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排序方式: 共有1008条查询结果,搜索用时 15 毫秒
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Elliott Geoffrey Playford Jeff Lipman Masrura Kabir Emma S. McBryde Graeme R. Nimmo Anna Lau Tania C. Sorrell 《Intensive care medicine》2009,35(12):2141-2145
Purpose
To assess the generalisability of published clinical risk predictive models for invasive candidiasis in ICU patients. 相似文献37.
Jeremy Cohen Renae Deans Andrew Dalley Jeff Lipman Michael S Roberts Bala Venkatesh 《Critical care (London, England)》2009,13(6):R189-7
Introduction
The assessment of adrenal function in critically ill patients is problematic, and there is evidence to suggest that measurement of tissue glucocorticoid activity may be more useful than estimation of plasma cortisol concentrations. Interstitial cortisol concentrations of cortisol represent the available pool of glucocorticoids able to enter the cell and bind to the glucocorticoid receptor. However the concentrations of plasma cortisol may not accurately reflect interstitial concentrations. We elected to perform a preliminary study into the feasibility of measuring interstitial cortisol by microdialysis, and to investigate the relationship between total plasma cortisol, free plasma cortisol and interstitial cortisol in patients with severe burns. 相似文献38.
Immune reconstitution pneumonitis following Pneumocystis carinii pneumonia in HIV-infected subjects 总被引:2,自引:0,他引:2
An HIV-infected man presented with a pneumonic illness following an episode of treated Pneumocystis carinii pneumonia (PCP). He had a rise in his CD4 count from 4 to 125 cells/µL on antiretroviral therapy prior to the onset of the second respiratory event. Bronchoalveolar lavage (BAL) revealed no pathogen, although a CD4 lymphocytosis in addition to a highly unusual population of rapidly proliferating CD8 cells was demonstrated. Following 2 weeks of steroid and anti-pneumocystis therapy, a repeat bronchoscopy demonstrated that the expression of these markers had returned to low values. This second respiratory illness, which may have arisen as a consequence of the regenerating immune response reacting to residual P. carinii antigen in the lung, is apparently not rare. When we reviewed our case notes, five further individuals were identified that had started antiretroviral therapy following an episode of PCP and subsequently developed a self-limiting pneumonitis for which no pathogen was identified on bronchoscopy. 相似文献
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Worthington-Kirsch RL Andrews RT Siskin GP Shlansky-Goldberg R Lipman JC Goodwin SC Bonn J Hovsepian DM 《Techniques in Vascular and Interventional Radiology》2002,5(1):17-34
Successful superselective catheterization of the uterine artery requires familiarity with female pelvic arterial anatomy, knowledge of effective catheter and guidewire combinations, and a few tricks. A learning curve can be expected for each of these elements, although it is assumed that the operator will already have experience in basic catheter techniques. Safe transcatheter delivery, understanding of embolization end points, and avoidance of nontarget embolization are essential. Equally important are knowledge of the properties of the embolic agents currently available and their indications for use. Uterine fibroid embolization unavoidably results in radiation exposure to the uterus and ovaries, and adherence to meticulous fluoroscopic technique is crucial to keep the absorbed dose as low as possible. 相似文献