... channels These mechanisms give rise to the hypothesis that high-dose insulin therapy could be beneficial in the management of CCB overdose by overcoming hypoinsulinaemia and insulin resistance and thereby ... variation in insulin dosing in the cases reporting the use of HIET in CCB overdose and in the duration of treatment, rational recommendations could currently consist of the administration of 1.0 ... hypokalaemia may offer benefit by promoting cellular calcium entry and increasing the inotropic effect of insulin [21,24] Recommendations for the use of HIET in CCB poisoning Although there is wide...
Ngày tải lên: 12/08/2014, 23:23
... gain, headache, rhinitis, vomiting, dyspepsia and an increase in prolactin Prolactin levels rapidly increased during the first month of treatment and then declined over the following year The incidence ... capability/self-attention The inventory is obtained using the responses of the mother or the primary caregiver of the child on each item The ADSI was developed using items from similar inventories from other countries, ... (including trivial belongings) in line with Keenan and Wakschlag (2004) [15] In actuality, most of the weapon-brandishing children used knifes with the intention of threatening others Fighting,...
Ngày tải lên: 13/08/2014, 18:21
báo cáo khoa học: " Implementing Cognitive Behavioral Therapy in the real world: A case study of two mental health centers" ppt
... study (Of note, one of the intervention clinicians had left the agency; another had been reassigned to residential care.) During the qualitative interviews, eight of the nine clinicians in the intervention ... received continuing education credits for their participation in the training Post-training surveys from intervention clinicians indicated that the majority understood the basics of CBT (62%), ... attend the staff meeting Following a formal consenting process, clinicians were randomized into CBT training versus usual care Training consisted of instruction in: components of motivational interviewing...
Ngày tải lên: 11/08/2014, 05:22
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"
... in the development of the oxidative stress (68) If our findings are proven by further studies involving a larger number of patients, ultra-low microcurrent therapy might change the concept of management ... from the 1980s suggest that microcurrent therapy is effective at relieving the side effects of radiation therapy (25) The investigators have found that direct electrical therapy was effective in ... 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...
Ngày tải lên: 26/10/2012, 09:39
Chemical neurolysis in the management of muscle spasticity
... 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, ... 0.1% of the administered dose remains in the CSF (Ichiyanagi et al., 1975) The magnitude of the clinical effect of the intrathecal block depends on the concentration of phenol and also on the ... second injection, the treatment effect is often enhanced by the additional in ltration of the proximal third of the muscle The superficial placement of the injection may result in the denervation of...
Ngày tải lên: 01/11/2013, 10:20
INTERNET ADDRESS SPACE: ECONOMIC CONSIDERATIONS IN THE MANAGEMENT OF IPv4 AND IN THE DEPLOYMENT OF IPv6 pptx
... for the future of the Internet economy is the deployment of IPv6 DSTI/ICCP(2007)20/FINAL In terms of public policy, IPv6 plays an important role in innovation and scalability of the Internet In ... IPv6 In other words, once the cost of deploying IPv4 infrastructure – determined by the cost of obtaining the addresses themselves and the cost of designing and operating networks that use fewer ... environment, including greater use and all forms of access In the future, vast numbers of objects may be connected to the Internet Growth in the use of the Internet has meant greater demand for Internet...
Ngày tải lên: 06/03/2014, 21:20
RECOMMENDATIONS FOR BEST PRACTICES in the Management of Elderly Disaster Victims doc
... Katrina and evacuation to the RAC The trauma resulting from the disaster, the process of evacuation, the disruption of regular care, and the stress of residing in the shelter complex further increased ... level of frailty as assessed by guidelines outlined in the article The mean age of the participants was 81.8 years in the GEMU and 82.4 years in the general medical wards Being treated in the GEMU ... activities of daily living The plan for the administration of the SWiFT tool was to pair social workers with either a doctor or nurse Each of these pairings walked among the cots on the Astrodome...
