nausea vomiting bloating reflux and or diarrhea

... eructation (belching), and anorexia Nausea and Vomiting Mechanisms Vomiting is coordinated by the brain stem and is effected by neuromuscular responses in the gut, pharynx, and thoracoabdominal wall ... bloodborne emetic stimuli and is termed the chemoreceptor trigger zone Many emetogenic drugs act on the area postrema, as bacterial toxins and metabolic factors produced during uremia, hypoxia, and ... by unpleasant thoughts or smells originates in the cerebral cortex, whereas cranial nerves mediate vomiting after gag reflex activation Motion sickness and inner ear disorders act on the labyrinthine...

Ngày tải lên: 06/07/2014, 15:21

... sensorimotor function Postoperative Gastroparesis vomiting Intestinal pseudoobstruction Functional dyspepsia Gastroesophageal reflux Chronic idiopathic nausea Functional vomiting and Cyclic vomiting ... small-bowel and colonic obstruction occur because of adhesions, benign or malignant tumors, volvulus, intussusception, or inflammatory diseases such as Crohn's disease The superior mesenteric ... Intraperitoneal Disorders Visceral obstruction and inflammation of hollow and solid viscera may produce vomiting as the main symptom Gastric obstruction results from ulcer disease and malignancy,...

Ngày tải lên: 06/07/2014, 15:21

... neuropathic or myopathic based on contractile patterns Such investigation can obviate the need for open intestinal biopsy to evaluate for smooth muscle or neuronal degeneration Nausea and Vomiting: ... Principles Therapy of vomiting is tailored to correction of medically or surgically remediable abnormalities if possible Hospitalization is considered for severe dehydration especially if oral fluid replenishment ... antagonist Chemothera py-induced nausea and vomiting Tricyclic antidepressant Amitriptyline, nortriptyline Chronic idiopathic nausea, functional vomiting, cyclic vomiting syndrome Prokinet ic agents...

Ngày tải lên: 06/07/2014, 15:21

... histories of tobacco or ethanol intake Other risk factors include prior caustic ingestion, achalasia, and the hereditary disorder tylosis Esophageal adenocarcinoma usually complicates long-standing ... stress, suggesting an important role for psychological factors Analgesics cause dyspepsia, while nitrates, calcium channel blockers, theophylline, and progesterone promote acid reflux Other exogenous ... induce acid reflux include ethanol, tobacco, and caffeine via LES relaxation Genetic factors may contribute to development of acid reflux Differential Diagnosis Gastroesophageal Reflux Disease...

Ngày tải lên: 06/07/2014, 15:21

... celiac disease For suspected pancreaticobiliary causes, pancreatic and liver chemistries are obtained If abnormalities are found, abdominal ultrasound or CT may give important information Gastric ... regimen offered for those who fail H pylori treatment or for those who are negative for the infection In each of these patient subsets, upper endoscopy is reserved for those who fail to respond to therapy ... diet, avoiding snacks before bedtime, and elevating the head of the bed Specific therapies for organic disease should be offered when possible Surgery is appropriate in disorders like biliary colic,...

Ngày tải lên: 06/07/2014, 15:21

... of nausea and vomiting Approach to the Patient: Nausea and Vomiting History and Physical Examination The history helps define the etiology of unexplained nausea and vomiting Drugs, toxins, and ... whereas functional vomiting is defined as one or more vomiting episodes weekly in the absence of an eating disorder or psychiatric disease Cyclic vomiting syndrome is a rare disorder of unknown ... laparotomy and orthopedic surgery, and is more prevalent in women Increased intracranial pressure from tumors, bleeding, abscess, or obstruction to cerebrospinal fluid outflow produces prominent vomiting...

Ngày tải lên: 06/07/2014, 15:21

... indigestion are gastroesophageal acid reflux and functional dyspepsia Other cases are a consequence of a more serious organic illness Gastroesophageal Acid Reflux Acid reflux can result from a variety ... efficacy in chemotherapy-evoked emesis, while benzodiazepines such as lorazepam are useful in reducing anticipatory nausea and vomiting Therapy of delayed emesis 1–5 days after chemotherapy is less ... produce significant side effects and exhibit no more efficacy than antidopaminergic agents Most current drug regimens produce greater reductions in vomiting than in nausea The clinician should exercise...

