... definition of p c onstipation compared to their hysicians.6 Because of these p variable definitions of onstipation, an nternational panel c i of experts proposed the Rome criteria for constipation ... Continue regimen Lubiprostone Biofeedback therapy (dyssynergic defecation) Alvimopan methylnaltrexone (opioid-induced constipation) Figure Treatment algorithm for the management of chronic constipation ... support m aintenance of adequate hydration and regular nonstrenuous exercise in the management of onstipation In a c study involving test and control subjects, onsumption c of extra fluid did...
Ngày tải lên: 28/03/2014, 20:20
... choice of respondents, and is concerned with how well a sample represents a population of interest This is done by identifying a group of patients with the particular experience or condition of interest ... Worries Conflicts Conflicts between worrying and caring Constant advice Others always Speaking Conflicts Advice Health behavior advice Solutions Control Personal treatment Sense of person Self-perception ... Self-perception Independence Respect Bothersome behaviors Too much contact Excessive telephone contact Too much concern Too emotional High expression of emotions Unwanted help Conflict between...
Ngày tải lên: 20/06/2014, 15:20
management of type 2 diabetes focus on insulin therapy
... rate of subcutaneous absorption (more physiological) • Reduced rates of hypoglycemia • Convenience - increased flexibility – Taken with meal (onset of action ~ 10 minutes) – Reduced risk of exercise-induced ... physiologic pH Gly • Once daily PM injection • Constant concentration profile over 24-hours (No peak activity) Arg Arg • No pre-mixing International Diabetes Center Glucose Utilization Rate (mg/kg/min) ... Rapid-acting Onset Peak Monitor effect at: 5-15 mins 1-2 hrs hrs 30-45 mins 2-3 hrs hrs (Lispro, Aspart) Regular International Diabetes Center Advantages of Rapid Acting Insulin Analogs • Modification of...
Ngày tải lên: 12/08/2014, 20:58
Báo cáo khoa học: "Diffuse anorectal melanoma; review of the current diagnostic and treatment aspects based on a case report" doc
... for important intellectual content EPM, CNS, BGS, PPP and CKF have made contributions to conception and design CNS contributed to the analysis and interpretation of data All authors read and ... unusual variants of melanoma 10 11 12 13 Consent Written informed consent was obtained from the patient for publication of this case report and accompanying images A copy of the written consent is available ... contributed equally to the final draft of the manuscript CIF has given the final approval of the version to be published 18 19 Klas JV, Rothenberger DA, Wong WD, Madoff RD: Malignant tumors of...
Ngày tải lên: 09/08/2014, 04:21
THE NICE GUIDELINE ON THE TREATMENT AND MANAGEMENT OF DEPRESSION IN ADULTS
... Serious2 Serious1 Imprecision None None None None None Other considerations 109 88 83 55/236 8/191 Intervention 114 93 81 63/196 7/150 Control Summary of findings No of patients – – – RR 0.44 ... interventions in the treatment of depression ● evaluate the role of specific pharmacological interventions in the treatment of depression ● evaluate the role of specific service-level interventions ... presentations of depression Nature of the intervention Medication, high-intensity psychological interventions, ECT, crisis service, combined treatments, multiprofessional and inpatient care Medication,...
Ngày tải lên: 09/08/2015, 12:31
Báo cáo y học: "Endoscopic laminoforaminoplasty success rates for treatment of foraminal spinal stenosis: report on sixty-four cases"
... efficacy of open versus endoscopic interventions Results appear to be similar as conventional surgery with the possibility of fewer complications Conclusions Based on data from the current study ... Subarticular entrapment of the dorsal root ganglion as a cause of sciatic pain Spine 1984, 9:19-22 Burton CV, Kirkaldy-Willis WH, Yong-Hing K, Heithoff KB: Causes of failure of surgery on the lumbar spine ... risk of infection and major neurovascular or organ damage, increased rate of recovery, and shorter duration of hospital stay In this paper we present the results of an open, nonrandomized trial of...
