Management of spasticity in children
... These type of blocks produce muscular relaxation in the target area, providing a ‘window of opportunity’ for a focused programme of splinting, casting, gait training and strengthening of antagonist ... Brouwer et al., 2000) In a randomized clinical trial, Corry and colleagues compared serial casting with injection of botulinum toxin in the management of dynamic equinus in children with cerebral ... tone increases postoperatively because of the combination of incisional pain and postoperative hip abduction in plasters or splints The incisional pain is managed by a various combination of analgesics...
Ngày tải lên: 01/11/2013, 10:20
... or adding an NSAID or COX-2 inhibitor (with a PPI) if pain relief is ineffective or insufficient NICE clinical guideline 59 – Osteoarthritis 13 1.4.4 Intra-articular injections 1.4.4.1 Intra-articular ... of this guideline 5.1 Full guideline The full guideline, ‘Osteoarthritis: national clinical guideline for the care and management of osteoarthritis in adults’ contains details of the methods ... pertains to a particular joint Many trials have looked at single joint involvement when in reality many patients have multiple joint involvement, which may well alter the reported efficacy of a...
Ngày tải lên: 21/02/2014, 11:20
... Monitoring shifting coalitions By carefully examining each of these steps in detail, we obtain a much better understanding Allan Manning Strategic Management of Crises in Small and Medium Businesses ... claim within terms of insurance policy) Business Continuity Planners &Consultants Insurance Industry Researchers 3 Allan Manning Management tool for the strategic management of a crisis Gains experience ... reduction in the number of business failures following a major loss Continuing improvement on model for strategic management of crises Strategic Management of Crises in Small and Medium Businesses...
Ngày tải lên: 05/03/2014, 20:20
Guidance for National Tuberculosis Programmes on the management of tuberculosis in children pptx
... to diagnose TB in children Careful history (including history of TB contact and symptoms consistent with TB) Clinical examination (including growth assessment) Tuberculin skin testing (TST) Bacteriological ... need to be incorporated into existing guidelines and strategies that have been developed by NTPs Reducing the burden of TB in children will require changing and improving many existing practices, ... prevalence of HIV infection in the general population where TB and HIV infection are likely to co-exist, HIV counselling and testing is indicated for all TB patients as part of their routine management...
Ngày tải lên: 15/03/2014, 03:20
Depression - The treatment and management of depression in adults potx
... NICE clinical guideline 90 Depression: the treatment and management of depression in adults (partial update of NICE clinical guideline 23) Ordering information You can download the following documents ... you often been bothered by feeling down, depressed or hopeless? − During the last month, have you often been bothered by having little interest or pleasure in doing things? NICE clinical guideline ... of suicide, self-harm or self-neglect 1.10.2.2 The full range of high-intensity psychological interventions should normally be offered in inpatient settings However, consider increasing the intensity...
Ngày tải lên: 17/03/2014, 15:20
The Maternal Management of Children, in Health and Disease ppt
... 63 IV Sleep - 66 During Infancy - 66 During Childhood - 69 V Bathing and Cleanliness - 72 During Infancy - 72 During Childhood - 75 VI Clothing - 78 During Infancy - 78 During Childhood - 81 VII ... which of itself frequently puts a stop to the secretion of the milk, instead of increasing it The right plan of proceeding is plain enough; only let attention be paid to the ordinary laws of health, ... runs into a serious error in this particular, considering every expression of uneasiness as an indication of appetite, and whenever the infant cries offering it the breast, although ten minutes...
Ngày tải lên: 23/03/2014, 02:20
Update on the management of constipation in the elderly: new treatment options doc
... efforts of bearing down increases the intra-abdominal pressure, facilitating the development of a stripping wave, resulting in stool evacuation Common causes of constipation in the elderly In the ... groups Clinical Interventions in Aging 2010:5 Dovepress Linaclotide also proved effective in improving secondary endpoints, such as stool consistency, straining, abdominal discomfort, bloating, global ... pattern of defecation by ritualizing a bowel habit that takes advantage of this normal physiologic stimulus.8 Using the same principle, timed toiled training Clinical Interventions in Aging 2010:5...
