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The Effects of Psychoactive Prescription Drugs on Driving (Report at
The Effects of Psychoactive Prescription Drugs on Driving (Report at

... adversely affect one’s ability to operate a motor vehicle safely. Even responsible use of a medication by an individual who is non-tolerant or who has taken other drugs or alcohol can create a dangerous decline in driving performance. ...
Elephantiasic Pretibial Myxedema in Graves` Disease:Report of
Elephantiasic Pretibial Myxedema in Graves` Disease:Report of

... disperse in the reticular part of the dermis 9. This increased deposition apparently results from increased fibroblast stimulation10-11, but the cause of this stimulation is not yet clear. Although controlling the functional status of thyroid is important for patient's overall health, it has no effe ...
GI Motility Disorders in Elderly - The Association of Physicians of India
GI Motility Disorders in Elderly - The Association of Physicians of India

... not be taken.  Short - term treatment Antacids may be effective for symptomatic control of heartburn but they should be used with caution in the elderly patients because of their side effects. Alginic acid is also useful. Anti - reflux therapy is focused largely on suppressing gastric acid sec ...
Treatment of Intractable Hiccups
Treatment of Intractable Hiccups

... treated with metoclopramide had statistically significant cessation of hiccups versus placebo with a relative risk of 2.75 for cessation. However, the metoclopramide arm also had increased side effects of fatigue, upset mood, and dizziness. Therefore, further larger studies would need to be performe ...
Clinical manifestations
Clinical manifestations

...  Recipients should be tested for serum anti-VZV IgG antibodies  All recipients should be informed of potential seriousness of VZV disease among immunocompromised patients  Household contacts and potential visitors should be vaccinated as soon as decision is made to perform HCT, and complete vacci ...
effective use of resources policy
effective use of resources policy

... BAPRAS – British Association of Plastic, Reconstructive and Aesthetic Surgeons (formally BAPS – British Association of Plastic Surgeons) Body Mass Index (BMI) – This is calculated form a recent accurate height and weight measurement unsung the formula: weight in Kg / (height in m)2 and that the norm ...
Assessing Patient and Physician Experiences With Severe, Chronic
Assessing Patient and Physician Experiences With Severe, Chronic

... ●  Hand eczema (HE) is an immune-mediated inflammation of the skin associated with both genetic and environmental factors1,2 ●  A subset of patients experience severe chronic HE (sCHE) that is refractory to topical corticosteroids1 ●  Long-term prognosis in these patients is poor, and there is a sub ...
July 2013 - MIMS.com
July 2013 - MIMS.com

... ven as Malaysia heads toward industrial nation status, the health of its people seem to be going south, with heart disease and diabetes reaching worrying levels. Zanariah Hussein, of Hospital Putrajaya, and Chan Siew Pheng, both senior consultant endocrinologists, said many individuals with type 2 d ...
The 308nm Excimer Light - GME German Medical Engineering
The 308nm Excimer Light - GME German Medical Engineering

... The ExSys 308 is equipped with automatic protocols for the most common indications, making the selection of treatment doses simple and easy to administer. The device has a small compact design and fits on a table top or a cart.The handpiece is connected to the base by means of a fibreoptic cable. Th ...
Terlipressin acetate - Therapeutic Goods Administration
Terlipressin acetate - Therapeutic Goods Administration

... To avoid local necrosis the injection must be administered intravenously. During post-marketing experience several cases of cutaneous ischemia and necrosis unrelated to the injection site have been reported. Patients with peripheral venous hypertension or morbid obesity seem to have a greater tenden ...
Urinary Incontinence: when and where to refer
Urinary Incontinence: when and where to refer

... Guideline. Quick Reference Guide for Clinicians, No. 2, 1996 Update. Rockville, MD: Agency for Health Care Policy and Research; January 1996. AHCPR publication 960686. ...
Chronic Obstructive Pulmonary Disease Exacerbations
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... severity scales, in each case patients with more severe exacerbations were more likely to experience benefit than those less ill. This finding held up when studied in the context of the meta-analysis [35]. Thus, the data support the use of antibiotics in virtually all exacerbations of COPD. Antibiot ...
13.1 Drugs for urinary tract disorders Urinary incontinence Urinary
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... newer agents (eg solifenacin, darifenacin) compared to oxybutynin. Stop if there is no benefit after 4 weeks of treatment. Propantheline is no longer recommended for treatment of urinary incontinence. Selective alpha-blockers block receptors in bladder neck and urethra, which may help to reduce outf ...
Transmission of Enterobacter aerogenes septicemia in healthcare
Transmission of Enterobacter aerogenes septicemia in healthcare

