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https://www.readbyqxmd.com/read/30113465/intestinal-fatty-acid-binding-protein-as-a-predictor-of-prognosis-in-postoperative-cardiac-surgery-patients
#1
Lei Zou, Xiaochun Song, Liang Hong, Xiao Shen, Jiakui Sun, Cui Zhang, Xinwei Mu
During the perioperative period of cardiac disease, as many risk factors exist, such as primary cardiac diseases, the use of vasopressors, ischemia-reperfusion injury during cardiopulmonary bypass (CPB), and surgical stress, the gut suffered from ischemia, anoxia and oxidative stress, which would lead to the enterocyte injury. The aim of this study was to explore whether serum intestinal fatty acid-binding protein (IFABP), which is excreted specifically from damaged intestinal enterocytes, as a predictor of prognosis in postoperative cardiac surgery patients...
August 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30103798/lactobacillus-salivarius-reverse-antibiotic-induced-lung-defense-impairment-in-a-ventilator-model
#2
Tzyy-Bin Tsay, Ming-Chieh Yang, Wan-Hsuan Chang, Pei-Hsuan Chen, Lee-Wei Chen
BACKGROUND: Widespread use of antibiotics in the intensive care unit is a potential cause of the emergence of hospital-acquired pneumonia. This study determined whether Lactobacillus salivarius feeding could reverse antibiotic-induced lung defense impairment in a ventilator model. METHODS: C57BL/6 wild-type (WT) mice received mechanical ventilation for 3 h after intramuscular antibiotic treatment for 6 days. Treatment with dead Lactobacillus salivarius and fructo-oligosaccharides (FOS) feeding were used to stimulate antibacterial protein expression in the intestine...
August 13, 2018: Journal of Translational Medicine
https://www.readbyqxmd.com/read/30101993/vitamin-d-status-is-associated-with-development-of-hospital-acquired-pressure-injuries-in-critically-ill-surgical-patients
#3
Tiffany M N Otero, Cecilia Canales, D Dante Yeh, Ali Elsayes, Donna M Belcher, Sadeq A Quraishi
BACKGROUND: Hospital-acquired pressure injuries (HAPIs) typically develop following critical illness due to immobility and suboptimal perfusion. Vitamin D helps to maintain epithelial cell integrity, particularly at barrier sites such as skin. It is unclear whether vitamin D status is a modifiable risk factor for HAPIs in critically ill patients. Our goal was to investigate the relationship between admission 25-hydroxyvitamin D (25OHD) levels with the development of HAPIs in surgical intensive care unit (ICU) patients...
August 13, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30101365/management-and-outcome-of-multifetal-gestation-in-a-35-year-old-woman-with-childhood-onset-membranoproliferative-glomerulonephritis-type-i
#4
Osamu Motoyama, Ken Sakai, Kikuo Iitaka
A 35-year-old woman with membranoproliferative glomerulonephritis type I had quintuplet gestation after induced ovulation. Her serum creatinine level and estimated glomerular filtration rate were 0.86 mg/dL and 61.5 mL/min/1.73 m2 before pregnancy. Blood pressure was normal and urinary protein to creatinine ratio was 0.2 g/gCr. Prednisolone 10 mg on alternate-day administration was continued during pregnancy. At 10 weeks of gestation transvaginal selective embryo reduction was performed and five embryos were reduced to twins...
August 12, 2018: CEN Case Reports
https://www.readbyqxmd.com/read/30092777/use-of-plasma-mitochondrial-dna-levels-for-determining-disease-severity-and-prognosis-in-pediatric-sepsis-a-case-control-study
#5
Hai Peng Yan, Miao Li, Xiu Lan Lu, Yi Min Zhu, Wen-Xian Ou-Yang, Zheng Hui Xiao, Jun Qiu, Shuang Jie Li
BACKGROUND: The mortality rate due to severe sepsis is approximately 30-60%. Sepsis readily progresses to septic shock and multiple organ dysfunction, representing a significant problem in the pediatric intensive care unit (PICU). The aim of this study was to explore the value of plasma mitochondrial DNA (mtDNA) for early diagnosis and prognosis in children with sepsis. METHODS: A total of 123 children with sepsis who were hospitalized in the Hunan Children's Hospital PICU from July 2013 to December 2014 were divided into the general sepsis group (n = 70) and severe sepsis group (n = 53) based on diagnostic standards...
