Starting ARVs in the setting of Opportunistic Infections pptx

Starting ARVs in the setting of Opportunistic Infections pptx

Ngày tải lên : 01/04/2014, 12:20
... Lymphadenopathy (PML) Starting ARVs in the setting of an active Opportunistic Infection In other OIs, ARV therapy can exacerbate the condition with IRS In these infections ARV therapy should be delayed: ... right away and in which can you not? Starting ARVs in the setting of an active Opportunistic Infection Some OIs include ARVs as critical components of treatment In these OIs, ARV therapy should ... Cite the recommendation of the MOH of the use of NVP with a RIF containing TB therapy • Cite the best time and clinical conditions that a patient with a treated OI can be started on ARV therapy...
  • 40
  • 384
  • 0
Báo cáo khoa học: "Atypical presentation of angiosarcoma of the scalp in the setting of Human Immunodeficiency Virus (HIV)" pdf

Báo cáo khoa học: "Atypical presentation of angiosarcoma of the scalp in the setting of Human Immunodeficiency Virus (HIV)" pdf

Ngày tải lên : 09/08/2014, 04:21
... accompanying images A copy of the written consent is available for review by the Editor -in- Chief of this journal Competing interests The author declares that they have no competing interests ... or ulceration A delay in diagnosis is common in the early stages of disease due to confusion with infection, or traumatic bruises [7] These malignancies spread radially within the dermis of the ... heterogeneously enhancing soft tissue mass over the scalp in the occipital region with erosion of the underlying bone Extensive subcentimetre enhancing lymphadenopathy was noted in the anterior and...
  • 4
  • 242
  • 0
báo cáo khoa học: " Recurrent takotsubo cardiomyopathy in the setting of transient neurological symptoms: a case report" pptx

báo cáo khoa học: " Recurrent takotsubo cardiomyopathy in the setting of transient neurological symptoms: a case report" pptx

Ngày tải lên : 10/08/2014, 23:20
... congenital brain abnormalities in children In the setting of intracranial injury or dysfunction, such as the catecholamine toxicity described in our patient, a surge in sympathetic release will cause ... contraction of the LV basal segments with a relative stunning, or ballooning, of the LV apical portion due to saturation of the adrenoreceptors in that distribution [2] Therefore, there appears ... presented without evidence of existing physical or emotional distress At her first presentation, she arrived at the emergency department with the onset of aphasia in the setting of hypertensive emergency...
  • 4
  • 357
  • 0
Báo cáo khoa học: "Diagnosis of left ventricular diastolic dysfunction in the setting of acute changes in loading conditions" pdf

Báo cáo khoa học: "Diagnosis of left ventricular diastolic dysfunction in the setting of acute changes in loading conditions" pdf

Ngày tải lên : 13/08/2014, 03:20
... aligned in the direction of the inflow jet Propagation velocity of LV inflow at early diastole (Vp) was measured as the slope of the first aliasing velocity during early filling, from the mitral ... thank the nurse team of the Intensive Care Unit and of the Nephrology Department of the Teaching Hospital of Limoges for their invaluable help in this study We are thankful to Bent Marin for ... [14,17] In light of these findings, the conclusions of clinical studies using conventional pulsed wave Doppler parameters to identify transient LV diastolic dysfunction in acute settings (for instance,...
  • 9
  • 255
  • 0
Báo cáo y học: "Commonly applied positive end-expiratory pressures do not prevent functional residual capacity decline in the setting of intra-abdominal hypertension: a pig model" pot

Báo cáo y học: "Commonly applied positive end-expiratory pressures do not prevent functional residual capacity decline in the setting of intra-abdominal hypertension: a pig model" pot

Ngày tải lên : 13/08/2014, 21:20
... sufficient recruitment in all PEEP and IAP settings, especially at 26 mmHg of IAP This might explain the absent effect of PEEP in reversing IAP induced FRC decline in the setting of grade IV IAH, respectively ... useful in titrating the level of PEEP in the setting of acute respiratory distress syndrome [38] In the setting of IAH, trans-pulmonary pressures have been recommended not only to help titrate the ... did not increase PaO2 values in IAH The minimal PaO2 decrease as compared to the relatively larger FRC decrease in the setting of raised IAP can be explained by the FRC not dropping below the Regli...
  • 11
  • 406
  • 0
Tài liệu Priority Setting for Reproductive Health at the District Level in the context of Health Sector Reforms in Ghana doc

Tài liệu Priority Setting for Reproductive Health at the District Level in the context of Health Sector Reforms in Ghana doc

Ngày tải lên : 13/02/2014, 10:20
... also committed to maintaining the integrity of the health SWAp at least in the medium term The implications of the changing financing context on the health sector and RH in particular as seen ... expressed in the POW and aide mémoire that come out of the summit Even though it is the intention of the MOH to involve all stakeholders in the summit and thus in setting of priorities, in reality ... number of existing NGOs in the districts were delivering services in RH In Ho district, of the 20 NGOs were delivering RH services and of the NGOs and 15 CBOs in the AES district were doing the...
  • 42
  • 1.4K
  • 0
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

