Author: Martin Bonnassieux
Publisher:
ISBN:
Category :
Languages : en
Pages : 174
Book Description
Acute kidney injury (AKI) requiring renal replacement therapy (RRT) is a major concern in intensive care units (ICU). The initial RRT modality, continuous RRT (CRRT) or intermittent hemodialysis (IHD), may have an impact on renal recovery after severe AKI. The aim of this study was to assess the influence of the initial RRT modality on renal recovery at hospital discharge. All ICU stays with a code "RRT for AKI" were retrospectively extracted from January 1, 2010 to December 31, 2013 over 291 centers using the French hospital discharge database. Surviving patients were included in the main analysis while those presenting terminal chronic kidney disease were excluded. Patients were divided into two groups according to the initial RRT modality (IHD or CRRT) applied. Renal recovery was defined as > 3 days without RRT before hospital discharge. Hierarchical logistic regression analysis was performed to identify predictors of renal recovery. Patient's demographics, comorbidities, severity parameters, etiological factors of AKI and center characteristics were considered in analysis. Four sensitivity analyses were performed (propensity score matching, patients who received only one modality, analysis of all patients including those who died, taking death as a competitive risk and Kaplan Meier analysis of time-to-recovery). Of 1,031,120 ICU stays, 58,635 with RRT for AKI were extracted and 25,750 were included in the main analysis. Initial RRT modality was IHD in 9,699 stays (38%; IHD group) and CRRT in 16,051 stays (62%; CRRT group). Overall mortality was 56% and overall renal recovery 86.2% (84.3% in IHD vs. 87.2% in CRRT group, p
Impact de la modalité d'épuration extra-rénale sur la récupération rénale après "Acute Kidney Injury"
Author: Martin Bonnassieux
Publisher:
ISBN:
Category :
Languages : en
Pages : 174
Book Description
Acute kidney injury (AKI) requiring renal replacement therapy (RRT) is a major concern in intensive care units (ICU). The initial RRT modality, continuous RRT (CRRT) or intermittent hemodialysis (IHD), may have an impact on renal recovery after severe AKI. The aim of this study was to assess the influence of the initial RRT modality on renal recovery at hospital discharge. All ICU stays with a code "RRT for AKI" were retrospectively extracted from January 1, 2010 to December 31, 2013 over 291 centers using the French hospital discharge database. Surviving patients were included in the main analysis while those presenting terminal chronic kidney disease were excluded. Patients were divided into two groups according to the initial RRT modality (IHD or CRRT) applied. Renal recovery was defined as > 3 days without RRT before hospital discharge. Hierarchical logistic regression analysis was performed to identify predictors of renal recovery. Patient's demographics, comorbidities, severity parameters, etiological factors of AKI and center characteristics were considered in analysis. Four sensitivity analyses were performed (propensity score matching, patients who received only one modality, analysis of all patients including those who died, taking death as a competitive risk and Kaplan Meier analysis of time-to-recovery). Of 1,031,120 ICU stays, 58,635 with RRT for AKI were extracted and 25,750 were included in the main analysis. Initial RRT modality was IHD in 9,699 stays (38%; IHD group) and CRRT in 16,051 stays (62%; CRRT group). Overall mortality was 56% and overall renal recovery 86.2% (84.3% in IHD vs. 87.2% in CRRT group, p
Publisher:
ISBN:
Category :
Languages : en
Pages : 174
Book Description
Acute kidney injury (AKI) requiring renal replacement therapy (RRT) is a major concern in intensive care units (ICU). The initial RRT modality, continuous RRT (CRRT) or intermittent hemodialysis (IHD), may have an impact on renal recovery after severe AKI. The aim of this study was to assess the influence of the initial RRT modality on renal recovery at hospital discharge. All ICU stays with a code "RRT for AKI" were retrospectively extracted from January 1, 2010 to December 31, 2013 over 291 centers using the French hospital discharge database. Surviving patients were included in the main analysis while those presenting terminal chronic kidney disease were excluded. Patients were divided into two groups according to the initial RRT modality (IHD or CRRT) applied. Renal recovery was defined as > 3 days without RRT before hospital discharge. Hierarchical logistic regression analysis was performed to identify predictors of renal recovery. Patient's demographics, comorbidities, severity parameters, etiological factors of AKI and center characteristics were considered in analysis. Four sensitivity analyses were performed (propensity score matching, patients who received only one modality, analysis of all patients including those who died, taking death as a competitive risk and Kaplan Meier analysis of time-to-recovery). Of 1,031,120 ICU stays, 58,635 with RRT for AKI were extracted and 25,750 were included in the main analysis. Initial RRT modality was IHD in 9,699 stays (38%; IHD group) and CRRT in 16,051 stays (62%; CRRT group). Overall mortality was 56% and overall renal recovery 86.2% (84.3% in IHD vs. 87.2% in CRRT group, p
Phytochemicals in Nutrition and Health
Author: Mark S. Meskin
Publisher: CRC Press
ISBN: 1420031694
Category : Medical
Languages : en
Pages : 221
Book Description
Are soy isoflavones neuroprotective? Just how different is one species of Echinacea from another? Which phytochemicals will be effective as therapeutic agents in vivo? Supported by solid scientific research, Phytochemicals in Nutrition and Health helps provide answers to these and other probing questions concerning the mechanisms of action associat
Publisher: CRC Press
ISBN: 1420031694
Category : Medical
Languages : en
Pages : 221
Book Description
Are soy isoflavones neuroprotective? Just how different is one species of Echinacea from another? Which phytochemicals will be effective as therapeutic agents in vivo? Supported by solid scientific research, Phytochemicals in Nutrition and Health helps provide answers to these and other probing questions concerning the mechanisms of action associat
On the Use of the Moxa
Author: Dominique Jean baron Larrey
Publisher:
ISBN:
Category : Cautery
Languages : en
Pages : 244
Book Description
Publisher:
ISBN:
Category : Cautery
Languages : en
Pages : 244
Book Description
From Berlin to the Burdekin
Author: David Robert Walker
Publisher: UNSW Press
ISBN:
Category : Art
Languages : en
Pages : 296
Book Description
Papers on Ludwig Becker, Eugene von Guerard, Carl Strehlow , the Frobenius Institute and the representation of Aborigines annotated separately.
