000			02095cam a2200349 a 4500
003			EG-GiCUC
005			20250223031206.0
008			150331s2014 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.18.M.Sc.2014.Mo.A
100	0		_aMoustafa Saeed Mohammed Ahmed
245	1	0	_aAssessment of adrenal function in patients with liver cirrhosis / _cMoustafa Saeed Mohammed Ahmed ; Supervised Rokaya Abdelaziz , Laila Ahmed Rashed , Nagwa Ramadan Ahmed
246	1	5	_aتقييم وظيفة الغدة الكظرية في مرضى تليف الكبد
260			_aCairo : _bMoustafa Saeed Mohammed Ahmed , _c2014
300			_a108 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Internal Medicine
520			_aIntroduction: Liver cirrhosis is a major cause of mortality worldwide (Méndez et al., 2007) often with severe sepsis as the terminal event (Tsai, et al, 2006). Over the last two decades, several studies have reported that in septic patients the adrenal glands respond inappropriately to stimulation, and that the treatment with corticosteroids decreases mortality in such patients (Annane et al 2004). Conclusion: In conclusion, AI forms important part of spectrum of chronic liver disease. Deterioration of synthetic functions of liver disease predicts presence of AI, and these patients should be evaluated for adrenal dysfunction periodically. Adrenal function worsens with progression of liver disease. Steroid replacement in CLD patients at time of stress and critical illness may be beneficial
530			_aIssued also as CD
653		4	_aAdrenal insufficiency
653		4	_aLiver cirrhosis
653		4	_aSepsis
700	0		_aLaila Ahmed Rashed , _eSupervisor
700	0		_aNagwa Ramadan Ahmed , _eSupervisor
700	0		_aRokaya Abdelaziz , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSoheir _eCataloger
942			_2ddc _cTH
999			_c50188 _d50188