flow diagram for the management of raised intracranial pressure

... attempted for three SPT patients in whom the mass was located in the 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 ... midportion of the pancreas and the mass with preserving the rim of the head and tail portion can be achieved However, for the patient in whom the mass was located within the head of the pancreas, ... (SPN), the experience with the management of disseminated disease is very limited in the literature6, therefore, attention to the therapy strategy of this neoplasm in the future may allow a more...

Ngày tải lên: 25/10/2012, 11:40

... controversy, the evidence based evaluation by the authors of the BSG guidelines for adults with IBD has been used together with the ECCO consensus document [4] Guidelines for the Management of Inflammatory ... Development of guidelines [2-4] These guidelines are the work of the IBD working group of the British Society of Paediatric Gastroenterology Hepatology and Nutrition (BSPGHAN) and are for use by ... clinical practice for the investigation and treatment of IBD in children which will promote consistency of the management of such conditions Individual cases must be managed on the basis of all clinical...

Ngày tải lên: 12/02/2014, 11:20

... understanding of and accommodate the target's MOAs and the trade-off of free choice and externalities The potential for success of the three sets of tools is derived from the target's assessment of the ... necessary On the individual's side of the ledger, apathy is a strong source of power The greater the value of the exchange for one side, the more power can be brought to bear by the other through ... after they are discovered, but others need the incentives of a marketing exchange or the coercion of law to be maintained When the target of critical mass consists of the entire community, the force...

Ngày tải lên: 18/02/2014, 02:20

... Behavioural therapy can increase the effectiveness of other weight-loss treatments, and the duration of the therapy influences the ability to maintain the weight loss No single behavioural therapy ... investigated in depth One of the reasons for this is the difficulty of measuring stress Another is the difficulty of determining whether stress is a consequence of obesity or a cause of it.44,45 This ... effectiveness of other weight-loss treatments; the duration of the therapy is related to the extent of weight-loss maintenance Evidence level Overall, behavioural therapy used in combination with other...

Ngày tải lên: 08/03/2014, 14:20

... to these guidelines The problem of early recognition of AF is greatly aggravated by the often ‘silent’ nature of the rhythm disturbance In about one-third of patients with this arrhythmia, the ... aware of so-called ‘asymptomatic AF’ Much earlier detection of the arrhythmia might allow the timely introduction of therapies to protect the patient, not only from the consequences of the arrhythmia, ... in sympathetic and parasympathetic tone result in variability of the ventricular rate during the diurnal cycle or during exercise The high variability of the ventricular rate is often a therapeutic...

Ngày tải lên: 08/03/2014, 14:20

... lipid-lowering trials the LDL-C level has been used as an indicator of response to therapy Therefore, LDL-C remains the primary target of therapy in most strategies of dyslipidaemia management The most recent ... 10% of the total caloric intake The optimal intake of SFAs should be further reduced (,7% of energy) in the presence of hypercholesterolaemia The intake of n-6 PUFAs should be limited to ,10% of ... enzymes Therefore, the beneficial clinical effects are indirect By binding the bile acids, the drugs prevent the entry of bile acid into the blood and thereby remove a large portion of the bile...

Ngày tải lên: 08/03/2014, 14:20

... recommend the wearing of a lumbar support for the treatment of nonspecific chronic low back pain C4 (D) Shortwave diathermy Summary of evidence • There is no evidence for the effectiveness of shortwave ... Summary of evidence • There is no evidence for the effectiveness of thermotherapy compared with sham/placebo treatments in the treatment of chronic low back pain (level D) • There is no evidence for ... can define the presence of these lesions (Fisher 2002) The value of these studies is limited by the fact that only motor fibers are monitored, the specificity (for radiculopathy) of the physiological...

Ngày tải lên: 08/03/2014, 14:20

... decisions.9 The colorectal cancer risk in family members increases with the number of affected members, the closeness of the relationship to the patient, and earlier age of onset.10,11 Medical information ... vessels up to the origin of the primary feeding vessel is adequate.56–58 Thus for rectal cancer, this is at the origin of the superior rectal artery, just distal to the origin of the left colic artery.59 ... excision of the mesorectum is accomplished by sharp dissection in the plane between the fascia propria of the rectum and the presacral fascia Radial clearance of mesorectal tissue enables the en...

Ngày tải lên: 15/03/2014, 01:20

... development of the conceptual model (in particular the results of site investigation); the selection of criteria and assumptions; the evaluation of the potential risks; and the basis for the decision ... other investigations may not provide an accurate reflection of the true or relevant characteristics of the site Risk-based decision making offers the opportunity to formalise the management of ... part of the management of environmental risks in a sustainable way, and is a formal component of particular stages of regulatory regimes It allows for the structured and transparent balance of the...

