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Rosacea - American Academy of Family Physicians
Rosacea - American Academy of Family Physicians

... rosacea, is unknown and occurs more often in men.7 The prevalence of rosacea appears to be increasing in the United States3,8; this may be a result of the aging of the “baby-boom” generation, rather than an increase in incidence. Pathophysiology Rosacea results from an inflammatory process about whi ...
constipation
constipation

... Reality ...
Canadian Thoracic Society recommendations for management of
Canadian Thoracic Society recommendations for management of

... When the breathing rate acutely increases (and expiratory time diminishes) as, for example, during exercise in COPD, there is further dynamic lung overinflation as a result of air trapping, which contributes to dyspnea (25). Acute-on-chronic hyperinflation has been shown to be an important determina ...


... ABSTRACT: Asthma is usually easy to manage, but ~5% of patients are not controlled even on high doses of inhaled corticosteroids. It is important to assess these patients carefully in order to identify whether there are any correctable factors that may contribute to their poor control. It is critica ...
National Medical Policy
National Medical Policy

... Ong et al (2015) analyzed the long-term recurrence and compensatory hyperhidrosis (CH) rates of endoscopic thoracic sympathectomy (ETS), comparing single-level T2 against multi-level T2-T3 ablation in single patients. Patients who had undergone treatment for palmar hyperhidrosis (PH) with unilatera ...
Public Curricula Overdose Recognition and Response
Public Curricula Overdose Recognition and Response

... large enough quantities. • Overdose deaths have doubled in the U.S. over the past two decades, largely because of prescription opioids. • Physicians are the leading source of prescription opioids for users with the highest risk of adverse events. ...
Initial Treatment Box. Summary of Recommendations for Patients
Initial Treatment Box. Summary of Recommendations for Patients

... Daily fixed-dose combination of elbasvir (50 mg)/grazoprevir (100 mg) for 12 weeks is a Recommended regimen for treatment-naïve patients with HCV genotype 1a infection who do not have cirrhosis and in whom no baseline NS5A RASs§ for elbasvir are detected. Rating: Class I, Level A Daily fixed-dose co ...
Current Opinion in
Current Opinion in

... Dysfunctional tear syndrome (DTS) is a common and complex condition affecting the ocular surface. The health and normal functioning of the ocular surface is dependent on a stable and sufficient tear film. Clinician awareness of conditions affecting the ocular surface has increased in recent years be ...
Management of chronic hepatitis B: Consensus guidelines
Management of chronic hepatitis B: Consensus guidelines

... Review and, finally, provincial Drugs and Therapeutics Committees. There are many examples of access to effective therapies for viral hepatitis being delayed (sometimes for years) or denied through these processes. Recommendation 2: Liver disease should be considered as a chronic disease with severe ...
- City Research Online
- City Research Online

... extravasation management dating from the introduction of cytotoxic drugs as a cancer treatment in the 1960’s to December 1st 2012. This was undertaken by accessing PubMed, Embase, Cinahl, Scopus, the British Nursing Index (BNI) and the Cochrane library for published clinical articles in professional ...
Acute Dizziness with Hearing Loss Autoimmune Inner Ear Disease
Acute Dizziness with Hearing Loss Autoimmune Inner Ear Disease

... • IgG Antibodies to BB elevated in CSF and serum (past or present infection); CSF pleocytosis and elevated protein indicate active infection. “titers may be negative in up to 1/3 of cases” – Controversial. Current thinking is that “seronegative Lyme” is very rare; Tests: From one case report only: E ...
Vulvovaginal Disease - Turner White Communications
Vulvovaginal Disease - Turner White Communications

... Prevotella sp). Mycoplasma hominis and Ureaplasma urealyticum can also be found with bacterial vaginosis [5,6]. Bacterial vaginosis was initially described as not associated with inflammation (vaginosis, not vaginitis); however, there is a recognized subset of patients with bacterial vaginosis who h ...
Microvascular Decompression for Hemifacial Spasm
Microvascular Decompression for Hemifacial Spasm

... Patients who experienced waxing and waning symptoms were asked to rate the frequency and severity of their current symptoms on a 1 to 10 scale. Patients were instructed to consider their preoperative symptoms as a 10 and rate their current symptoms in comparison to that value. Patients who reported ...
Treatment of Intractable Hiccups With an Oral Agent Monotherapy of
Treatment of Intractable Hiccups With an Oral Agent Monotherapy of

