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Hot off the presses! May 01 Nature biotechnology
Different variants of immunoassays exist, which can by characterized by the measurement steps (eg, sandwich or competitive assays) and the use of nonlabeled or labeled reagents (eg, enzyme-linked immunosorbent assay). ...
NCLEX Review Patient Care
Minimize intestinal activity Buttered rice white processed food No whole wheat corn bran High Protein diet Reestablish anabolism to raise albumin levels Egg, roast beef sandwich, No junk food Renal Keeps protein, potassium and ...
Cerebral aspergillosis in an infant with corticosteroid-resistant ...
ministered to control arterial hypertension, as well as albumin to increase intravascular volume. A gradual decrease of edema was observed. By the 5th day, a gradual reduction of BUN and serum creati- nine was observed. On the 6th day, however, his temperature .... Use of sandwich ELISA with serial samples can contribute to an early diagnosis of the underlying disease [17]. Culture of respiratory secretions lacks sen- sitivity and the organism is not usually cultured from ...
KIDNEY AND PANCREAS TRANSPLANTATION
CONTROVERSIES
13. Is HLA (human leukocyte) matching still important?
Show answer
It is somewhat important. Historically, HLA matching was an important consideration when matching cadaver kidneys to recipients. With today’s improved immunosuppressive agents, many transplant surgeons believe that HLA matching is no longer critical. Six antigen match kidneys are still shared nationally and do enjoy some improvement in long-term graft survival. Donor organ quality remains the primary determinant in how well the transplanted organ functions. For example, a poorly matched living-donor kidney will still usually outlast a well-matched cadaveric kidney.
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Basic Care Of Hand Injuries
34 BASIC CARE OF HAND INJURIES
Michael J.V. Gordon M.D., Lawrence L. Ketch M.D.
1. What are the goals of hand repair?
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Functional considerations override cosmesis in the treatment of hand trauma. There are no minor hand injuries. Initial diagnosis and management determine the final result; expert secondary repair cannot overcome primary errors in diagnosis or decision making.
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Fluids, Electrolytes, Gatorade & Seat
7 FLUIDS, ELECTROLYTES, GATORADE, AND SWEAT
Alden H. Harken M.D.
1. What is hypertonic saline?
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Normal saline is 0.9% sodium chloride. Hypertonic saline is 7.5% sodium chloride (eight times as concentrated as normal saline).
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5 WHAT IS PULMONARY INSUFFICIENCY?
Alden H. Harken M.D.
1. What is pulmonary insufficiency?
how answer
The alveolar-capillary surface of the lung is the size of a singles tennis court. The purpose of the lung is to match alveolar ventilation (Va) to blood flow (Q). Mismatching leads to pulmonary insufficiency.
2. How is Va/Q mismatching characterized?
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Shunt: decreased ventilation relative to regional blood flow; pulmonary arterial (unoxygenated) blood “shunts” by hypoventilated alveoli
Dead space: decreased pulmonary regional blood flow relative to ventilation
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Nutritional Assessment & Enteral Nutrition. Nutritional Assessment
8 NUTRITIONAL ASSESSMENT AND ENTERAL NUTRITION
Margaret M. McQuiggan M.S., R.D., CNSD, Frederick A. Moore M.D.
NUTRITIONAL ASSESSMENT
1. What does a nutritional assessment include? Show answer
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chilocalorie diprivan,Colorectal Carcinoma
54 COLORECTAL CARCINOMA
Kathleen Liscum M.D.
1. What are the top three causes of cancer deaths in the United States?
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Lung, breast or prostate, and colon cancer.
2. List a few of the presenting symptoms of patients with colorectal cancer.
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Intermittent rectal bleeding, vague abdominal pain, fatigue secondary to anemia, change in bowel habits, constipation, tenesmus, and perineal pain.
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Cardiopulmonary Resuscitation
2 CARDIOPULMONARY RESUSCITATION
Norman A. Paradis M.D., Alden H. Harken M.D.
1. Define sudden cardiac death.
Sudden ventricular fibrillation (VF) or pulseless electrical activity (PEA). Acute coronary ischemia and preexisting cardiac disease are the most common causes. VF is becoming less common.
2. What is the predominant determinant of successful cardiopulmonary resuscitation (CPR)?
Show answer
Time to restoration of spontaneous circulation, which itself is a function of the time to effective chest compression and time to defibrillation of VF. The chance of a good outcome decreases by 10% per minute. Successful outcomes are more likely if CPR is initiated promptly and if preexisting hypothermia is present.
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Ethics In The Surgical Intensive Care Unit
102 ETHICS IN THE SURGICAL INTENSIVE CARE UNIT
Ricardo J. Gonzalez M.D.
1. What are the four principles of medical ethics?
1. Beneficence describes the active role of doing good by intervention.
2. Nonmaleficence is equivalent to saying, “First do no harm.”
3. Autonomy accounts for informed consent, competence, and the patient’s right to refuse treatment and to know what’s going on.
4. Justice means that all patients should receive fair and equal care but that one patient’s care should not squander limited resources for others.
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Risks Of Bloodborne Disease
101 RISKS OF BLOODBORNE DISEASE
Caesar M. Ursic M.D., Doru I. E. Georgescu M.D.
1. What infectious diseases are transmissible via blood transfusion?
Can Health Care Be Reformed?
100 CAN HEALTH CARE BE REFORMED?
Alden H. Harken M.D.
1. Is health care reform an oxymoron?
Show answer
Yes.
2. What is fee for service?
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The doctor establishes the price, and the patient agrees to pay it. This traditional system of exchange has great merit if both parties understand the value of the service provided. If either party (usually the patient) cannot estimate the service value, it is possible (even likely) that the doctor will honestly escalate the service value in a fashion unchecked by the patient’s perceptions. Thus, in a fee-for-service system, medical prices tend to increase.
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Abernathy’s Surgical Secrets, Updated Edition (Book w / Student Consult)
Author / s: Harken Alden H., Abernathy Charles, Moore Ernest Eugene
Year: 2004
Pages: 473
Publishers: Elsevier Mosby; 5th Bk & Acc edition
ISBN: 0323034160
