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A Case of Bilateral Chronic Central Serous Chorioretinopathy
A Case of Bilateral Chronic Central Serous Chorioretinopathy

... Several risk factors have been identified that significantly increase risk of developing CSCR, however many are very poorly understood. Over the past several years, infections, toxins, immunological reactions, neuronal, circulatory, and hormonal regulatory factors have all been implicated in the ini ...
Immunopathology of multiple sclerosis
Immunopathology of multiple sclerosis

... Box 2 | The pathology of multiple sclerosis Multiple sclerosis pathology is characterized by confluent demyelinated areas in the white and grey matter of the brain and spinal cord that are called plaques or lesions and that indicate a loss of myelin sheaths and oligodendrocytes (see the figure). Alt ...
Therapy Options for Winged Scapula Patients: A Literature
Therapy Options for Winged Scapula Patients: A Literature

... Implementation of treatment regimens consisting of conservative therapies including physical therapy, scapular bracing, transcutaneous electrical nerve stimulation, and acupuncture could give winged scapula patients an opportunity to recover productively, effectively, and conservatively within the t ...
Fertility Assessment and Treatment Policy
Fertility Assessment and Treatment Policy

... 12. There should be no children from previous relationships for either partner 13. Couples should conform to the statutory “Welfare of the Child” requirements 14. There is an explicit and recorded assessment that the social circumstances of the family unit have been considered within the context of ...
Hemodialysis Catheters
Hemodialysis Catheters

... • Uncertain. It depends on clinical, microbiologic features and whether the catheter is removed • Treat uncomplicated CRB for two or three weeks. • Treat uncomplicated CRB due to S. Aureus for four weeks. • If there is evidence of metastatic infection, use of antibiotics at least six weeks. • When b ...
LCA Acute Oncology Clinical Guidelines March 2016
LCA Acute Oncology Clinical Guidelines March 2016

... condition to allow understanding of its context and importance, followed by the expected clinical presentations. A range of investigations is suggested, with the understanding that these will be tailored to individual cases. In most instances the subsequent management protocols mention generic drugs ...
KIPRES® Tablets 5mg KIPRES® Tablets 10mg KIPRES® OD
KIPRES® Tablets 5mg KIPRES® Tablets 10mg KIPRES® OD

... clinical studies, post-marketing surveys (drug-use-results survey, specific drug-use-results survey, and post marketing clinical studies) of Tablets, Chewable Tablets and Fine Granules conducted in Japan. 4. Use during Pregnancy, Delivery or Lactation 1) KIPRES should be administered to pregnant wom ...
The Patient`s Guide to Psoriasis Treatment. Part 2: PUVA
The Patient`s Guide to Psoriasis Treatment. Part 2: PUVA

... reduce the Psoriasis Area and Severity Index by 75% or more (PASI-75) in 80% of patients, ...
Benefits of rehabilitation programs for the asthmatic patient
Benefits of rehabilitation programs for the asthmatic patient

... published an analysis of 21 studies including 772 patients with asthma, who were randomised to undertake physical training or not. Physical training had to be undertaken for at least 20 minutes, two times a week, over a minimum period of four weeks. The authors’ conclusions were that physical traini ...
RSV and Bronchiolitis
RSV and Bronchiolitis

... • Explain the clinical signs and symptoms of bronchiolitis • Understand how the characteristics of High Flow Therapy (HFT) play a role in the treatment of the symptoms of Bronchiolitis • Review key research on the application of High Flow Therapy in pediatric bronchiolitis patients ...
Signet Cell in the Brain: A Case Report of Leptomeningeal
Signet Cell in the Brain: A Case Report of Leptomeningeal

... altered mental status, diplopia, facial numbness, hearing loss, loss of visual acuity, weakness of limbs, bowel or bladder dysfunction and a variety of other neurological deficits [4]. Our patient presented with confusion, headache, nausea, and vomiting. Imaging studies are important for the diagnos ...
Management of Scorpion Sting: Prazosin or
Management of Scorpion Sting: Prazosin or

... comparison to those treated with dobutamine (2.22  7.77%); however, the difference was not statistically significant. Thus, most of the cardiovascular parameters improved faster with prazosin in comparison to dobutamine. Our study points to the fact that both dobutamine and prazosin are useful in t ...
Factors related to previous tuberculosis treatment of patients with
Factors related to previous tuberculosis treatment of patients with

