. Pendse, Amruta; Jasani, Bonny; Nanavati, Ruchi; Kabra, Nandkishor 2017-08-15 To compare transcutaneous bilirubin with total serum bilirubin in preterm neonates after initiation of phototherapy. Jaundice was assessed in 30 preterm neonates with transcutaneous bilirubin and total serum bilirubin before initiation of phototherapy and at 12 hr after initiation of phototherapy. A photo-occlusive patch was applied over the sternum. Transcutaneous bilirubin has a good correlation with total serum bilirubin after initiation of phototherapy.
(r=0.918, P72 hours of age (r = 0.82). Transcutaneous bilirubin correlates significantly with total serum bilirubin at the patched sternal site after initiation of phototherapy in preterm neonates. Schieffer, Kathleen M; Bruffy, Shannon M; Rauscher, Richard; Koltun, Walter A; Yochum, Gregory S; Gallagher, Carla J 2017-01-01 Chronic inflammation associated with inflammatory bowel disease (IBD) results in increased oxidative stress that damages the colonic microenvironment.
Low levels of serum bilirubin, an endogenous antioxidant, have been associated with increased risk for Crohn's disease (CD). Therefore, the aim of this study was to examine whether total serum bilirubin levels are associated with ulcerative colitis (UC). We identified a retrospective case-control population (n = 6,649) from a single tertiary care center, Penn State Hershey Medical Center (PSU) and a validation cohort (n = 1,996) from Virginia Commonwealth University Medical Center (VCU). Cases were age- and sex-matched to controls (PSU: CD n = 254, UC n = 187; VCU: CD n = 233, UC n = 124). Total serum bilirubin levels were obtained from de-identified medical records and segregated into quartiles.
Logistic regression analysis was performed on each quartile of total serum bilirubin compared to the last quartile (highest bilirubin levels) to determine the association of total serum bilirubin with UC. Similar to CD patients, UC patients demonstrated reduced levels of total serum bilirubin compared to controls at PSU and VCU. The lowest quartile of total serum bilirubin was independently associated with UC for the PSU (OR: 1.98 95% CI: 1.09-3.63) and VCU cohorts (OR: 6.07 95% CI: 3.01-12.75). Lower levels of the antioxidant bilirubin may reduce the capability of UC patients to remove reactive oxygen species leading to an increase in intestinal injury.
Therapeutics that reduce oxidative stress may be beneficial for these patients. Schieffer, Kathleen M.; Bruffy, Shannon M.; Rauscher, Richard; Koltun, Walter A.; Gallagher, Carla J. 2017-01-01 Chronic inflammation associated with inflammatory bowel disease (IBD) results in increased oxidative stress that damages the colonic microenvironment. Low levels of serum bilirubin, an endogenous antioxidant, have been associated with increased risk for Crohn’s disease (CD).
Therefore, the aim of this study was to examine whether total serum bilirubin levels are associated with ulcerative colitis (UC). We identified a retrospective case-control population (n = 6,649) from a single tertiary care center, Penn State Hershey Medical Center (PSU) and a validation cohort (n = 1,996) from Virginia Commonwealth University Medical Center (VCU). Cases were age- and sex-matched to controls (PSU: CD n = 254, UC n = 187; VCU: CD n = 233, UC n = 124). Total serum bilirubin levels were obtained from de-identified medical records and segregated into quartiles.
Logistic regression analysis was performed on each quartile of total serum bilirubin compared to the last quartile (highest bilirubin levels) to determine the association of total serum bilirubin with UC. Similar to CD patients, UC patients demonstrated reduced levels of total serum bilirubin compared to controls at PSU and VCU. The lowest quartile of total serum bilirubin was independently associated with UC for the PSU (OR: 1.98 95% CI: 1.09–3.63) and VCU cohorts (OR: 6.07 95% CI: 3.01–12.75). Lower levels of the antioxidant bilirubin may reduce the capability of UC patients to remove reactive oxygen species leading to an increase in intestinal injury. Therapeutics that reduce oxidative stress may be beneficial for these patients. PMID:28594959.
Saifee, Nabiha Huq; Ranjitkar, Pratistha; Greene, Dina N 2016-04-01 The factors influencing naproxen metabolite O-desmethylnaproxen (ODMN) positive interference in diazo-based Jendrassik and Grof (JG) total bilirubin (Tbil) assays and lack of interference in direct bilirubin (Dbil) assays have not been resolved. The objective of this study was to understand the conditions causing this interference pattern. Pooled normal and ultra-filtered plasma samples spiked with ODMN and naproxen were measured on the Beckman Coulter DxC and AU instruments. Absorbance spectra were obtained for ODMN mixed with Dbil reagent at original and adjusted pH.
Absorbance spectra were also obtained for ODMN and bilirubin samples mixed with Tbil assay reagents. ODMN produces a positive interference in the DxC JG Tbil assays, but not the AU Tbil or Dbil assays or the DxC Dbil assay. Neutralizing the acidic pH of AU and DxC Dbil reagents allows ODMN to react with diazo salts. ODMN samples mixed with DxC and AU Tbil reagents produce broad peaks from 450 to 560nm and 400 to 540nm, respectively. The DxC JG Tbil assay monitors a change in absorbance at 520nm close to peak absorbance wavelength of diazo-reacted ODMN, whereas the AU Tbil assay monitors a change in absorbance at 570/660nm, beyond the peak absorbance wavelengths of diazo-reacted ODMN. The acidic pH of diazo-based Dbil assay reagents inhibits the reaction of ODMN with diazo salts.
Published by Elsevier Inc. All rights reserved. 2014-04-01. Abnormal distruction of red blood cells, if used in the diagnosis and treatment of liver, hemolytic.
Direct) test system is a device intended to measure the levels of bilirubin ( total or direct) in plasma. 2010-04-01. HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CLINICAL CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES Clinical Chemistry Test Systems § 862.1113 Bilirubin ( total and unbound) in the neonate test system. 2014-04-01. HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CLINICAL CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES Clinical Chemistry Test Systems § 862.1113 Bilirubin ( total and unbound) in the neonate test system.
