conclusions hepatic shock is detected in ill patients, especially those with hemodynamic disorders. it can be prevented by early treatment of underlying disease. there is no definite treatment for hepatic shock and should be managed conservatively. hepatic shock in patients can increase the mortality rate. results different causes can lead to hepatic shock. most of these causes can be prevented...

We present Chandra X-ray images of Tycho’s supernova remnant that delineate its outer shock as a thin, smooth rim along the straight northeastern edge and most of the circular western half. The images also show that the Si and S ejecta are highly clumpy, and have reached near the forward shock at numerous locations. Most of the X-ray spectra that we examine along the rim show evidence of line e...

PURPOSE The aim of the present study was to evaluate the predictive value of volume of the specimen/body mass index (VS/BMI) ratio for recurrence after surgical therapy of pilonidal disease. METHODS Ninety-eight patients with primary pilonidal disease were enrolled in this study. The VS/BMI ratio was calculated for each patient. This ratio was defined as the specimen index (SI). VS, BMI and S...

OBJECTIVE Rapid Emergency Medicine Score (REMS) is an attenuated version of the Acute Physiology and Chronic Health Evaluation (APACHE) II score and has utility in predicting mortality in non-surgical patients, but has yet to be tested among the trauma population. The objective was to evaluate REMS as a risk stratification tool for predicting in-hospital mortality in traumatically injured patie...

BACKGROUND Prediction of blood transfusion needs and mortality for trauma patients in near real time is an unrealized goal. We hypothesized that analysis of pulse oximeter signals could predict blood transfusion and mortality as accurately as conventional vital signs (VSs). METHODS Continuous VS data were recorded for direct admission trauma patients with abnormal prehospital shock index (SI ...

INTRODUCTION Esmolol may efficiently reduce heart rate (HR) and decrease mortality during septic shock. An improvement of microcirculation dissociated from its macrocirculatory effect may a role. The present study investigated the effect of esmolol on gut and sublingual microcirculation in a resuscitated piglet model of septic shock. METHODS Fourteen piglets, anesthetized and mechanically ven...

Introduction The prehospital decision of whether to triage a patient to a trauma center can be difficult. Traditional decision rules are based heavily on vital sign abnormalities, which are insensitive in predicting severe injury. Prehospital lactate (PLac) measurement could better inform the triage decision. PLac's predictive value has previously been demonstrated in hypotensive trauma patient...