the patient package insert
Tài liệu Follow-Up of the patient who has received pacemaker pptx
... analyze the data and has the capability of sending them on to the physician's office Data are being gathered on the utility of these more sophisticated devices One of the goals is to reduce the need ... weighed against the actual risk of device failure A frank discussion with the patient is required to assess the risks and reassure the patient The information flow between the company and the following ... device The rate at which the pacemaker fires during the magnet application depends on the model of the pacemaker Some models fire at a slower rate than the programmed rate, whereas others fire at the...
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Tài liệu COMPLEMENTARY AND ALTERNATIVE MEDICINE ETHICS, THE PATIENT, AND THE PHYSICIAN pdf
... CAM focuses more on the patient and less on the therapy, giving patients the perception that they are more in control of their own health and that they can help themselves There is something inherently ... practitioner to either directly touch the individual or merely pass their hands over the patient to strengthen or rejuvenate the patient s energy These include, for example, therapeutic touch, ... contends that the more dilute the remedy, the more potent the cure The diluent, such as water, would then retain “trace memory” of the initial substance Homeopathy also proposes the concept of the single...
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Evaluation of the Patient Safety Improvement Corps pot
... using them on a regular basis Although they said they valued the exposure to these tools, they felt a bit removed from the exercises using the tools because they not see themselves ever using them ... tools incorporated in the PSIC program The goal of the train -the- trainer portion of the PSIC is to broaden the reach of the PSIC to more individuals and organizations throughout the United States ... the final training session in May 2004 and 2005 Therefore, this information represents the trainees’ perceptions of the program at the time they were finishing their training Responses from the...
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Care of the Patient with Retinal Detachment And Related Peripheral Vitreoretinal Disease docx
... to the loss of the overlying retina If the edge of the dialysis remains close to the RPE, then the tear may not be discovered unless scleral depression is performed As the vitreous contracts, the ... greater the possible loss of vision after reattachment of the retina The prognosis is very poor when the detachment involves the macula The longer the macula is detached, the poorer the resultant ... is the result of the rupture of a retinal vessel during the tearing process The proximity of a retinal vessel that bridges the break (from the flap to the surrounding retina) may enhance the...
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báo cáo hóa học: "Impact of chronic Immune Thrombocytopenic Purpura (ITP) on health-related quality of life: a conceptual model starting with the patient perspective" potx
... model The common themes identified in the information from the literature and text units from the focus groups drove the formation of the initial conceptual model The relationship between the sub-categories ... treatment It is, therefore, important to incorporate the patient' s perspective in decisions regarding the management of their ITP Patient- reported outcomes (PROs) provide information from the patient' s ... categories The table indicates whether the sub-category was mentioned during each of the focus groups and provides the number (and percentage) of patients that mentioned the sub-categories in the CA...
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báo cáo hóa học:" The Oxford hip score: the patient''''s perspective" docx
... size and during the past half decade no further work has been published investigating the patient' s experience of the OHS Therefore, the aim of this study was to determine, from the patient' s perspective, ... validity [12], there is a shortage of published data on the patient' s perception of the OHS During the validation of the questionnaire, there was no reference to difficulties that patients experienced ... comprise the validity of the results As the completion of the OHS was only introduced into this clinic in April 2004, the postal OHS completed by the post-operative patients was likely to be their...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
... skin lesions If the examiner focuses on linear erosions overlying an area of erythema and scaling, he or she may incorrectly assume that the erosion is the primary lesion and the redness and ... 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 different diagnostic category than ... 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 This is the most...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
... epidermal atrophy) Scar: A change in the skin secondary to trauma or inflammation Sites may be erythematous, hypopigmented, or hyperpigmented depending on their age or character Sites on hair-bearing ... least a portion of the underlying dermis Excoriation: Linear, angular erosions that may be covered by crust and are caused by scratching Atrophy: An acquired loss of substance In the skin, this may ... from coalescing rings or incomplete rings Pruritus: A sensation that elicits the desire to scratch Pruritus is often the predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis,...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
... possible to assess the distribution of the eruption accurately The patient should first be viewed from a distance of about 1.5–2 m (4–6 ft) so that the general character of the skin and the distribution ... 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 the sun-exposed portions of the face Once the distribution ... during a physical examination: the distribution of the eruption, the types of primary and secondary lesions, the shape of individual lesions, and the arrangement of the lesions An ideal skin examination...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