2011-04-01. HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CLINICAL CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES Clinical Chemistry Test Systems § 862.1113 Bilirubin ( total and unbound) in the neonate test system. 2013-04-01.
HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CLINICAL CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES Clinical Chemistry Test Systems § 862.1113 Bilirubin ( total and unbound) in the neonate test system. 2012-04-01.
HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CLINICAL CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES Clinical Chemistry Test Systems § 862.1113 Bilirubin ( total and unbound) in the neonate test system. Kunutsor, Setor K 2015-12-01 Observational epidemiological evidence supports a linear inverse and independent association between serum total bilirubin levels and coronary heart disease (CHD) risk, but whether this association is causal remains to be ascertained. A Mendelian randomization approach was employed to test whether serum total bilirubin is causally linked to CHD. The genetic variant rs6742078-well known to specifically modify levels of serum total bilirubin and accounting for up to 20% of the variance in circulating serum total bilirubin levels-was used as an instrumental variable. In pooled analysis of estimates reported from published genome-wide association studies, every copy of the T allele of rs6742078 was associated with 0.42 standard deviation (SD) higher levels of serum total bilirubin (95% confidence interval, 0.40 to 0.43). Based on combined data from the Coronary Artery Disease Genome wide Replication and Meta-analyses and the Coronary Artery Disease (C4D) Genetics Consortium involving a total of 36,763 CHD cases and 76,997 controls, the odds ratio for CHD per copy of the T allele was 1.01 (95% confidence interval, 0.99 to 1.04).
All rights reserved. Zhong, P; Sun, D M; Wu, D H; Li, T M; Liu, X Y; Liu, H Y 2017-01-26 We evaluated serum total bilirubin levels as a predictor for metabolic syndrome (MetS) and investigated the relationship between serum total bilirubin levels and MetS prevalence. This cross-sectional study included 1728 participants over 65 years of age from Eastern China. Anthropometric data, lifestyle information, and previous medical history were collected.
Zhou, Zhen-Xing; Chen, Jian-Kui; Hong, Yan-Ying; Zhou, Ru; Zhou, Dong-Mei; Sun, Li-Yun; Qin, Wen-Li; Wang, Tian-Cheng 2016-09-01 Psoriasis is a chronic and recurrent inflammatory skin disease. Previous studies have shown that bilirubin has anti-inflammation and antioxidant effects.
However, the various roles of bilirubin in psoriasis patients are still unclear. To investigate the serum total bilirubin (TB) level in the individuals with psoriasis vulgaris and further evaluate the relationship between serum TB concentration and C-reactive protein (CRP) to clarify the effect of bilirubin on inflammation. A total of 214 patients with psoriasis vulgaris and 165 age- and gender-matched healthy control subjects were recruited.
The peripheral leukocyte count (white blood cell, WBC) and differential, serum biochemical and immunologic indexes including serum TB, immunoglobulin (Ig) G, IgA, IgM, complement C3 and C4, as well as serum CRP concentrations were measured. Results showed that the serum TB level decreased significantly and peripheral WBC, neutrophil, and serum CRP concentrations increased significantly in patients with psoriasis vulgaris.
Meanwhile, the serum CRP was negatively correlated with serum TB levels but positively correlated with peripheral WBC and the Psoriasis Area and Severity Index (PASI). Logistic regression analysis showed that the serum TB was a protective factor for psoriasis vulgaris. The present study suggests that lower serum TB is associated with the enhancement of the inflammatory response in psoriasis vulgaris.
Type-2 DM patients more than 18 years of age of either gender with duration of T2DM more than 6 months were included and sub categorized in two groups. Cases (DM with DR) and Controls (DM without DR) while patients with acute and chronic liver diseases, haemolytic anaemia, history of chronic alcohol consumption, use of hepatotoxic drugs (anti-tuberculous, anti-epileptic), women on oral contraceptive pills were excluded. All participants underwent ophthalmic examination at diabetic retinopathy screening clinic followed by pre designed set of investigations. A total of 152 patients, 76 cases and 76 controls were included. Serum bilirubin concentration was found inversely and independently (p 0.000) associated and inversely co related (r -0.345and p 0.000) with prevalence of DR. Cases were concentrated in the lower quartiles of serum bilirubin concentration and vice versa. Low haemoglobin (p 0.00) and longer duration of DM (0.003) were independently and directly associated with prevalence of DR.
Serum bilirubin concentration is inversely and independently associated and inversely correlated with the prevalence of DR and may predict progression of DR over time. 2011-04-01.
21 Food and Drugs 8 2011-04-01 false Bilirubin ( total or direct) test system. 862.1110 Section 862.1110 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CLINICAL CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES Clinical Chemistry Test. 2012-04-01. 21 Food and Drugs 8 2012-04-01 false Bilirubin ( total or direct) test system.
862.1110 Section 862.1110 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CLINICAL CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES Clinical Chemistry Test. 2013-04-01. 21 Food and Drugs 8 2013-04-01 false Bilirubin ( total or direct) test system. 862.1110 Section 862.1110 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CLINICAL CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES Clinical Chemistry Test. Gobert De Paepe, E; Munteanu, G; Schischmanoff, P O; Porquet, D 2008-01-01 Plasma bilirubin testing is crucial to prevent the occurrence of neonatal kernicterus.
Haemolysis may occur during sampling and interfere with bilirubin determination. Moreover, lipidic infusions may induce plasma lipemia and also interfere with bilirubin measurement. We evaluated the interference of haemolysis and lipemia with three methods of total and direct bilirubin measurement adaptated on an Advia 1650 analyser (Siemens Medical Solutions Diagnostics): Synermed (Sofibel), Bilirubin 2 (Siemens) and Bilirubin Auto FS (Diasys).
