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Chronic liver disease is associated with elevated serum levels of C-reactive protein (CRP) and there is evidence that CRP is an independent risk factor for cardiovascular disease. However, the correlation between CRP and the degree of liver disease is unknown. CRP levels were measured in patients with various degrees of chronic liver disease, patients after liver transplantation, and controls. CRP levels were highest in patients with fulminant hepatitis, followed by patients with chronic active hepatitis and chronic persistent hepatitis, and were considerably lower in patients with cirrhosis and after transplantation. CRP levels correlated with liver function tests, particularly total and direct bilirubin and with AST. There was a marked difference in CRP levels between controls and patients with chronic liver disease. Despite the degree of liver function being the major determinant of CRP level, patients who were undergoing transplantation and were subsequently found to have a poor outcome had significantly higher CRP levels than patients who responded to immunosuppressive therapy. This study provides further evidence of the positive association between CRP and cardiovascular risk. In patients with chronic liver disease, the degree of liver dysfunction is the main determinant of CRP level, but CRP levels may be a good indicator of the success of liver transplantation and a predictor of the long-term outcome of liver transplantation.Evaluation of a new neonatal arterial blood gas analyzer (Natus Easy Blood Gas System) for clinical practice.
The clinical relevance of an arterial blood gas (ABG) system designed to be fast and simple was assessed by comparison with an established routine system. ABGs from 340 newborns (age range, 1-24 hours) were analyzed in the Natus Easy Blood Gas System (closed-system) and an ABL 7000 (open-system) while the samples were transported to the laboratory. The ABG values were (mean +/- standard deviation (SD)): pH 7.29 +/- 0.04, pCO2 44 +/- 18 mmHg, pO2 4

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