Publisher: UNSW Press
ISBN:
Category : Art
Languages : en
Pages : 296
Book Description
Papers on Ludwig Becker, Eugene von Guerard, Carl Strehlow , the Frobenius Institute and the representation of Aborigines annotated separately.
A Companion to Epistemology
Author: Jonathan Dancy
Publisher: John Wiley & Sons
ISBN: 9781444315097
Category : Philosophy
Languages : en
Pages : 832
Book Description
With nearly 300 entries on key concepts, review essays on central issues, and self-profiles by leading scholars, this companion is the most comprehensive and up-to-date single volume reference guide to epistemology. Epistemology from A-Z is comprised of 296 articles on important epistemological concepts that have been extensively revised to bring the volume up-to-date, with many new and re-written entries reflecting developments in the field Includes 20 new self-profiles by leading epistemologists Contains 10 new review essays on central issues of epistemology
Publisher: John Wiley & Sons
ISBN: 9781444315097
Category : Philosophy
Languages : en
Pages : 832
Book Description
With nearly 300 entries on key concepts, review essays on central issues, and self-profiles by leading scholars, this companion is the most comprehensive and up-to-date single volume reference guide to epistemology. Epistemology from A-Z is comprised of 296 articles on important epistemological concepts that have been extensively revised to bring the volume up-to-date, with many new and re-written entries reflecting developments in the field Includes 20 new self-profiles by leading epistemologists Contains 10 new review essays on central issues of epistemology
Confronting Poverty in Iraq
Author: World Bank
Publisher: World Bank Publications
ISBN: 0821385631
Category : Social Science
Languages : en
Pages : 114
Book Description
This report provides the most comprehensive and rigorous analysis of Iraqi income and expenditure in several decades. The report makes extensive use of the Iraq Household Socio-Economic Survey, the first nationwide income and expenditure survey since 1988. IHSES data is complemented income and expenditure data from a wide range of other measures of living standards, allowing us to analyze living standards in a holistic way. The analysis presented here was performed with two main goals first, to inform the Government s Poverty Reduction Strategy; and second, to serve as a baseline for future assessments of changes in living standards and the identification of critical issues for deeper examination. Iraqi living standards have two unusual characteristics. First, they have fallen over the past generation. Second, they feature surprisingly little inequality. These characteristics are both rooted in Iraq s recent history of authoritarian government, war, military occupation, insurgency, and civil strife leading to infrastructure destruction and population displacement. There have been few opportunities for individuals to prosper from professional or entrepreneurial activities. Decades of neglected investment have resulted in deterioration of social services and economic infrastructure. Consequently, individuals have lacked capabilities to prosper and an investment climate conducive to prosperity. School enrollment and life expectancy have declined. Extremely low returns to education reflect the combination of poor educational quality and lack of employment opportunities. In terms of economic infrastructure, access to reliable electricity and water, and even access to paved roads are low, are further reflections of decades of neglect. While the upper end of the distribution has been pulled down by a lack of opportunities, the lower end has been supported by direct government provision of food. The Public Distribution System (PDS) provides 85 percent of food needs. While PDS has been useful as a safety net for the poor and the vulnerable, the system is expensive, inefficient, and fiscally risky. Indeed, PDS food rations account for a far greater share of public spending than does education or health. Going forward, Iraq faces two main challenges. First, although Iraq does not have to develop from scratch, it faces a formidable challenge in re-development. Second, a shift by the Government is required from direct provision of basic subsistence toward investment in human capacities. The Government can provide an enabling environment through investments in economic infrastructure and services to business and citizens, thus allowing the population to make productive use of education and their own labor. Both challenges are now being taken up by the Poverty Reduction Strategy, which articulates a detailed set of required actions and outlines priorities for government spending.
