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Niacin trial sparks controversy
Niacin trial sparks controversy

... disease, lung disease, and cancer. Diet and obesity similarly contribute to a number of disease problems, including diabetes. Reducing a single source of risk can often reduce the incidence of multiple diseases. Six criteria can guide the choice of interventions against chronic diseases: • Impact. ...
The PREMIER study: A multicenter, randomized, double
The PREMIER study: A multicenter, randomized, double

... treatment period was chosen to more completely assess anticipated treatment effects over time. For patients in whom response according to the ACR 20% improvement criteria (ACR20) (34) was not achieved at week 16 or later, the protocol mandated that the injectable study medication (adalimumab or plac ...
Draft guideline on evaluation of anticancer medicinal
Draft guideline on evaluation of anticancer medicinal

... endpoints and design do not necessarily apply, reference is still made to the section 6.1. This appears contradictory. We do not think that longer DLT windows would help make better/earlier assessment of safety for immunomodulators which have been used as an example here. Currently DLT periods are t ...
Evidence  Matters The Use of Anticholinergics for the Management
Evidence Matters The Use of Anticholinergics for the Management

... to a clinically noticeable volume.3, 13, 14 Prophylactic treatment with anticholinergic therapy in high-risk patients may improve outcomes, but more research is needed to support this theory.7 Because the use of anticholinergics may produce significant side effects, their benefits and burdens shoul ...
DRAFT 1 – Ajaz Hussain`s comments
DRAFT 1 – Ajaz Hussain`s comments

... device is now available for patients in the United Kingdom and will be launched globally. SurePal is a medical device for Omnitrope with cartridges that require no reconstitution, or priming, and a sliding injection button that requires minimum force to operate. Its safety features include non-inter ...
Dealing with - Review of Ophthalmology
Dealing with - Review of Ophthalmology

... developmental toxicity studies were conducted with ocriplasmin. 13.2 Animal Toxicology and/or Pharmacology The ocular toxicity of ocriplasmin after a single intravitreal dose has been evaluated in rabbits, monkeys and minipigs. Ocriplasmin induced an inflammatory response and transient ERG changes i ...
Fecal Transplantation | Clinical Review Criteria
Fecal Transplantation | Clinical Review Criteria

... Most patients initially respond to this therapy, but 15-30% experience symptomatic recurrence after discontinuation of the treatment. It is reported that antibiotics targeting CDI may eradicate the active infection, but do not restore the long-lasting dysbiosis of the microbiota, which is the major ...
Efficacy and safety of infliximab in patients with ankylosing
Efficacy and safety of infliximab in patients with ankylosing

... index, an assessment tool typically used in studies of rheumatoid arthritis, is an evaluation of swelling in 44 joints, including the elbows, wrists, metacarpophalangeal joints of the fingers and thumbs, interphalangeal joints of the thumbs, proximal interphalangeal joints of the fingers, shoulders, ...
management of liver abscess - The Association of Physicians of India
management of liver abscess - The Association of Physicians of India

... Nitroimidazoles including metronidazole are effective in over 90%.23 Therapy should continue for at least 10 days. Relapses have been reported with this duration and the drug may be administered for up to 3 weeks. Single agent therapy with metronidazole yields excellent results and the alternative t ...
Lymphodepletion followed by donor lymphocyte
Lymphodepletion followed by donor lymphocyte

... those of donors and recipients before therapy, decreased further after therapy and had not recovered at 3 months. The CD4 lymphopenia is most likely attributable to relapse, chemotherapy before DLI, and the known immunosuppressive effects of GVHD and its therapy. Absolute CD8⫹ counts did not change ...
VasoCleaner Pharmacological  Research  of ‘IM on Hyperlipidemia  and Atherosclerdsis
VasoCleaner Pharmacological Research of ‘IM on Hyperlipidemia and Atherosclerdsis

... In the United States and most other Western countries, atherosclerosis is the leading cause of morbidity and mortality. Despite significant medical advances, coronary artery disease (which results from atherosclerosis and causesheart attacks) and atherosclerotic stroke are responsible for more death ...
End-of-Life Care in Patients With Heart Failure
End-of-Life Care in Patients With Heart Failure

