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Sinusitis - Lisa Helmer
Sinusitis - Lisa Helmer

... The new guidelines do not recommend routine use of some commonly prescribed antibiotics used for acute bacterial sinusitis. Some of these medications include azithromycin, clarithromycin and timethroprim-sulfamethoxazole. Wide use of these medication is not recommended due to the increasing prevalen ...
http://www.cadth.ca/media/pdf/TR0004_RRMS_ScienceReport_e.pdf
http://www.cadth.ca/media/pdf/TR0004_RRMS_ScienceReport_e.pdf

... tends to be more frequent in the first few years of disease onset.5 The therapeutic aims of MS drugs are to lower the frequency of relapses, decrease the lasting effects of relapses, prevent or decrease disability that is the result of disease progression, and promote tissue repair.1,6 In Canada, th ...
Codex Alternus - Alternative Mental Health
Codex Alternus - Alternative Mental Health

... group. Studies, information and links referenced in this paper may contain inaccuracies and such references do not represent endorsement by the author or associates. This paper is not intended to diagnose or prescribe treatment for any illness or disorder. Anyone already undergoing physician- prescr ...
Remestemcel-L, ex vivo adult human mesenchymal stem cells
Remestemcel-L, ex vivo adult human mesenchymal stem cells

... appear to be no significant differences between paediatric and adult patients in the clinical symptoms and the pathophysiology of the disease (Goker et al, 2001; MacMillan et al, 2002a; Jacobsohn, 2007). Data from a recent meta-analysis of steroid refractory acute GVHD in adults and children treated ...
PDF Format - Indian Pediatrics
PDF Format - Indian Pediatrics

... Very few symptoms are specific for the diagnosis of sinusitis, especially in children. Sinusitis is usually preceded by an upper respiratory infection, and the symptoms of the two are exceedingly difficult to differentiate. The most frequent symptoms are nasal discharge and cough. The nasal discharg ...
Management of Leg Ulceration for Adults Policy
Management of Leg Ulceration for Adults Policy

... would a wound swab be required, unless there are any other good reasons for suspecting a hidden clinical infection, e.g. wound deterioration or failure to progress despite appropriate holistic management. N.B. All bedded units undertake routine MRSA screening of patients on admission. Prescribed sys ...
Recommendations for Diagnosing a Mild Traumatic Brain Injury: A
Recommendations for Diagnosing a Mild Traumatic Brain Injury: A

... Assessing Retrograde Amnesia and PTA False-negative diagnoses can occur with patients who have no memory for the accident, but are fully oriented by the time the emergency personnel arrive. For example, the documentation in the medical records of the patient being fully oriented at the scene does no ...
SINEMET CR (Carbidopa
SINEMET CR (Carbidopa

... The early diagnosis of this condition is important for the appropriate management of these patients. Considering NMS as a possible diagnosis and ruling out other acute illnesses (e. g., pneumonia, systemic infection, etc.) is essential. This may be especially complex if the clinical presentation inc ...
Slide 1
Slide 1

... • It is also recommended that it be displayed in any Pamphlet Holders for Patient and Family ...
Systemic review - Wiley Online Library
Systemic review - Wiley Online Library

... due to the long course of afferent and efferent nerves and the diffuse central processing of the ‘reflex arc’. The medical and surgical history should explore possible triggers for hiccups and document the frequency and duration of the condition. A thorough list of prescribed and over-the-counter med ...
Seizures - Morning Report
Seizures - Morning Report

... – Efficacy, convenience of dosing, and side effects are factors that influence the choice of initial medication. – Almost all of the commonly used drugs can cause similar dose-related side effects such as sedation, ataxia, and diplopia – Initiation and monitoring of therapy • Careful education about ...
THE MANY FACES OF MONOCLONAL GAMMOPATHIES
THE MANY FACES OF MONOCLONAL GAMMOPATHIES

... Adriamycine and Dexamethasone, 2. Harvesting of peripheral blood stem cells (PBSC) through apheresis, 3. High dose chemotherapy with Melphalan +/TBI only if necessary. 4. After relapse – Thalidomide and Prednisone, followed by 5. Bortezomib (Velcade) have been very successful. ...
LCA Oral SACT Counselling Handbook
LCA Oral SACT Counselling Handbook

... To help staff recognise those oral SACT medicines which are expensive, so that the pharmacy team can work with patients to minimise wastage with these medicines. ...
the scientific days of the national institute of infectious diseases “prof
the scientific days of the national institute of infectious diseases “prof

