what neuroimaging approach is most appropriate in high risk adults with new onset of headache

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

Ngày tải lên : 13/08/2014, 20:22

... velocities recorded by tissue Doppler imaging (TDI) [16,17] The main purpose of this study was to identify predictors of LV dysfunction in high- risk patients with aortic stenosis undergoing valvular replacement ... need of inotropic support for at least two hours (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 ... normal-to -high Vp Discussion In this prospective study, 40% of high- risk patients undergoing aortic valve replacement required inotropic sup- Table 2: Hemodynamic in patients with and without post-CPB...

11
277
0

báo cáo hóa học:" Neuronal transcription factor Brn-3a(l) is over expressed in high-grade ovarian carcinomas and tumor cells from ascites of patients with advanced-stage ovarian cancer" ppt

Ngày tải lên : 20/06/2014, 07:20

... epithelial staining compared to 50% of stromal staining The pattern of staining in borderline ovarian tumors varied with three tumors exhibiting no staining with other three demonstrating weak and ... role of Brn-3a by linking it with Bcl-2/ VEGF induction involved in tumor angiogenesis [27], further implicating the role of this neuronal transcription factor in tumor progression In view of the ... Statistical analysis Statistical analysis of the extent of Brn-3a(l) immunostaining between normal and tumor groups was determined by using Chi-squared test using the SPSS Page of 12 statistical...

12
267
0

Báo cáo y học: "Preoperative statin is associated with decreased operative mortality in high risk coronary artery bypass patients" pot

Ngày tải lên : 10/08/2014, 10:20

... 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 of ... 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 ... efficacy of the Magovern 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...

5
399
0

Báo cáo khoa học: "Clinical review: How is risk defined in high-risk surgical patient management" ppt

Ngày tải lên : 12/08/2014, 22:21

... knowledge of baseline risk and also to general misunderstandings of this type of statistical analysis We suggest that a far more understandable description of high risk would be if the individual’s risk ... compares the risk of the procedure in question with the risk of surgical procedures as a whole In the first scenario it would be tempting to state that risk is high if the risk for an individual ... possibilities of influencing change and costs It is also interesting to compare the presented definitions with the various studies of high risk surgical patients where different levels of risk have...

7
284
0

Báo cáo hóa học: "Early detection of urothelial premalignant lesions using hexaminolevulinate fluorescence cystoscopy in high risk patients" potx

Ngày tải lên : 18/06/2014, 16:20

... lesions making treated indeed during maintenance schedule However, the detection rate of these otherwise undiagnosed lesions is higher with photodynamic screening The limitations of this study ... 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 ... ester of aminolevulinic acid, that provides better selectivity, brighter fluorescence, and requires a shorter instillation time [29,30] Another point of discussion is the incidence of DYS and CIS,...

4
544
0

genetic algorithm based optimal pwm in high power synchronous machines and regulation of observed modulation error

Ngày tải lên : 27/07/2014, 23:28

... Modelling and Control inductance; lmd is the d-axis magnetization inductance; inductance; lDq is the d-axis damper inductance; l Dd ΨD lmq is the q-axis magnetization is the q-axis damper inductance; ... order of switching angles, lying in 0,  2 interval, is the set of may look like a relatively high mutation rate However, a closer examination constraints in this problem Having a relatively high ... error In this approach, considering the equations of synchronous machine, a model consisting of input and output in discrete form along with some coefficients as parameters has been proposed; it is...

30
232
0

Báo cáo y học: " HIV-2 diagnosis and quantification in high-risk patients" ppt

Ngày tải lên : 10/08/2014, 05:21

... made significant clinical improvements, regaining continence, becoming increasingly lucid, and improving in gait and balance By the fourth week of his admission, his CD4 count had increased to 331 ... of 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 ... cases of HIV2 have been reported in the United States with 52 of those patients having originated in Western Africa [2] Given the low prevalence of HIV-2 in industrialized countries, the clinical...

5
361
0

Using formative evaluation in an implementation project to increase vaccination rates in high-risk veterans: QUERI Series docx

Ngày tải lên : 11/08/2014, 05:21

... used in this project to address the processes of implementing and enhancing adoption of multi-targeted interventions selected to increase vaccination rates for respiratory illnesses in veterans with ... 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 ... goal of this project – improvement in vaccination rates for influenza vaccine among veterans with spinal cord injury and disorder At the same time, these evaluations provided the project team with...

8
428
0

báo cáo khoa học: " Ethylene is involved in pistil fate by modulating the onset of ovule senescence and the GA-mediated fruit set in Arabidopsis" docx

Ngày tải lên : 11/08/2014, 11:20

... GUS histochemical assay in the unfertilised pistils of the SAG12:GUS line in (B) ein2-5, and (C) ctr1-1 The onset of ovule senescence is delayed by day in ein2-5 and is advanced by day in ctr1-1 ... SAG12 gene promoter during unfertilised pistil development in ethylene signalling mutants (A) GUS histochemical assay in unfertilised pistils of the SAG12:GUS line reveals onset of ovule senescence ... agreement with our data obtained using inhibitors of ethylene action, and reveal that the role of ethylene in accelerating the onset of ovule senescence without affecting the progression pattern Discussion...

