treatment of twin twin transfusion syndrome an evidence based analysis

... Transkei Lancet 1987;2:1418-22 Strang JI, Kakaza HH, Gibson DG, Allen BW, Mitchison DA, Evans DJ, et al Controlled clinical trial of complete open surgical drainage and of prednisolone in treatment ... Kadhiravan and S Deepanjali http://retroconference.org/2009/Abstracts/34429.htm [Accessed May 25, 2010] Schoeman JF, Elshof JW, Laubscher JA, Janse van Rensburg A, Donald PR The effect of adjuvant steroid ... and treatment of tuberculosis of the central nervous system in adults and children J Infect 2009;59:167-87 Blumberg HM, Burman WJ, Chaisson RE, Daley CL, Etkind SC, Friedman LN, et al American...

Ngày tải lên: 06/03/2014, 04:20

... cannot achieve union after reaming and exchange nailing [24] This can easily be explained biomechanically by the absence of axial loading in the humerus and the presence of greater torsional and ... the alignment of the humerus was anatomic and full range of motion was obtained at both the shoulder and elbow joint (Figs &8) The patient was very satisfied with his treatment and had returned ... selected for the management of diaphyseal fractures of the humerus, nonunion is reported in a higher rate than plating, ranging from to 33% [23,24] Exchange nailing in cases of nonunion of the diaphysis...

Ngày tải lên: 20/06/2014, 04:20

... flank pain, and 19% present with features of advanced disease, including bone pain, anorexia and weight loss The thin layer of smooth © 2011 Konala et al; licensee BioMed Central Ltd This is an ... case report is of particular importance to all radiologists and any surgeon involved in elective orthopaedic surgery It highlights the importance of avoiding the pigeon-holing of patients with ... Switzerland Authors’ contributions PK reviewed the case and drafted the manuscript FI participated in drafting the manuscript and case review TS participated in drafting the manuscript and literature...

Ngày tải lên: 11/08/2014, 00:22

... Wolford JL, Banji M, Hardin BJ, Shulman HM, Clift RA: Veno-occlusive disease of the liver and multiorgan failure after bone marrow transplantation: a cohort study of 355 patients Ann Intern Med ... outcomes and potential mechanisms of action Oligonucleotides 2006, 16:105-114 Imran H, Tleyjeh IM, Zirakzadeh A, Rodriguez V, Khan SP: Use of prophylactic anticoagulation and the risk of hepatic ... intern transplant policies Three days after transplantation, the patient developed neutropenic fever Empiric antibiotic therapy with teicoplanin 400 mg daily after a loading dose of 800 mg and piperacillin/combactam...

Ngày tải lên: 11/08/2014, 17:21

... enhanced patient management Data collection and statistical analysis We calculated descriptive statistics: percentages, mean, standard deviation and range, as appropriate For comparative analysis, effect ... implementation, and evaluation of an evidence- based skills course: a lesson in incremental curricular change J Chiro Educ 2004, 18:116-126 Fernandez CE, Delaney PM: Applying evidence- based health ... within the profession Be more effective and efficient Deal with expanded demands for accountability Manage rapidly expanding sources of information Maintain professional competence Provide an increased...

Ngày tải lên: 13/08/2014, 14:20

... intranet, and poster displays A ‘sepsis team’ (mentioned above) consisting of an ICU physician and an infectiologist, who were available 24 hours a day, was introduced to support the ICU staff and ... of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care Crit Care Med 2001, 29:1303-1310 Martin GS, Mannino DM, Eaton S, Moss M: The epidemiology of ... the introduction of a program dedicated to sepsis not only improved adherence to evidence- based recommendations, but also was accompanied by a simultaneous significant decrease of inhospital mortality...

Ngày tải lên: 13/08/2014, 19:20

... examine the impact of a treatment plan on hospital admission Rather its main aim was to show the effect of a simple treatment plan 29 on compliance with evidence based management of acute severe ... management of asthma were set up by members of the Canadian Association of Emergency Physicians (CAEP) and the Canadian Thoracic Society (Guidelines for Canadian Clinical Practice Guidelines) Recommendations ... DEGREE OF MASTER OF SCIENCE DEPARTMENT OF MEDICINE NATIONAL UNIVERSITY OF SINGAPORE 2003 ACKNOWLEDGEMENTS With special thanks: To Prof Lim Tow Keang and consultant Dr Malcolm, for their professional...

