medical management of behçet s syndrome

Báo cáo y học: "Primary prevention of Down’s syndrome"

Ngày tải lên : 02/11/2012, 11:12

... hypotheses The cause of DS has been sought in disturbances during stages of oogenesis, including the period of meiotic arrest of the oocyte [51] This has generated several hypotheses One possibility ... A study of 41 mothers of DS infants found a statistically significant increase in plasma homocystine (Hcy) compared to controls [8] Hcy is a sensitive marker of folate status that is inversely ... Nicolaides, personal communication) Similarly, a metaanalysis of four second trimester amniocentesis series totalling 4,953 pregnancies found an excess of 0.54% [3] A meta-analysis of 433 livebirths...

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FAILURES IN LOGISTICS MANAGEMENT OF VINALINK’S LOGISTICS DEPARTMENT AND RECOMMENDATIONS

Ngày tải lên : 20/04/2013, 11:13

... reserve stock As a result, it is more necessary for Vinalink s warehouses to make good use of space to stock as much goods as possible Having many wide aisles becomes a disadvantage in this case because ... access to stock at the same time, one suggestion for warehouse management is to design suitable systems of aisles for each section in the warehouse For reserve stock, the number and width of aisles ... organizations regarding particular situation of each one Experiences from predecessors will save successors time and money to find the optimal solutions for their businesses Moreover, these lessons will...

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Handbook of Tourette''''s Syndrome and Related Tic and Behavioral Disorders, Second Edition doc

Ngày tải lên : 28/03/2014, 22:21

... ‘‘active’’ tics), we can consider these ‘‘blocking’’ tics These events should be diﬀerentiated from seizures or other paroxysmal episodes of loss of awareness There is never loss of awareness with blocking ... CONCLUSION In summary, the natural history of TS reveals the complexities of this disorder At the present time, much of our understanding of this illness stems from the study of more severely symptomatic ... behavior This paroxysmal nature of tics is characteristic, and only in severe states of tics, such as prolonged tics or tics status, are the tics continual This paroxysmal feature is a most helpful...

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Báo cáo y học: "Genetic aspects of Sjögren’s syndrome" pptx

Ngày tải lên : 09/08/2014, 01:21

... autoimmune diseases supports a hypothesis that, in some cases, clinically distinct autoimmune diseases may be controlled by a common set of susceptibility genes [32] Sjögren s syndrome is considered ... sufficient for disease expression This makes the genetics behind these diseases more complicated than those of diseases with a simple Mendelian character Sjögren s syndrome is major histocompatility ... M, Skarstein K, Bolstad AI, Johannessen AC, Jonsson R: Fas-induced apoptosis is a rare event in Sjögren s syndrome Lab Invest 2001, 81:95-105 Ohlsson M, Jonsson R, Brokstad K: Subcellular redistribution...

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Báo cáo y học: "α Anti-α-fodrin antibodies do not add much to the diagnosis of Sjögren’s syndrome" pot

Ngày tải lên : 09/08/2014, 01:23

... against La-antigen; hLFS, lymphocytic focus score ≥ 1.0 in sublabial minor salivary glands biopsy DM, dermatomyositis; Pt, patient; SSc, systemic sclerosis; SLE, systemic lupus erythematosus aIgA, ... techniques Besides that, the observed sensitivity of these classic autoantibodies is higher than that of anti-α-fodrin antibodies, regardless of the anti-fodrin ELISA system (Hanover versus Nijmegen ... M, Shoenfeld Y, Skopouli FN, Smolen JS, Soromenho F, Tishler M, Wattiaux MJ: Assessment of the European classification criteria for Sjogren s syndrome in a series of clinically defined cases:...

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Báo cáo y học: "Cold hands — strained heart? Advances in the management of Raynaud’s phenomenon and pulmonary hypertension" ppt

Ngày tải lên : 09/08/2014, 06:23

... intravenous administration of epoprostenol confers risks of infection and thrombosis More convenient routes of prostanoid delivery are also showing promise (e.g subcutaneous trepostinil, oral beraprost ... ilioprost) RP is symptomatic of a generalised vasculopathy in SScl, which eventually leads to a fibroproliferative arteriopathy PAH is one of many serious sequelae of this process Current evidence suggests ... inhibitors in SScl to prevent scleroderma renal crisis is well established [11] Studies in animal models have suggested that angiotensin-converting enzyme inhibitors and angiotensin receptor blockers...

