medical illness in pregnancy ppt

... diabetes. 16,17 Glargine, a long-acting insulin analog, was approved by the FDA in 2000 for use as basal insulin. Insulin glargine has a glycine substitution in the a-chain at position 21 and two arginines attached ... progresses, fasting glucose decreases 10 and fasting insulin increases. Despite a decrease in fasting glucose in pregnancy, basal hepatic glucose production increases and hepatic insulin sensitivity decreases. ... types of insulin have been widely used, their insulin profiles do not mimic the in vivo state as well as newer insulins and insulin analogs (Fig. 3). Use of the newer very–short-acting insulins,...

Ngày tải lên: 06/03/2014, 12:20

... demographic information during the detailed telephone interview and confirmed it at clinic. Clinic participants completed a battery of questionnaires prior to their clinic appointment, including questions concerning ... "cold/sinus" drugs (see tables 2 and 3). Major reported reasons for using anti-histamines were allergies or colds/sinus problems (80% of antihistamine users in the CFS group, 77% in the ... pain relieving/anti- inflammatory drugs to treat arthritis and bodily pain, which predominated as reasons for NSAID use (in the CFS group). The significantly more common use of narcotic pain...

Ngày tải lên: 18/06/2014, 19:20

... chảy máu gia tăng. Những người khác thì cho mạch (disseminated intravascular coagulation) có thể được thấy với những nồng độ fibrinogen bình thường. Do tác dụng kích thích trung tâm hô hấp ... phát hiện đông máu rải rác trong lòng mạch (disseminated intravascular coagulation), thường xảy ra trong bối cảnh này và có thể cần đẻ thai sinh non (previable fetus). Nồng độ D-dimer cao có ... (disseminated intravascular coagulation) nên được thực hiện trong tất cả các trường hợp nghi bong nhau thai - Phương pháp nhạy cảm nhất để chẩn đoán bong nhau thai sau chấn thương là monitoring...

Ngày tải lên: 13/07/2014, 16:20

... for medical residents receiving international health training or completing an elective. Data and commentary have been published on residents in a variety of fields including internal medicine 19,20,21 , ... Competencies and skills in global health may be taught in parallel or integrated into existing residency training. Development of excellent clinical skills and broad training in a specialty is central ... Long-range planning: In health systems in industrialized countries, monitoring resources, keeping plentiful supplies, maintaining equipment, and overseeing usage patterns are routine. Where resources...

Ngày tải lên: 14/02/2014, 09:20

... care clinic visits for patients not being treated with insulin therapy, compared with patients using insulin because of visit frequency involved in adjusting insulin dosages Increase in the percentage ... mechanical means (including photocopying, recording, or information storage and retrieval) without permission in writing from RAND. Published 2005 by the RAND Corporation 1776 Main Street, P.O. ... care clinic visits for diabetes patients during the first quarter of practice guideline implementation, followed by a decline in visit rates during subsequent quarters Smaller increases in primary...

Ngày tải lên: 17/02/2014, 22:20

... modeling elegance, Bayesian learning has been widely used in biomedical data mining research, in particular, genomic and microarray analysis. A machine learning technique gaining increasing ... Data Mining, and Text Mining in Medical Informatics: The chapter provides a literature review of various knowledge management, data mining, and text mining techniques and their applications in ... images, 3D medical informatics, and infectious disease informatics. Unit I11 presents emerging biomedical text mining and data mining research including: semantic parsing and analysis for...

Ngày tải lên: 06/03/2014, 12:20

... medi- cines — and among those who make a living off them. From Alternative Medicine to Patamedicine Algora HEALING OR STEALING? Medical Charlatans in the New Age DR. JEAN-MARIE ABGRALL 22 Healing ... knowledgeable consumer, in terms of medicine or patamedicine, means preferring medicine that is “risk free”, “natural” (in the sense of “closer to nature”), “inexpensive” (with the insinuation that it ... *Mithridates, a king of Pontus, was said to have developed an immunity to poisons by self-administering them in gradually increased doses. 38 Healing or Stealing? International Congress...

Ngày tải lên: 06/03/2014, 18:20

... inter-professional learning is emerging in some Canadian MD education programs. New teaching tools, including simulations, virtual patients, and various online learning techniques are being integrated ... following: ã Create opportunities for early and extensive learning in a variety of community settings, including longitudinal and integrated clerkships. ã Develop specific objectives for learning in ... learning. Recommendation VI: Diversify Learning Contexts Canadian physicians practise in a wide range of institutional and community settings while providing the continuum of medical care. In...

