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Initiation of Antiretroviral Therapy (ART)
Initiation of Antiretroviral Therapy (ART)

... • Initiation of ART before VL >100,000 copies/mL may allow for more therapeutic options and greater clinical success • However, highly potent efavirenz- or boosted PIbased regimens may be equally effective in patients with high baseline viral loads1-3 • VL is a marker for rate of CD4 decline: more f ...
Safety of long term proton pump inhibitors (PPIs)
Safety of long term proton pump inhibitors (PPIs)

... people with CDI were about three times more likely to have been prescribed a PPI in the previous 3 months than people without CDI.11 Other studies found that hospital inpatients taking daily PPIs were over 70% more likely to develop CDI than non-users. Patients who received more frequent PPIs had mo ...
Adult ADHD Self-Report Scale (ASRS) Symptom
Adult ADHD Self-Report Scale (ASRS) Symptom

... Research suggests that the symptoms of ADHD can persist into adulthood, having a significant impact on the relationships, careers, and even the personal safety of your patients who may suffer from it.1-4 Because this disorder is often misunderstood, many people who have it do not receive appropriate ...
Asthma in Adults
Asthma in Adults

... running at 6-8 litres per minutes (refer to salbutamol drug protocol for dosages and information). In acute severe or life-threatening cases ipratropium bromide (refer to ipratropium bromide drug protocol for dosages and information) should be added to the salbutamol. Continue high concentration O2 ...
validity of cat and mmrc – dyspnea score in evaluation of copd severity
validity of cat and mmrc – dyspnea score in evaluation of copd severity

Rhinosinusitis and its treatment
Rhinosinusitis and its treatment

... antihistamines, decongestants and mucolytics have not been shown to be helpful. ...
Clinical Features of Human Intestinal Capillariasis in Tai
Clinical Features of Human Intestinal Capillariasis in Tai

... in patients with malabsorption syndrome 16. The delay in diagnosis was commonly seen for more than 4 months and, in some cases, even years in this study due to Taiwan not being an endemic area of C. philippinensis infection 17. Capillariasis are closely related to Trichuris and Trichinella species 1 ...
Mechanical Stretching Devices
Mechanical Stretching Devices

... benefits of dynamic LLPS devices when used to relieve persistent joint stiffness that can occur after injury or surgery. However, there is minimal evidence supporting the effectiveness of dynamic LLPS devices for the rehabilitation of joints other than finger, wrist, elbow, knee, and toe. There is i ...
slides
slides

... 1.  Education - level of success is directly related to how much education patients and their families receive about AD* ...
Management of Kawasaki disease
Management of Kawasaki disease

... unclear, but it may be related to the presence of aseptic meningitis.9 43 Another important clinical sign is the development of erythema and induration at the site of previous Bacillus Calmette–Guérin (BCG) immunisation.9 44 The mechanism of this clinical sign is believed to be due to cross-reactivi ...
Management of Kawasaki disease D Eleftheriou, M Levin, D Shingadia,
Management of Kawasaki disease D Eleftheriou, M Levin, D Shingadia,

... unclear, but it may be related to the presence of aseptic meningitis.9 43 Another important clinical sign is the development of erythema and induration at the site of previous Bacillus Calmette–Guérin (BCG) immunisation.9 44 The mechanism of this clinical sign is believed to be due to cross-reactivi ...
EMDR in the Treatment of Posttraumatic Stress Disorder - IAN-a
EMDR in the Treatment of Posttraumatic Stress Disorder - IAN-a

... commissions, expertise for legal purposes, etc.). On many occasions we have been able to motivate these patients to also accept the treatment. Success of EMDR as well as other psychotherapeutic methods largely depends on patient's motivation, while secondary gain and acceptance of the victim role re ...
Atrial Fibrillation with no structural Heart Disease
Atrial Fibrillation with no structural Heart Disease

... with risk factors excluding age and previous embolism. In addition, Nademanee et al. studied a population of 674 patients with AF and ≥ 1 risk factor, and found an annual rate of embolic events of 0.4% in patients who maintained sinus rhythm and 2% in patients with permanent AF. It is clear that sel ...
Precautions Relating to Interstitial Lung Disease During
Precautions Relating to Interstitial Lung Disease During

