cognitive and psychiatric disorders in multiple sclerosis

... abdominal pain (8/18) The rest of the patients were asymptomatic and tumors were detected incidentally during routine physical examination All these patients had no other obvious symptoms including ... http://www.medsci.org Int J Med Sci 2010, of SPT should be suspected and confirmed by further investigations In our series, there was only male confirmed to have SPT In combination with clinical findings, radiological ... located within the head of the pancreas, given the low malignancy, well-defined margin and no invasion to adjacent structures, especially no indications of dilated CBD and PD indicating that the...

Ngày tải lên: 25/10/2012, 11:40

... patient and her mother, it was discovered that she had deliberately eliminated fat and meat from her diet and increased the amount of exercise she engaged in, including playing soccer and running ... monitoring and encouragement of caloric intake and weight gain, and treatment by the psychiatry consult service; (2) that she be transferred to the in- patient eating disorders unit while continuing ... pediatrician and gastroenterologist An ability to navigate the healthcare system via interdisciplinary management, including multiple subspecialists, nursing, discharge planning and insurance companies...

Ngày tải lên: 11/08/2014, 17:21

... educational institution offering a training program coordinated by a medical physician However, this is in its infancy and much needs to be worked out This does indicate a growing level of interest in ... ascertain and possibly improve those skills, competencies, and standards for referrals and sharing of clinical information that may improve current and future cross-disciplinary coordination ... chest pain In order for chiropractors to have a role in managing chest pain from the point of entry, they must acquire and demonstrate competence in diagnosing the complaint Chest pain can have...

Ngày tải lên: 25/10/2012, 10:06

... (clindamycin) or systemic antibiotics (tetracyclines, clindamycin, rifampicin), topical antiseptics and intralesional corticosteroids (triamcinolone acetonide) Systemic retinoids (isotretinoin, etretinate) ... axilla, 20,3% (11 sites) involving the gluteal area, %24,2 (13 sites) involving the perineal area and 12,9% (7 sites) involving the inguinal region Hurley’s clinical staging was used for the classification ... Int J Med Sci 2010, The sinuses can dissect deep into tissue, involving muscle, fascia and bowel forming a labyrinth of tracts in advanced cases.8 However, as the abscesses extend deeper into...

Ngày tải lên: 26/10/2012, 08:57

... leg ulcers contain localized oxidative stress (15) The recent finding revealed that insulin resistance is associated in humans with reduced intracellular antioxidant (11) Interestingly, antioxidants ... diseases and http://www.medsci.org Int J Med Sci 2010, cellular senescence (40-45) Source of reactive oxygen species in insulin secreting pancreatic β-cells and cells that are targets for insulin action ... red and inflamed up to and including the medial malleolus The lateral aspect of the great toe and second toe turned black Laboratory investigation revealed elevated blood glucose (17.9 mmol/L) and...

Ngày tải lên: 26/10/2012, 09:39

... patients treating established recurrent HCV using the combination of pegylated interferon alpha-2b and ribavirin have resulted in end-of-treatment and sustained virological response rates ranging from ... function improves and in turn leads to rejection There have been increasing reports of pegylated interferon and ribavirin therapy possibly increasing the rates of both acute cellular and chronic ductopenic ... performance status, their increased susceptibility to infection and rejection, and the presence of anemia and renal dysfunction that lessen the tolerability of interferon and ribavirin [1,4,5,20,21] It...

Ngày tải lên: 31/10/2012, 17:08

... for a minimum of months post-OLT After one year, reinfection occurred in 20% of patients in each group, but the finding of circulating HBV DNA by PCR in of 11 receiving HBIG and of 10 receiving ... and cost of combination LAM and HBIG prophylaxis has not been defined Table Effect of Combination Therapy with HBIG and Lamivudine to Prevent HBV Reinfection After OLT (IV, intravenous; IM, intramuscular, ... HBsAg and antiHBs) are being routinely transplanted into HBV-naïve recipients [99] In the absence of preventative measures, HBV infection occurred in 50% to 78% of such recipients in Spain [20] and...

