practical approaches to the management of superficial bladder cancer

... 9600 Garsington Road, Oxford OX4 2DQ, UK Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia The right of the Authors to be identified as the Authors of this ... have substantially broadened the scope of the book to cover all problems in general medicine likely to be encountered in the emergency department Integration of the use of echocardiography, which ... indebted to the following colleagues for expert criticism of sections of the manuscript: Professor John Rees, Professor Tom Treasure, Nicholas Hart, John Klein, Boris Lams, Paul Holmes, Tony Rudd,...

Ngày tải lên: 10/08/2014, 18:21

... • Transfer the patient to HDU Put in a bladder catheter to monitor urine output, arterial line to monitor pH, and, in patients over 60 or with cardiac disease, a central venous catheter so that ... hyperacute peaking of the T wave, which is often overlooked Further reading European Society of Cardiology Task Force on the Management of Chest Pain (2002) European Society of Cardiology website ... pupils are pinpoint or there is other reason to suspect opioid poisoning: • Give 0.4–2 mg IV every 2–3 min, to a maximum of 10 mg, until the respiratory rate is around 15/min • If there is a response,...

Ngày tải lên: 10/08/2014, 18:21

... (http://www.acc.org/qualityandscience/clinical/topic/topic.htm) Butchart EC et al Recommendation for the management of patients after heart valve surgery Eur Heart J 2005; 26: 2463–71 European Society of Cardiology Guidelines on the management ... if there are signs of a high LV end-diastolic pressure since these patients can deteriorate rapidly Critical aortic regurgitation can lead to vasoconstriction with normalization of the diastolic ... • Start the infusion at 15 ml/h and increase it every 15 as necessary • Put in a bladder catheter to monitor urine output • In aortic dissection, aim to reduce systolic blood pressure to

Ngày tải lên: 10/08/2014, 18:21

... verbal response • To assess the motor response, ask the patient to move the limb If there is no response, apply firm pressure to the nailbed Test and record for each of the limbs Test for a localizing ... complete drainage of the effusion, as the presence of pleural fluid enhances the diagnostic accuracy of the scan Further reading Heffner JE, et al A meta-analysis derivation of continuous likelihood ... With the patient semirecumbent, insert the needle into the pleural space Withdraw air and expel it via the three-way tap Obtain a chest X-ray to confirm resolution of the pneumothorax Further...

Ngày tải lên: 10/08/2014, 18:21

... (usually occurs in the left posterolateral wall of the lower third of the esophagus, with leak into the left pleural cavity) • Blunt trauma to the chest • Instrumentation of the esophagus (risk ... The attack • Were there any focal neurological features at the onset: sustained deviation of the head or eyes or unilateral jerking of the limbs? • Was there a cry (may occur in tonic phase of ... thrusting and side to side movements of the head, often intensified by restraint • Gaze aversion, resistance to passive limb movement or eye opening, prevention of the hand falling on to the face • Incontinence,...

Ngày tải lên: 10/08/2014, 18:21

... insulin after treatment of diabetic ketoacidosis Estimate the daily insulin requirement from double the total dose given by infusion over the last 12 h Give one-third of the total daily dose as intermediate-acting ... possible? What are the results of recent blood, urine and other cultures? • Is there a past history of renal or urinary tract disease? Are there previous biochemistry results to establish when ... renal failure followed cardiac catheterization via the femoral artery (raising the possibility of renal atheroembolism)? • Has the patient been exposed to any nephrotoxic drugs (including contrast...

Ngày tải lên: 10/08/2014, 18:21

... because of rheumatoid arthritis, the presence of a prosthetic joint or immunocompromise • Risk of gonococcal arthritis? • Other illness? • Current medication 476 S P E C IFIC PROBLEMS: DERMATOLOGY/RHEUMATOLOGY ... pancytopenia See Table 77.4 Hemolytic anemia is usually normocytic but can be macrocytic if there is marked reticulocytosis MCV usually > 110 fl Other cytopenias Leukocytosis Monocytosis Thrombocytosis ... Inhibitor of factor VII Continued Bleeding disorders and thrombocytopenia Element 506 S P E C IFIC PROBLEMS: HEMATOLOGY/ONCOLOGY Test result APTT Cause Normal Prolonged Heparin therapy Inhibitor of...

Ngày tải lên: 10/08/2014, 18:21

... Two-thirds of cases due to cancer: lung cancer (72%); lymphoma (12%); other cancers (16%) One-third of cases due to non-malignant causes, most often thrombosis associated with intravenous catheter ... Hypothermia is most often seen in the elderly (usually as a consequence of acute illness) and in those living rough (due to the combination of alcohol and cold exposure) T A B L E 88 Management of ... until the core temperature is >32°C Cause of hypothermia Hypothermia in the elderly is often the consequence of acute illness (e.g pneumonia, stroke, myocardial infarction, fractured neck of femur)...

Ngày tải lên: 10/08/2014, 18:21

... algorithm to the context vectors, we should obtain the two expected clusters Each of the two clusters corresponds to one of the senses of palm, and the words closest to the geometric centers of the ... clustering of global co-occurrence vectors To see this, let us bring our attention to the various species of animals that are among the top 30 associations to poach Some of them seem more often affected ... include the following: Some of the top 30 associations are more or less neutral towards the senses, so even for us it was not always possible to clearly assign them to one of the two senses In other...

