... electron transport chain would normalize the pathways involved in the development of the oxidative stress (68) If our findings are proven by further studies involving a larger number of patients, ultra-low ... diabetic complications (11-13) The combination of the low levels of antioxidants and raised levels of free radical play a major role in delaying wound healing in aged rate and diabetic rats (14) It ... improve insulin sensitivity and help in wound healing (16,17) Along with others, the investigators have used microcurrent for treatment of chronic wounds and ulcers (18-20) In an earlier work, The...
Ngày tải lên: 26/10/2012, 09:39
... addresses in a hierarchical manner, to permit the grouping of routing information and limit the number of routing entries advertised in the Internet Aggregation is one of the main goals of Internet ... IPv6 In other words, once the cost of deploying IPv4 infrastructure – determined by the cost of obtaining the addresses themselves and the cost of designing and operating networks that use fewer ... this final pool of addresses This “global proposal” was discussed at the LACNIC X meeting in May 2007, in the APNIC 24 meeting in New Delhi in September, and in ARIN and RIPE meetings in October...
Ngày tải lên: 06/03/2014, 21:20
Báo cáo y học: "Cold hands — strained heart? Advances in the management of Raynaud’s phenomenon and pulmonary hypertension" ppt
... Since there are commonalities in the pathophysiology of PAH and RP, particularly in the context of connective tissue disease, inhibition of the renin–angiotensin system may prove effective in ... than nifedipine in reducing both the frequency and the severity of attacks [14] PDE type V inhibitors such as sildenafil inhibit the degradation of cGMP, which mediates the signalling of several ... combine vasodilator and antiproliferative activity include angiotensin-converting enzyme inhibitors, angiotensin receptor blockers and PDE type V inhibitors [5] The use of angiotensin-converting...
Ngày tải lên: 09/08/2014, 06:23
Báo cáo khoa học: " Neuropsychological testing and biomarkers in the management of brain metastases" doc
... quality of life and activities of daily living also should be included in clinical trials to assess everyday functioning [72] Examples of two such measures are the Barthel index and the Functional ... beginning radiotherapy Many potential therapies being investigated also carry a risk of neurocognitive decline and the current focus of brain metastases research is to find ways to optimize the ... competing interests 15 Authors' contributions AB and KC participated in the conception of the work, compiled the information, reviewed and wrote the manuscript PW participated in the conception of...
Ngày tải lên: 09/08/2014, 09:22
Báo cáo khoa hoc:" Combined use of maxillomandibular swing approach and neurosurgical ultrasonic aspirator in the management of extensive clival chordoma: A case report" pptx
... JMA: Drafted the neurosurgical part of the management SJWD: Drafted the clinical presentation and acquired references ZI: Help in drafting the overall manuscript and performed final review All ... Sagittal and axial views of brain MRI scan Sagittal and axial views of brain MRI scan Image shows tumour in the nasopharynx extending from nasal cavity to brainstem posteriorly Page of (page ... surgery artery and pituitary gland Despite this there was a small dural tear at the level of the upper clivus where invasion was maximum At the end of the surgical procedure, the defect was filled...
Ngày tải lên: 11/08/2014, 10:23
Báo cáo y học: " The use of partial exchange blood transfusion and anaesthesia in the management of sickle cell disease in a perioperative setting: two case reports" pot
... hypovolemia, hypothermia and hyperviscosity, were prevented by monitoring his vital signs and maintaining them within tight ranges Anaesthesia from the beginning up to the end of surgery lasted 80 minutes ... care, including fluid management and weaning off the respirator with extubation on the day of the surgery, was provided by the hospital’s Pediatric Intermediate Care Unit Pain was managed using ... was involved in providing a description of the perioperative procedures EC was involved in writing the introduction, analysis and data interpretation sections of this manuscript AS provided the...
Ngày tải lên: 11/08/2014, 12:20
Báo cáo y học: "Combined left hepatectomy with fenestration and using a harmonic scalpel, fibrin glue and closed suction drainage to prevent bile leakage and ascites in the management of symptomatic polycystic liver disease: a case report" pps
... Cincinnati, Ohio, USA) The diameter of the removed lobe was 17 cm (Figure 3) Cysts located on the surface of the right hepatic lobe, including the three dominant cysts, were surgically unroofed ... relief of symptoms The optimal treatment for symptomatic PLD is uncertain There is no clear consensus regarding the optimum timing of intervention and the surgical approach is based in part on the ... such as the use of fibrin glue to seal the cut liver surface or the type of surgery Conclusions Surgical management of patients with PLD remains a challenging issue for physicians The aim of the...
