placing and removing a steel spring separator

Báo cáo y học: "Management of chest pain: exploring the views and experiences of chiropractors and medical practitioners in a focus group interview"

Báo cáo y học: "Management of chest pain: exploring the views and experiences of chiropractors and medical practitioners in a focus group interview"

... medical participants both noted lack of formal clinical studies examining effectiveness of manual/manipulative approaches to manage (diagnose and treat) musculoskeletal chest pain, and lack of ... Interprofessional coordination of care; (5) Best practices and standardization of care; and (6) Training and education These thematic issues are summarized below, and key excerpts from the focus group transcript ... will also impact provider perceptions and interprofessional relationships (5) Best practices and standardization of care Participants reported that standardizing care within professions may facilitate...

Ngày tải lên: 25/10/2012, 10:06

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Neuropathic pain - The pharmacological management of neuropathic pain in adults in non-specialist settings pot

Neuropathic pain - The pharmacological management of neuropathic pain in adults in non-specialist settings pot

... (anticonvulsant) drugs (such as gabapentin, pregabalin and carbamazepine), topical treatments (such as capsaicin and lidocaine) and opioid analgesics All of these drug classes are associated with disadvantages, ... peripheral neuropathic pain as a symptom are painful diabetic neuropathy, post-herpetic neuralgia, trigeminal neuralgia, radicular pain, pain after surgery and neuropathic cancer pain (that is, ... Neuropathic pain Pain is an unpleasant sensory and emotional experience that can have a significant impact on a person’s quality of life, general health, psychological health, and social and economic...

Ngày tải lên: 31/03/2014, 13:20

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Báo cáo y học: "Psychosocial aspects in the management of arthritis pain" pot

Báo cáo y học: "Psychosocial aspects in the management of arthritis pain" pot

... approaches to managing arthritis pain Search strategy The EBSCOhost platform was used to search PsycInfo and CINAHL databases, and the search was repeated using the PubMed database Search terms included ... combinations of pain, pain management, psychosocial, and arthritis, and the search was limited to studies of adults and the English language Studies needed to measure pain as an outcome and employ ... The impact of arthritis on Canadians In Arthritis in Canada Edited by Badley E, DesMeules M Ottawa, ON: Health Canada; 2003:7-34 Keefe FJ, France CR: Pain: Biopsychosocial mechanisms and management...

Ngày tải lên: 09/08/2014, 08:23

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

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

... supervised patient care, revised the articled critically and provided valuable inputs with regard to the management of the patient and final version of the draft All authors read and approved the final ... important to differentiate emphysematous gastritis from gastric emphysema Early institution of antibiotic therapy covering anaerobes and gram negative bacilli, intravenous hydration and appropriate ... severe abdominal pain, nausea, vomiting, hemetemesis, low grade fevers and tachycardia [8] as our patient did Patients with gastric emphysema or gastric pneumatosis generally not present with acute...

Ngày tải lên: 11/08/2014, 12:20

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Medical Management of Diabetes and Heart Disease - part 1 pps

Medical Management of Diabetes and Heart Disease - part 1 pps

... Edward S Horton 137 Polycystic Ovary Syndrome, Insulin Resistance, and Cardiovascular Disease Matthew C Corcoran and David A Ehrmann 149 Detection and Diagnosis of Heart Disease in Diabetic and ... Prediabetic Subjects ´ Srihari Thanigaraj and Julio E Perez 163 11 Treatment of Diabetes: Implications for Heart Disease Thomas A Buchanan, Howard N Hodis, and Wendy J Mack 12 Management of Patients ... blood Although hyperglycemia per se is a powerful determinant of microvascular disease and may contribute to macrovascular disease, the increasing recognition that macroangiopathy and particularly...

Ngày tải lên: 14/08/2014, 07:20

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Medical Management of Diabetes and Heart Disease - part 2 pps

Medical Management of Diabetes and Heart Disease - part 2 pps

... vasoconstrictors and less of vasodilators, particularly NO, circulating platelets may aggregate in these particular areas, releasing cytokines and growth factors, and may initiate the inflammatory ... morbidity and mortality associated with the metabolic syndrome Diabetes Care 2001; 24:683–689 Yamada N, Yoshinaga H, Sakurai N, Shimano H, Gotoda T, Ohashi Y, Yazaki Y, Kosaka K Increased risk factors ... visualization of internal adipose tissue compartments and have been tested and validated in human subjects for assessment of intra-abdominal fat stores (82) The quantity of intra-abdominal fat, as...

