![]() Dysnatremias are also associated with increased mortality in critically ill patients. For critically ill patients, dysnatremias are among the most common electrolyte abnormalities. Alterations in plasma sodium may be a consequence of iatrogenic interventions such as intravenous fluid administration and medication or may portend altered physiology and may be a marker for a rapid decline in health. Sodium metabolism is usually tightly regulated at the cellular and organ level. Increased variability in plasma sodium may be associated with death in severely burned patients. Additionally, large variation in sodium ranges in the first 10 days of admission may be associated with increased mortality (OR 1.35 (95% CI 1.06 to1.7)). Adjusting for TBSA, age, ventilator days, and intensive care unit (ICU) stay, a higher CV of sodium measurements was associated with mortality (OR 5.8 (95% confidence interval (CI) 1.5 to 22)). Coefficient of variation (CV) was significantly higher in non-survivors (2.85 ± 1.1) than survivors (2.0 ± 0.7). Non-survivors had a significantly higher median number of hypernatremic (> 145 meq/l) measurements (2 vs. While mean sodium was significantly higher for non-survivors (138 ± 3 milliequivalents/liter (meq/l)) than for survivors (135 ± 2 meq/l), mean sodium levels remained within the laboratory reference range (135 to 145 meq/l) for both groups. 42 ± 16 years) and suffered from a more severe burn injury (50 ± 25% vs. The median number of serum sodium measurements per patient was 22. Serum sodium was measured 10,310 times overall. Twenty-nine patients died for a mortality rate of 14%. Mean age and %TBSA for the study was 45 ± 18 years and 32 ± 19%. Two hundred twelve patients met entry criteria. We used multivariate logistic regression analysis to determine if hypernatremia, hyponatremia, or sodium variability independently increased the odds ratio (OR) for death. All patients included in the study had at least three serum sodium levels checked during admission. We performed a retrospective review of adult burn patients with a burn injury of 15% total body surface area (TBSA) or greater from 2010 to 2014. Based on these findings, we hypothesized that high plasma sodium variability is a marker for increased mortality in severely burn-injured patients. Hypernatremia in burn patients is also associated with poor survival. Pulmonary function tests taken & reveal normal FEV1/FVC & decreased FEV1.Dysnatremias are associated with increased mortality in critically ill patients. ![]() Lab studies: Hb = 12 g/dL Hct = 35% WBC = 12,000/mm^3 Neutrophils = 68% Bands = 3% Creatinine = 1.1 mg/dL Sodium = 136 mEq/L Potassium = 5 mEq/L Calcium = 9.6 mg/dL Amiodarone levels = 1.6 ug/mL (normal levels, 1-3 ug/mL) Chest radiograph shows patchy alveolar infiltrates. Cardiac exam shows apical impulse, & no murmurs or gallops are appreciated. Physical exam reveals lung with diffuse crackles, decreased air movement, & pleural rub. Vital signs are temp 37.6 C (99.6 F), BP 120/60 mmHg, pulse 98/min, & respirations 20/min. She mentions that she has lost weight, even though her appetite is good. She drinks 2 glasses of wine a day & smoked cigarettes for 20 years but quit 10 years ago. Med history positive for flu 1 week ago treated with amantadine, ventricular tachycardia treated with implantable cardioverter-defibrillator (ICD) & amiodarone, & OCP for last year since she began menopause. Most likely diagnosis?Ĥ7 yo African-American woman + SOB, chest pain w/ respirations, & nonproductive cough that has been going on last 3-4 months. Pulmonary function tests taken & reveal normal FEV1/FVC & decreased FEV1. 47 yo African-American woman + SOB, chest pain w/ respirations, & nonproductive cough that has been going on last 3-4 months.