... also a dopamine antagonist, has an inhibitory effect at the hypothalamus but its use is limited due to its many side effects, while amitriptyline synchronizes the electroencephalographic activity and affects the brain amines [16]. Of the antiepileptic drugs, phenytoin, valproic acid, and carbamazepi ...
The prevalence of hypercalciuria in girl kids with over active bladder
The prevalence of hypercalciuria in girl kids with over active bladder

... needs more studies in which factors that are not useful have been omitted (11). Conclusion The results of this study showed that there is a significant difference between case and control groups based on the presence of hypercalciuria and hypercalciuria is a cause of over active bladder. Based on th ...
Asthma - Michigan Medicine
Asthma - Michigan Medicine

... - Triggers. Identify and avoid environmental triggers (including smoking & passive smoke) [1A]. - Monitoring. All patients should be able to identify signs and symptoms of active disease, and if indicated monitor peak expiratory flow rates (PEFR). Patients with severe asthma and whose perception of ...
Symptoms in the Pharmacy
Symptoms in the Pharmacy

... Quickly check on whether other medicines are being taken. If the person has not used the medicine before, more questions will be needed. One option is to follow the sequence for responding to requests for advice about symptoms (see below). It can be useful to ask how the person came to request this ...
our Information Booklet - Myasthenia Gravis Association
our Information Booklet - Myasthenia Gravis Association

... cells to make antibodies and/or destroy germs. In 1959, Professor Iain Simpson, in reviewing the medical history of people who had thymectomies, noticed that such autoimmune diseases were especially common in relatives of myasthenics. So he proposed, in 1960, that MG was an autoimmune disease also. ...
Taking the Next Step toward Allergy Relief
Taking the Next Step toward Allergy Relief

... Through over 100 years of use, allergy immunotherapy has been well studied and proven to be effective in patients with allergic rhinitis, allergic conjunctivitis, and allergic asthma. There is some evidence that this therapy may also be useful to treat other forms of allergy, such as atopic dermatit ...
Injectable Corticosteroid and Local Anesthetic Preparations: A
Injectable Corticosteroid and Local Anesthetic Preparations: A

... important antiinflammatory effects. Corticosteroids can be classified as mineralocorticoids (eg, aldosterone), which control water and electrolyte physiology, and glucocorticoids (eg, cortisol), which control metabolism and inflammation. Due to the powerful antiinflammatory effects discovered by Hen ...
Induction of IgA Circulating Immune Complexes after
Induction of IgA Circulating Immune Complexes after

... analysis of differences at various points of time, since bias will be introduced. These results are best reviewed by visual presentation of the composite curves. RESULTS ...
Ask the expert
Ask the expert

... role. A psychological component also cannot be excluded, and the recognition of one or more provocative factors by patients may reduce or even eliminate symptoms. continued on page 2 ASGE News March | April 2011 1 ...
Diagnosis and Treatment of Chest Pain and Acute Coronary Syndrome (ACS)
Diagnosis and Treatment of Chest Pain and Acute Coronary Syndrome (ACS)

... A consistent and defined process is used for literature search and review for the development and revision of ICSI guidelines. The literature search was divided into two stages to identify systematic reviews, (stage I) and randomized controlled trials, meta-analysis and other literature (stage II). ...
Diagnosis and treatment of interstitial cystitis/ bladder pain syndrome
Diagnosis and treatment of interstitial cystitis/ bladder pain syndrome

... will have a previous history of UTI. It is important to elicit a comprehensive medical history, including past pelvic surgery or radiation, medications that can cause cystitis (nonsteroidal anti-inflammatory drugs, cyclophosphamide, and ketamine), fibromyalgia, depression, sexual dysfunction, autoim ...
An Official American Thoracic Society Clinical Practice Guideline
An Official American Thoracic Society Clinical Practice Guideline

... predicted maximum (predicted maximum heart rate z 220 2 age in years) (44, 47, 48, 69–71) or ventilation to reach 17.5–21 times FEV1 (68, 72, 73). Once this level of exercise is attained, the subject should continue exercise at that high level for an additional 4–6 minutes. These targets are more ra ...
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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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