Wynik wyszukiwania w bazie Polska Bibliografia Lekarska GBL

Zapytanie: BARZILAY
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Tytuł oryginału: Plasma soluble L-selectin following cardiopulmonary bypass (CPB) in children: is it a marker of the postoperative course?
Autorzy: Dagan Ovdi, Prince Tal, Ben-Abraham Ron, Vidne Bernardo, Mishali David, Katz Yitshak, Keller Natan, Barzilay Zohar, Paret Gideon
Źródło: Med. Sci. Monitor 2002: 8 (7) s.CR467-CR472, il., tab., bibliogr. 27 poz.
Sygnatura GBL: 313,278

Hasła klasyfikacyjne GBL:
  • kardiologia
  • chirurgia
  • pediatria

    Typ dokumentu:
  • tytuł obcojęzyczny
  • praca kazuistyczna

    Wskaźnik treści:
  • ludzie
  • dzieci 2-5 r.ż.
  • dzieci 6-12 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: Background: There is increasing evidence that cytokine-inducible leukocyte-endothelial adhesion molecules are instrumental in the postoperative inflammatory response following cardiopulmonary bypass (CPB). L-selectin was shown to be one of those neutrophil-endothelial cell adhesion molecules. This study aimed to ivnestigate the relationship of teh soluble adhesion molecule, sL-selectin, and the postoperative course in children undergoing CPB. Material/Methods: To determine the time course of sL-selectin after CPB, serial blood samples of 9 children undergoing CPB were collected from the arterial line or from the bypass circuits preoperatively, on initiation of CPB and 1, 6, 12, 18, 24, and 48 hours postoperatively. Plasma was recovered immediately, aliqoted and frozedn at -70řC until use. Circulating sL-selectin molecules were measured witha sandwich enzyme-linked immunoabosrbent assay (ELISA) technique. there were significant changes in plasma levels of sL-selectin in patients following CPB, and these levels were associated with patient characteristics, operative variables and postoperative course. Low values of sL-selectin significantly correlated with inotropic support, low PRISM score, postoperative hypotension and fever. There was a significant association between the development of postoperative sepsis and low sL-selectin levels. No correlation was found between sL-selectin values and lactate concentration or neutrophil fount. Conclusions: Our results suggest a relation between CPB-induced mediators and both early and late clinical effects...


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    Tytuł oryginału: Religious sensitivity pitted against the need to know: autopsy of Jewish children in Israel.
    Autorzy: Abraham Ron Ben, Weinbroum Avi A., Kassem Riad, Barzilay Zohar, Paret Gideon
    Źródło: Med. Sci. Monitor 2002: 8 (1) s.SR1-SR4, bibliogr. 18 poz.
    Sygnatura GBL: 313,278

    Hasła klasyfikacyjne GBL:
  • pediatria

    Typ dokumentu:
  • praca kliniczna
  • praca doświadczalna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dzieci 2-5 r.ż.
  • dzieci 6-12 r.ż.
  • dzieci 13-18 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: Background: The aim of the study was to compare autopsy findings with antemortem findings in children who died in a pediatric intensive care unit. Material/Methods: Consecutive series of patietns who died in the pediatric intensive care unit during 2-year period were used. The study was conducted as a retrospective chart review at community, regional-referral, university-affiliated tertiary medical center of 1200 bed in Israel. Results: Permission was given to perform autopsies on only 10 children (23.8 p.c., mean age 85.7 months) out of the 42 who died during the study period. The mean length of stay in the pediatric intensive care unit prior to death was 13.3 days. Cardiac or hemato-oncologic diseases comprised the major pre-admission diagnoses. The autopsy revealed a major finding that, if known before death, would have altered clinical management in 50 p.c. of the patients: pneumonia, pneumonitis as well as intestinal perforation or necrosis. No correlation was found between patient length of stay in the intensive care unit and the autopsy disclosed information. Conclusions: Our findings suppert the importance of autopsy assessment in the pediatric intensive care setup. We beliewve that postmortem examination is also essential for improving the quality of pediatric patient care.


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    Tytuł oryginału: Long-term assessment of pulmonary function tests in pediatric survivors of acute respiratory distress syndrome.
    Autorzy: Abraham Ron Ben, Weinbroum Avi A., Roizin Hector, Efrati Ori, Augarten Arie, Harel Ran, Moreh Osnat, Barzilay Zohar, Paret Gideon
    Źródło: Med. Sci. Monitor 2002: 8 (3) s.CR153-CR157, il., tab., bibliogr. 32 poz.
    Sygnatura GBL: 313,278

    Hasła klasyfikacyjne GBL:
  • pulmonologia
  • pediatria

    Typ dokumentu:
  • praca kliniczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dzieci 6-12 r.ż.

    Streszczenie angielskie: Background: The aim of the study was to evaluate long-term pulmonary function tests in pediatric survivors of acute respiratory distress syndrome (ARDS). Material/Methods: Observational study based on a telephone poll of retrospectively identified post ARDS children who were hospitalized in a pediatric intensive care unit (PICU) in a general 1200-bed teaching, tertiary, regional referral center for children. Results: Follow-up pulmonary function tests were achieved in only 7 children, with a man age of 7.3 ń 4.3 years (range 3-12) and following 5.6 ń 4.3 years after PICU discharge. The etiology for ARDS included: lymphoma (n = 2), pneumonia (n = 2), aspiration (n = 1), petrol ingestion (n - 1) and snake envenomation (n = 1) and snake envenomation (n = 1). The children had been ventilated for 9.4 ń 7.3 days and their worst PaO2/FiO2 ratio was 65.1 ń 17.0 mm Hg. The follow-up pulmonary functions in all the children was within normal limits except for one child who had mildly reduced DLco and one who had mild exercise-induced hypoxemia (oxyhemoglobin saturation of 94 p.c.). neither of the two nor the others showed subjective symptoms or clinical physical limitations. Conclusions: Children who survive ARDS apparently enjoy long-term normal pulmonary function. Some, however, amy present sublicnial dysfunction that persists for many years after the acute episode and evoked only by sophisticated lung tests.

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