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Predicting Pneumonia risk in patients with dysphagia
Predicting Pneumonia risk in patients with dysphagia

... Studies have demonstrated that the UES diameter may increase with the use of swallowing maneuvers without increasing the duration of UES opening McCulloch, T. (Voice, Swallow & Airway 2005) RLG ...
Albumin  (Latin: albus, white) refers generally to any protein with
Albumin (Latin: albus, white) refers generally to any protein with

... Neil Soni, Consultant in intensive care. I was asked to review the Cochrane Injuries Group’s paper for the BMJ. I quote from my covering letter: “It should not be published.” ...
Pharmacokinetics of Metformin during pregnancy (2010)
Pharmacokinetics of Metformin during pregnancy (2010)

... University of Washington, Georgetown University, and the University of Texas Medical Branch in Galveston and was conducted in accordance with their guidelines. All subjects gave written informed consent. We examined the steady-state PK of oral metformin in the plasma of 35 pregnant and postpartum wo ...
Pharmacokinetics of Metformin during Pregnancy
Pharmacokinetics of Metformin during Pregnancy

... ever, only three postdose blood samples were collected and the full AUC and PK parameters were not reported. Furthermore, serum creatinine was used as the indicator of renal function during pregnancy. Charles et al. (2006) suggested that metformin pharmacokinetics do not change during pregnancy, but ...
A Practical Clinical Definition of Epilepsy
A Practical Clinical Definition of Epilepsy

... cause confusion among patients who could be left uncertain as to whether they have or do not have epilepsy. Epidemiologists and other researchers would need to decide whether to use the new or old definition and how this might affect trends and comparisons. Rules and regulations might have to be cha ...
KLINGBERG Briony Caitlin - Courts Administration Authority
KLINGBERG Briony Caitlin - Courts Administration Authority

... During the course of that Tuesday afternoon Briony continued to remain unwell and did not eat or drink. Mrs Klingberg said that she could not stop the pain in Briony’s throat and continued to watch her on the couch in the sitting room. As the evening went on she was sufficiently concerned to decide ...
A 27-yr-old office manager with a history of generalized anxiety... recent visits to the physician for a several month history... KAPLAN Q-BANK
A 27-yr-old office manager with a history of generalized anxiety... recent visits to the physician for a several month history... KAPLAN Q-BANK

... A barium enema (choice C) may be indicated in suspected cases of Hirschsprung disease, but it is the biopsy that makes the diagnosis. The barium enema in this case of Hirschsprung disease revealed a dilated proximal bowel with evidence of a contracted distal rectum. An alpha1-antitrypsin level (choi ...
chapter 10
chapter 10

... IDM, Infant of diabetic mother; IV, intravenous. *This is not an exhaustive list of nursing interventions; additional interventions include those discussed under the care of the high-risk infant in this chapter. ...
abstract - IOA Congress 2016
abstract - IOA Congress 2016

... The theme of this lecture is how my understanding of strabismus has been changed by the research we have carried out in our laboratory at the University of Reading over the years. Our laboratory has tested objective vergence and accommodation to all combinations of blur, disparity and proximal/ loom ...
Selected Ultrasound-Guided Procedures
Selected Ultrasound-Guided Procedures

... anatomic variations, associated pathologies, or unassociated pathologies.8,9 In this setting, the clinician must use appropriate clinical judgment to determine the best course of action: (1) discuss with the requesting clinician before completing the procedure; or (2) complete the requested procedur ...
Controversies in The Treatment of  Hyponatremia Hilmer O. Negrete MD
Controversies in The Treatment of Hyponatremia Hilmer O. Negrete MD

... worsening intracranial hypertension represent medical emergencies. • When violation of the correction threshold appears likely, urgent measures to slow or halt further correction are required. • Overcorrection should be treated as a medical emergency; prompt relowering of the serum sodium concentrat ...
Treatment of Aspergillosis: Clinical Practice Guidelines
Treatment of Aspergillosis: Clinical Practice Guidelines

... for probable invasive aspergillosis with a surrogate non–culturebased method (i.e., a positive galactomannan assay or b-glucan assay result and radiologically compatible CT findings) in an immunocompromised host with clinical findings of infection that constitute the definition of probable invasive ...
Treatment of Aspergillosis: Clinical Practice Guidelines of the Infectious Diseases Society
Treatment of Aspergillosis: Clinical Practice Guidelines of the Infectious Diseases Society