Ngày tải lên: 14/03/2014, 20:20

... produce distortions in thinking. Most individuals initially expe- rience a feeling of vulnerability and a shat- tering of the magical belief that they are immune from illness, injury, or even death. ... result- ing in the inability to interact on a con- sistent basis within the peer group, which may diminish social interactions. In an attempt to shield the child from hurt and emotional pain, family ... the attainment of independence and individ- ual identity. Parents may be overprotective to the point of infantilizing the adoles- cent, thus decreasing self-esteem and self- confidence. In some instances,...

Ngày tải lên: 15/03/2014, 19:20

Ngày tải lên: 23/03/2014, 15:20

... problem of learning temporal rela- tions between medical events in clinical text. The idea of a medical “event” in clinical text is very dif- ferent from events in Timebank. Medical events are ... for ranking, classification on clinical text and Timebank. We merge class ibefore into before. all MEs in a chain. The ranking error on the test set is 28.2%. On introducing the time-bin feature, ... back but his main complaint is fever associated with epigastric discomfort. PAST MEDICAL HISTORY Significant for polymicrobial infection in the blood as well as in the urine in July 2007 history...

Ngày tải lên: 30/03/2014, 17:20

... and interpre- tation of the findings. SF participated in the drafting and editing of the manuscript, data analysis and interpretation of the findings. EC participated in the drafting and editing of ... capacity to provide training" for future health care professionals [15]. It also predicted that there would be increasing pressure to place students in training positions in the future as current experienced ... "a person teaching or training persons in medicine". The average age of medical educators in 2005 was 50.9 years [11]. This is slightly older than the average age of general medical practitioners...

Ngày tải lên: 18/06/2014, 17:20

... research into the content validity of PRISM-RII is warranted, including cognitive debriefing sessions. It is not clear if using a single question on degree of suffering in this context is indeed ... also reflects coping efforts. SIS was partly predicted by age, indicating older people on average having higher SIS scores. This finding suggests more successful adaptation to the disease with increasing ... suffering. In The nature of suffering and the goals in Medicine Edited by: Cassell EJ. New York: Oxford Univer- sity Press; 1991:31-47. 2. Cassell EJ: Diagnosing suffering: A perspective. Ann Intern...

Ngày tải lên: 18/06/2014, 19:20

... professionals in patients self-managing their own condition, dislike of self- management because misinterpretation as being disem- powered, fearing loss of income, lack of time [12] and inadequate training ... encountered during the translation process consisted in the difference of health care settings in Switzerland and USA. However initial testing showed the G-ACIC to be a suitable instrument. The ... work- ing solo or in an organization in cities with 20’ 000 to 1’000’000 inhabitants showed that barriers and difficulties regarding community linkages were mentioned due to time constraints but...

Ngày tải lên: 20/06/2014, 15:20

... societal and contextual factors influencing their caring experiences, the findings generated by Li et al. may not be applicable to Chinese people living in other parts of China and the world 19 ... study has examined the caregiving burdens and QoL of Chinese caregivers in Hong Kong. In this study, ‘caregiving burdens’ are defined as perceived strains associated with handling positive and ... selected variables in the caregiver characteristic, caregiving situation and environmental factor domains, and should examine and impact of these variables in influencing the QoL of Chinese caregivers...

Ngày tải lên: 20/06/2014, 16:20

... leading cause of maternal mortality in the developed world. Mortality from PE in pregnancy might be related to challenges in targeting the right population for pre ven- tion. Such targeting could ... distribution, and reproduction in any medium, provided the original work is properly ci ted. INR, fibrin degradation products, D-dimers, and fibrino- gen and N-terminal pro brain natriuretic peptide ... diagnosis, allowing us also to follow the effects of treatment. This choice avoided using possibly dangerous radiant imaging tools on the fetus. In addition, accord- ing to ESC guidelines, in mothers...

Ngày tải lên: 20/06/2014, 23:20

Ngày tải lên: 05/08/2014, 16:20

Ngày tải lên: 07/08/2014, 18:21

Ngày tải lên: 08/08/2014, 23:21

Ngày tải lên: 10/08/2014, 07:20