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![]() I believe the upgrade only ran me around 25 dollars (US) but it was well worth it. It then lists them and offers a 'right-click' link option which leads to a more thorough explanation of what they are, what they do as well as describing how dangerous or docile they are and then offers the option to remove them (or not to). exe files for the new programs.Īnother nice thing is that it detects many remote and 'seemingly innocuous' Adware programs that many other anti-malware programs miss. It consequently caught about 10-15 or so 'baddies' while I was trying to test the new freeware programs onto my computer as well as immediately warning me while I was in the process of downloading the installation. ![]() I first tried using Malwarebytes freeware version and afterwards I upgraded to Malwarebytes Anti-Malware pro. I actually test freeware programs as a hobby on the side and I probably download and install around a dozen or so of new full applications andor utility programs to test out each month so I have to be careful. The program works really wonderfully and has served me well for a while now. I have used the Malwarebytes "Pro version" very successfully (but the freeware version is sufficient). ![]() ![]() Price: Free Trial ($30.00) review details Don't get me wrong here, I'm not really complaining because Xplorer2 Lite, which is offered free for personal and academic use and is actually an overall useful program however the fact remains that - simply put - the free version is FAR LESS useful. But for me, the biggest negative is that you still must use the Windows Explorer search function in order to search for any files. This can make for an extremely frustrating experience while using it, because many of the options (those that are made unavailable) are not clearly labeled as such. Often time's free versions of software are independent of their paid upgrade, however Xplorer2 Lite is simply Xplorer2 with more than just a few of the far more useful options turned off. Three other man features of the Xplorer2 Professional version not present in the lite version are advanced search (Omni-Finder), full Unicode support and robust transfer. For example: As opposed to the professional version this lesser version basically lacks customizability and any "search command." Additionally, Check Duplicates and Compare Subfolders functions are disabled in the 'free' lite version. However, I gradually became disenchanted that the more advanced features are restricted to the Pro version. I actually used Xplorer2 (as well as its predecessor: 2圎xplorer) "Lite" version a dual-pane file manager for Microsoft Windows operating systems, for several years and enjoyed it very much as an alternative to Windows Explorer. Also, another minor issue is that it seemed to be much easier to access it after uploading from the Chrome Browser (as opposed to others that I like to use) but no biggie. docs - but there were a lot of them so no complaints, really. The only somewhat 'negative' thing I can think of regarding the other Google Drive software is that it took a really LONG time to upload all the. I downloaded a few things to test it out and then just last night I uploaded my entire Windows 7 'documents' folder (where I keep just about everything). I have the Google Drive the service too and so far so good. And I especially liked it when I checked the site today right after your posts in here, btw - thx! And was offered a "free user" upgrade from 7GB to 25GB supposedly "for loyal users" in the "Manage storage" section of the SkyDrive site. I had previously tested and used SkyDrive prior to upgrading (but not Office 365 at least not yet, anyway) and I really like it a lot, as well. I upgraded SkyDrive and received a BONUS of up to 25 GB! (vs. Season tickets for the 2023-24 season are available now by visiting or calling 54. For more information on how to join, visit or call (540) 568-6461. game day parking and access), informational updates and a 10% discount at the JMU Bookstore. Game times will be announced at a later date.įans can join the Duke Club today - in addition to supporting JMU student-athletes, a Duke Club membership provides numerous benefits, including access to exclusive events, game day experiences (i.e. 1 seed in the American Championship for a third time (2019, 2022) after finishing conference play 17-1. The Dukes' complete schedule can be found at . 03.05.23 IRVING, Texas The bracket is set for the 2023 American Athletic Conference Men’s Basketball Championship, to be held March 9-12 at Dickies Arena in Fort Worth, Texas. The Sun Belt schedule will also see JMU play its traditional home-and-home matchups against Old Dominion, Marshall, App State, Georgia Southern, Georgia State and Coastal Carolina. First Round Quarterfinals 2022-2023 American Athletic Conference Men's Basketball Tournament Participants Wins, Losses and Win based on team records entering the tournament. 7 for their first bout against the Red Wolves since Dec. The Dukes will also travel to Arkansas State on Feb. 4) and defending regular season champion Southern Miss (Jan. 14, 1991.Īfter opening with Texas State at home, JMU immediately faces a difficult road swing at defending SBC Tournament champion Louisiana (Jan. This year's matchup with the Jaguars will mark their first trip to Harrisonburg since Dec. ![]() 18) will travel to Harrisonburg for matchups in the new year - the Dukes cruised past ULM in a 58-45 win last season, but dropped a pair of matchups to South Alabama. JMU will welcome Texas State to the Atlantic Union Bank Center for the second consecutive year to open SBC play on Saturday, Dec. 19) at home during the non-conference slate, while travelling to Old Dominion (Dec. Both contests will be broadcast live on CBS Sports Network. 21, JMU will face either Fresno State or New Mexico the following evening to close out the week. 17 with in-state foe Radford before heading to the Hard Rock Hotel Riviera Maya for the final two games of the event.Īfter facing Southern Illinois at 6 p.m. JMU will open the Cancun Challenge at home on Nov. 10, 2024, with the matchups set based on real-time NET rankings and announced in January. The second MAC-SBC Challenge matchup will be back in Harrisonburg on Saturday, Feb. 9 for the first leg of the inaugural MAC-SBC Challenge. 6, with a matchup at traditional power Michigan State, which fell in the Sweet 16 this past season, before travelling to Kent State on Nov. 1 The winner of the tournament, Florida Atlantic, received the. ![]() First round & quarterfinal games of the tournament was televised on ESPN+ while the semifinals & championship game was aired on CBS Sports Network. The Dukes will open their season in East Lansing on Monday, Nov. The 2023 Conference USA men's basketball tournament was held March 811, 2023, at Ford Center at The Star in Frisco, Texas. Trips to Michigan State and Cancun, an 18-game Sun Belt Conference slate and the first ever MAC-SBC Challenge highlight the 2023-24 James Madison men's basketball schedule, as announced by Head Coach Mark Byington on Wednesday morning. ()-Rankings denote tournament seeding.HARRISONBURG, Va. The top five teams received byes to the quarterfinals. The winner of the tournament, Florida Atlantic, received the conference's automatic bid to the 2023 NCAA tournament. The top five seeds will receive byes to the quarterfinals. First round & quarterfinal games of the tournament was televised on ESPN+ while the semifinals & championship game was aired on CBS Sports Network. The 2023 AAC men’s basketball tournament is scheduled from March 9 through March 12, 2023, at Dickies Arena in Fort Worth, Texas. The 2023 Conference USA men's basketball tournament was held March 8–11, 2023, at Ford Center at The Star in Frisco, Texas.
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