what imaging is appropriate in high risk pediatric subjects

... 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 ... 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 ... CRS in comparison to other well known risk assessment models [7] The CRS ranges between and 20 with a lower score predicting lower operative mortality In this study, high risk patients were defined...

Ngày tải lên: 10/08/2014, 10:20

... the risk, rather than on the risk itself It remains extremely disappointing that there is little evidence that any change in patient outcome has been driven by the pre-existing knowledge of risk ... effective scoring system is to highlight potential high- risk patients for busy hospital practitioners and to act as a focus for generating a multidisciplinary risk/ benefit discussion between interested ... have made some suggestions of general limits for defining high risk We fully understand, however, that how high risk is actually defined is influenced by all the personal perceptions and expectations...

Ngày tải lên: 12/08/2014, 22:21

... 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, ... cases consisted of CIS, 10 DYS, and associations of CIS and DYS, well-differentiated superficial bladder cancer non-infiltrating to the lamina propria in cases, and chronic cystitis in case In patients ... [20-22] However, diagnosis is very difficult because, in the early stages, both lesions are indistinguishable from the normal-appearing bladder mucosa [6] and urine cytology testing might not be sufficiently...

Ngày tải lên: 18/06/2014, 16:20

... non-subtype B HIV in the United States is approximately 2% [6] The virus isolated in this patient, HIV-2, is common in parts of Western Africa, but is rare in the United States [7] HIV-2 is thought ... The differential diagnosis based on the patient's clinical history and imaging included PML, HIV encephalitis and/or lymphoma Given the patient's negative CSF EBV and disseminated (non-solitary) ... 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

... Wallace C, Evans CT, Hammond M, Goldstein B: Interventions to increase influenza vaccination rates in veterans with spinal cord injuries and disorders J Spinal Cord Med 2007, 30:10-19 Stetler CB, ... 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.] ... of the project – increasing vaccination rates for influenza among veterans with spinal cord injury and disorder The general descriptions of the interventions provided the basis for FE questions...

Ngày tải lên: 11/08/2014, 05:21

... Wallace C, Evans CT, Hammond M, Goldstein B: Interventions to increase influenza vaccination rates in veterans with spinal cord injuries and disorders J Spinal Cord Med 2007, 30:10-19 Stetler CB, ... 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.] ... of the project – increasing vaccination rates for influenza among veterans with spinal cord injury and disorder The general descriptions of the interventions provided the basis for FE questions...

Ngày tải lên: 11/08/2014, 16:21

... 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 ... 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 ... 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...

Ngày tải lên: 12/08/2014, 23:20

... 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 ischemia, ... nosocomial infections, Centers for Disease Control definitions were used [20] Postoperative fistulas and dehiscence of anastomosis were determined by visualizing the elimination of intestinal content ... epinephrine, norepinephrine, or the combination of norepinephrine and dobutamine on gastric mucosa in septic shock Crit Care Med 1999, 27:893-900 Swisher SG, Holmes EC, Hunt KK, Gornbein JA, Zinner...

Ngày tải lên: 12/08/2014, 23:23

... ScvO2 perioperatively is 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 ... haemoglobin concentrations A drop in ScvO2 was noted between the end of surgery and the first readings in the ICU This finding is consistent with previous findings on ScvO2 [11] and SvO2 [19,21] in ... ScvO2 and hospital LOS in survivors and non-survivors is displayed in Figure Discussion The main finding of this study was that in the multicentre setting, low ScvO2 during the peri- and postoperative...

Ngày tải lên: 13/08/2014, 03:20

... 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 ScvO2 data ... delivery on mortality in high- risk surgical patients JAMA 1993, 270:2699-2707 McKendry M, McGloin H, Saberi D, Caudwell L, Brady AR, Singer M: Randomised controlled trial assessing the impact of ... 10 No Pearse and Hinds valid? Although the normal value of ScvO2 is often quoted as 70%, there are in fact few published data to confirm this, either in healthy volunteers or in surgical patients...

Ngày tải lên: 13/08/2014, 03:20

... undergoing a procedure carrying a 5% mortality be defined as a high- risk surgical patient [10] In terms of overall risk, relatively simple clinical criteria can be used to identify a highrisk patient ... 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 ... group [36] What is clear is that pre-optimisation before and during surgery [26-28,30,37] and post-optimisation in ICU [38] in a protocolised GDT manner improves patient outcomes in high- risk surgical...

Ngày tải lên: 13/08/2014, 19:20

... systemic disease that is a constant threat to life V A moribund patient who is not expected to survive without the operation Table The revised Lee cardiac risk index High- risk type of surgery Ischemic ... been protocol dependant However, this finding is consistent with findings in other GDT literature, where a trend towards a more generous administration of colloids instead of crystalloids can be ... 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...

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

... continuous blood pressure monitoring in high- risk patients, their use is not associated with increased invasivity and risk These monitors are generally well tolerated by patients and easy to maintain ... recorded Statistical analysis A high number of infectious and organ complications can be anticipated in high- risk surgical patients According to our retrospective analysis of the incidence of ... only) Infectious Intraabdominal infection * Catheter-related bloodstream inf * Urinary tract infection 13 Wound infection/dehiscence Decubital inf Cardiovascular Arrhythmias (non-life threatening)...

Ngày tải lên: 13/08/2014, 20:22

... 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 ... 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 part of this study ... 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,...

Ngày tải lên: 25/08/2016, 13:11

... general intensive care unit (ICU) after high- risk noncardiac surgery (Table 1) All high- risk surgical patients were admitted to the study if they showed two or more of the following inclusion ... diagnosis Carcinoma of the esophagus Peritonitis or abscess 1 Pancreatitis, infected pseudocyst, pancreatic abscess Orthopedic spine surgery Hepatic tumor Carcinoma of the large bowel Genitourinary ... rate; and only when hemodynamic instability invasive monitoring is required However, these endpoints have revealed the inadequacy of relying solely upon vital signs in resuscitation of critically...

Ngày tải lên: 12/08/2014, 20:20

Ngày tải lên: 12/08/2014, 23:21

... successful IVF in women with renal transplants, but specialists were becoming increasingly reluctant to advise women with transplants against trying for a baby, as medical care for high risk pregnancies ... to all the risks of an IVF cycle that was four times as likely to fail as to succeed? Even where the IVF is successful in establishing a pregnancy, there is still the non-negligible risk that renal ... elevated in the period following delivery (the puerperium), especially if they have pre-existing renal disease and/or hypertension, have a higher incidence of later cardiovascular disorders and...

Ngày tải lên: 01/11/2013, 08:20

... Social Rights in Cambodia A High- Risk Activity assembly occurring in the context of widespread illegal land grabbing It also outlines concerns regarding the intimidation of journalists who critically ... reported about incidents of land grabbing in the country Finally, it addresses the concerning trend of continuing repression against trade unionists and the persistent impunity of those targeting them, ... threat of imprisonment by being charged with disinformation remains The most current abuse of the disinformation law involves Teang Narith, a university lecturer in Phnom Penh who is serving a two...

Ngày tải lên: 20/02/2014, 19:20

... business lobbyists who oppose minimum wage increases— inaccurately attributes declines in employment to increases in the minimum wage It shows how those studies ignore major differences in job markets ... Massachusetts examined every state and federal minimum wage increase over the past two decades and found that they did not lead to declines in teen employment Their analysis included an in- depth examination ... percent in 2010, a level not seen since the recession of the early 1980s Unfortunately, this shocking rate of unemployment is consistent with our nation’s long-term racial gap in unemployment Since...

Ngày tải lên: 08/03/2014, 08:20