The measurement of total bilirubin was little affected by haemolysis with all three methods. The Bilirubin 2 (Siemens) method was the less sensitive to haemolysis even at low bilirubin levels. The measurement of conjugated bilirubin was significantly altered by low heamoglobin concentrations for Bilirubin Auto FS(R) (30 microM or 0,192 g/100 mL haemoglobin) and for Synermed (60 microM or 0,484 g/100 mL haemoglobin).
In marked contrast, we found no haemoglobin interference with the Direct Bilirubin 2 reagent which complied with the method validation criteria from the French Society for Biological Chemistry. The lipemia up to 2 g/L of Ivelip did not affect neither the measurement of total bilirubin for all three methods nor the measurement of conjugated bilirubin with the Diasys and Siemens reagents. However, we observed a strong interference starting at 0,5 g/L of Ivelip with the Synermed reagent. Our data suggest that both Siemens and Diasys methods allow to measure accurately total and conjugated bilirubin in hemolytic and lipemic samples, nevertheless, the Siemens methodology is less affected by these interferences. Zhou, Guoli; Fu, Wenjiang 2018-02-01 We aimed to investigate whether current levels of total serum bilirubin are associated with different subtypes of sensorineural hearing loss (SNHL) in adolescents. A set of cross-sectional data from the National Health and Nutrition Examination Survey (NHANES) (2007-2010) was used. A subset of 1404 adolescents was sampled for measurements of total serum bilirubin, tympanometry, and average pure tone threshold at low-frequencies (LPTA: 500, 1000, 2000 Hz) or high-frequencies (HPTA: 3000, 4000, 6000, and 8000 Hz).
SNHL was defined as the hearing loss that had type A tympanograms with a peak admittance of 0.3 ml or greater. Associations between serum bilirubin (square-root transformed) and different subtypes of SNHL were evaluated using binary or multinomial logistic regression models with 4-year sampling weights.
The bootstrap method was used for estimation of variance and 10-fold cross-validation for assessment of overfitting issue. Total serum bilirubin levels were found to be associated with any high-frequency (HPTA15 dB in at least one ear, adjusted odds-ratio (OR a )(bootstrap 95% confidence interval) = 3.29(1.31-8.19), p = 0.011), but not with any low-frequency (LPTA15 dB in at least one ear), SNHL in the US adolescents. Furthermore, high-frequency SNHL with HPTA15 dB in both ears (bilateral) or HPTA≥25 dB in at least one ear, compared to that with HPTA15 dB in one ear only (unilateral) or HPTA = 15-25 dB in at least one ear, had a stronger association with total serum bilirubin levels (OR a = 5.37(1.27-22.65), p = 0.022 for bilateral; OR a = 2.64(0.84-8.25), p = 0.094 for unilateral; OR a = 5.00(0.95-26.58), p = 0.058 for HPTA≥25 dB in at least one ear; as well as OR a = 3.06(1.15-8.25), p = 0.025 for HPTA = 15-25 dB in at least one ear). No severe overfitting problems were found. Our findings suggest that current levels of total serum bilirubin may be informative in predicting and/or targeting high-frequency SNHL.
Amin, Sanjiv B 2016-01-01 SYNOPSIS Total serum/plasma bilirubin (TB), the biochemical measure currently used to evaluate and manage hyperbilirubinemia, is not a useful predictor of bilirubin-induced neurotoxicity in premature infants. Altered bilirubin-albumin binding in premature infants limits the usefulness of TB in premature infants. In this article, bilirubin-albumin binding, a modifying factor for bilirubin-induced neurotoxicity, in premature infants is reviewed. PMID:27235205. 1993-01-01 Total Health Organization is a holistic care an humanitarian relief agency with special emphasis on Africa and Third World countries.
It was founded in 1987 with a focus on hunger relief, health assistance, handicap, habitat and human rights of destitutes, socially disadvantaged persons and communities which it has adopted as the socially forgotten people (SFP). Total Health Organization is a non-political, non-profit, and international non-governmental organization, having official relations with several national, regional and world bodies.
Some of the project activities include: free mobile clinics to rural destitutes, AIDS and related health education, an information and research library, and an NGO Development Center. For more information, please contact: Dr. Obi Osisiogu, Founder and President, Total Health International Center, 147 Ikot-Ekpene Road, P.O. Box 1726, Aba, Abia State Nigeria, Tel: 082-222279, Telex: 63311 ANYA NG, Fax: 212. Full text. 2017-08-21 The Moon is seen passing in front of the Sun during a total solar eclipse on Monday, August 21, 2017 from onboard a NASA Gulfstream III aircraft flying 25,000 feet above the Oregon coast. A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina.
A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Carla Thomas). None 2012-01-01 The simulation was performed on 64K cores of Intrepid, running at 0.25 simulated-years-per-day and taking 25 million core-hours. This is the first simulation using both the CAM5 physics and the highly scalable spectral element dynamical core.
The animation of Total Precipitable Water clearly shows hurricanes developing in the Atlantic and Pacific. This project will investigate total water management (TWM) as a way of improving water resource management and reducing waste streams. This project will also improve management of potable water, wastewater and wet-weather flow through combined management, reuse and recycling wil. Focus in Change, 1992 1992-01-01 The philosophy known as Total Quality Management (TQM) is frequently presented as a way to change and improve public education. This issue of 'Focus in Change' examines Deming's original 14 TQM points and their application to education. Myron Tribus lays out the core philosophy of the movement and discusses its possible application to.
Kaburagi, Yosuke; Tokuyama, Hidetoshi; Fukuyama, Tohru 2004-08-25 Total synthesis of (-)-strychnine is described. Notable features of our synthesis include (1) palladium-catalyzed coupling of the indole and vinyl epoxide moieties, (2) synthesis of the nine-membered cyclic amine derivative from the diol precursor in a one-pot procedure, and (3) transannular cyclization of the nine-membered cyclic amine. Paterson, Ian; Xuan, Mengyang; Dalby, Stephen M 2014-01-01 As a potent neurotrophic agent, the sesquiterpenoid jiadifenolide represents a valuable small-molecule lead for the potential therapeutic treatment of neurodegenerative diseases. A stereocontrolled total synthesis of this densely functionalized natural product is reported, central to which is an adventurous samarium-mediated cyclization reaction to establish the tricyclic core and the adjacent C5 and C6 quaternary stereocenters. PMID:24861364. Arias, Pam 1995-01-01 Maintains that Total Quality Management (TQM) is one method that helps to monitor and improve the quality of child care. Lists four steps for a child-care center to design and implement its own TQM program.
