... NICE clinical guideline 127 Hypertension: clinical management of primary hypertension in adults Ordering information You can download the following documents from www.nice.org.uk/guidance/CG127 ... hypertension [new 2011] NICE clinical guideline 127 – Hypertension Initiating and monitoring antihypertensive drug treatment, including blood pressure targets Initiating treatment Offer antihypertensive ... hypertension offer to: test for the presence of protein in the urine by sending a urine sample for estimation of the albumin:creatinine ratio and test for haematuria using a reagent strip take a blood sample...
Ngày tải lên: 21/02/2014, 11:20
... with training in these techniques may have an increasing role in the diagnosis of lymphomas In cases of intrathoracic lympahadopathy, newer minimally-invasive techniques such as mediasinoscopy; ... be of increasing importance in the future is the role of endoscopy and laparoscopy in obtaining biopsy material The advent of endoscopic ultrasound-guided FNAC allows targeting of mediastinal ... trend in lymphoma incidence in Wales with a ratio of 1:4 [1] Table 1: Anatomical location of lymphomatous lymph nodes (n = 62) Anatomical location Number of cases Cervical Inguinal Axillary Intra-abdominal...
Ngày tải lên: 09/08/2014, 07:21
Báo cáo y học: " Pro/con clinical debate: The use of prone positioning in the management of patients with acute respiratory distress syndrome" potx
... especially in the early phase of illness [3] Disappointingly, however, in the only randomized, controlled study of proning yet published, hours of prone positioning did not influence mortality in the ... common in the group whose position was varied than in the group that remained continuously supine Con: prone positioning is not useful in the management of ARDS patients Gordon Rubenfeld Imagine ... data Finally, intensivists are strongly motivated by the ‘rule of rescue’ Intensivists feel obliged to offer some therapy, any therapy, to a patient in imminent danger of dying [16] As is often...
Ngày tải lên: 12/08/2014, 18:21
Báo cáo y học: "Pro/con clinical debate: Are steroids useful in the management of patients with septic shock" ppt
... yet preliminary, The patient described in the present scenario is improving in all aspects of organ failure, but remains catecholamine dependent A thorough examination and review of his management ... sufficient evidence to guide clinical practice We therefore not advocate use of steroids in this clinically improving patient without another indication We must be cautious in our enthusiasm to try ... treated for infection, repair of sepsis-induced dysregulation of vasomotor tone using low-dose corticosteroids is reasonable and appropriate Con: steroids are not useful in the management of septic...
Ngày tải lên: 12/08/2014, 18:21
Báo cáo y học: "Pro/con clinical debate: Is high-frequency oscillatory ventilation useful in the management of adult patients with respiratory failure" ppt
... observed significant improvements in oxygenation within hours of HFOV initiation, allowing a majority of patients to benefit from a decrease in FiO2 Ventilation was maintained with HFOV, and there were ... (31%), using a lungprotective protocol in a large heterogeneous group of acute lung injury/ARDS patients, and considering the lack of definitive data demonstrating improved outcome with HFOV in neonates, ... resulted in a 31% mortality Before we can embrace HFO, it must be compared with our ‘best’ method of applying conventional ventilation Competing interests JMS and SM work in the intensive care unit of...
Ngày tải lên: 12/08/2014, 18:21
Báo cáo y học: "Pro/con clinical debate: Antibiotics are important in the management of patients with pancreatitis with evidence of pancreatic necrosis" ppt
... recently used intravenous and enteral antibiotics (including amphotericin) to achieve decontamination of the gastrointestinal tract for the purpose of possibly decreasing bacterial inoculation of the ... juncture there is no definitive, level one, data supporting the use of intravenous antibiotics in the treatment of patients with severe pancreatitis, even in the setting of pancreatic necrosis ... but no difference in the rate of infection of pancreatic necrosis [4] Pooling of the data from these 183 patients by Bosscha and colleagues in a meta-analysis resulted in a group of 95 patients...
Ngày tải lên: 12/08/2014, 19:22
Báo cáo y học: "The terrorist bomb explosions in Madrid, Spain – an analysis of the logistics, injuries sustained and clinical management of casualties treated at the closest hospital" potx
... attack was perpetrated in Madrid, Spain, which led to one of the most calamitous mass injury situations of its kind in Europe during recent decades Ten bags containing charges of TNT (trinitrotoluene) ... and described in a large number of publications Victims very often suffer the worst forms of both blunt and penetrating trauma The three major causes of injuries in such incidents include the blast ... 55% having open wounds, 31% having internal injuries, and 50% undergoing a procedure in the operating room [13] Also, the mortality rate was twofold higher than inpatient death following road...
