the epidemiology of twin twin transfusion syndrome

... mal-union of the foot and ankle [2-4] Finally, the use of the IEF is also considered a viable treatment option in the management of periprosthetic distal femoral fractures (i.e in the vicinity of a ... years, the use of the Ilizarov External Fixator (IEF) has been increasingly adopted for the management of complex intra- or peri-articular fractures of the knee and ankle joints Also, the use of ... infrequently with relocation of the pins Biomechanical testing We hypothesized that the clinical effectiveness of the TR IEF concept might be attributed to the increased thickness of the double ring (2...

Ngày tải lên: 20/06/2014, 07:20

... 1980) ORAES Because of the chimeric nature of the twins and the rarity of the insertion in the population, it was concluded that, in terms of lymphomyeloid stem cells, one twin must have originally ... this observation The results obtained from the leukocyte cultures of the offspring are of interest for following reason In contrast to the situation in the testes of bulls born as cotwins to freemartins ... after the migration of the primordial germ cells to the site of the primitive gonad had finished, a mechanism which has been previously suggested to explain the occurrence of the rare case of fertile...

Ngày tải lên: 09/08/2014, 22:22

... variation To the best of our knowledge a throughout evaluation of the Index has never been performed in Norway The necessity of 39 chapters and the content of the chapters should be evaluated The large ... “Breathing difficulties” was the most used Indexcategory in the “all other” group with nearly 5% of the total Approximately half of all patients in the youngest age group had “all other” medical problems ... site accounted for 11% of the patients The table also shows that in 26% of the situations, the casualty clinics were directly involved in patient care, either as final place of treatment or by examination...

Ngày tải lên: 25/10/2012, 09:56

... the value that deviated the furthest from the median of the reference range was taken Where there was no difference between the minimum and maximum value from the median, the maximum value was ... of the city of Calgary and surrounding areas (population 1.2 million) in the province of Alberta, Canada [14] All critically ill adult patients in the CHR are managed in ICUs under the care of ... hypernatraemia All of these observations raise the question of whether sodium disturbances are a physiological disturbance that independently increases the risk of death, a marker of illness severity...

Ngày tải lên: 25/10/2012, 10:31

... Indomethacin ibuprofen dùng để thúc đẩy đóng ống động mạch có dấu hiệu sớm PDA hạ huyết áp (đặc biệt áp lực tâm thu thấp) với áp lực mạch nhẹ Hiệu indomethacin ibuprofen tương tự ibuprofen liên quan ... điều trị PDA với indomethacin ibuprofen phẫu thuật thắt ống động mạch, có theo dõi kết hợp phẫu thuật thắt ống động mạch tăng nguy tác dụng bất lợi lâu dài Theo phân tích thử nghiệm lâm sàng ... cho đóng ống động mạch thuốc Dịch từ “European Consensus Guidelines on the Management of Neonatal Respiratory Distress Syndrome in Preterm Infants – 2010 Update” Neonatology 2010;97:402–417 Người...

Ngày tải lên: 08/06/2014, 06:58

... nares and also the mucous membranes of the throat." Then they mixed all the "stuff" together and sprayed cc of the mixture in each of the nostrils of 10 volunteers, and "into the throat, while ... diagnosis of influenza." Rosenau made every attempt to get donors who were early in their illness, "A few of the donors were in the first day of the disease Others were in the second or third day of the ... mucosal epithelial surfaces by creating a hostile antimicrobial shield The epithelia secrete them constitutively into the thin layer of fluid that lies above the apical surface of the epithelium...

Ngày tải lên: 20/06/2014, 01:20

... our awareness of the association of intussusception with various AIDS-related conditions of the bowel, as well as the patient's clean medical and surgical records that made further screening ... abdominal tomography at the level of the umbilicus showing a characteristic 'target mass' (arrows) in the right abdomen Contrast Contrast enhanced abdominal tomography at the level of the umbilicus showing ... intussusception [10,11] Nonetheless, the diagnosis is particularly difficult in this population of patients due to the non-specific nature of the symptoms as well as the depressed immune response...

Ngày tải lên: 11/08/2014, 20:20

... materials We then present the prevalence of individual policy items and the results of a factor analysis that explored the underlying dimensions of the policy variables Finally, we analyze the relationships ... during the first year of recovery [47,48], this circumstance exists in part because of their age and the prevalence of drug and alcohol abuse among their peers Students need to be aware of the potential ... assimilated the unique handbook and Web variables into a single set of "recompiled" variables, reflecting the total number of policies attributable to either the handbook or the Web To compare the "added...

Ngày tải lên: 11/08/2014, 20:20

... estimate of the "natural" 25(OH)D levels present when the human genome evolved We repeat our aside hypothesis that the patients in UVC irradiated hospitals may have been the beneficiaries of more ... evidence that significant amounts of UVC penetrate through the stratum corneum, stratum lucidum, stratum granulosum, and small amounts of UVC even reach the upper layers of the 7DHC-rich stratum spinosum ... Vitamin D are made on the surface of human skin [10] They collected surface oils from young men, irradiated the oils, and showed those oils rapidly cured rachitic rats Then, they tested a very practical...

Ngày tải lên: 12/08/2014, 04:22

... knowledge of ARF epidemiology It highlights the crucial role of additional organ failures in the setting of ARF The data suggest that rather low mortality rates can be expected when the patient ... studies far beyond the time of discharge from the ICU Many examples can be found in the published literature of studies that suggest that the risk for dying in the aftermath of ICU treatment for ... to the observed high mortality rates in patients with ARF [7,17–19] The role of the severity of ARF itself is under discussion It may depend on the indicator used to assess this severity The...