Suggests that quality assurance in child-care settings is an ongoing process, and that TQM programs help in providing consistent, high-quality. Massachusetts Career Development Inst., Springfield.
This booklet is one of six texts from a workplace literacy curriculum designed to assist learners in facing the increased demands of the workplace. The booklet contains seven sections that cover the following topics: (1) meaning of total quality management (TQM); (2) the customer; (3) the organization's culture; (4) comparison of management. Total ecosystem metabolism (TEM), both as discrete measurements and as a theoretical concept, has an important history in ecosystem ecology, particularly in estuaries. Some of the earliest ecological studies were developed to determine how energy flowed through an ecosystem and w. CSF total protein is a test to determine the amount of protein in your spinal fluid, also called cerebrospinal fluid (CSF). The normal protein range varies from lab to lab, but is typically about 15 to 60 milligrams per deciliter (mg/dL).
There is a growing need for urban water managers to take a more holistic view of their water resource systems as population growth, urbanization, and current operations put different stresses on the environment and urban infrastructure. Total Water Management (TWM) is an approac. The presentation provides an update on the use of a hybrid methodology that relies on measured values from national monitoring networks and modeled values from CMAQ to produce of maps of total deposition for use in critical loads and other ecological assessments. Additionally, c. Annan, Gertrude L. 1968-01-01 Changing functions and techniques of today's libraries have led to questioning the very substance of the library of the future.
Ralph Shaw points out that the total library must be “a living force for the enrichment of mankind.” The Medical Research Library of Brooklyn at its very inauguration is uniquely prepared and equipped to work toward that goal. It imaginatively serves the needs of the immediate area by generous sharing of resources, use of its computerized program, and participation in a state-wide system. The large collection of the Academy of Medicine of Brooklyn offers thousands of volumes for the historian, both great works as highlights of medical achievements and more modest contributions of both early and recent date. The total library must serve as an intellectual resource, as well as a mechanism for the rapid transfer of current information.
PMID:5644795. Jin, Kang; Sam, Iek Hou; Po, Kathy Hiu Laam; Lin, Du'an; Ghazvini Zadeh, Ebrahim H.; Chen, Sheng; Yuan, Yu; Li, Xuechen 2016-08-01 To cope with the global bacterial multidrug resistance, scientific communities have devoted significant efforts to develop novel antibiotics, particularly those with new modes of actions. Teixobactin, recently isolated from uncultured bacteria, is considered as a promising first-in-class drug candidate for clinical development. Herein, we report its total synthesis by a highly convergent Ser ligation approach and this strategy allows us to prepare several analogues of the natural product. 2017-08-21 NASA employees and contractors use protective glasses to view a partial solar eclipse from NASA Headquarters Monday, Aug. 21, 2017 in Washington.
A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Gwen Pitman). 2017-08-22 NASA employees and contractors use protective glasses to view a partial solar eclipse from NASA Headquarters Tuesday, Aug. 22, 2017 in Washington.
A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina. A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Gwen Pitman). 2017-08-21 The Moon is seen passing in front of the Sun at the point of the maximum of the partial solar eclipse near Banner, Wyoming on Monday, Aug. A total solar eclipse swept across a narrow portion of the contiguous United States from Lincoln Beach, Oregon to Charleston, South Carolina.
A partial solar eclipse was visible across the entire North American continent along with parts of South America, Africa, and Europe. Photo Credit: (NASA/Joel Kowsky). 1990-04-01 GTE FIE COPY DTIC c' ECTE 8JUL 25 1990u TOTAL QUALITY MANAGEMENT (TQM) BIBLIOGRAPHY APRIL-1990 Jointly supported by ’- Jointly.Arsenal, AL 1I. TITLE (Include Security Classification) TOTAL QUALITY MANAGEMENT (TQM) BIBL IRAPHY APRIL-1990 12. PERSONAL AUTHOR(S) Knott.implementation of the concept of total quality management (TQM). The selected coverage includes books, periodical articles, conference papers and reports.
Coded. Fuld, L M 1992-02-01 American firms want ' total quality'. The time and money spent by U.S. Companies attempting to qualify for the coveted Baldrige Award exemplifies corporate America's desire to achieve new quality standards. Corporate intelligence and ' total quality' are inextricably linked.
In this article, the authors demonstrate how shared and properly-used information can be a powerful tool for elevating quality standards, and how corporate intelligence programmes can provide the information links vital for success in attaining the highest standards of quality. Dempsey, D.T.; Crosby, L.O.; Lusk, E. 1984-08-01 In the ill hospitalized patient with clinically relevant malnutrition, there is a measurable decrease in the ratio of the total body potassium to total body water (TBK/TBW) and a detectable increase in the ratio of total exchangeable sodium to total exchangeable potassium (Nae/Ke). To evaluate body composition analyses in anorexia nervosa patients with chronic uncomplicated semistarvation, TBK and TBW were measured by whole body K40 counting and deuterium oxide dilution in 10 females with stable anorexia nervosa and 10 age-matched female controls. The ratio of TBK/TBW was significantly (p less than 0.05) higher in anorexia nervosa patients than controls. Themore » close inverse correlation found in published studies between TBK/TBW and Nae/Ke together with our results suggest that in anorexia nervosa, Nae/Ke may be low or normal.
