... of his genius Pericles and Phidias seem to have been two grand forces working in harmony for the political and artistic grandeur of Athens, and, indeed, of all Attica, for within a period of ... the misfortunes which he cannot account for; the old pedagogue, to whom the youngest boy has run for protection and, indeed, all demand our sympathy for their grief and our admiration for their ... the many praises sung and said of him, and Lucian, who knew all the best works of all the greatest masters of Greece, puts Calamis before them all for elegance and grace, and for the finer expression...
Ngày tải lên: 31/03/2014, 21:20
... (absence of pain) and 100 mm (unbearable pain) have been demonstrated for different pain indications [33] and values for the MCID have been established for different types of pain; for example, ... EAPP was evaluated at weeks 0, 4, 8, and 12 by assessment of pain score on the VAS and intake of supportive analgesic medication (ibuprofen tablets) for pelvic pain Secondary efficacy variables ... Gerlinger et al Health and Quality of Life Outcomes 2010, 8:138 http://www.hqlo.com/content/8/1/138 pain and quality-of-life scales for use in endometriosis are still scarce and information on the...
Ngày tải lên: 20/06/2014, 15:20
Chapter 051. Menstrual Disorders and Pelvic Pain (Part 1) doc
... development and cyclic pelvic pain; or within years of breast development if menarche has not occurred Secondary Amenorrhea or Oligoamenorrhea Anovulation and irregular cycles are relatively common for ... (estradiol and progesterone) and peptides (inhibin B and inhibin A) and the hypothalamic [gonadotropin-releasing hormone (GnRH)] and pituitary [follicle-stimulating hormone (FSH) and luteinizing hormone ... ovaries, and (4) the uterus and outflow tract (Fig 51-1; Chap 341) This system is maintained by complex negative and positive feedback loops involving the ovarian steroids (estradiol and progesterone)...
Ngày tải lên: 06/07/2014, 20:20
Chapter 051. Menstrual Disorders and Pelvic Pain (Part 2) pps
... karyotype, but because of the lack of androgen receptor responsiveness, they have severe underandrogenization and female external genitalia The absence of pubic and axillary hair distinguishes them ... hypomenorrhea and results from partial or complete obliteration of the uterine cavity by adhesions that prevent normal growth and shedding of the endometrium Curettage performed for pregnancy ... been associated with mutations in the WNT4 gene; and androgen insensitivity syndrome (AIS), which is an X-linked recessive disorder that accounts for ~10% of all cases of primary amenorrhea (Chap...
Ngày tải lên: 06/07/2014, 20:20
Chapter 051. Menstrual Disorders and Pelvic Pain (Part 3) pptx
... with POF For example, POF is seen in association with a variety of chromosomal abnormalities including Turner syndrome, autoimmune polyglandular failure syndromes, radioand chemotherapy, and galactosemia ... basis of a careful history, physical examination, and the demonstration of low levels of gonadotropins and normal prolactin levels Eating disorders and chronic disease must be specifically excluded ... in the FSH or LH receptors Aromatase deficiency and 17α-hydroxylase deficiency are associated with elevated gonadotropins with hyperandrogenism and hypertension, respectively Gonadotropin-secreting...
Ngày tải lên: 06/07/2014, 20:20
Chapter 051. Menstrual Disorders and Pelvic Pain (Part 4) potx
... disturbances, and pain originating in the abdominal wall Pelvic pain may reflect pelvic disease per se but may also reflect extrapelvic disorders that refer pain to the pelvis In up to 60% of cases, pelvic ... Causes of Pelvic Pain Acute Chronic Cyclic pelvic Premenstrual pain symptoms Mittelschmerz Dysmenorrhea Endometriosis Noncyclic pelvic pain Pelvic inflammatory disease Ruptured or hemorrhagic Pelvic ... addition of metformin Exogenous gonadotropins can be used by experienced practitioners Pelvic Pain The mechanisms causing pelvic pain are similar to those causing abdominal pain (Chap 14) and include...
Ngày tải lên: 06/07/2014, 20:20
Chapter 051. Menstrual Disorders and Pelvic Pain (Part 5) potx
... abdominal discomfort that begins with the onset of menstrual bleeding and gradually decreases over the next 12–72 h It may be associated with nausea, diarrhea, fatigue, and headache and occurs in ... hypersensitivity, resulting in pain Secondary dysmenorrhea is caused by underlying pelvic pathology Endometriosis results from the presence of endometrial glands and stroma outside of the uterus ... stimulation and cause dysmenorrhea, which generally precedes menstruation by several days Endometriosis may also be associated with painful intercourse, painful bowel movements, and tender nodules...
