clinical implementation and associated issues

... IMRT stereotactic body cast and head mask stereotactic body cast and head mask stereotactic body cast and head mask stereotactic body cast and head mask #4 vacuum pillow and head mask Page of (page ... the present study Results and discussion Matching and image quality Figure shows exemplary CT slices of the planning CT and the CBCT for the lung, head -and- neck, prostate and paraspinal cases In ... fluoroscopic tracking and targeting Authors' contributions CT and CTK participated in the patient treatment and drafted the manuscript CT, UO and SN conceived of the study TT, BH and LD participated...

Ngày tải lên: 09/08/2014, 10:21

... neuropsychology, cognitive psychology, clinical psychology, neurology, and psychiatry The emphasis has been on integrating data and presenting theoretical perspectives The clinical and theoretical implications ... Freud, New York: Random House, pp 181-549 (original work published 1900) Friedland, R P., and Weinstein, E A (1977) Hemi-inattention and hemisphere specialization: Introduction and historical review ... French Societe de Neurologic in June 1914 and December 1918 are a further outstanding landmark The term "anosognosia" was coined there, and the clarity and elegance of Babinski's exposition was...

Ngày tải lên: 11/06/2014, 09:45

... (+), and IgE of 129 IU/ml Before the ambulance arrived, the patient had already exhibited clasped hands, trismus, and mild 14 Acupuncture – Clinical Practice, Particular Techniques and Special Issues ... relaxes sinews and benefits joints The combination of three points tonifies Qi and replenishes blood, dispels wind, and 16 Acupuncture – Clinical Practice, Particular Techniques and Special Issues dredges ... injury to links (e.g., thalamus) Acupuncture – Clinical Practice, Particular Techniques and Special Issues between the cerebral cortex and the brain stem, and injury to connections (e.g., corpus callosum)...

Ngày tải lên: 28/06/2014, 05:20

... contributions FA and MC participated in the design of the study and in the clinical evaluation of the patients DDA, GC and CC performed the immunoassays PSP and PM participated in the design and coordination ... and by 80% at 48 weeks ACR 50 (ACR 70) percentages were 51 (54) and 14 (26) at 24 and 48 weeks, respectively Table reports the decrease in DAS 28 values, the tender and swollen joint counts and ... ESR and CRP and significant concomitant clinical features suggestive of infections or autoimmune disorders were recorded accurately (Table 2) The DAS 28 criteria [24,25] were applied to assess clinical...

Ngày tải lên: 09/08/2014, 07:20

... myalgias and symmetric polyarthralgias, and/ or polyarthritis involving mainly the wrists, hands, ankles, and toes are present [30] Edema of the face and periarticular tissues is a characteristic clinical ... virus (CHIKV), which is both clinically fascinating and of clinical importance to global health CHIKV, like other members of the genus, is a single-stranded RNA virus and is a mosquito-borne infection ... the hands and knees whereas less than 10% develop frank nonerosive arthritis The diagnosis of arthritis in HCV -associated mixed cryoglobulinemia requires the recognition of a combination of clinical...

Ngày tải lên: 09/08/2014, 10:23

... Sources of support and financial interest: none Authors’ contributions CS, MR, MS, CW, MRu, and NCG conceived of the work and participated in its design and coordination CS and MR made substantial ... MR, Strauss E: Ballistics and gunshot wounds: effects on musculoskeletal tissues J Am Acad Orthop Surg 2000, 8:21-36 Padrta JC, Barone JE, Reed DM, Wheeler G: Expanding handgun bullets J Trauma ... Darmstadt, Germany), and water and had an edge length of 12 × 12 × 18 cm Page of Figure Schematic assembly of the firing apparatus with the rifle support (A), dust chamber (B) and air pressure valves...

Ngày tải lên: 11/08/2014, 20:21

... our clinic and declined repeat injections She was lost to follow-up Results and discussion We present here a series of patients with eating dysfunction associated with OMD The clinical and epidemiological ... embarrassment [6] and sometimes eating disorders with weight loss [7] We present here the clinical characteristics and treatment variables of a series of patients that developed an OMD -associated eating ... S: [Oromandibular dystonia Clinical forms, diagnosis and examples of therapy with botulinum toxin] Laryngorhinootologie 2001, 80(12):708-713 Hermanowicz N, Truong DD: Treatment of oromandibular...

Ngày tải lên: 11/08/2014, 23:22

... conceive and develop the SPRINT protocol, assisted in data collection and the analysis and interpretation of the data, and helped draft the manuscript T Lonergan and MW helped conceive and develop ... fundamental dynamics Chase and colleagues [21,23,38] and Hann and colleagues [38] used a model that captured the rate of insulin utilisation, insulin losses, and saturation dynamics and that has been ... protocols and insulin alone has been moderately successful [21-25] However, no model-based method has been clinically tested to a mortality endpoint In contrast, clinically tested sliding scales and...

Ngày tải lên: 13/08/2014, 10:20

... aeruginosa [59] and 3.2% for Acinetobacter spp [60] have been reported Between 1997 and 1999 and 2004 and 2006, imipenem nonsusceptibility in P aeruginosa increased from 23.6% to 29.3% and from 33.3% ... 0.5 and Reproduced with permission from Kuti et al [42] For 2004 and 2005, meropenem nonsusceptibility for P aeruginosa was 9.7% and 12.4%, respectively, and for Acinetobacter spp was 23.9% and ... MIC > 30%, 50%, and 100%) as a function of MIC for imipenem and meropenem at a dosage of 500 mg q6h The 30% and 50% targets represent conservative estimates for bacteriostatic and bactericidal...

