management of chronic asthma in adults
Tài liệu Hypertension - Clinical management of primary hypertension in adults pdf
... hypertension offer to: test for the presence of protein in the urine by sending a urine sample for estimation of the albumin:creatinine ratio and test for haematuria using a reagent strip take a blood sample ... overcome Other versions of this guideline 5.1 Full guideline The full guideline, ‘Hypertension: the clinical management of primary hypertension in adults contains details of the methods and evidence ... hypertension [new 2011] NICE clinical guideline 127 – Hypertension Initiating and monitoring antihypertensive drug treatment, including blood pressure targets Initiating treatment Offer antihypertensive...
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Rheumatoid arthritis - The management of rheumatoid arthritis in adults doc
... Approximately one third of people stop work because of the disease within years of onset, and this prevalence increases thereafter The total costs of RA in the UK, including indirect costs and work-related ... indicated 1.4 Pharmacological management 1.4.1 DMARDs Introducing and withdrawing DMARDs 1.4.1.1 In people with newly diagnosed active RA, offer a combination of DMARDs (including methotrexate and at ... their disease and its management should be offered the opportunity to take part in existing educational activities, including self -management programmes NICE clinical guideline 79 – Rheumatoid...
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Neuropathic pain - The pharmacological management of neuropathic pain in adults in non-specialist settings pot
... Dosulepin (dothiepin) Doxepin Imipramine Lofepramine Nortriptyline Trimipramine Citalopram Fluoxetine Paroxetine Sertraline Duloxetine Venlafaxine Carbamazepine Gabapentin Lamotrigine Oxcarbazepine ... multi-modal management of all types of pain, including neuropathic pain NICE clinical guideline 96 – Neuropathic pain 11 1.1 List of all recommendations Key principles of care 1.1.1 Consider referring ... Dosulepin (dothiepin) Doxepin Lofepramine Trimipramine Citalopram Fluoxetine Paroxetine Sertraline Phenytoin Buprenorphine Co-codamol Codeine phosphate Co-dydramol Dihydrocodeine Fentanyl NICE clinical...
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Báo cáo y học: Advances in the Surgical Management of Chronic Rhinosinusitis" pot
... rhinosinusitis Chronic purulent rhinosinusitis Chronic hyperplastic rhinosinusitis Chronic rhinosinusitis with polyposis Samter’s triad3 Allergic fungal rhinosinusitis4 Eosinophilic mucin rhinosinusitis5 ... distinction created to include those patients with allergic fungal sinusitis, a Advances in Surgical Management of Rhinosinusitis — Wright and Frenkiel 23 Table Classification of Chronic Rhinosinusitis ... Advances in Surgical Management of Rhinosinusitis — Wright and Frenkiel A B 25 A B Figure Through-cutting instruments used in endoscopic sinus surgery These instruments avoid stripping of healthy...
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báo cáo khoa học: "Update in the management of chronic lymphocytic leukemi" ppt
... scope of this review ABT-263, a small molecule inhibitor of Bcl-2, has shown clinical activity as a single agent in CLL, and studies of this drug in combination with other agents are ongoing Based ... the 2009 ASCO meeting Similarly, preclinical results of an ongoing phase I study of CAL-101, an orally available inhibitor of the phosphatidylinositol-3-kinase (PI-3-K) delta isoform, will be presented ... Indications for therapy The 1996 NCI Working Group established guidelines for initiating treatment for CLL, which were affirmed in 2008 by the International Workshop on CLL[1,2] Indications include...
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Báo cáo y học: "Occipital peripheral nerve stimulation in the management of chronic intractable occipital neuralgia in a patient with neurofibromatosis type 1: a case report" pot
... procedure On the day of the procedure, which was carried out in an operating room, a slow intravenous infusion of g of cefazolin was started, and the patient was placed in a prone position with ... 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 disease are present [29]: ... >5 mm in the greatest diameter in prepubertal individuals and >15 mm in the greatest diameter in postpubertal individuals; (2) two or more neurofibromas of any type or one plexiform neurofibroma;...