... aspergillosis poses important challenges with significant gaps in knowledge. In patients whose aspergillosis is refractory to voriconazole, a paucity of data exist to guide management. Therapeutic options include a change of class using an amphotericin B (AMB) formulation or an echinocandin, such as ...
Treatment of Aspergillosis
Treatment of Aspergillosis

... aspergillosis poses important challenges with significant gaps in knowledge. In patients whose aspergillosis is refractory to voriconazole, a paucity of data exist to guide management. Therapeutic options include a change of class using an amphotericin B (AMB) formulation or an echinocandin, such as ...
American Thoracic Society Documents
American Thoracic Society Documents

... searches and evidence-based medicine methods. Administrative assistance was provided by the American Thoracic Society. The membership of the Task Force was fully constituted by September 1998, at which point Writing Groups began to review literature and to draft documents for subsequent review by th ...
American Thoracic Society/European Respiratory Society Statement
American Thoracic Society/European Respiratory Society Statement

... searches and evidence-based medicine methods. Administrative assistance was provided by the American Thoracic Society. The membership of the Task Force was fully constituted by September 1998, at which point Writing Groups began to review literature and to draft documents for subsequent review by th ...
Infection Control Guideline
Infection Control Guideline

... ensure an optimal level of care. Guidelines, by definition, are directing principles and indications or outlines of policy or conduct which should not be regarded as rigid standards. Guidelines facilitate the setting of standards but respect the autonomy of each institution and recognize the governi ...
Clinical Practice Guideline for Diagnostic Testing for Adult
Clinical Practice Guideline for Diagnostic Testing for Adult

... [AHI] threshold). The prevalence of OSA has been estimated to be 14% of men and 5% of women, in a population-based study utilizing an AHI cutoff of ≥ 5 events/h (hypopneas associated with 4% oxygen desaturations) combined with clinical symptoms to define OSA.6 OSA may impact a larger proportion of t ...
Transfusion Medicine
Transfusion Medicine

... is a complex process that requires everyone, from senior doctors to porters and telephonists, to understand the vital role they play in safely delivering this key component of modern medicine. Training and appropriate technological and managerial support for staff is essential, and e-learning system ...
Bxxxxx IOS Guidelines Sept 2012.indd
Bxxxxx IOS Guidelines Sept 2012.indd

... Throughout the skeleton there are basic remodelling units, where signals from a resorption pit signals through a variety of factors, resulting in activation of osteoclasts and bone resorption at that site, known as a resorption pit. This results in a coupled signal to osteoblasts which form new bone ...
Clinical practice guideline on diagnosis and treatment of
Clinical practice guideline on diagnosis and treatment of

... of backgrounds have fostered diverse institution- and speciality-based approaches to diagnosis and treatment. To obtain a common and holistic view, the European Society of Intensive Care Medicine (ESICM), the European Society of Endocrinology (ESE) and the European Renal Association – European Dialy ...
Artificial Insemination
Artificial Insemination

... more than 200 years for the treatment of infertile couples. In 1785 John Hunter, a Scottish surgeon from London, advised a man with hypospadias to collect his semen and have his wife inject it into her vagina. This was the first documented case of successful artificial insemination in a human. In th ...
Coagulation Monitoring
Coagulation Monitoring

... curves is needed to determine the optimal heparin dose. This is the concept on which point-of-care individual heparin dose-response (HDR) tests are based. An HDR curve can be generated manually using the baseline ACT and the ACT response to an in vivo or in vitro dose of heparin. Extrapolation to th ...
Dysphagia and Aspiration Following Stroke
Dysphagia and Aspiration Following Stroke

... difficulty" (Linden & Siebens 1983). Detailed clinical swallowing assessments were shown to underdiagnose or miss these cases of aspiration (Horner & Massey 1988; Horner et al. 1988; Splaingard et al. 1988; Terre & Mearin 2006). In particular, the presence or absence of a gag reflex failed to distin ...
Indication and Technical Aspects of Adrenal Blood Sampling
Indication and Technical Aspects of Adrenal Blood Sampling

... 1. Primary aldosteronism (Conn’s syndrome, PA) Primary aldosteronism (PA), with a prevalence of 5 – 10 % is the most frequent secondary form of hypertension [4 – 6]. PA is particularly frequent (10 – 20 %) in patients with difficult to manage hypertension, making up approximately 10 – 30 % of patien ...
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Prenatal testing

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