Ngày tải lên: 03/11/2012, 11:17
Tài liệu ESC Guidelines on the management of cardiovascular diseases during pregnancy pdf
... Heart Association 2.12 Methods of contraception and termination of pregnancy, and in vitro fertilization 2.12.1 Methods of contraception Contraceptive methods include combined hormonal contraceptives ... Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure Hypertension ... unstable, refractory to conversion with countershock, or recurrent despite other agents I.v amiodarone is not ideal for early conversion of stable monomorphic VT Close monitoring of BP is recommended...
Ngày tải lên: 12/02/2014, 12:20
Tài liệu Report on The Management of Non-Muscle-Invasive Bladder Cancer ppt
... resection, fulguration or application of laser energy Sometimes, the extent of disease or the location of the lesions may preclude complete eradication Also, co-morbid conditions must be considered ... application of laser energy Sometimes, the extent of disease or the location of the lesions may preclude complete eradication Also, co-morbid conditions must be considered and may occasionally ... after treatment B than after treatment C Therefore, a comparison of treatments A and C should logically show a difference of 30 percent in favor of treatment A In reality, such consistency of results...
Ngày tải lên: 14/02/2014, 21:20
Tài liệu Prevalence of respiratory symptoms and cases suspicious for tuberculosis among public health clinic patients in Afghanistan, 2005–2006: Perspectives on recognition and referral of tuberculosis cases doc
... portion of participants with TB-suggestive symptoms not receiving any diagnosis, low rates of diagnosis of more common respiratory conditions, and lack of prior treatment for chronic conditions ... >50% of TB-suggestive cases, indicating an urgent need for continuing education for diagnosis and recognition of this and other respiratory conditions While annual risk of tuberculosis infection ... and should be included in National Tuberculosis Program continuing education endeavours Clinical classification of probable pulmonary TB and other respiratory conditions was similar between survey...
Ngày tải lên: 15/02/2014, 13:20
Tài liệu Ecology and Management of a Forested Landscape Fifty Years on the Savannah River Site pptx
... Resource management practices—whether aimed at conservation, restoration, research, exotic pest management, stream monitoring, harvesting, road construction, fire management, or erosion control—must ... common habitats on the Savannah River Site 228 Table 4.24 Taxonomic listing and conservation status of the mammals of the Savannah River Site 254 Table 4.25 Primary habitats of nongame mammals of ... and environmental contamination has occurred (there are sites on SRS designated under the provisions of the Resource Conservation and Recovery Act and the Comprehensive Environmental Response, Compensation,...
Ngày tải lên: 17/02/2014, 19:20
Tài liệu Obesity guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children ppt
... The choice of any intervention for weight management must be made through negotiation between the person and their health professional 1.2.1.4 The components of the planned weight -management ... health professionals in primary care 1.1.2.11 All interventions to support smoking cessation should: • ensure people are given information on services that provide advice on prevention and management ... should incorporate a range of components (rather than focusing on parental education alone), such as: • diet – interactive cookery demonstrations, videos and group discussions on practical issues such...
Ngày tải lên: 21/02/2014, 11:20
Tài liệu Observations on Management of Recent Credit Default Swap Credit Events docx
... will continue to monitor and assess the ongoing progress OBSERVATIONS ON MANAGEMENT OF RECENT CREDIT DEFAULT SWAP CREDIT EVENTS III DISCUSSION OF KEY OBSERVATIONS conclusion of each phase of an ... orders on behalf of buy-side firms OBSERVATIONS ON MANAGEMENT OF RECENT CREDIT DEFAULT SWAP CREDIT EVENTS limit orders In response, ISDA convened a conference call within minutes of the second phase ... Management of a CDS credit event involves a number of steps, from declaration of a credit event to settlement of payments Notification of a credit event triggers the termination of CDS contracts...
