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Greatest Likelihood (greatest + likelihood)

Distribution by Scientific Domains

Medical Sciences	60%
Life Sciences	40%

Selected Abstracts

Women Aged 40 and Older Have Greatest Likelihood Of Stillbirth; Teenagers Also Have an Elevated Risk

PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH, Issue 3 2006
D. Hollander
No abstract is available for this article. [source]

The importance of meiofauna to lotic ecosystem functioning

FRESHWATER BIOLOGY, Issue 1 2000
Christine C. Hakenkamp
Summary 1Although meiofauna occur in large numbers in many streams, almost nothing is known about their functional role. 2In other systems, meiofauna influence microbial and organic matter dynamics through consumption and bioturbation. Given that these are important processes in streams, meiofauna have the potential to influence lotic function by changing the quality and availability of organic matter as well as the number and biotic activity of benthic microbes. Selective feeding by meiofauna has the potential to alter the availability of nutrients and organic carbon. 3Meiofauna generally contribute only a small amount to metazoan production and biomass in streams, although exceptions occur. Within a stream, the relative importance of meiofauna may reflect whether the temporary or permanent meiofauna dominate the meiobenthos as well as the season when samples are collected. 4We suggest stream conditions (small sediment grain size, restricted interstitial flow) under which meiofauna have the greatest likelihood of influencing stream ecosystem function. 5Important areas for future research include addressing whether meiofauna feed selectively, whether meiofauna are links or sinks for carbon in streams, and whether bioturbation by meiofauna influences stream ecosystem processes in a predictable manner. [source]

What You See (Sonographically) Is What You Get: Vein and Patient Characteristics Associated With Successful Ultrasound-guided Peripheral Intravenous Placement in Patients With Difficult Access

ACADEMIC EMERGENCY MEDICINE, Issue 12 2009
Nova L. Panebianco MD
Abstract Objectives:, Ultrasound (US) has been shown to facilitate peripheral intravenous (IV) placement in emergency department (ED) patients with difficult IV access (DIVA). This study sought to define patient and vein characteristics that affect successful US-guided peripheral IV placement. Methods:, This was a prospective observational study of US-guided IV placement in a convenience sample of DIVA patients in an urban, tertiary care ED. DIVA patients were defined as having any of the following: at least two failed IV attempts or a history of difficult access plus the inability to visualize or palpate any veins on physical exam. Patient characteristics (demographic information, vital signs, and medical history) were collected on enrolled patients. The relationships between patient characteristics, vein depth and diameter, US probe orientation, and successful IV placement were analyzed. Results:, A total of 169 patients were enrolled, with 236 attempts at access. Increasing vessel diameter was associated with a higher likelihood of success (odds ratio [OR] = 1.79 per 0.1-cm increase in vessel diameter, 95% confidence interval [CI] = 1.37 to 2.34). Increasing vessel depth did not affect success rates (OR = 0.96 per 0.1-cm increase of depth, 95% CI = 0.89 to 1.04) until a threshold depth of 1.6 cm, beyond which no vessels were successfully cannulated. Probe orientation and patient characteristics were unrelated to success. Conclusions:, Success was solely related to vessel characteristics detected with US and not influenced by patient characteristics or probe orientation. Successful DIVA was primarily associated with larger vessel, while vessel depth up to >1.6 cm and patient characteristics were unrelated to success. Clinically, if two vessels are identified at a depth of <1.6 cm, the larger diameter vessel, even if comparatively deeper, should yield the greatest likelihood of success. [source]

Nephrogenic Systemic Fibrosis Among Liver Transplant Recipients: A Single Institution Experience and Topic Update

AMERICAN JOURNAL OF TRANSPLANTATION, Issue 9 2006
M. Maloo
Nephrogenic systemic fibrosis (NSF) is a recently characterized systemic fibrosing disorder developing in the setting of renal insufficiency. NSF's rapidly progressive nature resulting in disability within weeks of onset makes early diagnosis important. Two reports of NSF after liver transplantation are known of. We present three cases of NSF developing within a few months after liver transplantation and review the current literature. Loss of regulatory control of the circulating fibrocyte, its aberrant recruitment, in a milieu of renal failure and a recent vascular procedure appear important in its development. Known current therapies lack consistent efficacy. Only an improvement in renal function has the greatest likelihood of NSF's resolution. Delayed recognition may pose a significant barrier to functional recovery in the ubiquitously deconditioned liver transplant patient. Early recognition and implementation of aggressive physical therapy appear to have the greatest impact on halting its progression. [source]

Diploic venous anatomy studied in-vivo by MRI

CLINICAL ANATOMY, Issue 3 2009
Khalil Jivraj
Abstract Calvarial diploic venous anatomy has been studied post-mortem, but few studies have addressed these venous structures in-vivo. Previous work in our laboratory has shown that intraosseous infusion through the skull diploic space near the diploic veins in animals and humans does access the superior sagittal sinus and the systemic venous system. We developed a volumetric method of imaging the diploic veins in-vivo using MRI, intravenous gadolinium, and digital subtraction to provide for three-dimensional depiction and exact localization of these veins. We hypothesized that this technique would allow for an assessment of the probability of existence, distribution, and concentration of diploic veins in the skull. We scanned 31 neurosurgical patients, and were able to create 3D diploic venous maps in 74% of them. These maps were processed using Adobe Photoshop CS2. Mathworks MatLab 6.5, once customized, counted the number of pixels occupied by the diploic veins in the processed image. The probability of veins was highest in the occipital regions (100%). The inferior occipital (4.1%) and posterior parietal (4.1%) regions had the highest concentrations of diploic veins. Digital subtraction venography using a volumetric MRI sequence can demonstrate the diploic veins in-vivo. The inferior occipital region may be the best area for an intraosseous infusion device because it has the greatest likelihood of containing a vein and also has the highest concentration of veins. Clin. Anat. 22:296,301, 2009. © 2009 Wiley-Liss, Inc. [source]