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Accepted Manuscript
Accepted Manuscript

... principles important to the patient-centered evaluation, management, and care of patients with dyslipidemia. This summary is intended to be a “living document,” with future annual updates based emerging science, clinical considerations, and new NLA Position and Consensus Statements. The goal is to p ...
High-Resolution Ultrasound and Magnetic Resonance Imaging to
High-Resolution Ultrasound and Magnetic Resonance Imaging to

... content) appear black on ultrasound. Normal tendons and ligaments are described as echoic structures with a tightly packed, uniform fibrillar pattern on longitudinal images. The normal meniscus has mixed echogenicity because of its fibrocartilaginous histology. An abnormal tendon, ligament, or carti ...
Digoxin Assay - Beckman Coulter
Digoxin Assay - Beckman Coulter

... and plasma of neonates, pregnant women, and patients in renal and hepatic failure. Several studies have established that these factors can cause falsely elevated digoxin measurements when assayed by commercially available immunoassays.6 ...
Optimizing Protocols in Obstetrics MANAGEMENT of OBSTETRIC HEMORRHAGE DISTRICT II
Optimizing Protocols in Obstetrics MANAGEMENT of OBSTETRIC HEMORRHAGE DISTRICT II

... Twenty three hospitals throughout New York State responded to a request from ACOG District II to submit their protocols regarding the diagnosis and management of obstetric hemorrhage. Although many were well written policies and protocols, the committee did not identify a single protocol that could ...
CT Contrast in Radiation Oncology Simulation
CT Contrast in Radiation Oncology Simulation

... important to recognize that many chemotherapy agents can be nephrotoxic, and patients receiving such chemotherapy should always have close follow-up of their renal function while on chemotherapy [25] (of course most often the medical oncologist will be ordering and tracking serum creatinine for thes ...
Hypercalcemia Associated with Isolated Bone Marrow Sarcoidosis
Hypercalcemia Associated with Isolated Bone Marrow Sarcoidosis

... possibility that MGUS, in addition to hematologic malignancies, may also be a risk factor in the development of sarcoidosis. It may be possible that the abnormal bone marrow milieu in this patient with MGUS had an impact on the local development of granulomas. In conclusion, isolated bone marrow sar ...
Patients
Patients

... and urinary Mg2+ excretion rate. However, chronic MgO repletion significantly increased the serum Mg2+ level without simultaneous increase in urinary Ca2+ excretion. The pathogenesis of hypocalciuria in GS is complex and not completely elucidated. The majority (70%) of filtered Ca2+ reabsorption alo ...
FOCUS ON EXCELLENCE INDEPENDENT EVALUATION
FOCUS ON EXCELLENCE INDEPENDENT EVALUATION

... Reimbursement - The redesign will not reduce payments to PCMH providers in aggregate but will be budget neutral versus what is projected to be spent under the current model (approximately $500 million per year for claims + PCMH/HAN case management + ...
Adverse Effects of Transfusion
Adverse Effects of Transfusion

... Adverse Effects of Transfusion Radhika Dasararaju, MD, and Marisa B. Marques, MD Background: Patients with malignancy comprise a unique group for whom transfusions play an important role. Because the need for transfusions may span a long period of time, these patients may be at risk for more adverse ...
Neuroleptic malignant syndrome
Neuroleptic malignant syndrome

... hyperthermia associated with NMS may result from a blockade of hypothalamic dopamine sites. This was suggested 20 yr ago by Henderson and Wooten, who reported a patient with Parkinson's disease and chronic psychosis who developed NMS when dopaminergic agonists were withdrawn but haloperidol was cont ...
Recommendations for the Diagnosis and Management of Prader
Recommendations for the Diagnosis and Management of Prader

... ylation analysis shows only a maternal pattern, then PWS is confirmed. Further methods may then be performed to determine the genetic subtype and allow appropriate genetic counseling, in particular the recurrence risk. Fluorescence in situ hybridization (FISH) analysis has the advantage of needing o ...
Evaluating for Suspected Child Abuse: Conditions That
Evaluating for Suspected Child Abuse: Conditions That

... In the absence of known accidental mechanisms or medical causes, children with intracranial hemorrhage (ICH), cutaneous bruises, or other symptoms of bleeding might be suspected victims of child abuse. In such situations, physicians must often carefully evaluate for the possibility of a bleeding dis ...
(CPE) Policy - Portsmouth Hospitals NHS Trust
(CPE) Policy - Portsmouth Hospitals NHS Trust

