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April 1, 2002 - Alberta Blue Cross
April 1, 2002 - Alberta Blue Cross

... condition; therefore, it is generally treated empirically and broad-spectrum antibiotics are often preferred. The ECDET expressed concern about the potential for treatment failure if a gramnegative organism is the causative agent. In addition, it was taken into consideration that there are several a ...
immunomodulators - Arnold Palmer Hospital for Children
immunomodulators - Arnold Palmer Hospital for Children

... The first two immunomodulators to be used widely in IBD are azathioprine (Imuran!, Azasan!) and 6mercaptopurine (6-MP, Purinethol!), drugs that are chemically quite similar. They are used to maintain remission in Crohn’s disease and ulcerative colitis. Both have a slow onset of action (three to six ...
Therapeutics Today - St. James`s Hospital
Therapeutics Today - St. James`s Hospital

... (BMJ 2016; 355:i6258). Influenza is an acute viral infection of the respiratory tract that spreads easily from person to person. Clinical features of influenza infection include sudden onset of fever, myalgia, headache, malaise, dry cough, sore throat and nasal congestion; GI symptoms are also commo ...
recent updates in management of community acquired pneumonia
recent updates in management of community acquired pneumonia

... emergency department (ED), the first antibiotic dose should be administered while still in the ED. ...
Neurological Agents of Bioterrorism
Neurological Agents of Bioterrorism

... • The most effective form of prevention is vaccination against infection but this must be done well in advance of exposure to the bacillus, and does not protect indefinitely • Components of black tea, such as polyphenols, have the ability to inhibit the activity of anthrax considerably – The additio ...
General Medical Officer (GMO) Manual: Clinical Section
General Medical Officer (GMO) Manual: Clinical Section

... within the first 2 weeks after symptoms have resolved. Such activities have been found to stress the back no more than sitting for an equal period of time on the side of a bed. Patients should be informed that exercise might increase symptoms slightly at first. If intolerable, some exercise alterati ...
(Click here and type – This is to be printed on official DHS letterhead
(Click here and type – This is to be printed on official DHS letterhead

... Rationale: Clinical studies have shown that ACE-inhibitors and certain angiotensin receptor blockers (ARB) (specifically losartan and irbesartan) decrease or stabilize albuminuria in incipient nephropathy and slow the rate of progression to advanced nephropathy. They should be utilized in all patien ...
family medicine - Audio
family medicine - Audio

... moderate to severe bulging of tympanic membrane (TM), newonset ear pain not due to otitis externa (OE), and mild bulge of TM associated with <48 hr of onset of ear pain or erythema; OM with effusion — middle ear effusion with lack of acute symptoms for acute OM (AOM) Treatment of AOM: analgesics; im ...
CPI and PolyPhotonix develop wearable prototype blanket that uses
CPI and PolyPhotonix develop wearable prototype blanket that uses

... Going forward, future developments will be towards developing the printing techniques from current sheet form to that of more production ready roll to roll manufacturing methods. Work will also be undertaken to investigate the technology developed for other high potential applications areas such as ...
informed sculptra consent
informed sculptra consent

... Sculptra® Aesthetic therapy does not treat the underlying cause of tissue or fat loss; rather it is meant to improve the appearance of the affected area(s). Outcomes: Occasionally, despite proper planning, patients do not always respond as desired to Sculptra® Aesthetic therapy. Risks and Complicati ...
Multiple sclerosis (MS) –
Multiple sclerosis (MS) –

... Multiple sclerosis (MS) – is a chronic disease that begins most commonly in young adults and is characterized pathologically by multiple areas of central nervous system (CNS) white matter inflammation, demyelination, and glial scarring (sclerosis) ...
Angioimmunoblastic T-Cell Lymphoma Fact Sheet
Angioimmunoblastic T-Cell Lymphoma Fact Sheet

... Disease relapse and infections are common with this cancer. It is important to seek medical attention for fever or other symptoms related to improper functioning of the immune system. Patients with lymphoma should have regular visits with a physician who is familiar with their medical history and th ...
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19-Enzyme-and-gene-therapy