A decreased TBK/TBW is not a good indicator of malnutrition in the anorexia nervosa patient. The use of a decreased TBK/TBW ratio or an elevated Nae/Ke ratio as a definition of malnutrition may result in inappropriate nutritional management in the patient with severe nonstressed chronic semistarvation.« less. Lewis, Ralph G.; Smith, Douglas H. This volume offers a detailed argument for and description of Total Quality Management (TQM) for institutions of higher education. Chapter 1 elaborates on why TQM is good for higher education and includes some warning as to why implementation at colleges and universities may not be easy. Chapter 2 provides an overview of the history of the TQM. Ahlfors, Charles E 2016-10-01 Poor plasma bilirubin binding increases the risk of bilirubin neurotoxicity in newborns with hyperbilirubinemia.
New laboratory tests may soon make it possible to obtain a complete bilirubin binding panel when evaluating these babies. The 3 measured components of the panel are the plasma total bilirubin concentration (B Total ), which is currently used to guide clinical care; the bilirubin binding capacity (BBC); and the concentration of non-albumin bound or free bilirubin (B Free ). The fourth component is the bilirubin-albumin equilibrium dissociation constant, K D, which is calculated from B Total, BBC, and B Free The bilirubin binding panel is comparable to the panel of components used in the Henderson-Hasselbalch approach to acid-base assessment. Bilirubin binding population parameters (not prospective studies to determine whether the new bilirubin binding panel components are better predictors of bilirubin neurotoxicity than B Total ) are needed to expedite the clinical use of bilirubin binding. At any B Total, the B Free and the relative risk of bilirubin neurotoxicity increase as the K D /BBC ratio increases (ie, bilirubin binding worsens). Comparing the K D /BBC ratio of newborns with B Total of concern with that typical for the population helps determine whether the risk of bilirubin neurotoxicity varies significantly from the inherent risk at that B Total Furthermore, the bilirubin binding panel individualizes care because it helps to determine how aggressive intervention should be at any B Total, irrespective of whether it is above or below established B Total guidelines. The bilirubin binding panel may reduce anxiety, costs, unnecessary treatment, and the likelihood of undetected bilirubin neurotoxicity.
The total flavonoids were measured spectrophotometrically by using the aluminium chloride colorimetric assay. The results showed that the family Mimosaceae is the richest source of phenolics, (Acacia nilotica: 80.63 mg gallic acid equivalents, Acacia catechu 78.12 mg gallic acid equivalents, Albizia lebbeck 66.23 mg gallic acid equivalents). The highest total flavonoid content was revealed in Senna tora which belongs to the family Caesalpiniaceae.
Giovanni Vcu For Mac Office
The present study also shows the ratio of flavonoids to the phenolics in each sample for their specificity. PMID:23439764. Sulaiman, C T; Balachandran, Indira 2012-05-01 Plant phenolics and flavonoids have a powerful biological activity, which outlines the necessity of their determination. The phenolics and flavonoids content of 20 medicinal plants were determined in the present investigation. The phenolic content was determined by using Folin-Ciocalteu assay. The total flavonoids were measured spectrophotometrically by using the aluminium chloride colorimetric assay. The results showed that the family Mimosaceae is the richest source of phenolics, (Acacia nilotica: 80.63 mg gallic acid equivalents, Acacia catechu 78.12 mg gallic acid equivalents, Albizia lebbeck 66.23 mg gallic acid equivalents).
The highest total flavonoid content was revealed in Senna tora which belongs to the family Caesalpiniaceae. The present study also shows the ratio of flavonoids to the phenolics in each sample for their specificity. Merrett, N. D.; Gartell, P. 1993-01-01 A technique is described where the distal limb of a loop colostomy is tied with nylon or polydioxanone. This ensures total faecal diversion and dispenses with the supporting rod, enabling early application of stoma appliances.
The technique does not interfere with the traditional transverse closure of a loop colostomy. PMID:8379632. Finkel, Coleman 1980-01-01 The designing of intelligently planned meeting facilities can aid management communication and learning. The author examines the psychology of meeting attendance; architectural considerations (lighting, windows, color, etc.); design elements and learning modes (furniture, walls, audiovisuals, materials); and the idea of ' total immersion meeting.
Greenwood, Malcolm S.; Gaunt, Helen J. Education in the United Kingdom has been shaped by the advent of local school management and the rapid growth of grant-maintained schools. Total Quality Management (TQM) offers a new way of looking at management principles and structures by identifying the needs of both internal and external customers. This book applies principles of TQM.
Johnson, James H. 1993-01-01 Ways to apply the concepts and processes of Total Quality Management (TQM) to education are discussed in this document. Following the introduction and the preface, chapter 1 provides a historical overview and describes the four cornerstones of TQM-an understanding of systems, psychology, knowledge, and statistics. Chapter 2 describes some of the. 1989-06-01 Quality Management Implementation Plan 6. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8.
PERFORMING ORGANIZATION Defense General.E 14. SUBJECT TERMS 15. NUMBER OF PAGES TOM ( Total Quality Management ), Continuous Process Improvement, Depot Operations, Supply Support 16. Bryan, William A.
1996-01-01 Provides a general overview of Total Quality Management (TQM) and explains why there is pressure for change in higher education institutions. Defines TQM and the various themes, tools, and beliefs that make it different from other management approaches. Presents 14 principles and how they might be applied to student affairs. (RJM). The total synthesis of nepetoidin B (the 2-(3,4-dihydroxyphenyl)ethenyl ester of 3-(3,4-dihydroxy¬phenyl)-2-propenoic acid) has been achieved in two steps from commercially available 1,5-bis(3,4-dimethoxyphenyl)-1,4-pentadien-3-one. Tetramethylated nepetoidin B was prepared directly by Baeyer-Villig. Sparling, Brian A; Moebius, David C; Shair, Matthew D 2013-01-16 A modular, 18-step total synthesis of hyperforin is described.