August 9, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/30086072/the-procoagulant-molecule-pai-1-is-associated-with-injury-severity-and-shock-in-patients-with-and-without-traumatic-brain-injury
#6
Mary Condron, Susan Rowell, Elizabeth Dewey, Taylor Anderson, Lelani Lealiiee, David Farrell, Holly Hinson
BACKGROUND: Traumatic injury is associated with an increased risk of coagulopathy and venous thrombosis. PAI-1 is a procoagulant molecule that inhibits tPA/uPA, thrombomodulin, and activated protein C. We hypothesized that elevated PAI-1 levels would be associated with increased Injury Severity Score (ISS) in injured patients with and without traumatic brain injury and that PAI-1 levels would vary with injury type. METHODS: We retrospectively analyzed demographic, ISS, and hemodynamic data from a prospectively collected database...
August 6, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/30084477/proteinuria-in-preeclampsia-is-it-important
#7
Attila Özkara, Aşkı Ellibeş Kaya, Alper Başbuğ, Sabri Berkem Ökten, Ozan Doğan, Mete Çağlar, Selahattin Kumru
OBJECTIVES: Our aim is to evaluate the laboratory results and proteinuria levels of preeclamptic women and their relation-ships to maternal and fetal outcomes. MATERIAL AND METHODS: One hundred preeclamptic pregnant women who gave birth in our clinic between 2013 and 2015 were included in our study retrospectively. The data collected from the patients included gestational week, age, gravidity, parity, abortus history, blood pressure, biochemical parameters, delivery method, maternal hospitalization time, cesarean indication, complications, blood products required, plasmapheresis use and dialysis need...
2018: Ginekologia Polska
https://www.readbyqxmd.com/read/30080743/inverse-correlation-between-plasma-sphingosine-1-phosphate-and-ceramide-concentrations-in-septic-patients-and-their-utility-in-predicting-mortality
#8
Xiaoliang Wu, Jinchao Hou, Hui Li, Guohao Xie, Xiaolin Zhang, Jungang Zheng, Jiang Wang, Feng Gao, Yongming Yao, Hong Liu, Xiangming Fang
INTRODUCTION: The aim of this study was to investigate the correlation between plasma Sphingosine-1-phosphate (S1P) and ceramide concentrations in sepsis, and the possible mechanisms for altered expression. METHODS: Plasma S1P and ceramide concentrations were measured by HPLC-ESI-MS/MS. HLA-DR expression on peripheral blood mononuclear cells was examined by flow cytometry. Platelet sphingosine kinases 1/2 (SphK1/2) mRNA expression, protein content, and enzyme activities were determined by qRT-PCR, western blot, and commercial enzyme assay kits respectively...
August 3, 2018: Shock
https://www.readbyqxmd.com/read/30080234/critical-evaluation-of-muscle-mass-loss-as-a-prognostic-marker-of-morbidity-in-critically-ill-patients-and-methods-for-its-determination
#9
Vera Joskova, Anna Patkova, Eduard Havel, Simona Najpaverova, Daniela Uramova, Miroslav Kovarik, Zdenek Zadak, Miloslav Hronek
OBJECTIVE: Loss of muscle mass in critically ill patients is associated with serious consequences, such as prolonged mechanical ventilation, intensive care unit confinement, and higher mortality. Thus, monitoring muscle mass, and especially its decline, should provide a useful indicator of morbidity and mortality. Performing evaluations according only to body mass index is imperfect, therefore the aim of this article was to evaluate appropriate methods for muscle mass loss determination in ICU patients...