Ngày tải lên: 12/08/2014, 20:20
Báo cáo y học: "Ultra-low microcurrent in the management of diabetes mellitus, hypertension and chronic wounds: Report of twelve cases and discussion of mechanism of action"
... pathogenesis of insulin resistance in humans using magnetic resonance spectroscopy Obesity (Silver Spring) 2006;14 (Suppl 1): 34S–40S 31 Boden G Role of fatty acids in the pathogenesis of insulin resistance ... tendons, skin and the capsular linings of joints from his right foot The patient was discharged after ten weeks in hospital with a large, infected, open wound requiring community nurses to wound management ... improves insulin sensitivity in insulin-resistant individuals (16,62) The acute effects of hyperglycemia-dependent endothelial cells dysfunction are counterbalanced by antioxidants (63-65) But clinical...
Ngày tải lên: 26/10/2012, 09:39
FAILURES IN LOGISTICS MANAGEMENT OF VINALINK’S LOGISTICS DEPARTMENT AND RECOMMENDATIONS
... providing to shipping lines at terminals are services related to ships and crew, shipping boarding agency, packages tallying, containers tallying, cargoes tallying for loading into containers, ... the management of the flow of goods, information and other resources, including energy and people, between the point of origin and the point of consumption in order to meet the requirements of ... Logistics management Like management of any other businesses, logistics management includes tasks of planning, implementing, and controlling logistics operation One of the most detailed definitions of...
Ngày tải lên: 20/04/2013, 11:13
An overview of the clinical management of spasticity
... botulinum toxin injection) An overview of the clinical management of spasticity is worth undertaking simply to be sure of alleviating at least the neural component of the hypertonia There is often ... stretching, good positioning, splinting and casting Ultimately surgery may be needed to relieve advancing and disabling soft tissue contracture In practical terms there is often a mixture of neural ... and changes in the soft tissues arise from the muscle being maintained in a shortened position It is possible, but not absolutely proven, that maintaining a joint through a full range of movement...
Ngày tải lên: 01/11/2013, 10:20
Chemical neurolysis in the management of muscle spasticity
... 30% of the injected phenol binds to the neural structures within seconds of coming into contact with them Almost all of the remaining phenol binds to the nerve tissue during the following few minutes; ... by 15 minutes from the start of the phenol administration, only 0.1% of the administered dose remains in the CSF (Ichiyanagi et al., 1975) The magnitude of the clinical effect of the intrathecal ... important in the pathogenesis of the poor motor performance in these patients This explains some of the variability of the clinical response to chemical neurolysis The long-term clinical effect of nerve...
Ngày tải lên: 01/11/2013, 10:20
PET in the Evaluation of Alzheimer’s Disease and Related Disorders docx
... opportunity for early intervention in the case of a missed diagnosis PET has become increasingly available clinically because of the approval of Medicare funding for PET scanning Although PET typically ... information present in clinical PET scans Visual Assessment Systematic visual examination of a clinical brain PET scan involves a number of key elements that are important to include in every assessment, ... Future of Neuroimaging in Clinical Evaluations Innovations in neuroimaging techniques and tracer development hold promise for new clinical applications Brain imaging will play an important role in...
Ngày tải lên: 05/03/2014, 23:20
INTERNET ADDRESS SPACE: ECONOMIC CONSIDERATIONS IN THE MANAGEMENT OF IPv4 AND IN THE DEPLOYMENT OF IPv6 pptx
... informed policy-making Monitor IPv6 readiness, including by monitoring information on national peering points offering IPv6 connectivity, Internet Service Providers offering commercial IPv6 ... MAIN POINTS .4 INTRODUCTION I AN OVERVIEW OF INTERNET ADDRESSING 12 Overview of major initiatives in Internet addressing and routing to-date ... Network management software (upgrade) Network testing Installation effort Maintaining network performance Training (sales, marketing, and technical staff) Distribution of Total Transition Costs Internal...
Ngày tải lên: 06/03/2014, 21:20
Type 1 Diabetes Clinical Management of the Athlete potx
... circulating insulin and glucagon concentrations, a 20-fold increase in plasma adrenaline concentration in humans (through infusion of adrenaline for 90 min) resulted in a biphasic increase in hepatic ... ingested during exercise Indeed, CHO ingestion during high-intensity ˙ cycling (> 70% VO2 max) results in modest increases in circulating glucose and insulin ˙ levels [169, 170], whereas during ... Interestingly, infusion of both adrenaline and noradrenaline during moderate intensity exercise (designed to reproduce the pattern of catecholamine release during intense exercise) resulted in...
