management of the patient
Assessment and Management of the Elderly Patient with Multiple Sclerosis pot
... Care in the Elderly 2012:4 Elderly patient with multiple sclerosis Pain Pain is one of the most common symptoms of MS and can be seen in more than half of all patients with MS Pain can either be ... mobility in patients with MS.5 Furthermore, exercise can help counteract the effects of disuse atrophy Given the potential implications of serious falls, many older patients may develop a “fear of falling” ... density in patients with MS There are currently no clinical guidelines in the evaluation, prevention and treatment of osteoporosis in MS patients.53 The current recommendations of screening the general...
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Báo cáo khoa học: "The complicated management of a patient following transarterial chemoembolization for metastatic carcinoid" potx
... of the right heart valves [8] Less commonly, the left side of the heart can be effected by carcinoid heart disease In this situation, PFO represents the major etiologic factor [9] In 20% of patients ... from the patient for publication of this case report and accompanying images A copy of the written consent is available for review by the Editor-in-Chief of this journal Competing interests The ... that they have no competing interests Authors' contributions The management of pneumatosis intestinalis in this patient also proved quite challenging Given the timing of onset after evidence of...
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Báo cáo y học: "Pro/con clinical debate: Is high-frequency oscillatory ventilation useful in the management of adult patients with respiratory failure" ppt
... However, the utility of these animal studies in guiding the practical management of patients with severe hypoxemia is limited by the need for pressure–volume curve measurements [11] and the use of ... nine of these trials using HFOV [12] The overall results of these trials are equivocal In a meta-analysis, Thome and Carlo [12] indicate there is no difference in mortality between the use of HFOV ... HFOV There is no data to indicate that the survival of adult patients with ARDS is improved with the use of HFOV Animal data Most of the studies published over the past 40 years comparing HFOV with...
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Báo cáo y học: "Roundtable debate: Controversies in the management of the septic patient – desperately seeking consensus" ppsx
... because they got blood but rather the timing of how much fluid they received At the end of 72 hours, both groups received the same amount of fluid but it was frontloaded in the early goal-directed therapy ... intake My immediate therapeutic concern is the tachycardia, the nature of the cardiac rhythm, and the possibility of myocardial ischemia Dr A As we stand at the bedside, reviewing the admission laboratory ... present the reasoning and preferences of a group of intensivists who met to discuss the management of an actual case Throughout this presentation, the focus is on management, with emphasis on the...
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Báo cáo khoa học: "Optimal management of the high risk surgical patient: beta stimulation or beta blockade" pdf
... assess the adequacy of DO2 Pearse et al [9] also measured ScvO2 in most of the patients investigated in their study assessing the efficacy of GDT [8] They reported that ScvO2 fluctuated over the ... that beta-blockade therapy increased the risk of death in patients with RCRI scores below is much more robust, as this analysis included the vast majority of the patients (80% of the cohort) Second, ... agents were used in 18% of 700,000 patients who had no contraindication for beta-blockade, and the outcome of these patients receiving beta-blockade was compared to the other patients, using a propensity...
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Báo cáo y học: "The Nordic maintenance care program – case management of chiropractic patients with low back pain: A survey of Swedish chiropractors" doc
... changes to the management strategies, which resulted in further improvements to the contents, wording and lay-out of the questionnaire The Clinical Significance of the Nine Scenarios in the Questionnaire ... including the option of maintenance care In other words, the chiropractors were to match each scenario with the management strategy of his/her choice The questionnaire was distributed to a group of ... understanding about the purpose and composition of maintenance care and that they recommend it to the majority of their patients [4] However, it is not known if there is a general or uniform management...
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Báo cáo y học: "The Nordic maintenance care program: case management of chiropractic patients with low back pain – defining the patients suitable for various management strategies" pdf
... in front of them For each group, a chairman was selected for the duration of the workshop by The other participants were divided into two teams, called team and team on the basis of the last ... of the profession It is also possible that the choice of other case management strategies may have resulted in different responses Acknowledgements There are several strengths of this study The ... age There are no red flags." It was then explained that after one month of treatment of this patient, depending on the short-term outcome, the chiropractor would recommend one of six different management...
