... creatinine at initiation of colistin; Cr2, highest value of creatinine during treatment with colistin; Cr3, serum creatinine days after completion oftreatment with colistin; CVVHD, continuous ... number of patients, the concomitant use of β-lactams, andthe absence of a control group inthe study not allow for a clear verdict on the clinical effectiveness of colistin On the other hand, the ... patients died within 48 hours ofthe initiation of colistin; these patients were not included inthe analysis because they were not considered true therapeutic failures Data on the remaining 24 patients...
... understanding ofthe real efficacy of this therapy Competing interests The author(s) declare that they have no competing interests References The biological versus the clinical clock 632 Despite the ... infection The latter approach has been undertaken by a group of investigators coordinated by two centers, including ours, inthe EUPHAS (Early Use of Polymixin-B Hemoperfusion in Abdominal Sepsis) ... important, especially at the beginning ofthe syndrome, but they not have a causative approach or remove the origin ofsepsisIn this setting, physiological end-points such as reduction in vasopressor...
... AR, Young D, Black N, Rowan K: Epidemiology of severe sepsis occurring inthe first 24 hrs in intensive care units in England, Wales, and Northern Ireland Crit Care Med 2003, 31:2332-2338 Annane ... treatmentof severe sepsisandsepticshock N Engl J Med 2001, 345:1368-1377 Hayes MA, Timmins AC, Yau EH, Palazzo M, Hinds CJ, Watson D: Elevation of systemic oxygen delivery inthetreatmentof critically ... R: Intensive insulin therapy inthe medical ICU N Engl J Med 2006, 354:449-461 Singer M, Glynne P: Treating critical illness: the importance of first doing no harm PLoS Med 2005, 2:e167 Page of...
... reasonable and appropriate Con: steroids are not useful inthe management ofsepticshock Katherine G Craig and Keith R Walley The debate surrounding the use of corticosteroids inseptic patients ... mortality insepticshock [3] Corticosteroids can regulate the synthesis and function of catecholamines and their receptors, which in turn control vascular tone and organ perfusion [4] Proinflammatory ... and newer, yet preliminary, The patient described inthe present scenario is improving in all aspects of organ failure, but remains catecholamine dependent A thorough examination and review of...
... 2004, of portacaval shunting, thereby decreasing first pass metabolism; decrease in quantities and affinity of plasma proteins, thereby increasing free-drug levels; increase in volume of distribution ... syndrome), including carbamazepine, phenytoin, phenobarbital, and lamotrigine The triad of hypersensitivity includes fever, rash and internal organ involvement with onset of symptoms within to weeks of ... pre-dialysis and 2–3 hrs following the post-dialysis dose There is a case report in which lithium levels were maintained inthe therapeutic range by intraperitoneal administration of lithium during continuous...
... provide written informed consent Use of other natural health products, including glucosamine and chondroitin, one month prior to study and during the study, other than multivitamin and mineral supplements ... unwilling to stop taking other medications for thetreatmentof OA Any other condition that, inthe opinion ofthe investigator, would adversely affect the subject's ability to complete the study or ... capsule contains 375 mg of glucosamine HCl (USP Grade) and 300 mg of chondroitin sulfate (USP Grade) The subjects were instructed to take two G+C capsules inthe morning and two inthe evening for...
... tissue and gastrointestinal tract, as well as other sites, are known to reach the CNS to effect changes in feeding behavior and energy expenditure Thus, insulin, leptin and ghrelin, as well as other ... closely and rapidly with reciprocal changes inthe levels ofthe orexigenic and anorectic Signaling mediators inthetreatmentof obesity neuropeptide expression inthe hypothalamus [22] Thus an increase ... explored further Other areas ofthe brain have also been shown to regulate feeding via AMPK [35,36] Of interest is the extensive use of fructose as a sweetener inthe human diet [37] Glucose and fructose...
... at each phase ofthe cell cycle by various complexes of cell-cycle-related molecules, including cyclins, cyclin-dependent kinases, their inhibitors andthe retinoblastoma protein (RB), as well ... calorie intake induces expression of RMI1 and E2Fs in adipocytes, and these changes in expression are expected to increase a positive interaction between the molecules The increased expression of ... recruitment of preadipocytes [12], suggesting that these cyclin-dependent kinase inhibitors are important inthe regulation of adipocyte number The S-phase kinase-associated protein (Skp)1–CullinF-box...
... screening including erythrocyte sedimenta- Page of tion rate and C-reactive protein was normal Plain radiographs revealed areas of periprosthetic osteolysis inthe femur andthe tibia, and a ... image ofthe left knee showing the introducing cannula and simultaneous venting ofthe medial tibial condylar cyst Discussion When dealing with massive periprosthetic osteolysis the aims of surgery ... years later In January 2005 the patient began to develop similar medial pain and swelling inthe left knee A bone scan showed increased activity inthe medial femoral condyle indicating possible...
... Annals of General Psychiatry 2009, 8:16 thetreatmentof acute mania, the approval of quetiapine andthe olanzapine-fluoxetine combination against acute bipolar depression andthe approval of olanzapine, ... dose at the end ofthe study was 15.5 mg daily The results suggest that in weeks to and then again at week there is a significant reduction inthe MADRS scores inthe aripiprazole group in comparison ... which included 66 ofthe 67 patients who completed the 26-week period Unfortunately only 12 of them (5 inthe placebo group andinthe aripiprazole group) completed the 74-week treatment period The...