Ngày tải lên: 21/02/2014, 21:20
INTERNATIONAL PERSPECTIVES ON WATER QUALITY MANAGEMENT AND POLLUTANT CONTROL doc
... water One of the conclusions of the study is that reverse osmosis, nanofiltration and ultrafiltration-powdered activated carbon are powerful processes for the removal of pharmaceuticals and personal ... investigation needs regarding the occurrence concentration, persistence, trans‐ formation and destination, action mechanisms and risk assessment of EDs in water for human consumption and treatment ... Wei, and T Maekawa, “Effects of environmental factors on the seasonally change of phytoplankton populations in a closed fresh‐wa‐ ter pond,” Environment International, 2001, p 363-71 [29] R.W...
Ngày tải lên: 07/03/2014, 11:20
Guidelines on the diagnosis and management of acute pulmonary embolism pot
... circulation Zones of reduced flow and zones of overflow of the capillary bed served by non-obstructed vessels result in ventilation– perfusion mismatch contributing to hypoxaemia In about one-third of ... purpose of the additional ventilation scan is to increase specificity by the identification of hypoventilation as a non-embolic cause of hypoperfusion due to reactive vasoconstriction (perfusion–ventilation ... the estimated risk of recurrence after treatment discontinuation and the risk of bleeding complications while on treatment An additional factor may be the inconvenience of treatment with VKAs...
Ngày tải lên: 08/03/2014, 14:20
British Guideline on the Management of Asthma ppt
... updated sections on pharmacological and non-pharmacological management; and amalgamated sections on patient education and compliance, and on organisation of care and audit The 2009 revisions include ... alternative conditions and specialist referral British Guideline on the management of asthma 2.2 Other Investigations 2.2.1 Tests of Airway Hyper-responsiveness The role of tests of airway responsiveness ... poor perception of bronchoconstriction 23 British Guideline on the management of asthma Measurement Methodology Royal College of Physicians (RCP) Questions109 Yes/no or graded response to the...
Ngày tải lên: 08/03/2014, 14:20
The effect of health education intervention on the home management of malaria among the caregivers of children aged under 5 years in Ogun State, Nigeria pptx
... to secondary school education, only 55% of the control group had the same level of education, followed by a primary level of education in 29.2% of the experimental group and 25% of the control ... awareness of management of malaria and the free distribution of these antimalarial drugs by the National Malaria Control Programme It also demonstrated the effect of health education on the proportions ... intervention program Conclusions The study concludes that there is a shift in the home management of malaria with the use of current and effective antimalarial drugs and reduction in reliance on herbs...
Ngày tải lên: 14/03/2014, 21:20
Guidance for National Tuberculosis Programmes on the management of tuberculosis in children pptx
... smear-positive after months of treatment • History of previously treated TB • History of treatment interruption Features of a child suspected of having drug-resistant TB: • Contact with known case of drug-resistant ... suggestive of TB The presence of three or more of the following should strongly suggest the diagnosis of TB • Chronic symptoms suggestive of TB • Physical signs highly of suggestive of TB • A ... specific features on clinical examination that can confirm that the presenting illness is due to pulmonary TB Some signs, although uncommon, are highly suggestive of extra-pulmonary TB and the...
Ngày tải lên: 15/03/2014, 03:20
Effect of tunneling current on the growth of silicon islands on si(111) surfaces with a scanning tunneling microscope
... light on the mechanism of nanostructure formation Conclusion The early- and late-stage rates of silicon island growth on Si(111) surfaces with the STM were obtained as a function of tunneling current ... microscope (SREM ) The condition of the tungsten tip of the STM and the manipulation of the tip on the silicon surface could be monitored continuously with the SREM Details of the apparatus have been ... created silicon islands with the STM and examined the quality of STM images of the islands Note that after the creation of islands with the STM, the accumulation of silicon atoms on the tip apex...
Ngày tải lên: 16/03/2014, 15:32