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Báo cáo y học: "Management of the critically poisoned patient" potx
... which limits the use for direction of care in the acute setting [15] When used appropriately, diagnostic tests may be of help in the management of the intoxicated patient In the patient whose ... administered in cases of suspected or confirmed ingestion of ethylene glycol or methanol Fomepizole prevents the conversion of these agents to the metabolites associated with the majority of the toxic effects ... [24-27] There are several concerns in regard to utilizing the osmol gap as a screening tool in the evaluation of the potentially toxic-alcohol poisoned patient If a patient' s ingestion of a toxic...
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Medical management of the hospitalized alcoholic patient
... Treatment of Alcohol Withdrawal Syndrome CPRC The Problem Patients may not tell physician about alcohol use if they are not asked about it Patients usually will state they use much less alcohol than they ... manifestation of alcohol withdrawal Affects < 5% of patients Mortality 15%, due to: myocardial infarction respiratory arrest sepsis As age increases, risk of DTs increases Rare in patients < 30 years of ... stimulation of brain causes increased sensitivity of neurons Repeated episodes of acute alcohol withdrawal may stimulate kindling and seizures…each time a patient has alcohol withdrawal syndrome the...
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Báo cáo y học: "ISOLATION OF CHLAMYDIA PNEUMONIAE FROM SERUM SAMPLES OF THE PATIENTS WITH ACUTE CORONARY SYNDROME"
... to the short life of IgA (30) Nevertheless even this parameter alone does not match accurately the status of exposure of the patients to C pneumoniae measured by cell culture test with further ... According to the results diagnostically relevant levels of IgG for C pneumoniae were found in 34.2% of the patients with ACS, whereas IgA positive were seen just in 19.7% of the ACS patients Simultaneous ... of serum specimens Therefore, in the current attempt to evaluate the prevalence of C pneumoniae bacteremia in cardiovascular patients we used a combination of cell culture technique with further...
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Tài liệu Follow-Up of the patient who has received pacemaker pptx
... analyze the data and has the capability of sending them on to the physician's office Data are being gathered on the utility of these more sophisticated devices One of the goals is to reduce the need ... wave) on the other side Although the heights of the objects are fixed, the height of the fence can be varied By lowering the fence (from 4.0 to 0.5 mV/cm), the sensitivity is increased and the object ... dislodgement of the lead The relatively thin wall of the myocardium in the pediatric patient represents a particular problem for the use of screw-in electrodes because the screw tends to go through the...
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Evaluation of the Patient Safety Improvement Corps pot
... indepth appreciation of the complexities of patient safety coming out of the program, but they underscored a need for continued training beyond the end of the third week of training The Year trainees ... skills and tools The goal of the train -the- trainer portion of the PSIC is to broaden the reach of the PSIC to more individuals and organizations EVALUATING THE PSIC ROLE IN THE AHRQ PATIENT SAFETY ... Content of the PSIC Training Both groups of trainees interviewed felt that the content of the training was targeted at the appropriate level Of the skills and tools taught during the course, the...
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Type 1 Diabetes Clinical Management of the Athlete potx
... and racing In the early days of my diabetes, it was the consistency that had gone The main issue was not actually the controlling of the diabetes; it had more to with the refueling of my body To ... strongly supported by the growth in the clinical research knowledge base of the effects of diabetes on the physiological response to exercise, on the effect of exercise on the response to hypoglycaemia ... modulated as the duration of the exercise increases and as the intensity of the activity changes Since one of the main fuels for exercise is carbohydrate, glucose utilization by the working muscle...
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Care of the Patient with Retinal Detachment And Related Peripheral Vitreoretinal Disease docx
... to the loss of the overlying retina If the edge of the dialysis remains close to the RPE, then the tear may not be discovered unless scleral depression is performed As the vitreous contracts, the ... asymptomatic (i.e., the person often is unaware of the loss of an area of peripheral vision) The sudden onset of numerous floaters and the occurrence of flashes of light are hallmarks of a potential retinal ... the patient more relaxed and Management Strategy for Retinal Detachment The optometric management of the patient with retinal detachment is outlined in Appendix Figure Initial management of the...