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Management of ventricular arrhythmia in patients with chronic stablle angina LV function improvement or ablation
... Anti-anginal & anti-ischemic effects without clinically significant effect on HR or BP • Approved for treatment of chronic angina – exercise time, angina in selected pts • Novel mechanism of action ... Our Our Goals of Treatment in Chronic Stable Angina with Arrhythmia and LV Dysfunction? • In order to determine whether the ablation or ablation is the treatment we have to define: – Is the treatment ... Ranolazine in Ischemic Heart Disease Background • Ranolazine associated with an in QTc (average ~5 msec) • However, experimental data suggest suppression of pro-arrhythmic markers • Indication in...
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Báo cáo y học: "Management of HBV Infection in Liver Transplantation Patients"
... 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 ... of OLT-free survival In a prospective study of indefinite LAM pre-OLT therapy, 32 of 154 patients (21%) died and 25 of the 32 deaths occurred within months of initiating therapy [52] Bilirubin, ... source of HBV, a lower trough level of 100-150 IU/L has been considered protective if maintained indefinitely [7,72] In the initial multicenter, European report, the rate of recurrent infection in...
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Báo cáo y học: "A Practical Approach to Management of Chronic Hepatitis B"
... practical clinical approach to management of CHB Clinical Presentation of Chronic HBV Infection As discussed by Drs Zhang and Pan in this special issue, the clinical presentation of chronic HBV infection ... ranging from inactive carrier status to HBV-cirrhosis or hepatocellular carcinoma (HCC) Understanding the spectrum and clinical presentation of chronic HBV infection is prerequisite for optimizing ... described in inactive HBV carriers While 70-80% remain in inactive HBV carriers indefinitely, 10-20% may develop HBeAg-positive CHB presented with a high level of HBV DNA, elevated transaminases...
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Risk Management of Water Environment in New Paradigm
... of the earth and returns to the surface again as a rain Originally rainwater itself does not contain any contaminants, however, in the process of precipitation, flowing, it takes some contaminants ... Therefore, we have been trying to harmonize these cities and villages in the usage of fresh water resource and the discharging of wastewater as well, by using an engineering means of water treatment ... energy in total TASKS FOR RISK MANAGEMENT Unlike the safe drinking water act in the United States of America or WHO drinking water quality guidelines, water works law in Japan does not only provide...
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Tài liệu Risk Characterization, Assessment, and Management of Organic Pollutants in Beneficially Used Residual Products pdf
... the incorporation of multiple conservative assumptions in deterministic risk assessment It is not intended to judge the validity of the assumptions In 1998, the State of Wisconsin began developing ... eliminated, with management practices shifting to either landfilling or incineration The financial impact associated with a shift in management practices for biosolids alone was estimated to be in ... sample Each cleanup step is intended to eliminate interfering compounds by using physical or chemical properties that differ between interfering compounds and the analyte of interest The analytical...
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INTERNET ADDRESS SPACE: ECONOMIC CONSIDERATIONS IN THE MANAGEMENT OF IPv4 AND IN THE DEPLOYMENT OF IPv6 pptx
... informed policy-making Monitor IPv6 readiness, including by monitoring information on national peering points offering IPv6 connectivity, Internet Service Providers offering commercial IPv6 ... MAIN POINTS .4 INTRODUCTION I AN OVERVIEW OF INTERNET ADDRESSING 12 Overview of major initiatives in Internet addressing and routing to-date ... Network management software (upgrade) Network testing Installation effort Maintaining network performance Training (sales, marketing, and technical staff) Distribution of Total Transition Costs Internal...
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Management of breast cancer in women: A national clinical guideline ppt
... following dissection There should be national coordination of trials of sentinel node biopsy management of ductal carcinoma in situ Ductal carcinoma in situ (DCIS) covers a heterogenous group of ... from seeing a professional to treatment.21 2.3 2++ INVESTIGATION of symptomatic breast cancer Methods of assessment of a breast abnormality include clinical examination, imaging and sampling the ... following breast conserving surgery (BCS) in reducing the risk of invasive and non-invasive breast recurrence in the ipsilateral breast The trials reported an increased risk of developing contralateral...