Ngày tải lên: 11/08/2014, 14:20
Báo cáo y học: "Bench-to-bedside review: Therapeutic options and issues in the management of ventilator-associated bacterial pneumonia" ppt
... guide the choice of antibiotic therapy and confirm the diagnosis of VAP What is clear is that avoiding delay in sampling and initiating therapy quickly are more important than the type of quantitative ... ventilated patients, the clinical diagnosis was correct in 62% of cases and therapeutic treatment plan was appropriate in only 33% of cases Given the difficulty in diagnosing pneumonia in the ventilated ... pneumoniae infections; cystic fibrosis increases the risk of P aeruginosa and S aureus infections; and trauma and neurologic patients are at increased risk for S aureus infection [16,22] The time of...
Ngày tải lên: 12/08/2014, 20:20
Báo cáo y học: " A heuristic approach and heretic view on the technical issues and pitfalls in the management of penetrating abdominal injuries" pdf
... particularly when the time interval between the injury and the operation is short Do not forget to insert a drain in the vicinity of the repair In a minority of cases, if you feel that there is an increased ... Concerning penetrating injury of the pancreas; if a parenchymal injury is noted, it is important to determine the integrity of the main pancreatic duct keeping in mind the intra operative criteria introduced ... collateral vessels Taking into consideration the effort, the loss of time and the additional loss of blood during the repair of the vein, it is worth considering ligation of the IVC in the patient with...
Ngày tải lên: 13/08/2014, 23:20
novel secondary preventative strategies in the management of ischaemic stroke and transient ischaemic attack
... population, which is increasing in size Incidence is increasing in the younger population and the developing world Accordingly, the global burden of stroke is ... the 2nd leading single cause of adult mortality globally 3, reflecting high incidence in the developed world, increasing incidence in the developing ... IL: Interleukin IMP: Inosine monophoshate IMS: Interventional Management of Stroke IRAS: Insulin Resistance Atherosclerosis Study ISRCTN: I nternational Standard Randomised...
Ngày tải lên: 22/12/2014, 21:59
Chemical neurolysis in the management of muscle spasticity
... within seconds of coming into contact with them Almost all of the remaining phenol binds to the nerve tissue during the following few minutes; by 15 minutes from the start of the phenol administration, ... 0.1% of the administered dose remains in the CSF (Ichiyanagi et al., 1975) The magnitude of the clinical effect of the intrathecal block depends on the concentration of phenol and also on the ... thickness and width of the muscle are then determined The block is made in the medial part of the muscle near the vertebral body avoiding the lumbar and femoral arteries The therapeutic effects of chemical...
Ngày tải lên: 01/11/2013, 10:20
RECOMMENDATIONS FOR BEST PRACTICES in the Management of Elderly Disaster Victims doc
... Katrina and evacuation to the RAC The trauma resulting from the disaster, the process of evacuation, the disruption of regular care, and the stress of residing in the shelter complex further increased ... level of frailty as assessed by guidelines outlined in the article The mean age of the participants was 81.8 years in the GEMU and 82.4 years in the general medical wards Being treated in the GEMU ... that hindered their coming and going in and around Houston Unfortunately, this open flow of human traffic allowed scam artists and schemers to enter the complex The rapid pace involved in trying...
Ngày tải lên: 28/03/2014, 16:20
báo cáo hóa học:" Advantages of the Ilizarov external fixation in the management of intra-articular fractures of the distal tibia" pptx
... review and contributed in drafting of the manuscript and in the interpretation of data TGB performed part of the literature review and contributed in the manuscript editing SP, EP, AK and GT ... condition of soft tissues was improved [6] Regarding torsional injuries of the ankle joint the classification by Lauge-Hansen correlates the type of fracture to the mechanism of injury and the anatomical ... scheme, but to introduce an algorithm for the application of external fixation and to highlight the advantages of the Ilizarov device in the management of intra-articular fractures of the distal...