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Gynecological Malignancies: Epidemiological Characteristics of the Patients in a Tertiary Care Hospital in India doc
... symptoms reduces with the increase in educational level of the patients (Sarkar et al., 2011), making the management of the disease easier Median value of PCI of family of the patients was Rs 400 ... neoplasia Among the patients with history of multiple sexual partners of their husbands, 94.4% patients and among the patients with history of STD syndrome of their husbands, all the patients were ... cervical of the 20.3 Most of the patients (105 patients or 92.9%) with malignancy were of parity or higher with mean of 4.1 gynecological malignancies were Hindus Only patients75. 0The proportion of patients...
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Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy pot
... of BP BP should be measured with the woman in the sitting position with the arm at the level of the heart (II-2A) An appropriately sized cuff (i.e., length of 1.5 times the circumference of the ... as the objective of statin therapy is to decrease long-term cardiovascular risk, the potential risks of statin therapy (over the nine months of pregnancy) may outweigh the potential benefits of ... Of note, the protocol for women in the MgSO4 arm of the largest of these trials, the Collaborative Eclampsia Trial, did not include administration of benzodiazepines for seizure termination The...
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NASA’S MANAGEMENT OF THE MARS SCIENCE LABORATORY PROJECT potx
... checks the overall health of the spacecraft Central control of the entire flight system is under control of the flight software running in the RCE, the same architecture as was used for the Mars ... (Flight Software, continued) Task Description The RCE is the key element of the MSL avionics subsystem, which entirely controls the MSL spacecraft Rover flight software is the software in the main ... 2014 In light of the importance of the MSL Project to NASA’s Mars Program, the Office of Inspector General conducted an audit to examine whether the Agency has effectively managed the Project to...
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Guideline for Management of the Clinical Stage 1 Renal Mass pptx
... experience The number of patients who have undergone OPN reported in the literature exceeds the number of patients who have undergone all other forms of treatment combined (excluding ORN) for the treatment ... discuss with the patient the current understanding of the natural history of clinical stage renal masses, the relative risks of benign vs malignant pathology and the potential role of active surveillance ... comments; the Panel revised the document based on the comments received The guideline was submitted first for approval to the Practice Guidelines Committee of the AUA and then forwarded to the AUA...
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Báo cáo y học: "Clinical Management of Adult Patients with a History of Nonsteroidal Anti-Inflammatory Drug–Induced Urticaria/ Angioedema: Update" ppt
... establish whether the patient is really monosensitized (ie, if the patient may take any NSAID other than the offending one) or if the reported reaction represents the first sign of a multiple-NSAID ... episodes of acute urticaria following the ingestion of chemically unrelated NSAIDs in the absence of any episode of spontaneous urticaria) has been a matter of debate for a long time The 1998 ... during a phase of moderate activity of the disease may be tolerated during a subsequent phase of remission Differently from chronic urticaria patients, the possible existence of otherwise normal...
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Báo cáo y học: ":Evaluation of the Patient Acceptable Symptom State in a pooled analysis of two multicentre, randomised, double-blind, placebo-controlled studies evaluating lumiracoxib and celecoxib in patients with osteoarthritis" pptx
... defined as the symptom score beyond which patients consider themselves to be well [2,4,5] These measures are complementary, describing, from the patient' s perspective, the concept of wellbeing ... score [5] The VAS version of the WOMAC™ Function subscale must be converted to a 0to 68-point scale if the Likert version 3.1 (LK 3.1) of the WOMAC™ questionnaire is used: the PASS threshold of less ... visit of the study Tables to summarise mean changes from baseline, patients achieving the MCII threshold, and patients achieving the PASS threshold for OA pain (Table 2; Figure 2a), the patient' s...
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