key clinical pearls in acute migraine management

... is driving their growth as a medium for business interactions, creating additional challenges for businesses trying to maintain good CRM in the face of this increasing complexity 12 Online commerce ... integrated with existing product configuration databases (invariably using intranet technologies in some form) Marketing Automation Marketing automation involves gleaning as much information about ... to qualified individuals, and comprehensive reporting by territory, region, product group, individual and line of business should be considered as a minimum requirement Linking this information...

Ngày tải lên: 26/03/2015, 08:55

... that we need guidelines providing an evidence-based assessment of the most effective ways of managing the problem in a clinical setting Clinical Practice Guidelines for the Management of Overweight ... starting body weight is sufficient to achieve clinically relevant health benefits III-2 ASSESSMENT Clinical assessment involves two aspects: examining energy intake and expenditure to determine ... is so difficult for obese individuals to maintain weight loss in the long term Clinical Practice Guidelines for the Management of Overweight and Obesity in Adults 1—SETTING 1.7 THE SCENE A B N...

Ngày tải lên: 08/03/2014, 14:20

... binding ratio alone52 123I-FP-CIT SPECT: Binding index in putamen contralateral to initially clinically affected side50 TRODAT-1 SPECT: Binding index in putamen contralateral to initially clinically ... continuing point of contact for support, including home visits, when appropriate • a continuing point of contact for support, including home visits, when appropriate • a reliable source of information ... required in tailoring individual therapy and in timing treatment initiation It is hoped that this guideline on Parkinson’s disease will be of considerable help to those involved at all levels in these...

Ngày tải lên: 31/03/2014, 13:20

... quality H2 management in Vietnamese paint & coating industry Employee training affects to the results of implementing total quality H3 management in Vietnamese paint & coating industry Employee involvement ... operating in paint and coating industry in Vietnam, according to Vietnam Paint and Printing Ink Association (VPPIA) The market is constructed by two main products that support for two distinct ... implementing total quality H4 management in Vietnamese paint & coating industry Benchmarking affects to the results of implementing total quality H5 management in Vietnamese paint & coating industry...

Ngày tải lên: 28/07/2014, 13:30

... performed using intra-coronary shunt devices (FloThru Intraluminal Shunt, Synovis Life Technologies, Inc, MN, USA) (Figure 4) If coronary artery has intensive ath- erosclerotic plaques, intra-coronary ... surgery, since there is not a demarcated margin while deciding the surgical technique Although there is some reports concerning the benefits, indications and results of OPCAB surgery in patients ... of involving cardiac, vascular, pulmonary, neurologic, renal, gastrointestinal and hematologic systems Because of the adverse effects of CPB mentioned above, OPCAB technique have regained interest...

Ngày tải lên: 10/08/2014, 09:22

... prescribing is defined differently depending on the region; it can range from prescribing by protocol to independent prescribing The Canadian province of Alberta has been a pioneer in the area of independent ... pharmacist prescribing and on the value of training programs for pharmacist prescribing authority [15-17] With Alberta being the first province in Canada to allow independent prescribing by pharmacists, ... http://www.epicore.ualberta.ca Investigator meetings In April 2009, the first investigator meeting and training session was held It consisted of a didactic component on the current guidelines for the treatment...

Ngày tải lên: 10/08/2014, 11:20

... available; VAD: vincristine, adriamycin, dexamethasone; MP: melphalan, prednisone; VMCP: vincristine, melphalan, cyclophosphamide, prednisone; VBAP: vincrisitne, carmustine, doxorubicine, prednisone; ... Double minute chromosomes in a patient with myelodysplastic syndrome transforming into acute myeloid leukemia Cancer Genet Cytogenet 1999, 109(1):76-8 11 Sawyer JR, et al: Cytogenetic findings in ... than gain in acute myeloid leukemia with complex aberrant karyotype: a detailed analysis of 125 cases using conventional chromosome analysis and fluorescence in situ hybridization including 24-color...

Ngày tải lên: 10/08/2014, 22:21

... personnel on the clinical team specifically trained in swallowing screening as well as professional expertise in therapy and management [14] Optimal management of these three clinical issues, namely ... organisational, inter-professional (involving all team professionals), and patient-based (offering and refining clinical treatment protocols) http://www.implementationscience.com/content/4/1/16 Clinical ... 43 44 45 46 47 48 49 National Institute of Clinical Studies: Survey into the Clinical Application of Research Findings Victoria: NICS; 2003 Zwarenstein M, Bryant W: Interventions to promote collaboration...

Ngày tải lên: 11/08/2014, 16:20

... signal intensity of an ovoid lesion in the splenium of the corpus callosum A T2-weighted magnetic resonance imaging scan obtained on day 48, showing abnormal increased signals in the pontine (F) ... protective effect against ischemic neuronal injury in experimental models [6], and showed promise for controlling brain swelling [7] However, these types of hypothermia often cannot maintain the core ... suppress the production of cytokines by brain microglia or astrocytes in response to intense inflammation in meningoencephalitis Moreover, hypothermia has been reported to inhibit the production of...

