diagnosis and management of chronic and recurrent sinusitis

... Chair of SIGN; Co-Editor Member of SIGN Council Member of SIGN Council Member of SIGN Council SIGN Programme Director; Co-Editor Director of SIGN; Co-Editor 39 Diagnosis and management of chronic ... only (≥18 years) Diagnosis and management of chronic kidney disease 1.2.2 target users of the guideline This guideline will be of value to all health professionals in primary and secondary care ... (MDRD is less accurate and precise in estimating normal renal function).106 2+ 2++ Diagnosis and management of chronic kidney disease The performance of Cockcroft-Gault and simplified MDRD equations...

Ngày tải lên: 08/03/2014, 14:20

... Sidransky Nutritional Aspects and Clinical Management of Chronic Disorders and Diseases, Felix Bronner v Forthcoming Titles Handbook of Nutraceuticals and Nutritional Supplements and Pharmaceuticals, ... visiting professor at the Universities of Cape Town, Tel Aviv, and Lyon, and at the Pasteur and Weizmann Institutes He is a fellow of the American Association for the Advancement of Science and of the ... Nutritional Aspects and Clinical Management of Chronic Disorders and Diseases that the magnitude of the effect of dietary NaCl on blood pressure will reflect the culmination of a number of genetic variants...

Ngày tải lên: 28/03/2014, 22:20

... the quality of diagnosis, assessment and management of COPD is variable and does not always relate to the available knowledge about the disease and the burden it represents The aims of this study ... implementation of these guidelines have been identified that may affect the accuracy of COPD diagnosis and treatment Spirometry is a fundamental component of COPD diagnosis [5,6], and can be performed ... Weight, height and body mass index (BMI) Spirometry results: FEV1 and FVC (litres and % of predicted) pre and post bronchodilator Number of exacerbations in previous year Number of antibiotics...

Ngày tải lên: 12/08/2014, 15:21

... efficacy 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 ... incidence of ADV-related HBV mutation and drug resistance is extremely low For instance, the emergence of ADV resistant mutation, N236T, was only 1.8 and 3.9% in patients who received and years of this ... treatment is effective and well tolerated in this group of patients [15] A high frequency of YMDD mutation and flare of HBV disease has been demonstrated when LAM was used in this group of patients IFN...

Ngày tải lên: 03/11/2012, 09:41

... cause of CHF)  Management of chronic heart failure 2.1.6 chest x-ray The chest X-ray (CXR) is important to help exclude other causes of shortness of breath and to support a possible diagnosis of ... Diagnosis and investigations Patients often present with symptoms of fatigue and/ or shortness of breath and/ or ankle swelling These patients are frequently obese, they often smoke and they may ... standard of care Standards of care are determined on the basis of all clinical data available for an individual case and are subject to change as scientific knowledge and technology advance and...

Ngày tải lên: 08/03/2014, 14:20

... investigate the epidemiology of chronic LBP (Andersson et al 1993, Cassidy et al 1998) One involved a survey of a sample of 2184 Canadian adults between 20 and 69 years of age and revealed that, in ... average age of 65 years and reported a relatively high likelihood of night pain, aching character of symptom manifestation, spontaneous onset of symptoms, history of cancer, standing and walking ... is indicated and/ or to evaluate the effectiveness of an intervention These tests essentially involve the assessment of symmetry of bony landmarks, quantity and quality of regional and segmental...

Ngày tải lên: 08/03/2014, 14:20

... bones of the hands and feet and affect multiple sites Aspiration of pus is mandatory for microorganism isolation (frequently encountered organisms are Serratia marcescens, Aspergillus spp and S ... Journal of Haematology, 140, 255–266 Review production of NADPH oxidase-corrected granulocytes after gene therapy of chronic granulomatous disease Proceedings of the National Academy of Sciences of ... handful of X-CGD patients with a very rare deletion of the Xp21.1 region resulting in the absence of the Kx protein and other Kell antigens (McLeod erythrocyte phenotype with acanthocytosis and...

Ngày tải lên: 14/03/2014, 11:20

... gauze, zinc paste, alginates and paraffin based emollients Latex-free brands of compression bandages and stockings are available ;; Latex-free brands of compression bandages should be used routinely ... duplex ultrasound 19 MANAGEMENT OF CHRONIC VENOUS LEG ULCERS Provision of care 6.1 BACKGROUND A survey of a population of around one million individuals found that in 83% of cases of leg ulcer the ... terms of pain, quality of life, self esteem and functional ability.83 1+ 21 MANAGEMENT OF CHRONIC VENOUS LEG ULCERS Provision of information This section reflects the issues likely to be of most...

Ngày tải lên: 17/03/2014, 15:20

... Management of Rhinosinusitis — Wright and Frenkiel 23 Table Classification of Chronic Rhinosinusitis Recurrent acute rhinosinusitis Chronic purulent rhinosinusitis Chronic hyperplastic rhinosinusitis Chronic ... history of recurrent acute flare-ups of mild chronic rhinosinusitis considered to be greater than episodes of acute bacterial sinusitis per year requiring antibiotic therapy) The aims of surgery ... example of recurring acute sinusitis with the absence of chronic mucosal changes and a normal appearance between episodes, surgical intervention would be indicated if the acute infections are of sufficient...

