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Chapter - Oncology Nursing Society
Chapter - Oncology Nursing Society

... 2. Hiccups are a reflex arc traveling an afferent pathway over vagal sympathetic and sensory fibers of the phrenic nerve. It is thought that the central connection for hiccups involves an interaction among the medulla oblongata and reticular formation of the brain stem, phrenic nerve nuclei, and th ...
r c
r c

... for establishing bioequivalence between branded AEDs and their generic counterparts may be insufficient to ensure therapeutic equivalence for the individual patient.' This appears to be particularly true for older, first generation AEDs that are characterized by narrow therapeutic indices, low water ...
Gastrointestinal issues in autism spectrum disorder. Harv Rev
Gastrointestinal issues in autism spectrum disorder. Harv Rev

... While autism spectrum disorder (ASD) is characterized by communication impairments, social abnormalities, and stereotypic behaviors, several medical comorbidities are observed in autistic individuals. Of these, gastrointestinal (GI) abnormalities are of particular interest given their reported preva ...
The Brain and Fatigue : New Opportunities for
The Brain and Fatigue : New Opportunities for

... these results has been subsequently questioned, due to a number of methodological problems largely relating to the field-based nature of the study (Davis and Bailey, 1997). While there is some additional evidence of BCAA ingestion influencing ratings of perceived exertion (RPE) (Blomstrand et al., 1 ...
The effectiveness of highly active antiretroviral therapy in HIV
The effectiveness of highly active antiretroviral therapy in HIV

... comply with this problem include the use of a longer observation period, a larger study population, and/or collapsing the data on morbidity and mortality into one clinical outcome measure, often given the term: “clinical progression”. Especially in clinical trials evaluating new or existing treatmen ...
Immature Cerebellum
Immature Cerebellum

... (English et al., in press). Like typically developing children, they take more time to read when the situation requires it (e.g., for study rather than for fun) and they are accurate judges of their own understanding. They have poor working memory. •Representations like metacognition may be sufficie ...
Pathophysiology and Clinical Spectrum of Infections in Systemic
Pathophysiology and Clinical Spectrum of Infections in Systemic

... Following primary infection, VZV is latent in the cranial nerve ganglia or the dorsal root ganglia throughout its lifetime. VZV infection is common among patients who have SLE, but disseminated or aggressive episodes are rare. In Kahl’s study,100 disseminated infections accounted for 11% of episodes ...
Lyme Disease? - Nutri-Spec
Lyme Disease? - Nutri-Spec

... Both the skin lesions and the myalgia tend to migrate. Phase 2: is experienced by only about 20% of the people infected. It is a neurological phase that includes many diverse neuritis symptoms and can involve several different spinal tracts. Phase 3: is the arthritic phase which can last from severa ...
Genital Urinary Trauma
Genital Urinary Trauma

... Talk to the patient and find out what happened, what bothers them, what feels better, is the pain the same or getting worse ...
The Very Young Patient - Advances in Inflammatory Bowel Diseases
The Very Young Patient - Advances in Inflammatory Bowel Diseases

... More severe extensive disease Higher rates of colectomy Change in classification from UC/IBDU to CD Higher rates of colorectal cancer? ...
Протокол
Протокол

... Alcoholism, asplenism, sickle cell disease and multiple myeloma predispose patients to developing pneumococcal meningitis. The infection may occur at any age, but over 50% of the cases are less than one or over fifty years of age. The two sexes are about equally involved. The clinical symptoms, phy ...
Thyroid Function Test Pathway PDF, 77.29 KB
Thyroid Function Test Pathway PDF, 77.29 KB

... single or multiple nodules, usually older age group T3 thyrotoxicosis (5%) ...
HIV-Associated Tuberculosis: Clinical Update
HIV-Associated Tuberculosis: Clinical Update

... and tuberculosis epidemics worldwide, clinicians will increasingly be called on to manage and treat coinfected patients. This review aims to help clinicians who work in a variety of settings to approach the patient with dual infection in a pragmatic way. New approaches to diagnosis and treatment are ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... Our findings were in agreement with the study done by Mahmood Shishegar and Mohammad Javad Ashraf, in which Coagulase-negative Staphylococci formed the major isolates, followed by Alpha-haemolytic Streptococci. In their study, even though Pseudomonas was isolated from both tonsillar surface and core ...
Transfusion Indications for Patients With Cancer
Transfusion Indications for Patients With Cancer

... Results: Most patients without complications can be treated with a hemoglobin level of 7 g/dL as an indication for RBC transfusion. However, the effects of disease among patients with cancer may cause fatigue, so transfusions at higher hemoglobin levels may be clinically helpful. Leukoreduced RBCs a ...
Anaphylactic and Anaphylactoid Reactions in the Surgical
Anaphylactic and Anaphylactoid Reactions in the Surgical