... (iii) Any patient who has been an inpatient in a UK hospital (other than Portsmouth Hospitals NHS Trust) (see appendix D), and/or; (iv) Any patient previously colonised or infected with Carbapenemase-producing Enterobacteriaceae (CPE), and/or; (v) Any close contact of a person who currently is or p ...
Public Summary Document - August 2013
Public Summary Document - August 2013

... noted that this would slightly reduce the applicant’s estimates of financial implications to the MBS of about $0.5 million per year. MSAC noted that representatives of the National Health and Medical Research Council, MSAC, PBAC and the Department had met to discuss targeted data collection relatin ...
Patent Ductus Arteriosus
Patent Ductus Arteriosus

... high pulmonary vascular resistance). Closure is also indicated in asymptomatic patients with left heart volume load. This can be done either by surgery or interventional techniques at any age. [4] Surgical closure is reserved for patients in whom a non-surgical closure technique is not considered ap ...
Nephrotic syndrome in children Review Article
Nephrotic syndrome in children Review Article

... The degradation of these anionic glycans has long been hypothesized as a cause of increased glomerular permeability to proteins. Holt et al17 recently showed dysregulated heparanase synthesis in children with steroid-sensitive nephrotic syndrome. Various bioassays have helped in defining these facto ...
Primary congenital pulmonary hypoplasia of a neonate
Primary congenital pulmonary hypoplasia of a neonate

... Copyright Ó 2012 Elsevier Taiwan LLC and the Chinese Medical Association. All rights reserved. Keywords: lung-to-body weight ratio; persistent pulmonary hypertension of the newborn; primary congenital pulmonary hypoplasia; radial alveoli count ...
PHILIPPINE HEART CENTER JOURNAL
PHILIPPINE HEART CENTER JOURNAL

... between January 1,1996 to December 31,2000, were included. Main Outcome Measure: Development of CHF within 4 days from hospital admission documented in the medical records as clinical symptoms (progression to Killip 2, 3 or 4) confirmed by chest radiologic and/or echocardiographic findings. RESULTS: ...
Bleeding Disorders Case
Bleeding Disorders Case

... platelet count, prothrombin time (PT) and activated partial thromboplastin time (PTT). Further specific testing should be performed based on the working diagnosis. These include a PTT mixing study (which helps differentiate a factor deficiency from an acquired inhibitor), bleeding time, factor assay ...
Amy Foster* Deoxyribonucleic acid (DNA) was first analyzed by
Amy Foster* Deoxyribonucleic acid (DNA) was first analyzed by

... including the ability to predict the risk of developing specific diseases in the future.18 Genetic components exist with respect to every disease or medical disorder from cancer to diabetes.19 Estimates indicate that each human is predisposed to between five and fifty serious disorders.20 Genetic in ...
A 57-year-old woman with coronary artery disease associated with
A 57-year-old woman with coronary artery disease associated with

... organs and will be elevated with any muscle injury. In fact, before the advent of assays for the MB fraction or troponin, AST was used to assess for myocardial infarction. The patient was recently placed on simvastatin (an HMG Co-A reductase inhibitor). While these cholesterol-lowering drugs are gen ...
International StudentJournal Nurse Anesthesia The
International StudentJournal Nurse Anesthesia The

... however, we have sent a number of articles back to the author for repair to clarify some ambiguity or to respond to questions raised by the reviewers. Of those we have sent back, most are not returned for publication. This is unfortunate for many reasons. First, the authors have put a lot of time in ...
Clinical Vignette and Research Abstract Compendium
Clinical Vignette and Research Abstract Compendium

... failure. Individuals with small defects can live a normal life, but larger defects require surgical correction. The mortality from corrective surgery in people younger than 45 years of age is < 1%. In the adult population, congenital anomalies are commonly associated with Afib. This is an unusual ca ...
The Way Forward Age-Related Macular Degeneration and Diabetic
The Way Forward Age-Related Macular Degeneration and Diabetic

... over 90% of the total;46,47 the growth rate in the diabetic population for the UK has been predicted to be between 1.0 - 4.1% annually,48,49 The lower estimates tend to come from work that assumes that there will be a constant age-stratified prevalence of diabetes,50 an assumption which has been sho ...
Preoperative tests - Guy`s and St Thomas` NHS Foundation Trust
Preoperative tests - Guy`s and St Thomas` NHS Foundation Trust

... This guideline makes recommendations to help guide the appropriate use of routine preoperative tests for patients before elective surgery for children (ASA grade 1) and adults (ASA grades 1, 2 and 3). The guideline is aimed mainly at secondary care, but may have relevance to some tests carried out o ...
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