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

Ngày tải lên : 09/08/2014, 01:21
... 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 ... 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 ... 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...
  • 9
  • 748
  • 0
Báo cáo khoa học: "Successful enteral nutrition in the treatment of esophagojejunal fistula after total gastrectomy in gastric cancer patients" pps

Báo cáo khoa học: "Successful enteral nutrition in the treatment of esophagojejunal fistula after total gastrectomy in gastric cancer patients" pps

Ngày tải lên : 09/08/2014, 03:22
... http://www.wjso.com/content/8/1/71 Figure The feeding tube in the wrong location into the fistula duct absolute restriction of oral route and the administration of antibiotics From the point of view of the nutritional ... the adequate place, in the intestinal lumen, distal to the zone of escape (Figure 4) This emphasizes the importance of experience in the handling of this alternative therapy In this case, a radiographic ... that the tube was in the intestinal lumen, by injecting hydro soluble contrast substance to visualize the jejunal mucosa Figure The leak area, fistula duct and the distal portion of the feeding...
  • 4
  • 241
  • 0
Báo cáo khoa học: "Pancreatic insulinoma co-existing with gastric GIST in the absence of neurofibromatosis-1" pot

Báo cáo khoa học: "Pancreatic insulinoma co-existing with gastric GIST in the absence of neurofibromatosis-1" pot

Ngày tải lên : 09/08/2014, 04:21
... an insulinoma in the absence of NF-1 The GIST tumour was only incidentally discovered by the operating surgeon during enucleation of the insulinoma in our case The literature contains only published ... excision of the gastric lesion with minimal dissection as was done The other unique message in our case is the observed rapid recurrence of the GIST following the resection of the primary gastric ... inspection, and the opinion of Figure CT abdomen showing cystic recurrent GIST located in the region of the pancreatic tail CT abdomen showing cystic recurrent GIST located in the region of the...
  • 5
  • 457
  • 0
Báo cáo y học: "Angiogenic and angiostatic factors in systemic sclerosis: increased levels of vascular endothelial growth factor are a feature of the earliest disease stages and are associated with the absence of fingertip ulcers" doc

Báo cáo y học: "Angiogenic and angiostatic factors in systemic sclerosis: increased levels of vascular endothelial growth factor are a feature of the earliest disease stages and are associated with the absence of fingertip ulcers" doc

Ngày tải lên : 09/08/2014, 06:22
... Hypoxia increases the synthesis of VEGF in a variety of cell types via an accumulation of the transcription factor hypoxia inducible factor [31] In addition, a variety of cytokines (e.g interleukin-1, ... further increase of VEGF might be a therapeutic option for SSc patients with fingertip ulcers In fact, encouraging animal studies led to clinical trials using recombinant VEGF or gene therapy in ... According to the hypothesis that the angiogenic effects of VEGF are inhibited by a concomitant increase of angiostatic factors, another strategy for the treatment of ischemic symptoms in SSc is the...
  • 10
  • 432
  • 0
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

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

Ngày tải lên : 11/08/2014, 12:20
... 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 ... 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...
  • 6
  • 438
  • 0
Báo cáo khoa học: "A Key advances in critical care in the out-of-hospital setting: the evolving role of laypersons and technology" docx

Báo cáo khoa học: "A Key advances in critical care in the out-of-hospital setting: the evolving role of laypersons and technology" docx

Ngày tải lên : 12/08/2014, 23:21
... dramatic, in terms of both life-saving and ICU resources In summary, the use of AEDs by the average person may be considered one of the greatest advances in critical care medicine during the past ... research efforts [8] In addition to evaluating the concept of markedly abbreviating the time taken to provide effective training for the masses [13], recent investigations using sophisticated (but ... ventilation, therapeutic hypothermia, and various intravenous pharmacological infusions [10,11] Therefore, with the rapid use of AEDs by random bystanders, the usual scenario of aggressive ICU care, invasive...
  • 3
  • 280
  • 0
CHARACTERISATION OF    GLUTAMYL TRANSPEPTIDASE AND ELUCIDATING ITS ROLES IN THE PATHOGENESIS OF HELICOBACTER PYLORI

CHARACTERISATION OF GLUTAMYL TRANSPEPTIDASE AND ELUCIDATING ITS ROLES IN THE PATHOGENESIS OF HELICOBACTER PYLORI

Ngày tải lên : 09/09/2015, 17:58
... ability to maintain long-term colonization in the gastric mucosa of the mice compared to the wild type strain, indicating the importance of catalase in the chronic persistence of H pylori (Harris ... expressing the recombinant proteins in E coli  Raising and characterizing specific polyclonal and monoclonal antibodies against GGT  Determining the subcellular localization of GGT in H pylori  Investigating ... role in the immunopathogenesis of H pylori infection (Yamaoka et al., 1996) A major source of IL-8 in the gastric mucosa is the epithelium (O'Hara et al., 2006) and whole genome profiling of H pylori- infected...
  • 281
  • 306
  • 0
The Duality of Memory and Communication in the Implementation of a Multiprocessor Operating System

