Third ordinary meeting of the conference of South American ministers of transport, communications and public works

The third ordinary meeting of the Conference of South American Ministers of Transport, Communications and Public Works was held from 6 to 8 November 1996 in Montevideo, Uruguay. Representatives of Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Paraguay, Peru, Uruguay and Venezuela took part. Representatives of the following organizations were present as observers: the Latin American and Caribbean Federation of National Associations of Cargo Agents, the Latin American Railways Association, the Latin American Association for Automated Highway Transport, the Inter-American Development Bank, the Economic Commission for Latin America and the Caribbean (ECLAC), the United Nations Conference on Trade and Development (UNCTAD), the International Road Federation/German Agency for Technical Cooperation (IRF/GTZ); and other representatives from both the private and public sectors.

Association between elevated brain tissue glycerol levels and poor outcome following severe traumatic brain injury

OBJECT: Glycerol is considered to be a marker of cell membrane degradation and thus cellular lysis. Recently, it has become feasible to measure via microdialysis cerebral extracellular fluid (ECF) glycerol concentrations at the patient's bedside. Therefore the aim of this study was to investigate the ECF concentration and time course of glycerol after severe traumatic brain injury (TBI) and its relationship to patient outcome and other monitoring parameters. METHODS: As soon as possible after injury for up to 4 days, 76 severely head-injured patients were monitored using a microdialysis probe (cerebral glycerol) and a Neurotrend sensor (brain tissue PO2) in uninjured brain tissue confirmed by computerized tomography scanning. The mean brain tissue glycerol concentration in all monitored patients decreased significantly from 206 +/- 31 micromol/L on Day 1 to 9 +/- 3 micromol/L on Day 4 after injury (p < 0.0001). Note, however, that there was no significant difference in the time course between patients with a favorable outcome (Glasgow Outcome Scale [GOS] Scores 4 and 5) and those with an unfavorable outcome (GOS Scores 1-3). Significantly increased glycerol concentrations were observed when brain tissue PO2 was less than 10 mm Hg or when cerebral perfusion pressure was less than 70 mm Hg. CONCLUSIONS: Based on results in the present study one can infer that microdialysate glycerol is a marker of severe tissue damage, as seen immediately after brain injury or during profound tissue hypoxia. Given that brain tissue glycerol levels do not yet add new clinically significant information, however, routine monitoring of this parameter following traumatic brain injury needs further validation.

The American labor legislation review.

Includes proceedings and papers of the American Association for Labor Legislation previously published in the two series: Proceedings and legislative review.

American journal of mental deficiency.

Includes the association's conference proceedings and addresses.

Bibliography of the more important contributions to American economic entomology.

Includes index.

Bulletin of the Southwestern Association of Petroleum Geologists.

Mode of access: Internet.

Index to the literature of American economic entomology.

Mode of access: Internet.

Transactions of the American Gynecological Society for the year ..

Published in Boston, 1876; Philadelphia, 1877-1979.

The university as a factor in American relations;

Mode of access: Internet.

De luxe illustrated catalogue of early American portraits collected by Mr. Thomas B. Clarke,

Mode of access: Internet.

Proceedings of ... Annual Convention of the National Association of Manufacturers of Sand-Lime Products.

Mode of access: Internet.

American dyestuff reporter

Includes proceedings of American Association of Textile Chemists and Colorists

Papers, addresses and resolutions before the American Road Congress, Richmond, Virginia, November 20-23, 1911.

Held under the auspices of the American Association for Highway Improvement.

Education for all American youth /

Includes bibliographical references and index.

Proceedings of the Annual Meeting of the American Institute of Refrigeration

Issued by American Association of Refrigeration, 1910-Feb.1921; by the American Association of Ice and Refrigeration, Mar.1921-27; by the American Institute Fo Refrigeration, 1928-41