9
409
0

báo cáo khoa học: " Using formative evaluation in an implementation project to increase vaccination rates in high-risk veterans: QUERI Series" pps

Ngày tải lên : 11/08/2014, 16:21

... used in this project to address the processes of implementing and enhancing adoption of multi-targeted interventions selected to increase vaccination rates for respiratory illnesses in veterans with ... 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 ... goal of this project – improvement in vaccination rates for influenza vaccine among veterans with spinal cord injury and disorder At the same time, these evaluations provided the project team with...

8
291
0

Báo cáo y học: " Expression of Toll-like receptor 2 is up-regulated in monocytes from patients with chronic obstructive pulmonary disease" pdf

Ngày tải lên : 12/08/2014, 16:20

... represents TLRs staining of monocytes incubated with IL-6 mfi values of cells incubated with isotype matched antibodies were 4.3 ± 1.6 whereas mfi values of IL-6-treated cells incubated with isotype matched ... reported similar findings in patients with liver cirrhosis, a disease that, like COPD, is associated with systemic inflammation The airways of patients with stable COPD are often colonized by ... C03/11, Instituto de Salud Carlos III, Spain) and ABEMAR The founding sources had no role in the in study design; in the collection, analysis, and interpretation of data; in the writing of the...

9
486
0

Báo cáo khoa học: "Highs and lows in high-risk surgery: the controversy of goal-directed haemodynamic management" pps

Ngày tải lên : 12/08/2014, 23:20

... infrastructures of their institutions, and of the risk profiles and logistics of the whole production line These issues are very difficult to address in a multicentre trial without far-reaching standardisation ... perioperative central venous saturation is associated with an increased risk of postoperative complications This finding should also be viewed in the context of the particular institution, case mix, and treatment ... 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 Care Medicine, University...

3
245
0

Bóa cáo y học: "Prospective, randomized trial comparing fluids and dobutamine optimization of oxygen delivery in high-risk surgical patients [ISRCTN42445141]" pot

Ngày tải lên : 12/08/2014, 23:23

... 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 using dobutamine determines better outcomes, whereas fluids alone increase the incidence of postoperative complications in patients with high risk of perioperative death Page of 11 (page ... alone increase the incidence of postoperative complications in patients with a high risk of perioperative death 13 14 15 16 Competing interests The authors declare that they have no competing interests...

11
312
0

Báo cáo khoa học: "Multicentre study on peri- and postoperative central venous oxygen saturation in high-risk surgical patients" pptx

Ngày tải lên : 13/08/2014, 03:20

... 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 ... with an increased risk of complications in high- risk surgical patients [11] Despite increasing evidence of beneficial effects on outcome, goal-directed therapies are not widely used in clinical...

8
254
0

Báo cáo khoa học: "Should we use central venous saturation to guide management in high-risk surgical patient" doc

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 ... ScvO2 may therefore vary according to the position of the catheter tip [3] Despite the promising findings of this most recent work, the routine peri-operative use of ScvO2-guided GDT cannot be ... 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...

2
234
0

Báo cáo y học: "Clinical review: Goal-directed therapy in high risk surgical patients" docx

Ngày tải lên : 13/08/2014, 19:20

... 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 ... 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 oxygen extraction If a patient is unable ... 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...

8
358
0

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

Ngày tải lên : 13/08/2014, 20:21

... survive without the 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 ... patients with an American Society of Anesthesiologists (ASA) physical status (Table 1) [20] of III with two or more risk factors according to risk index of Lee (Table 2) [21] undergoing open ... 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...

9
223
0

Báo cáo y học: "Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study" pps

Ngày tải lên : 13/08/2014, 20:22

... 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 complications ... 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 ... optimized This opinion is supported by a high SVV in the study group (12% in 3rdhour and 11% in 6thhour of protocol) compared with low SPV (7% and 6% in the same time points) The rate and number of postoperative...

15
296
0

changes in high risk behavior

Ngày tải lên : 25/08/2016, 13:11

... least 90% of clients begin using again (International Narcotics Control Strategy Report, 1999) This is consistent with reports of prior treatment among participants in our study—55% of those in treatment ... 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 support abstinence, ... though half of those recruited in our study were injecting drugs, high HIV prevalence rates among non-injecting heroin users have been noted in many reports In a study of 500 drug users in Hai Phong,...

10
325
0

philosophy in the modern world a new history of western philosophy volume 4 jun 2007

Ngày tải lên : 11/06/2014, 10:25

... List of Illustrations 335 Index 339 321 xi This page intentionally left blank INTRODUCTION his is the final volume of a four-volume history of Western philosophy from its beginnings to its most ... reader to bear in mind that this is the final volume of a history of philosophy that began with Thales It is accordingly structured in rather a different way from a self-standing history of contemporary ... materialism, often spending ten hours a day researching in the library of the British Museum During the winter of 1857–8 he wrote a series of notebooks in which he summed up his economic thought of...

364
422
0