765 resultados para incorporated associations


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Cape Roberts Project drillcore 1 was obtained from Roberts Ridge, a sea-floor high located at 77°S, 16 km offshore from Cape Roberts in western McMurdo Sound, Antarctica. The recovered core is about 147 m long with the upper 43.15 metres below the sea floor (revised figure) being dated as Quarternary and the older part of the sequence being Miocene. The core includes nine facies: sandy diamict, muddy diamict, gravel/conglomerate, mud(stone), clay(stone) and carbonate. These facies occure in associations that are repeated in particulare sequences throughout the core, and are interpreted as representing different depositional environments through time. Seven lithofacies associations are interpreted as representing offshore shelf, ice protected/below wave-base; prodeltaic/offshore shelf; delta front/sandy shelf; ice system; subglacial till/rainout diamict/debris flow diamicts singly or in combination; and a carbonate-rich shelf bank. The facies associations are used to infer that the Quaternary section represents deposition on a polar shelf with perhaps two or three glacial fluctuations. The Quaternary carbonate unit indicates a period of ice sheet retreat, but local glacial activity may have increased with an increase in costal precipitation. The Miocene section represents polythermal glacial systems. The older Miocene section is glacially dominated whereas the younger section is much less so. The glacially dominated section may provide evidence for a major glacial advance thar resulted un a low stand of global eustatic sea level at that time. After the low stand, eustatic sea level was gradually rising during deposition of the younger section dominated more by non-glacial processes.

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THE AIM OF THE STUDY There are limited data on blood pressure targets and vasopressor use following cardiac arrest. We hypothesized that hypotension and high vasopressor load are associated with poor neurological outcome following out-of-hospital cardiac arrest (OHCA). METHODS We included 412 patients with OHCA included in FINNRESUSCI study conducted between 2010 and 2011. Hemodynamic data and vasopressor doses were collected electronically in one, two or five minute intervals. We evaluated thresholds for time-weighted (TW) mean arterial pressure (MAP) and outcome by receiver operating characteristic (ROC) curve analysis, and used multivariable analysis adjusting for co-morbidities, factors at resuscitation, an illness severity score, TW MAP and total vasopressor load (VL) to test associations with one-year neurologic outcome, dichotomized into either good (1-2) or poor (3-5) according to the cerebral performance category scale. RESULTS Of 412 patients, 169 patients had good and 243 patients had poor one-year outcomes. The lowest MAP during the first six hours was 58 (inter-quartile range [IQR] 56-61) mmHg in those with a poor outcome and 61 (59-63) mmHg in those with a good outcome (p<0.01), and lowest MAP was independently associated with poor outcome (OR 1.02 per mmHg, 95% CI 1.00-1.04, p=0.03). During the first 48h the median (IQR) of the TW mean MAP was 80 (78-82) mmHg in patients with poor, and 82 (81-83) mmHg in those with good outcomes (p=0.03) but in multivariable analysis TWA MAP was not associated with outcome. Vasopressor load did not predict one-year neurologic outcome. CONCLUSIONS Hypotension occurring during the first six hours after cardiac arrest is an independent predictor of poor one-year neurologic outcome. High vasopressor load was not associated with poor outcome and further randomized trials are needed to define optimal MAP targets in OHCA patients.

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"Chronology of Mount Rainier": p. 26-31.

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Leaves of plates bound throughout the text.

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Half-title: The Limited Editions Club: beaux livres, belles lettres.

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Mode of access: Internet.

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Mode of access: Internet.