Ngày tải lên: 06/07/2014, 20:20
Principles and Practice of Managing Pain A Guide for Nurses and Allied Health Professionals pot
... Cancer pain Multiple sclerosis (MS) and pain HIV/AIDS and pain Pain assessment Pain assessment tools in palliative care Psychosocial factors influencing the pain experience Barriers to pain assessment ... Page For Ann, Becca, Tom, Rhodri and Mum and For Sue, Aimee, Beth, Nia, Molly, Marc, James and Mam and Dad v 12:23:27:09:10 Page Page Praise for this book ªThe recent survey of undergraduate pain ... consequences for their families and society and not just in terms of financial benefits Some of these benefits are huge and therefore offer great advantage; for example, the prolonged life span for Sarah and...
Ngày tải lên: 06/03/2014, 07:20
Interagency Guideline on Opioid Dosing for Chronic Non-cancer Pain: An educational aid to improve care and safety with opioid therapy pptx
... steps to managing chronic pain, and online forums and videos Information and resources about pain, online support, and information specifically for military personnel and veterans Self-assessment ... and pain with the item Graded Chronic Pain Scale (page and Appendix C) See “Screening and Monitoring Your Patient” on Page for more details and see Appendix B for samples of these screening forms ... Tools for assessing function and pain The key to effective opioid therapy for chronic noncancer pain is to achieve sustained improvement in pain and physical function27,28 Tracking function and pain...
Ngày tải lên: 22/03/2014, 16:21
Title: A History of Art for BHistoric Doubts on the Life and Reign of King Richard the Thirdeginners and Students: Painting, Sculpture, Architecture Painting docx
... of policy and order that might have been formed to settle the emerging state; and swarms of foreign monks were turned loose upon us with their new faith and mysteries, to bewilder and confound ... Croyland, and John Fabian The first, who wrote in his convent, and only mentioned incidentally affairs of state, is very barren and concise: he appears indeed not to have been ill informed, and ... Ludlow); for the two dukes to send instructions to their confederates in London; for the impression to be made on the queen, and for her dispatching her counter-orders; for Percival to post back and...
Ngày tải lên: 31/03/2014, 21:20
Báo cáo hóa học: " Development of targeted therapy for bladder cancer mediated by a double promoter plasmid expressing diphtheria toxin under the control of H19 and IGF2-P4 regulatory sequences" potx
... obtained for the H19 and IGF2-P4 transcript were purified from the gel by the DNA and Gel Band Purification Kit (Amersham), and used as templates for the PCR-based incorporation of T7 and Sp6 ... was performed on successive slides of TCC tissue for H19 and IGF2-P4 transcripts The intensity of hybridization signal was indicated as (0) for no staining, (+1) for weak, (+2) for moderate and ... instillation, their bladders were removed and the serosal surface and the adjacent sex glands were dissected carefully Samples of the tumors were fixed in 4% buffered formaldehyde and processed for histological...
Ngày tải lên: 18/06/2014, 16:20
Báo cáo hóa học: " Validity and reliability of the Spanish version of the DN4 (Douleur Neuropathique 4 questions) questionnaire for differential diagnosis of pain syndromes associated to a neuropathic or somatic component" docx
... sensitivity and specificity values for discriminating between peripheral neuropathic pain (excluding patients with mixed pain and central neuropathic pain) and non-neuropathic pain therefore be used ... Neuropathic pain; NNP: Non Neuropathic pain; IASP: International Association for Study of Pain; VAS: Visual Analogue Scale; SF-MPQ: Short-form McGill Pain Questionnaire; IASP Task Force in Taxonomy: Pain ... sensitivity and specificity values non-neuropathic pain Cut-off pointpain (excluding patients with mixed pain and central neuropathic pain) andfor discriminating between peripheral Cut-off point...
Ngày tải lên: 18/06/2014, 22:20
báo cáo hóa học:" Validity and reliability of the Spanish version of the DN4 (Douleur Neuropathique 4 questions) questionnaire for differential diagnosis of pain syndromes associated to a neuropathic or somatic component" pdf
... sensitivity and specificity values for discriminating between peripheral neuropathic pain (excluding patients with mixed pain and central neuropathic pain) and non-neuropathic pain therefore be used ... Neuropathic pain; NNP: Non Neuropathic pain; IASP: International Association for Study of Pain; VAS: Visual Analogue Scale; SF-MPQ: Short-form McGill Pain Questionnaire; IASP Task Force in Taxonomy: Pain ... sensitivity and specificity values non-neuropathic pain Cut-off pointpain (excluding patients with mixed pain and central neuropathic pain) andfor discriminating between peripheral Cut-off point...
