2 conscious patient with moderate to severe laryngeal trauma
báo cáo hóa học: " Adalimumab improves health-related quality of life in patients with moderate to severe plaque psoriasis compared with the United States general population norms: Results from a randomized, controlled Phase III study" pdf
Ngày tải lên :
18/06/2014, 19:20
... Other Week Dosing in Moderate to Severe Psoriasis TriAL (REVEAL) study, a 52-week, Phase III clinical trial in adult patients with moderate to severe chronic plaque psoriasis [23] Patients were randomized ... well-tolerated for patients with moderate to severe psoriasis [16-19] In a 16-week, Phase III, randomized, double-blind, placebo-controlled trial, adalimumab improved HRQOL outcomes in patients with ... for patients with chronic plaque psoriasis Br J Dermatol 2003, 148(4):784-788 Menter A, Okun M: Efficacy and safety of continuous treatment with adalimumab for up to 52 weeks in patients with moderate...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
Ngày tải lên :
06/07/2014, 20:20
... the desire to scratch Pruritus is often the predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis, allergic contact dermatitis); it is also commonly associated with xerosis ... depression with intact epidermis (i.e., loss of dermal or subcutaneous tissue) or as sites of shiny, delicate, wrinkled lesions (i.e., epidermal atrophy) Scar: A change in the skin secondary to trauma ... lesions Cyst: A soft, raised, encapsulated lesion filled with semisolid or liquid contents Herpetiform: Grouped lesions Lichenoid: Violaceous to purple, polygonal lesions that resemble those seen...
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Báo cáo y học: " Successful use of inhaled nitric oxide to decrease intracranial pressure in a patient with severe traumatic brain injury complicated by acute respiratory distress syndrome: a role for an anti-inflammatory mechanism?" doc
Ngày tải lên :
13/08/2014, 23:20
... Pittet JF: The development of acute lung injury is associated with worse neurologic outcome in patients with severe traumatic brain injury J Trauma 2003, 55:106-111 Yildirim E, Kaptanoglu E, Ozisik ... was intubated at the scene, resuscitated with fluids, and transported to the University of Toledo Medical Center via air ambulance The patient arrived with a blood pressure 186/96 mm Hg, heart ... and a severely congested right lung field His SpO2 suddenly decreased to 78% with diminished breath sounds bilaterally, and bilateral chest tubes were placed with improvement of the SpO2 to 90%...
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OECD Environment Working Papers No. 2: The Health Costs of Inaction with Respect to Air Pollution potx
Ngày tải lên :
23/03/2014, 00:20
... controlled patients, USD 825 per patient with moderate control and over USD 1,594 per patient with poor control Large differences were observed in the use of medical resources according to control ... associated with many contingent valuation surveys: scope insensitivity, i.e the WTP to avoid 14 days of a specific symptom is not equal to 14 times the WTP to avoid one day of this symptom Vassanadunrongdee ... Outlook to 2030 (www.oecd.org/environment/outlookto2030, published in March 2008) as well as the OECD Environment Directorate's project on the “Costs of Policy Inaction” with respect to environmental...
