... Sudan.249 The organism’s life cycle begins in the gut of the sandfly, but the organism completes its life cycle in the host following the fly bite The sandfly inoculates the host with the organisms ... weapon There are major forms of infection with the organism: cutaneous, inhalation, and gastrointestinal.93 The details of these forms of anthrax will not be discussed with the exception of gastrointestinal ... ARTICLE The least common form of leishmaniasis is mucocutaneous The ulcerated mucosal lesions seen in this form of the disease are due to the disseminated spread of the organism from the initial...
Ngày tải lên: 19/02/2014, 08:20
... Service and the Bureau of Indian Affairs Support roles are also played by the Department of Transportation, the Department of Defense, the Department of Commerce, the Department of Justice, the Department ... use of the term “Transboundary Animal Diseases (TADs) developed first by the FAO instead of the use of “foreign animal diseases Transboundary Animal Diseases are defined 18 FOREIGN ANIMAL DISEASES ... regulations for the transport of infectious materials by any mode of transport These regulations are based upon the Recommendations of the United Nations Committee of Experts on the Transport of Dangerous...
Ngày tải lên: 22/02/2014, 05:20
Oncogenesis, Inflammatory and Parasitic Tropical Diseases of the Lung Edited by Jean-Marie Kayembe potx
... cells of the transgenic animals, and thereby promoted the development of carcinoma of the lung This mouse model should prove useful to the study of lung carcinogenesis and to the identification of ... Tropical Diseases of the Lung The combination of bevacizumab with some of the new agents has been studied as well In the ATLAS study, after having received four cycles of cisplatin-based chemotherapy ... integrity of the vessels PDGF has also been implicated in the regulation of the tonus of blood vessels [57] PDGF functions have been implicated in a broad range of diseases For a few of them, i.e.,...
Ngày tải lên: 23/03/2014, 14:20
Hughes, Mansel & Webster''''s Benign Disorders and Diseases of the Breast pdf
... Benign disorders and diseases of the breast Lymphatics of the breast The lymphatic drainage of the breast is of great importance in the spread of malignant disease of the breast but of lesser importance ... pathologist of the UK As their work overlaps the professional span of many of the present generation of breast specialists, they have been left to future study This chapter is not the history of benign ... the basis of the macroscopic anatomy of the breast in his book on the anatomy of diseases of the breast published in 1845 The French surgeon Reclus gave an excellent description of the clinical...
Ngày tải lên: 28/03/2014, 22:20
báo cáo hóa học:" Measurement invariance of the kidney disease and quality of life instrument (KDQOL-SF) across Veterans and non-Veterans" pdf
... evaluate the goodness -of- fit of the hypothesized measurement model for responses to the subscales of the KDCS and SF-36 instruments when analyzed together; and given acceptable goodnessof-fit in ... each group the goodness -of- fit of a CFA model that specified two correlated factors consisting of the seven subscales of the KDCS and the eight subscales of the SF-36 The rationale for examining ... criteria to judge the goodness -of- fit of the hypothesized two-factor CFA model As measures of absolute fit, we examined the root mean square error of approximation (RMSEA) and the standardized...
Ngày tải lên: 20/06/2014, 15:20
Bệnh tuyến yên (diseases of the pituitary) (Kỳ 1) docx
... tiết sữa không liên quan tới thai sản bệnh nhân sinh nhiều lần, việc tăng tiết sữa xuất không kèm theo tăng tiết prolactin Tuy vậy, tăng tiết sữa thường gây tăng prolactin, 75% bệnh nhân tăng tiết ... kích thích - Khi ăn + Do thuốc: - Hướng thần kinh: phenothiazin, butyrophenon, sulpirid, thioxanthen - Estrogen (thuốc ngừa thai) - Hạ huyết áp: aldomet, reserpin, verapamil - Chống nôn: metoclopramid...
Ngày tải lên: 02/07/2014, 23:20
Bệnh tuyến yên (diseases of the pituitary) (Kỳ 3) pps
... yếu tố tăng trưởng giống insulin (insulin like growth factor 1- IGF hay somatomedin C) Vì tiết GH theo giai đoạn thời gian bán hủy ngắn, định lượng IGF-1 tốt bệnh to đầu chi Bình thường IGF-1 =...
Ngày tải lên: 02/07/2014, 23:20
Bệnh tuyến yên (diseases of the pituitary) (Kỳ 6) ppt
... kèm theo hạ đường huyết natri huyết Xử trí: truyền tĩnh mạch hydrocortisol 100 mg 25 mg prednisolon pha với dung dịch muối cộng với glucose; tổng liều hydrocortisol tới 100-200 mg ngày tiếp theo, ... dùng GH để điều trị trẻ em bị thiếu Liều dùng: 1-2 IU/m2 thể/ngày x tháng lâu Nồng độ IGF-1 yếu tố theo dõi để định liều GH - Điều trị tình trạng nguy hiểm đến tính mạng gây nên suy giáp: Cơn khủng...
Ngày tải lên: 02/07/2014, 23:20
Bệnh tuyến yên (diseases of the pituitary) (Kỳ 7) pps
... cạnh thất vùng đồi tiết ra, vận chuyển xuống thùy sau để dự trữ đó, từ hormon giải phóng vào máu theo nhu cầu thể 2.1.2 Các hormon thùy sau tuyến yên: + Arginin varopressin (AVP) hay gọi antidiurêtic ... nước ảnh hưởng số loại thuốc: nicotine, morphine, vincristine, vinblastine, cyclophosphamide, clofibrate, chlopropamide kích thích tiết ADH Các thuốc chất cortisol, yếu tố lợi tiểu natri tâm nhĩ ... không tiết ADH: đái tháo nhạt + Tăng tiết ADH: Hội chứng tiết hormon ADH không thích hợp (syndrome of inappropriate antidiurêtic hormone-SIADH) với biểu giảm Na+ huyết phù Tình trạng tăng tiết ADH...