Ngày tải lên: 28/03/2014, 16:20
gene therapy in the treatment of cancer
... molecules The first is the establishment of the relevance of the genetic basis of carcinogenesis Second is the determination of the specific oncogene to target Third is the determination of the specific ... bypass intracellular processing to provide gene delivery to the nucleus In the context of gene therapy, the delivery of therapeutic genes by liposomes can also result in the inhibition of angiogenesis ... expression of proteins involved in the cell cycle (G1/S phase) p53 functions as the “guardian of the genome” by inhibiting the cell cycle via interactions with specific cyclin/CDK complexes or inducing...
Ngày tải lên: 10/04/2014, 22:11
báo cáo hóa học: " Cognitive interviewing methodology in the development of a pediatric item bank: a patient reported outcomes measurement information system (PROMIS) study" docx
... out of six of the children defined "go out" as going outside to something or to play outside This resulted in some of the children factoring the weather into the state of their asthma Another ... defined their interactions with the opposite sex differently than that of their own – it seemed like since the question mentioned the sexes independently it divides the incidence of "doing things" ... turn pages in a book All of the children mentioned books or magazines when describing the meaning of the question Two out of five of the children recommended rewording the question to include "turn...
Ngày tải lên: 18/06/2014, 19:20
báo cáo hóa học:" Advantages of the Ilizarov external fixation in the management of intra-articular fractures of the distal tibia" pptx
... fixed to the rings of the Ilizarov device Intraporative photograph showing the way the wires are Intraporative photograph showing the way the wires are applied and fixed to the rings of the Ilizarov ... in drafting of the manuscript and in the interpretation of data TGB performed part of the literature review and contributed in the manuscript editing SP, EP, AK and GT contributing in analyzing ... 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...
Ngày tải lên: 20/06/2014, 04:20
Báo cáo y học: "A 64-week, multicenter, open-label study of aripiprazole effectiveness in the management of patients with schizophrenia or schizoaffective disorder in a general psychiatric outpatient setting" pptx
... subjects received their first dose of aripiprazole at the start of the switching treatment period, the starting dose of which was determined by the investigator After weeks of adverse event (AE)-free ... shown in Figure Both patient and caregiver POM ratings for aripiprazole increased during the 12-week switching phase At the end of the switching phase (LOCF), 54.7% of 123 subjects and 48.0% of ... be fully representative of all patient types encountered in real-world settings Furthermore, the findings reported here should also be interpreted within the context of the open-label study design...
Ngày tải lên: 09/08/2014, 01:21
Báo cáo khoa học: "Intraoperative radiation therapy in the treatment of early-stage breast cancer utilizing xoft axxent electronic brachytherapy" ppt
... approximately 15 minutes, the physicist then loaded the corresponding radiation plan onto the controller unit contaminating the field The catheter end was passed through a hole in the drape and a ... without Results The radiation oncologist then broke scrub, attached the XB controller to the catheter, and inserted the radiation source into the balloon The radiation therapy was then Figure and ... cavity through a small incision in the lateral breast and inflated with exactly 40 cc of saline (Figure 1) The conformity of the CED to the surrounding breast tissue was then evaluated under direct...
Ngày tải lên: 09/08/2014, 04:21
Báo cáo y học: "Cold hands — strained heart? Advances in the management of Raynaud’s phenomenon and pulmonary hypertension" ppt
... Since there are commonalities in the pathophysiology of PAH and RP, particularly in the context of connective tissue disease, inhibition of the renin–angiotensin system may prove effective in ... than nifedipine in reducing both the frequency and the severity of attacks [14] PDE type V inhibitors such as sildenafil inhibit the degradation of cGMP, which mediates the signalling of several ... combine vasodilator and antiproliferative activity include angiotensin-converting enzyme inhibitors, angiotensin receptor blockers and PDE type V inhibitors [5] The use of angiotensin-converting...
