... 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...
Ngày tải lên: 02/11/2012, 11:17
... 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...
Ngày tải lên: 05/09/2013, 08:40
Tài liệu Acute Respiratory Infections in Children ppt
... choice of vaccine Consequently, all industrialized countries include Hib vaccine in their national immunization programs, resulting in the virtual elimination of Acute Respiratory Infections in Children ... differences in the rates of indrawing because of variable definitions Restriction of the term to lower chest wall indrawing, defined as inward movement of the bony structures of the chest wall with inspiration, ... others 2003) In the United States, the 7-PCV was included in routine vaccinations of infants and children under two in 2000 By 2001 the incidence of all invasive pneumococcal disease in this age...
Ngày tải lên: 12/02/2014, 19:20
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...
Ngày tải lên: 14/02/2014, 03:20
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 ... hypertension [new 2011] NICE clinical guideline 127 – Hypertension Initiating and monitoring antihypertensive drug treatment, including blood pressure targets Initiating treatment Offer antihypertensive ... need Interventions might include: suggesting that patients record their medicine-taking encouraging patients to monitor their condition simplifying the dosing regimen using alternative packaging...
Ngày tải lên: 21/02/2014, 11:20
Musculoskeletal Complications of Neuromuscular Disease in Children pot
... clinical examination) using botulinum toxin injections have been reported, but evidence is limited regarding the effect of botulinum toxin treatment on the development of bony deformity In a nested ... [113] In children who have with spinal cord injury, the incidence of hip subluxation or dislocation is inversely related to age (ie, the older the child at injury, the lower the incidence of hip ... evaluation of the presence of an asymmetry of fat folds of the thigh and buttocks; a Trendelenburg’s sign; limitations of passive range of motion in all directions, including asymmetry; ‘‘popping,’’...
Ngày tải lên: 05/03/2014, 10:20
HYDATID DISEASE OF THE LIVER IN CHILDREN ppt
... Recurrent abdominal pain was present in children and vomiting in two Two presented with upper abdominal pain for day following blunt trauma to the abdomen; one had an infected hydatid cysts of the liver, ... 1) Imaging studies included plain abdominal films, ultrasound and CT scan of the abdomen In one of ten patients plain films showed calcification in the right upper quadrant Ultrasound of the ... excision of fibrous capsule In five external drainage of the residual cavity was carried out One patient had introflexion of the cyst cavity (obliteration of the cavity by folding the cyst wall inside...
Ngày tải lên: 05/03/2014, 12:20
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...
Ngày tải lên: 06/03/2014, 21:20
WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses docx
... selecting a pain measurement tool in clinical settings 33 Assessment of other parameters in children with persisting pain 34 Overcoming the challenges of assessing persisting pain in children ... antidepressants of the class of serotonin and norepinephrine reuptake inhibitors for persisting neuropathic pain in children > 10 • Gabapentin for persisting neuropathic pain in children • Ketamine as ... clinical utility for children and adolescents with SCD in clinics, day hospitals and inpatient settings (51) 2.4 Defining criteria and selecting a pain measurement tool in clinical settings In...
Ngày tải lên: 07/03/2014, 04:20
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...
Ngày tải lên: 08/03/2014, 14:20
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...
Ngày tải lên: 08/03/2014, 14:20
Extent of Dental Disease in Children Has Not Decreased, and Millions Are Estimated to Have Untreated Tooth Decay pptx
... their health insurance status: children with Medicaid, children with private health insurance, and uninsured children The group of children with private insurance included both children with ... must include relief of pain and infections, restoration of teeth, and maintenance of dental health Page GAO-08-1121 Medicaid Dental Services for Children Dental Disease and Inadequate Receipt of ... Medicaid also include data for children in SCHIP, which we estimate to be about 15 percent of the total At the same time, indicators of receipt of dental care, including the proportion of children...
Ngày tải lên: 14/03/2014, 09:20
New ESPGHAN guidelines for the diagnosis of Coeliac Disease in Children and Adolescents pptx
... levels Conclusions The new guidelines will offer the option of omitting biopsies in selected cases with symptoms suggestive of CD without increasing the risk of misclassification Preconditions ... Towards a new definition of coeliac disease Chronic Multi-organ Small intestinal inflammation Transglutaminase-related ESPGHAN working group, 2011 Suggestion: New definition an immune-mediated ... related prolamines in genetically (mainly HLA) susceptible individuals characterized by a combination of: • gluten dependent clinical manifestations • anti-tissue transglutaminase (TG2) antibodies...
Ngày tải lên: 22/03/2014, 09:20
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...
Ngày tải lên: 22/03/2014, 12:20
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...
Ngày tải lên: 22/03/2014, 14:20
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...
Ngày tải lên: 31/03/2014, 13:20
Guidelines for the Diagnosis and Management of Food Allergy in the United States docx
... How were the Guidelines developed? The Guidelines are the culmination of a 2-year effort in which the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, ... What are the recommendations for vaccines for patients with egg allergy? Several vaccines are made using chicken eggs These vaccines contain varying amounts of egg protein Although these egg-based vaccines contain very low amounts of egg protein, people with a ... professional if you have egg allergy and are thinking about getting the influenza vaccine Rabies and yellow fever vaccines NIAID I GUIDELINES FOR ThE DIAGNOSIS AND MANAGEMENT OF FOOD ALLERGY IN...
Ngày tải lên: 31/03/2014, 13:20
color atlas of oral diseases in children and adolescents - c. scully, r. welbury (mosby, 1994)
Ngày tải lên: 12/05/2014, 17:36
báo cáo hóa học: " The development of postural strategies in children: a factorial design study" doc
... creativity: having many interests Social behavior: being integrated in class group and having friends Team working: following group rules Autonomy: not needing continuous instructions Scoring 0–3 is ... Tandem walking Index-little tapping on thumb (right) Index-little tapping on thumb (left) Tandem walking scoring 0–3, depending on total number of errors (oscillations or falls during walking, misses ... http://www.jneuroengrehab.com/content/2/1/29 the hypothesis of a more mature selection and re-weighting of proprioceptive inputs to postural control: a major role of this kind of afferents could result in an increase of the high frequency...
Ngày tải lên: 19/06/2014, 10:20
báo cáo hóa học:" Clinical report of cervical arthroplasty in management of spondylotic myelopathy in Chinese" pot
... Goffin : Proceedings of the Annual Meeting of the Spinal Arthroplasty Society, May 2002, Montpellier, France Sekhon LH: Cervical arthroplasty in the management of spondylotic myelopathy J Spinal ... clinical and radiographic study was conducted in our hospital (one of the largest orthopaedic department in China) The main purpose of this study is to find out the treatment result and key points ... because that abnormal shifting of the center of rotation following spinal arthroplasty has been implicated in recent reports of facet pain associated with prosthesis positioning[13] A functional disc...
Ngày tải lên: 20/06/2014, 00:20