The Duality of Memory and Communication in the Implementation of a Multiprocessor Operating System

Ngày tải lên : 12/09/2012, 15:05
... Finally, the kernel informs the hardware physical map module of the new virtual to physical mapping With the exception of the hardware validation, all of these steps are implemented in a machine-independent ... efficiently support the large body of UNIX software used within the academic community [16] In addition, from the point of view of a system designer, the Accent style of message/memory integration lacked ... once, possibly in different tasks The memory region specified by address in the vm_allocate_with_pager call will be mapped to the specified offset in the memory object The offset into the memory...
  • 23
  • 1.3K
  • 1
Báo cáo y học: "Special considerations in the treatment of patients with bipolar disorder and medical co-morbidities"

Báo cáo y học: "Special considerations in the treatment of patients with bipolar disorder and medical co-morbidities"

Ngày tải lên : 25/10/2012, 10:51
... 2004, of portacaval shunting, thereby decreasing first pass metabolism; decrease in quantities and affinity of plasma proteins, thereby increasing free-drug levels; increase in volume of distribution ... hrs following the post-dialysis dose There is a case report in which lithium levels were maintained in the therapeutic range by intraperitoneal administration of lithium during continuous peritoneal ... syndrome), including carbamazepine, phenytoin, phenobarbital, and lamotrigine The triad of hypersensitivity includes fever, rash and internal organ involvement with onset of symptoms within to weeks of...
  • 10
  • 709
  • 0
Báo cáo y học: " the Value of Serum Biomarkers (Bc1, Bc2, Bc3) in the Diagnosis of Early Breast Cancer"

Báo cáo y học: " the Value of Serum Biomarkers (Bc1, Bc2, Bc3) in the Diagnosis of Early Breast Cancer"

Ngày tải lên : 25/10/2012, 11:15
... surrounding cytoplasmic membrane in at least 10% of invasive carcinoma cells or presence of membranous staining in less than 30% provided that the staining is intense (++) Score 3: Presence of intense ... were included in the study Blood sampling was performed after surgery in the patients who were underwent surgical intervention (in group1 and 2) The serum samples in group were obtained after the ... groups The relevance of this finding is that it was the result of the first subgroup analysis for these biomarkers Bc1 should therefore be studied in terms of tumoral development and inflammatory...
  • 8
  • 584
  • 0
Báo cáo y học: "Technical Considerations in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury"

Báo cáo y học: "Technical Considerations in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury"

Ngày tải lên : 25/10/2012, 11:40
... the angles of the dural opening The most significant step involves constructing small supporting pillars on the bilateral sides of the vessels as they pass the edge of the dural window (the pillars ... and in most reports the involved patient populations are small, these experiences are valuable At present, in the absence of definite proof of the efficacy of decompressive craniectomy in the ... Following removal of part of the skull, they performed dural incisions in a stellate fashion In this step, it is important that entrance points of major vessels are close to the midpoint between the...
  • 6
  • 627
  • 0
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"

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"

Ngày tải lên : 26/10/2012, 09:39
... 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 ... 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 ... admission, the patient had sustained fall in the bathroom resulting in a left ankle fracture with vomiting and diarrhea for seven days The patient was treated with metformin and augmentin Upon examination,...
  • 7
  • 813
  • 0
Báo cáo y học: "Godoy & Godoy technique in the treatment of lymphedema for under-privileged populations."

Báo cáo y học: "Godoy & Godoy technique in the treatment of lymphedema for under-privileged populations."

Ngày tải lên : 26/10/2012, 09:39
... variations in working pressures of the main groups of muscles of the limbs whilst using compression mechanisms during exercising This is a new line of research that aims at developing facilitating devices ... technique aims at draining lymph (already in the collectors) and stimulating the formation of lymph (the flow of interstice fluid to the lymphatic capillaries) Increases in interstice pressures, ... which can be used in the control of exercising Eight devices have been developed that involve the main muscle groups with the objective of improving the mobility of joints and reducing trophic muscle...
  • 4
  • 646
  • 0
Báo cáo y học: " Safety and efficacy of undenatured type II collagen in the treatment of osteoarthritis of the knee: a clinical trial"

Báo cáo y học: " Safety and efficacy of undenatured type II collagen in the treatment of osteoarthritis of the knee: a clinical trial"

Ngày tải lên : 26/10/2012, 09:48
... withdrawn from the study (without penalty) if, in the opinion of the treating physician, it was not in the patient’s best interest to continue For instance, if during the course of the study a patient ... including glucosamine and chondroitin, one month prior to study and during the study, other than multivitamin and mineral supplements containing vitamins and minerals as the sole medicinal ingredients ... unwilling to stop taking pain medication other than the study medication (for arthritis or other types of pain) or is unwilling to stop taking other medications for the treatment of OA Any other...
  • 10
  • 706
  • 0

Xem thêm