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english honors thesis topics 51. 52. 53. 54. 55. 56. 57. 58. 59. American heart association ask force on practice guidelines. J am coll cardiol. 2014;64(22):E77-e137. Lee h, marcantonio er, mangione cm, et al. Derivation and prospective validation o a simple index or prediction o cardiac risk o major noncardiac surgery. Circulation. 1999;100(10):1043-1049. Hlatky ma, boineau re, higginbotham mb, et al. A brie sel -administered questionnaire to determine unctional capacity (the duke activity status index). Am j cardiol.

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http://manila.lpu.edu.ph/about.php?test=the-pearl-essay the pearl essay 24. Jackson ce. A clinical approach to muscle diseases. Semin neurol. 2008;28:228-240. 25. Oddis cv. Current approach to the treatment o polymyositis and dermatomyositis. Curr opin rheumatol. 2000;12:492-497. 26. Lundberg ie, forbess cj. Mortality in idiopathic in lammatory myopathies. Clin exp rheumatol. 2008;26:S109-114. 27. Berardo a, dimauro s, hirano m. A diagnostic algorithm or metabolic myopathies. Curr neurol neurosci rep. 2010;10:118-126. 28. Bonne ont jp, djouadi f, prip-buus c, et al. Carnitine palmitoyltrans erases 1 and 2. Biochemical, molecular and medical aspects. Mol aspects med. 2004;25:495-520. 29. Bäckman e, henriksson kg. Low-dose prednisolone treatment in duchenne and becker muscular dystrophy. Neuromuscul disord. 1995;5:233-241. 30.

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need homework help now In addition to reducing insensible fluid losses and thereby simplifying fluid therapy, the use of incubators aids in reducing unnecessary stimulation and noise experienced by the baby. Iv. Care in the intensive care unit. Careful attention to detail and frequent monitoring are the basic components of care of the elbw infant, because critical changes can occur rapidly. Large fluid losses, balances between fluid intake and blood glucose levds, delicate pulmonary status, and the immaturity and increased sensitivity of several organ systems all require close monitoring. Monitoring itsdf, however, may pose increased risks because each laboratory test requires a significant percentage of the baby's total blood volume, tiny-caliber vessds may be hard to cannulate without several attempts, and limited skin integrity increases susceptibility to injury or infection. Issues in routine care that require special attention in elbw infants include the following. A. Survival. The first several days after birth, but in particular the first 24 to 48 hours, are the most critical for survival. Infants who require significant respiratory, cardiovascular, and/or fluid support are assessed continuously, and their chances for ongoing survival are evaluated as part of this process. If caregivers and the parents determine that death is imminent, continued treatment is futile, or treatment is likdy to result in survival of a child with profound neurologic impairment, we recommend the withdrawal of ventilator and other invasive support and redirection of care to comfort measures and support of the family. B. Respiratory support. Most elbw infants require initial respiratory support. 1. Conventional ventilation. We generally use conventional pressure-limited synchronized intermittent mandatory ventilation (simv), usually in a volume guarantee mode, available on the drager babylog ventilator, as our primary mode of mechanical ventilation (see chap. 29). The lowest possible tidal volume to provide adequate ventilation and oxygenation and a short inspiratory time should be used. Special effort should be made to avoid hyperoxia by targeting oxygen saturations at lower levds than have been traditionally used. Several reports have demonstrated that oxygen saturation limits for babies less than 32 weeks' gestation who require supplemental oxygen should be lower than those used in more mature babies in order to reduce the number of hypoxia-hyperoxia fluctuations and reduce the incidence and severity of retinopathy of prematurity. A recent report found that a target range of 85% to 89% decreased retinopathy but may be associated with an increase in mortality, compared to a range of 90% to 94%. We aim for a target range of90% to 92%, and set our alarm limits at 85% and 93%. These alarm limits are designed to allow staff a few seconds general newborn condition i 16 1 to determine if oxygen saturation outside the range will correct without intervention, thereby decreasing the tendency for hypoxia-hyperoxia fluctuations. This can be effectively done while still ensuring that a saturation level that remains, for example, at 86% will be addressed by increasing oxygen concentration, even though the value lies within the alarm limits. It is hypothesized that limiting hyperoxia may also reduce the incidence or severity of chronic lung disease.

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http://projects.csail.mit.edu/courseware/?term=argumentive-essay-topic argumentive essay topic Renal function should be monitored during treatment in all patients, especially those with preexisting or risk factors for renal impairment. »» lamivudine lamivudine (epivir-hbv) is an oral synthetic cytosine nucleoside analog with antiviral effects against hiv and hbv. Lamivudine is effective in suppressing hbv replication, normalizing alt levels, and improving liver histology. Patients may have a similar or a superior response in achieving these endpoints when compared with interferon or pegylated interferon. Prolonged lamivudine therapy (up to 5 years) may be needed to sustain seroconversion, but this leads to lamivudine resistance as high as 60% to 70% at 5 years. 30 due to the high rate of resistance, lamivudine is no longer recommended as first-line therapy for chb. 30 the adult dose of lamivudine is 100 mg orally once daily for chb without hiv coinfection. Lamivudine 3 mg/kg once daily up to a maximum dose of 100 mg is approved for pediatric patients (2–17 years of age). It may be taken with or without food. Adverse effects are minimal and include fatigue, diarrhea, nausea, vomiting, and headaches. Alt levels should be monitored because a two- to threefold increase may be observed. Alt should be monitored closely when therapy is discontinued because increased levels may indicate a flare in disease activity leading to liver failure. »» telbivudine telbivudine (tyzeka) is an l-nucleoside analog that inhibits hbv replication.

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