... delivery of evidence-based cost-effective care As identified earlier, the appropriate managementof chest pain raises a host of considerations relative to improving cross-disciplinary coordination of ... portal -of- entry healthcare provider in a primary ambulatory setting, the professional responsibilities of the practicing chiropractor include proper assessment, documentation, and treatment of chest ... multidisciplinary focus group composed of both chiropractic and medical professionals The goals of the focus group were to explore the attitudes and experiences of medical and chiropractic clinicians...
... portion of body or tail of the pancreas For tumors of SPT located in the neck and body of the pancreas, resection of the midportion of the pancreas and the mass with preserving the rim of the ... Malignant potential of solid pseudopappillary neoplasm of the pancreas Br J Surg 2006;93:733-37 de Castro SMM, Singhal D, Aronson DC, et al Managementof Solid-pseudopapillary Neoplasms of the pancreas: ... head presented with dilation of CBD Of note, internal or capsular calcification was shown in patients (Fig.2), suggesting the role of calcification on the development of SPT might need to be further...
... widespread of HS in the right gluteal area (C) Excision material of lesion (D) View of defect after excision The duration time of hospitalization was related with the extent and severity of the lesions ... surgical removal of the abscesses and fistulas are usually futile.1,14 The success of medical therapies, however, often is limited because of the indolent and recurrent nature of the disease Operative ... etiology of HS still remains unclear, genetic factors may play a role as a positive family history has been elicited in 26% of patients with HS The role of endocrine factors in the etiology of HS...
... major role in the pathogenesis of both types of diabetes mellitus High levels of free radicals and the decline of antioxidant defense mechanisms lead to damage of cellular organelles and enzymes, ... development of the oxidative stress (68) If our findings are proven by further studies involving a larger number of patients, ultra-low microcurrent therapy might change the concept ofmanagementof chronic ... common pathology of chronic diseases, and using antioxidants, such as the EPRT device used in this experiment, might change the concept ofmanagementof chronic diseases Conflict of Interest The...
... diagnosis and managementof hepatitis C in the peri-liver transplant period, as well as the managementof the complications of chronic liver diseases Paul Martin M.D is Professor of Medicine at ... 30% of patients will discontinue therapy Often the only way of maintaining Int J Med Sci 2006, the blood counts is to aggressively use hematopoietic growth factors The often poor tolerability of ... Professor of Medicine at Mount Sinai School of Medicine New York and Associate Director of the Division of Liver Diseases He has a major interest in the managementof viral hepatitis in organ transplantation...
... respect to risk or prevalence of reinfection, development of LAM resistance or prevalence of precore mutations Managementof Patients Prior to Transplantation Studies of HBIG monotherapy established ... absence of detectable HBV DNA at the time of OLT and absence of reinfection for a minimum of months post-OLT After one year, reinfection occurred in 20% of patients in each group, but the finding of ... trough level of anti-HBs of 500 IU/L has been recommended [72] Later, when Int J Med Sci 2005 2(1) 44 extrahepatic sites of replication become the source of HBV, a lower trough level of 100-150...
... showed that 33% of treated patients loss HBeAg compared to only 12% of controls [11] In addition, 7.8% of treated subjects loss HBsAg versus only 1.8% of controls had spontaneous loss of HBsAg [11] ... and benefit of HBV treatment in this group of patients Goals of HBV Treatment The rationale of HBV treatment is to significantly suppress HBV replication and prevent the progression of HBV-mediated ... CHB The course of IFN treatment is usually 16–24 weeks that offers a small, but certain opportunity of HBsAg clearance Response to IFN treatment is usually durable Reactivation of HBV infection...
... on the contemporary treatment of SARS [2], and the whole topic has also been reviewed elsewhere [3] In this article, we aim to focus on the managementof a subgroup of critically ill SARS patients ... benefits were reportedly observed in a small number of patients [40] Managementof SARS-related respiratory failure Despite all efforts, at least 50% of SARS patients would still develop acute hypoxemic ... treatment of an early outbreak of severe acute respiratory syndrome (SARS) in Guangzhou, PR China J Med Microbiol, 2003 52(Pt 8):715-20 30 Gao Z.C., et al Clinical investigation of outbreak of nosocomial...