... be ready to manage patients in this perioperative environment. The most life-threatening form of an allergic reaction is anaphylaxis, however, the clinical presentation of anaphylaxis may represent different immune and nonimmune responses.1 There is confusion in the literature about the term anaphyl ...
URTICARIA_AND_ANGIOEDEMA
URTICARIA_AND_ANGIOEDEMA

... Usually corticosteroid drugs are required to keep the condition under control. In most instances these drugs are harmless when given over a short period of time and therefore we usually treat for two to four weeks, hoping that the condition will subside. Chronic urticaria is a much more difficult tr ...
Book of abstracts
Book of abstracts

... Israel Institute of Technology, Haifa, Israel Common knowledge and extensive scientific evidence suggest that the brain affects the immune system. This relationship is manifested by responses such as increased disease prevalence following stress or cure following treatment with a placebo pill. Altho ...
Hepatitis B virus genotype in Iranian patients with hepatocellular
Hepatitis B virus genotype in Iranian patients with hepatocellular

... death worldwide, and results in 500 000 to 1.2 million deaths per year caused by chronic hepatitis, cirrhosis, and hepatocellular carcinoma (HCC).2 HCC represents approximately 6% of all new cancer cases diagnosed worldwide, with more than half of these occurring in China alone. Relatively high inci ...
Peripheral blood mononuclear cells from neovascular age
Peripheral blood mononuclear cells from neovascular age

... Background: Infiltrating immune cells including monocytes/macrophages have been implicated in the pathogenesis of neovascular age-related macular degeneration (nAMD). The aim of this study was to investigate the cytokine and chemokine expression and secretion profile of peripheral blood mononuclear ...
CONSENSUS TREATMENT RECOMMENDATIONS FOR LATE-ONSET POMPE DISEASE AANEM PRACTICE TOPIC
CONSENSUS TREATMENT RECOMMENDATIONS FOR LATE-ONSET POMPE DISEASE AANEM PRACTICE TOPIC

... fibroblasts) is present in most children and adults with the late-onset form.23,24 Recent evidence has shown a failure of productive autophagy in patients with Pompe disease and the progressive accumulation of autophagosomes that disrupt the contractile apparatus in muscle fibers.25 Moreover, currentl ...
Bowel Care Guidelines for Patients with a Spinal Cord Lesion
Bowel Care Guidelines for Patients with a Spinal Cord Lesion

... ƒ The Royal College of Nursing guidance ‘Digital Rectal Examination and Manual Removal of Faces Guidelines’ (2004) Research evidence to support bowel management after spinal cord injury (SCI) is limited and currently there are no national guidelines. A recent national audit of bowel management pract ...
Frequency of Preseptal Cellulitis and Its Risk Factors in Patients
Frequency of Preseptal Cellulitis and Its Risk Factors in Patients

... Preseptal cellulitis is a distinct disorder that explains an infection of the eyelid and superficial periorbital soft tissues, which do not involve the globe and orbit (10). One of the most common ocular diseases is a cellulitis in the orbital area, relatively. It can usually be treated effectively ...
The dermoscopic comma, zigzag, and bar code
The dermoscopic comma, zigzag, and bar code

... The bar code-like hairs seen here in our patients are characterized by irregularly interrupted hairs with normally pigmented and paler narrowed intervals on dermoscopy. As Slowinska et al have reported that the fungal hyphae such as M. canis in patients with tinea capitis perforate the hair cuticle ...
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... motility. How these findings impact the fertility of men treated with infliximab is not known yet 28. Potentially infliximab may also serve to counter the negative effects of TNF-α on sperm quality 29. Data on the impact of other biologicals on male fertility are currently ...
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Multiple sclerosis signs and symptoms



Multiple sclerosis can cause a variety of symptoms: changes in sensation (hypoesthesia), muscle weakness, abnormal muscle spasms, or difficulty moving; difficulties with coordination and balance; problems in speech (dysarthria) or swallowing (dysphagia), visual problems (nystagmus, optic neuritis, phosphenes or diplopia), fatigue and acute or chronic pain syndromes, bladder and bowel difficulties, cognitive impairment, or emotional symptomatology (mainly major depression). The main clinical measure in progression of the disability and severity of the symptoms is the Expanded Disability Status Scale or EDSS.The initial attacks are often transient, mild (or asymptomatic), and self-limited. They often do not prompt a health care visit and sometimes are only identified in retrospect once the diagnosis has been made after further attacks. The most common initial symptoms reported are: changes in sensation in the arms, legs or face (33%), complete or partial vision loss (optic neuritis) (20%), weakness (13%), double vision (7%), unsteadiness when walking (5%), and balance problems (3%); but many rare initial symptoms have been reported such as aphasia or psychosis. Fifteen percent of individuals have multiple symptoms when they first seek medical attention.
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