Ngày tải lên: 06/07/2014, 15:21

... hoarseness, and chest pain that mimics angina Some patients with acid reflux on esophageal pH testing not report heartburn and note abdominal pain or other symptoms Some individuals with dyspepsia report ... exhibit epigastric tenderness or abdominal distention Discrimination between functional and organic causes of indigestion mandates exclusion of selected historic and examination features Odynophagia ... meals and early satiety that prevents completion of regular meals several times weekly, with associated bloating, belching, or nausea Functional dyspepsia overlaps with other functional bowel disorders...

Ngày tải lên: 06/07/2014, 15:21

... diagnosis and treatment of gastroparesis Gastroenterology 127:1592, 2004 [PMID: 15521026] Schwartzberg LS: Chemotherapy-induced nausea and vomiting: Clinician and patient perspectives J Support Oncol ... gut flora, including antibiotics and probiotic preparations containing active bacterial cultures, are useful for cases of bacterial overgrowth and functional lower gastrointestinal disorders, ... 16678559] Hasler WL, Chey WD: Nausea and vomiting Gastroenterology 125:1860, 2003 [PMID: 14724837] Kahrilas PJ, Lee TJ: Pathophysiology of gastroesophageal reflux disease Thor Surg Clin 15:323, 2005...

Ngày tải lên: 06/07/2014, 15:21

... accounting procedures, auditing standards and their application in practice) Attestation of statutory auditors and auditors As statutory auditors or auditors of ACCOR and in accordance with Rule 98-01 ... convertible and/ or exchangeable into new and/ or existing shares -8- Translation into English for information purposes only - Original in French Neuilly-sur-Seine, 25 April 2002 Auditors: Revisors (for ... with the rules relating to quorum and voting for extraordinary general meetings, and after considering the report of the Executive Board and the auditors’ special report, pursuant to the provisions...

Ngày tải lên: 15/03/2014, 07:20

... Manual and Interpretation Guide Boston, New England Medical Centre; 1993 Moorey S, Greer S, Watson M, Gorman C, Rowden L, Tunmore R, Robertson B, Bliss J: The factor structure and factor stability ... 2.7%; Germany, 6.4% and 12.7%; Hungary, http://www.hqlo.com/content/6/1/12 8.8% and 8.8%; Italy, 6.3% and 1.1%; Poland, 0.7% and 0.7%; Spain, 0.6% and 0.6% In cases where more than 6% of the data ... Scores in the Reflux domain were also high for the German (0.72), Hungarian (0.73) and Italian (0.84) versions of the GSRS, but were below 0.7 for the Afrikaans, Polish and Spanish versions Scores...

Ngày tải lên: 18/06/2014, 22:20

... presented The time intervals for “Ready” and “Decide” were and s, respectively For platform movements of mm and mm, the time interval was s and or the 16 mm platform movement, the time interval ... Investigative Platform for Assessing Lower Limb Stability (SLIP-FALLS), a horizontal translating force platform and data collection system [14] The SLIPFALLS platform was specifically designed and built ... at mm, mm and 16 mm displacements for subjects who had diabetes (DPN and DNI subjects) or did not (PNNoD and NINoD subjects) and who had peripheral neuropathy (DPN and PNNoD subjects) or were neurologically...

Ngày tải lên: 19/06/2014, 08:20

... expected Occupational history and autopsies Official inspectors from Ministry of Labour and medical and technical experts inspected workplace shortly after the incident (9–11/2001) and they examined ... levels sector The latter emphasises the need for preventive actions such as information for employees about the possible toxic effects of chemicals and education on proper handling, storing and, disposal ... was recommended to ventilate work area, with ten (10) or more air changes per hour Under normal operating conditions and with adequate ventilation and proper storage the exposure would be minimized...

Ngày tải lên: 20/06/2014, 00:20

... Nonlabor Laboratory - Agency Staff Laboratory - Fringe Benefits Laboratory - Salaries and Wages Pharmacy - Other - Nonlabor Pharmacy - Agency Staff 11 (5,000) 12 AUDIT ADJ ZZT05155I SEAPORT 17TH ... Nonlabor Laboratory - Agency Staff Laboratory - Fringe Benefits Laboratory - Salaries and Wages Pharmacy - Other - Nonlabor Pharmacy - Agency Staff Pharmacy - Fringe Benefits Pharmacy - Salaries and ... Salaries and Wages Laboratory - Other - Nonlabor Laboratory - Agency Staff Laboratory - Fringe Benefits Laboratory - Salaries and Wages Pharmacy - Other - Nonlabor Pharmacy - Agency Staff 0 0 0 0 0 0...