... operation One of the most detailed definitions of logistics management is presented by Council of Supply Chain Management Professionals (CSCMP) “Logistics management is the governance of supply chain ... Hai Phong office Human resource of Logistics Department consists of 30 officers for different posts: 01 logistics manager and 01 representative of Hai Phong office, 03 customer service officers, ... stages of warehousing, manufacturing and distribution, in order to fulfill customers orders 2.2 Logistics management Like managementof any other businesses, logistics management includes tasks of...
... resort city of Da Lat § Construction of the map for good managementof environmental quality in tourist areas including the city of Da Lat: § Distribution map of the tourist areas city of Da Lat ... Layers of information about ponds Layers of information on roads Layers of information about terrain Layers of information about population Layers of information about the area Layers of administrative ... city of Da Lat Survey results overall environmental quality of surface water and air are expressed specifically in the database properties of the map GIS mapping of environmental quality management...
... - Journal of Water and Environment Technology, Vol.2, No.1, 2004 TASKS OF RISK MANAGEMENT The goal of the environmental risk management should be developed with scientific evidence of that has ... feasibility of the applied treatment technologies, and the feasibility of the measurement The aim of science and technology is to accurately establish the goals of the environmental management ... usage of fresh water resource and the discharging of wastewater as well, by using an engineering means of water treatment It means that we have established an artificial water circulation system of...
... injection) An overview of the clinical managementof spasticity is worth undertaking simply to be sure of alleviating at least the neural component of the hypertonia There is often a gratifying response ... baclofen) Is spasticity still a problem? Yes Consider surgery Figure 1.1 Flowchart outlining the approach to the overall managementof spasticity An overview of the clinical managementof spasticity ... relief of the spasticity in the biceps may not lead to Restriction of the range of movement is not always simply due to increase of tone and spasticity in the relevant muscles The surrounding soft...
... relapse of multiple sclerosis in whom spasticity is so severe that splinting or the application of plaster casts is impracticable because of the risk of soft tissue damage Another group of patients ... development of, or to promote the healing of, skin pressure sores on the medial aspect of the knees Obturator nerve blocks have also been used in the managementof dislocation and subluxation of the ... A simpler technique of intramuscular neurolysis of the hip adductors is to infiltrate each of the four quadrants of the muscle bulk in the upper third of the medial aspect of the thigh with the...
... measure of the length of muscles crossing that joint In the upper limb, the range of elbow extension is taken to be a measure of the length of the elbow flexors, the biceps and brachialis Loss of elbow ... sufficient number of very difficult management problems to justify a monthly spasticity clinic where the managementof a small number of problem children is discussed in detail Often investigations ... relation to the underlying cause of the spasticity, but the natural history of the spasticity is of great importance BoNT-A has been of great value in the managementof spasticity secondary to acquired...
... Ordinal scale of tone intensity 0–5 Bohannon & Smith, 1986 Oswestry scale of grading Ordinal scale of stage and distribution of tone and quality of isolated movements Goff, 1976 Degree of adductor ... and safety of baclofen therapy without evidence of drug tolerance, even after many years There have been few studies investigating the effect of baclofen in treatment of spasticity of cerebral ... the efficacy of gabapentin for the managementof spasticity There is significant evidence of the efficacy of gabapentin as an antiepileptic agent as well as an agent for the managementof neuropathic...
... become greater problems Assessment of spasticity An important component of the clinical managementof brain damage is careful assessment of the contribution of various impairments to activity ... not of an abnormal ‘out -of- control’ reflex but of a reflex that is not being modulated Normally, the reflex is modulated up and down according to the requirements of the task In the presence of spasticity, ... limb of a brain-damaged person is moved passively The resistance felt when a normal limb is moved slowly through range is the result of the inertia of the limb and the compliance of the soft tissues...
... total amount of 60% of dorsal rootlets must be cut, of course with a different quantity cut according to the level and function of the roots involved Also, of course, the correspondence of the roots ... upper layers of the dorsal horn (d) The line of incision is opened (between the two tips of the bipolar forceps) and reveals its depth and the apex of the dorsal horn Surgical managementof spasticity ... lesions of the plantar skin Upper right: Operative view of the resection, over mm in length (between the two arrows), of two-thirds of the soleus nerve (SN) Lower right: Operative view of five...