NeuroMuscular Diseases in Critically Ill Patients
NeuroMuscular Diseases in Critically Ill Patients

... FIRST LINE AGENTS • Anticholinesterase medications to increase the concentration of acetylcholine available for receptor binding. • Pyridostigmine: 30–60 mg P/O three to four times daily. • The maximum useful dose of pyridostigmine rarely exceeds 120 mg every 4–6 h during daytime. ...
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OCD Facts

... 47 patients with OCD (DSM-IV criteria) randomized to 12 weekly sessions of cognitivebehavioral group therapy vs. waiting list control 70% treatment vs. 4% control patients had improvement (p < 0.001, NNT 2) ...
3 rd Lecture
3 rd Lecture

...  The pharmacological therapy of neurodegenerative disorders is limited mostly to symptomatic treatments that do not alter the course of the underlying disease  Symptomatic treatment for PD, where the neurochemical deficit produced by the disease is well defined, is, in general, relatively successf ...
Congestive Heart Failure (CHF)
Congestive Heart Failure (CHF)

... -Greater evidence of effectiveness than ARBs Add BB before full target dose reached -Initiate at low doses and increase as tolerated -Use doses that have been shown to decrease risk of cardiovascular events in clinical trials unless not tolerated -Reasonable alternatives to ACEI -If develop angioede ...
Barrier is Deficient in Human Brain Tumors Moore, Peyton, French
Barrier is Deficient in Human Brain Tumors Moore, Peyton, French

... In 45 years about 900,000 – 1,000,000 patients in the US In 1959 mortality was 10-30% - 90,000-300,000 deaths With steroids morality dropped to 3-10% - 27,000-100,000 deaths The effect upon morbidity can not be qualified but is substantial: XRT Between 60,000 and 200,000 lives saved in US Worldwide ...
Neuromuscular weakness and paralysis
Neuromuscular weakness and paralysis

... the wind-pipe and lungs can lead to pneumonia, which can in turn precipitate respiratory failure. some myasthenia patients experience an attack of weakness so severe that the muscles of breathing fail, necessitating placement on a respirator. This condition is called myasthenic crisis. What is myast ...
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... a frustrating one at best. Aside from a few anecdotal reports and some recent studies, the time honoured approach of avoidance of the offending food remains the mainstay of treatment. Yet, avoidance remains difficult and severe reactions from accidental exposures occur all too frequently. A study pu ...
Therapy - Bremerton School District
Therapy - Bremerton School District

... (ECT) ECT is used for severely depressed patients who do not respond to drugs. The patient is anesthetized and given a muscle relaxant. Patients usually get a 100 About 4 in 10 ECT-treated volt shock that relieves patients relapse into them of depression. depression within 6 months ...
Executive Summary
Executive Summary

... non-small cell lung, hepatocellular, renal cell, nasopharyngeal, bladder, uterine, epithelial ovarian, breast, prostate, and pancreatic carcinomas. Previous studies in our laboratory have shown an increased expression of CD24 in colorectal adenomas and adenocarcinomas as compared to normal adjacent ...
Behavior Therapy - Bremerton School District
Behavior Therapy - Bremerton School District

Dissecting cellulitis of the scalp =التهاب النسيج الخلوي المسلخ على
Dissecting cellulitis of the scalp =التهاب النسيج الخلوي المسلخ على

... treatments fail, surgical approaches may be used, but are most effective if performed on early, small lesions. In these cases, the lesions are incised and drained. Normal Course The normal progression of the disease leads to scarring, therefore alopecia and seropurulent drainage may last indefinitel ...
Fungal Diseases of Paranasal Sinuses
Fungal Diseases of Paranasal Sinuses

... • Therefore it should be considered an emergency. • Tissue involvement can spread rapidly from sinuses to adjacent tissues. • Most commonly caused by Aspergillus fumigatus ...
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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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