August 6, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/30080225/mineral-disorders-in-adult-inpatients-receiving-parenteral-nutrition-is-older-age-a-contributory-factor
#10
T D R Hortencio, A P B S Golucci, F A L Marson, A F Ribeiro, R J Nogueira
BACKGROUND: Parenteral nutrition (PN)-dependent adults and elderly individuals who are admitted to hospital treatment are potentially susceptible to mineral disorder complications due to depleted physiological reserves, loss of lean body mass, and increased fat mass, thus worsening inflammation. AIM: The purpose of this study is to evaluate the prevalence of hypophosphatemia, hypokalemia, and hypomagnesaemia prior and within the first 7 days of PN infusion. Furthermore, whether malnutrition and old age are associated with these disorders was also investigated...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/30079511/elevated-serum-s-100%C3%AE-in-patients-with-septic-shock-is-associated-with-delirium
#11
Kristo Erikson, Tero Ilmari Ala-Kokko, Juha Koskenkari, Janne Henrik Liisanantti, Remi Kamakura, Karl Heinz Herzig, Hannu Syrjälä
BACKGROUND: A high prevalence of delirium is observed in sepsis, yet specific markers for this brain dysfunction in sedated patients are still lacking. Cytoplasmic low molecular weight calcium-binding protein, S-100β, is a commonly used nonspecific marker for brain injury. Here, we evaluated whether delirium is associated with increases in S-100β levels. METHODS: This observational study included 22 patients with septic shock. Delirium was assessed by CAM-ICU and blood samples were obtained to measure inflammatory (CRP, PCT, IL-6, IL-17, TNF-α) and cerebral biomarkers (S-100β, NSE, HAB42, SUBP)...
August 5, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30076783/altered-cd4-t-cell-immunity-in-nurses-occupationally-exposed-to-viral-pathogens
#12
George Elias, Aisha Souquette, Steven Heynderickx, Ingrid De Meester, Hilde Jansens, Philippe Beutels, Pierre Van Damme, Evelien Smits, Paul G Thomas, Viggo Van Tendeloo, Benson Ogunjimi
Pathogen exposure, including but not limited to herpesviruses, molds the shape of the immune system, both at a basal state and in response to immune challenge. However, little is known about the impact of high exposure to other viruses on baseline immune signatures, and how the immune system copes with repetitive exposures to maintain a balanced functionality. Here we investigated baseline immune signatures, including detailed T-cell phenotyping, antigen-specific CD4+ and CD8+ T-cell responses and cytokine profile in paediatric (PED) nurses, who have a high occupational exposure to viral pathogens including varicella zoster virus (VZV) and respiratory viruses, and in neonatal intensive care unit (NICU) nurses, as a control group with infrequent occupational exposure...
August 4, 2018: Clinical and Experimental Immunology
https://www.readbyqxmd.com/read/30073156/immunomodulation-to-prevent-or-treat-neonatal-sepsis-past-present-and-future
#13
REVIEW
Simone S Schüller, Boris W Kramer, Eduardo Villamor, Andreas Spittler, Angelika Berger, Ofer Levy
Despite continued advances in neonatal medicine, sepsis remains a leading cause of death worldwide in neonatal intensive care units. The clinical presentation of sepsis in neonates varies markedly from that in older children and adults, and distinct acute inflammatory responses results in age-specific inflammatory and protective immune response to infection. This review first provides an overview of the neonatal immune system, then covers current mainstream, and experimental preventive and adjuvant therapies in neonatal sepsis...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/30071869/erythrocyte-p2x-1-receptor-expression-is-correlated-with-change-in-haematocrit-in-patients-admitted-to-the-icu-with-blood-pathogen-positive-sepsis
#14
Steen K Fagerberg, Parth Patel, Lars W Andersen, Xiaowen Lui, Michael W Donnino, Helle A Praetorius
BACKGROUND: Pore-forming proteins released from bacteria or formed as result of complement activation are known to produce severe cell damage. Inhibition of purinergic P2X receptors markedly reduces damage inflicted by cytolytic bacterial toxin and after complement activation in both erythrocytes and monocytes. P2X expression generally shows variation throughout the population. Here, we investigate correlation between P2X receptor abundance in blood cell plasma membranes and haematocrit during sepsis, in patients admitted to the emergency department (ED) or intensive care unit (ICU)...
August 2, 2018: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/30071826/supar-as-a-marker-of-infection-in-acute-kidney-injury-a-prospective-observational-study
#15
Anna Hall, Siobhan Crichton, Matt Varrier, Danielle E Bear, Marlies Ostermann
BACKGROUND: Soluble urokinase-type plasminogen activator receptor (suPAR) has emerged as a new sepsis biomarker. It is not known whether suPAR has a role in critically ill patients with severe acute kidney injury (AKI). METHODS: Our main aims were to describe serial serum suPAR concentrations in patients with severe AKI, to investigate a potential association between suPAR and C-reactive protein (CRP), and to compare suPAR and CRP as diagnostic markers of infection in patients with AKI...