Ngày tải lên: 31/03/2014, 13:20

Ngày tải lên: 12/06/2014, 11:33

... the design of the study did not allow for an accurate assessment of the duration of the pre-operative disability, which might have influenced the post-operative course Nevertheless, despite these ... [8] None of the patients had prior surgery for clubfoot, and the botulinum toxin was utilized as a substitute for tenotomy to attenuate the function of the triceps surae muscle complex The patients ... Nicholas JA: The influence of flexibility on the economy of walking and jogging J Orthop Res 1990, 8:814-823 Thomas HO: The classic Diseases of the hip, knee and ankle joint with their deformities...

Ngày tải lên: 20/06/2014, 04:20

... Pairs of thermocouples inserted above and below the heater allow the measurement of the conduction flux (Qv) The radial outward flow (Qr) is calculated from thermopile meathermopile was composed of ... functioning of each method was not deteriorated by the other The relationship obtained with the comparison of the two methods over the whole period (n 589) is presented in figure The slope of the regression ... easy control of the sensors, the low energy needs and the low number of datalogger connections The transpiration was calculated on the basis of sapwood area which represented 90 % of the crosssectional...

Ngày tải lên: 08/08/2014, 23:22

... guidelines for therapeutic exercises and manual therapy in the management of osteoarthritis Phys Ther 2005, 85:907-971 American College of Rheumatology: Recommendations for the medical management of ... passive therapies, but their role and place in the management of knee osteoarthritis was unclear This is probably related to the weaker evidence regarding the effectiveness of these interventions The ... [8,11] had the highest quality and were the only ones mentioning the use of the AGREE instrument in the elaboration Even these guidelines, however, failed to effectively address the majority of domains...

Ngày tải lên: 09/08/2014, 10:22

... performance based), and quality of life Examples of self-reported pain included the VAS; the pain subscale of the Harris Hip Score; and/or the pain subscale of the Health Related Quality of Life ... 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 Definition Strong evidence ... between the end of the formal training period and time of follow-up, but neither of these studies provided information concerning how much exercise subjects undertook during the time prior to the...

Ngày tải lên: 09/08/2014, 14:22

... types of work The scope of the potential involvement of different providers of illness management requires a clearer conceptual understanding of the practices of illness management as they take ... nonhealth professionals, and, to a more limited extent, health professionals The distribution of the responsibilities for LTCM between groups of involved actors outside of the immediacy of the health ... disease management remain the province of health professionals, a social-network approach means that the main focus of self -management shifts to the person with the condition, members of their...

Ngày tải lên: 10/08/2014, 10:23

... technique for the management of visceral PA located elsewhere are promising Another issue of concern is the possibility of stenosis at the ends of the stent or within the stent The use of stents ... remains the gold standard for the management of post-PCNL PA, especially for lesions located at the distal branches of the renal artery However, the short-term data regarding the use of the technique ... achieve endovascular exclusion of the PA A control angiogram at the end of the procedure revealed the absence of opacification of the PA, with the appropriate preservation of renal parenchymal perfusion...

Ngày tải lên: 11/08/2014, 02:21

... The a posteriori calculated ICC for the knowledge test at baseline was 0.054 The a posteriori calculated ICC for the change of knowledge scores was 0.080 The a posteriori calculated ICC for the ... they can change the performance of physicians and/or improve the quality of life of patients [69] Ethics Approval Approval was granted by the Ethics Committee of the Medical Faculty of Witten/Herdecke ... improvement of knowledge, though the knowledge gain at t2’ (1.48; p = 0.019) was lower compared to the intervention groups at both times Page of 10 Discussion Summary of the findings The purpose of the...

Ngày tải lên: 11/08/2014, 05:21

... The a posteriori calculated ICC for the knowledge test at baseline was 0.054 The a posteriori calculated ICC for the change of knowledge scores was 0.080 The a posteriori calculated ICC for the ... they can change the performance of physicians and/or improve the quality of life of patients [69] Ethics Approval Approval was granted by the Ethics Committee of the Medical Faculty of Witten/Herdecke ... improvement of knowledge, though the knowledge gain at t2’ (1.48; p = 0.019) was lower compared to the intervention groups at both times Page of 10 Discussion Summary of the findings The purpose of the...

Ngày tải lên: 11/08/2014, 16:20

... small proportion of patients (one-fourth of patients with presumed diagnosis of infection and one-tenth of the patients with the diagnosis of colonization) At first glance, these results seem ... are not included in the proposed criteria and they should be added to the list This may avoid the misclassification of these high risk patients if semiquantitative culture of bronchoalveolar lavage ... classification [2] The significance of a positive respiratory culture for Aspergillus spp in a non-immunodepressed patient causes the clinician great uncertainty and doubt Nowadays, the isolation of Aspergillus...

Ngày tải lên: 12/08/2014, 23:22

... patient research forums has also highlighted the management of cough as an unmet need in lung cancer For these reasons, the development of clinical guidelines for the management of cough in lung ... were: the rationale and need for the guidelines (original score = 4.6); the need for the development of the guidelines (= 4.8); completeness of literature search (= 4.3); the description of evidence ... other respiratory diseases (e.g chronic obstructive pulmonary disease-COPD) and cough may be the result of the underlying respiratory pathology rather than the cancer The timing of the start of...

Ngày tải lên: 13/08/2014, 10:20