Ngày tải lên: 20/06/2014, 16:20
Super-hungry Mice Eat Onions and Other Painless Tricks for Memorizing Geography Facts pdf
... you’re ever asked on ep breath, and say: should relax, take a de d States, you the Unite The A and the H stand for Alaska and Hawaii Alaska is number forty-nine, and Hawaii is fifty They both joined ... They dressed it in a NEW JERSEY and brought it to her MA’S The Shirt Completely covered it except for head and Paws Their grandma, GEORGIA, Rode In on her brand-NEW YORKie pup That Nutty CAnine ... Anansi and the Box of Stories, adapted by Stephen Krensky. A Rhyme about North America It’s the grocer to the world, growing corn and wheat and grains, with mountains high and rivers long, and...
Ngày tải lên: 26/06/2014, 23:20
Báo cáo khoa học: "Independent position correction on tumor and lymph nodes; consequences for bladder cancer irradiation with two combined IMRT plan" pptx
... Because the bladder volume has a substantial day-to-day variation we opted for a bladder - PTVbladder margin of 20 mm in the cranial and anterior direction and 10 mm in the posterior, lateral and caudal ... to the lymph nodes and healthy part of the bladder The patients were treated with a full bladder They were instructed to void the bladder and drink 250 cc of water one hour before the treatment ... of the prescribed dose, which is 52.25 Gy or 57 Gy for the PTVtumor and 38 Gy for the PTVbladder and PTVln Simulation of tumor displacement and correction The lipiodol that was injected to guide...
Ngày tải lên: 09/08/2014, 09:20
Báo cáo khoa học: "Comparison of conformal and intensity modulated radiation therapy techniques for treatment of pelvic tumors. Analysis of acute toxicity" pdf
... (USA) and Europe Methods Patients We retrospectively compared 69 patients with pelvic tumors treated by whole pelvic CRT with 65 treated by whole pelvic IMRT, to evaluate the incidence and severity ... evaluated weekly for acute GI and GU toxicities during the RT Symptoms and treatment were recorded on the chart We retrospectively reviewed these charts and graded acute GI and GU toxicities ... is a considerable advantage for IMRT Because use of CT is now well established for treatment of some pelvic tumors sites, such as the rectum, cervix, anal canal and bladder, IMRT can be very useful...
Ngày tải lên: 09/08/2014, 09:20
Báo cáo y học: "A functional difficulty and functional pain instrument for hip and knee osteoarthritis" ppsx
... very similar for the two domains: CFI values were 0.91 and 0.90 for functional difficulty and functional pain, respectively; TLI values were 0.96 for both; and RMSEA values were 0.090 and 0.096, ... 10, and 15-item OA-FUNCTION-CATs and the full item banks, which were 0.92, 0.96, and 0.97, respectively, for functional difficulty, and 0.89, 0.95, and 0.97, respectively, for functional pain ... function and pain for the Comparison of scales ofdistributions scales functional difficulty and functional pain scales of the OA-FUNCTION-CAT item bank with the WOMAC physical function and pain scales...
Ngày tải lên: 09/08/2014, 14:22
Báo cáo y học: "Pre- and post-operative gait analysis for evaluation of neck pain in chronic whiplash" pptx
... Table All patients gave postoperative neck pain ratings that were significantly lower than before surgery, both for daily pain, and for how much their pain increased during exertion Table No major ... evaluations were performed one week before, and 1–10 weeks (27.7 ± 21.6 days) after surgery Marker positioning and objective measurements Four markers, placed at the left and right temporal and occipital ... highly automated function and therefore better suited for standardized analysis A clinically validated marker system [27,28] was adopted for the purpose of this investigation, and the consistency of...
Ngày tải lên: 10/08/2014, 10:20
Báo cáo y học: "Diagnostic imaging for chronic plantar heel pain: a systematic review and meta-analysis" ppsx
... values, standard deviations (SD) and sample size for each study within the group The difference in means and 95% confidence interval (CI) for each individual study were calculated, and the weighted ... and plain film x-rays for bone abnormalities (e.g heel spur) These observations help to explain the underlying pathology of the disorder, and are of benefit in forming an accurate diagnosis and ... specific exclusion criterion for condi- Page of 11 (page number not for citation purposes) Journal of Foot and Ankle Research 2009, 2:32 tion groups, and only one study [22] for the control group Ultrasonography...
Ngày tải lên: 10/08/2014, 21:24
báo cáo khoa học: "Combined mirror visual and auditory feedback therapy for upper limb phantom pain: a case report" docx
... her hands in synchrony with his movement of his hand towards the mirror, giving the illusion of not only seeing but also hearing hand clapping We encouraged this form of auditory feedback and ... shoulder and parts of the clavicle and scapula, ‘stump’ pain did not actually apply to his description Instead, he consistently experienced the feeling that his left fist was severely clenched and ... a day and the use of a transcutaneous electrical nerve stimulation (TENS) unit At this point our pain clinic was consulted for possible nerve block, which was deemed not appropriate The pain was...
Ngày tải lên: 11/08/2014, 00:22