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Báo cáo y học: "Do synovial biopsies help to support evidence for involvement of innate immunity in the immunopathology of Behçet’s disease" pot

Ngày tải lên : 09/08/2014, 14:20

... 38:426-433 Suzuki N, Nara K, Suzuki T: Skewed Th1 responses caused by excessive expression of Txk, a member of the Tec family of tyrosine kinases, in patients with Behcet s disease Clin Med Res 2006, ... inflammatory cells On the other hand, those micro-organisms are also capable of stimulating an immune response in BD Most tissue studies of the pathophysiology of BD are conducted in skin One of the unique ... Cañete s group has studied SF extensively in various other arthropathies, such as spondyloarthropathy (SpA) and RA, and comparisons may be made with historical data Comparing SF samples between SpA...

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Báo cáo y học: " Perioperative infusion of low- dose of vasopressin for prevention and management of vasodilatory vasoplegic syndrome in patients undergoing coronary artery bypass grafting-A double-blind" potx

Ngày tải lên : 10/08/2014, 10:20

... (fig 4), as well as a significant increase of SVR (fig 5) The increased arterial pressure and systemic vascular resistance are mainly due to the produced by vasopressin systemic vasoconstrictive ... numbers outside of distribution range for 99% of values) postoperative vasodilatory shock Indeed, this “ultra-low” dose of vasopressin according to our study, obtains a significant increase of MAP ... is restored >5 L/min) associated with lactic acidosis, tachycardia, decreased systemic vascular resistance and low filling pressures [11,15,16] The hypotension is characteristically unresponsive...

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báo cáo khoa học: "Scintigraphic features of Morquio’s syndrome: a case report" pptx

Ngày tải lên : 11/08/2014, 00:22

... Journal of Medical Case Reports 2011, 5:42 http://www.jmedicalcasereports.com/content/5/1/42 Page of Figure Localized posterior bone scan view of the pelvis and lumbar spine of a 46-year-old Caucasian ... Morquio s syndrome, three hours after a Tc-99m methylene diphosphonate injection Focal increased uptake is seen in the right sacroiliac joint and sacral body, consistent with fractures, and most likely ... most likely representing the cause of the patient s pain Figure Anterior and posterior whole body bone scan views of a 46-year-old Caucasian man with Morquio s syndrome complaining of lower back...

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Báo cáo khoa hoc:" Effectiveness of low-dose doxycycline (LDD) on clinical symptoms of Sjögren''''s Syndrome: a randomized, double-blind, placebo controlled cross-over study" potx

Ngày tải lên : 11/08/2014, 08:21

... symptoms (data not shown) Figure and scores VASseven of measured subjective symptoms in weeks one VAS scores of measured subjective symptoms in weeks one and seven * indicates statistically significant ... University Hospital KEVO grants References Statistical analysis SPSS for Windows Release 11.5.1 (SPSS Inc., Chicago, IL, USA) was used for the statistical analysis Since the number of the marked scores ... of Negative Results in BioMedicine 2007, 6:11 of the disease is often stable with slow initiation and progression of sicca symptoms Primary SS is a separate disease entity, while secondary SS...

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Báo cáo y học: "Low-concentration, continuous brachial plexus block in the management of Purple Glove Syndrome: a case report" pps

Ngày tải lên : 11/08/2014, 11:22

... nervous system This results in increased resistance, reducing cutaneous perfusion In addition, there is an associated increase in vascular tone which decreases the compliance of the venous system, ... pressure leading to oedema [1] Propylene glycol with its high osmolality causes necrosis of the tissue [1] Although Singh et al Journal of Medical Case Reports 2010, 4:48 http://www.jmedicalcasereports.com/content/4/1/48 ... larger ones because of the amount of time of drug diffusion and the length of the nerve to block propagation of nerve impulses In separate experiments, it has been shown that nerve signals associated...

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Báo cáo y học: "Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report" docx

Ngày tải lên : 11/08/2014, 12:20

... venous air White arrows: Air in the stomach wall Discussion Differential diagnoses for gas in the wall of the stomach are emphysematous gastritis and gastric emphysema or gastric pneumatosis Theories ... organisms are streptococci, Escherichia coli, Enterobacter species, Pseudomonas aeruginosa and Clostridium perfringens [1] It has been associated with alcohol abuse, ingestion of corrosive substances, ... report of emphysematous gastritis associated with portal venous air that was successfully treated without surgical intervention [15] To date, there has been no reported association of emphysematous...

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Management of Acute Coronary Syndromes - part 9 pdf

Ngày tải lên : 11/08/2014, 13:20

... has less extensive CAD, with fewer numbers of lesions, as well as stenoses that tend to be less severe (25) Negus and colleagues found that the majority of angiograms in post-MI patients less ... ISIS-3 (Third International Study of Infarct Survival) Collaborative Group ISIS-3: a randomised comparison of streptokinase vs tissue plasminogen activator vs anistreplase and of aspirin plus ... has not been among the strongest predictors of subsequent risk, because myocardial damage from atherosclerosis and thrombosis tends to dominate (24) Still, serum cholesterol stands out as a significant...