... A–D The distribution of some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
... arrangement are common and suggest a systemic etiology Figure 52-9 Erythema multiforme This eruption is characterized by multiple erythematous plaques with a target or iris morphology It usually represents ... 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
... biopsy In the latter technique, a punch is pressed against the surface of the skin and rotated with downward pressure until it penetrates to the subcutaneous tissue The circular biopsy is then lifted ... of the slide accelerates dissolution of keratin When the preparation is viewed under the microscope, the refractile hyphae will be seen more easily when the light intensity is reduced and the ... Family 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...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
... suspected allergens is applied to the patient' s back under occlusive dressings and allowed to remain in contact with the skin for 48 h The dressings are removed, and the area is examined for evidence ... reactions (e.g., erythema, edema, or papulovesicles) This test is best performed by physicians with special expertise in patch testing and is often helpful in the evaluation of patients with chronic ... involvement often become apparent A Wood's lamp may also aid in the demonstration of tinea versicolor and in recognition of ash leaf spots in patients with tuberous sclerosis Figure 52-12 Vitiligo Characteristic...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
... of cancer cells is that the patient feels betrayed by his or her body The cancer patient feels that he or she, and not just a body part, is diseased The Magnitude of the Problem No nationwide ... Many diseases occur because the specialized cells fail to perform their assigned task Cancer takes this malfunction one step further Not only is there a failure of the cancer cell to maintain ... same 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...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
... 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 ... 77-3 Patient Management Important information is obtained from every portion of the routine history and physical examination The duration of symptoms may reveal the chronicity of disease The past ... influence the course of disease and its treatment The family history may suggest an underlying familial cancer predisposition and point out the need to begin surveillance or other preventive therapy...
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Chapter 077. Approach to the Patient with Cancer (Part 4) pps
... categorizes the tumor on the basis of the size of the primary tumor lesion (T1–4, where a higher number indicates a tumor of larger size), the presence of nodal involvement (usually N0 and N1 for the ... other prognostic factors have been identified (Chaps 104, 105, and 106) In addition to tumor burden, a second major determinant of treatment outcome is the physiologic reserve of the patient Patients ... used system of staging is the TNM (tumor, node, metastasis) system codified by the International Union Against Cancer and the American Joint Committee on Cancer (AJCC) The TNM classification is...
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Chapter 077. Approach to the Patient with Cancer (Part 5) doc
... to cure the patient and the pressure of a busy schedule greatly limit the time a physician spends with a patient who is receiving only palliative care Resist these forces In addition to the medicines ... interface with the Internet.2 The skilled physician also has much to offer the patient for whom curative therapy is no longer an option Often a combination of guilt and frustration over the inability ... Sometimes the chemotherapy and radiation therapy need to be delivered sequentially, and other times concurrently Surgical procedures may precede or follow other treatment approaches It is best for the...
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Chapter 077. Approach to the Patient with Cancer (Part 6) pdf
... Neuron-specific enolase Lactate dehydrogenase Small cell cancer of the lung,neuroblastoma Lymphoma, Ewing's sarcoma Hepatitis, hemolytic many others Tumor-Associated Proteins anemia, Prostate-specific ... germ Cirrhosis, cell tumor Carcinoembryonic antigen Adenocarcinomas hepatitis Pancreatitis, of the colon, pancreas, hepatitis, lung, breast, ovary inflammatory bowel disease, smoking Enzymes ... Gestational trophoblastic Pregnancy disease, gonadal germ cell tumor Calcitonin Medullary cancer of the thyroid Catecholamines Pheochromocytoma Oncofetal Antigens Alphafetoprotein Hepatocellular carcinoma,...
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Chapter 077. Approach to the Patient with Cancer (Part 7) ppt
... biopsied If disease persists, the multidisciplinary team discusses a new salvage treatment plan If the patient has been rendered disease-free by the original treatment, the patient is followed regularly ... in their detection and management Despite these concerns, most patients who are cured of cancer return to normal lives Supportive Care In many ways, the success of cancer therapy depends on the ... educated and may be early in the course of their disease Unsound approaches are usually hawked on the basis of unsubstantiated anecdotes and not only cannot help the patient but may be harmful...
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Chapter 077. Approach to the Patient with Cancer (Part 8) potx
... which to indicate the severity of the pain The clinical condition is often dynamic, making it necessary to reassess the patient frequently Pain therapy should not be withheld while the cause of pain ... signals in the chemoreceptor trigger zone in the medulla, the cerebral cortex, and peripherally in the intestinal tract lead to stimulation of the vomiting center in the medulla, the motor center ... caused by chemotherapy (Chap 81) Its severity can be predicted from the drugs used to treat the cancer Three forms of emesis are recognized on the basis of their timing with regard to the noxious...
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