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Đề tài " An exact sequence for KM /2 with applications to quadratic forms " potx
Ngày tải lên :
29/03/2014, 07:20
... exact sequence for KM /2 ∗ with applications to quadratic forms By D Orlov,∗ A Vishik,∗∗ and V Voevodsky∗∗* Contents Introduction An exact sequence for KM /2 ∗ Reduction to points of degree Some ... Milnor’s K-theory modulo elements divisible by defined by multiplication with the symbol corresponding to a The goal of this paper is to construct a four-term exact sequence (18) which provides information ... components of degree ≤ This paper is a natural extension of [13] and we feel free to refer to the results of [13] without reproducing them here Most of the mathematics used in this paper was developed...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
Ngày tải lên :
06/07/2014, 20:20
... Fig 52-3) and to formulate a differential diagnosis (Table 52-4) For instance, the finding of scaling papules (present in patients with psoriasis or atopic dermatitis) places the patient in a ... nevomelanocytic nevus (Fig 52-2) can be difficult to recognize To aid in the interpretation of skin lesions, a variety of descriptive terms have been developed to characterize cutaneous lesions (Tables ... and scale are secondary, while the correct interpretation would be that the patient has a pruritic eczematous dermatitis with erosions caused by scratching Figure 52-1 Superficial spreading melanoma...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
Ngày tải lên :
06/07/2014, 20:20
... highly with diagnosis (Fig 52-6) For example, a hospitalized patient with a generalized erythematous exanthem is more likely to have a drug eruption than is a patient with a similar rash limited to ... to assess the patient before taking an extensive history This way, the entire cutaneous surface is sure to be evaluated, and objective findings can be integrated with relevant historic data Four ... patient with cutaneous small vessel vasculitis (Courtesy of Robert Swerlick, MD; with permission.)[newpage] APPROACH TO THE PATIENT: SKIN DISORDER In examining the skin it is usually advisable to...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
Ngày tải lên :
06/07/2014, 20:20
... of some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules and plaques with overlying adherent...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
Ngày tải lên :
06/07/2014, 20:20
... contrast, lesions with a generalized arrangement are common and suggest a systemic etiology Figure 52-9 Erythema multiforme This eruption is characterized by multiple erythematous plaques with a target ... usually represents a hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident's Slide Collection; with permission.) Figure 52-10 ...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
Ngày tải lên :
06/07/2014, 20:20
... symptoms (e.g., malaise, fever, arthralgias) Ongoing or previous illnesses History of allergies Presence of photosensitivity Review of systems Family history (particularly relevant for patients with ... chronic eruptions Symptoms associated with the eruption a Itching, burning, pain, numbness b What, if anything, has relieved symptoms c Time of day when symptoms are most severe Current or recent ... history (particularly relevant for patients with melanoma, atopy, psoriasis, or acne) 10 Social, sexual, or travel history as relevant to the patient DIAGNOSTIC TECHNIQUES Many skin diseases can be...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
Ngày tải lên :
06/07/2014, 20:20
... to document sensitivity to a specific antigen In this procedure, a battery of suspected allergens is applied to the patient' s back under occlusive dressings and allowed to remain in contact with ... best performed by physicians with special expertise in patch testing and is often helpful in the evaluation of patients with chronic dermatitis FURTHER READINGS Dermatology Lexicon Project: www.futurehealth.rochester.edu/dlp2/ ... designed to assess whether a skin lesion will blanch with pressure as, for example, in determining whether a red lesion is hemorrhagic or simply blood-filled Urticaria (Fig 52-11) will blanch with...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
Ngày tải lên :
07/07/2014, 01:20
... as the prognosis of the person with aortic stenosis who develops the first symptoms of congestive heart failure (median survival, ~8 months) However, the patient with heart disease may remain ... and maintain a self-image as a fully intact person with just a malfunctioning part, a diseased organ ("a bum ticker") By contrast, the patient with pancreatic cancer has a completely altered self-image ... cancer cell competes to survive using natural mutability and natural selection to seek advantage over normal cells in a recapitulation of evolution One consequence of the traitorous behavior of...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
Ngày tải lên :
07/07/2014, 01:20
... Increasing evidence links the expression of certain genes with the prognosis and response to therapy (Chaps 79, 80) Occasionally a patient will present with a metastatic disease process that is defined ... The past medical history may alert the physician to the presence of underlying diseases that may affect the choice of therapy or the side effects of treatment The social history may reveal occupational ... predisposition and point out the need to begin surveillance or other preventive therapy for unaffected siblings of the patient The review of systems may suggest early symptoms of metastatic disease or...
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Chapter 077. Approach to the Patient with Cancer (Part 4) pps
Ngày tải lên :
07/07/2014, 01:20
... before developing cancer are likely to fare worse, stage for stage, than fully active patients Physiologic reserve is a determinant of how a patient is likely to cope with the physiologic stresses ... the Patient 100 Normal; no complaints; no evidence of disease 90 Able to carry on normal activity; minor signs or Status symptoms of disease 80 Normal activity with effort; some signs or symptoms ... tumor histologic grade G) are then broken into stages, usually designated by the roman numerals I through IV Tumor burden increases and curability decreases with increasing stage Other anatomic...
