2 q2 does the patient present a metabolic syndrome
Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
Ngày tải lên :
06/07/2014, 20:20
... epidermal atrophy) Scar: A change in the skin secondary to trauma or inflammation Sites may be erythematous, hypopigmented, or hyperpigmented depending on their age or character Sites on hair-bearing ... an associated loss of dermis Ulcer: Loss of epidermis and at least a portion of the underlying dermis Excoriation: Linear, angular erosions that may be covered by crust and are caused by scratching ... hair-bearing areas may be characterized by destruction of hair follicles Table 52-3 Common Dermatologic Terms Alopecia: Hair loss; it may be partial or complete Annular: Ring-shaped lesions Cyst: A soft,...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
Ngày tải lên :
06/07/2014, 20:20
... >0.5 cm in diameter Wheal: A raised, erythematous, edematous papule or plaque, usually representing short-lived vasodilatation and vasopermeability Telangiectasia: A dilated, superficial blood vessel ... focuses on linear erosions overlying an area of erythema and scaling, he or she may incorrectly assume that the erosion is the primary lesion and the redness and scale are secondary, while the correct ... differential diagnosis (Table 52-4) For instance, the finding of scaling papules (present in patients with psoriasis or atopic dermatitis) places the patient in a different diagnostic category than...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
Ngày tải lên :
06/07/2014, 20:20
... lesions, the shape of individual lesions, and the arrangement of the lesions An ideal skin examination includes evaluation of the skin, hair, and nails as well as the mucous membranes of the mouth, ... the skin it is usually advisable to assess the patient before taking an extensive history This way, the entire cutaneous surface is sure to be evaluated, and objective findings can be integrated ... nasopharynx, and anogenital region In the initial examination it is important that the patient be disrobed as completely as possible This will minimize chances of missing important individual...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
Ngày tải lên :
06/07/2014, 20:20
... A D The distribution of some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules and plaques ... disease is characterized by small and large erythematous papules and plaques with overlying adherent silvery scale Figure 52-8 ...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
Ngày tải lên :
06/07/2014, 20:20
... contact (Fig 52-10) or primary irritant dermatitis In contrast, lesions with a generalized arrangement are common and suggest a systemic etiology Figure 52-9 Erythema multiforme This ... This eruption is characterized by multiple erythematous plaques with a target or iris morphology It usually represents a hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections ... hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident's Slide Collection; with permission.) Figure 52-10 ...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
Ngày tải lên :
06/07/2014, 20:20
... psoriasis, or acne) 10 Social, sexual, or travel history as relevant to the patient DIAGNOSTIC TECHNIQUES Many skin diseases can be diagnosed on gross clinical appearance, but sometimes relatively ... or saucerized with a scalpel or removed by punch biopsy In the latter technique, a punch is pressed against the surface of the skin and rotated with downward pressure until it penetrates to the ... simple diagnostic procedures can yield valuable information In most instances, they can be performed at the bedside with a minimum of equipment Skin Biopsy A skin biopsy is a straightforward minor...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
Ngày tải lên :
06/07/2014, 20:20
... noting the amount of blanching that occurs Granulomas often have an opaque to transparent, brown-pink "apple jelly" appearance on diascopy Figure 52-11 Urticaria Discrete and confluent, edematous, ... edematous, erythematous papules and plaques are characteristic of this whealing eruption Wood's Light A Wood's lamp generates 360-nm ultraviolet (or "black") light that can be used to aid the evaluation ... Wood's lamp, and previously unsuspected areas of involvement often become apparent A Wood's lamp may also aid in the demonstration of tinea versicolor and in recognition of ash leaf spots in patients...
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Báo cáo y học: " Airway obstruction in asthma: does the response to a deep inspiration matter" pptx
Ngày tải lên :
12/08/2014, 18:20
... strains that large This is perhaps because the majority of the mechanical strain in the asthmatic airway during a DI is taken up by increased extensibility of the extracellular matrix, by the ... the normal and the asthmatic subject, even when the smooth muscle is activated If transient strains of that magnitude were actually transmitted undiminished from the airway wall to the contractile ... constricted airways, as opposed to an increased responsiveness of the airway itself [5] Remarkably, Salter had come to the much the same conclusion more than 120 years earlier [17] Failure of the airway...