Ngày tải lên: 28/03/2014, 20:20
scenario logic and probabilistic management of risk in business and engineering
... RISK MANAGEMENT IN OPERATION ON BASIS OF MONITORING 95 5.1 Destruction, wearing and deterioration of equipments in operation 95 5.2 Monitoring in engineering 96 5.3 Monitoring of infrastructure of ... of safety and risk in economics and engineering For many years the author worked in industry in the field of designing and testing of complex engineering systems Now he works in an academic institute, ... objective function of training of the risk LP-model number of stages of optimization during training of the risk LP-model number of attempt of optimization on one stage relation of numbers of non-correct...
Ngày tải lên: 03/06/2014, 02:00
Báo cáo nghiên cứu nông nghiệp " Increasing the capacity of the Food Crops Research Institute to enhance the Production and Management of Potatoes in the Red River Delta " pot
... and ware marketing A comprehensive survey was conducted providing an insight into the margins made in the sale of ware potatoes to Ho Chi Minh and the reasoning behind choice of seed It had been ... problems experienced in postharvest handling of seed and ware potatoes on the Red River Delta Identify the training Development of needs of FCRI staff training plan and personnel in coOutputs to reduce ... transport in the form of a moped There has been a delay in the input of Terry Hill who was due to visit Vietnam in early 2003 Mr Hill’s input was initially delayed as a result of work commitments in...
Ngày tải lên: 22/06/2014, 13:20
Báo cáo khoa học: "Management of Calving in Norwegian CubicleHoused Dairy Herds" potx
... cows gave birth indoors Of these, 78% (786) calved in the cubicle-equipped section in the presence of the other cows, while 13% took place in a separate calving pen The remaining calvings took place ... common Discussion Using the farmers as observers instead of specially trained individuals enabled us to study many herds and obtain a large amount of data on individual calvings In order to achieve ... locations within the section were the alley (76%), or a cubicle (21%) In 1% of the cases, the calf was found in the pit of the milking parlour, while the remaining 2% were located elsewhere Of the calves...
Ngày tải lên: 12/08/2014, 15:20
initial management of glycemia in type 2 dm
... injections The duration of the glucose-lowering effect of the intermediate-acting insulins (isophane insulin and extended insulin zinc) and very-long-acting insulin (insulin glargine) is indicated by shaded ... that of the rapid-acting insulin (prompt insulin zinc) and very-rapid-acting insulin (insulin lispro and aspart) is indicated by the black lines Combinations of intermediate-acting and rapid-acting ... specific pattern of insulin administration Once-daily injections of intermediate-acting or longacting insulins at bedtime19,44 or before breakfast,45 daily or twice-daily combinations of intermediate-...
Ngày tải lên: 12/08/2014, 20:59
Báo cáo khoa học: "A validated clinical approach for the management of aspergillosis in critically ill patients: ready, steady, go" pdf
... Study Group: Efficacy and safety of caspofungin for treatment of invasive aspergillosis in patients refractory to or intolerant of conventional antifungal therapy Clin Infect Dis 2004, 39: 1563-1571 ... histology was available only in a small proportion of patients (one-fourth of patients with presumed diagnosis of infection and one-tenth of the patients with the diagnosis of colonization) At first ... Denning DW, Donnelly JP, Edwards JE, Erjavec Z, et al.: Defining opportunistic invasive fungal infections in immunocompromised patients with cancer and hematopoietic stem cell transplant: an international...
Ngày tải lên: 12/08/2014, 23:22
Báo cáo y học: "Clinical expert guidelines for the management of cough in lung cancer: report of a UK task group on cough" potx
... Neltenexine-2 trials Sinecod linctus (butamirate) with a similar effect to that of small dose of Codeine-1 trial Overview of findings Asthma (cough often secondary from systematic outcome) review in ... feeling comfortable having these guidelines applied in their hospital (= 4) The likelihood of using these guidelines in the reviewers’ own practice was explored with a singleitem scale ranging ... guidelines An assessment of the appropriateness, usability and clarity of the guidelines was carried out by international experts (N = 15), including consultants in palliative medicine, in medical oncology...
