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Borderline increase of troponin I (cTnI) is associated with higher rates of cardiovascular events compared with normal levels in the setting of acute coronary syndrome (ACS), but the significance of borderline cTnI levels in patients without chest pain may differ. The aim of this study was to determine the prognostic implications of intermediate serum cTnI levels in patients without ACS in the intensive care unit (ICU). This was a 12-month retrospective study of 240 patients without ACS in the ICU with normal (<0.1 ng/ml) or intermediate (0.1 to 1.49 ng/ml) cTnI levels. ⋯ Intermediate cTnI had no prognostic implications regarding length of hospital stay, readmission rate, or postdischarge mortality at 6 months. In conclusion, an intermediate level of cTnI in patients without ACS in the ICU is an independent prognostic marker predicting in-hospital mortality and length of ICU stay. Patients with intermediate cTnI levels who survive to discharge have equivalent out-of-hospital courses for up to 6 months compared with patients with normal cTnI levels.
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Being an intensive care nurse related to questions of withholding or withdrawing curative treatment.
The aim of the study was to acquire a deeper understanding of what it is to be an intensive care nurse in situations related to questions of withholding or withdrawing curative treatment. ⋯ The findings also show the need for physicians, managers and intensive care nurses themselves to recognize the burdens intensive care nurses carry and to appreciate their knowledge as an important contribution in decision making.
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Thirty patients undergoing open heart surgery under induced hypothermia had transient evoked otoacoustic emissions (TEOAE) recorded during cooling to 26.07 degrees C (standard deviation (SD) 4.25 degrees C) vesically measured temperature and 24.86 degrees C (SD 4.7 degrees C) nasopharyngeally measured temperature respectively. Subsequently tè patients were rewarmed until normal body temperature was reached again. There was a clear influence of body temperature on the amplitudes and reproducibilities of the TEOAE. ⋯ No TEOAE were measurable during cooling at a mean temperature lower than 33.41 degrees C (SD 2.04 degrees C) vesical temperature and 30.16 degrees C (SD 3.0 degrees C) nasopharyngeal temperature respectively. During rewarming the echoes became recognizable again at a mean temperature of 28.75 degrees C (SD 3.38 degrees C) vesical temperature and 27.49 degrees C (SD 2.99 degrees C) nasopharyngeal temperature. These results suggest a hysteresis in the relationship between the amplitude of TEOAE and temperature, similar to the well-established relationship between evoked potentials and temperature.
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Total fat intake is not related to the risk of diabetes, but, while polyunsaturated fat reduces the risk, monounsaturated fat is neutral and saturated fat may increase the risk. Body weight is far more critical than macronutrient composition.
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Neuroscience research · Dec 1993
A whole cell patch-clamp study on the pacemaker potential in dopaminergic neurons of rat substantia nigra compacta.
A whole-cell patch-clamp recording was obtained from dopamine (DA) neurons (n = 68) in the substantia nigra compacta (SNc) in in vitro slice preparations in order to study the underlying current for pacemaker-like slow depolarization (PLSD) which was considered as a basis for rhythmic firing of DA neurons. SNc DA neurons were identified immunohistochemically after recording. ⋯ The amplitude of Ip produced by a command pulse stepped to -50 mV from a holding potential of -80 mV was -78 +/- 42 pA (n = 23). (5) The threshold for activation of transient Ca2+ current (IT) was around -70 to -65 mV and inactivated completely at -70 to -65 mV (n = 11). The peak amplitude of IT evoked at -60 to -55 mV from a holding potential of more negative than -80 mV was 489 +/- 170 pA (n = 11). (6) The decay time constant of IT was 28 +/- 12 ms at -60 mV (n = 8) and that of IP was 2.35 +/- 1.37 s at -50 mV (n = 11) when recorded with a pipette containing 10 mM EGTA and 140 mM CsCl. (7) The decay of IP was apparently accelerated by decreasing the concentration of EGTA in the pipette solution from 10 to 1 mM.(ABSTRACT TRUNCATED AT 400 WORDS)