972 resultados para 19-NOR-CLERODANE DITERPENE
Resumo:
Analiza los resultados del crucero de evaluación de peces demersales con especial referencia a la merluza, para la plataforma continental comprendida entre la frontera con el Ecuador y 10º S, a profundidades entre 20 y 200 bz, totalizando 13542,27 millas náuticas cuadradas.
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Brinda información sobre el comportamiento termal, halino, la circulación, sedimentología y geoquímica de la zona. La geomorfología y la presencia de islas en la entrada de la bahía, limitan la circulación marina condicionando escaso transporte de sedimentos en el fondo, sobre todo en la zona central donde existen principalmente sedimentos finos.
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Despite a low positive predictive value, diagnostic tests such as complete blood count (CBC) and C-reactive protein (CRP) are commonly used to evaluate whether infants with risk factors for early-onset neonatal sepsis (EOS) should be treated with antibiotics. We investigated the impact of implementing a protocol aiming at reducing the number of diagnostic tests in infants with risk factors for EOS in order to compare the diagnostic performance of repeated clinical examination with CBC and CRP measurement. The primary outcome was the time between birth and the first dose of antibiotics in infants treated for suspected EOS. Among the 11,503 infants born at ≥35 weeks during the study period, 222 were treated with antibiotics for suspected EOS. The proportion of infants receiving antibiotics for suspected EOS was 2.1% and 1.7% before and after the change of protocol (p = 0.09). Reduction of diagnostic tests was associated with earlier antibiotic treatment in infants treated for suspected EOS (hazard ratio 1.58; 95% confidence interval [CI] 1.20-2.07; p <0.001), and in infants with neonatal infection (hazard ratio 2.20; 95% CI 1.19-4.06; p = 0.01). There was no difference in the duration of hospital stay nor in the proportion of infants requiring respiratory or cardiovascular support before and after the change of protocol. Reduction of diagnostic tests such as CBC and CRP does not delay initiation of antibiotic treatment in infants with suspected EOS. The importance of clinical examination in infants with risk factors for EOS should be emphasised.
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Référence bibliographique : Rol, 56194
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Collection : Encyclopédie théorique & pratique des connaissances civiles & militaires ; partie 1, livre 6
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Référence bibliographique : Rol, 59159
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Référence bibliographique : Rol, 59764
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[Acte. 1759-02-12]
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[Acte. 1719-12-19. Paris]