Ngày tải lên: 02/11/2012, 11:17

... made in managing HBV infection, challenge remains in optimizing HBV therapy First, further understanding HBV dynamics and correlation of the level of HBV replication with liver injury will be invaluable ... described in inactive HBV carriers While 70-80% remain in inactive HBV carriers indefinitely, 10-20% may develop HBeAg-positive CHB presented with a high level of HBV DNA, elevated transaminases and ... HBV infection can be quite different ranging from inactive carrier status to HBV-cirrhosis or hepatocellular carcinoma (HCC) Understanding the spectrum and clinical presentation of chronic HBV infection...

Ngày tải lên: 03/11/2012, 09:41

... uncertain Tracheostomy is required in patients requiring prolonged mechanical ventilation and ICU stay Strict adherence to infection control guidelines is mandatory in performing tracheostomy in ... alone In vitro testing showed that interferon β was more potent than interferon α or γ, being effective even when administered after SARS-CoV infection in cell culture [31] Traditional Chinese ... had no difference in rates of oxygen desaturation, intubation and mortality compared with a matched cohort However, when given as initial treatment in combination with ribavirin in another subgroup...

Ngày tải lên: 03/11/2012, 10:20

... departments within existing transport organizations Vinalink International Freight Forwarders (Vinalink) is a long-time player in this business Since its establishment in 1999, Vinalink has provided ... warehouse and open yards, over 40 prime movers, trucks and pick-up vans, loading and unloading equipments and devices Vinalink’s scope of business includes: - Freight forwarding (Seafreight and Airfreight) ... include stock holding, packaging and repackaging, incorporating value-added activities, such as postponement, as a means of reducing the number of stock keeping units (SKUs) in a system and increasing...

Ngày tải lên: 20/04/2013, 11:13

... Affirming tourist city of Da Lat in Lam Dong Province in particular and in general position is one of the major tourist centers of the Central Highlands travel and tourism in particular and Vietnam ... production and business establishments § There is cooperation and exchange of experience among agencies and foreign organizations in the monitoring, analysis, management and handling of environmental ... assets and the cost of living increased rapidly within the local impact of community life § Reduced productivity of local food (due to restructuring of land use, labor and industry) § Putting pressure...

Ngày tải lên: 25/04/2013, 08:21

... the earth and returns to the surface again as a rain Originally rainwater itself does not contain any contaminants, however, in the process of precipitation, flowing, it takes some contaminants ... secure water, which is the minimum necessity Water is used not only in food production, but also in the secondary industry, third industry and in information/communication industry When we use water, ... used in open areas and in a large quantity and used only in certain seasons and because pollution by the pesticides is liable to be local Pesticides are sprayed in paddy fields or crop fields In...

Ngày tải lên: 05/09/2013, 08:40

Ngày tải lên: 24/10/2013, 15:20

Ngày tải lên: 24/10/2013, 15:20

Ngày tải lên: 24/10/2013, 15:20

... treatment Increasing deformity of the limbs will clearly lead to rapidly decreasing function and often result in problems with regard to hygiene, positioning, transferring and feeding and make the individual ... botulinum toxin and thus is more relevant and practical in developing countries Intrathecal and surgical techniques Occasionally spasticity is very resistant to intervention and further invasive ... such contractures 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...

Ngày tải lên: 01/11/2013, 10:20

... 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 ... nerves contain sensory fibres and the sensory loss following neurolysis may cause loss or deterioration of hand function and increase the risk of burns and injury The use of botulinum toxin is probably ... duration The skin is then cleansed with iodine solution and in ltrated with 1% lignocaine The needle probe is then introduced and manoeuvred in the tissue using stimulus pulses of decreasing strength...

Ngày tải lên: 01/11/2013, 10:20

... changes in bones and joints, including torsion of the long bones and joint instability The most common torsional problems are medial femoral torsion and lateral tibial torsion Joint instability ... Typical kinematic and kinetic patterns can be recognized and interpreted in the light of the patient’s history and clinical examination Instrumented gait analysis is considered by many clinicians ... too small and lacking in co-operation for instrumented gait analysis using current techniques Managing spasticity in children In our preliminary open label study into the use of BoNT-A in the lower...

Ngày tải lên: 01/11/2013, 10:20