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The ocean bottom a region nearly 2.5 times
Ngày tải lên :
06/11/2013, 13:15
... What does the second paragraph of the passage mainly discuss? (A) The major mountain chains of the Earth (B) Processes that create the Earth's surface features (C) The composition of the ocean ... of the Basin and Range Province (B) The Great Basin is larger than the Basin and Range Province (C) The Great Basin is in the northern part of the Basin and Range Province (D) The Great Basin ... industrialized countries such as the United States and Canada Perhaps the nearest modern equivalent in Anglo-America is the Amish, a German American farming sect that largely renounces the products and...
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Tài liệu Báo cáo khoa học: A novel coupled enzyme assay reveals an enzyme responsible for the deamination of a chemically unstable intermediate in the metabolic pathway of 4-amino-3-hydroxybenzoic acid inBordetellasp. strain 10d doc
Ngày tải lên :
19/02/2014, 16:20
... to any other sequences available in FASTA and BLAST database programs at the DNA Data Bank of Japan Recently, we reported the cloning and sequencing of the gene encoding 4-amino-3-hydroxybenzoate ... decarboxylase) and a deamination step (2-aminomuconic 6-semialdehyde deaminase) in P fluorescens strain KU-7 [7] The decarboxylation mechanism in the metabolic pathways for 3-hydroxyanthralinic acid ... 33–38 10 Takenaka, S., Asami, T., Orii, C., Murakami, S & Aoki, K (2002) A novel meta-cleavage dioxygenase that cleaves a carboxylgroup-substituted 2-aminophenol: purification and characterization...
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Tài liệu C++ Lab 2 Sending the output to a printfile Data Types: Chapter 2 ppt
Ngày tải lên :
20/02/2014, 08:20
... problem What are the known information about this programming assignemnt? There are ten dollars in a quarter roll There are five dollars in a dime roll There are two dollars in a nickel roll And there ... indicates the beginning of the main int dollar, quarterR, dimeR, nickelR, pennyR, remainder; Variables that are used in the main are declared There are six variables of type integer These variable names ... roll And there are two penny rolls in a dollar The amount may vary each time you run the program For this example let us assume the amount is 38 dollars Quarter rolls may be obtained by doing...
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The impact of a cancer Survivorship Care Plan on gynecological cancer patient and health car provider reported outcomes (ROGY Care): study protocol for a pragmatic cluster randomized controlled trial potx
Ngày tải lên :
05/03/2014, 15:20
... demographic and socioeconomic variables such as age, education, marital status, and employment status, and clinical variables such as cancer stage at diagnosis, time after diagnosis, and initial treatment ... questionnaire aims to evaluate the (satisfaction with) information received by cancer patients on different areas of the disease, diagnosis, treatment and care, and some qualitative aspects, for instance ... information than was intended for usual care Also, if usual care patients learn from other patients that they are given an SCP, it is possible that they will become dissatisfied with their usual care,...
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Báo cáo khoa học: A monoclonal antibody, PGM34, against 6-sulfated blood-group H type 2 antigen, on the carbohydrate moiety of mucin doc
Ngày tải lên :
23/03/2014, 09:21
... A1 -5c Fraction A1 -4 also separated into three fractions, designated A1 - 4a, A1 -4b and A1 -4c (data not shown) The inhibition assay indicated that fractions A1 - 5a, A1 -5b (Fig 4B) and A1 -4c (data not ... monitored at 254 nm The monosaccharide mixture containing GlcNAc, GalNAc and GalNAc-ol (molar ratios, : : 1) was used as the standard sample MALDI-TOF ⁄ MS analysis The molecular masses of the oligosaccharides ... 69–79 15 Kawakubo Y, Ito Y, Okimura Y, Kobayashi M, Sakura K, Kasama S, Fukuda MN, Fukuda M, Katsuyama T & Nakayama J (2004) Natural antibiotic function of human gastric mucin against Helicobacter...
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Báo cáo khoa học: Tuberous sclerosis-2 (TSC2) regulates the stability of death-associated protein kinase-1 (DAPK) through a lysosome-dependent degradation pathway doc
Ngày tải lên :
28/03/2014, 23:20
... a stop codon was introduced at amino acid 1517 using the primers: Fwd 5¢-CGACGAGTC AAACTAGCCAATCCTGCTG-3¢; Rev 5¢-CAGCAGGAT TGGCTAGTTTGACTCGTCG-3¢ Autophagy Apoptosis Fig DAPK and TSC2 form a ... 12, which then binds to and inactivates mTORC1, leading to an upregulation of autophagy [25] Thus mTORC1 acts as a central regulator balancing anabolic and catabolic pathways within the cell [24] ... beta, DNA damage, ER-stress and excessive growth factor signaling DAPK also plays a role in survival pathways reflected in its autophagy-signalling activity A substantial amount of research has...