Ngày tải lên: 14/08/2014, 07:20

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Medical Management of Diabetes and Heart Disease - part 3 ppt

Medical Management of Diabetes and Heart Disease - part 3 ppt

... hypertriglyceridemia, and hypertension Arch Intern Med 1989; 149:1514–1520 Yamashita S, Nakamura T, Shimomura I, Nishida M, Yoshida S, Kotani K, Kameda-Takemuara K, Tokunaga K, Matsuzawa Y Insulin resistance and ... calcium and decreased levels of intracellular magnesium facilitate platelet aggregation Both hypertensive and diabetic patients have increased platelet intracellular calcium and decreased platelet ... between antihypertensive agents regarding cardiovascular morbidity and mortality, the diabetic patients in the captopril group had significantly less total mortality, fatal and nonfatal myocardial...

Ngày tải lên: 14/08/2014, 07:20

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Medical Management of Diabetes and Heart Disease - part 4 docx

Medical Management of Diabetes and Heart Disease - part 4 docx

... ingestion and can last as long as h; patients turn red and feel hot Niacin can cause gastric irritation and exacerbate peptic ulcer disease Its use has also been associated with hyperuricemia and gout ... past 12 years with the availability of potent, safe HMG-CoA reductase inhibitors, Hyperlipidemia, Diabetes, and the Heart 99 also known as statins Lovastatin, pravastatin, fluvastatin, simvastatin, ... potential importance, niacin causes an elevation of hepatic transaminases in about 5% of patients Rarely, niacin can also cause a clinically significant hepatitis Of particular relevance to patients...

Ngày tải lên: 14/08/2014, 07:20

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Medical Management of Diabetes and Heart Disease - part 5 pot

Medical Management of Diabetes and Heart Disease - part 5 pot

... well established that various racial-ethnic groups are at increased risk of developing type diabetes, including African Americans, Hispanic Americans, Native Americans, Asian Americans, and Pacific ... insulin, plasma FFA concentrations are only marginally increased as long as hyperinsulinemia is maintained On the other hand, the fact that there is a less dramatic increase in plasma FFA concentration ... in cardiovascular events and death rates than patients without diabetes Detailed approaches to treatment of diabetes and reduction in cardiovascular risk are presented in subsequent chapters and...

Ngày tải lên: 14/08/2014, 07:20

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Medical Management of Diabetes and Heart Disease - part 6 pdf

Medical Management of Diabetes and Heart Disease - part 6 pdf

... on the clinical and experimental animal data available thus far, it is reasonable to state that ultrasound tissue characterization that evaluates the myocardial tissue itself can be a useful tool ... common and significant cardiac rhythm abnormalities associated with OSA are severe bradycardia and ventricular asystole greater than 10 s (60) The physiological abnormalities associated with OSA, ... lethal arrhythmia and sudden cardiac death In asymptomatic diabetic patients, the presence of cardiac autonomic dysfunction appears to be a better predictor of major cardiac events than myocardial...

Ngày tải lên: 14/08/2014, 07:20

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Medical Management of Diabetes and Heart Disease - part 7 pps

Medical Management of Diabetes and Heart Disease - part 7 pps

... risk factor for accelerated atherosclerosis, is associated with a markedly increased prevalence of coronary artery disease (CAD), myocardial infarction (MI), and cardiac death, and is rapidly ... repeat revascularization, and long-term mortality Recent advances in technique and adjunctive therapy for PCI have not clarified the optimal therapeutic approach in managing diabetic patients Accordingly, ... sustaining a clinical event and have important prognostic implications Endothelial dysfunction, platelet and coagulation abnormalities, and metabolic disorders associated with DM play a major role in accelerating...

Ngày tải lên: 14/08/2014, 07:20

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Medical Management of Diabetes and Heart Disease - part 9 docx

Medical Management of Diabetes and Heart Disease - part 9 docx

... American Diabetes Association implemented a process to accredit programs that meet the National Standards With the increase in knowledge about diabetes care and education, the National Standards ... portion size or amount of carbohydrate eaten at a meal This Nonpharmacological Risk Reduction 261 translates into a meal plan that is more versatile and adaptable to an individual’s usual habits Under ... goals, usual habits, culture, and other medications Based on an assessment of a patient’s laboratory values, usual eating habits, cultural preferences, and weight goals, a meal plan can be created...

Ngày tải lên: 14/08/2014, 07:20

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Medical Management of Diabetes and Heart Disease - part 10 potx

Medical Management of Diabetes and Heart Disease - part 10 potx

... intramyocardial edema, alterations in the nature and deposition of collagen, and accumulation of advanced glycation products Patients with diabetes who sustain acute myocardial infarction exhibit greater ... PAI-1 The causes are attributable to both hormonal and metabolic abnormalities characteristic of diabetes Accordingly, optimal treatment of diabetes that achieves metabolic control and normalizes ... Postprandial lipemia, 123 Postprandial lipids, metabolism, abnormalities, 89 PP1, 42 PPAR, PRA, 68 Pravastatin, 99, 181 Prediabetic phase, 38 Prediabetic states, CAD, 173 Procoagulant activity,...

