186,232 research outputs found
Supplemental Material, Maineri_Online_Supplement - Slider Bars in Multi-Device Web Surveys
No full textSupplemental Material, Maineri_Online_Supplement for Slider Bars in Multi-Device Web Surveys by Angelica M. Maineri, Ivano Bison and Ruud Luijkx in Social Science Computer Review</p
Analgesia intra e postoperatoria in interventi di day surgery urologia pediatrica Oppioidi versus blocchi periferici
No full textLa necrosi pancreatica infetta in terapia intensiva
No full textBACKGROUND: Infected necrotizing pancreatitis is the most fulminant variety of this disease. The reported mortality is up to 50%. The haemodynamic features of cardiovascular instability has many similarities to sepsis syndrome, septic shock and multiple organ dysfunction syndrome (MODS). The purpose of this study is to review personal experience in the ICU (hospital of Varese) to determine etiology, treatment and complications. METHODS: Twenty patients treated since 1988 with infected necrotizing pancreatitis required surgical treatment and mechanical ventilation. RESULTS: The mortality rate was 60% and ICU-stay was 26.5 +/- 12.3 days, the median age was 54 +/- 13. Ranson's criteria at admission to the ICU was 6.6 +/- 1.2, Glasgow point was 4.6 +/- 1.2 (5.5 +/- 0.87 died, 3.2 +/- 0.8 survived p < 0.01), Baltazar score 6.2 +/- 2.1 (7.4 +/- 2.1 died, 5.5 +/- 0.9 survived p < 0.05) and SAPS II score 43.4 +/- 12.1 (50.1 +/- 7.8 died, 34 +/- 5.5 survived p < 0.01). The etiology was: gallstones (45%), alcoholism (15%), ERCP (15%) and idiopathic in 25%. Serum pancreatic amylase was 342 +/- 113.9 U/l (550 +/- 100 died, 155 +/- 60 survived p < 0.01), lipase was 334 +/- 176 U/l and transaminases GOT was 123 +/- 46 u/l (156 +/- 90 died, 29 +/- 7 survived p < 0.05). High initial amylase and GOT levels were frequently found in non survived patients. MODS occurred in 17 cases (85%), ARDS in 2 patients (10%), abdominal bleeding in 6 (30%) and septic syndrome in 8 (40%). CONCLUSIONS: It is thus possible that a target-oriented approach including fluid replacement, rapid correction of intestinal underperfusion, inotropic and antibiotic therapy, supply of specific nutrients and other therapeutic strategies as open laparostomy must be employed to prevent MODS or septic syndrome in pancreatic infection after acute necrotizing pancreatitis
Fluid circulation in the Apuane Alps core complex: evidence from extension veins in the Carrara Marble
No full textEffects of N-acetyl-cysteine, thurine, and oxerutin on the glomerular lesions of long-term experimental diabetes mellitus
No full textAuthor-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
Immiscibility between carbonic fluids and granitic melts during crustal anatexis: A fluid and melt inclusion study in the enclaves of the Neogene Volcanic Province of SE Spain
No full textIn the restitic crustal enclaves in the Neogene volcanics of El Hoyazo and Mazarron (SE Spain), associations of fluid and silicate melt inclusions indicative of immiscibility are frequently observed in the Bt-poor, Crd-rich graphitic metapelites. These occurrences, extremely rare for anatectic crustal rocks, have been studied by microthermometry, micro-Raman spectroscopy and EMP analysis. Both at El Hoyazo and Mazarron the immiscible FI and MI are hosted in plagioclase and cordierite, with microstructures that suggest primary trapping. The FI hosted in cordierite are monophase, whereas they may contain crystals of calcite when hosted in plagioclase, indicating fluid-host reaction during cooling. Decrepitation microstructures have not been observed. The MI contain fresh glass of peraluminous, felsic rhyolitic composition, typical of anatectic S-type melts. In all samples the fluids are CO(2)-dominated (> 85 mol%), with minor amounts of N(2) and CH(4), and traces of CO and H(2). The nucleation of graphite, induced by the laser beam in some inclusions, demonstrates that the fluids are graphite-saturated. Large scatter in microthermometric behaviour of FI indicates significant density variations. Only in one sample from El Hoyazo are fluid densities compatible with the estimated P-T conditions of trapping (5-7 kbar, 850 +/- 50 degrees C), whereas in the remaining samples the extremely low densities, suggesting trapping pressures < 1 kbar, are in contrast with the microstructural indications of primary entrapment and little evidence of decrepitation. In addition, although some measured compositions are compatible with C-O-H-N fluid speciation at the estimated P-T conditions of anatexis, the lack of H(2)O in all FI is inconsistent with the slightly hydrated character of coexisting glasses. The possible mechanisms accounting for departure of densities and compositions of FI from expected values are discussed, and leakage of H(2)O suggested as the most plausible. (c) 2006 Elsevier B.V. All rights reserved
A complex chromosome re arrangement with 10 breakpionts: tentative assignment of the locus for Williams syndrome to 4q33-q35.1
No full textAn unbalanced complex chromosome rearrangement with 10 breakpoints resulting in four derivative chromosomes (1, 2, 4, and 11) was found in a girl with severe phenotypic abnormalities, many of which are characteristic of Williams syndrome. The patient was monosomic for the region 4q33----q35.1 and thus the mapping of the syndrome could tentatively be restricted to this region
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