As the diagnosis of CIP/CIM was made (on average) on day 8 whereas prolonged mechanical ventilation was defined from day 14 onward, CSs may have a time-dependent effect on the neuromuscular system in critically ill patients characterised by a short-term protective effect and a long-term deleterious effect.
While Dunham's vision of girlhood may seem limited, it remains an alternative view that some of us recognise: that postgraduation, directionless fug characterised by ill-chosen one-night stands and much moping.
HRCT at the level of the upper lobes exhibits a "nodular without tree-in-bud pattern" characterised by ill-defined centrilobular nodules of slightly variable size that have an upper lobe and posterior predominance.
Open image in new window Fig. 4 Different patterns of HO maturity shown on CT. a Amorphous calcification located within the right quadratus femoris muscle, characterised by ill-defined margins and no recognisable trabecular structure.
There are two distinct patterns of VSCC invasion into surrounding tissue: a 'pushing' pattern displays distinct tumour stroma boundaries, whereas a 'spray' pattern of invasion is characterised by ill-defined tumour stroma boundaries with small clusters of invading cells and correlates with poor prognosis (Heaps et al, 1990; Qureshi et al, 1999).
Sleep disturbances are common in critically ill patients and have been characterised by numerous studies using polysomnography.
Coordinating such systems is very human-inclusive, characterised by abstract, ill-structured information interchange among well-partitioned expert groups.
The system has been installed and tested in the cryoEDM apparatus at the ILL, Grenoble, and used to characterise the magnetic environment.
The early "florid" inflammatory phase is characterised by brochiolocentric, ill-defined micronodules or nodules possibly surrounded by ground-glass opacification secondary to inflammatory interstitial infiltration.
HRCT at the level of the upper lobes exhibits an "ill-defined centrilobular nodular pattern" characterised by micronodules of ground-glass opacity that are diffusely distributed characteristically in the centre of the pulmonary lobules.
