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Contraception
Contraception

... As soon as possible for high risk antenatal patient Therefore risk score at 1st opportunity And again with every admission, then at delivery A role for pre pregnancy counselling Patients with personal or family history may benefit from testing for thrombophilia Must stop if there is PV bleeding or o ...
End of life symptom management
End of life symptom management

... End of Life Symptom Management Dec 3, 2014 Mudit Dabral Rosene Pirrello ...
Experimental Studies (Clinical Trials)
Experimental Studies (Clinical Trials)

... Testing drug in human: Phase I:  Include studies of volunteers who receive small doses of new drugs to test effects on body functions under close supervision.  This phase is of short duration (usually one or two months) Phase II:  Also carried out on volunteers.  It lasts longer than phase I tri ...
3. Non Pain Symptoms Overview - 65.44 KB
3. Non Pain Symptoms Overview - 65.44 KB

... is admitted with new abdominal pain and no bowel movement for 10 days. She also has no appetite and feels nausea. She is on long acting Morphine 30mg bid which controls her pain from the cancer. Her abdomen is distended and there is firm hard stool in her rectum. She has bowel sounds and the x-ray s ...
VIEW PDF - Practical Dermatology
VIEW PDF - Practical Dermatology

... the patient goes under the light, a procedure known as photodynamic therapy. At our office, we most commonly use 5-aminolevulinic acid (ALA) (Levulan) by applying it for 30 to 60 minutes prior to exposure to light. Application times may vary and many studies have been done looking at pros and cons o ...
Article PDF
Article PDF

... to a second drug, whether they switched within class or to another class. In level two of the study, patients who chose to switch to a new drug after taking the SSRI citalopram were randomized either to another SSRI, sertraline (Zoloft); to the SNRI venlafaxine (Effexor); or to another dual-action d ...
First Clinic Visit
First Clinic Visit

... with patients Listen to patient’s concerns in a nonjudgmental way Promote patient education and active participation in care Encourage involvement of treatment supporters: family, friends and peer educators ...
shock wave therapy - Bayshore Podiatry
shock wave therapy - Bayshore Podiatry

... Treatment for Plantar Fasciitis The symptoms of Plantar Fasciitis have various origins. These may include thickening of the plantar fascia, decreased vascularity, repetitive stress, metabolic disorders, fascial inflammation, and obesity. ...
D P DEFINING SUCCESS IN MULTIPLE SCLEROSIS: TREATMENT FAILURES AND NONRESPONDERS
D P DEFINING SUCCESS IN MULTIPLE SCLEROSIS: TREATMENT FAILURES AND NONRESPONDERS

... manifestations. Breakthrough activity is not necessarily a reason for discontinuation of current therapy, although modification should be considered. Hopefully, the use of newer imaging techniques, including magnetic resonance spectroscopy, magnetization transfer, and diffusion tensor imaging, will ...
Does the arrival of mesotherapy signal the demise of conventional
Does the arrival of mesotherapy signal the demise of conventional

... of Plastic Surgeons on the subject of mesotherapy: The American Society of Plastic Surgeons does not endorse the use of injectable treatment for any condition at this time. Further research into the safety and efficacy is needed. The seemingly painless approach to body contouring will always be appe ...
Interactive Table Discussion Questions
Interactive Table Discussion Questions

... 1. Decision-making for therapy selection: a. What factors play a role in your decision making regarding the use of statin and non-statin therapies? b. What is your approach to selection of drug(s), drug dosing, dose titration, and monitoring of response to therapy? 2. Prescribing obstacles: a. What ...
Effect of a standardized order set on adherence to treatment
Effect of a standardized order set on adherence to treatment

... within a computerized physician order entry (CPOE) program. In 2013, a retrospective chart review that was conducted at this institution found that 77.6% of patients did not receive guideline-directed therapies for C. diff. Thus, this follow-up study was initiated to evaluate whether the implementat ...
Treatment of the acute migraine attack
Treatment of the acute migraine attack

... Each triptan should be used by the patient on at least 3 separate occasions to assess efficacy. Failure to respond to a particular triptan does not indicate group failure as other triptans may be effective in the same patient. If the headache does not respond to the triptan this indicates treatment ...
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... e) Desire to become a center for clinical and therapeutic excellence. ...
68-year-old male
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... Symptoms and Treatment • Symptoms from treatment are tolerable if treatment controls disease • Thankful that treatment is available • Prognosis better than 10 years ago ...
Ali Domar, PhD - Midwest Reproductive Symposium
Ali Domar, PhD - Midwest Reproductive Symposium

... women who did not conceive was more than two times that of the suicide rate of women who did* – Women with secondary infertility also had an increased risk, but it was not statistically significant *Kjaer et al Hum Reprod 2011 ...
Major Depressive Disorder - Harvard Pilgrim Health Care
Major Depressive Disorder - Harvard Pilgrim Health Care

... potential side effects and safety concerns. There is an increased suicide risk for some patients prescribed antidepressant medication; therefore close monitoring is essential. The three phases for treatment of Major Depressive Disorder include the Acute Phase (the initial 6-12 weeks), Continuation P ...
Co-Managing The Adolescent with Orthostatic Intolerance
Co-Managing The Adolescent with Orthostatic Intolerance

... multi‐system dysfunction disorder that primarily affects  those organ systems with significant autonomic input.  • Organ systems affected include the central nervous,  cardiovascular, gastrointestinal, cutaneous and  muscular‐skeletal systems.  • Patient symptoms may be limited to just a single orga ...
ALS - faculty at Chemeketa
ALS - faculty at Chemeketa

Mesotherapy Outside - Optimum Wellness Naturopathic Medical Clinic
Mesotherapy Outside - Optimum Wellness Naturopathic Medical Clinic

... involving needles and injections, side effects may occur: • Temporary Bruising • Possible local reations • Infection at the injection site • Mild tenderness at the injection site ...
September 2014 REBELCast Shownotes
September 2014 REBELCast Shownotes

... Adverse effects: nausea (both groups, not statistically significant), diarrhea and pruritus (more in vancomycin-linezolid group, p=0.02 and p=0.01 respectively) ...
- The Annual Congress of Tanta Faculty of Medicine
- The Annual Congress of Tanta Faculty of Medicine

... ingestion of embryonated eggs of Toxocara which reach the environment via stools of dogs and cats. In paratenic hosts, such as humans and mice, the hatched larvae migrate systematically in the body and could reach critical sites such as the eye and the central nervous system. The clinical expression ...
Schizophrenia Treatments Powerpoint 2013
Schizophrenia Treatments Powerpoint 2013

... ECT world-wide. Psychiatrists in other countries (e.g. India, Japan, Nigeria, Iran) may still use ECT for some patients with Schizophrenia, sometimes without anaesthetic. (Discussion point: more repressive societies?) ...
Schizophrenia Powerpoint 2016
Schizophrenia Powerpoint 2016

... ECT world-wide. Psychiatrists in other countries (e.g. India, Japan, Nigeria, Iran) may still use ECT for some patients with Schizophrenia, sometimes without anaesthetic. (Discussion point: more repressive societies?) ...
Direct Access Flexible Sigmoidoscopy: Inclusion criteria and referral
Direct Access Flexible Sigmoidoscopy: Inclusion criteria and referral

... Section 3 Clinical Information (please tick where applicable) ...
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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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