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Management of chronic heart failure pptx
... review of six RCTs of concomitant ACE inhibitor and aspirin use did not show any significant reduction in efficacy of ACE inhibitor therapy in patients also taking aspirin.57 This combination of ... Care of the Dying Pathway is a tool increasingly used in all diagnoses, in endof-life care.154,155 Further research is needed into its use in end-stage cardiac failure 29 MANAGEMENT OF CHRONIC ... beneficial in chronic heart failure.149 7.3.3Pain The precise prevalence of pain in heart failure remains uncertain Retrospective studies indicate a prevalence of 24–35%.139,141,144 Management...
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Diagnosis and management of chronic kidney disease docx
... measurement of urinary excretion of creatinine by means of a timed urine collection allows estimation of creatinine clearance This is more sensitive than serum creatinine in detecting reduced ... value in the initial detection and confirmation of renal disease.27 2++ In evaluating the diagnostic accuracy of tests of proteinuria, measurement of protein (or albumin) excretion in a timed urine ... 24-hour urine creatinine clearance87,104 in detecting reduced GFR 2+ The literature comparing cystatin C with serum creatinine is inconclusive (see section 2.4.3) 2.4.3 CYSTATIN C In half of the...
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EUROPEAN GUIDELINES FOR THE MANAGEMENT OF CHRONIC NON-SPECIFIC LOW BACK PAIN pot
... Facet block injections B3) Intradiscal injections B4) Intramuscular injections of botulinum toxin B5) Sacroiliac joint injections B6) Sclerosant injections (prolotherapy) B7) Trigger point injections ... first-line treatment in the management of chronic low back pain We advocate the use of exercise programmes that not require expensive training machines The use of a cognitive-behavioural approach, in ... for chronic low back pain (level B) Recommendation We not recommend the use of intradiscal injections for the treatment of chronic low back pain C11 (B4) Intramuscular injections of botulinum...
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Modern management of chronic granulomatous disease doc
... Echinocandins (e.g Caspofungin) have not yet been evaluated as initial therapy for invasive aspergillosis in clinical trials Equally the benefit of combination antifungal therapy (e.g of an echinocandin ... pneumonia, in ammation of the gastrointestinal tract, lymphadenitis, liver abscess and osteomyelitis (Winkelstein et al, 2000) A high level of vigilance is necessary in searching for these infections Infections ... provided by combining Ciprofloxacin with Teicoplanin Teicoplanin is avidly concentrated into neutrophils and has good intracellular activity against S aureus (Carlone et al, 1989) In case of failure...
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Management of chronic venous leg ulcers pptx
... Provision of care - Specialist leg ulcer clinics (6.3) Minor update Provision of information New Implementing the guideline 1.3 Minor update Minor update STATEMENT OF INTENT This guideline is not intended ... described in terms of the tissue involved in the ulcer base Serial measurement of the surface area is a reliable index of healing Appropriate techniques include photography, tracing of the margins ... healing Aspirin A single RCT involving only 20 patients assessed the effectiveness of aspirin (300 mg daily) on healing of venous leg ulcers Some of the patients received other interventions including...
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Management of Unscheduled Bleeding in Women Using Hormonal Contraception pot
... Levonorgestrelreleasing intrauterine system Irregular bleeding without heavy bleeding 2 Heavy or prolonged bleeding (includes regular or irregular) 2 Initiation Unexplained vaginal bleeding (suspicious of serious ... evidence reducing interval for or implants, injectableDMPA injection interval for DMPA bleeding, however intrauterine system improves bleeding, however injection can be given up the injection can ... (unlicensed) of the bleeding duration of the bleeding duration of the bleeding no long-term interval, no long-term interval, no long-term No evidence reducing benefit interval for DMPA benefit injection...
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Management of Bipolar Disease in the Elderly ppt
... illness Evaluation of Function Functional assessment Activities of daily living Feeding, Bathing, Dressing, Transferring, Toileting Instrumental activities of daily living Finances, Telephone, ... Subtlety in interview style Inability of patient to recognize symptoms Lack of insight Depressive symptoms bring patient in Poor memory of manic symptoms Greater stigma than diagnosis of depression ... Phillipe Pinel, physician 1806 Citizen Pinel Orders Removal of the Chains of the Mad at the Salpêtriére Tony Robert-Fleury (1838–1911) 1876 painting Resources American Association of Geriatric...
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