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Chapter 077. Approach to the Patient with Cancer (Part 5) doc
Ngày tải lên :
07/07/2014, 01:20
... either to follow a standard protocol precisely or else to be part of an ongoing clinical research protocol evaluating new treatments Ad hoc modifications of standard protocols are likely to compromise ... physician spends with a patient who is receiving only palliative care Resist these forces In addition to the medicines administered to alleviate symptoms (see below), it is important to remember the ... is now possible to gain access electronically to standard treatment protocols and to every approved clinical research study in North America through a personal computer interface with the Internet.2...
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Chapter 077. Approach to the Patient with Cancer (Part 6) pdf
Ngày tải lên :
07/07/2014, 01:20
... Pregnancy disease, gonadal germ cell tumor Calcitonin Medullary cancer of the thyroid Catecholamines Pheochromocytoma Oncofetal Antigens Alphafetoprotein Hepatocellular carcinoma, gonadal germ Cirrhosis, ... Adenocarcinomas hepatitis Pancreatitis, of the colon, pancreas, hepatitis, lung, breast, ovary inflammatory bowel disease, smoking Enzymes Prostatic acid Prostate cancer phosphatase Prostatitis, prostatic ... hypertrophy Neuron-specific enolase Lactate dehydrogenase Small cell cancer of the lung,neuroblastoma Lymphoma, Ewing's sarcoma Hepatitis, hemolytic many others Tumor-Associated Proteins anemia,...
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Chapter 077. Approach to the Patient with Cancer (Part 7) ppt
Ngày tải lên :
07/07/2014, 01:20
... not only cannot help the patient but may be harmful Physicians should strive to keep communications open and nonjudgmental, so that patients are more likely to discuss with the physician what ... most patients who are cured of cancer return to normal lives Supportive Care In many ways, the success of cancer therapy depends on the success of the supportive care Failure to control the symptoms ... palliative care has been shown to be cost-effective when approached in an organized fashion A credo for oncology could be to cure sometimes, to extend life often, and to comfort always ...
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Chapter 077. Approach to the Patient with Cancer (Part 8) potx
Ngày tải lên :
07/07/2014, 01:20
... making it necessary to reassess the patient frequently Pain therapy should not be withheld while the cause of pain is being sought A variety of tools are available with which to address cancer ... be related to bowel inflammation from the therapy and can be controlled with oral dexamethasone and oral metoclopramide, a dopamine receptor antagonist that also blocks serotonin receptors at high ... the motor center responsible for coordinating the secretory and muscle contraction activity that leads to emesis Diverse receptor types participate in the process, including dopamine, serotonin,...
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Chapter 077. Approach to the Patient with Cancer (Part 11) pot
Ngày tải lên :
07/07/2014, 01:20
... overload Patients with severe liver disease may develop disseminated intravascular coagulation Nutrition Cancer and its treatment may lead to a decrease in nutrient intake of sufficient magnitude to ... may provide more tools in the future as cytokine-mediated mechanisms are further elucidated Psychosocial Support The psychosocial needs of patients vary with their situation Patients undergoing ... Sexual dysfunction is highly prevalent and needs to be discussed openly with the patient An empathetic health care team is sensitive to the individual patient' s needs and permits negotiation where...
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Chapter 077. Approach to the Patient with Cancer (Part 12) pot
Ngày tải lên :
07/07/2014, 01:20
... understanding of how the patient has been affected by the diagnosis and is coping with it is an important goal of patient management It is best to speak frankly with the patient and the family ... Friends at Home that teaches an approach to successful problem-solving in home care With appropriate planning, it should be possible to provide the patient with the necessary medical care as well ... physician as well as for the patient and family The critical features of the interaction are to reassure the patient and family that everything that can be done to provide comfort will be done...
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