You can view any public Blogger website in the new views by adding "/views" to the end of the url.
Blogger teased this in their recent ad they put together for South by Southwest:
Notes from Dr. RW: Nonhepatic hyperammonemias: "---may be underappreciated causes of encephalopathy in hospitalized patients. I recently blogged one example of a nonhepatic hyperammonemia..."
The total number of organs transplanted decreased from 27,586 in 2007 to 27,281 in 2008. This was an overall decrease of 305 organs transplanted (1.1 percent), including 91 (1.4 percent) fewer living donor transplants.Here is the data on kidney transplants displayed graphically. Note the ever increasing demand for transplant as represented by the number of patients on the waiting list:
|And it's NDT, so hastle free PDFs. Yay!
Indeed one group recommend no modification of the indication for renal biopsy in pregnancy and suggest that all pregnant women with abnormalities in urinalysis indicative of renal disease should undergo renal biopsy to guide treatment , but this is not standard practice. Although it has been established that there is no greater risk of complications of renal biopsy in pregnancy, the consequences to the mother and fetus of post-biopsy haemorrhage could be severe.The article reviews 20 women who had kidney biopsies during pregnancy and 75 who had post-natal biopsies.
|Grey is bad. Black is better.
In the first trimesterInteresting, so by these authors recommendations the biopsy was indicated (she has nephrotic syndrome), despite the fact that it didn't change her therapy. Good to know.
Structurally normal kidneys and:
We feel a diagnosis at this stage of pregnancy is of benefit to guide treatment and allow an informed discussion of the risks:benefit ratio of continuation of pregnancy.
- an active urinary sediment or
- nephrotic syndrome or
- unexplained CKD (with proteinuria and no evidence of scarring) or
- those with renal impairment and proteinuria in the context of systemic disease or positive autoimmune serology
In the second trimester
Renal biopsy should be reserved for those with:
- unexplained nephrotic range proteinuria
- progressive CKD and renal disease in the presence of active systemic disease
On Tuesday, March 22, 2011, your HighWire sites began receiving a flood of unusual requests for PDFs. What we observed was that a single click to request a PDF of an article would result in multiple requests for the PDF being sent to your sites. In some cases a single request was being multiplied more than 100 times. This caused an overload on the systems responsible for serving PDFs. Early impacts, around 5:00 to 6:00 AM (PDT), were felt as slow response for PDF serving but as the day moved on and traffic on the sites rose the impacts increased until the whole sites were slow as the PDF requests backed up, in the 8:00-9:00 AM (PDT) hours.Wow, that's cool. Both that they fixed it so fast and that they cared enough to send a note. Go Team ASN!
Our first response was to turn off access to the PDFs so that the sites would continue to serve other pages well. This was effective and allowed us the breathing room to analyze the traffic more carefully, and we were able to localize the large majority of these multiple requests as coming from users of the most recent version of Google's Chrome browser, which was just updated in the last few days.
At approximately noon on Tuesday we blocked the use of the most recent version of Chrome from all H20 sites. We regretted taking this action (I use Chrome as my browser, too) but it was the way we could restore full service to more than 90 of your users and still allow the other 10 the option to choose a different browser and receive full service as well. Chrome was blocked from approximately noon until 5:15 PM, when we were able to deploy a fix for the Chrome bug.
During the time that Chrome was blocked we were able to perform diagnosis and to determine that for many PDFs, Chrome was requesting the file 32Kbytes at a time. What this mean is that for some large PDFs a single click of the mouse was generating 11,000 requests for the PDF. We were also able to determine how to prevent Chrome from making these requests and we built a fix that was deployed t0 all H20 sites at 5:15 PM.
At the time of this writing all sites have been restored to full function and all users are receiving full service. We have no reason to believe this problem will recur and we deeply regret the impact that the Chrome update had on you and your readers.
The lungs serve to maintain the composition of the extracellular fluid with respect to oxygen and carbon dioxide, and with this their duty ends. The responsibility for maintaining the composition of this fluid in respect to other constituents devolves on the kidneys. It is no exaggeration to say that the composition of the body fluids is determined not by what the mouth takes in but what the kidneys keep: they are the master chemists of our internal environment. Which, so to speak, they manufacture in reverse by working it over some fifteen times a day. When among other duties, they excrete the ashes of our body fires, or remove from the blood the infinite variety of foreign substances that are constantly being absorbed from our indiscriminate gastrointestinal tracts, these excretory operations are incidental to the major task of keeping our internal environments in the ideal, balanced state.
|MedCalc has a sweet HH calculator
|MedCalc also has a sweet osmolar gap calculator
|Blogging. Total bargain.
It doesn’t matter if anyone reads it. What matters is the humility that comes from writing it. What matters is the metacognition of thinking about what you’re going to say.No single thing in the last 15 years professionally has been more important to my life than blogging. It has changed my life, it has changed my perspective, it has changed my intellectual outlook, it’s changed my emotional outlook.And it’s free.
Medicine is magical and magical is art
The Boy in the Bubble
And the baby with the baboon heart