... Guidelines for the Management of Inflammatory Bowel Disease (IBD) in Children in the United Kingdom Index Introduction Inflammatory Bowel Disease Management of Crohn’s Disease Management of Ulcerative ... Associated aspects of IBD Service Delivery Guidelines for the Management of Inflammatory Bowel Disease (IBD) in Children in the United Kingdom Introduction [1] Inflammatory bowel disease (IBD) encompasses ... Guidelines for the Management of Inflammatory Bowel Disease (IBD) in Children in the United Kingdom 2.1 Inflammatory Bowel Disease Definitions [1, 4-5] UC is characterised by diffuse mucosal inflammation...
Ngày tải lên: 12/02/2014, 11:20
... 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 ... pneumonia in the EPIC (European Prevalence of Infection in Intensive Care) study [19], accounting 31% of the 836 cases in which pathogens were identified Anaerobic bacteria may be found in 20–30% of ... Enterobacteriaceae [including extended spectrum β-lactamase-producing strains], and Enterococcus spp and S aureus, including methicillinresistant strains [46] Against P aeruginosa, tigecycline exhibits...
Ngày tải lên: 12/08/2014, 20:20
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
... mutation in the b-globulin gene on chromosome 11 This mutation leads to the synthesis of HbS, in which the hydrophobic valine at position of the 146-amino acid haemoglobin protein is replaced by the ... 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...
Ngày tải lên: 11/08/2014, 12:20
Báo cáo y học: " A heuristic approach and heretic view on the technical issues and pitfalls in the management of penetrating abdominal injuries" pdf
... 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 ... anastomosis to incorporate the injured area in the head of the pancreas at the time of injury is ill advised because of the high risk of anastomotic breakdown Injury to the neck, body or tail of the pancreas ... Furthermore, the application of the Satinski includes a significant portion of the wall within the limbs of the clamp Therefore at the end, there is not enough "cloth" left to repair the vein...
Ngày tải lên: 13/08/2014, 23:20
Báo cáo y học: "Ultra-low microcurrent in the management of diabetes mellitus, hypertension and chronic wounds: Report of twelve cases and discussion of mechanism of action"
... in the development of the oxidative stress (68) If our findings are proven by further studies involving a larger number of patients, ultra-low microcurrent therapy might change the concept of management ... pathogenesis of insulin resistance in humans using magnetic resonance spectroscopy Obesity (Silver Spring) 2006;14 (Suppl 1): 34S–40S 31 Boden G Role of fatty acids in the pathogenesis of insulin resistance ... symptomatic instead of a causal treatment for oxidative stress (67) Interruption of the overproduction of superoxide by the mitochondrial electron transport chain would normalize the pathways involved in...
Ngày tải lên: 26/10/2012, 09:39
Chemical neurolysis in the management of muscle spasticity
... of the remaining phenol binds to the nerve tissue during the following few minutes; by 15 minutes from the start of the phenol administration, only 0.1% of the administered dose remains in the ... usually reports tingling or skin sensory loss in the distribution of the blocked nerve root within 40 seconds of a successful injection Positioning of the patient for the lumbar intrathecal block ... second injection, the treatment effect is often enhanced by the additional in ltration of the proximal third of the muscle The superficial placement of the injection may result in the denervation of...
Ngày tải lên: 01/11/2013, 10:20
Tài liệu ISSUES IN THE INTEGRATION OF RESEARCH AND OPERATIONAL SATELLITE SYSTEMS FOR CLIMATE RESEARCH pdf
... secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public The Institute acts under the responsibility given to the ... from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine The members of the committee responsible for the report were chosen for their ... occurred in the IPO’s plans for NPOESS; in particular, the complement of sensor concepts for the satellite was fixed, thereby defining the limits of the planned observing system The scope of the committee’s...
Ngày tải lên: 17/02/2014, 07:20
Tài liệu Báo cáo khoa học: "Some Pragmatic Issues in the Planning of Definite and Indefinite Noun Phrases" potx
... degenerate case of the NSI action In the case of the NSI action, the speaker and hearer mutually know of a plan that will result in identification of the intended referent, and in the case of the S[ action, ... along the horizontal axis of Figure There are really' two kinds of definite referring actions: one is that in which the precondition is mutual knowledge of a description and the other in which there ... description In such a situation, the speaker ran augment the description with additional descriptors for tile purpose of informing the hearer that they are true ,ff the denotation of the other part of the...
Ngày tải lên: 21/02/2014, 20:20
INTERNET ADDRESS SPACE: ECONOMIC CONSIDERATIONS IN THE MANAGEMENT OF IPv4 AND IN THE DEPLOYMENT OF IPv6 pptx
... for the future of the Internet economy is the deployment of IPv6 DSTI/ICCP(2007)20/FINAL In terms of public policy, IPv6 plays an important role in innovation and scalability of the Internet In ... 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 ... environment, including greater use and all forms of access In the future, vast numbers of objects may be connected to the Internet Growth in the use of the Internet has meant greater demand for Internet...