Ngày tải lên: 20/06/2014, 03:20

... 413.24, Sections 2300 and 2304 Explanation of Audit Adjustments RECLASSIFICATIONS OF REPORTED COSTS SEAPORT 17TH CARE CENTER Report References Cost Report Audit Report MC530 Page or Exhibit Line Col ... Administration - Other - Nonlabor Explanation of Audit Adjustments ADJUSTMENTS TO REPORTED COSTS SEAPORT 17TH CARE CENTER Report References Cost Report Audit Report MC530 Page or Exhibit Line Col Sch ... 15-1, Sections 2300 and 2304 Explanation of Audit Adjustments ADJUSTMENTS TO REPORTED COSTS SEAPORT 17TH CARE CENTER Report References Cost Report Audit Report MC530 Page or Exhibit Line Col...

Ngày tải lên: 20/06/2014, 03:20

... Salaries and Wages Laboratory - Other - Nonlabor Laboratory - Agency Staff Laboratory - Fringe Benefits Laboratory - Salaries and Wages Pharmacy - Other - Nonlabor Pharmacy - Agency Staff 0 0 0 0 0 0 ... Mentally Disordered - Other - Nonlabor Mentally Disordered - Agency Staff Mentally Disordered - Fringe Benefits Mentally Disordered - Salaries and Wages Intermediate Care - Other - Nonlabor Intermediate ... 165 4 Report References Cost Report Audit Report MC530 Page or Exhibit Line Col Sch Line Sub No *Balance carried forward from prior/to subsequent adjustments Administration - Salaries and Wages...

Ngày tải lên: 20/06/2014, 03:20

... Nursing Care Explanation of Audit Adjustments MEMORANDUM ADJUSTMENTS SAYLOR LANE HEALTHCARE CENTER Report References Cost Report Audit Report MC530 Page or Exhibit Line Col Sch Line Sub No JANUARY ... Sections 51511 and 51123 Explanation of Audit Adjustments RECLASSIFICATIONS OF REPORTED COSTS SAYLOR LANE HEALTHCARE CENTER Report References Cost Report Audit Report MC530 Page or Exhibit Line ... Explanation of Audit Adjustments RECLASSIFICATIONS OF REPORTED COSTS SAYLOR LANE HEALTHCARE CENTER Report References Cost Report Audit Report MC530 Page or Exhibit Line Col Sch Line Sub No JANUARY 1, 2009...

Ngày tải lên: 20/06/2014, 03:20

... Maasland Hospital, Sittard, the Netherlands Symptom assessment Investigators recorded patient demographics (including sex, age, height and weight), medical history (including history of reflux ... (discomforting symptom, sufficient to cause interference with normal daily activities and/ or sleep), severe (incapacitating symptom, with inability to perform normal daily activities and/ or sleep) ... week prior to the study, and more than half reported moderate or severe regurgitation At visit 2, symptoms of heartburn and regurgitation were mild or absent in almost all patients Furthermore,...

Ngày tải lên: 20/06/2014, 16:20

... metadirectory Determine Which Directory Will Be the Prime Connector Lead-in Join One or More of the Remaining Directories to the Prime Connector Customize One or More of the Mas to Use More Information ... initially originates The directory that will be authoritative for each attribute The directory that will be authoritative for each attribute A list of directories to be integrated in the metadirectory ... and authoritative attribute information ! Join additional directories to the prime connector After you run the management agent for your prime connector in Reflector mode, you will join one or...

Ngày tải lên: 06/07/2014, 09:03

... Seoul National University (SNU) Laboratory Animal Facility (Seoul, Korea) and were acclimated for about days prior to the initiation of chemical exposure Food and water were provided ad libitum ... Furthermore, evidences revealed Nrf1 and Nrf2 play important roles in the cellular detoxification process Nrf1 and Nrf2 transactivatiy reporter genes are linked to antioxidant response elements, and ... Min-Young Kim et al considered to be required for TPA-stimulated cellular proliferation and transformation, and tumor promotion [23] The transcription factor Nrf2 is a member of the “cap n collar”...

Ngày tải lên: 07/08/2014, 17:22