Pro-adrenomedullin usefulness in the management of children with community-acquired pneumonia, a preliminary prospective observational study

BackgroundIn adult population with community acquired pneumonia high levels of pro-adrenomedullin (pro-ADM) have been shown to be predictors of worse prognosis. The role of this biomarker in pediatric patients had not been analyzed to date. The objective of this study is to know the levels of pro-ADM in children with community acquired pneumonia (CAP) and analyze the relation between these levels and the patients¿ prognosis.FindingsProspective observational study including patients attended in the emergency service (January to October 2009) admitted to hospital with CAP and no complications at admission. The values for pro-ADM were analyzed in relation to: need for oxygen therapy, duration of oxygen therapy, fever and antibiotic therapy, complications, admission to the intensive care unit, and length of hospital stay. Fifty patients were included. Ten presented complications (7 pleural effusion). The median level of pro-ADM was 1.0065¿nmol/L (range 0.3715 to 7.2840¿nmol/L). The patients presenting complications had higher levels of pro-ADM (2.3190 vs. 1.1758¿nmol/L, p¿=¿0.013). Specifically, the presence of pleural effusion was associated with higher levels of pro-ADM (2.9440 vs. 1.1373¿nmol/L, p¿<¿0.001).ConclusionsIn our sample of patients admitted to hospital with CAP, pro-ADM levels are related to the development of complications during hospitalization.

La cultura obrera: perspectives per al seu estudi

This "Introduction" underlines the multi-explanatory causes that explain the incorporation of the cultural approaches and methodologies to today's Catalan Social History.

La cultura obrera: perspectives per al seu estudi

This "Introduction" underlines the multi-explanatory causes that explain the incorporation of the cultural approaches and methodologies to today's Catalan Social History.

Rehun kationi-anionitasapainon vaikutus lypsylehmien kalsium-aineenvaihduntaan poikimavaiheessa laidunkaudella

Summary: Effect of dietary cation-anion balance on Ca metabolism at parturition of dairy cows fed fresh grass based diets during the dry period

Auto- and allopolyploidy in Centaurea sect. Acrocentron s.l. (Asteraceae, Cardueae): karyotype and chromosome banding pattern analyses

Dysploidy and polyploidy are well documented in the large genus Centaurea, especially in sect. Acrocentron and in a small group of species from the Iberian Peninsula described as sect. Chamaecyanus, closely related to Acrocentron. We have explored two interesting cases of polyploid series in both sections: the polyploid series of Centaurea toletana in sect. Chamaecyanus and the series of C. ornata group in sect. Acrocentron. We have carried out a karyological study using both classic karyotype analyses and chromosome banding with fluorochromes.

Hännänpurennan esiintyvyys yhdistelmä- ja lihasikaloissa sekä tilaolosuhteiden yhteys hännänpurentaan laatuluokitetuissa sikaloissa

Summary: The prevalence of pig tail-biting in integrated and finishing units and the interaction between tail-biting and housing factors in quality-classified swine units