... display none of the expected cues They may deny their pain for fear of more painful treatment, for example, they may be fearful of injections Absence of these signs does not mean absence of pain and ... manifestations of pain Young children usually use the simple words that they learn from their parents to express pain (such as “ouch”) and may point to the part of their body in which they feel the pain The ... employed and the presentation of the material in this publication not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any...
Ngày tải lên: 07/03/2014, 04:20
... RSs to the incremental CoS, since the whole of the chicken is gradually affected (and no !tits subparts ; compare (2)) It seems rather that the progression of the cooking event depends on the internal ... scope of incrementality quantity of beer contained in the glass through A richer conception of result states for a proper treatment of event structure functions mapping the latter onto the former ... consisting of a primary RS and a secondary RS, the former being related to the development of the event (cf John has been drinking beer) and the latter to its culmination (i.e., to the state of affairs...
Ngày tải lên: 08/03/2014, 21:20
The Starvation Treatment of Diabetes pot
... been used there, as a very careful control of the proteid and carbohydrate intake is of the utmost importance if the treatment is to be successful In carrying out the Allen treatment the physician ... determination of the ratio between the total urinary nitrogen and the ammonia, the quantitation of the acetone, diacetic acid and oxy-butyric acid excreted, and the carbon dioxide tension of the alveolar ... day of 150 grams of vegetables, once a week, whether or no the urine contains sugar, is of value for the purpose of keeping well within the margin of safety and of reminding the patient that...
Ngày tải lên: 23/03/2014, 01:20
báo cáo hóa học: " Radioimmunotherapy consolidation and rituximab maintenance in the initial treatment of follicular lymphoma" potx
... dominant position in treatment of lymphoma both in combination with chemotherapy and as maintenance [9] We now raise the question whether both rituximab and RIT should be used together as complementary ... combined with chemotherapy, as initial treatment or in relapse [2,3,5] The 10-year progression-free survival as observed after 131 I-tositumomab either alone or combined with chemotherapy, upfront ... a triple therapy approach [15] We acknowledge that there is currently little published data demonstrating the efficacy of anti-CD20 RIT following rituximab-containing induction chemotherapy regimens...
Ngày tải lên: 21/06/2014, 02:20
NOVEL TREATMENT OF EPILEPSY pdf
... methods for the synthesis of lacosamide The synthesis of LCM is primarily based on the stepwise functionalization of L-serine, which starts in most of the cases with the protection of the free amine ... another way to approach this problem covering aspects of the treatment of epilepsy based on the most recent technological results “in vitro” from developed countries, and the basic treatment of ... excreted in the urine mainly in an unconjugated form One of the advantages of oxcarbazepine over carbamazepine is a clear reduction of the impact on the liver and prevention of the serious forms of anemia...
Ngày tải lên: 27/06/2014, 19:20
Báo cáo y học: " A comparison of olanzapine and risperidone on the risk of psychiatric hospitalization in the naturalistic treatment of patients with schizophrenia" ppsx
... through the end of the year The mean cumulative days of hospitalization at the end of each of the 12 months post initiation indicated that the average number of hospitalization days for the RIS-treated ... times that of the olanzapine treatment group By the end of the sixth month following initiation, the patients in the RIS -treatment group had a mean of 3.9 hospitalization days more than the OLZ ... initiation of the drug therapy are assigned to that therapy, even if therapy is discontinued [17] In contrast, the inclusion of patients who were continuously treated with the index drug during the...
Ngày tải lên: 08/08/2014, 20:23
Báo cáo khoa học: " Intensity Modulated Radiotherapy (IMRT) in the postoperative treatment of an adenocarcinoma of the endometrium complicated by a pelvic kidney" pot
... kidney was kept under tolerable limits The patient was informed of the risks and benefits of proceeding with the treatment The prescribed dose to cover 95% of the target volume (whole pelvic drainage ... platelet rise to 90,000/mm3 and the treatment was resumed The renal function panel was unaltered during the whole RT course When last seen – 18 months after the end of RT – the patient was free from ... cases the primary tumor being treated was a uterine cervix carcinoma [2,6-8] In of them, the kidney was transplanted outside the pelvis, away from the RT target volume [2,7,8] However, there...
