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Ten-year review of epidemiology, clinical features, and treatment
Ten-year review of epidemiology, clinical features, and treatment

... Disease Code 530.0) in Tuen Mun Hospital from 1 July 1997 till 30 June 2007 were retrieved from Clinical Management System, a computerised database utilised by the Hong Kong Hospital Authority. Our hospital is a major regional public hospital with 1405 acute beds, that served a population of 1 095 4 ...
ABDOMEN AGUDO QCO
ABDOMEN AGUDO QCO

... the disease.46 The clearest consensus indication for intervention is infected pancreatic necrosis. Infected necrosis can be diagnosed definitively by the finding of air in an area of pancreatic necrosis on CT scanning or by Gram stain and culture of a fine-needle aspirate (FNA) of the necrosis. Howe ...
author`s reply
author`s reply

... R. As stated, we enrolled patients who failed either the modified sequential therapy or a standard triple therapy. The antibiotics included in the sequential therapy are not different of them included in triple therapy. Therefore, we enrolled patients who failed a very similar first-line therapy and ...
CHRONIC FATIGUE SYNDROME
CHRONIC FATIGUE SYNDROME

Phase I - ISpatula
Phase I - ISpatula

... 1. The large potential for drug –drug interactions because it is an inhibitor of Cytochrome P450 2. At higher doses can cause Gynecomastia 3. Higher doses required (200 mg...)  The most two commonly used H2 blockers are: Famotidine and Ranitidine  Both of them can be used for children less than 1 ...
Final Decision Analytic Protocol (DAP)
Final Decision Analytic Protocol (DAP)

... also be considered in those with positive diagnoses who do not wish to persist with pharmacological agents in the longer term. Tests that do not indicate that reflux is present may lead to a reassessment of the treatment strategy for the patient. Description and delivery of proposed new intervention ...
Inpatient Management of Patients with Liver Cirrhosis
Inpatient Management of Patients with Liver Cirrhosis

... –Cefotaxime (2 gm IV Q8 hours) or a similar 3rd generation cephalosporin. ...
Table 6.1.4-1
Table 6.1.4-1

... studies have been receiving treatment for at least 5 years. The benefit has remained consistent with the earlier trial information, demonstrating better or similar rates of patient death and graft loss. The rate of late acute rejection appears low. In addition, the kidney function appears stable in ...
Hydroxyurea and Transfusion Therapy
Hydroxyurea and Transfusion Therapy

... In adults and children with SCD who have chronic kidney disease and are taking erythropoietin, hydroxyurea therapy can be added to the treatment regimen to improve anemia (Weak recommendation, low-quality evidence). In females who are pregnant or breastfeeding, discontinue hydroxyurea therapy (Moder ...
Medications Requiring Tapering
Medications Requiring Tapering

... symptoms. Tapers can vary in duration and specific guidance is provided in the chart below. In hospice, tapers are not always clinically feasible resulting in the abrupt discontinuation of some medications. In these cases, end-of-life symptom management may alleviate any withdrawal symptoms that may ...
Essential Tremor: Essential Facts for Patients Essential Tremor
Essential Tremor: Essential Facts for Patients Essential Tremor

... types of tremor may benefit from botulinum toxin injections. ...
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Chapter 4 Addition of prostanoids in pulmonary hypertension deteriorating on oral therapy
Chapter 4 Addition of prostanoids in pulmonary hypertension deteriorating on oral therapy

... Pulmonary arterial hypertension (PAH) is a progressive disease of the pulmonary vasculature, leading to right heart failure and death. Novel therapies target three different pathways of abnormal pulmonary artery smooth-muscle cell proliferation and contraction: the prostacyclin, nitric oxide and end ...
Slide 1
Slide 1

7-Case Care Plan, High Grade Urothelial Carcinoma
7-Case Care Plan, High Grade Urothelial Carcinoma

... Pt was taken to emergency room at Hamad general hospital because of having right leg fracture; otherwise, the patient had no complaints ...
ALS Monitoring and Analysis System
ALS Monitoring and Analysis System

... Igor Shishkin, Moshe Taieb, Ran Mizrachi, Limor Lahiani, Nir Levy, Lilach Tesler and Hezi Shahmon ...
Sodium Valproate as an Adjunctive Drug in Treatment of
Sodium Valproate as an Adjunctive Drug in Treatment of

... used in the management of psychiatric disorders. It is used as a mood stabilizer and as an adjunctive agent in treatment of depression and psychosis. There are controversies regarding sodium valproate efficacy in psychosis. Although some studies have reported that it is effective in the management o ...
Adjuncts to the Treatment of Sinusitis\Phlegm
Adjuncts to the Treatment of Sinusitis\Phlegm

... topical steroids) for longer than 3 or 4 days may lead to increasing congestion and nosebleeds. These sprays are available from the local drug store and shorten the course of acute sinusitis by increasing the drainage of retained secretions. It does not seem to make any difference which of the topic ...
Vanessa Clark RD, LD - South Carolina Society for Respiratory Care
Vanessa Clark RD, LD - South Carolina Society for Respiratory Care

... clinical and laboratory observations. Clin Sci. 2009; 117: 251-264. Schols, A. Nutritional modulation as part of the integrated management of chronic obstructive pulmonary disease. Proceedings Nutr Society. 2003; 62: 783-791. Steinkamp G, Wiedemann B. Relationship between nutritional status and lung ...
Disease Activity Measure - Brigham and Women`s Hospital
Disease Activity Measure - Brigham and Women`s Hospital

... long-term health-related quality of life through shared decision between patient and control of symptoms, prevention of structural damage, and rheumatologist. normalization of function and social participation. C. Abrogation of inflammation is the most important way to achieve these goals. D. Treatm ...
Treatment of Severe, Recalcitrant, Major Aphthous Stomatitis With Adalimumab C M
Treatment of Severe, Recalcitrant, Major Aphthous Stomatitis With Adalimumab C M

... intravenous infusion. Finally, it is a fully humanized product, so the probability of neutralizing antibody development is low. In summary, we present a patient with severe, debilitating major RAS who was recalcitrant to multiple standard therapies. The patient’s lesions responded dramatically to su ...
The Romberg`s...Parry
The Romberg`s...Parry

... This website brought together many people with Parry-Romberg syndrome who previously had no opportunity to contact anyone else with the same condition. The interpretation of the findings was limited by the methodology but the average age of onset was around 10 years old with about one third starting ...
Psoriatic Arthritis and the Complications of Systemic Inflammation
Psoriatic Arthritis and the Complications of Systemic Inflammation

... with NSAIDs or intra-articular injections of corticosteroids; however, NSAID therapy has caused worsening of skin disease in many cases and glucocorticoids must be used judiciously to avoid inducing bone demineralization and immune flare on withdrawal.9 In moderate to severe PsA, conventional diseas ...
Nr 1. HELLP syndrome is one of the symptoms of severe pre
Nr 1. HELLP syndrome is one of the symptoms of severe pre

... with any antihypertensive drugs so far. The blood pressure was 190/120 mmHg. The following treatment should be recommended: A. salt intake should be reduced before starting antihypertensive treatment with drugs. B. increased physical activity before starting antihypertensive treatment with drugs. C. ...
Clinical Bulletin - National Multiple Sclerosis Society
Clinical Bulletin - National Multiple Sclerosis Society

... measures. Sufficient dietary fiber is also essential. If a high fiber diet (25 grams/day for females and 38 grams/day for males) cannot be achieved, bulk supplements such as Metamucil, FiberCon, Perdiem, Benefiber, or Citrucel can be used. One or two glasses of clear fluid (e.g., water, apple juice, ...
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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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