Ngày tải lên: 12/08/2014, 19:22

... long it took the first person to don the PPS The other four trainees observed After the simulation we debriefed the entire group and discussed and reinforced pertinent points Then the four remaining ... step of the dressing and undressing to ensure safety and clarity, and then scripted and photographed the process Composition of SARS cardiac arrest team and the number of HCWs to train The usual ... noted were the inability to remove the contaminated outer pair of gloves without contaminating the clean inner pair of gloves, the inability to remove the gown without contaminating the uniform...

Ngày tải lên: 12/08/2014, 23:20

... present an analysis of the changes in the epidemiology of severe sepsis presenting within 24 hours of admission to critical care in England, Wales and Northern Ireland The data cover the nine-year ... have explored trends in the epidemiology of severe sepsis over a significant time period [19,21] Both of these were hospital-based studies from the USA, with the diagnosis of severe sepsis based ... longitudinal understanding of the underlying epidemiology of severe sepsis in the population It is important to know not only baseline data, such as the incidence of severe sepsis and associated...

Ngày tải lên: 12/08/2014, 23:22

... blood transfusion exposure For the ARDS cases, the pRBC transfusions were examined in the time period prior to or at the visit of the first recorded ARDS complication For the control group, the ... http://ccforum.com/content/11/3/R63 ately preceding the visit with the onset of ARDS, and (ii) for the No ARDS group, we used the highest SOFA score observed in the ICU (that is, the worst condition) Statistical ... development, the magnitude of the association with ARDS and level of significance were less for each of these risk factors Transfusion was independently associated with ARDS (Table 2) When transfusion...

Ngày tải lên: 13/08/2014, 03:21

... history as the development of a condition in the absence of treatment, and defines clinical course as its development in the presence of treatment Studies of the 'natural history' of LBP are ... However, the mean scores for the variables measured were around 50% at the beginning of the study and did not improve over the study period by more than 15% These data encourage the hypothesis ... conclusions about the effects of interventions for LBP [58] There are a number of exhaustive reviews of the efficacy of interventions in recent-onset LBP [19,33,34,42,59] There are also a number of national...

Ngày tải lên: 13/08/2014, 13:22

... important in the pathogenesis of the nephrotic syndrome Genetic polymorphism of the IL-13 gene has been shown to be a predisposing factor in the development of MCNS The frequency of the GG homozygote ... with nephrotic syndrome Chapter is the “Materials & Methods” section which outlines the principles of all the experimental procedures used in this study The complete protocols of all these experimental ... significantly with the serum levels of IL-13 in the IL-13 transfected rats Chapter is a follow-up study focusing on the effect of IL-13 on the cholesterol metabolic pathway The gene expression of enzymes...

Ngày tải lên: 14/09/2015, 11:58

... therefore also analyzed mutant variants that are not recognized by the Tat system In this way, we sought to determine whether the significance of the twinarginine motif stems from the nature of ... the most significant a-helix-forming tendency emerges in the simulation While some fluctuation in the length of the helix was observed, the RR motif was consistently found at the beginning of the ... sheet motif The percentage helical content of the peptides is shown on the right (B) 3D representations (ribbons mode on the left and bonds mode on the right) of the initial structures for the WT...

Ngày tải lên: 31/03/2014, 07:20

... light on some of the pathways involved in the pathophysiology of the metabolic syndrome 8    LIST OF TABLES  Table Definitions of the metabolic syndrome 20 Table Impact of changing the criteria ... on the risk of IHD The primary aim of this study was: 1) To determine the impact of central obesity as an “essential” rather than “optional” component of the metabolic syndrome on the risk of ... criteria on the risk of cardiovascular disease in our population This constitutes the aim of the first study in this thesis 1.6 The role of obesity in the pathogenesis of insulin resistance and the metabolic...

Ngày tải lên: 12/09/2015, 10:42

... component of the syndrome The arrival of the MET brings a critical care environment to the bedside In a sense, when an MET syndrome develops, it could be argued that both the hospital and the patient ... single-centre data [52-56] Inherent within this type of evidence is the lack of rigour and generalisability Furthermore, the magnitude of the effect of the MET may be influenced by institution-specific ... randomisation of hospitals requires large numbers of centres Before-and-after studies lack rigour and generalisability they are In the words of the slogan of the American Society of Critical Care...

Ngày tải lên: 25/10/2012, 10:35

... that the sequence and length of the helix between the two loops containing the cleavage ⁄ ligation site, as well the size of the bulge, influence the exchange efficiency [16,32,33] Therefore, the ... 4C) These results demonstrate favourable cleavage of the substrate followed by dissociation of the 16-mer versus favourable ligation of the 20-mer The yield of product RNA P44F3F5 could be further ... structure of the conventional hairpin ribozyme [21,31] Variation in linker length and ⁄ or the length of the duplexes flanking the single-stranded linker will, therefore, influence the positions of the...

Ngày tải lên: 20/02/2014, 01:20

... pothesis have attempted to include these theories [5-8] The theory of Greaves and that of Kinlen have been discussed in one of the chapters in this book One of the limitations of the theory of ... the peak age of onset of ALL reflects the degree of susceptibility with which a child is born and, on the other hand, the degree of proliferation of the cells involved in the development of the ... factor, the effect of said exposure will vary according to the stage of development of the in‐ dividual or of the particular organ [47-52] Some of the factors that can influence the toxicity of a...

Ngày tải lên: 17/03/2014, 12:20