Publisher: World Bank Publications
ISBN: 0821385631
Category : Social Science
Languages : en
Pages : 114
Book Description
This report provides the most comprehensive and rigorous analysis of Iraqi income and expenditure in several decades. The report makes extensive use of the Iraq Household Socio-Economic Survey, the first nationwide income and expenditure survey since 1988. IHSES data is complemented income and expenditure data from a wide range of other measures of living standards, allowing us to analyze living standards in a holistic way. The analysis presented here was performed with two main goals first, to inform the Government s Poverty Reduction Strategy; and second, to serve as a baseline for future assessments of changes in living standards and the identification of critical issues for deeper examination. Iraqi living standards have two unusual characteristics. First, they have fallen over the past generation. Second, they feature surprisingly little inequality. These characteristics are both rooted in Iraq s recent history of authoritarian government, war, military occupation, insurgency, and civil strife leading to infrastructure destruction and population displacement. There have been few opportunities for individuals to prosper from professional or entrepreneurial activities. Decades of neglected investment have resulted in deterioration of social services and economic infrastructure. Consequently, individuals have lacked capabilities to prosper and an investment climate conducive to prosperity. School enrollment and life expectancy have declined. Extremely low returns to education reflect the combination of poor educational quality and lack of employment opportunities. In terms of economic infrastructure, access to reliable electricity and water, and even access to paved roads are low, are further reflections of decades of neglect. While the upper end of the distribution has been pulled down by a lack of opportunities, the lower end has been supported by direct government provision of food. The Public Distribution System (PDS) provides 85 percent of food needs. While PDS has been useful as a safety net for the poor and the vulnerable, the system is expensive, inefficient, and fiscally risky. Indeed, PDS food rations account for a far greater share of public spending than does education or health. Going forward, Iraq faces two main challenges. First, although Iraq does not have to develop from scratch, it faces a formidable challenge in re-development. Second, a shift by the Government is required from direct provision of basic subsistence toward investment in human capacities. The Government can provide an enabling environment through investments in economic infrastructure and services to business and citizens, thus allowing the population to make productive use of education and their own labor. Both challenges are now being taken up by the Poverty Reduction Strategy, which articulates a detailed set of required actions and outlines priorities for government spending.
The Culture of Science
Author: John Hatton
Publisher: Simon & Schuster Books For Young Readers
ISBN:
Category : Science
Languages : en
Pages : 664
Book Description
Publisher: Simon & Schuster Books For Young Readers
ISBN:
Category : Science
Languages : en
Pages : 664
Book Description
Conceptual Modeling for Traditional and Spatio-Temporal Applications
Author: Christine Parent
Publisher: Springer Science & Business Media
ISBN: 354030326X
Category : Computers
Languages : en
Pages : 475
Book Description
From environmental management to land planning and geo-marketing, the number of application domains that may greatly benefit from using data enriched with spatio-temporal features is expanding very rapidly. This book shows that a conceptual design approach for spatio-temporal databases is both feasible and easy to apprehend. While providing a firm basis through extensive discussion of traditional data modeling concepts, the major focus of the book is on modeling spatial and temporal information.
Publisher: Springer Science & Business Media
ISBN: 354030326X
Category : Computers
Languages : en
Pages : 475
Book Description
From environmental management to land planning and geo-marketing, the number of application domains that may greatly benefit from using data enriched with spatio-temporal features is expanding very rapidly. This book shows that a conceptual design approach for spatio-temporal databases is both feasible and easy to apprehend. While providing a firm basis through extensive discussion of traditional data modeling concepts, the major focus of the book is on modeling spatial and temporal information.
Critical Essays on Michel Foucault
Author: Peter Burke
Publisher:
ISBN:
Category : Philosophy
Languages : en
Pages : 252
Book Description
An anthology of responses to the ideas of Michel Foucault. These responses are concentrated in the English world, but they try to reveal the full range of reaction and to assess Foucault's achievement and his place in intellectual history.
Publisher:
ISBN:
Category : Philosophy
Languages : en
Pages : 252
Book Description
An anthology of responses to the ideas of Michel Foucault. These responses are concentrated in the English world, but they try to reveal the full range of reaction and to assess Foucault's achievement and his place in intellectual history.
Acupuncture in Practice
Author: Hugh MacPherson (Ph. D.)
Publisher:
ISBN: 9780443050497
Category : Medical
Languages : en
Pages : 482
Book Description
Written by THE leading lights in the field of integrating acupuncture into a Western medical system, this book bridges the gap between the theoretical foundations of acupuncture and its application in a modern Western clinical context. Each case history focuses on the complexities and dilemmas of treatment that are tackled, providing valuable insights by experienced practitioners into the management of a course of acupuncture treatment.
Publisher:
ISBN: 9780443050497
Category : Medical
Languages : en
Pages : 482
Book Description
Written by THE leading lights in the field of integrating acupuncture into a Western medical system, this book bridges the gap between the theoretical foundations of acupuncture and its application in a modern Western clinical context. Each case history focuses on the complexities and dilemmas of treatment that are tackled, providing valuable insights by experienced practitioners into the management of a course of acupuncture treatment.