chairside management of the fearful dental patient behavioral modalities and methods
Báo cáo y học: "Management of the critically poisoned patient" potx
... tests may be of help in the management of the intoxicated patient In the patient whose history is generally unreliable or in the unresponsive patient where no history is available, the clinician ... Unfortunately, these antibodies have variable sensitivity and specificity [43] Physicians need to be fully aware of the scope of drugs being detected and the sensitivity and specificity for the tests they ... identification and management of hypoglycemia if present, maintenance of a patent airway, adequate oxygenation, prevention of injury, and administration of appropriate pharmacotherapy For the toxin-induced...
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Medical management of the hospitalized alcoholic patient
... Goals and Objectives Understand the pathophysiology of alcohol withdrawal and treatment Discuss how to use the Signs and Symptoms Assessment (SSA) scoring system to prevent and treat alcohol ... Assessment and Treatment of Alcohol Withdrawal Syndrome CPRC The Problem Patients may not tell physician about alcohol use if they are not asked about it Patients usually will state they use much ... CPRC Hallucinations (Stage 2) Occur in 3-10 % of patients Increased risk with use of larger amounts of alcohol Are not predictive of DTs (stage 4) and are not necessarily related to DTs May be...
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Assessment and Management of the Elderly Patient with Multiple Sclerosis pot
... summary of assessment, classification, and treatment approaches for managing both the MS disease p rocess and ssociated conditions, and to discuss these a approaches in the context of the aging ... characteristic of the disease The new criteria simplify the diagnostic work-up and allow a more rapid diagnosis of MS while maintaining the specificity and/ or sensitivity ultimately resulting in the need ... 10% of the patients and is most likely to have onset at an older age (40– 60 years of age) and fewer cognitive changes due to primary nvolvement of the spinal cord PRMS i is characterized by the...
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Báo cáo y học: "Roundtable debate: Controversies in the management of the septic patient – desperately seeking consensus" ppsx
... because they got blood but rather the timing of how much fluid they received At the end of 72 hours, both groups received the same amount of fluid but it was frontloaded in the early goal-directed therapy ... 137,000 mm3 Bands We present the reasoning and preferences of a group of intensivists who met to discuss the management of an actual case Throughout this presentation, the focus is on management, ... highlight the challenges in assessing and managing critically ill patients The participants provided their perspectives on the recognition of physiological instability and the definition of severe...
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Báo cáo khoa học: "Optimal management of the high risk surgical patient: beta stimulation or beta blockade" pdf
... assess the adequacy of DO2 Pearse et al [9] also measured ScvO2 in most of the patients investigated in their study assessing the efficacy of GDT [8] They reported that ScvO2 fluctuated over the ... agents were used in 18% of 700,000 patients who had no contraindication for beta-blockade, and the outcome of these patients receiving beta-blockade was compared to the other patients, using a propensity ... that beta-blockade therapy increased the risk of death in patients with RCRI scores below is much more robust, as this analysis included the vast majority of the patients (80% of the cohort) Second,...
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Tài liệu Nursing Care of the Pediatric Neurosurgery Patient pdf
... Mod (0–9% of the time) (10–39% of the time) (40–69% of the time) Max (>70% of the time) Eye squeeze None Min Mod (0–9% of the time) (10–39% of the time) (40–69% of the time) Max (>70% of the time) ... shape and size and assessment of the fontanels, there are other aspects unique to the neurological exam of the neonate and/ or infant These are important to understanding the integrity of the nervous ... space and the steadiness of the gait The extent of the assessment of a child’s gait and balance will depend on the ability of the child to cooperate with the assessment Children who are seen in the...
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Type 1 Diabetes Clinical Management of the Athlete potx
... but as the duration of exercise increases, they contribute to the stimulation of whole body lipolysis (and therefore release of FFAs and glycerol into the circulation) and the increase in hepatic ... muscles and the rate of CHO utilization required to meet the metabolic demand of exercise The metabolic effects of CHO ingestion during exercise depend on factors such as the type and intensity of ... starts at the onset of the activity This response is continuously modulated as the duration of the exercise increases and as the intensity of the activity changes Since one of the main fuels for...
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Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy pot
... Evaluation, and Management of the Hypertensive Disorders of Pregnancy This guideline has been reviewed and approved by the Hypertension Guideline Committee and approved by the Executive and Council of the ... on the diagnosis, evaluation, and management of the hypertensive disorders of pregnancy The resulting guidelines, published in the CMAJ in 19974–6 and endorsed by the Society of Obstetricians and ... Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy Table Key to evidence statements and grading of recommendations, using the ranking of the Canadian Task Force...