... effective inthetreatmentof psychotic major depression, andthe switch to sertraline worsened the psychotic symptoms inthe patient The mechanisms underlying the opposite effects of these two ... fluvoxamine binds to sigma-1 receptors inthe intact human brain at therapeutic doses [25], suggesting that sigma-1 receptors are involved inthe active mechanisms of fluvoxamine [19] Interestingly, ... that activation ofthe dopaminergic system by the inhibition of dopamine transporter may be involved inthe mechanism of unwanted effects (deterioration of psychosis) of sertarline in this case,...
... contributions All ofthe authors have been involved in drafting this paper and have read and approved the final manuscript KG conceived the idea ofthe paper, reported the case, performed the literature ... concerning radiotherapy and followed up the patient at his out-patient clinic AK was the radiologist performing the preoperative and postoperative CT and MRI scans and wrote the part ofthe paper ... radiotherapy and conventional fractionation while minimising the risks of RT-inducing brain injury like radiation necrosis and cognitive decline The optimal radiation dose has not yet been defined We...
... HT at the Tomotherapy Unit ofthe Grupo IMO inthe context of multidisciplinary national and international treatment protocols All the patients were treated with curative intent, including those ... to the Tomotherapy treatment planning system (Tomotherapy Inc., Madison, WI) to perform inverse treatment planning The planning goal was to deliver the prescription dose to at least 95% ofthe ... treatment time was composed of time required for patient set-up and anesthesia inside thetreatment room, time of MVCT acquisition, time of review/match and applying couch correction inside the...
... treatmentofthe children HB is responsible for the anaesthesia management ofthe children PH is responsible for the clinical treatmentofthe children as head ofthe division of radiation oncology in ... helical tomotherapy have the potential of selectively sparing the thyroid gland and breast tissue in craniospinal irradiation The number of children treated with IMRT andthe hard evidence for the benefit ... percent ofthe IMRT Group had grade or hearing loss, compared to 64% ofthe conventional-RT group The sparing ofthe hearing apparatus is of special importance since several modern combined chemotherapy...
... according to the actuarial method of Kaplan and Meier [24] The calculation of OS, DFS and LC was performed from the date of diagnosis to the date ofthe event Survival was measured from the date of ... sphincter-sparing surgery is nowadays the main subject of controversy One ofthe most important controversies is whether the degree of downstaging warrants this type of surgery [1] Results ofthe ... treatment was temporarily interrupted The decision of performing this weekly CT schedule instead of during the first and last week of RT course had the objective of maximize the radiation effect Adjuvant...
... cystic carcinomas ofthe head and neck are a unique kind of tumour deriving from cells ofthe major and minor salivary glands, they account for 25% of all malignant salivary gland tumours in different ... studies using photon beams for thetreatmentof ACCs IBRT and IMRT with the tested dose concept is feasible and results in a promising clinical outcome justifying further investigations Furthermore ... by slice on thetreatment planning CTs using the 3D-conformal radiotherapy planning system VIRTUOS which was developed at the dkfz An image fusion ofthetreatment planning CT andthe MRI scan...
... stages III and IV) Combining the studies, there were 439 patients, and over 98% of these were late-stage Treatment efficacy The main characteristics ofthe four studies are shown in table 3, ... of those met all inclusion criteria as studies of frontline or re -treatment Two of those four met the criteria for the first analysis (frontline treatment alone) Outcome The primary goal ofthe ... (53%) or R-CHOP (63%) The international PRIMA study testing the efficacy of maintenance therapy by rituximab may provide important data inthe field ofthe best induction in patients with follicular...
... we assessed the proportion of patients receiving the service, the rate of use and rate of admissions, the time to first use ofthe service, andthe annual health care cost, in terms of total health ... antipsychotic within 14 days of discontinuation ofthe initial therapy Data on the occurrence of acute-care service use, the time to the use of such services, and total-care and acute-care service ... hospitalization/day treatment, crisis services, and any acute-care services; as well as the total duration (in days) of each of these services andthe rate of admissions to the facilities providing them Total and...
... participated inthe design ofthe study andthe analytical plan DEF participated inthe design ofthe study, the analytical plan, the interpretation ofthe results, and assisted in drafting the manuscript ... manuscript DS and ES participated inthe design ofthe study, the analytical plan, the interpretation ofthe results, and assisted in drafting the manuscript They were also involved in preparing the resource ... costing data of US-SCAP XP performed the expanded statistical analyses, participated inthe design ofthe study, the analytical plan, andthe interpretation ofthe results RRC assisted with the interpretation...
... contributions SG was involved inthe conceptual design of this study, inthe clinical management ofthe patient, andinthe writing and editing ofthe manuscript VA was involved inthe Page of (page number ... scan examinations VDF was involved inthe clinical management and contributed to the writing and editing ofthe manuscript GM supervised the entire treatment, provided financial and administrative ... obtained from the patient at the beginning of each treatment A separate institutional informed consent was obtained at the first visit, with regard to thetreatmentof personal data and use in...