Ngày tải lên: 08/08/2014, 20:23

... and CR of 94% and 69%, respectively, with OR 77% and CR 54% in 13 patients with del(17p13) Grade 3–4 neutropenia and thrombocytopenia were observed in 71% and 42% of patients, respectively, and ... cyclophosphamide and rituximab (FCR) The MDACC treated 300 patients with fludarabine 25 mg/m2 and cyclophosphamide 250 mg/m2 on days 2–4 of cycle and days 1–3 of cycles 2–6, and rituximab 375 mg/m2 on day of ... OR and CR rates of 47% and 9%, and responses were observed in fludarabine refractory patients and those with poor-risk 11q22 and 17p13 deletions The MDACC chose a different dosing strategy and...

Ngày tải lên: 10/08/2014, 22:20

... disability and quality -of- life assessment by completing a series of questionnaires (see “Quality -of- life assessment” section below) and was found to be a suitable candidate for a trial of OPNS After ... by neurofibromas of the peripheral nervous system [8] According to the National Institutes of Health, a definitive diagnosis of NF-1 is made when two of seven cardinal clinical features of the ... medical history, her mother had died at 68 years of age as a result of heart disease, and her father was alive at 72 years of age with Page of a history of cancer An older sister has rheumatoid arthritis...

Ngày tải lên: 11/08/2014, 00:23

... clinical symptoms of instability She then began noticing lateral knee pain and feelings of instability, but without frank dislocation The pain worsened, and she fell twice after the onset of instability ... combination procedure of revision to a new polyethylene insert and an allograft reconstruction of the LCL with Achilles tendon and a calcaneal bone block At surgery, the post of the LCCK polyethylene ... shown that the higher BMI of our patient at the time of ligament reconstruction is predictive of poor outcome [7] Therefore, because of her obesity, the probability of failure with any reconstructive...

Ngày tải lên: 11/08/2014, 12:20

... the Management of COPD 91 Implementation of COPD Guidelines References vi RO DU CE RE P Methodology and Summary of New Recommendations Global Strategy for Diagnosis, Management and Prevention of ... improve prevention and management of COPD through a concerted worldwide effort of people involved in all facets of health care and health care policy, and to encourage an expanded level of research ... but the presence of multiple key indicators increases the probability of a diagnosis of COPD Spirometry is needed to establish a diagnosis of COPD For the diagnosis and assessment of COPD, spirometry...

Ngày tải lên: 21/02/2014, 12:20

... stress and oxidative damage to tissues are 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 ... mellitus High levels of free radicals and the decline of antioxidant defense mechanisms lead to damage of cellular organelles and enzymes, increased lipid peroxidation, and development of insulin resistance ... 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...

Ngày tải lên: 26/10/2012, 09:39

... diagnosis and management of head and neck cancer Overview of treatment of the primary tumour and neck This section addresses the first line treatment of head and neck cancer Management of recurrent ... in the recognition and management of acute and late radiation toxicity 29 diagnosis and management of head and neck cancer 10 Treatment: palliation of incurable disease Head and neck cancer may ... of the carotid sheath 13 diagnosis and management of head and neck cancer 5.2.2 surgical treatment Neck dissection removes both the soft tissue and the lymph nodes A number of modifications of...

Ngày tải lên: 14/02/2014, 22:20

... Alcohol dependence affects 4% of people aged between 16 and 65 in England (6% of men and 2% of women), and over 24% of the English population (33% of men and 16% of women) consume alcohol in a ... 33 of 51 Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence NICE clinical guideline 115 [17] See 'Depression: the treatment and management of ... multiagency and integrated care pathway and maximisation of engagement, including the use of motivational interviewing approaches monitoring of the impact of interventions and revision of the care...

Ngày tải lên: 21/02/2014, 11:20

... List of Tables Opportunities and Needs in VWD Research, Training, and Practice 57 Pathophysiology and Classification of VWD 57 Diagnosis and Evaluation 58 Management of VWD 58 Gene Therapy of VWD ... of test performance and interpretation,180,181 and they are often not available at local testing laboratories Summary of the Laboratory Diagnosis of VWD The diagnosis of VWD can be complex, and ... Considerations for Laboratory Diagnosis of VWD 32 Summary of the Laboratory Diagnosis of VWD 33 Diagnostic Recommendations 34 I Evaluation of Bleeding Symptoms and Bleeding Risk by History and Physical Examination...

Ngày tải lên: 21/02/2014, 12:20

... the field are selected and undertake a comprehensive review of the published evidence for management and/ or prevention of a given condition A critical evaluation of diagnostic and therapeutic procedures ... currently available and validated methods of diagnosis, prognostic evaluation and therapy of PE In contrast to previous guidelines, we decided to grade also the level of evidence of diagnostic procedures ... early PE-related mortality of 23 –37% and 96–100%, respectively.209,210 Combination of markers of myocardial injury and RV dysfunction Simultaneous measurements of troponin and NT-proBNP were found...

Ngày tải lên: 08/03/2014, 14:20

... areas of metastatic disease in patients with head and neck cancer should include: number of involved nodes level of involved nodes extracapsular spread of tumour type of nodal dissection size of ... provides a summary of the main recommendations in the SIGN guideline on the Diagnosis and management of head and neck cancer Recommendations are graded A B C D to indicate the strength of the supporting ... tumours of the: base of tongue tonsil soft palate Oral cavity cancer includes tumours of the: buccal mucosa retromolar triangle alveolus hard palate anterior two-thirds of tongue floor of mouth...

Ngày tải lên: 15/03/2014, 01:20