... Stage D heart failure (HF) is associated with poor prognosis, yet little consensus exists on the care of patients with HF approaching the end of life. Treatment options for end-stage HF range from continuation of guideline-directed medical therapy to device interventions and cardiac transplantation. ...
Clinical pathway for people with atrial fibrillation or at risk of atrial
Clinical pathway for people with atrial fibrillation or at risk of atrial

... Targeted screening for atrial fibrillation could be feasibly implemented at routine health checks, influenza vaccination clinics, COPD clinics, hypertension clinics and heart failure reviews. Opportunistic screening can be implemented when people over 65 attend the practice or if people with a clini ...
2014 Clinical Vignette and Research Competition
2014 Clinical Vignette and Research Competition

... Vital signs were stable and unremarkable. Physical exam was non-focal. Initial laboratory studies were remarkable for CK 204887, UA significant for large hemoglobin with 4 RBC. His renal function remained stable without evidence of AKI and he did not demonstrate symptomatic hypocalcemia or hyperkale ...
Tecentriq and the Cancer Immunity Cycle
Tecentriq and the Cancer Immunity Cycle

... response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials. (1.1) • Metastatic non-small cell lung cancer who have disease progression during or following platinum-containing chemothera ...
Universiteit van Tilburg
Universiteit van Tilburg

... eating disorders like anorexia and bulimia nervosa1 (Haller, 1992). These illnesses are estimated to affect between 1% and 10% of adolescent and college age women (Haller, 1992). Although causes of this disease can spring from different sources patients are often very similar in behaviour and treatm ...
Dyskinesias in Children/Adolescents
Dyskinesias in Children/Adolescents

... 10 cases per 10,000 population Onset between 2 and 15 (mean 6.5) Vocal tics begin 1 to 2 years after motor tics 75% are tic free by 18 years old Increase in severity with stress, caffeine, stimulants, fatigue, heat, steroids Decrease with THC, alcohol, nicotine and decrease in mental activity Disabi ...
Temporomandibular Joint Dysfunction (TMJ)
Temporomandibular Joint Dysfunction (TMJ)

... found that occlusal therapy was better than no treatment. Physical treatments including acupuncture, transcutaneous electrical nerve stimulation (TENS), exercise, and mobilization (8 articles): Four reviews found no significant benefit of acupuncture over other treatments, 1 found no difference betw ...
PDF - touchOPHTHALMOLOGY
PDF - touchOPHTHALMOLOGY

... is a highly specific immunomodulator that affects primarily T-lymphocytes, it may decrease the inflammation of the meibomian glands and reduce their plugging and dysfunction. The prevailing science believes that if topical cyclosporine only affected patients by improving their dry eye disease, studi ...
KADCYLA Product Monograph
KADCYLA Product Monograph

... score of 3+ by immunohistochemistry (IHC) or a ratio of ≥ 2.0 by in situ hybridization (ISH) assessed by a validated test. Skin Extravasation In KADCYLA clinical studies, reactions secondary to extravasation have been observed. These reactions were usually mild and comprised erythema, tenderness, sk ...
Patient information: Hemorrhoids
Patient information: Hemorrhoids

... Pain resulting from the formation of blood clots (thrombi) within hemorrhoids Leakage of rectal contents (fecal soilage) Bleeding — A common symptom of hemorrhoidal disease is painless bleeding that occurs with bowel movements. At the end of defecation, bright red blood may coat the stool, streak to ...
Consultation for National STI Management Guidelines
Consultation for National STI Management Guidelines

... Early infection Lasts for 1-3 months Lesion is called chancre Occurs at the site of the entry of organism (usually genitalia but can be anywhere) • Multiple chancres can occur • Not possible to accurately distinguish from HSV-2 ...
Management Of Patients With ST-Elevation Myocardial Infarction
Management Of Patients With ST-Elevation Myocardial Infarction

... can be useful/effective/beneficial is probably recommended or indicated ...
Glasgow Coma Scale Does Not Predict Outcome Post-Intra
Glasgow Coma Scale Does Not Predict Outcome Post-Intra

... appropriate clinical setting. Ferbert et al19 studied 85 patients with angiographically proved basilar or bilateral distal vertebral occlusion, in whom sudden neurologic decline, including quadriplegia or locked-in state, occurred in only 20. Admission symptoms and signs were variable and included v ...
ST-Elevation Myocardial Infarction Management
ST-Elevation Myocardial Infarction Management

... can be useful/effective/beneficial is probably recommended or indicated ...
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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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