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WORKING PAPER SERIES NO 1350 / JUNE 2011: THE OPTIMAL WIDTH OF THE CENTRAL BANK STANDING FACILITIES CORRIDOR AND BANKS’ DAY-TO-DAY LIQUIDITY MANAGEMENT pdf
... stochastic model of the width of the corridor and its impact on overnight rate stability 14 The impact of the corridor width on market turnover 18 The width of the corridor and the length of the central ... (7) Proof See Appendix Hence, interbank turnover is some function of the size of the initial and the interbank shocks, the volatility of the end of day aggregate shock, the width of the standing ... 25 and 35 basis points and they also operate the widest corridors of 300 and 200 bp respectively The central banks of Canada and Sweden are at the other extreme in terms of keeping the standard...
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NASA’S MANAGEMENT OF THE MARS SCIENCE LABORATORY PROJECT potx
... to the complexity of the mission are the Project’s innovative entry, descent, and landing system; the size and mass of the rover (four times as heavy as the previous Martian rovers Spirit and ... Acquisition/Sample Processing and Handling (SA/SPaH) subsystem and development of flight software and the fault protection systems The resolution of these and other issues that may arise during ... and checks the overall health of the spacecraft Central control of the entire flight system is under control of the flight software running in the RCE, the same architecture as was used for the...
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Guideline for Management of the Clinical Stage 1 Renal Mass pptx
... as the American Board of Urology with pride and conviction In the midst of all this, he mentored hundreds of students, residents and fellows, cared for thousands of patients and developed one of ... evaluate the status of the contralateral kidney and its vasculature [Based on Panel consensus.] Standard: Physicians should discuss with the patient the current understanding of the natural history of ... exceeds the number of patients who have undergone all other forms of treatment combined (excluding ORN) for the treatment of localized RCC OPN remains a standard of care in the treatment of localized...
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Báo cáo hóa học: " Some psychometric properties of the Chinese version of the Modified Dental Anxiety Scale with cross validation" pptx
... care The questionnaires The questionnaire consisted of the participants' demographic profile, dental attendance patterns and the Chinese versions of the MDAS and the HADS The MDAS asks Page of ... and psychological constructs and thirdly, the consistency of the relationships of general and dental anxiety across cultures (Chinese and North-west of England) Method The sample Ethical approval ... efficient testing of the factorial structure (Objective 1) and assist with providing further evidence for the construct validity of the scale (Objective 2) by testing the strength of the hypothesised...
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báo cáo hóa học:" The reliability, validity, and preliminary responsiveness of the Eye Allergy Patient Impact Questionnaire (EAPIQ)" docx
... in the areas that are of greatest importance to the patients themselves Authors' contributions PB, JW CB and LA conceived the study and participated in the design of the study MA, WB, PB and ... for the EAPIQ is warranted Use of the EAPIQ in future research may contribute to a greater understanding of the impact of ocular allergies on patients' lives and ultimately lead to the use of ... frequency as the more pertinent index of severity, whereas patients consider intensity of bother to be of greater salience Consequently, instead of deleting either the 'intensity of bother' or 'frequency...
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Báo cáo y học: "Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist" pptx
... 65.5% and 72% of patients with moderate/severe LVDD and RVDD respectively, in contrast to 40.9% and 48% of patients with normal/mild LVDD/RVDD They concluded that moderate and severe degree of LVDD ... (PCWP) [44,45] Therefore, additional measurement of PCWP by using a Swan-Ganz catheter may be in this phase useful in estimating the time course of diastolic dysfunction and the effect of therapeutic ... captopril, and β-agonists (or decreasing the action of phospholamban), results in improvement of diastolic relaxation [28] Pathophysiology and diagnosis of DD Another aspect of DD is the relationship...
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báo cáo khoa học: "Successful interdisciplinary management of the misdeployment of two self-expanding stents into the internal carotid artery: a case report" pps
... misdeployment of the two stents became apparent Instead of being inserted in a coaxial way, the distal end of the lower and the proximal end of the upper stent were found side by side B) Both stents and the ... Our patient accepted this, and the off-label use of both the Coroflex (Coroflex Please, B Braun Melsungen AG, Melsungen, Germany) and Enterprise (Codman Enterprise, Raynham, MA, USA) stents The ... improve the cerebral perfusion and should have prompted immediate action The omission of the examination of the posterior circulation vessels, which would have shown the complexity of the cerebral...