Ngày tải lên: 11/08/2014, 21:22

... volumes Those investigators showed that, after RMs, PEEP set at cmH2O above the lower inflection point was more effective in maintaining gas exchange and minimizing inflammation and lung injury than ... lower inflection point before a sustained inflation Loop B: tidal insuflation with a PEEP below the lower inflection point after a sustained inflation Loop C: PEEP higher than the lower inflection ... point after a sustained inflation Sustained inflation promoted alveolar recruitment at low PEEP levels (loop B) Sustained inflation superimposed on high PEEP favored alveolar overdistension in...

Ngày tải lên: 12/08/2014, 19:22

... determine the working envelope in the present breath and the chances of promoting intratidal recruitment during mechanical ventilation in ARDS patients Overdistension and the opening and closing ... life-threatening clinical problem More intriguing are the recent results showing that dead space fractions were elevated early in the course of ARDS patients and that the dead space fraction is an independent ... ventilatory support in the experimental and clinical critical care settings of ALI/ARDS are still necessary for a better understanding of the extremely complex issues involved in improving the prognosis...

Ngày tải lên: 12/08/2014, 22:22

... differences in severity of brain oedema and in associated hypoxia and herniation, thereby introducing bias into the interpretation of the results MRS findings vary greatly according to time since TBI ... Experiments conducted in vitro [44] and in vivo [45,46] show an early NAA decrease starting within a few minutes after TBI and reaching the trough value within 48 hours This finding explains why spectroscopic ... Brain swelling Brain swelling Absence of brain swelling Diffuse atrophy and dilatation of the ventricles DWI Hypersignals in the cortex, in the thalamus and in the basal ganglia Hypersignals in...

Ngày tải lên: 13/08/2014, 08:20

... the serum creatinine at < mg/dl, or to a nonintensive regimen in which dialysis was not provided until the BUN approached 150 mg/dl, the creatinine reached 10 mg/dl, or clinical indications for ... the serum creatinine reached approximately mg/dl and were dialyzed to maintain a predialysis BUN of < 60 mg/dl in the intensive treatment arm and approximately 100 mg/dl in the non-intensive arm ... January 2003 in a single center in the United Kingdom and who were treated with post-operative CVVH In 28 patients, CVVH was not initiated until the BUN was at least 84 mg/dl, the creatinine was at...

Ngày tải lên: 13/08/2014, 08:20

... combined with clinical experience in an attempt to provide a sensible approach to the clinician and guide practice in a field with minimal evidence 2.3 Clinical consultation of the guidelines ... clarity of the guidelines was carried out by international experts (N = 15), including consultants in palliative medicine, in medical oncology and specialist palliative care nurses (independent prescribers) ... comfortable having these guidelines applied in their hospital (= 4) The likelihood of using these guidelines in the reviewers’ own practice was explored with a singleitem scale ranging from = ‘not...

Ngày tải lên: 13/08/2014, 10:20

... nonrenal clearance in acute kidney injury in clinical studies Drug Normal renal function Acute kidney injury End-stage renal disease 130 ml/minute [55-58] 90 to 95 ml/minute [8,59] 50 ml/minute [8,60,61] ... metabolism These varying results are consistent with the findings of studies investigating the effects of CKD on drug metabolism [11-13,15] When interpreting the findings presented in Table 2, one ... Glycerol-induced kidney injury Cisplatin-induced kidney injury Data from [24,25,75] ↑, increase; ↓, decrease; ↔, no change; AKI, acute kidney injury; CYP, cytochrome P450 change in CYP activity in...

Ngày tải lên: 13/08/2014, 11:23

... significance in patients with ALI and ARDS, but is not routinely measured in clinical practice • In mechanically ventilated patients with ALI and ARDS, Vd/Vt can be estimated from routinely available clinical ... been an emerging need for a new or expanded definition of ARDS as the definition includes a heterogeneous population, thus creating noise and hampering therapeutic advances in the field In addition ... determination of Vd/Vt or capnography derived indices but their evolution during the first 48 hours following intubation could be used in accessing the outcome in Results Variables necessary for calculation...

Ngày tải lên: 13/08/2014, 21:21

Ngày tải lên: 14/08/2014, 07:21

... Stroke Trial Group: Recombinant human erythropoietin in the treatment of acute ischemic stroke Stroke 2009, 40:e647-656 Minnerup J, Wersching H, Schäbitz W: Erythropoietin for stroke treatment: ... Lin HS, Chen SF, Sun CK, Leu S, Yuen CM, Tan TY, Lan MY, Liou CW, Lu CH, Chang WN: Effect of erythropoietin on level of circulating endothelial progenitor cells and outcome in patients after acute ... doi:10.1186/cc10145 Cite this article as: Yuen C-M, et al.: Effect of erythropoietin therapy on clinical outcome in patients after acute ischemic stroke: a debatable issue Critical Care 2011, 15:425 ...

Ngày tải lên: 14/08/2014, 08:21

... attendance on training courses sends a signal – ‘punishment’ (remedial training) or ‘developmental’ (someone worth investing in) ; during training an opportunity exists to reinforce management messages ... relevant training on bullying policies and procedures for key stakeholders and awareness training for all employees key concepts in human resource management In seeking to deal with bullying and ... Undermining a competent worker by overloading, and constant criticism • Preventing individuals progressing by intentionally blocking promotion or training opportunities • The use of text messaging,...

Ngày tải lên: 25/11/2016, 08:41