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ORL referral
ORL referral

... The Case for Patient Referral Guidelines Total Quality Management (continuous quality improvement) has shown that controlling variability decreases costs, increases efficiency, and improves quality. Referral guidelines are one example of the efforts in clinical medicine to control variability. Refer ...
Cystic Fibrosis: Current Trends in Respiratory Care
Cystic Fibrosis: Current Trends in Respiratory Care

... extension of these findings, but most studies have not shown inhaled corticosteroids to have great benefit. Despite that lack of evidence, the use of inhaled corticosteroids has been increasing over the last few years (see Fig. 6). Currently, inhaled corticosteroids for CF patients are best used for ...
Play your part in managing syphilis
Play your part in managing syphilis

... Syphilis is curable when identified early — a single dose of penicillin is sufficient to cure the infection in those with primary, secondary or early latent disease. Additional doses will be required in those who have had the disease for longer. Although treatment kills the bacterium and prevents furth ...
RBR 54(3) - Arquivo-livro (online).indb
RBR 54(3) - Arquivo-livro (online).indb

... cover deeply any interesting theme for the rheumatologist. They do not present a standard structure, neither introduction or conclusion. Please send abstracts without subdivisions with three to five keywords. Review articles should not exceed 6,000 words including references and excluding the title ...
invasive fungal infections of head and neck: a retrospective
invasive fungal infections of head and neck: a retrospective

... ABSTRACT: Invasive fungal infection of the head and neck is an emerging problem with diverse presentation. It has recently gained clinical importance as it causes considerable morbidity and mortality. It is more common in patients with diabetics, chronic renal disease, patients undergoing chemothera ...
Bisphosphonates for treatment of osteoporosis
Bisphosphonates for treatment of osteoporosis

... Bisphosphonates for treatment of osteoporosis | Clinical Review (2.6 million patients) between 2007 and 2009 (approximately 15 000 femur fractures). Bisphosphonates were taken by 97 of the 102 AFF patients for an average of 5.5 years. The risk of an AFF increased with duration of bisphosphonate use ...
Cerebral Diffusion Tensor MR Tractography in Tuberous Sclerosis
Cerebral Diffusion Tensor MR Tractography in Tuberous Sclerosis

... disorders (including self-injury, violent behavior, learning disorder, language difficulties, and anger outbursts). Developmental disability was assigned 3 points. Intractable seizure and autism were assigned 2 points each. The “other neuropsychiatric disorders” component, regardless of how many dis ...
Global Initiative for Chronic Obstructive Lung Disease Global
Global Initiative for Chronic Obstructive Lung Disease Global

... and/or alveolar abnormalities usually caused by significant exposure to noxious particles or gases. The chronic airflow limitation that is characteristic of COPD is caused by a mixture of small airways disease (e.g., obstructive bronchiolitis) and parenchymal destruction (emphysema), the relative co ...
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... aeruginosa culture-positive patients had any impact on survival. Sputum samples were ordered on a clinical basis and the decision of whether to attempt to eradicate Pseudomonas was at the discretion of the treating physician. Out of 66 P. aeruginosa culture-positive patients, 34 (25.8%) did not rece ...
demo - Anejo » Health Communications
demo - Anejo » Health Communications

... capsule monitoring, duodeno-gastroesophageal (also referred to as alkaline or bile reflux) reflux detection, and esophageal impedance testing have been introduced over the past decade and are utilized in clinical practice when needed.(9) Clinical Presentation- According to the Montreal definition GE ...
Medicinski arhiv
Medicinski arhiv

... although there is HLA compatibility between the donor and the recipient, there is still tissue difference in the so-called cell antigen of the tissue tolerance (minor antigens). (6) There is information that there are other factors such as bacterial, virus infections, etc. which may cause GVHD to ap ...
Evaluation activities of daily living in patient`s rehabili
Evaluation activities of daily living in patient`s rehabili

... thrombosis. Aanticoagulation treatment such as heparin and warfarin are used. Aspirin has an effect on platelets by inhibiting their aggregation and has also been used in low doses. Cortisone-related medications, such as prednisone, have been used to suppress the immune activity and inflammation in ...
Attachment 1: Product information for AusPAR Gefitinib AstraZeneca
Attachment 1: Product information for AusPAR Gefitinib AstraZeneca

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Latanoprost_Timolol Pfizer eye drops, solution ENG SmPC
Latanoprost_Timolol Pfizer eye drops, solution ENG SmPC

... Like other topically applied ophthalmic agents, Latanoprost/timolol eye drops solution is absorbed systemically. Due to the beta-adrenergic component timolol, the same types of cardiovascular, pulmonary and other adverse reactions as seen with systemic beta-adrenergic blocking agents may occur. Inci ...
Global Initiative for Chronic Obstructive Lung Disease Global
Global Initiative for Chronic Obstructive Lung Disease Global

