what cervical spine imaging is appropriate in high risk patients
Báo cáo hóa học: "Early detection of urothelial premalignant lesions using hexaminolevulinate fluorescence cystoscopy in high risk patients" potx
... considered 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 ... 30 patients, 24 were males and were females Their mean age was 67 (SD, 7.8; range, 46-76) years For 11 patients, high risk transitional cancer was the first episode while in the remaining patients ... patients high risk episode was recurrent (range, 2-11 resections; average 2.8 resections) In all patients, WL cystoscopy was negative Urinary cytology was positive in patients and suspected in cases...
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Báo cáo y học: " HIV-2 diagnosis and quantification in high-risk patients" ppt
... 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 ... 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 ... know which test their institution uses Clinicians need to have a high index of suspicion in patients with risk factors for HIV-2 to appropriately diagnose and treat the disease http://www.aidsrestherapy.com/content/5/1/18...
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Báo cáo y học: "Preoperative diastolic function predicts the onset of left ventricular dysfunction following aortic valve replacement in high-risk patients with aortic stenosis" docx
... (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 (
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Báo cáo y học: "Preoperative statin is associated with decreased operative mortality in high risk coronary artery bypass patients" pot
... 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 ... 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 ... 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...
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Báo cáo y học: "Osteoradionecrosis of the cervical spine presenting with quadriplegia in a patient previously treated with radiotherapy for laryngeal cancer: a case report" docx
... dilatation, he complained of persistent pain in his right shoulder and discomfort over the lower cervical spine An MRI scan showed a mass originating from C4/C5 which extended into the pre -cervical space ... the sole cause of osteoradionecrosis of the cervical spine Four other reports have been published describing osteoradionecrosis of the cervical spine following radiotherapy to head and neck neoplasms ... specialist spinal unit where he received intensive rehabilitation He regained some power in both his upper and lower limbs, and is able to mobilize for short distances He remains with an indwelling...
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Báo cáo khoa học: "Clinical review: How is risk defined in high-risk surgical patient management" ppt
... 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 ... estimating surgical risk; surgeons perceived that was increased risk in only 66% of the patients that actually died, which equally means that an increased risk was not identified in 44% of these patients...
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báo cáo hóa học:" Concordane of OSTA and lumbar spine BMD by DXA in identifying risk of osteoporosis" pptx
... Osteoporosis Index of Risk (OSIRIS), Simple Calculated Osteoporosis Risk Estimation (SCORE), Osteoporosis Risk Assessment Instrument (ORAI), and OSTA All of these tools were predicting osteoporosis risk ... http://www.josr-online.com/content/1/1/14 Figure Distribution of the patients according to their OSTA risk index Distribution of the patients according to their OSTA risk index Prevalence of osteoporosis according ... validated well in classifying the osteoporotic risk among postmenopausal women There are many risk assessment indices in identifying women at moderate or high risk of osteoporosis who need Page...
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Báo cáo y học: "A2B adenosine receptor activity is reduced in neutrophils from patients with systemic sclerosis" ppt
... of drug causing 50% inhibition of specific binding) using the Cheng and Prusoff equation Figure Figure A2B adenosine NECA at binding experiments performed in individual patients using receptor ... fmol/mg protein) and healthy control individuals (P > 0.05; Fig 2), suggesting that no alteration in A2A binding sites occurs in SSc In agreement with this, densitometric analysis of immunoblots ... Nonspecific binding was determined in the presence of 100 µmol/ l NECA After 90 incubation at 25°C, the binding reaction was terminated by vacuum filtration through Whatman GF/C glass fibre filters (Whatman,...
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Báo cáo y học: "Voluntary activation failure is detectable in some myositis patients with persisting quadriceps femoris weakness: an observational study" ppt
... wasting, persisting weakness is harder to explain Thus, it is also increasingly recognised in myositis that any correlation between the observed weakness of a muscle and the degree of its inflammatory ... disrupting contractile function Although the importance of these recent findings in terms of understanding nonimmune-mediated weakness induction in myositis is obvious, there are other mechanisms ... illness, or pain inhibition due to myalgia, could theoretically contribute to weakness in myositis In addition, reflex inhibition is a possibly relevant mechanism It is well recognised clinically...
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Using formative evaluation in an implementation project to increase vaccination rates in high-risk veterans: QUERI Series docx
... 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.] ... 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...
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Báo cáo y học: "Proinflammatory role of amphiregulin, an epidermal growth factor family member whose expression is augmented in rheumatoid arthritis patients" pdf
... and IL-8 in synovial fluid samples from RA patients and OA patients were determined using a Quantikine ELISA kit (R&D Systems) Statistical analysis Statistical analysis was carried out using the ... cytokines in a dose-dependent manner, and the EGFR-tyrosine kinase inhibitor genistein suppressed the AREG-dependent expression in a dose-dependent manner ELISA analysis http://www.journal-inflammation.com/content/5/1/5 ... amphiregulin in the epidermis of transgenic mice induces a severe, early-onset, psoriasis-like skin pathology: expression of amphiregulin in the basal epidermis is also associated with synovitis Exp...
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báo cáo khoa học: " Using formative evaluation in an implementation project to increase vaccination rates in high-risk veterans: QUERI Series" pps
... 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.] ... 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...
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Báo cáo khoa học: "Highs and lows in high-risk surgery: the controversy of goal-directed haemodynamic management" pps
... 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...
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Bóa cáo y học: "Prospective, randomized trial comparing fluids and dobutamine optimization of oxygen delivery in high-risk surgical patients [ISRCTN42445141]" pot
... 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 ... optimization therapy in this group of high- risk patients [11] It is also possible that some beneficial effects observed were related to inotropes' therapy effects in regulating inflammation Higher levels...
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Báo cáo khoa học: "Oxidative stress is increased in critically ill patients according to antioxidant vitamins intake, independent of severity: a cohort study" pptx
... between CO in serum and that in different tissues, indicating that determination of the former only measures the damage produced in serum proteins This may explain the low association found in the ... = 0.06, 95% confidence interval [CI] = 0.010 to 0.39); this finding indicates that an intake of antioxidant vitamins from 66% to 100% of RDA reduced the risk for worsening oxidative stress by ... (P = 0.003) worsening in oxidative stress parameters in those patients whose antioxidant vitamin intake was inadequate (
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Báo cáo khoa học: "Multicentre study on peri- and postoperative central venous oxygen saturation in high-risk surgical patients" pptx
... 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 are warranted ... 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 ... 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...
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Báo cáo khoa học: "Should we use central venous saturation to guide management in high-risk surgical patient" doc
... 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 ... 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 [3]...
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Báo cáo y học: "Clinical review: Goal-directed therapy in high risk surgical patients" docx
... 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 ... surgery is associated with a significant systemic inflammatory response and this in itself is associated with an increase in oxygen demand In health, DO2 is augmented by increasing CO and tissue...
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Báo cáo y học: "Goal-directed intraoperative therapy based on autocalibrated arterial pressure waveform analysis reduces hospital stay in high-risk surgical patients: a randomized, controlled trial" pot
... operation Table The revised Lee cardiac risk index High- risk type of surgery Ischemic heart disease History of congestive heart failure History of cerebrovascular disease Insulin therapy for diabetes ... 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 ... 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...
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Báo cáo y học: "Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study" pps
... 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 ... saturation in high- risk surgical patients Crit Care 2006, 10:R158 doi: 10.1186/cc9070 Cite this article as: Benes et al., Intraoperative fluid optimization using stroke volume variation in high risk...
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