... whom the mass was located in the portion of body or tail of the pancreas For tumors of SPT located in the neck and body of the pancreas, resection of the midportion of the pancreas and the mass ... and the level of detections were all within normal limits The median diameter of the lesions was 8.0 cm (range 4-20) Nine patients had their tumors within the head, in the body and in the tail of ... 311 Fig The CT scan indicated the typical internal or capsular calcification in the SPT Once the diagnosis of SPT is made, surgery is the first choice of treatment, since other adjuvant therapies,...
Ngày tải lên: 25/10/2012, 11:40
... Journal of Medical Case Reports 2009, 3:127 as a result of weight loss secondary to the anorexia, which then led to loss of the omental fat pad and consequent compression of the duodenum between the ... appropriate fatty scaffolding, the angle at which the SMA branches from the aorta is reduced resulting in compression of the third portion of the duodenum between the SMA and the aorta [4] In our patient, ... of contrast to flow past the third portion of the duodenum (Figure 1) A CT scan also revealed a dilated stomach and proximal duodenum in addition to severe narrowing of the third portion of the...
Ngày tải lên: 11/08/2014, 17:21
Báo cáo y học: "Management of chest pain: exploring the views and experiences of chiropractors and medical practitioners in a focus group interview"
... referral) may depend on the nature of the condition, whether the referral is for reasons of diagnosis and/or treatment, the preference of the provider, and the relationship between the providers Medical ... came together to collapse their lists of themes into one set of themes as reached via consensus This process involved examining themes for commonality, classifying them for uniformity, and then reaching ... evidence of efficacy/effectiveness for a given condition such as musculoskeletal chest pain, that the path of referral for chest pain will depend on the nature of the condition and the urgency of the...
Ngày tải lên: 25/10/2012, 10:06
Báo cáo y học: "surgical Management of Hidradenitis Suppurativa"
... surgical removal of the abscesses and fistulas are usually futile.1,14 The success of medical therapies, however, often is limited because of the indolent and recurrent nature of the disease Operative ... widespread of HS in the right gluteal area (C) Excision material of lesion (D) View of defect after excision The duration time of hospitalization was related with the extent and severity of the lesions ... most of the patients 18 of the 21 (85%) male patients and of the (37%) female patients were smokers patients (2 female, male) had insulin-dependent diabetes mellitus (See Table 1) Most of the...
Ngày tải lên: 26/10/2012, 08:57
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"
... endothelial dysfunction associated with these diseases (1-6) Further, oxidative stress plays a major role in the pathogenesis of both types of diabetes mellitus High levels of free radicals and the ... 11.5 minutes, which then switched to the opposite polarity for another 11.5 minutes The device was designed to switch the direction of current flow halfway through the cycle The resulting cycle ... stress (67) Interruption of the overproduction of superoxide by the mitochondrial electron transport chain would normalize the pathways involved in the development of the oxidative stress (68)...
Ngày tải lên: 26/10/2012, 09:39
Báo cáo y học: "Management of HCV Infection and Liver Transplantation"
... management of hepatitis C in the peri-liver transplant period, as well as the management of the complications of chronic liver diseases Paul Martin M.D is Professor of Medicine at Mount Sinai School of ... will discontinue therapy Often the only way of maintaining Int J Med Sci 2006, the blood counts is to aggressively use hematopoietic growth factors The often poor tolerability of this population ... because of the patient's often poor performance status, their increased susceptibility to infection and rejection, and the presence of anemia and renal dysfunction that lessen the tolerability of...
Ngày tải lên: 31/10/2012, 17:08
Báo cáo y học: "Management of HBV Infection in Liver Transplantation Patients"
... absence of detectable HBV DNA at the time of OLT and absence of reinfection for a minimum of months post-OLT After one year, reinfection occurred in 20% of patients in each group, but the finding of ... preliminary, these results provide proof of principle that HBV vaccination can generate protective levels of anti-HBs in immunosuppressed patients Immunosuppressive Regimen: The majority of studies of the ... limits the duration of stimulation of the glucocorticoid response element in the HBV genome [97] Although rapid withdrawal of steroids can be achieved [98], its impact on the incidence and timing of...