Ngày tải lên: 09/08/2014, 06:23
Báo cáo khoa học: "The significance of the Van Nuys prognostic index in the management of ductal carcinoma in situ" pps
... none of the individual components of the VNPI reached statistical significance, suggesting that the whole Index is of greater value than its parts Adding age to the index reduced rather than increased ... for DCIS the debate regarding the use of adjuvant radiotherapy (RT) after such surgery is currently one of the most controversial areas in breast cancer management [2,3] Findings from independent ... undergoing breast conserving therapy for DCIS receive radiation therapy? No One size does not fit all: an argument against the routine use of radiation therapy for all patients with ductal carcinoma...
Ngày tải lên: 09/08/2014, 07:21
Báo cáo y học: "Psychosocial aspects in the management of arthritis pain" pot
... losses in other domains [22] The role of leisure in maintaining or restoring psychological wellbeing in the presence of arthritis pain warrants further study Psychosocial approaches to managing ... psychosocial functioning and coping of mothers with chronic pain (including mothers with arthritis) to mothers without pain, with regard to their ratings of parenting efficacy There was a significant ... comparison of conventional pain coping skills training and pain coping skills training with a maintenance training component: A daily diary analysis of short- and long-term treatment effects J Pain 2006,...
Ngày tải lên: 09/08/2014, 08:23
Báo cáo khoa học: " Neuropsychological testing and biomarkers in the management of brain metastases" doc
... modifier of hemoglobin that works by decreasing the binding affinity of hemoglobin to oxygen thus permitting greater oxygenation of hypoxic tumor cells and enhancing the effect of radiation In addition ... beginning radiotherapy Many potential therapies being investigated also carry a risk of neurocognitive decline and the current focus of brain metastases research is to find ways to optimize the ... success of chemotherapy will hinge on the development of new agents that have improved penetration into CNS CNS effects of radiation therapy for brain metastases WBRT, the standard of care for brain...
Ngày tải lên: 09/08/2014, 09:22
Báo cáo y học: " Exercise therapy for the management of osteoarthritis of the hip joint: a systematic review" pot
... and/or the pain subscale of the Health Related Quality of Life Table Level of evidence for evaluating the efficacy of exercise therapy in the management of osteoarthritis of the hip Level of evidence ... exercise of an intensity and duration recommended in the guidelines One method of investigating whether such levels of exercise are needed in individuals with OA of the hip is to examine intervention ... gains in the management of OA of the hip Competing interests The authors declare that they have no competing interests Authors' contributions Peter McNair participated in the design of the study,...
Ngày tải lên: 09/08/2014, 14:22
Báo cáo y học: "Outcomes of highly active antiretroviral therapy in the context of universal access to healthcare: the U.S. Military HIV Natural History Study" ppt
... time The declining percentage of patients remaining on the first HAART regimen results from complete discontinuation of or changes in therapy Discussion In this study, we describe the clinical ... NNRTI-containing initial regimen (predominantly efavirenz) Of the 2,327 patients initiating their first HAART regimen, 557 (24%) remained on the same regimen for the entire duration of follow ... followed in each era and the fact that many patients starting HAART in the EHE became infected well before the availability of HAART Despite the challenges experienced by participants initiating in the...
Ngày tải lên: 10/08/2014, 05:21
báo cáo khoa học: "Update in the management of chronic lymphocytic leukemi" ppt
... Indications for therapy The 1996 NCI Working Group established guidelines for initiating treatment for CLL, which were affirmed in 2008 by the International Workshop on CLL[1,2] Indications include ... preclinical results of an ongoing phase I study of CAL-101, an orally available inhibitor of the phosphatidylinositol-3-kinase (PI-3-K) delta isoform, will be presented at the ASCO meeting Other novel ... del(17p13) are the largest therapeutic challenge in the relapsed setting, particularly given the increasing frequency of del(17p13) in relapsed patients Alemtuzumab is active in these patients,...
Ngày tải lên: 10/08/2014, 22:20