... 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 ... receiving >20 mg/day Of the 153 patients enrolled in the study, 106 patients (69.2%) were compliant with treatment During the 12-week switching period, no patients received diphenhydramine and ... during the switching treatment phase This finding, coupled with the improvement in QOL ratings, is important as it provides an estimation of the real-world impact of antipsychotic treatment with...
Ngày tải lên: 09/08/2014, 01:21
... common in the group whose position was varied than in the group that remained continuously supine Con: prone positioning is not useful in the management of ARDS patients Gordon Rubenfeld Imagine the ... Finally, intensivists are strongly motivated by the ‘rule of rescue’ Intensivists feel obliged to offer some therapy, any therapy, to a patient in imminent danger of dying [16] As is often the ... lung injury [8] Clinical experience Prone positioning has improved arterial oxygenation in all studies in patients with ARDS that have examined the question, especially in the early phase of illness...
Ngày tải lên: 12/08/2014, 18:21
Báo cáo y học: "Pro/con clinical debate: Are steroids useful in the management of patients with septic shock" ppt
... useful in the management of septic shock Katherine G Craig and Keith R Walley The debate surrounding the use of corticosteroids in septic patients has continued for over 30 years Two metaanalyses in ... yet preliminary, The patient described in the present scenario is improving in all aspects of organ failure, but remains catecholamine dependent A thorough examination and review of his management ... groups [8] There is ongoing debate in the literature as to the usefulness of this corticotropin stimulation test in so-called ‘relative adrenal insufficient’ patients, although it may be of prognostic...
Ngày tải lên: 12/08/2014, 18:21
Báo cáo y học: "Pro/con clinical debate: Antibiotics are important in the management of patients with pancreatitis with evidence of pancreatic necrosis" ppt
... difference in the rate of infection of pancreatic necrosis [4] Pooling of the data from these 183 patients by Bosscha and colleagues in a meta -analysis resulted in a group of 95 patients treated with ... used intravenous and enteral antibiotics (including amphotericin) to achieve decontamination of the gastrointestinal tract for the purpose of possibly decreasing bacterial inoculation of the necrotic ... selective decontamination of the digestive tract Selective decontamination is attractive as it may allow the use of prophylaxis without the risk of inducing superinfections through the use of long-term...
Ngày tải lên: 12/08/2014, 19:22
Báo cáo y học: "Special considerations in the treatment of patients with bipolar disorder and medical co-morbidities"
... pointes Unlikely Risk of liver injury in conjunction with lipid-lowering agents; risk of bleeding complications in conjunction with antiplatelet agents, warfarin, niacin Induction of CYP3A4 increases ... gabapentin in patients with HCV [55] These findings suggest that valproate can be used for some patients with HCV without adversely affecting ALT levels Obtaining pretreatment baseline ALT levels in ... syndrome), including carbamazepine, phenytoin, phenobarbital, and lamotrigine The triad of hypersensitivity includes fever, rash and internal organ involvement with onset of symptoms within to weeks of...
Ngày tải lên: 25/10/2012, 10:51
The management of patients with venous leg ulcers: Audit Protocol ppt
... photocopy of each form before sending it 24 The management of patients with venous leg ulcers Appendix 2: Audit Form The management of patients with venous leg ulcers Notes 25 26 The management of patients ... audit form The purpose of clinical audit is to improve the quality of care to patients locally It is intended that by providing nationally-produced guidelines and The management of patients with venous ... of occurrence of the first ulcer; the site of the ulcers and of any previous ulcers; the number of previous episodes of ulceration; the time taken to heal in previous episodes; the time free of...
Ngày tải lên: 15/03/2014, 23:20
Báo cáo y học: "Correlation of histopathological findings and magnetic resonance imaging in the spine of patients with ankylosing spondylitis" potx
... zygapophyseal joints in patients with AS [10] In the present study, we first examined whether inflammation in the spine of patients with AS, as detected by histopathology, can be correlated with bone ... highest score of bone marrow infiltation in the histopathological assessment Some of the patients had inflammatory lesions in other parts of the spine, as indicated in Table Page of (page number ... interstitium in between univacuolar fat cells, resembling the morphological findings described in the bone marrow of patients with severe malnutrition [12], during the first couple of weeks following...