... hepatobiliary disease; ulcers of the upper gastrointestinal tract; diabetes mellitus; chronic renal failure; and immunosuppression (Lin et al. 2006). The gastrointestinal tract is a common endogenous reservoir for E. aerogenes, and spread of infection from the gastrointestinal tract is difficult to ...
4.5 Interactions with other medicinal products and other forms of
4.5 Interactions with other medicinal products and other forms of

... chewed as this may lead to an increased risk of adverse effects including seizures. can be taken with or without food (see sections 4.5 and 5.2). Patients should be treated for 7-9 weeks. Although discontinuation reactions are not expected with , a tapering-off period ma ...
Its and Monolaurin`s Potential as Cure for HIV/AIDS
Its and Monolaurin`s Potential as Cure for HIV/AIDS

... The CD4. and CD8 counts (Table III) increased only in 5 patients and did not quite correlate with the fall in viral load, decreasing even when the viral load fell and increasing when the viral load rose. Patient #93006 had a steady viral load during the first 3 months but suffered a severe secondary ...
Double-Blind, Placebo-Controlled Study to Evaluate the
Double-Blind, Placebo-Controlled Study to Evaluate the

... is available regarding their effect in patients already treated with ACE inhibitors. Methods and Results—In a randomized, double-blind, crossover design, we studied the effects of high-dose (50 to 100 mg) transdermal nitroglycerin (NTG) and placebo given daily for 12 hours in 29 patients with CHF (N ...
PDF - touchOPHTHALMOLOGY
PDF - touchOPHTHALMOLOGY

... 13–22 = mild OSD; 23–32 = moderate OSD and ≥33 = severe OSD.42,45 Fechtner et al. found a good correlation between OSDI symptoms and the number and duration of glaucoma treatments used.46 Rossi et al. found that the use of multiple antiglaucoma medications is associated with a significantly increase ...
Is Additional Fluid Therapy Effective in the Treatment of
Is Additional Fluid Therapy Effective in the Treatment of

... and increased urinary flow. However, some researchers have noted that increased water consumption decreases the concentration of the antibiotics in the urine and its acidity. They believe that abundant water consumption can prevent good recovery from UTI [7-9]. We decided to conduct this investigati ...
Efficacy of tocilizumab, a humanized anti-IL
Efficacy of tocilizumab, a humanized anti-IL

... A wide variety of activities of IL-6 reflect various signs and symptoms in RA patients [4]. For example, IL-6 induces autoantibodies through B-cell activation, and also acts on naive T cells to induce Th17 cells that play major roles in RA pathogenesis [10]. IL-6 also induces the synthesis of VEGF [ ...
Mild Traumatic Brain Injury
Mild Traumatic Brain Injury

... • Assess symptoms present prior to the concussion ▫ Complete resolution would not be expected and ongoing problems may not be attributed to concussion ▫ Patient will return to their baseline which is not the same as being symptom free  Patients with headaches before their concussion, will likely co ...
CLINICAL PRACTICE GUIDELINE Adult Pneumonia Guideline
CLINICAL PRACTICE GUIDELINE Adult Pneumonia Guideline

... an acute serum is important but it may be held untested (as it would normally be negative) until a convalescent serum is also received in the laboratory (at least 3 weeks after onset of illness). Note that delayed seroconversion is the rule in Legionella infection. If L. longbeachae is suspected, th ...
Kinastad comp film-coated tablet ENG SmPC
Kinastad comp film-coated tablet ENG SmPC

... clearance <10 ml/min). Before ACE inhibitor treatment, renal artery stenosis should be excluded in renal transplant patients. The half-life of quinaprilat is prolonged as creatinine clearance falls. Patients with a creatinine clearance of <60 mL/min require a lower initial dosage of quinapril (see s ...
Kinoprilam comp film-coated tablet ENG SmPC
Kinoprilam comp film-coated tablet ENG SmPC

... clearance <10 ml/min). Before ACE inhibitor treatment, renal artery stenosis should be excluded in renal transplant patients. The half-life of quinaprilat is prolonged as creatinine clearance falls. Patients with a creatinine clearance of <60 mL/min require a lower initial dosage of quinapril (see s ...
2013 European guideline for the management of balanoposthitis
2013 European guideline for the management of balanoposthitis

... unrelated conditions, the appearances of which may be suggestive but should never be thought to be pathognomonic and biopsy3 is sometimes needed to exclude pre-malignant disease. . The following investigations are intended to aid diagnosis in cases of uncertainty: . Sexual history taken, with specifi ...
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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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