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Báo cáo y học: " Intricacies in the surgical management of appendiceal mucinous cystadenoma: a case report and review of the literature" ppt
... Herein, lies the dilemma for the surgeon because of the nebulous nature of the distinction between these entities in the pre-operative setting The best surgical management of a patient with an ... Long-term follow-up of our patient will help to ascertain the safety profile of the approach we employed Systematic work-up and follow-up of patients with mucinous cystadenoma of the appendix should ... helped in the interpretation of the data, drafted the manuscript and provided overall supervision in the project All authors read and approved the final manuscript Author Details 1Section of General...
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Báo cáo y học: " Management of subtrochanteric femur fractures with internal fixation and recombinant human bone morphogenetic protein-7 in a patient with osteopetrosis: a case report" pot
... To the best of our knowledge, this is the first report of the use of BMP in the management of a femur fracture in a patient with osteopetrosis Rafiq et al reported the first case of the use of ... fixation Note the lack of healing progression of the right femoral fracture and the stress fracture now visible in the left femur and better demonstrated in (b) Golden and Rodriguez Journal of Medical ... hammering the blade into place would have risked fracture propagation Due to the extreme bone density of our patient and the lack of a fem- Figure Anteroposterior and lateral radiographs of our patient' s...
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Báo cáo y học: "GASNet.org: Management of the difficult airway" pdf
... http://www.asahq.org/publicationsAndServices/ Difficult%20Airway.pdf Updated in 2002, this is the consensus statement from the American Society of Anesthesiologists presenting the evidence (or lack thereof) and recommendations ... University of California at San Diego It is useful for intensivists planning on stocking a difficult airway kit for their intensive care unit ASA Practice Guidelines for the Management of the Difficult ... for different airway management options Sponsors The GASNet airway tutorial was sponsored by a grant from Cook Critical Care, who manufacture many products for use in the patient with a difficult...
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Báo cáo khoa học: "Advances in protocolising management of high risk surgical patient" doc
... that used in the study and is run by the nurse assigned to the care of the patient Immediately on return from the operating theatre, the patient is connected to the Lidco monitor via the radial ... intravenous colloid and then with the addition of dopexamine at a dose no higher than µg/kg/min The target value is not reached in a minority of patients, usually because the heart rate increases ... that because of the projected reduction in hospital stay there should be an annual cost saving of at least £2,000,000 It is encouraging to note that at the time of writing the Pearse and colleagues'...
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Báo cáo y học: "Necrotizing Fasciitis of the lower extremity: a case report and current concept of diagnosis and management" ppsx
... and antibiotic therapy alone is of little value and only mask the severity of the symptoms [22] Risk factors The commonest predisposing factor for NF of extremity is a history of drug abuse and ... exploration also aid in the diagnosis of NF The operative findings of grayish necrotic deep fascia, a lack of resistance to blunt dissection, lack of bleeding of the fascia, and presence of foulsmelling ... taken to theatre urgently and fasciotomy performed through antero-lateral approach of the thigh which confirmed the CT findings of necrotic fascia and muscles (Fig and 3) Thorough debridement of rectus...
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Tìm thêm: xác định các nguyên tắc biên soạn khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo của các đơn vị đào tạo tại nhật bản khảo sát chương trình đào tạo gắn với các giáo trình cụ thể tiến hành xây dựng chương trình đào tạo dành cho đối tượng không chuyên ngữ tại việt nam điều tra đối với đối tượng giảng viên và đối tượng quản lí điều tra với đối tượng sinh viên học tiếng nhật không chuyên ngữ1 khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu nội dung cụ thể cho từng kĩ năng ở từng cấp độ xác định mức độ đáp ứng về văn hoá và chuyên môn trong ct mở máy động cơ lồng sóc các đặc tính của động cơ điện không đồng bộ đặc tuyến mômen quay m fi p2 đặc tuyến tốc độ rôto n fi p2 đặc tuyến dòng điện stato i1 fi p2 sự cần thiết phải đầu tư xây dựng nhà máy thông tin liên lạc và các dịch vụ phần 3 giới thiệu nguyên liệu từ bảng 3 1 ta thấy ngoài hai thành phần chủ yếu và chiếm tỷ lệ cao nhất là tinh bột và cacbonhydrat trong hạt gạo tẻ còn chứa đường cellulose hemicellulose chỉ tiêu chất lượng theo chất lượng phẩm chất sản phẩm khô từ gạo của bộ y tế năm 2008