Ngày tải lên: 09/08/2014, 08:22
Báo cáo y học: "Assessment of radiographic progression in the spines of patients with ankylosing spondylitis treated with adalimumab for up to 2 years" ppt
... related soft tissues of the cervical and lumbar spine without evaluating possible further damage at the posterior elements of the cervical and lumbar spine, the thoracic spine, or the facet joints ... was the principal investigator of the OASIS study and is the principal investigator who assisted in designing the ATLAS study WPM is the principal investigator and assisted in designing the Canadian ... Goldstein N, Braun J, Ankylosing Spondylitis Study for the Evaluation of Recombinant Infliximab Therapy Study Group: Radiographic findings following two years of infliximab therapy in patients with...
Ngày tải lên: 09/08/2014, 14:22
báo cáo khoa học: " Connectedness of healthcare professionals involved in the treatment of patients with Parkinson’s disease: a social networks study" pot
... finding should be interpreted in the context of the newly established network One of the aims of ParkinsonNet is to better integrate primary care professionals in the treatment of patients with ... variation of individual network characteristics for all measures in both the network of ‘knowing each other’ and in the network of ‘having professional contact.’ For example, the number of others ... Consistent with the pattern in the total network, mean and maximum values of the network measures were highest in the network of knowing each other Table shows the same 12 measures in the predefined...
Ngày tải lên: 10/08/2014, 11:20
Báo cáo y học: "Improvement in symptoms and signs in the forefoot of patients with rheumatoid arthritis treated with anti-TNF therapy" ppsx
... sustained The findings further indicate that the use of US imaging of the foot would be more beneficial than clinical examination alone in the refinement of diagnosis and the implementation of ... beneficial in monitoring the progression of active inflammation in rheumatoid arthritis [13] and in the monitoring of biologic therapy [14-16] The aim of this study was to evaluate by means of US, the ... and foot pain and no account was taken of the mechanical forces of foot function during gait as this was not feasible within the confines of our study Others, having investigated the association...
Ngày tải lên: 10/08/2014, 21:24
Báo cáo y học: "B-lymphocyte stimulator/a proliferation-inducing ligand heterotrimers are elevated in the sera of patients with autoimmune disease and are neutralized by atacicept and B-cell maturation antigen-immunoglobulin" pdf
... transduction in B cells The interaction with TRAFs induces the nuclear factor (NF)-B signaling pathway, which plays a pivotal role in regulating diverse aspects of immune function, including mediating inflammatory ... form of BLyS The molecular mass of the heterotrimers was confirmed by SEC-MALS mass distribution LS/UV/RI 3-detector analysis Binding kinetics and affinity studies The binding affinities and kinetics ... difference in detectable levels of BLyS was found in patients with RA (33%) compared with the healthy donor samples (18%) (Table 1) Within the samples containing detectable levels of the three...
Ngày tải lên: 12/08/2014, 12:20
Báo cáo y học: " Pro/Con Debate: Does recombinant factor VIIa have a role to play in the treatment of patients with acute nontraumatic hemorrhage" ppt
... associated with off-label use of FVIIa, the majority occurring in trauma patients However, MedWatch is a database for voluntary reporting of observed complications, and therefore the incidence of complications ... (upper gastrointestinal bleeding) without any evidence for the drug’s efficacy and safety The first issue is the off-label use After a single successful report of off-label use of recombinant FVIIa ... Recombinant activated factor VIIa in an unselected series of cases with upper gastrointestinal bleeding Thromb Res 2005, Epub ahead of print 18 Rizoli SB, Chughtai T: The emerging role of recombinant...
Ngày tải lên: 12/08/2014, 23:24
Báo cáo y học: "Decreased levels of soluble amyloid β-protein precursor and β-amyloid protein in cerebrospinal fluid of patients with systemic lupus erythematosus" ppsx
... that SLE patients with MRI findings compared with those without MRI findings had significantly higher CSF-tau levels These increases reflect the neuronal damage of the brain in SLE patients Indeed, ... MRI-verified brain pathology This finding, together with increased intrathecal levels of TGF-β, indicates an ongoing destructive parenchymatous process in the SLE brain In addition, the present study ... found in some but not all patients with CNS lupus [9,10] Elevated concentrations of IgG in the cerebrospinal fluid (CSF), of the IgG–albumin ratio and of the IgG index, and the presence of oligoclonal...
