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The effect of fibrinogen concentrate on allogeneic transfusions was assessed in five comparator trials, four of which showed a reduction in requirements as a result of the intervention [ 26, 54- 56, 71] (Table 6).
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Two studies in critical care patients have previously observed a reduction in requirement for blood transfusion [ 11, 12], with a suggestion that trauma patients may benefit further.
In this study, treatment with 80 μg/kg rFVIIa was associated with a significant reduction in requirement for fresh frozen plasma (FFP).
PCC administration was followed by a general reduction in requirement for transfusion of blood products, and haemostasis was achieved in most patients.
A lesser incidence as well as lesser severity of ischaemia/reperfusion injury and a reduction in requirement for early retransplantation have been reported [ 13, 14].
90 Levels of Hb, ferritin, and TSAT were all significantly increased by i.v. iron vs. oral iron, and there was a significant reduction in requirement in ESA dose in dialysis-dependent patients treated with i.v. iron.
Improvements in haemodynamic stability as indicated by improved mean arterial pressure and a reduction in requirement for vasopressor agents have been reported, along with improvements in neurological state as measured by the hepatic encephalopathy grade and intracranial pressure [ 4, 16, 23, 24].
But large regional banks, such as U.S. Bancorp, Capital One Financial Corp. and American Express Co., would either be exempted from or see significant reductions in requirements for the amount of capital they must hold and how much must be in liquid assets that could easily be sold for cash in a crisis.
For example, randomized controlled trials have shown that there were significant reductions in requirements for CARPs among higher risk individuals who were given antiplatelet therapy versus controls [ 18].
As follow-up data are collected annually, in the future we aim to determine whether the reductions in requirement for emergency treatment (and the cost savings) are sustained beyond the first year.
The anammox reaction has as advantages the reduction in energy requirements (e.g., to supply oxygen for nitrification), total reduction of carbon requirements, and a decreased biomass yield (Sliekers et al. 2003; van Dongen et al. 2001).
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