Ngày tải lên: 13/08/2014, 10:20
SOURCES AND MANAGEMENT OF CONFLICT IN BLENDED ORGANIZATIONS
... percent of the largest businesses surveyed had increased the number of nonstandard workers on staff since 1996 (American Management Association, 2000) This goes against the findings of Abraham ... a corresponding increase in the demands of their services (especially business services, engineering management, information technology and knowledge-based services) by U.S firms since the 1970s ... 2007 in three distinct divisions housed in their headquarters in New York City At the time of the research, the company was undergoing a significant number of layoffs and the closure of several of...
Ngày tải lên: 24/08/2014, 10:41
The financial management of SMEs in hanoi
... on the balance sheet of the safety of financing business Monographs "which results in the use of small business The specific areas of financial management including working and medium enterprises" ... assessed through indicators of corporate finance The financial indicators are often considered when evaluating the results of the financial management of the business, including [9]: • Group ... ability of the business Because profit is the end result of the business of business, profit is the main goal of the existence of the business, is 2.4.2 The operating ratio - rating business capacity...
Ngày tải lên: 13/11/2014, 21:12
Strategies s1 management of hyperglycemia in the critical care setting 070915
... requiring ≥2 units/hour of insulin Umpierrez G, et al J Clin Endocrinol Metab 2012;97:16-38 17 Transition From IV Insulin to SC Insulin • IV insulin should be transitioned to SC basal bolus insulin ... 2006;12:458-468 37 Factors Increasing Risk of Hypoglycemia in an Inpatient Setting • Lack of coordination between dietary and nursing leads to mistiming of insulin dosage with respect to food • Inadequate glucose ... on Inpatient Diabetes Endocr Pract 2006;12:458-468 38 Factors Increasing Risk of Medication Errors With Insulin • Use of “sliding scale” insulin in the absence of regularly scheduled insulin...
Ngày tải lên: 23/07/2015, 21:12
THE NICE GUIDELINE ON THE TREATMENT AND MANAGEMENT OF DEPRESSION IN ADULTS
... synaptic reuptake of monoamines, including noradrenaline (NA), 5hydroxytryptymine (5HT) and dopamine (DA) In fact, the TCAs predominantly affect the reuptake of NA and 5HT rather than DA (Mindham, 1982) ... issues and terminology relevant to the guideline, and bringing service-user research to the attention of the GDG In drafting the guideline, they contributed to writing the guideline’s introduction ... does not take into account different degrees of improvement or stages of illness (whether occurring in an ongoing episode or relapse in spite of ongoing treatment) It takes no account of psychotherapeutic...
Ngày tải lên: 09/08/2015, 12:31
Guideline for the diagnosis and management of hypertension in adults
... adherence132 • reducing risk of clinical inertia Potential limitations include: • assessment of eficacy of individual drug • attribution of adverse effects to individual drug • single pill combination drugs ... only combination not recommended is that of more than one ACE inhibitor, ARBs and renin inhibitors Findings from the Ongoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial ... combinations of two or more of these agents was associated with increased incidence of adverse outcomes and no reduction in incidence of any important clinical outcomes A 2015 meta-analysis involving...
Ngày tải lên: 15/11/2016, 12:08
Báo cáo khoa học: Gene duplication and separation of functions in aB-crystallin from zebrafish (Danio rerio) pptx
... chaperone-like activity of a-crystallin is of great interest because protein aggregation is believed to play a prominent role in the etiology of lens cataracts, a leading cause of human blindness Temperature ... found in the two other fish proteins but shares two of the three serine phosphorylation sites present in bovine aB-crystallin, while zebrafish aB1 contains only one The arginine at position 120 in ... for investigating the functions of a-crystallins within and outside the vertebrate lens In particular, the division of mammalian aB-crystallin functions between two separate zebrafish proteins...
Ngày tải lên: 30/03/2014, 11:20