Ngày tải lên: 06/03/2014, 21:20
Policy Issues in the Development of Personalized Medicine in Oncology doc
... secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public The Institute acts under the responsibility given to the ... recognizes the superior achievements of engineers Dr Charles M Vest is president of the National Academy of Engineering The Institute of Medicine was established in 1970 by the National Academy of Sciences ... is the need to show clinical utility, which neither the FDA nor CLIA requires “We need to know [whether] these tests [are] usefully affecting the outcome of patients in the clinic Neither of these...
Ngày tải lên: 22/03/2014, 20:21
Policy Issues In The Development Of Personalized Medicine in Oncology docx
... secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public The Institute acts under the responsibility given to the ... recognizes the superior achievements of engineers Dr Charles M Vest is president of the National Academy of Engineering The Institute of Medicine was established in 1970 by the National Academy of Sciences ... is the need to show clinical utility, which neither the FDA nor CLIA requires “We need to know [whether] these tests [are] usefully affecting the outcome of patients in the clinic Neither of these...
Ngày tải lên: 23/03/2014, 11:20
RECOMMENDATIONS FOR BEST PRACTICES in the Management of Elderly Disaster Victims doc
... response strategy They require varying degrees of assistance with activities of daily living, such as eating, dressing, bathing, grooming and toileting Some are incontinent of bowel and/or bladder ... descriptive summary of the 72 individuals examined The data analysis occurred in two phases The first phase consisted of matching the database entries with the original hard copy versions of the SWiFT ... facilities In some cases, they took their money, and upon discovery of the extent of the elders’ needs, returned them to the shelter One of the problems that occurred at the RAC was the difficulty in...
Ngày tải lên: 28/03/2014, 16:20
Báo cáo khoa học: "TENSE GENERATION IN AN INTELLIGENT TUTOR FOR FOREIGN LANGUAGE TEACHING: SOME ISSUES IN THE DESIGN OF THE VERB EXPERT" pot
... out in the fields of linguistics and philosophy, concerning theories of verb generation and the temporal meaning of verbs, respectively, and the field of intelligent tutoring systems As far as the ... aroused the interest of linguists, philosophers, logi- - 125 - At the beginning of each session, the Tutor starts the interaction with the student by presenting him an exercise on a given topic The ... that of the expert in order to identify the errors, if any, present in the former and to formulate some hypotheses about their causes On the basis of these hypotheses, the Tutor selects the next...
Ngày tải lên: 01/04/2014, 00:20
báo cáo hóa học: " Involvement of β-chemokines in the development of inflammatory demyelination" ppt
... involved in the regulation of recovery rather than in the initiation of the disease In addition, CCL19 and CCL21 are expressed by endothelial cells of the BBB, and are involved in the strengthening ... of the murine model provide further insights in the characterization of CCL / CCR molecules in EAE In mice with the CCL2 transgene under the control of the lck (which directs the expression of ... adhesion strengthening of autoreactive T cells and subsequently of other inflammatory cells to the endothelial layer of the BBB These molecular interactions may lead to permanent inflammatory cell...
Ngày tải lên: 19/06/2014, 22:20
báo cáo hóa học:" Advantages of the Ilizarov external fixation in the management of intra-articular fractures of the distal tibia" pptx
... fixed to the rings of the Ilizarov device Intraporative photograph showing the way the wires are Intraporative photograph showing the way the wires are applied and fixed to the rings of the Ilizarov ... 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 contributing in analyzing ... removal of the device and was re-operated because of unawareness of the mechanism of injury and underestimating the ligamentous instability of the ankle joint (Figure 6) In patients of group...
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
... 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 ... 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 ... be fully representative of all patient types encountered in real-world settings Furthermore, the findings reported here should also be interpreted within the context of the open-label study design...
Ngày tải lên: 09/08/2014, 01:21
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: "The significance of the Van Nuys prognostic index in the management of ductal carcinoma in situ" pps
... 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 VNPI's effect on disease free survival ... 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...
Ngày tải lên: 09/08/2014, 07:21
Báo cáo y học: "Psychosocial aspects in the management of arthritis pain" pot
... losses in other domains [22] The role of leisure in maintaining or restoring psychological wellbeing in the presence of arthritis pain warrants further study Psychosocial approaches to managing ... psychosocial functioning and coping of mothers with chronic pain (including mothers with arthritis) to mothers without pain, with regard to their ratings of parenting efficacy There was a significant ... comparison of conventional pain coping skills training and pain coping skills training with a maintenance training component: A daily diary analysis of short- and long-term treatment effects J Pain 2006,...
Ngày tải lên: 09/08/2014, 08:23
Báo cáo khoa học: " Neuropsychological testing and biomarkers in the management of brain metastases" doc
... modifier of hemoglobin that works by decreasing the binding affinity of hemoglobin to oxygen thus permitting greater oxygenation of hypoxic tumor cells and enhancing the effect of radiation In addition ... Elevated levels of certain proteins or neurotransmitters in the blood or urine may be indicators of CNS damage caused by invasion of brain metastases and/or radiation induced damage Much of the work ... difference in survival These results have not been strong enough to bring any of these agents into routine clinical care At this time there are several clinical trials underway involving other potential...
Ngày tải lên: 09/08/2014, 09:22