Ngày tải lên: 20/02/2014, 16:20

... from the centroid of its closest cluster, and to assign the differential vector to the most appropriate other cluster This process can be repeated until the length of the differential vector falls ... occurrence of a word obtains a separate row vector in table The problem with the resulting extremely sparse matrix is that most vectors are either orthogonal to each other or duplicates of some other ... results of the vector comparisons Fortunately, the problem of data sparseness can be minimized by reducing the dimensionality of the matrix An appropriate algebraic method that has the capability to...

Ngày tải lên: 08/03/2014, 04:22

... leading to a hole diameter of 0.0194 Section (=0.025 - x 0.0028) The conduction area therefore is the area of the via minus the area of the hole This leads to a value of 1.95xlO-4 in2 There are ... similar to the first approach, however, to use the spread angle to estimate the effective length of the bend in the bracket For a material with the thermal conductivity of 90 Btu/(hr ft °F), the ... regions; the right region and the left region (figure 3.9) The heat flow distance (L) of each region is taken to be in while the cross-sectional area is assumed to be the one half of the area of the...

Ngày tải lên: 03/06/2014, 01:25

Ngày tải lên: 12/06/2014, 11:33

... representing the position of the particle, were also taken to represent the position of the myosin head The position of the myosin head, determined by the above method, was compared between the two ... the necessary amount of Ca2+ to charge up the ER and sensitize the RyR [52] Another way of internal store reloading is achieved by the various isoforms of the transient receptor potential (TRP) ... constitute the first direct demonstration of the myosin head recovery stroke On the other hand, the return of myosin head to their initial position after exhaustion of applied ATP is not regarded to...

Ngày tải lên: 28/06/2014, 15:20

... further evidence of the potential beneficial effects of these type of compounds in the treatment of inflammatory diseases of the airways Anticholinergics In two poster presentations Dr A Anzueto ... extracellular proteolysis These effects also support the use of the compound in the treatment of COPD Kinase inhibitors A new addition to the PDE4 inhibitor field is Roflumilast, a potent and ... characterisation of a model of elastase-induced emphysema in the mouse This model may be of great use to the many groups now seeking to study and develop drugs for the treatment of COPD Dr DC Underwood...

Ngày tải lên: 12/08/2014, 18:20

... http://www.chiroandosteo.com/content/18/1/16 The purpose of this paper is to present a perspective on current management of the paediatric patient by members of the chiropractic profession and to make recommendations as to how the profession ... size of the child, and it should be clear that intervention is affecting change ahead of the natural resolution history of the disorder The clinician should demonstrate a clear understanding of the ... suspicious of anomalies elsewhere Recent upper respiratory tract virus Potential for inflammatory disruption to the atlanto-axial joint Symptoms and signs incongruous with palpatory findings History of...

Ngày tải lên: 13/08/2014, 14:20

... lectures on topics unrelated to this manuscript Dr Seeberger is the principal investigator of the ongoing investigator initiated study: The TEAM-project: multi-center trial on the effect of anesthetics ... miniaturized to the size of a cigarette package In third-generation rotary pumps the spinning rotor floats by means of either a magnetic field or hydrodynamic levitation, never touching the pump housing, thereby ... adequate perfusion of the peripheral organs, thereby facilitating survival in the ICU, increasingly the objective of modern ventricular assist device therapy is to obtain a level of functionality...

Ngày tải lên: 13/08/2014, 19:20

Ngày tải lên: 13/11/2014, 10:08

... Section 2.2.2 NATIONAL UNIVERSITY OF SINGAPORE SINGAPORE 1.5 Organization of the Thesis 24 1.5 Organization of the Thesis The following highlights the contents of each of the remaining chapters Chapter ... by (1.6) has to be reformulated to take into account: (i) the effect of w(t) and (ii) the interpretations of constraints (1.6d) and (1.6e) in the presence of w(t) For the control of system (1.10), ... priori in the parametrization, one method of designing this feedback gain is introduced to control the asymptotic behavior of the closed-loop system The underlying idea of the method is that the support...

Ngày tải lên: 11/09/2015, 14:29

... and the condition of the accuracy of the approximation is given 1.3 Objectives and Scope of the Thesis This thesis attempts to improve and characterize several issues of MPC control law: the ... chosen to provide a large XN via the use of a short N The size of X f depends on the choice of K Similarly, K affects the size of F∞ from (2.32) for a fixed W Hence, the choice of K is a trade-off ... be computed off-line, the on-line work at time t is simplified to the identification of the polytope CR j which x(t) belongs to and then the computation of c∗ (t) from (3.21) Note that the on-line...

Ngày tải lên: 11/09/2015, 14:29

... to RT-PCR to assess the sensitivity of the assay A) Amplification plots were generated by using seven serial dilutions of the RNA, ranging from 103 pg to fg per reaction as the template for the ... transmission of DWV and suggested that the lining of the digestive tract was likely the primary site of the DWV infection via food-borne transmission, with the virus spreading to secondary sites from the ... mechanism may exist to facilitate the viral replication These findings would stimulate further investigation to unveil the regulatory mechanisms that honey bees use to control the pattern of replication...

Ngày tải lên: 20/12/2015, 08:30