the preterm neonate with relative adrenal insufficiency and vasopressor resistant hypotension

... (Synacthene®; Novartis Pharma Stein AG, Stein, Switzerland) within the first four hours after surgery Cortisol levels were measured before the test, at 30, 60 and 90 minutes after the test and ... the postoperative management of these patients The reported prevalence of adrenal insufficiency varies widely in critically ill patients, depending on the population of patients studied and the ... as frequencies and percentages Assumption of normality was tested with Kolmogorov-Smirnov test and homocedasticity with Levene test Comparisons between groups, (patients with and without RAI) were...

Ngày tải lên: 10/08/2014, 09:22

... design of the study, acquisition and interpretation of the data and drafting the manuscript; BA was involved in the conception and design of the study, analysis and interpretation of the data and critical ... results of the cosyntropin stimulation test, the use of etomidate, the time interval between the etomidate administration and the cosyntropin stimulation test, the presence of relative adrenal insufficiency, ... of the manuscript; and JDF was involved in the conception and design of the study, analysis and interpretation of the data, statistical analysis and drafting the manuscript All authors read and...

Ngày tải lên: 13/08/2014, 01:20

... role The relatively recent description of the thrombophilias associated with the Factor V Leiden and prothrombin G20210A mutations and the implication of both in perinatal stroke suggest these ... matter These events are mediated by cytokines, VEGF, and nitric oxide (NO) In vitro, both endothelial cells and astrocytes release the pro-inflammatory cytokines IL-1β and TNF-α, and both of these ... hemorrhage, and over three-quarters of these develop mental retardation and/ or cerebral palsy Based on data from the U.S Census Bureau, the NICHD Neonatal Network and the Centers for Disease Control, there...

Ngày tải lên: 31/08/2015, 13:09

... leaf of the transverse mesocolon on the pancreas The plane at the inferior border of the body of the pancreas was opened with blunt dissection, gradually exposing the posterior surface of the pancreas ... on the midclavicular line, and a mm-trocar in the right hypochondrium in the midclavicular line as well (Figure 2) Pneumoperitoneum was established with the open Hasson technique through the ... at about the level of the umbilicus, a 10 mm trocar in the left upper quadrant of the abdomen on the anterior axillary line, a 10 mm trocar in the subxiphoid region, a mm trocar in the left hypochondrium...

Ngày tải lên: 11/08/2014, 02:22

... had preterm labor The newborn with ambiguous genitalia was delivered with Apgar scores at and minutes of and respectively and was handed to the waiting neonatologist in the operative room The ... of the internal organs, the uterus and both ovaries were in the normal anatomical position There were two small accessory spleens identified at the splenic hilum Markedly enlarged adrenal glands ... tumors As these factors were not identified in this case, and given the additional finding of markedly enlarged adrenal glands, adrenal hyperplasia was most likely to be the cause of the ambiguous...

Ngày tải lên: 11/08/2014, 21:22

... in the line bisection task The possible answers might help us to understand better the hemispheric functions that contribute to these pathologies on the one hand, and probably help to further ... into the test body Any score above on the infrequency scale suggests either inattention to the content of the items and acquiescence or a very strong social desirability set; therefore, the infrequency ... further address the overlaps between anxiety and depression on the other Bearing that GAD and TRD patients often present negative emotions in mind, we have hypothesized that these subjects would...

Ngày tải lên: 26/10/2012, 08:57

... removed the HAD anxiety (correlated with the GHQ and Health Anxiety scale) and HAD depression (correlated with the GHQ and Sleep scale) subscales from this analysis All analyses were adjusted for the ... centrifugation and decantation of the supernatant The pellet is then counted and the amount of tracer bound is inversely proportional to the concentration of cortisol present Before assay, the salivary ... development, and 1047 (28%) were in the reference group (Fig 1) Random samples of 178, 463 and 80 subjects from each of these three groups, respectively, were telephoned and invited to the assessment...

Ngày tải lên: 09/08/2014, 06:23

... associated with adrenal insufficiency but is not associated with an increase in morbidity or mortality The weakness of the study is that the design was underpowered to detect differences in the subgroups ... mortality were found in those with adrenal insufficiency The authors concluded that ketamine is a safe and valuable alternative to etomidate and should be considered in those with sepsis This recommendation ... support-free days, and measurement and correlation with adrenal insufficiency A modified intention-to-treat (ITT) analysis was used, where randomized patients who died before reaching hospital and those...

Ngày tải lên: 14/08/2014, 07:21

... supervised by handing out a nutritional diary which was submitted at each of the further visits to the clinic After weeks the patients attended the clinic again and it is the lipid values and biometric ... gene counting and compared using the ‫ ²א‬test The data was analysed using SPSS 12.0 software The association between the +294T/C polymorphism and serum lipids, coronary heart disease, and body mass ... for age, smoking, and BMI where appropriate Results The frequency of the C-allele was 0.24 and the genotypes were distributed according to the Hardy Weinberg Equilibrium Overall the C allele frequency...

Ngày tải lên: 31/10/2012, 17:03

... load and EGR rate At full load condition with 15% EGR rate, B20 and B40 emitted NOX was lower by 25% and 14% respectively, compared to DF without EGR They concluded that the use of EGR with biodiesel ... The optimum trade-off between NOX and smoke opacity for different EGR rates with JB5 The current study focused to obtain the better engine performance with the optimum trade-off between NOX and ... emissions Therefore, as shown in Table 3, the comparison between the effects of EGR rates within limits of 5-15% on engine performance and exhaust emissions is made, relative to the baseline values The...