... resistance. Patients who are resistant to rifampicin are generally also resistant to isoniazid (another first-line drug). Monoresistance to rifampicin is fairly uncommon (0.2% and 0.4% among new and previously treated patients, respectively), as shown by a recent DRS conducted in Bangladesh.19 Patien ...
asthma management protocol - Texas Society of Health
asthma management protocol - Texas Society of Health

... *The presence of one of the features of severity is sufficient to place a patient in that category. An individual should be assigned to the most severe grade in which any feature occurs. The characteristics noted in this figure are general and may overlap because asthma is highly variable. Furthermo ...
survival in acute dilated cardiomyopathy - Dartmouth
survival in acute dilated cardiomyopathy - Dartmouth

... – No controlled trials have examined whether coronary revascularization can improve outcomes in this population – Many centers first evaluate patient for myocardial hibernation – Coronary angiography considered Class IIa Recommendation (Level of Evidence:C) ...
JOINT MEETING OF THE 3rd INTERNATIONAL CONSULTATION ON
JOINT MEETING OF THE 3rd INTERNATIONAL CONSULTATION ON

... Dr Hanno then discussed treatments available in the USA and their effectiveness as shown in trials, including oral drugs such as PPS (Elmiron): not very promising in recent studies, amitriptyline: possible benefit at higher doses; intravesical therapy in the USA – DMSO and cocktails (cocktail with s ...
Esophageal baseline impedance levels in patients with
Esophageal baseline impedance levels in patients with

... Demographic and clinical characteristics Sixty patients were included in the study and further divided into two distinct groups as previously reported. The baseline characteristics of these individuals have been shown in Table 1. Patients in Group A (10 M and 20 F, mean age 49.7  12.4 years) and in ...
Symptoms - Ascites
Symptoms - Ascites

... educational purposes only, provided that the above attribution statement and copyright are displayed. Commercial groups hosting not-for-profit programs must avoid use of EPEC-O materials with products, images or logos from the commercial entity. The EPEC Project™ was created with the support of the ...
RHINITIS
RHINITIS

... well controlled with avoidance measures and pharmacotherapy. It also is appropriate for those with symptoms lasting more than 1 season and documented allergen-specific IgE antibodies. Immunotherapy should be considered only in individuals who can comply with weekly injections for approximately 3 yea ...
IOSR Journal of Nursing and Health Science (IOSR-JNHS)
IOSR Journal of Nursing and Health Science (IOSR-JNHS)

... Numerous studies have suggested that exercise-based rehabilitation programs could improve physical functioning and QOL in ESRD patients (8, 9). Exercise interventions during hemodialysis sessions while patients are connected to machine, i.e., intradialytic exercises, have become more and more popula ...
Worcestershire Guidelines for Primary Care Antimicrobial Prescribing
Worcestershire Guidelines for Primary Care Antimicrobial Prescribing

... Always take a detailed history of any reported allergy to antibiotics so that patients with a true allergy can be identified. The type of reaction should be documented as this has implications for antibiotic choices. Many patients who report that they are allergic only experienced minor symptoms suc ...
Gastrointestinal Disease
Gastrointestinal Disease

... The Gut associated lymphoid tissue (GALT) is the largest aggregation of immune competent cells in the body. The loosely aggregated lymphoid tissue in the lamnia propria,and the so called Peyers patches, as well as the tonsillar rings of Waldeyer forms the GALT. All antigens which get into the post m ...
Natural History of Isolated Microvascular CN III, IV and VI Pareses
Natural History of Isolated Microvascular CN III, IV and VI Pareses

...  Multicenter retrospective and prospective chart reviews of 87 patients who improved or fully resolved within 6 months  Goal: Evaluate presence of pain in ischemic ocular motor cranial nerve pareses  Average age 67 (range 42-91)  48 CN VI paresis, 39 CN III paresis, 5 CN IV paresis  Brain MRI p ...
Treatment of Hepatitis C in Patients with Renal Impairment
Treatment of Hepatitis C in Patients with Renal Impairment

... Peginterferon and Ribavirin-Based Therapy in Patients with Renal Disease: Renal insufficiency, regardless of the cause, has created problems with the use of peginterferon and ribavirin therapy for HCV, since the kidney plays a role in the catabolism and filtration of both interferon and ribavirin. W ...
Cryotherapy for Esophageal Cancer
Cryotherapy for Esophageal Cancer

... with mucosal breaks, eosinophilic esophagitis or coagulopathy. The treatment is also not recommended for patients with anatomical alterations of the esophagus, or those who have undergone gastric bypass surgery. If gastric contents are visualized at the time of treatment, the procedure should be res ...
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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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