The natural product was quickly accessed using latent symmetry elements, whereby a group-selective, Lewis acid-catalyzed epoxide-opening cascade cyclization was used to furnish the bicyclo3.3.1nonane core and set two key quaternary stereocenters. Dethe, Dattatraya H; Dherange, Balu D 2018-03-16 Total synthesis of (±)-adunctin B, a natural product isolated from Piper aduncum (Piperaceae), has been achieved using two different strategies, in seven and three steps. The efficient approach features highly atom economical and diastereoselective Friedel-Crafts acylation, alkylation reaction and palladium catalyzed Wacker type oxidative cyclization. Combs, Joseph, Jr. 1999-01-01 Presents a general review of features of version 2.1 of Total Library Computerization (TLC) for Windows from On Point, Inc. Includes information about pricing, hardware and operating systems, modules/functions available, user interface, security, on-line catalog functions, circulation, cataloging, and documentation and online help.
A table. Kaya, M; Boleken, M E; Kanmaz, T; Erel, O; Yucesan, S 2006-02-01 This study aimed to investigate antioxidant capacity by using a novel automated method in children with acute appendicitis. Blood samples were obtained from consecutive patients with acute appendicitis (appendicitis group, n = 12) and acute abdominal pain due to non surgical disease (non-appendicitis group, n = 11), and from patients with inguinal hernia (healthy group, n = 12) as the control group. At admission, total antioxidant capacity (TAC) levels of plasma were evaluated in all patients by a method recently developed by Erel. Four other major individual plasma antioxidant components, the levels of total protein, albumin, uric acid and bilirubin, were also evaluated.
Total antioxidant capacity in patients with acute appendicitis was statistically compared with the two other groups. While the TAC level in the appendicitis group was significantly greater than in the non-appendicitis group, no significant difference was found in healthy groups (p 0.05, 1.94 +/- 0.38, 1.40 +/- 0.36, and 1.99 +/- 0.35 respectively).
Individual components of total antioxidant capacity, i.e. Total protein, albumin, uric acid and bilirubin concentrations, were also higher in the patients with acute appendicitis than those of the other two control groups. Our data show that children with acute appendicitis do not have deficient blood plasma antioxidant capacity. These results provide evidence that acute appendicitis results in more induction of antioxidative response than non-surgical diseases. Hawker, Charles D 2007-12-01 Worldwide, perhaps 2000 or more clinical laboratories have implemented some form of laboratory automation, either a modular automation system, such as for front-end processing, or a total laboratory automation system. This article provides descriptions and examples of these various types of automation. It also presents an outline of how a clinical laboratory that is contemplating automation should approach its decision and the steps it should follow to ensure a successful implementation.
Finally, the role of standards in automation is reviewed. 1990-05-01 ISBN: 0-941893-00-6 Price: $27.00 NAVSWC Library Call No: TS156 S358 GUIDE TO OUALITY CONTROL Author: Ishikawa, Kaoru Publisher: Asian Productivity.teachings of Juran, Deming, Feigenbaum, Crosby, Taguchi, Shewhart, Ishikawa, and others.
19 OUT OF BEDLAM: MANAGEMENT BY QUALITY LEADERSHIP Author.Price: $60.00 WHAT IS TOTAL QUALITY CONTROL? THE JAPANESE WAY Author. Ishikawa, K oru Publisher: Prentice Hall Date: 1985 Pagination: 215pp ISBN: 0-13. Nishimura, Takeshi; Tanaka, Masami; Sekioka, Risa; Itoh, Hiroshi 2015-01-01 Although relationships of serum bilirubin concentration with estimated glomerular filtration rate (eGFR) and urinary albumin excretion (UAE) in patients with type 2 diabetes have been reported, whether such relationships exist in patients with type 1 diabetes is unknown. A total of 123 patients with type 1 diabetes were investigated in this cross-sectional study. The relationship between bilirubin ( total and indirect) concentrations and log(UAE) as well as eGFR was examined by Pearson's correlation analyses.
Multivariate regression analyses were used to assess the association of bilirubin ( total and indirect) with eGFR as well as log(UAE). A positive correlation was found between serum bilirubin concentration and eGFR; total bilirubin (r=0.223, p=0.013), indirect bilirubin (r=0.244, p=0.007).
Create bootable media of easeus data recovery wizard for mac free. In the latter, all your files are backed up in a safe location so that in case you end up deleting or losing some data, you can always retrieve it later. There are two modes – Simple Protect and Complete Protect. It helps in securing you from data loss due to accidental deletion by creating a record of the files in your Mac Book. If at all any file is deleted, it can be recovered very quickly.
All rights reserved. Juping, Du; Yuan, Yuan; Shiyong, Chen; Jun, Li; Xiuxiu, Zhou; Haijian, Ying; Jianfeng, Shi; Bo, Shen 2017-11-01 Oxidative stress and immune imbalance play an important role in the pathogenesis of rheumatoid arthritis (RA).
Bilirubin is a powerful antioxidant and also regarded as immunomodulator. Increased evidence shows that bilirubin should be a protective factor for autoimmune disease. However, the relationship between bilirubin and RA remain unclear. We analyzed serum bilirubin levels and other laboratory and clinical data in 130 RA patients (35 patients without any complications), 81 osteoarthritis (OA) patients and 96 healthy controls. Binary logistic regression adjusted by age and gender revealed that the levels of serum total, indirect bilirubin were significantly lower in RA patients, when compared with healthy controls (P=.015, OR=0.767, 95% CI=0.619-0.951; P=.010, OR=0.664, 95% CI=0.487-0.906, respectively) or OA patients (P=.000, OR=0.763, 95% CI=0.661-0.882; P=.000, OR=0.656, 95% CI=0.532-0.808, respectively). A reduced trend of levels of bilirubin has been detected along with increased disease activity, despite with no significance (P.05).
Aycicek, Ali; Iscan, Akin; Erel, Ozcan; Akcali, Mustafa; Selek, Sahbettin 2006-12-01 The objective of this study was to investigate the antioxidant/oxidant status of serum and cerebrospinal fluid in children with meningismus and acute bacterial meningitis. Twenty-three children (age range, 0.75 to 9 years) with fever and meningeal signs that required analysis of the cerebrospinal fluid, but no cytologic or biochemical evidence of meningitis in their serum and cerebrospinal fluid, constituted the meningismus group. Thirty-one children (age range, 0.5 to 10 years) with acute bacterial meningitis constituted the meningitis group. Twenty-nine healthy children (age range, 0.5 to 11 years) were recruited as control subjects. Antioxidant status (ascorbic acid, albumin, thiol, uric acid, total bilirubin, total antioxidant capacity, catalase and ceruloplasmin concentrations) and oxidant status (lipid hydroperoxide and total oxidant status) were measured.