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MUTUAL BANKING: SHOWING THE RADICAL DEFICIENCY OF THE PRESENT CIRCULATING MEDIUM, AND THE ADVANTAGES OF A FREE CURRENCY docx
Ngày tải lên :
29/03/2014, 08:20
... has actual length, and therefore may serve as a standard of length; silver has actual intrinsic value, and may therefore serve as a standard of value: but the bill of a Mutual Bank, having a ... constantly as those of the precious metals; and it is for this reason that they have been adopted by the various nations as standards of value When Adam Smith and Malthus8 say that labor is a measure ... and that every increase in the supply causes therefore a proportionate decrease in the price The variation in the volume does not cause a variation in the value of the volume, but causes a variation...
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The Confessions of a Caricaturist, Vol 2 pptx
Ngày tải lên :
29/03/2014, 22:20
... insatiable god the almighty dollar, that eventually they either have to fly to a lunatic asylum or an Atlantic liner After a day or two on the latter the calm and repose and the vast sea around them prove ... until the time came to carry it out of the hotel As it passed through the hall the manager, who had had many and many an upbraiding from the excitable Italian after the latter had been proffered the ... branch of art the art of advertising the artists, by a special number of a magazine devoted to the work of an Academician The special numbers, generally published at Christmas, are familiar and...
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Báo cáo Y học: Barley a-amylase Met53 situated at the high-affinity subsite )2 belongs to a substrate binding motif in the bfia loop 2 of the catalytic (b/a)8-barrel and is critical for activity and substrate specificity pot
Ngày tải lên :
31/03/2014, 08:20
... green) and TAA (in black) The superimpositioning was guided by the catalytic acids (D179AMY2, E204AMY2, and D289AMY2 and D206TAA, E230TAA, and D297TAA) The invariant Y51AMY2 and Y82TAA are at subsite ... Superpositioning of AMY2 and TAA guided by the catalytic acids was excellent for Tyr51AMY2 and Tyr82TAA (Fig 1A) and mutation in Saccharomycopsis buligera a- amylase (closely related to TAA) conrmed the corresponding ... substrate analogues derived from acarbose and barley a- amylase (AMY2 [16]); and Taka-amylase A (TAA [17]) (A) Stereo view of interactions involving segments of ba loops and (i.e domain B) from AMY2...
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Báo cáo Y học: Structural study on lipid A and the O-specific polysaccharide of the lipopolysaccharide from a clinical isolate of Bacteroides vulgatus from a patient with Crohn’s disease ppt
Ngày tải lên :
31/03/2014, 23:20
... phosphate The latter component may be a byproduct of the hydrolysis reaction or a natural contaminant These results indicate that the LPS from B vulgatus mainly contains lipid A carrying four fatty ... OPS-rich fraction (30%) Mainly two sugars, Rha and Man, were detected in the OPS-rich fraction on analysis of the sugar constituents (Table 1) The approximate molar ratio of Rha to Man was : Absolute ... Nitrobenzyl alcohol was used as a matrix The sample was ionized with KeV Xe atoms, and the ions were accelerated through 10 KeV Argon was used as the collision gas RESULTS AND DISCUSSION Analysis...
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báo cáo hóa học: " Cognitive interviewing methodology in the development of a pediatric item bank: a patient reported outcomes measurement information system (PROMIS) study" docx
Ngày tải lên :
18/06/2014, 19:20
... respond to items and talk about all aspects of their health and well-being in meaningful ways They are able to comprehend varying response options on a categorical scale, and can accurately respond ... for an interview date At the time of the interview, a trained research assistant obtained parental informed consent and the children signed an assent document All child participants received a ... using a 7-day recall period Feedback from the children who participated was valuable in creating a set of items to be administered to a wide age range of children The final item set generated as a...
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báo cáo hóa học: "Impact of chronic Immune Thrombocytopenic Purpura (ITP) on health-related quality of life: a conceptual model starting with the patient perspective" potx
Ngày tải lên :
18/06/2014, 22:20
... Drug Administration (FDA) and the European Agency for the Evaluation of Medicinal Products (EMEA) have emphasized the value of PRO measures in identifying and quantifying the impact of a disease ... conceptual model is a critical step in the development and use of PRO measures [15,16] In an earlier paper, Mathias, et al presented the development and validation of an instrument, the ITP -Patient Assessment ... questionnaire that has since been validated [17,18] For each focus group, patients were recruited at a local academic-based tertiary care center The study protocol was prepared and approved by a central...
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