Ngày tải lên: 02/11/2012, 11:17
Báo cáo y học: "A Practical Approach to Management of Chronic Hepatitis B"
... Therefore, the primary goal of HBV treatment should focus on maintaining sustained HBV DNA suppression This will lead to the other benefits, i.e the secondary aims of therapy, including normalization of ... using modified regiments of combination HBV therapy may prove to be more effective and less drug resistant All these will further improve the management of CHB Conflict of interest Dr Hu has received ... antigens expressed on the infected hepatocytes is the principle determinants of the liver injury Thus, a high HBV load has been the primary indication for HBV infection However, the threshold HBV...
Ngày tải lên: 03/11/2012, 09:41
Báo cáo y học: "Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS)"
... another subgroup of 44 patients, there were significant reductions in the need for rescue pulsed corticosteroid therapy, intubation rate and overall mortality In addition to the prevalence of ... the viral replicative phase to the immunopathological phase [5], concomitant institution of an immunomodulatory therapy should also be considered [11] Since there are no consensus regarding the ... inhibitor for the treatment of human immunodeficiency virus (HIV) infection It can inhibit the coronaviral proteases, thus blocking the processing of viral replicase polyprotein and preventing the replication...
Ngày tải lên: 03/11/2012, 10:20
FAILURES IN LOGISTICS MANAGEMENT OF VINALINK’S LOGISTICS DEPARTMENT AND RECOMMENDATIONS
... movement of finished product from the end of the production line to the consumer, and in some cases includes the movement of raw materials from the source of supply to the beginning of the production ... increase over the time However, the rate of revenue which Logistics Department contributes to the total number of the whole branch is rather low despite the fact that logistics is one of the most ... placed in the lowest layers of the racks to be moved out of their stocking locations conveniently and easily Reserve stocks occupy the rest higher layers In the other case, when the quantities of each...
Ngày tải lên: 20/04/2013, 11:13
the management of environmental quality
... in the resort city of Da Lat § Construction of the map for good management of environmental quality in tourist areas including the city of Da Lat: § Distribution map of the tourist areas city of ... Assessing the current state of environmental quality of surface water in the resort city of Dalat in general are now seriously polluted If in the future there is no solution, the risk of tourist ... landscape, regulatory climate, the ecology of the central city of Da Lat On the other hand, this is water under the stream Cam Ly - Da Dang River watershed and the monitoring of national water quality...
Ngày tải lên: 25/04/2013, 08:21
Risk Management of Water Environment in New Paradigm
... feasibility of the risk reduction, which influences the environment in whatever way, the feasibility of the applied treatment technologies, and the feasibility of the measurement The aim of science ... small part of the pesticides sprayed takes on farm products, however, most part falls on the surface of the earth of the fields In addition, part of the pesticides scatters during the spray and ... risks of the disorder, such as the case of Ogose, of the system Therefore the solidarity among all of water supply agencies should be encouraged to provide safe and palatable water not in the metropolitan...
Ngày tải lên: 05/09/2013, 08:40
An overview of the clinical management of spasticity
... bedclothes A detailed appraisal of the pattern of spasticity may enable the individual to relieve many of the functional problems Both the clinician and the individual should be aware of potential ... spasticity The following chapters in the book outline the detail of the different approaches to the management, but this section attempts to provide an overview of the process (Fig 1.1) Aims of treatment ... that the situation is usually more complex In the above example, relief of the spasticity in the biceps may not lead to Restriction of the range of movement is not always simply due to increase of...
Ngày tải lên: 01/11/2013, 10:20
Chemical neurolysis in the management of muscle spasticity
... injection, the treatment effect is often enhanced by the additional infiltration of the proximal third of the muscle The superficial placement of the injection may result in the denervation of the gracilis ... The terminal branches innervate the toe flexors and the small muscles of the foot The medial popliteal nerve may be blocked at the apex of the popliteal fossa or to cm lower, at the level of the ... and width of the muscle are then determined The block is made in the medial part of the muscle near the vertebral body avoiding the lumbar and femoral arteries The therapeutic effects of chemical...
Ngày tải lên: 01/11/2013, 10:20
Management of spasticity in children
... measure of the length of muscles crossing that joint In the upper limb, the range of elbow extension is taken to be a measure of the length of the elbow flexors, the biceps and brachialis Loss of elbow ... assess the length of the adductors of the hip, the hamstrings, quadriceps and the calf muscles, some of the most important lower limb muscle groups to be affected by spasticity The measurement of ... cases when they manifest hip subluxation The benefits of lengthening of the contracted adductor muscles can be enhanced by selective use of phenolisation of the obturator nerve The role of obturator...
Ngày tải lên: 01/11/2013, 10:20