Ngày tải lên: 26/09/2015, 11:07

... electroporation and germ-line cells (FAO/WHO 2003a) The success rate of transformations in animals tends to be lower than in plants, and to vary from species to species, thus requiring the use of many animals ... range of fish farming, an antifreeze gene from one fish species is transferred to the species of interest Although freeze-resistant strains of Atlantic salmon have been produced, the level of ... 10 RISK OF GMOs AND GM FOODS TO HUMAN HEALTH AND THE ENVIRONMENT Introduction of a transgene into a recipient organism is not a precisely controlled process, and can result in a variety of outcomes...

Ngày tải lên: 13/03/2014, 21:48

... NLP is about change and the enhancing of performance and fulfilment Many say NLP has had a major influence on coaching in general; in fact, many of the assumptions and practices of current best ... permanent change, and by observing, listening, asking, eliciting and experimenting Bandler and Grinder came up with a number of change pa�erns Grinder and Bandler understood that the structure of ... researchers and professionals on the other who challenge the hype, want evidence, and debate about what coaching works, why and how Dan was a Human Resources director who had done a lot of coaching and...

Ngày tải lên: 17/03/2014, 17:20

... production of illness and disease and with ways of improving diagnosis and treatment once illness and disease have occurred Within the social model of health, while human biology and health care ... care remain important determinants of health, they are part of an expanded health field concept (Raeburn & Rootman, 1989) The idea of the health field stresses the importance of both individual ... improve human development can be The continuing impact of HIV/AIDS was a significant factor in the declining health and human development in many Sub Saharan African countries Armed conflict and economic...

Ngày tải lên: 28/03/2014, 12:20

... description of all valid outcome measures used; (5) complete analysis of all data, and (6) listing of potential nuisance variables and limitations.74 The relevance of meta -analysis to CAM is that it can ... important changes included the enactment of state licensing laws through the efforts of the American Medical Association (AMA) and the passage of the Pure Food and Drug Act of 1906.103 An important ... Kansas School of Medicine University of Louisville School of Medicine University of Maryland School of Medicine University of Medicine and Dentistry of New Jersey Medical School University of...

Ngày tải lên: 29/03/2014, 07:20

... statistical analysis of the Lysholm and ICRS scores, the Kruskal-Wallis test and the one-way analysis of variance (ANOVA) of ranks test were used For isolating the groups that differed significantly ... applied Statistical analysis of the IKDC data was performed using ANOVA followed by the t test Differences were considered significant at a P value of less than 0.05 For analysis of the KOOS, the ... the treatment of mild degenerative and focal osteoarthritic defects of the knee Magnetic resonance imaging (MRI) analysis of the cartilage repair tissue as well as the clinical evaluation of a...

Ngày tải lên: 09/08/2014, 13:22

... Australian Department of Health), and Professor Esther May (Dean of Health and Clinical Education, University of South Australia) This project is funded by an Australian Research Council Linkage grant ... otherwise a Australian diabetes, obesity, and lifestyle study (1999/00) [21,22]; bFrench, Canadian, German, and U.S surveys of persons aged 16 years and older with any type of diabetes [24-28]; ... survey of adults aged 40-94 years with any type of diabetes [29]; dAustralian hospital admission data [23]; eU.S surveys of persons aged 18 years and older with any type of diabetes [30-32]; fGerman...

Ngày tải lên: 10/08/2014, 11:20

... Despite the fine analysis of C arabica b-mannanases and a-Gal [109,126], there is no biochemical analysis of b-mannosidases activity in coffee of which we are aware We found that b-mannosidases are ... clustering analysis; LPP: AutoFACT and Metabolic Pathways analysis; GGLC: EST assembly and OrthoMCL analysis; LFPP: SNP evaluation and revision of the manuscript; ACA: Coordination of EMBRAPA ... bioinformatics analyses, GC content and SNP analyses and evaluation, Gene Ontology and Ortho-MCL analysis; MFC: EST assembly, conception of bioinformatics analyses and CDD-PFAM analysis; EKT:...