Ngày tải lên: 05/09/2013, 16:11

... sample, and a longitudinal sample—to test these hypotheses Together, the three studies provide complementary evidence supporting the hypotheses The set of results has implications for theory, ... socialization, and the decremental theory of aging to explain (a) the relationship of these temporal variables with job performance, and (b) how an inverted U-shaped relationship between time and performance ... education and the process of actually performing a job Within the context of a job, experience entails the accumulation of job-specific knowledge from action, practice, and perception of the tasks and...

Ngày tải lên: 11/09/2013, 11:44

... forms without written permission of Idea Group Inc is prohibited Keeping Up with the Corporate University 147 and faculty with a ready means for periodically updating their understanding of these ... organization, improving the corporate culture, and investing in people and recruitment Thus, KM includes understanding the development and accessing of tacit knowledge — the information and wisdom that ... competencies are defined and measured by a company Over time, employees become familiar with the competencies required for their current job and for achieving promotions, and they can then take more responsibility...

Ngày tải lên: 24/10/2013, 08:20

... values = and n = with the 81 83 Figure 4.9 Variation of x with the parameter n with the ¯ values = and = 84 Figure 4.10 Variation of w x with the normalized input ¯ ¯ x, with the values = ¯ = and ... phenomenon and inertial effect, and the acceleration of the piston The product of the piston velocity and the post-yield plastic damping coefficient The product of the piston position and the factor ... value the parameter n for three values of and with this case, we have ∗ 1 n with = In 78 Figure 4.7 Variation of x with the parameter ¯ values = and n = with the Figure 4.8 Variation of x with the...

Ngày tải lên: 12/12/2013, 22:41

... When asked to justify why their progress on MSSR has been slow relative to the other services and relative to other SYSCOMs within the Navy— NAVAIR and NAVSEA argue that their strategies, which ... and their individual organizational “cultures,” as well as by other factors As a result, the final document dispositions chosen by the Air Force, Army, and Navy and within the Navy, NAVAIR, and ... manageable R 20 For the Air Force and the Army, the highest priority for MSSR was to complete it within schedule and within budget In both services the MSSR process was centrally managed, with an acquisition...

Ngày tải lên: 17/02/2014, 08:20

... recover from the initial infection (Fig 3A, lanes 4, and 8) Together with the results from the GST-pull-down assay (Figs and 2) using ExoS mutants with the same amino acid substitution, it is noticeable ... residues of the cofactor interaction domain within ExoS Various single mutant ExoS proteins were tested for their capacity to interact with 14-3-3 and subsequently for their cytotoxicity and ADP-ribosylation ... show that the leucine residue at position 428 is necessary for both the ADP-ribosylation activity and the cytotoxic action of ExoS in vivo Result and discussion Acidic residues within the 14-3-3...

Ngày tải lên: 19/02/2014, 08:20

... to the different length of the C-terminal truncations and the ability of the exon 12-encoded C-terminal tail to regulate the function of NBD2 Nevertheless, our findings and the phenotypes of other ... model for the transport cycle of the active TAP variant 2–1C2 The initiation step and the progress of the transport cycle are similar to the hypothesized peptide translocation model of the wild-type ... amino acid long region containing the Q-loop and the signature motif is mainly involved in interactions with the TMDs rather than in the catalytic process of the NBDs [17] Low sequence homology...

Ngày tải lên: 20/02/2014, 02:21

... But, as with the analyses of outdoor recreation, most of the studies of visitors and residents and the impact on their homes and communities come from single sites or a handful of sites with particular ... Management lands involve the most recreational visitors These lands are also the ones most involved in natural resources conservation, another way of showing the impact that preserving these lands has ... is the study of forests in the United States the types of forests, the extent of these forests, and the ecosystem services that forests provide on a national level Similarly, the amount of land...

Ngày tải lên: 21/02/2014, 01:20

... science and technology and to their use for the general welfare Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal ... are managed and funded either by the steward or by other federal agencies, industry, or private institutions (the partners) When their missions and interests coincide, the steward and the users ... models in the United States, describes the current status of facility operation and funding, and compares them with models in user facilities in other countries The strengths and weaknesses of the...

Ngày tải lên: 06/03/2014, 15:20

... mixture and the reactions proceeded for 2.5 at 30 °C The mixture was used for a total of three successive plates After labelling, the nuclei were washed with buffer KAc and UV irradiated with a standard ... newly synthesized DNA covalently to the synthesizing Pol or to various replication proteins intimately interacting with the nascent DNA [23,36,37] We labelled permeabilized HeLa cells with either ... colocalized with Pol e (Table 1, Fig 4C), confirming the authenticity of the observed colocalization The reduced focal staining of RNA pol II by antibody N20 compared with antibody H5 could reveal the...

Ngày tải lên: 07/03/2014, 11:20

... shows the same analysis for the hits between the N- and C-terminal halves and vice versa within the OPA family, the AAT family, the ST3 families and the DAACS1 family In case of the AAT and DAACS1 ... searches The distributions were shown for the hits between the N- and C-terminal halves of the OPA, AAT, and DAACS families and the N- and C-terminal halves of ST3 (open bars), between the N-terminal ... only mask the query sequence and not the subject formed by the complete N- and C-terminal halves of the proteins The percentage of observed hits between N- and C-terminal halves within the same...

Ngày tải lên: 07/03/2014, 17:20