Ngày tải lên: 09/08/2014, 10:21
Báo cáo khoa học: " Comparing two strategies of dynamic intensity modulated radiation therapy (dIMRT) with 3-dimensional conformal radiation therapy (3DCRT) in the hypofractionated treatment of high-risk prostate cancer" doc
... Specifically, the entire outer wall of the bladder is contoured, the rectum is contoured from the anus (at the level of the ischial tuberostities) for a length of 15 cm or to where the rectosigmoid ... distal to bifurcation of the common iliac), and external iliac vessels (to the top of the superior pubic symphysis) were outlined from L5-S1 to the top of the symphysis pubis The conformal pelvic ... paradigm) in the setting of hypofractionated treatment of high-risk prostate cancer Helical tomotherapy will be used as the dynamic intensity modulated radiation therapy solution for both treatment...
Ngày tải lên: 09/08/2014, 10:21
Báo cáo y học: "Fosamprenavir or atazanavir once daily boosted with ritonavir 100 mg, plus tenofovir/emtricitabine, for the initial treatment of HIV infection: 48-week results of ALERT" potx
... http://www.aidsrestherapy.com/content/5/1/5 Median lipid values over the course of the study, with lines within shaded areas showing NCEP cut-offs Figure Median lipid values over the course of the study, ... by the Modification of Diet in Renal Disease (MDRD) method [14] In cases of elevated lipids, hypolipidemic agents could be prescribed at the discretion of the investigators However, usage of ... small, subtherapeutic doses of ritonavir [1,2] Mini-dose ritonavir inhibits CYP3A4 metabolism of APV (to which FPV is converted) and ATV, thereby decreasing their clearance, raising their plasma...
Ngày tải lên: 10/08/2014, 05:21
ANTIBIOTIC GUIDELINES FOR THE EMPIRICAL TREATMENT OF SEPSIS IN IMMUNOCOMPETENT ADULTS
... infections should therefore be altered to cover the possibility of MRSA in a patient who has any of these risk factors for MRSA infection Further therapy should be adjusted in light of the microbiological ... immunocompetent adults in whom the diagnosis is unknown, empirical therapy based upon the likeliest of sources of bacteraemia is necessary If the source of sepsis is unknown please refer to the algorithm on ... but patients admitted from the community are at risk of MRSA infection if they have any of the risk factors listed below: • • • • Recent treatment as an inpatient in the last months or as an outpatient...
Ngày tải lên: 12/04/2016, 19:38
2012 Infectious Diseases Society of AmericaClinical Practice Guideline for the Diagnosisand Treatment of Diabetic Foot Infections
... [311] The choice of off-loading modality should be based on the wound’s location, the presence of any associated PAD, the presence and severity of infection, and the physical characteristics of the ... than cm2 increase the likelihood of osteomyelitis [193] Neither the presence of signs of infection of the wound nor an elevated white blood cell count influences the likelihood of osteomyelitis ... Evidence Summary The evaluation of a DFI should occur at levels: first the patient as a whole, then the affected foot and limb, and finally the wound The goal is to determine the extent of infection...
Ngày tải lên: 14/04/2016, 19:08
Efficacy of buccal midazolam for emergency treatment of seizures in children
... for treatment of children with seizures in a hospital emergency department References John McIntyre, Safety and efficacy of buccal midazolam versus rectal diazepam for emergency treatment of seizures ... less reliable in the presence of concurrent upper respiratory tract infection 2005 July,UK • Safety and efficacy of buccal midazolam versus rectal diazepam for emergency treatment of seizures in ... depression These patients included in the diazepam group and patients in the buccal midazolam arm Conclusion • Buccal midazolam recommended alongside rectal diazepam as the first-line treatment...
