The contingency approach to management holds that management techniques should be dependent upon the circumstances. In this lesson, you will learn what the contingency approach to management is and the key elements of contingency management.he contingency approach to management holds that management techniques should be dependent upon the circumstances. In this lesson, you will learn what the contingency approach to management is and the key elements of contingency management.
Elevated transaminases. In medicine, the presence of elevated transaminases, commonly the transaminases alanine transaminase (ALT) and aspartate transaminase (AST), may be an indicator of liver damage. Other terms employed include transaminasemia and transaminitis, although some sources consider the latter pathologically meaningless.
ALT is the best test to detect hepatitis, or inflammation of the liver, and it usually yields higher readings than the AST in conditions like mononucleosis. Another liver protein that can be elevated in mono is bilirubin. This protein is important in the digestion of fats in your intestines. It is also the byproduct of red blood cell turnover. An elevation in the bilirubin level in people with mononucleosis causes jaundice, or a yellowish tinge of the skin.