... and/or alveolar abnormalities usually caused by significant exposure to noxious particles or gases. The chronic airflow limitation that is characteristic of COPD is caused by a mixture of small airways disease (e.g., obstructive bronchiolitis) and parenchymal destruction (emphysema), the relative co ...
CLL/SLL - Focus on CLL
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... the cough reflex. These barriers act like the walls of a castle to keep germs and other harmful things from entering the body. Inflammation (redness and swelling) is also a type of innate immunity. Adaptive immunity — This is provided by the thymus gland, spleen, tonsils, bone marrow, circulatory ...
Full text - SNLG-ISS
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... or co morbidity of depression and delirium; the use of the Geriatric Depression Scale – Short form (GDS-SF) is suggested to exclude depression, and the DSM-IV-TR criteria are indicated to exclude delirium. Dementia can be suspected in subjects presenting a clinical profile characterized by deficits ...
Management of Intrathecal Catheter‐Tip Inflammatory Masses: An
Management of Intrathecal Catheter‐Tip Inflammatory Masses: An

... development of permanent paralysis. Gadolinium enhanced MRI scanning at the catheter tip is the imaging study of choice for diagnosis. Any patient developing a new area of pain, weakness or rapid escalation in intrathecal drug dose should be thoroughly assessed.” By November 2000, a total of 41 case ...
The diagnostic and prognostic value of systems biology research in
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... elicit a genomic response that is characterised by the upregulation of genes involved in cytokine production and the synthesis/degradation of inflammatory lipid mediators, and the down-regulation of genes related to antigen presentation and T cell function [20, 22]. However, patients with complicate ...
QA401_2_Valerian
QA401_2_Valerian

... Some multiple-ingredient preparations containing valerian have been associated with hepatotoxicity. These preparations may have contained additional substances that may have been the cause of the liver toxicity (1, 7). Hepatotoxicity has also been reported with single ingredient preparations, althou ...
Rifampicin Induced Thrombocytopenic Purpura
Rifampicin Induced Thrombocytopenic Purpura

... Drug-induced immune thrombocytopenia (DITP) can be triggered by a wide range of medications. Thrombocytopenia can be seen with any of the primary anti-tubercular drugs. With isoniazid, it occurs as a haematological reaction1. Ethambutol and pyrazinamide induced thrombocytopenia could be due to an im ...
Bulletin 53 Silver dressings
Bulletin 53 Silver dressings

... • Prescribe or request a maximum of 5 silver dressings to cover a treatment period of 2 weeks. Treatment should not generally exceed 2 weeks.2 For dressings designed to stay in situ over a longer period, fewer dressings will be required. Review any prescriptions for 5 or more dressings and any repe ...
Scabies Incognito Presenting as a Subcorneal Pustular Dermatosis
Scabies Incognito Presenting as a Subcorneal Pustular Dermatosis

... whose immune defenses are impaired either as a result of disease or therapy (4). Usually, it is found in HIV patients, the elderly, or otherwise immunosuppressed individuals (8). Crusted scabies also results from the inappropriate use of potent fluorinated topical steroids. Such individuals may expe ...
Chapter 24 B - Shoulder - Louisiana Workforce Commission
Chapter 24 B - Shoulder - Louisiana Workforce Commission

... functional outcome and not purely for the purpose of pain relief. The concept of "cure” with respect to surgical treatment by itself is generally a misnomer. All operative interventions must be based upon positive correlation of clinical findings, clinical course, and diagnostic tests. A comprehensi ...
Current management of overactive bladder: Insight from developing
Current management of overactive bladder: Insight from developing

... women to identify stress incontinence, palpation of suprapubic region for determining bladder enlargement and mass, digital rectal examination in men should be considered to assess the size and consistency of the prostate (Dalyana, 2006). Laboratory examination from urine sample to check for infecti ...
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Management of multiple sclerosis



Several therapies for multiple sclerosis (MS) exist, although there is no known cure. Multiple sclerosis is a chronic inflammatory demyelinating disease that affects the central nervous system (CNS).The most common initial course of the disease is the relapsing-remitting subtype, which is characterized by unpredictable attacks (relapses) followed by periods of relative remission with no new signs of disease activity. After some years, many of the people who have this subtype begin to experience neurologic decline without acute relapses. When this happens it is called secondary progressive multiple sclerosis. Other, less common, courses of the disease are the primary progressive (decline from the beginning without attacks) and the progressive-relapsing (steady neurologic decline and superimposed attacks). Different therapies are used for patients experiencing acute attacks, for patients who have the relapsing-remitting subtype, for patients who have the progressive subtypes, for patients without a diagnosis of MS who have a demyelinating event, and for managing the various consequences of MS.The primary aims of therapy are returning function after an attack, preventing new attacks, and preventing disability. As with any medical treatment, medications used in the management of MS may have several adverse effects, and many possible therapies are still under investigation. At the same time different alternative treatments are pursued by many patients, despite the paucity of supporting, comparable, replicated scientific study.This article focuses on therapies for standard MS; borderline forms of MS have particular treatments that are excluded.
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