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Common Urological Guidelines
Common Urological Guidelines

... disease. Most patients do not need urological referral. It is important to take a full medical and social history as several recreational drugs, antidepressant agents and antipsychotic agents can cause ejaculatory dysfunction. Similarly a thorough physical examination, including examination of the e ...
- Wiley Online Library
- Wiley Online Library

... patients were only included in these two last treatments when they had only one lesion measuring no more than 4 cm2. Patients included in the IL treatment should not have the lesion in the head, as infections due to this treatment are more frequent in this area (Masmoudi et al. 2006). Twenty-six pat ...
VBF! - Vascular Birthmarks Foundation
VBF! - Vascular Birthmarks Foundation

... ? AVM is a complex mass of arteries and veins. Defective blood flow has been associated with these lesions. As the lesion ages, the vessels enlarge and thicken to compensate for the increased blood supply. There are two grades: low and high. Low grade grow slowly with the child, and high grade expan ...
Parenteral products such as KamRho-D IV. should be inspected for
Parenteral products such as KamRho-D IV. should be inspected for

... immune globulin anti-D. KamRho-D I.V. immune globulin is prepared from Human plasma by an ion exchange column chromatography method, and it is manufactured from pooled Human venous plasma with a high content of anti-D antibodies. Each unit of plasma used in the manufacture of this product has been t ...
Gastroparesis Gastroparesis is a disorder in which the stomach
Gastroparesis Gastroparesis is a disorder in which the stomach

... recognize possible side effects, and know what to do if side effects occur. Erythromycin is an antibiotic that can also speed up stomach emptying. Another pro-motility agent, domperidone, has been used in countries outside of the U.S to treat gastroparesis. While not approved by the Food and Drug Ad ...
SINthetic AntiBiotics Destroy the Healthy Bowel Flora and this
SINthetic AntiBiotics Destroy the Healthy Bowel Flora and this

... Mycobacterium avium complex (MAC) are ubiquitous organisms that cause isolated pulmonary disease in otherwise healthy patients with yet undefined susceptibilities. Patients typically present with a history of chronic cough, eventually progressing to hemoptysis, fever, and hypoxia. With half or more ...
Dizziness in the ED: Its Enough to Make Your Head Spin!
Dizziness in the ED: Its Enough to Make Your Head Spin!

... EXAMINATION IS BETTER THAN MRI!  In an article published in Stroke September 2009, the HINTS examination (Head Impulse, Nystagmus testing, and Testing of Skew) was more sensitive than DWI MRI within the first 48 hours of symptoms.  These three tests together take at most 2 minutes to perform and ...
Atopic Keratoconjunctivitis
Atopic Keratoconjunctivitis

... or tacrolimus ointment to the eyelid skin.[2,4] When topical treatments fail to induce remission, oral prednisone, tacrolimus, or cyclosporine are the next treatment options. These are also useful for dermatologic manifestations of the disease.[5] It is important to note that as T-cells play a centr ...
OCULAR ALLERGY Esen Karamursel Akpek, MD ABSTRACT The
OCULAR ALLERGY Esen Karamursel Akpek, MD ABSTRACT The

... lodoxamide) act by preventing the calcium influx across mast cell membranes and therefore inhibit the degranulation (10). They also have some inhibitory effect on neutrophils and eosinophils. They should be used prophylactically and on a regular basis for effectiveness. In severe cases short term t ...
Conférence de Klinghardt 2011
Conférence de Klinghardt 2011

... Parasite patients often express the psyche of the parasites - sticky, clingy, impossible to tolerate but a wonderful human being is behind all of that. We are all a composite of many personalities. Chronic infections outnumber our own cells by 10:1. We are 90% "other" and 10% "us". Our consciousness ...
Henry Ford Health System Publication List May 2006
Henry Ford Health System Publication List May 2006

... Cerghet, M., R. P. Skoff, D. Bessert, Z. Zhang, C. Mullins, and M. S. Ghandour. (2006). "Proliferation and death of oligodendrocytes and myelin proteins are differentially regulated in male and female rodents." J Neurosci 26(5): 1439-47. PDF Full-Text Sexual dimorphism of neurons and astrocytes has ...
A phase 1, multicenter, open-label, dose escalation study of
A phase 1, multicenter, open-label, dose escalation study of

