Advances in Critical Care Testing: The 1996 IFCC-AVL Award by T. Suzuki (auth.), Univ.-Prof. Dr. med. W. F. List, M. M.

By T. Suzuki (auth.), Univ.-Prof. Dr. med. W. F. List, M. M. Müller, M. J. McQueen (eds.)

This quantity on medical advances in severe care trying out com­ piles a few scientific and laboratory stories concerning criti­ cally in poor health sufferers that contain new know-how, remedy strategies, program or interpretation of recent exams, sufferer administration and value merits. there have been a complete of 340 candidates for this primary foreign Federation of medical Chemistry-AVL Award, and from those, nationwide Winners have been chosen in 26 member international locations of the IFCC. This booklet offers the complete papers of the 10 finalists one of the nationwide Winners chosen for the foreign ultimate held in London in July 1996. those ten have been selected via the Inter­ nationwide Awards Committee of the IFCC. additionally, the editors have determined additionally to incorporate their number of the easiest abstracts from the nationwide Winners, hence giving a large evaluate of cur­ hire study being carried out within the box of severe care medi­ cine between IFCC contributors. in line with the name of this quantity, all significant fields of in­ tensive care drugs are represented, together with irritation, an infection, rigidity, hypoxia, ischaemia, cardiology, haemodynamics, blood gases, electrolytes, hint -elements, nephrology, gastroenter­ ology and haematology. additionally, there's additionally a bankruptcy on new know-how in serious care checking out and on miscellaneous best­ ics.

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TNF-a peaked at fourfold higher levels compared with the other groups. Comparison of the TNF-a response observed in the fasting groups allowed us to interpret this activation of TNF-a release in connection with glucose metabolism. -R. Losser and D. Payen stored and plasma levels of glucose after EDTX were higher than in the fasting situation. The improvement in glucose availability might be responsible for the amplitude of the immuno-inflammatory response. It has been shown that, during sepsis, tissue glucose uptake is enhanced, especially in immunocompetent organs or cells.

Comparisons over time between the groups after EDTX or saline were performed by analysis of variance (ANOVA) for repeated measures and one grouping factor. When the analysis was significant, comparisons of the mean values were tested by Sheffe's test. Intragroup differences were tested by one-way ANOVA for repeated measures. 05 were considered significant. -R. Losser and D. OI); pH, bicarbonate and lactate levels were also lower (see Fig. OS), but glycaemia and haemodynamic variables were similar (Table 2).

3C). 017, NS) ~ b 11 15 300 a: t NS (/) Fig. 3a-c. All data were grouped into five categories according to the severity scores of systemic inflammatory response syndrome (SIRS). Changes in a erythrocyte sedimentation rate (ESR), b C-reactive protein (CRP) and c leucocyte anti-sedimentation rate (LAR) are shown with the SIRS scores (mean ± SD). Significance was in relation to SIRS score 0; r, correlation coefficient; the number of measurements is shown on the bars NS 17 NS rn PJ NS l I 11 6 5 2 3 4 SIRS scores Discussion Whole blood sedimentation is a three-phase process.

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