collaborative management of symptomatic leiomyomata

... transplant The results of surgery are often disappointing, with quick return of symptoms, bile leakage and symptomatic ascites in many patients [1-3] We present the case of a patient who underwent ... usually asymptomatic [1] Symptomatic PLD has been treated by percutaneous aspiration with or without sclerotherapy, drainage of the superficial cysts into the abdominal cavity and fenestration of deeper ... and full of multiple cysts, the maximum diameter of which was cm The stomach was compressed between the left lobe of the liver and the spleen, explaining the cystrelated complaints of the patient...

Ngày tải lên: 11/08/2014, 14:20

... grading of hematoxylin and eosin-stained specimens) of the invasive component of the primary tumor, as well as its estrogen (ER) and progesterone receptor (PR) status Pathological examination of the ... because of small numbers involved lymphatic metastases in every one Each of these patients underwent immediate level II axillary clearance on receipt of the frozen section report The mean number of ... evaluation of nodal tumour burden, despite initial concerns that it consumes more of the specimen than cytological assessment Analysis of published data to date shows that the accuracy of frozen...

Ngày tải lên: 09/08/2014, 07:21

... implications for management and co -management of these conditions and patients in the primary care setting It is important to note that such research should of necessity be collaborative and ... delivery of evidence-based cost-effective care As identified earlier, the appropriate management of chest pain raises a host of considerations relative to improving cross-disciplinary coordination of ... Psychological interventions for symptomatic management of non-specific chest pain in patients with normal coronary anatomy The Cochrane Database of Systematic Reviews 2005:CD004101 Ofman JJ, Dorn GH, Fennerty...

Ngày tải lên: 25/10/2012, 10:06

... portion of body or tail of the pancreas For tumors of SPT located in the neck and body of the pancreas, resection of the midportion of the pancreas and the mass with preserving the rim of the ... Malignant potential of solid pseudopappillary neoplasm of the pancreas Br J Surg 2006;93:733-37 de Castro SMM, Singhal D, Aronson DC, et al Management of Solid-pseudopapillary Neoplasms of the pancreas: ... head presented with dilation of CBD Of note, internal or capsular calcification was shown in patients (Fig.2), suggesting the role of calcification on the development of SPT might need to be further...

Ngày tải lên: 25/10/2012, 11:40

... widespread of HS in the right gluteal area (C) Excision material of lesion (D) View of defect after excision The duration time of hospitalization was related with the extent and severity of the lesions ... surgical removal of the abscesses and fistulas are usually futile.1,14 The success of medical therapies, however, often is limited because of the indolent and recurrent nature of the disease Operative ... etiology of HS still remains unclear, genetic factors may play a role as a positive family history has been elicited in 26% of patients with HS The role of endocrine factors in the etiology of HS...

Ngày tải lên: 26/10/2012, 08:57

... major role in the pathogenesis of both types of diabetes mellitus High levels of free radicals and the decline of antioxidant defense mechanisms lead to damage of cellular organelles and enzymes, ... 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 of chronic ... common pathology of chronic diseases, and using antioxidants, such as the EPRT device used in this experiment, might change the concept of management of chronic diseases Conflict of Interest The...

Ngày tải lên: 26/10/2012, 09:39

... diagnosis and management of hepatitis C in the peri-liver transplant period, as well as the management of the complications of chronic liver diseases Paul Martin M.D is Professor of Medicine at ... 30% of patients will discontinue therapy Often the only way of maintaining Int J Med Sci 2006, the blood counts is to aggressively use hematopoietic growth factors The often poor tolerability of ... Professor of Medicine at Mount Sinai School of Medicine New York and Associate Director of the Division of Liver Diseases He has a major interest in the management of viral hepatitis in organ transplantation...

Ngày tải lên: 31/10/2012, 17:08

... respect to risk or prevalence of reinfection, development of LAM resistance or prevalence of precore mutations Management of Patients Prior to Transplantation Studies of HBIG monotherapy established ... absence of detectable HBV DNA at the time of OLT and absence of reinfection for a minimum of months post-OLT After one year, reinfection occurred in 20% of patients in each group, but the finding of ... trough level of anti-HBs of 500 IU/L has been recommended [72] Later, when Int J Med Sci 2005 2(1) 44 extrahepatic sites of replication become the source of HBV, a lower trough level of 100-150...

Ngày tải lên: 02/11/2012, 11:17

... showed that 33% of treated patients loss HBeAg compared to only 12% of controls [11] In addition, 7.8% of treated subjects loss HBsAg versus only 1.8% of controls had spontaneous loss of HBsAg [11] ... and benefit of HBV treatment in this group of patients Goals of HBV Treatment The rationale of HBV treatment is to significantly suppress HBV replication and prevent the progression of HBV-mediated ... CHB The course of IFN treatment is usually 16–24 weeks that offers a small, but certain opportunity of HBsAg clearance Response to IFN treatment is usually durable Reactivation of HBV infection...