Ngày tải lên: 11/08/2014, 11:21

... implementation of population pharmacokinetic models can further increase both the feasibility of such studies and the relevance of the results obtained, as illustrated by the work of Mulla [5,6] and Peters ... Peters [7] and their groups Following documentation of the advantages of using ECMO to manage neonatal respiratory insufficiency in terms of both mortality and morbidity, the evaluation of pharmacotherapy ... general, there is an increase in distribution volume, which is most prominent in water soluble drugs, and a decrease in drug clearance Whether to initiate any treatment is a decision balanced by a cost-benefit...

Ngày tải lên: 13/08/2014, 03:20

... the mechanism of PCOS and to identify candidate PCOS genes is the microarray -based comparison of ovarian tissues (theca cells, follicular granulose cells, total ovarian tissue, and ovarian connective ... 20:233-243 Jansen E, Laven JS, Dommerholt HB, Polman J, van Rijt C, Hurk C van den, Westland J, Mosselman S, Fauser BC: Abnormal gene expression profiles in human ovaries from polycystic ovary syndrome ... Nelson-Degrave VL, Ho C, Jansen E, Wang CY, Urbanek M, McAllisters JM, Mosselman S, Strauss JF III: The molecular phenotype of polycystic ovary syndrome (PCOS) theca cells and new candidate PCOS genes...

Ngày tải lên: 13/08/2014, 16:20

... General Hospital and Central Taiwan University of Science and Technology- A preliminary survey of conditions and effects of medical and nursing care of dying infants in NICU (2009); and, (4) National ... Asian, Hawaiian/other Pacific Islander, or, two or more races Sixty two of 66 respondents answered this question, revealing that 60 were white/Caucasian; one American Indian/Alaska Native, and ... theorized: that CNE turnover and resulting vacancy rates cause costly repercussions to an organization’s financial health and the quality of care delivered; and, that organizational effectiveness...

Ngày tải lên: 26/10/2012, 08:57

... of interesting strategies in molecular biology, genome analysis and possibly molecular medicine It is certainly advantageous having a number of twin- ribozyme variants that can be adapted to and ... integrals of different lanes are not constant (C) Time course of fragment exchange reaction in the absence (solid lines) and presence (dashed lines) of the antisense oligonucleotide S6-anti structure ... cp(Cy5) Lane 1, S20 cp(Cy5) control Lanes and 3, incubation of S20 cp(Cy5) with HP–TWRJ in the absence of initial substrate under conditions of fragment exchange reaction after and 80 Lane 4, incubation...

Ngày tải lên: 20/02/2014, 01:20

... dissyllabic variant “Lô Giang River” 4.2 Through systematic analysis and comparison of formation and origin of the Red River’s names, we come to the following conclusions about an interesting ... proper noun, Phú Lương and Lô Giang are likely to be more ancient than such toponyms naming after the river’s features as Thao and Cái Phonetic transformation and semantic change reinforce each ... of Cái is also named after the essential role of the river in inhabitants’ life Obviously, the same naming method of Thao and Cái is a reflection of similar reality-mapping structure of Tai and...

Ngày tải lên: 27/02/2014, 03:20

... for anticancer toxin treatments Results and Discussion Saporin intoxication does not require the mechanism of ER-associated degradation Expression of an anticancer saporin chimera in the ER of ... mechanism of translocation across the ER membrane Alternatively, translocation of exogenous saporin into the cytosol may have occurred from an organelle other than the ER Internalized saporin and ... the LEX1 and LEX2 mutants), CHO mutants, the LEX1 mutant, and the LEX2 mutant were all grown under humidified conditions at 37 °C and 5% CO2 in Ham’s F-12 media (Gibco BRL, Grand Island, NY, USA)...

Ngày tải lên: 07/03/2014, 05:20