Ngày tải lên: 20/06/2014, 04:20
Báo cáo y học: "A 64-week, multicenter, open-label study of aripiprazole effectiveness in the management of patients with schizophrenia or schizoaffective disorder in a general psychiatric outpatient setting" pptx
... shown in Figure Both patient and caregiver POM ratings for aripiprazole increased during the 12-week switching phase At the end of the switching phase (LOCF), 54.7% of 123 subjects and 48.0% of ... baseline (week 0), weeks 2, and 12 of the screening phase and 24, 38, 51 and 64 of the long-term treatment phase During screening, additional visits could also be conducted at weeks and based on the ... subjects received their first dose of aripiprazole at the start of the switching treatment period, the starting dose of which was determined by the investigator After weeks of adverse event (AE)-free...
Ngày tải lên: 09/08/2014, 01:21
Báo cáo khoa học: "The significance of the Van Nuys prognostic index in the management of ductal carcinoma in situ" pps
... mm) The anatomical constraints obviously limit further excision of close margins in the cross sectional plane and there is no advantage to be gained in re-excision if DCIS approaches the margin ... initial margins between 1–5 mm underwent further surgery resulting in a total re-excision rate of 33% (n = 72) There were non invasive and 11 invasive recurrences in the treated breast during the follow ... that the benefit: risk ratio is likely to be highest The effect of including the small number of patients with tumours that did not have their margin width recorded (n = 18) in the analysis of the...
Ngày tải lên: 09/08/2014, 07:21
Báo cáo y học: "Psychosocial aspects in the management of arthritis pain" pot
... Evans and colleagues [16] compared the psychosocial functioning and coping of mothers with chronic pain (including mothers with arthritis) to mothers without pain, with regard to their ratings of ... risk of new depressive symptoms, even more so than activity losses in other domains [22] The role of leisure in maintaining or restoring psychological wellbeing in the presence of arthritis pain ... Unexpectedly, the conventional pain CST was superior to the maintenance-enhanced program and both control conditions in reducing pain and negative mood and increasing coping efficacy; however, the maintenanceenhanced...
Ngày tải lên: 09/08/2014, 08:23
báo cáo khoa học: "Update in the management of chronic lymphocytic leukemi" ppt
... in the setting of a clinical study Thus, it is important to determine that all patients required therapy by NCI and IWCLL criteria when evaluating results of upfront clinical studies in CLL Of ... OR, CR and PFS in CLL Kay and colleagues recently examined whether the addition of an alkylating agent to other purine nucleoside analogs similarly improves outcomes [10] The Mayo Clinic and Ohio ... preclinical results of an ongoing phase I study of CAL-101, an orally available inhibitor of the phosphatidylinositol-3-kinase (PI-3-K) delta isoform, will be presented at the ASCO meeting Other...
Ngày tải lên: 10/08/2014, 22:20
Báo cáo y học: "A modified surgical technique in the management of eyelid burns: a case series" potx
... possible Early skin grafting increases the risks of infection and complications However, delayed skin grafting also increases the risk of eyelid hypertrophic scarring, asymmetry and other deformities ... cases into one case series because the surgical management of the eyelid injuries was the same, although the systemic managements of these patients as different according to the injury area and ... fold on the graft, allowing extra skin for future graft contracture while still preserving the ability to close the eye adequately We widen the grafting area by separating and loosening the musculus...
Ngày tải lên: 10/08/2014, 23:22
Báo cáo y học: "Occipital peripheral nerve stimulation in the management of chronic intractable occipital neuralgia in a patient with neurofibromatosis type 1: a case report" pot
... reviewing and editing the manuscript EDS contributed to the review and editing of the manuscript All authors read and approved the final manuscript Competing interests The authors declare that they ... neurofibromas of the peripheral nervous system [8] According to the National Institutes of Health, a definitive diagnosis of NF-1 is made when two of seven cardinal clinical features of the disease ... 1.2 cm from the skin surface The skin overlying the greater occipital protuberance was injected with ml or ml of 1% lidocaine as a local anesthetic, and the stimulating electrodes were introduced...
Ngày tải lên: 11/08/2014, 00:23
Báo cáo y học: "External iliac artery thrombosis associated with the ilio-inguinal approach in the management of acetabular fractures: a case report." doc
... thrombosis, there not appear to be any real alternatives in the management of fractures involving the anterior column of the acetabulum The ilio-inguinal route provides the benefits of a low complication ... on the distal iliac and proximal common femoral arterial segments This force will act against the tethering effect of the medially coursing internal iliac and inferior epigastric vessels [7] The ... JB carried out the duplex-sonography and participated in the radiologic diagnosis MT GH participated in the design of the study and performed the coordination and helped to draft the manuscript...
Ngày tải lên: 11/08/2014, 10:23