... level and schedule. After completion of treatment, patients were evaluated for adverse events (AEs) at 30 days and 60 days after last elotuzumab dose. The study used a 3 ⫹ 3 dose escalation approach with each cohort starting with 3 patients. For the first cohort, there was a 14-day observation perio ...
metFORMIN (met-for-min) - DavisPlus
metFORMIN (met-for-min) - DavisPlus

... curs, advise patient to take a glass of orange juice or 2– 3 tsp of sugar, honey, or corn syrup dissolved in water, and notify health care professional. Instruct patient in proper testing of blood glucose and urine ketones. These tests should be monitored closely during periods of stress or illness ...
Rapid Clinical Assessment of Hemodynamic Profiles
Rapid Clinical Assessment of Hemodynamic Profiles

... impaired contractility (systolic failure) and fluid accumulation in the lungs secondary to systemic volume overload.6 It is now recognized that (1) no change in LV ejection fraction (LVEF) occurs with acute decompensation of chronic heart failure (HF) or after its reversal;5, 6 (2) LV function is en ...
BVAC Ablative Chemotherapy Followed by
BVAC Ablative Chemotherapy Followed by

... patients are given an infusion of stem cells after the ablative therapy to shorten the expected period of severe hypoplasia. As long as there is a source of healthy stem cells to replace the irreversibly damaged bone marrow, treatment strategies involving this magnitude of dose escalation can be pur ...
Full Prescribing Information
Full Prescribing Information

... study [see Nonclinical Toxicology (13.1)], a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. 8.4 Pediatric Use Safety and effectiveness in patients below the age of 18 years have not been established. 8. ...
Detection and Management of Pulmonary Hypertension in CTD
Detection and Management of Pulmonary Hypertension in CTD

... • Combination of bosentan added to intravenous epoprostenol did not show significant improvement in symptoms or functional capacity. • Combination of sildenafil and epoprostenol demonstrated an improvement in exercise capacity, hemodynamics, and time to clinical worsening. ...
Disciplinary Committee Inquiry for Dr Tang Yen Ho Andrew
Disciplinary Committee Inquiry for Dr Tang Yen Ho Andrew

... The Respondent, in his defence, stated that his patients’ welfare is most important to him. He spoke generally about dependency being of different forms. He then went on to state his criteria for prescribing medication to the patients. This was basically asking himself whether they were taking medic ...
OBG Practical strategies for acute and recurrent vaginitis
OBG Practical strategies for acute and recurrent vaginitis

... Fluconazole for 6 months. Although about 50% of women have a relapse after stopping treatment, most can at least successfully control and prevent symptomatic episodes as long as they are using fluconazole in maintenance doses. Most experts recommend a 6-month course of maintenance therapy. Alternati ...
Dyslipidemia ATP4 GUIDLINES
Dyslipidemia ATP4 GUIDLINES

... Fibrates — the major effects of the fibrates are to lower plasma triglyceride and raise HDL-C levels. They are effective for the treatment of hypertriglyceridemia and combined hyperlipidemia with or without hypoalphalipoproteinemia. There is an increased risk of muscle toxicity in patients taking so ...
American Society of Hypertension
American Society of Hypertension

... response to increased flow or agonist stimulation. NO not only combats vasoconstriction but also prevents hypertrophic, sclerotic, or thrombotic processes at the vessel wall. Therefore, it is a major defense mechanism against hypertension and its complications. The EDRF-NO pathway is defective in an ...
IV to PO Antibiotic Therapy
IV to PO Antibiotic Therapy

... the practice of switching IV to PO antibiotics can be a very important component of a facility’s ASP. According to a 2005 study, approximately one-third of all inpatients initiated on IV antibiotics are eligible for oral therapy. The medical literature has repeatedly demonstrated that switching from ...
Frequently Asked Questions What is Mesotherapy? On what areas
Frequently Asked Questions What is Mesotherapy? On what areas

... thereby resulting in the undesirable "orange peel" appearance. The mesotherapy formula is based on the grade of cellulite found. There are four stages of cellulite, each of which may require a different treatment: Stage 0: No visible cellulite, even when skin is pinched. Stage 1: No visible cellulit ...
TBI Guidelines Lecture
TBI Guidelines Lecture

... Sosin et al. JAMA 1995, 273:1778-1780 ...
PREVENTION OF ATRIALFIBRILLATION/FLUTTER AFTER CABG …
PREVENTION OF ATRIALFIBRILLATION/FLUTTER AFTER CABG …

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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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