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Management of Acute Coronary Syndromes - part 10 docx

Ngày tải lên : 11/08/2014, 13:20

... resource use 710 Weintraub To assess professional costs, it is not sufficient to consider only the primary physicians’ fees alone, as other professionals provide services (15,16) The goal must ... cost-benefit Cost-effectiveness analysis assumes that there is one overall measure of effectiveness, often survival (2) This method breaks down when there are multiple measures of effectiveness For instance, ... study is a comparison of costs or a cost-minimization study Such a study is useful when it is reasonable to assume that the two treatments offer similar outcomes When effectiveness cannot be assumed...

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Báo cáo y học: "A possible variant of Bouveret’s syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report" pot

Ngày tải lên : 11/08/2014, 17:21

... risk of inadvertent gastrointestinal injury due to the presence of adhesions Bouveret s syndrome is a rare complication of gallstone disease [1], and is characterized by passage of a large stone ... endoscopic disimpaction may be possible, but surgery is frequently necessary Cholecystectomy carries no benefit in these cases, and is often very difficult and should be avoided This case is an ... patients unfit for surgery [4] Surgical exploration of the common bile duct is necessary where endoscopic and percutaneous techniques are unsuccessful Reoperation in these patients poses a significant...

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Báo cáo y học: " Pathogenic effect of interleukin-17A in induction of Sjögren’s syndrome-like disease using adenovirus-mediated gene transfer" docx

Ngày tải lên : 12/08/2014, 15:22

... compartment in SS-non-susceptible mice The presence of LF and loss of saliva secretion raises an interesting question about the possible role of IL-17A in B cell activation As BAFF is capable of inducing ... possible role of BAFF and IL17A in this phenomenon needs to be better defined in SS pathogenesis Conclusions The capability of IL-17A to induce features of SS in SSnon-susceptible mice demonstrates ... consistent with the concept that SS develops along specific biological processes in a sequential fashion and interference with this process alters development of disease [1-3] Therefore, this study...

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Báo cáo y học: "Associations between the HLA-A polymorphism and the clinical manifestations of Behcet’s disease" pps

Ngày tải lên : 12/08/2014, 15:22

... Katsuyama Y, Pivetti-Pezzi P, Ohno S, Inoko H: Significant associations of HLA-B*5101 and B*5108, and lack of association of class II alleles with Behçet s disease in Italian patients Tissue ... frequencies of HLA-A alleles between patients and controls or between patients with and without certain clinical features Statistical calculation was done using SPSS version 17.0 (SPSS Inc., Chicago, ... Mantel-Haenszel fixed method); Phet, P values for heterogeneity statistics; weight (%), weight of the present study increase the risk of skin lesions, which, however, was not statistically significant,...

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Báo cáo y học: " Surgical management of abdominal compartment syndrome; indications and techniques" potx

Ngày tải lên : 13/08/2014, 23:20

... days) decompression (p = 0.005) being associated with increased risk of death It is noteworthy that all patients undergoing surgical decompression more than days post-admission died It seems that ... costal margins can be used to perform a fullthickness laparostomy [5] (Fig 1) A third method utilizes Figure Decompressive transverse laparostomy Decompressive transverse laparostomy three short ... utilizing the same incision for decompression is obviously the best choice In patients with secondary ACS and particularly those without previous abdominal incisions, several options exist The most commonly...

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Medical Management of Diabetes and Heart Disease - part 1 pps

Ngày tải lên : 14/08/2014, 07:20

... reduction of insulin resistance with the use of thiazolidinediones diminishes the rate of progression of atherosclerotic disease as judged from ultrasonic interrogation of carotid arteries and assessment ... disease is strongly associ- Sobel and Schneider ated with insulin resistance in patients with type diabetes has led to a reformulation of its presumed pathogenesis Insulin resistance and its ... and diagnosis Because the polycystic ovarian syndrome is a syndrome of insulin resistance, its nature and predisposition to coronary disease are considered in Chapter Heart disease associated...

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Medical Management of Diabetes and Heart Disease - part 2 pps

Ngày tải lên : 14/08/2014, 07:20

... Laurence-Moon-Biedl syndrome Pseudo-Refsum s syndrome Other rare hereditary neuromuscular disorders Insulin resistance associated with genetic syndromes 44 Cefalu Recognition and Assessment of Insulin Resistance ... patients Visceral obesity leads to the development of insulin resistance and the other components of the insulin resistance syndrome The insulin resistance syndrome itself causes accelerated atherosclerosis, ... (insulin-sensitive variant) (6) Their insulinsensitive patients had none of the components of the insulin resistance syndrome, while the insulin-resistant patients had the classic insulin resistance...

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