Ngày tải lên: 13/08/2014, 11:22

... Partial Breast Irradiation Techniques and Clinical Implementation With 125 Figures and 42 Tables 123 David E Wazer Department of Radiation Oncology Tufts-New England Medical Center Tufts University ... However, we and others have contended that whole-breast irradiation should continue to be the standard of care until longer term safety and efficacy data are available from well-designed clinical ... physician time and treatment planning resources Most APBI approaches re-  Thomas A Buchholz and Eric A Strom quire significantly greater treatment planning and quality assurance and, therefore,...

Ngày tải lên: 14/08/2014, 07:20

... that 40% of patients have at least one subclinical microscopic focus; 55 Gy in ten fractions would cure all subclinical disease; and the probability of subclinical disease falls off exponentially ... of caution, and sometimes even frank concern and skepticism, has most recently been expressed by the American College of Surgeons regarding novel laparo- and thoracoscopic procedures and, most ... results associated with very large breast resections during conservative surgery (Anderson et al 2005) On the other hand, many surgeons will cite the National Surgical Adjuvant Breast and Bowel...

Ngày tải lên: 14/08/2014, 07:20

... visualization and efficiency all trocars are placed in the breast and positions adjusted as necessary until the final positions have been verified and approved Trocars can be cleaned, sterilized, and reused ... placed and a consistent depth along its path is achieved with pressure from a flat hand after the superficial catheter enters past the skin (Fig 7.5) A standardized approach to trocar placement and ... margin, our present standard is that the PTV is defined as the lumpectomy cavity expanded by 1.5 cm and bounded by the extent of breast tissue, the chest wall structures and to within mm of the...

Ngày tải lên: 14/08/2014, 07:20

... others will use their dominant hand for needle insertion and the other hand to hold the transducer This technique is also skill-dependent, since it is still a freehand technique without a template ... for coverage and avoidance of the pleura can be measured off the CT image, and all the previous needles provide spatial orientation to help keep the free-hand insertion parallel and straight ... these issues withstand the test of randomized scrutiny In the author’s clinic, those patients who are offered external beam PBI are usually women with large breasts or subareolar primaries, and...

Ngày tải lên: 14/08/2014, 07:20

... with standard WBI Likewise, the mean and median volumes of the lung receiving 5%, 10%, and 20% of the prescribed dose were compared between the 3D conformal APBI technique and standard WBI, and ... delivered to normal tissues between the 3D conformal APBI plan and standard tangents The goals were to accept plans that matched or preferably reduced doses to the heart and lung Mean and median values ... were 23% and 21%, respectively The mean and median volumes receiving 50% of the prescribed dose were 47% and 46%, respectively The mean and median volumes of the heart receiving 10%, 20% and 30%...

Ngày tải lên: 14/08/2014, 07:20

... co-relate clinical outcome and toxicities (Kestin et al 2000) and homogeneous dose distribution by optimization tools to reduce telangiectasia and fat necrosis (Clarke et al 1983; Roston and El-Sayed ... lumpectomy cavity and the balloon are isocentric and congruent does not hold for all patients In those situations the V100 and the PTV not overlap and an integral DVH is the ideal tool for clinical decision ... doi:10.1016/j.jtbi.2005.11.015 16 Fisher B, Anderson S, Redmond CK, Wolmark N, Wickerham DL, Cronin WM (1995) Reanalysis and results after 12 years of follow-up in a randomized clinical trial comparing total...

Ngày tải lên: 14/08/2014, 07:20

... observed in 20% of patients and fat necrosis, asymptomatic and symptomatic, was seen in 20 % and 2.2%, respectively In order to more fully understand the clinical and treatment-related variables ... multicentric phase III trial Issues of patient selection, PTV definition, total dose, and fractionation will be addressed and refined in such randomized trials As data from this and other trials mature, ... evaluation of early, intermediate, and late toxicity associated with APBI has not previously been performed particularly as related to the wide variety of clinical and treatment-related technical...

Ngày tải lên: 14/08/2014, 07:20

... method of APBI After eligibility determination and enrollment, patients will be randomized between standard whole-breast radiotherapy and APBI If randomized to APBI, the treating physician will ... dosimetric information is used and site visits are planned Measured and calculated parameters are provided for data collection and subsequent review and to compare with clinical outcome The quality ... designed clinical trials and a joint effort by all physicians in supporting these trials  Joseph R Kelley and Douglas W Arthur Presently two large, multi-institutional phase III clinical...

Ngày tải lên: 14/08/2014, 07:20

... Johnson and Anand D Pandyan Physiotherapy management of spasticity 79 Roslyn N Boyd and Louise Ada Seating and positioning 99 Craig A Kirkwood and Geoff I Bardsley Orthoses, splints and casts ... techniques and surgery We have also stressed the importance of adequate measurement techniques and, indeed, Chapter has been completely rewritten by Garth R Johnson and Arnand D Pandyan We hope ... internally rotated arm with pronated forearm and flexed wrist and fingers The leg is extended, internally rotated and adducted, and the ankle is plantar flexed and inverted, often with toe flexion Other...

Ngày tải lên: 21/09/2012, 11:02

... of Energy and Environment (IJEE), Volume 1, Issue 1, 2010, pp.1-20 the proton transport from the anode to the cathode, and which acts in addition to the usual convection and diffusion And fourth, ... Canada and the Natural Sciences and Engineering Research Council of Canada E-mail address: Florent.Breque@mdacorporation.com Julien Ramousse received the B.Sc and M.Sc degrees in energetics and ... production, storage and electrical energy generation system, control and measurements He is the author of more than 70 publications and has patents Pr Agbossou is also a PES-IEEE member and former Chair...

Ngày tải lên: 05/09/2013, 14:58

Ngày tải lên: 01/11/2013, 10:20