Ngày tải lên: 14/11/2016, 06:19
Báo cáo y học: " Cyanide intoxication as part of smoke inhalation a review on diagnosis and treatment from the emergency perspective" pps
... (ATP) [10] The result is cytotoxic hypoxia caused by the inhibition of CCO by the high affinity of CN to heme a of the enzyme The effect is a structural change and a reduced activity of the enzyme ... seen during treatment Induction of methemoglobin forming antidote treatment has the potential to impair the oxygen carrying capacity of haemoglobin [6] In the smoke inhalation Page of victim, ... (CCO), the terminal enzyme complex of the respiratory chain in complex IV [10] The active (O2-binding) site of CCO is binuclear, consisting of heme a and Cu B [19] CO binds to the reduced form of...
Ngày tải lên: 13/08/2014, 23:20
Cambridge.University.Press.Fearing.Others.The.Nature.and.Treatment.of.Social.Phobia.Mar.2007.pdf
... patterns Whether these are activated depends on the social demands placed on the individual by the way of life of their community These determine the situational contexts evocative of the social ... I is Professor of Clinical Psychology in the Department of Psychology at the University of Montreal Fearing Others The Nature and Treatment of Social Phobia Ariel Stravynski University of Montreal ... over-generalized, and chronic The issues raised by these incompatible points of view attending the inception of the notion of social phobia are as relevant now as they were then; they are as controversial...
Ngày tải lên: 21/09/2012, 10:54
Báo cáo y học: "The evolving story of medical emergency teams in quality improvement"
... patients), the proportion of MET calls which reflects deficiencies in care may be even higher The present study introduced the novel element of real-time characterization of events by the team at the ... substantial investments of additional resources Moreover, the direct involvement of clinicians in the detection of patient safety and quality -of- care problems likely facilitates the crucial next step ... debriefing flows naturally from the chart review that MET personnel perform to the providing of patient care This methodology does not replace the need for other forms of adverse event detection (such...
Ngày tải lên: 25/10/2012, 10:06
Báo cáo y học: "Special considerations in the treatment of patients with bipolar disorder and medical co-morbidities"
... deleted from the risk:benefit analysis In some cases a medication with greater side effects or medical risk may be the preferred treatment because of the documented efficacy of the agent either in ... renal disease are on the rise [65] As more of our patients develop renal disease, psychiatrists must be aware of the effects of psychotropics on the kidneys, as well the effects of decreased renal ... mortality [6-9] The authors concluded that the prevalence of obesity in this study of outpatients was related to the use of antipsychotics, but less so lithium or anticonvulsants Of those persons...
Ngày tải lên: 25/10/2012, 10:51
Báo cáo y học: "Technical Considerations in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury"
... 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 ... patient populations are small, these experiences are valuable At present, in the absence of definite proof of the efficacy of decompressive craniectomy in the treatment of TBI, such as from multicenter, ... because of the limited space.15 The procedure of subtemporal craniectomy, which was introduced by Cushing,11 involves removing the part of the skull beneath the temporal muscle by opening the dura...
Ngày tải lên: 25/10/2012, 11:40
Báo cáo y học: "Endoscopic Facet Debridement for the treatment of facet arthritic pain – a novel new technique
... 100% relief of their pain in 86% of the patients with a median relief period of months The range of relief varied from zero days to up to 13 months for the facet injection group None of the lumbar ... that the direct visualization of the joint allows better de-innervation of the joint and removal of the entire end-plate receptors that adhere to the bone and capsular tissue Limitations of the ... improvement from the radiofrequency procedure, the length of improvement varied from months to 16 months Again, no one in the radiofrequency group developed permanent relief of their pain Thus, the endoscopic...
Ngày tải lên: 26/10/2012, 09:32
Báo cáo y học: "Godoy & Godoy technique in the treatment of lymphedema for under-privileged populations."
... device, the RAGodoy® apparatus 4-7 was developed for the treatment of the lower extremities by producing dorsoflexion of the foot and allows treatment sessions of hours or more daily with losses of ... factors such as, for example, the weight and the fitness of the patient and the duration of exercises Compression mechanism One of the most important weapons in the treatment of lymphedema is compression ... depends on the results of treatment and so to achieve these objectives adaptation and the development of new forms of treatment are necessary This team is composed of the lymphologist or professional...
Ngày tải lên: 26/10/2012, 09:39