoring systems in surgical risk assessment remain the ASA score ... testing to define an anaerobic threshold in patients in the preoperative period [11,12] In an initial study of 187 patients, there were 55 patients in whom the anaerobic threshold was < 11 ml/min/kg;...

Ngày tải lên: 12/08/2014, 22:21

... saturation in the participating centres and in their case mix remains, and that the patient population at high risk in those centres can be identified Competing interests The Clinic of Intensive ... hospital stay in high- risk patients undergoing major, predominantly vascular or abdominal surgery when receiving oxygen-delivery-driven goal-directed management based on lithium indicator dilution ... the same high- risk criteria applied in different institutions and to different case mixes may reveal very different patient profiles Applying the same high- risk criteria as Boyd et al [9] in a multicentre...

Ngày tải lên: 12/08/2014, 23:20

... Vol 10 No Lobo et al ing at a better cardiovascular function anticipating the increase in oxygen demand during surgery The main objective is to maintain tissue perfusion to minimize the hepatosplanchnic ... patients randomized to the dobutamine group received the first fluid cycle during 60–90 minutes followed by increasing doses of dobutamine, beginning with µg/kg/minute, until the goal was reached ... postoperatively due to a cardiac index lower than 2.5 l/minute/m2 according to the treatment algorithm Dobutamine was discontinued in five patients in the dobutamine group in the postoperative period...

Ngày tải lên: 12/08/2014, 23:23

... related to increased risk of postoperative complications in high- risk surgery • Trials with goal-directed therapy using ScvO2 as a target in high- risk surgery patients are warranted Competing interests ... Daniel Inderbitzin3, Stephan M Jakob1 (co-principal investigator), Stefanie Loher1, Christine Raeber1, Jukka Takala1 (coordinating investigator), Andreas Vogt7 Kuopio: Kimmo Mäkinen5, Pekka Miettinen5, ... with an increased risk of complications in high- risk surgical patients [11] Despite increasing evidence of beneficial effects on outcome, goal-directed therapies are not widely used in clinical...

Ngày tải lên: 13/08/2014, 03:20

... post-operative complication rates Their findings suggest that a higher target value of 75% would be more appropriate in patients undergoing major abdominal surgery This finding is consistent with the analysis ... of problems in practice For example, the aggressive targeting of too high a value for ScvO2 may be harmful, particularly in the elderly The authors make an important point in suggesting that the ... venous oxygen saturation In Yearbook of Intensive Care and Emergency Medicine Edited by Vincent JL Berlin: Springer; 2005:592-602 Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson...

Ngày tải lên: 13/08/2014, 03:20

... and, in essence, defines the high- risk surgical patient.’ Severe cardiac or respiratory illness resulting in severe functional limitation Extensive surgery planned for carcinoma involving bowel ... aneurysm Identifying the high- risk surgical patient Identification of the high- risk patient has implications on management throughout the peri-operative period Defining high risk can be subjective ... activating multiple inflammatory pathways [21] From the equation above, increasing DO2 is achieved by increasing CO and/or CaO2 As dissolved oxygen is small, CaO2 is increased by increasing the...

Ngày tải lên: 13/08/2014, 19:20

... ml) Positive inotropic support with dobutamine was higher in the GDT group (30.4 ± 50.5 μg kg -1 h-2 vs 4.1 ± 19.0 μg kg -1 h -2 ; P = 0.01) Administration of norepinephrine, epinephrine and nitrates ... widely in the literature Lithium indicator dilution was used by Pearse and colleagues [1] to determine CO and DO2I in patients undergoing major abdominal surgery In this study, patients in the intervention ... status (Table 1) [20] of III with two or more risk factors according to risk index of Lee (Table 2) [21] undergoing open major abdominal surgery (intestine resection, gastric resection, liver resection,...

Ngày tải lên: 13/08/2014, 20:21

... (dobutamine ≥5 mcg/kg/min, epinephrine >0.05 mcg/kg/min, milrinone >0.25 mcg/kg/min, norepinephrine >0.02 mcg/kg/min) in the presence of low MAP (

Ngày tải lên: 13/08/2014, 20:22

... only) Infectious Intraabdominal infection * Catheter-related bloodstream inf * Urinary tract infection 13 Wound infection/dehiscence Decubital inf Cardiovascular Arrhythmias (non-life threatening) ... Control group Obtaining baseline physiologic variables Insertion of arterial catheter before induction of anesthesia, Setting the Vigileo/FloTrac machine Baseline blood samples, Induction, mandatory ... maintaining higher diuresis during the study period in the Vigileo group (1.13 (0.76 to 1.85) ml/ kg/hr vs 0.896 (0.56 to 1.43) ml/kg/hr in the Control group; P = 0.068) Lower incidence of intraoperative...

Ngày tải lên: 13/08/2014, 20:22

... educators currently working in those communities All study personnel had experience in counseling drug users; they also received additional training in interviewing and in research methods as ... drug initiation Method of usea Smoking Injecting Snorting/swallowing Changed method of use since initiation No months to change, mean (SD) Share injection equipment Drug used and methoda Heroin, ... users are being released into the community, up to 16,000 in 2006 in HCMC alone (‘‘3,097 drug addicts in Ho Chi Minh City finish rehab’’, 2005) This poses a large challenge in finding ways to...

Ngày tải lên: 25/08/2016, 13:11

... Papillomavirus DNA: key risk factors for cervical cancer in Spain J Natl Cancer Inst 1996, 88:1060-1067 14 Mammas IN, Sourvinos G, Spandidos DA: Human papilloma virus (HPV) infection in children and adolescents ... result of surface contamination that might occur in these infants during childbirth rather than HPV infection per se [33] This finding was reconfirmed by a recent study in which all the HPV-DNA ... prevalence found in our study In contrast to our findings, a higher percentage (15.4% and 29.4%) of concurrent HPV infection between clinically normal oral mucosa and genital region, by using Southern...

Ngày tải lên: 12/08/2014, 04:20

... their mediating factors in subgroups of high risk children Family characteristics The elevated problems in the family domain of one-time offenders and re-offenders are in line with findings from ... with offending present in Dutch-Moroccans in the Netherlands However, it is unclear which risk factors differentiate between non-offending, one-time offending and re-offending in a high- risk group ... characteristics were associated with offending and re-offending in a high risk sample of Dutch-Moroccan boys residing in disadvantaged neighbourhoods Regarding individual risk factors our hypothesis was...

Ngày tải lên: 13/08/2014, 18:22