Ngày tải lên: 03/11/2012, 09:41

... on the contemporary treatment of SARS [2], and the whole topic has also been reviewed elsewhere [3] In this article, we aim to focus on the management of a subgroup of critically ill SARS patients ... benefits were reportedly observed in a small number of patients [40] Management of SARS-related respiratory failure Despite all efforts, at least 50% of SARS patients would still develop acute hypoxemic ... treatment of an early outbreak of severe acute respiratory syndrome (SARS) in Guangzhou, PR China J Med Microbiol, 2003 52(Pt 8):715-20 30 Gao Z.C., et al Clinical investigation of outbreak of nosocomial...

Ngày tải lên: 03/11/2012, 10:20

... operation One of the most detailed definitions of logistics management is presented by Council of Supply Chain Management Professionals (CSCMP) “Logistics management is the governance of supply chain ... Hai Phong office Human resource of Logistics Department consists of 30 officers for different posts: 01 logistics manager and 01 representative of Hai Phong office, 03 customer service officers, ... stages of warehousing, manufacturing and distribution, in order to fulfill customers orders 2.2 Logistics management Like management of any other businesses, logistics management includes tasks of...

Ngày tải lên: 20/04/2013, 11:13

... resort city of Da Lat § Construction of the map for good management of environmental quality in tourist areas including the city of Da Lat: § Distribution map of the tourist areas city of Da Lat ... Layers of information about ponds Layers of information on roads Layers of information about terrain Layers of information about population Layers of information about the area Layers of administrative ... city of Da Lat Survey results overall environmental quality of surface water and air are expressed specifically in the database properties of the map GIS mapping of environmental quality management...

Ngày tải lên: 25/04/2013, 08:21

... - Journal of Water and Environment Technology, Vol.2, No.1, 2004 TASKS OF RISK MANAGEMENT The goal of the environmental risk management should be developed with scientific evidence of that has ... feasibility of the applied treatment technologies, and the feasibility of the measurement The aim of science and technology is to accurately establish the goals of the environmental management ... usage of fresh water resource and the discharging of wastewater as well, by using an engineering means of water treatment It means that we have established an artificial water circulation system of...

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

... injection) An overview of the clinical management of spasticity is worth undertaking simply to be sure of alleviating at least the neural component of the hypertonia There is often a gratifying response ... baclofen) Is spasticity still a problem? Yes Consider surgery Figure 1.1 Flowchart outlining the approach to the overall management of spasticity An overview of the clinical management of spasticity ... relief of the spasticity in the biceps may not lead to Restriction of the range of movement is not always simply due to increase of tone and spasticity in the relevant muscles The surrounding soft...

Ngày tải lên: 01/11/2013, 10:20

... relapse of multiple sclerosis in whom spasticity is so severe that splinting or the application of plaster casts is impracticable because of the risk of soft tissue damage Another group of patients ... development of, or to promote the healing of, skin pressure sores on the medial aspect of the knees Obturator nerve blocks have also been used in the management of dislocation and subluxation of the ... A simpler technique of intramuscular neurolysis of the hip adductors is to infiltrate each of the four quadrants of the muscle bulk in the upper third of the medial aspect of the thigh with the...

Ngày tải lên: 01/11/2013, 10:20

... measure of the length of muscles crossing that joint In the upper limb, the range of elbow extension is taken to be a measure of the length of the elbow flexors, the biceps and brachialis Loss of elbow ... sufficient number of very difficult management problems to justify a monthly spasticity clinic where the management of a small number of problem children is discussed in detail Often investigations ... relation to the underlying cause of the spasticity, but the natural history of the spasticity is of great importance BoNT-A has been of great value in the management of spasticity secondary to acquired...

Ngày tải lên: 01/11/2013, 10:20

... Ordinal scale of tone intensity 0–5 Bohannon & Smith, 1986 Oswestry scale of grading Ordinal scale of stage and distribution of tone and quality of isolated movements Goff, 1976 Degree of adductor ... and safety of baclofen therapy without evidence of drug tolerance, even after many years There have been few studies investigating the effect of baclofen in treatment of spasticity of cerebral ... the efficacy of gabapentin for the management of spasticity There is significant evidence of the efficacy of gabapentin as an antiepileptic agent as well as an agent for the management of neuropathic...

Ngày tải lên: 01/11/2013, 10:20