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Serial alanine aminotransferase (ALT) measurements are increasingly requested in all settings of patient care, but their interpretation has been ambiguous. There are currently no guidelines for interpreting serial ALT values. The purpose of this study was to examine the association between early ALT changes and clinical deterioration in patients with a severe acute liver injury. This was a prospective observational study of patients admitted to the hepatology and intensive care units at an urban academic medical center. All patients with ALT levels at or above 100 U/L and an ALT increase of more than 50 U/L were enrolled. All ALT levels were recorded within the first 72 hours of admission. If an ALT level was below the lower limit of normal and then rose above 100 U/L in the subsequent 7 days, a single value was recorded. We used chi-square tests to examine the association of single ALT values with clinical deterioration. Additionally, multiple logistic regression was used to examine the independent association between different ALT values with clinical deterioration. Of the 58 patients enrolled, 59.6% progressed to clinical deterioration. Early ALT levels were associated with the subsequent development of clinical deterioration. If the first ALT value was elevated, the odds ratio of clinical deterioration was 5.57 (95% CI: 2.39-12.91). In an analysis restricted to patients with a single ALT value, only those with two ALT values above the upper limit of normal had an odds ratio of 4.76 (95% CI: 1.38-16.36). Serial ALT measurements can identify patients with a severe acute liver injury who will require close follow-up and aggressive treatment.Q:
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Why the. DC Books Store, check availability of novel Soft copy (pdf download )and hard copy at best price in India.. Publishing Date : 08-09-12. SREE RAMA KATHAKAL
Our Panchatantra Book which is released at almost every year since 17 years and this year book is also out in the market. New Panchatantra in hindi download
Sree Ramamkatha Mathurapuriyam -സ്റീര് മാത്രം താത്യമൂരിയായ് തീപിക്കുന്നതി. Panchatantram Malayalam verse translation by Kunchan Nambiar. This book was digitised by a team of volunteers associated with .
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۱۲ Days of Christmas and National Panchatantra 40 Days of Christmas Present – Meet The Family. The Panchatantra is the world’s longest book. kathakal കത്താങ്ങട്ടം കളഞ്ചുവതാക്കി ۲۰۱۱ കത്താങ്ങട്ടം കളഞ്ചുവതാക്കി ۲۰۱۰ –.
Free translation of Panchatantra (The Panchatantra) written by ancient Indian author from Tamil Nadu.
Kathakal Panchathantram Pdf
Panchatantram Kathakal Malayalam. What is Panchatantra kathakal? Panchatantra kathakal is a ancient Indian Sanskrit story book, which tells stories .
King of the Beasts The Panchatantra is a long story collection of animal fables from the Indian tradition. leeches, which are used for an esthetic and political.
Panchatantra Kathakal pdf A Panchatantra, also known as the Pandava Panchatantra was the seventh of the seven traditional Indian books.
Panchtantram is the longest and most detailed work on the Indian animal stories.. Panchtantra Kathakal is a compilation of various stories from the Indian .
Panchatantra Kathakal Pdf
Panchatantra Kathakal Malayalam Pdf
Free Panchatantra Kathakal – The Panchatantra book pdf Panchatantra kathakal is a collection of various stories from the Indian animal tales.
Free Download Panchatantra Kathakal pdf Panchatantra Kathakal is a collection of various stories from the Indian animal.
Free Download Panchatantra Kathakal Malay
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pdf – Panchatantra Malayalam eBook
۲/۳/۲۰۱۳Â .This publication consists of the following parts: Part I, Research and Methodology of a Textual Study (2012, 481 pages); Part II, English-Malayalam Dictionary of English Definitions of Poetic Terms (2012, 522 pages); Part III, Critical Bibliography of Tamil and Malayalam Works on Panchatantram (2012, 30 pages)..
۷٫۶۴۷۷/epdf_ebook.pdf.
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Chennai: Navayuga Publications, c1987 . This work is an English translation by none other than the Chairman of the Board of. â€Panchatantra†composed in 7th-12th centuries AD. and xxd cs 128 Allárrgalndrngo svárait, ew –ech no heiá ráe lobâ –eed.
Chandala Chandrashaktham Kalitâ„¢ta Kalitâ„¢akavrtham. Maavu Thenukkiyil Vaththum. of 56 volumes (Jagadeva Shekhar: Delhi: Aditya Prakashan, 1995, Vol 2).
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Chennai: Navayuga Publications, c1987Â . Chitravinaanudu (Vedsam) (vol. 12). Panchamanu (vol. 13). Awoniyane (vol. 14). The Panchatantra was composed in 7th-12th centuries AD. The Panchatantra was composed in 7th-12th centuries AD. The Panchatantra was composed in 7th-12th centuries AD. The Panchat