Ngày tải lên: 14/03/2014, 09:20
WHO/UNICEF JOINT STATEMENT CLINICAL MANAGEMENT OF ACUTE DIARRHOEA pot
... early administration of increased amounts of appropriate fluids available in the home, and ORS solution, if on hand • Continue feeding (or increase breastfeeding) during, and increase all feeding ... The data shows that zinc supplementation during and until cessation of diarrhoea (either syrup containing 20 mg of elemental zinc per ml, or tablets of 20 mg zinc such as zinc sulphate, gluconate ... ‘Prevention of diarrhoea and pneumonia by zinc supplementation in children in developing countries: Pooled analysis of randomized controlled trials’, Zinc Investigators’ Collaborative Group, Journal of...
Ngày tải lên: 17/03/2014, 20:20
Clinical Management of Rape Survivors Developing protocols for use with refugees and internally displaced persons pdf
... signature of the examiner;* & the name of the survivor;* & the exact date and time of the examination;* & the survivor's narrative of the rape, in her own words; & the findings of the clinical examination; ... Clinical Management of Rape Survivors Developing protocols for use with refugees and internally displaced persons Revised edition WHO Library Cataloguing -in- Publication Data Clinical management ... unacceptable to penetrate the vagina of a woman who is a virgin with anything, including a speculum, finger or swab In this case you may have to limit the examination to inspection of the external genitalia,...
Ngày tải lên: 23/03/2014, 23:21
RECOMMENDATIONS FOR BEST PRACTICES in the Management of Elderly Disaster Victims doc
... strategy They require varying degrees of assistance with activities of daily living, such as eating, dressing, bathing, grooming and toileting Some are incontinent of bowel and/or bladder or ... munities to deterinstrumental activities of daily living devices, including walkers, eye glasses, mine the efficacy of hearing aids, list of medicines, names this rapid screening of doctor(s), family ... gerontological disciplinary training programs are sorely needed Two of the top ten resolutions from the 2005 White House Conference on Aging called for increased numbers of professionals trained in gerontology...
Ngày tải lên: 28/03/2014, 16:20
NUTRITIONAL ASPECTS and CLINICAL MANAGEMENT of CHRONIC DISORDERS and DISEASES doc
... Systems Protein-calorie Vitamin D Vitamin D, vitamin C Vitamin C Skin Vitamin A or essential fatty acids Vitamin C, vitamin K Niacin Nails Iron Hair Protein-calorie Face Protein-calorie Protein Eyes ... steps in an evaluation of nutritional status that is then followed by counseling, intervention, and clinical management Convincing the patient, including young children, and caretakers of the ... folate, vitamin B12 Vitamin A Xerosis, keratomalacia Lips Riboflavin, niacin, iron, pyridoxine Mouth Zinc Tongue Riboflavin Folate, niacin, riboflavin, iron, vitamin B12 Niacin, folate, riboflavin, iron,...
Ngày tải lên: 28/03/2014, 22:20
báo cáo hóa học:" Advantages of the Ilizarov external fixation in the management of intra-articular fractures of the distal tibia" pptx
... removal of the device and was re-operated because of unawareness of the mechanism of injury and underestimating the ligamentous instability of the ankle joint (Figure 6) In patients of group ... use of half-pins into the tibial shaft and the distal part with half-pins into the calcaneus and talus respectively, enabling at the same time motion of the ankle joint through a hinge which initially ... application of external fixation was the clinical evaluation of the ankle joint stability intraoperatively In all of these fractures external fixation found to be necessary in order to ensure joint stability...
Ngày tải lên: 20/06/2014, 04:20
báo cáo hóa học: " White fat, factitious hyperglycemia, and the role of FDG PET to enhance understanding of adipocyte metabolism" ppt
... the PET scan, provides sufficient evidence to indicate that the patient was injected with FDG during a period of iatrogenic hypoglycemia induced by administration of insulin in the setting of ... concomitant use of alternative medicines [9] Clinicians should also be aware of other potential causes of error resulting in factitious hyperglycemia including substances containing maltose (e.g., intravenous ... muscular uptake visualized in hyperinsulinemic patients, during hyperinsulinemic euglycemic clamping or following oral glucose loading for optimization of cardiac imaging [16], or in nonfasted or hyperglycemic...
Ngày tải lên: 21/06/2014, 02:20