Ngày tải lên: 02/07/2014, 23:20
Bệnh tuyến yên (diseases of the pituitary) (Kỳ 9) pot
... đái tháo đường vừa đái tháo nhạt Liều dùng 100-500mg/ngày, tác dụng rõ rệt từ sau ngày thứ - Clofibrate: kích thích tiết ADH nội sinh, liều 500mg/ Tuy thuốc có số tác dụng phụ nên dùng - Thuốc ... →22 h - Pitressin 12,5µg ( 5UI) Tiêm d da → 4h 50µg(20 UI/ml) Thuốc hormon: Chlopr opamid U ống Clofibr 250mg/viên Carba mazepine 200500mg→12-24h 500mg/ 500mg →24h 200mg/ U ống ate 100- 400- nang...
Ngày tải lên: 02/07/2014, 23:20
Chapter 091. Benign and Malignant Diseases of the Prostate (Part 1) pps
... of 55 due to the growth of nonmalignant cells in the transition zone of the prostate that surrounds the urethra Most cancers develop in the peripheral zone, and cancers in this location can often ... Testosterone, the major circulating androgen, is converted by the enzyme 5αreductase to dihydrotestosterone in the gland The periurethral portion of the gland increases in size during puberty and after the ... urinary control The prostate is composed of branching tubuloalveolar glands arranged in lobules and surrounded by a stroma The acinal unit includes an epithelial compartment made up of epithelial, basal,...
Ngày tải lên: 07/07/2014, 02:20
Chapter 091. Benign and Malignant Diseases of the Prostate (Part 2) pot
... surgically remains in the state of localized disease as long as the PSA remains undetectable The time within a state becomes a measure of the efficacy of an intervention, though the effect may not ... experienced symptoms of the disease or the treatment needed to control it Even when a recurrence is documented, immediate therapy is not always necessary Rather, as at the time of diagnosis, the need for ... diagnosis, the need for intervention is based on the tempo of the illness as it unfolds in the individual, relative to the riskto-benefit ratio of the therapy being considered No Cancer Diagnosis...
Ngày tải lên: 07/07/2014, 02:20
Chapter 091. Benign and Malignant Diseases of the Prostate (Part 3) docx
... changed the clinical spectrum of the disease Now, 95–99% of newly diagnosed cancers are clinically localized, 40% are not palpable, and of these, 70% are pathologically organ-confined The downside of ... examined for the presence of cancer, and the amount of cancer is quantified based on the length of the tumor within the core and the percentage of the core involved ... is the detection and treatment of cancers with such a low malignant potential that they would not have shortened survival or produced symptoms during the patient's lifetime The side effects of...
Ngày tải lên: 07/07/2014, 02:20
Chapter 091. Benign and Malignant Diseases of the Prostate (Part 4) potx
... to the extent of the disease within the gland, the presence or absence of capsular invasion, involvement of seminal vesicles, and extension of disease to lymph nodes Because of the inadequacy of ... for staging, the staging system was modified to include the results of imaging studies Unfortunately, no single test has proven to indicate accurately the stage or the presence of organ-confined ... highest histologic grade) often determines biologic behavior The presence or absence of perineural invasion and extracapsular spread are also recorded Prostate Cancer Staging The TNM staging system...
Ngày tải lên: 07/07/2014, 02:20
Chapter 091. Benign and Malignant Diseases of the Prostate (Part 5) pot
... radiation therapy, or active surveillance Choice of therapy requires the consideration of several factors: the presence of symptoms, the probability that the untreated tumor will adversely affect the ... treatment Data from the literature not provide clear evidence for the superiority of any one treatment Comparison of outcomes of various forms of therapy is limited by the lack of prospective trials, ... assess The more advanced the disease, the lower the probability of local control and the higher the probability of systemic relapse More important is that within the categories of T1, T2, and T3 disease...
Ngày tải lên: 07/07/2014, 02:20
Chapter 091. Benign and Malignant Diseases of the Prostate (Part 6) docx
... radiation therapy (IMRT) to maximize the dose to the prostate and to minimize the exposure of the surrounding normal structures The addition of IMRT has permitted further shaping of the dose, ... pretreatment, the dose administered, and the time of assessment Postradiation erectile dysfunction is related to a disruption of the vascular supply and not the nerve fibers Neoadjuvant hormone therapy ... radiation therapy The aim is to decrease the size of the prostate and, consequently, to reduce the exposure of normal tissues to full-dose radiation, to increase local control rates, and to decrease the...
Ngày tải lên: 07/07/2014, 02:20
Chapter 091. Benign and Malignant Diseases of the Prostate (Part 7) potx
... estimated that 10–15% of patients had "insignificant" cancers Given the multifocality of the disease, a concern is the limited ability to predict pathologic findings on the basis of a needle biopsy, ... and/or radiation therapy By definition, patients have no evidence of disease on scan For these patients the central issue is whether the rise in PSA results from persistent disease in the primary ... prostatectomy for patients who had undergone radiation therapy The decision to recommend radiation therapy after prostatectomy is often made on the basis of the pathologic findings at surgery, as imaging...
Ngày tải lên: 07/07/2014, 02:20
Chapter 091. Benign and Malignant Diseases of the Prostate (Part 8) docx
... difficulty with predicting the course of disease in the rising PSA state is that most patients receive some form of therapy before the development of metastases Nevertheless, predictive models ... Over 90% of male hormones originate in the testes;
Ngày tải lên: 07/07/2014, 02:20