... The evolution of flu is very unpredictable because the influenza viruses A and B types undergo antigenic drift of hemagglutinin that plays an important role in virus escape from host immune defense and imposes annual re-evaluation of vaccine composition. We aimed to investigate the characteristics o ...
Berinert - CSL Behring
Berinert - CSL Behring

... Despite these measures, such products may still potentially transmit disease. There is also the possibility that unknown infectious agents may be present in such products. Since 1979, a few suspected cases of viral transmission have been reported with the use of Berinert outside the US, including ca ...
Neurologic Prognosis in Cardiac Arrest Patients Treated
Neurologic Prognosis in Cardiac Arrest Patients Treated

... prevent shivering is also frequently given with a nondepolarizing neuromuscular blocking agent such as vecuronium. After 24 hours from the time of induction of hypothermia, controlled rewarming takes place over the next 8 to 12 hours. Paralytic agents, followed by sedatives and analgesics, are taper ...
- Chapman University Digital Commons
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... PTSD patients because some individuals worsen in their symptoms from the therapy which further deters individuals from seeking treatment (Staples et al., 2013). Current evidence-based treatment (CEBT) are additionally limited because they do not neatly address the emotional aftermath of killing (Lit ...
Global Strategy for the Diagnosis, Management, and Prevention of
Global Strategy for the Diagnosis, Management, and Prevention of

... Regular sputum production ⩾3 months in 2 consecutive years is the classical definition of chronic bronchitis [34]; an arbitrary definition that does not reflect the range of sputum production reported in COPD. Patients producing large volumes of sputum may have underlying bronchiectasis. Wheezing an ...
hemorrhoids - Coastal Digestive Diseases, PC
hemorrhoids - Coastal Digestive Diseases, PC

... around the anus. When the blood clot dissolves, extra skin is left behind. This skin can become irritated or itch. Excessive straining, rubbing, or cleaning around the anus may make symptoms, such as itching and irritation, worse. Hemorrhoids are not dangerous or life threatening. Symptoms usually g ...
Final Decision Analytic Protocol - DAP
Final Decision Analytic Protocol - DAP

... Radiofrequency ablation is designed as a single-use therapeutic intervention, delivered as a single course of treatment per affected leg to obliterate the great or small saphenous veins through the application of thermal energy. While generally indicated for primary varicose veins, re-treatment of v ...
GERD and LPR - Decatur ENT
GERD and LPR - Decatur ENT

... Women, men, infants, and children can all have GERD or LPR. These disorders may result from physical causes or lifestyle factors. Physical causes can include a malfunctioning or abnormal lower esophageal sphincter muscle (LES), hiatal hernia, abnormal esophageal contractions, and slow emptying of th ...
The current understanding of Stevens–Johnson syndrome and toxic
The current understanding of Stevens–Johnson syndrome and toxic

... For SJS and TEN the distribution of gender is almost equal (slightly more females) history of patients with GBFDE often reveals previous fixed drug and a female preponderance of approximately 65% could be eruptions [8] . The differentiation between SJS/TEN and GBFDE observed in SJS/TEN-overlap, wher ...
Z-DNA-specific Antibodies in Human Systemic
Z-DNA-specific Antibodies in Human Systemic

... affinity column, is reactive with both dDNA and ZDNA since the binding of ['H]Z-DNA is competed for by both Z-DNA and dDNA. This type of antibody probably recognizes features of the bases that are exposed in both dDNA as well as on the surface of a ZDNA helix but are inaccessible in a B-DNA helix. I ...
Index to Abstracts North Central Section of the AUA 82 Annual Meeting
Index to Abstracts North Central Section of the AUA 82 Annual Meeting

... Introduction: Acute urinary retention remains a significant complication for patients with significant LUTS secondary to bladder outlet obstruction (BOO). Holmium laser (HoL) resection potentially offers a less invasive means of removing obstructing prostatic tissue. However, it is currently unknown ...
Magnetic Resonance Spectroscopy (MRS)
Magnetic Resonance Spectroscopy (MRS)

... Chiang et al. (2009) compared the effectiveness of relative cerebral blood volume, apparent diffusion coefficient and spectroscopic imaging in differentiating between cerebral abscesses and necrotic tumors. In the prospective study, a 3-tesla MR unit was used to perform proton MR spectroscopy, diff ...
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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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