August 2, 2018: BMC Nephrology
https://www.readbyqxmd.com/read/30066826/occasional-digestive-hemorrhage-in-children-due-to-strongyloidiasis-importance-of-parasitologic-testing
#16
Evandro Brandelero, Bibiana Paula Dambrós, Elenice Messias do Nascimento Gonçalves, Vera Lucia Pagliusi Castilho, Amarildo Moro Ribas, Maribel Emília Gaio
OBJECTIVE: To describe an uncommon case of infection by Strongyloides stercoralis (S. stercoralis) in a 4-month-old child and to highlight the importance of early diagnosis. CASE DESCRIPTION: The patient was a male child from the city of Videira, State of Santa Catarina, Southern Brazil, who was born preterm by Cesarean-section, weighing 1,655 g, and stayed in the neonatal intensive care unit for 20 days. At four months of age, the child started presenting blood in stools and the possibility of cow's milk protein allergy was considered, given the symptoms and the use of infant formula in his 1st semester of life, which was then replaced by infant formula with hydrolyzed protein...
July 26, 2018: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/30062633/efficacy-of-xuebijing-injection-on-cardiopulmonary-bypass-associated-pulmonary-injury-a-prospective-single-center-randomized-double-blinded-trial
#17
Wei Gao, Na Li, Xiao-Guang Cui
OBJECTIVE: To evaluate the efficacy of Xuebijing Injection (, XBJ) on the lung injury induced by cardiopulmonary bypass (CPB). METHODS: Fifty patients undergoing CPB were randomized to either the saline group or XBJ group according to a random number table (25 cases in each group). The patients in the saline group received saline and patients in XBJ group received XBJ at 12 h prior to the operation, at the beginning of the operation, and at 12 h after the second injection...
July 31, 2018: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/30059478/quality-improvement-bedside-rounding-audits-enhance-protein-provision-for-pediatric-patients-receiving-continuous-renal-replacement-therapy
#18
Molly Wong Vega, Marisa Juarez, Ji Yeon Lee, Poyyapakkam Srivaths, Eric Williams, Ayse Akcan Arikan
OBJECTIVES: Describe quality improvement process improvements in protein delivery of continuous renal replacement therapy initiation. DESIGN: Prospective study. SETTING: PICU and cardiovascular ICU within a quaternary care children's hospital. PATIENTS: PICU and cardiovascular ICU patients receiving continuous renal replacement therapy for greater than 48 hours. Inborn errors of metabolism were excluded. INTERVENTIONS: Plan-Do-Study-Act cycles were initiated...
July 27, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30055898/interleukin-5-interleukin-6-interferon-induced-protein-10-procalcitonin-and-c-reactive-protein-among-mechanically-ventilated-severe-community-acquired-viral-and-bacterial-pneumonia-patients
#19
Jaana Karhu, Tero Ilmari Ala-Kokko, Tytti Vuorinen, Pasi Ohtonen, Ilkka Julkunen, Hannu Tapani Syrjälä
BACKGROUND: The serum cytokine levels among 45 mechanically ventilated, intensive care unit (ICU)-treated severe community-acquired pneumonia (SCAP) patients with known microbial etiology in three different etiology groups were assessed. METHODS: Blood samples for C-reactive protein (CRP), procalcitonin (PCT), interleukin (IL)-5, IL-6, IL-10, human interferon gamma induced protein (IP)-10, and TNF-α (tumor necrosis factor alpha) were collected at time points 0, 12, 24, 48, 72 and 96 h after study inclusion...
July 25, 2018: Cytokine
https://www.readbyqxmd.com/read/30051146/blood-culture-indications-in-critically-ill-neonates-a-multicenter-prospective-cohort-study
#20
Evelien Hilde Verstraete, Ludo Mahieu, James d'Haese, Kris De Coen, Jerina Boelens, Dirk Vogelaers, Stijn Blot
Due to potential lethality of healthcare-associated sepsis (HAS), a low threshold for blood culturing and antimicrobial therapy (ABT) initiation is accepted. We assessed variability in the trigger for blood culturing between three neonatal intensive care units. A multicenter prospective cohort study was conducted. In newborns with suspicion of HAS, 10 predefined clinical signs, nosocomial sepsis (NOSEP) score, C-reactive protein, ABT initiation, and risk factors were registered at time of culturing. Outcome was lab-confirmed HAS, defined according to the NeoKISS-criteria...
July 26, 2018: European Journal of Pediatrics
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