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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 ...
ii. i. assessment - European Academy of Craniomandibular Disorders
ii. i. assessment - European Academy of Craniomandibular Disorders

... Occlusal appliances can be indicated at the start of therapy in myogenous and arthrogenous TMD’s . Their use should always be accompanied by patient education. The splint should cover the whole arch. The splint should be worn only during the night and have a minimal increase of vertical dimension. C ...
Delays in Appropriate Antibiotic Therapy for Gram
Delays in Appropriate Antibiotic Therapy for Gram

... Funding: This study was funded by a grant from the Robert Wood Johnson Foundation (66327) to DJA. DJA was supported by NIH K23 AI095357. VGF was supported by NIH K24 AI093969 and R01 AI068804. The funders had no role in study design, data collection and analysis, decision to publish, or preparation ...
first described in 1984
first described in 1984

... they would become energetic and demanding. These mood and energy fluctuations frequently produced tension in the marriage. Physical symptoms accompanied depressive episodes in several cases: a few patients reported joint pains or stiffness, three patients reported headaches, three patients reported ...
2007 NIH Asthma Treatment Guideline Summary
2007 NIH Asthma Treatment Guideline Summary

... Consider severity and interval since last exacerbation. Evaluation requires long-term follow-up care. Medication side effects can vary in intensity from none to very troublesome and worrisome. The level of intensity does not correlate to specific levels of control but should be considered in the ove ...
Understanding Farydak® (panobinostat)
Understanding Farydak® (panobinostat)

... of prescription drugs when there is reasonable evidence of an association with a serious hazard from the drug. The Boxed Warning for Farydak includes severe diarrhea and severe car­diac toxicities (heart problems). Severe diarrhea (defined as 7 or more stools per day requiring treatment with intrave ...
Sublingual Immunotherapy for Allergic Fungal
Sublingual Immunotherapy for Allergic Fungal

... response to SLIT.20 Clinical correlation between rhinosinusitis and total serum IgE levels has been shown in some studies, although not necessarily seen in AFS patients.21 Notably, the patient with the largest posttreatment increase in IgE was one who required revision surgery. Literature discussing ...
Periprocedural Anticoagulation Management of Patients With
Periprocedural Anticoagulation Management of Patients With

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Key therapeutic topics 2010/11 –  Medicines management options for local implementation
Key therapeutic topics 2010/11 – Medicines management options for local implementation

... or becomes inadequate (HbA1c ≥ 7.5%, or other higher level agreed with the individual) and either the person has a BMI >35 kg/m2 (in people of European descent, with appropriate adjustment for other ethnic groups) and specific psychological or medical problems associated with high body weight, or th ...
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Submitted version

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Gaucher disease  National Diagnosis and Treatment Protocol
Gaucher disease National Diagnosis and Treatment Protocol

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Diagnosis, Treatment, and Outcome of Giant

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Neuromuscular Therapeutics
Neuromuscular Therapeutics

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A comparison of salivary substitutes versus a natural sialogogue
A comparison of salivary substitutes versus a natural sialogogue

... © 2011 Mosby, Inc. All rights reserved. doi:10.1016/j.tripleo.2011.01.039 ...
the emergence of immuno-oncology in clinical cancer research
the emergence of immuno-oncology in clinical cancer research

... infiltration, antigen release, and antigen presentation to dendritic cells. Interferon may have such a role as might agents like toll-like receptor agonists that stimulate interferon and IL12 production which in turn increase the response to anti-PD1 agents. Intratumor injection of these agents may ...
Electroconvulsive Therapy - Vanderbilt University School of Medicine
Electroconvulsive Therapy - Vanderbilt University School of Medicine

... about a patient’s ability to tolerate the treatment Evaluate and treat any conditions prior to starting treatment to modify medical ...
What you should know about gallstone treatment
What you should know about gallstone treatment

... Drug therapy (oral dissolution) The principle: reversing the process of gallstone formation Bile acids, an important component of the bile, are produced by the liver to emulsify cholesterol, making it more soluble. As we have seen above, in many cases gallstones consist predominantly of cholesterol ...
Evaluation and Treatment of Vertigo Patients
Evaluation and Treatment of Vertigo Patients

...  Betahistine is a weak H1 receptor agonist and a more potent H3 receptor antagonist. In peripheral vestibular organs, betahistine reduces the ampullae receptor resting discharge, therefore reducing the firing rate of peripheral ampullar nerves. It also increases vestibular and cochlear blood flow. ...
Pharmacy Compounding: Meeting unique physician & patient needs
Pharmacy Compounding: Meeting unique physician & patient needs

... The Rectal Rocket Designed to get the drug(s) to the sight of action • Holds drug(s) at sight of action for an extended • period of time (air vent included) ...
(WHO) Fracture Risk Assessment Tool (FRAX®)
(WHO) Fracture Risk Assessment Tool (FRAX®)

... Antiresorptive therapy can likely be deemed effective if BTMs during therapy are at or below the median value for premenopausal women. The decrease in BTMs compared to pretreatment levels with oral and IV bisphosphonates can range from 30 to 50% from 40 to 80% with denosumab. Use of a bone resorpti ...
The initial management of acetaminophen poisoning is determined
The initial management of acetaminophen poisoning is determined

... developed in 41 percent--a rate lower than that among historical controls. When given within eight hours of acetaminophen ingestion, Nacetylcysteine was protective regardless of the initial plasma acetaminophen concentration. There was no difference in outcome whether N-acetylcysteine was started ze ...
Data Sheet
Data Sheet

... adverse effect of major tranquillisers (see ADVERSE EFFECTS). Prolonged Usage As with all phenothiazines, long term usage of chlorpromazine can cause the development of tardive dyskinesia, which may be irreversible (see ADVERSE EFFECTS). Alertness Chlorpromazine may impair mental and/or physical abi ...
Complications of IV Therapy
Complications of IV Therapy

... Ensure the cannula is the appropriate size and well secured Blood return on aspiration is observed before flushing cannula The insertion site must be visible at all times during administration  Check cannula site at least hourly or more often if there is any concern during an infusion Note: the ins ...
oxybutynin – safe prescribing – a little bit dry 1
oxybutynin – safe prescribing – a little bit dry 1

... Oxybutynin decreases muscle spasms of the bladder and increases bladder capacity. It is indicated for symptoms of urinary frequency and urgency1 that result in incontinence. Oxybutynin can cause classic anticholinergic adverse effects such as dry mouth, blurred vision, urinary retention, constipatio ...
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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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