The serum antioxidant status was lower, and oxidant status levels higher in both meningitis and meningismus subjects than in the control children (P. Eastaugh, Steven R 2013-02-01 Consider total cost of ownership, not just initial cost of acquisition and annual maintenance, when reviewing electronic health record (EHR) system bids.
Support costs-a key part of total cost of ownership-include FTEs dedicated to the system. The long-term costs of an EHR system can vary dramatically (up to 200 percent) depending on which system is selected.
The rationale and supporting experimental data for revising EPA's 1996 'Guidance for Total Organics' are summarized in this document. It reports the results of reseach and investigation of improvements to the Total Organic Emissions (TOE) guidance used by EPA to measure recovera. Chandler, J G; Fechner, R E 1983-01-01 This report describes an experience with operative restoration of hepatopedal portal blood flow in five patients intolerant of total splanchnic shunting. Portal flow was reestablished by takedown of the total shunt and construction of a selective, distal splenorenal shunt, or by isolation and arterialization of the hepatic limb of the shunted portal vein. In two patients, shunt revision was undertaken electively for chronic encephalopathy, which had been unresponsive to low-protein diet, intestinal antibiosis and oral lactulose.
Eighteen and 48 months after operation, both patients have had no encephalopathy on an unrestricted protein intake, and work actively as homemakers. Needle liver biopsies showed enhanced mitotic activity in the early postoperative period, suggesting hepatocyte regeneration. In three patients, shunt conversion or arterialization was undertaken in desperate circumstances, characterized by liver failure ( bilirubin greater than 10 mg/dl, albumin less than 2.5 g/dl, prothrombin time greater than 16 sec), coma, and respirator dependency. Although the patients showed immediate, marked improvement in mentation, all three died of intraabdominal hemorrhage in the first few postoperative days, in spite of maximum blood product support.
Two conclusions can be drawn from this limited experience: (1) at a time of election, restoration of hepatopedal portal flow can be accomplished with considerable benefit in patients with side-to-side portacaval or hemodynamically equivalent shunts, and (2) similar procedures in patients with fulminant liver failure are unlikely to succeed. PMID:6847277. Ojo, Oluwatosin J.; Carne, David; Guyton, Daniel 2012-01-01 Background and Objectives: To present our experience with a single-incision laparoscopic total colectomy, along with a literature review of all published cases on single-incision laparoscopic total colectomy. Methods: A total of 22 cases were published between 2010 and 2011, with our patient being case 23. These procedures were performed in the United States and United Kingdom. Surgical procedures included total colectomy with end ileostomy, proctocolectomy with ileorectal anastomosis, and total proctocolectomy with ileopouch-anal anastomosis.
Intraoperative and postoperative data are analyzed. Results: Twenty-two of the 23 cases were performed for benign cases including Crohns, ulcerative colitis, and familial adenomatous polyposis.
One case was performed for adenocarcinoma of the cecum. The mean age was 35.3 years (range, 13 to 64), the mean body mass index was 20.1 (range, 19 to 25), mean operative time was 175.9 minutes (range, 139 to 216), mean blood loss was 95.3mL (range, 59 to 200), mean incision length was 2.61cm (range, 2 to 3). Average follow-up was 4.6 months with 2 reported complications. Conclusions: Single-incision laparoscopic total colectomy is feasible and safe in the hands of an experienced surgeon.
It has been performed for both benign and malignant cases. It is comparable to the conventional multi-port laparoscopic total colectomy. PMID:22906326. Ismi, Onur; Unal, Murat; Vayisoglu, Yusuf; Yesilova, Mesut; Helvaci, Ilter; Gorur, Kemal; Ozcan, Cengiz 2017-01-01 Mechanical esophageal closure with stapler during total laryngectomy has been used by various authors to decrease the surgical time and pharyngocutaneous fistula (PCF) rates.
In a few of the studies, surgical site infection (SSI) rates are mentioned and none of the studies emphasize the effect of decreased surgical time on postoperative cardiovascular and cerebrovascular complications. In this study, the authors compared the PCF rates, SSI rates, operation times between 30 mechanical stapler and 40 manual esophageal closure during total laryngectomy for laryngeal cancer patients. National Nasocomial Infections Surveillance system (NNISS) scores were recorded and compared between groups. Total laryngectomy and total operation times were lower in the stapler group patients (P.
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Motor City MC Payroll Giovanni (born Dior Giovanni Petty in 1988) is a member and de facto leader of the Detroit West Side rap crew Doughboyz Cashout. With a style reminiscent of '90s West Coast rap, Giovanni laid a steady, aggressive flow over tales of street life and drug dealing, similar to the output of DBC. Influenced by local Detroit-area legends like Street Lord'z and the late Blade Icewood, DBC continued their hometown's legacy for dense storytelling when they issued their debut mixtape, We Run the City, in 2007. Giovanni made his own debut in 2013 with Get Money Stay Humble, which featured DBC crew members like Big Quis, Chaz Bling, Ro Jack, and B-Mo Maine. Stack Season arrived in 2015.
The following year, Giovanni issued Big Bossin, Vol. 1, produced by Cardo (Drake, Kendrick Lamar) and Sosa Dreamz. Payface was released in 2017. Produced by fellow Detroit artist Helluva, the album featured 'How We Move It,' which transformed Montell Jordan's classic 'This Is How We Do It' into a hustler's anthem.