Ngày tải lên: 14/08/2014, 07:20

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Tài liệu Evidence-based Management of Acute Musculoskeletal Pain ppt

Tài liệu Evidence-based Management of Acute Musculoskeletal Pain ppt

... Australian Physiotherapy Association Australian and New Zealand College of Anaesthetists, Faculty of Pain Medicine Australian Physiotherapy Association Commonwealth Department of Health and Ageing ... Australia Australian Rheumatology Association Consumers’ Health Forum of Australia Australian and New Zealand College of Anaesthetists, Faculty of Pain Medicine Royal Australian College of General Practitioners ... of Health and Ageing, and approved by the following organisations: • • • • • • • • Australian and New Zealand College of Anaesthetists, Faculty of Pain Medicine Australian Osteopathic Association...

Ngày tải lên: 21/02/2014, 11:20

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WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses docx

WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses docx

... Classification and evaluation of pain It is important to classify and evaluate pain before deciding on pharmacological and non-pharmacological therapy Pain assessment Detailed medical history: ... with cancer Metastatic spinal cord compression may be a cause of acute back pain and metastatic brain tumour can cause severe headaches Mucositis after chemotherapy or radiotherapy is also a frequent ... weaknesses and limitations, cultural validation) Tool and acronym (original citation) Applicable age range and method Visual Analogue Scale (VAS) (43) Above years – selfreport by child Sensitive to change,...

Ngày tải lên: 07/03/2014, 04:20

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EUROPEAN GUIDELINES FOR THE MANAGEMENT OF CHRONIC NON-SPECIFIC LOW BACK PAIN pot

EUROPEAN GUIDELINES FOR THE MANAGEMENT OF CHRONIC NON-SPECIFIC LOW BACK PAIN pot

... 3: Patient assessment, and prognostic factors A) Patient assessment A1 ) Diagnostic triage A2 ) Case history A3 ) Physical examination: Lasegue test and spinal palpation and motion tests A4 ) Imaging ... regional and segmental motion, paraspinal tissue abnormalities, and tenderness on provocation The achievement of an accurate palpatory assessment depends to a large extent on the validity and reliability ... of classification have been adequately validated The simple and practical classification of low back pain into three categories (specific spinal pathology, nerve root pain/radicular pain, and...

Ngày tải lên: 08/03/2014, 14:20

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Low back pain - Early management of persistent non-specific low back pain pptx

Low back pain - Early management of persistent non-specific low back pain pptx

... normal range of motion) and massage (manual manipulation or mobilisation of soft tissues) Collectively these are all manual therapy Mobilisation and massage are performed by a wide variety of practitioners ... back pain The manual therapies reviewed were spinal manipulation, spinal mobilisation and massage (see section 1.4 for further details) Collectively these are all manual therapy Mobilisation and ... back pain of less than weeks’ duration What has been less clear is how low back pain should be managed in people whose pain and disability has lasted more than weeks Appropriate management has...

Ngày tải lên: 31/03/2014, 13:20

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A practical guide to the management of medical emergencies - part 1 ppt

A practical guide to the management of medical emergencies - part 1 ppt

... Cardiac arrhythmias: general approach, 18 Broad complex regular tachycardia, 21 Broad complex irregular tachycardia, 27 Narrow complex tachycardia, 33 Atrial fibrillation and flutter, 42 Bradycardia ... words, agitation and sweating The critically ill patient: assessment and stabilization T A B L E Assessment and stabilization of the airway The critically ill patient: assessment and stabilization ... pulmonary disease Narrow complex tachycardia Arrhythmia 38 C O MMO N P RESENTATI ONS T A B L E Intravenous therapy to terminate supraventricular tachycardia (AV nodal re-entrant tachycardia and AV...

Ngày tải lên: 10/08/2014, 18:21

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A practical guide to the management of medical emergencies - part 2 pot

A practical guide to the management of medical emergencies - part 2 pot

... Multiple-dose activated charcoal may be indicated Single-dose activated charcoal may be indicated Barbiturates Carbamazepine Dapsone Paraquat Quinine Theophylline Antihistamines Paracetamol Salicylates ... Effect Beta-1 inotropism and beta-2 vasodilatation Beta-1 inotropism Alfa-1 vasoconstriction Beta-1 inotropism and beta-2 vasodilatation Beta-1 inotropism and alfa-1 vasoconstriction Alfa-1 vasoconstriction ... patient has taken a cardiotoxic poison, has known cardiac disease or is aged >60 years Arrhythmias Due to toxin or metabolic complications Check arterial gases and pH, and plasma potassium, calcium...

Ngày tải lên: 10/08/2014, 18:21

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