Ngày tải lên: 09/08/2014, 01:23
báo cáo hóa học: " Clinical implications of gait analysis in the rehabilitation of adult patients with "Prader-Willi" Syndrome: a cross-sectional comparative study ("Prader-Willi" Syndrome vs matched obese patients and healthy subjects)" docx
... represents the rotation of the foot (external/internal rotation) in respect to the walking direction and is defined as the angle formed with the line of progression and the segment connecting the marker ... sole of the foot [24] in young obese patients during standing and walking, revealed a relevant increase in the foot surface in contact with the ground This would predispose to the development of ... allows them to bear their weight while extending the knee This finding is found in a lower percentage of obese subjects (35.7% – 5/14): the muscles of these patients are able to support the load without...
Ngày tải lên: 19/06/2014, 10:20
Báo cáo y học: "Pro/con clinical debate: Is high-frequency oscillatory ventilation useful in the management of adult patients with respiratory failure" ppt
... significant improvements in oxygenation within hours of HFOV initiation, allowing a majority of patients to benefit from a decrease in FiO2 Ventilation was maintained with HFOV, and there were no adverse ... that the survival of adult patients with ARDS is improved with the use of HFOV Animal data Most of the studies published over the past 40 years comparing HFOV with CMV have favored HFOV [9] In ... controlled trials of high-frequency ventilation in infants have been performed, with nine of these trials using HFOV [12] The overall results of these trials are equivocal In a meta -analysis, Thome...
Ngày tải lên: 12/08/2014, 18:21
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 ... 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 ... and the metabolic syndrome (30) In these conditions there is an elevation of both glucose and free fatty acid levels in the blood and an increase in oxidative stress (30,31) The high degree of...
Ngày tải lên: 26/10/2012, 09:39
Chemical neurolysis in the management of muscle spasticity
... of 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 ... usually reports tingling or skin sensory loss in the distribution of the blocked nerve root within 40 seconds of a successful injection Positioning of the patient for the lumbar intrathecal block ... spasticity the back with the ultrasound probe at the level of L1– L4 The thickness and width of the muscle are then determined The block is made in the medial part of the muscle near the vertebral...
Ngày tải lên: 01/11/2013, 10:20
Tài liệu Báo cáo khoa học: Molecular aspects of rheumatoid arthritis: chemokines in the joints of patients pdf
... concentrations of several chemokines Chemokines in the joints of patients Table Chemokines and chemokine receptors expressed in the joint of RA patients Systemic name CC chemokines CCL2 CCL3 ... cytokines, including IL-1b, TNF-a and IFN-c (B) Chemokines expressed in the joint recruit leukocytes into the joints In addition to functioning in cell trafficking, several chemokines have other biological ... et al Chemokines in the joints of patients CXC chemokines C and CX3C chemokines Interleukin-8 ⁄ CXCL8 (a ligand of CXCR1 and CXCR2) was the first chemokine identified to be involved in leukocyte...
Ngày tải lên: 18/02/2014, 18:20
INTERNET ADDRESS SPACE: ECONOMIC CONSIDERATIONS IN THE MANAGEMENT OF IPv4 AND IN THE DEPLOYMENT OF IPv6 pptx
... the validity and authenticity of the use of an address The efforts to improve the security of the routing system and offer capabilities to support the integrity of the operation of a market 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 ... intelligence and processing power within the network rather than only at the end points Problems often associated with NATs include increasing the complexity of networks, creating asymmetry between...
Ngày tải lên: 06/03/2014, 21:20
RECOMMENDATIONS FOR BEST PRACTICES in the Management of Elderly Disaster Victims doc
... descriptive summary of the 72 individuals examined The data analysis occurred in two phases The first phase consisted of matching the database entries with the original hard copy versions of the SWiFT ... 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 ... response strategy They require varying degrees of assistance with activities of daily living, such as eating, dressing, bathing, grooming and toileting Some are incontinent of bowel and/or bladder...
Ngày tải lên: 28/03/2014, 16:20