... Labour and Welfare (MHLW) and Pharmaceuticals and Medical Devices Agency confirmed the details of these cases and have disseminated reminders of the precautions when administering EGFR-TKIs to relevant academic societies and professional groups. This information has been summarized in this section. ...
Canine Hyperadrenocorticism - VCA Specialty Animal Hospitals
Canine Hyperadrenocorticism - VCA Specialty Animal Hospitals

... daily induction dosage given once or twice a week. D. When used in this fashion you are using Lysodren as a chemotherapeutic drug and the goal is to wipe out all adrenal tissue thereby inducing both glucocorticoid and ...
Update on Bisphosphonate Osteonecrosis of the Jaws
Update on Bisphosphonate Osteonecrosis of the Jaws

... Although BONJ can occur spontaneously, it is more commonly related to dental extractions or other types of surgery involving alveolar bone such as periodontal surgery or implant placement, or to ill-fitting dental prostheses which can cause local soft tissue trauma and ultimately bone exposure. The ...
Severe Limb-Threatening Ischemia: Thoracic Outlet Syndrome
Severe Limb-Threatening Ischemia: Thoracic Outlet Syndrome

... Typically, the diagnosis of arterial TOS is made only after a thromboembolic complication has already occurred and is rarely made early in its course. Initially, symptoms can be mild and may be overlooked by both the patient and physician. In advanced cases or when the diagnosis has been delayed, ma ...
Intolerance to Statins: Mechanisms and Management
Intolerance to Statins: Mechanisms and Management

... with a risk of myopathy, the use of antidepressant medications was associated with a significantly lower prevalence of muscular symptoms (0.51) (4). Although there was no effect of sex on the prevalence of myopathy in the PRIMO study, female sex is sometimes considered a risk factor (6). Women are al ...
treatment of Multiple sclerosis With Chinese scalp Acupuncture
treatment of Multiple sclerosis With Chinese scalp Acupuncture

... Multiple sclerosis (MS) is a progressive disease of the central nervous system in which communication between the brain and other parts of the body is disrupted. Its effects can range from relatively benign in most cases to somewhat disabling and then to devastating for some people. During an MS att ...
C. difficile
C. difficile

... • Susceptible - level of antimicrobial activity associated with a high likelihood of therapeutic success • Intermediate - activity of uncertain therapeutic effect – Infection may be appropriately treated in body sites where the drugs are concentrated OR when a high dosage of drug can be used – It al ...
Daily versus weekly azithromycin in cystic fibrosis patients
Daily versus weekly azithromycin in cystic fibrosis patients

... and after therapy was also performed [17]. Disc diffusion (Haemophilus spp.) and VITEK susceptibility panels (S. aureus) in an automated system (bioMérieux, Marcy l’Etoile, France) were used to determine antibiotic susceptibility. Clarithromycin was used to test macrolide susceptibility of Haemophi ...
Nonmed, alternative, complementary treatments for migraine
Nonmed, alternative, complementary treatments for migraine

... associated with higher prevalence of migraine and non-migraine headache. In both headache groups, there was a strong linear trend (P<.001) of higher prevalence of ‘low physical activity’ with increasing headache frequency.” A follow-up study9 compared aerobic exercise (40 minutes 3 times a week) wit ...
Exam questions list in Oto-rhino
Exam questions list in Oto-rhino

... Traumatic perforation of the eardrum. Disorders of the middle ear - acute and chronic catarrh of the middle ear. Acute purulent otitis media. Acute otitis media in infectious diseases. Acute otitis media in infants and young children. Streptococcus Mucosus Otitis. Aerootitis. Facial nerve paralysis. ...
The Use of Antipsychotic Medication In Long Term Care
The Use of Antipsychotic Medication In Long Term Care

... care plan documentation, greater use of advanced directives and better behavioral treatments for problem such as bowel incontinence, while reducing problematic practices such as physical restraints and indwelling urinary catheters.1 OBRA led to increased monitoring of antipsychotic medication in nur ...
Erythema nodosum and erythema induratum
Erythema nodosum and erythema induratum

... disease, as they have been reported to be associated with an increased incidence of both nonfatal and fatal myocardial infarctions and strokes (22). Further caution should be exercised in patients with known gastritis or esophagitis because NSAIDs can aggravate these conditions; addition of a proton ...
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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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