Contents. Changes from 2017 After the season, retired as the head coach. He was replaced by Chad Riley, who was hired from Dartmouth. After the 2018 season, coach resigned after 13 years and a 155–77–39 record with the team. Teams Stadiums and locations Atlantic Division Team Stadium Capacity Newton Soccer Complex 2,500 6,500 5,300 Dail Soccer Field 3,000 5,000 3,000 Coastal Division Team Stadium Capacity 7,000 5,025 Alumni Stadium 2,500 735 8,000 2,500 1. Florida State, Georgia Tech and Miami do not sponsor men's soccer Personnel Team Head coach Captain Preseason Hermann Trophy Prior to the season two ACC men's soccer players were selected to the MAC Hermann Trophy watch list. Alex Comsia, North Carolina.
Jonny Sutherland, Clemson Preseason Poll The 2018 ACC Preseason Poll was announced on August 15. Wake Forest and North Carolina were selected to win the Atlantic Division and Coastal Division, respectively. North Carolina was selected as the favorite to win the ACC Championship. The poll was voted on by all ACC coaches, for a total of 12 possible votes. ACC Championship Votes.
(10). (1). (1) Regular Season Poll First place votes shown in. Seed School 1st Round 2nd Round 3rd Round Quarterfinals Semifinals Championship 1 BYE W 2–0 vs. – L 0–1 vs.
– 4 BYE L 1–2 vs. – 5 BYE L 1–2 vs. – 6 BYE W 2–0 vs. – L 0–2 vs. – 7 BYE T 0–0 (11–10 PKs) vs. – W 1–0 (OT) vs.
– L 0–1 vs. – 10 BYE W 2–0 vs. – L 0–1 (OT) vs. – 12 BYE W 1–0 vs.
– L 0–3 vs. – 16 BYE L 1–3 vs. – None W 4–1 vs. – L 0–2 vs. – W–L (%): 1–0 (1.000) 4–4–1 (.500) 1–4 (.200) 0–1 (.000) 0–0 (–) 0–0 (–) Total: 6–9–1 (.406) Awards Postseason awards The Atlantic Coast Conference post season awards were announced on November 7, 2018, the same day as the Semifinals of the ACC Tournament. The Atlantic Coast Conference. Retrieved October 28, 2018.
November 28, 2017. Retrieved November 30, 2017. The Dartmouth.
5 January 2018. Retrieved 11 January 2018.
December 11, 2018. Retrieved December 11, 2018. Archived from on 2016-07-31. Retrieved July 30, 2016. Boston College Athletics.
Retrieved June 9, 2017. Clemson Tigers Athletics. Retrieved June 9, 2017. Duke Blue Devils Athletics. Retrieved June 9, 2017.
Louisville Cardinals Athletics. Retrieved June 9, 2017. North Carolina State Wolfpack Athletics. Retrieved June 9, 2017. UNC Athletics.
Archived from on 2016-08-16. Retrieved July 30, 2016. Notre Dame Athletics. Retrieved May 23, 2018. Retrieved July 30, 2016. Syracuse University Athletics.
Retrieved July 30, 2016. University of Virginia Athletics. Retrieved July 30, 2016. Virginia Tech Athletics. Retrieved July 30, 2016.
Wake Forest Athletics. Retrieved July 30, 2016.
Atlantic Coast Conference. August 13, 2018. Retrieved August 14, 2018. Atlantic Coast Conference.
15 August 2018. Retrieved 15 August 2018. United Soccer Coaches. August 7, 2018. Retrieved August 7, 2018. August 21, 2018. Retrieved August 21, 2018.
HERO Sports News. August 21, 2018. Retrieved August 21, 2018. Soccer America. August 24, 2018. Retrieved August 24, 2018.
Advanced Sports Media, LLC. August 21, 2018. Retrieved August 21, 2018.
Atlantic Coast Conference. August 28, 2018. Retrieved August 28, 2018. Atlantic Coast Conference.
September 3, 2018. Retrieved September 4, 2018.
The Atlantic Coast Conference. September 10, 2018. Retrieved September 11, 2018. The Atlantic Coast Conference.
September 17, 2018. Retrieved September 17, 2018. The Atlantic Coast Conference. September 24, 2018.
Retrieved September 24, 2018. The Atlantic Coast Conference. October 1, 2018. Retrieved October 1, 2018. The Atlantic Coast Conference.
October 8, 2018. Retrieved October 11, 2018. The Atlantic Coast Conference.
October 15, 2018. Retrieved October 15, 2018. The Atlantic Coast Conference.
October 22, 2018. Retrieved October 23, 2018. The Atlantic Coast Conference. October 29, 2018. Retrieved October 29, 2018. The Atlantic Coast Conference. November 7, 2018.
Retrieved November 7, 2018. United Soccer Coaches. December 6, 2018.
Best free apps for mac. Sep 14, 2018 - OkCupid. OkCupid has a huge dating pool, and uses a whole bunch of algorithms to find your perfect match. Plenty of Fish. Plenty of Fish has great matchmaking technology and a large dating pool. Hinge offers dating features that no other app has. Feb 26, 2018 - A Closer Look at Best Dating Sites. And Apps Trending. First released in 2012, Tinder has since become a staple of pop culture with its addictive gestures, which let users swipe left to dislike and right to like a potential match. Coffee Meets Bagel. Thankfully, the best dating apps allow you to streamline the process. It might work on a dating website where that much information would presumably be read. It's completely free and doesn't charge to message or browse your matches. Tinder just isn't the right dating app if you're in the older crowd. Young Adults Are you looking for the best free dating apps for teenagers and young adults? Jan 4, 2018 - Here's a look at some of the most popular dating apps and how they measure up. 10 Best Online Dating Apps, Ranked. Photo: businessinsider.com. Coffee Meets Bagel. Photo: askmen.com. Photo: businessinsider.com. Photo: phillymag.com. Photo: onlinedating.org. Photo: businessinsider.
Retrieved December 7, 2018.
Commitment to Privacy We collect limited information about web visitors and use cookies on our website to provide you with the most optimal experience. These cookies help us provide you with personalized content and improve our website. To learn more about our web site privacy practices, please review. By clicking on 'I agree', you agree to this use. Consenting to VCU's privacy policy requires the use of Javascript. Please enable Javascript functionality in your browser so you do not see this message again.