what is the appropriate test when there is clinical suspicion of obstructing ureteral stone in adults

evidence-based imaging improving the quality of imaging in patient care

Ngày tải lên : 30/05/2014, 23:55

... defining the sensitivity and the specificity of the imaging test The third step is to incorporate the physician into the evaluation of the imaging intervention by evaluating the effect of the ... followed by the goals of imaging and the search methodology The chapter is then broken down into the clinical issues Discussion of each issue begins with a brief summary of the literature, including ... is appropriate for use in a given clinical situation To address this issue, the concept of Bayes’ theorem is critical Bayes’ theorem is based on the concept that the value of the diagnostic tests...

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Management of suspected bacterial urinary tract infection in adults pdf

Ngày tải lên : 08/03/2014, 14:20

... urinary tract infection in adults There is a risk of false positive results in all tests for diagnosis of bacteriuria other than the gold standard yy The gold standard test for diagnosis of ... bacteriuria and the role of oestrogen therapy in reducing the risk of symptomatic UTI has been investigated Evidence for the efficacy of oestrogen in comparison with placebo is inconsistent There is good ... taken when using nitrofurantoin in the elderly, who may be at increased risk of toxicity | 19 Management of suspected bacterial urinary tract infection in adults Nitrofurantoin is contraindicated...

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The Management of Community-Acquired Pneumonia in Infants and Children Older Than 3 Months of Age: Clinical Practice Guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America pot

Ngày tải lên : 28/03/2014, 09:20

... for the diagnosis of pneumonia is not routinely recommended in patients with wheezing in the absence of fever or hypoxemia Abdominal pain is occasionally the predominant presenting complaint in ... levoﬂoxacin when evaluated for the primary end point of clinical cure at the test- of- cure visit, 10–17 days after the last dose of the study drug These results suggest a high rate of spontaneous clinical ... Controversy exists regarding the efﬁcacy of inhaled ribavirin for treatment of RSV CAP in infants Ribavirin has in vitro activity against RSV, but use of this drug for RSV infection is not routinely...

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Báo cáo y học: " Nitric oxide synthases in infants and children with pulmonary hypertension and congenital heart disease" ppsx

Ngày tải lên : 12/08/2014, 14:20

... hypertension in infants with congenital heart disease Additionally there is co-expression of these two enzymes in pulmonary endothelial cells of these infants These findings support the hypothesis that infant ... Competing interests The authors declare that they have no competing interests Authors' contributions BS gathered the clinical data of the patients ARM quantified the immunohistochemical staining ... 2) Statistics For each antibody and cell type, the staining intensity of the cardiac patients was compared to the staining intensity of the normotensive patients using the Mann-Whitney-U test Spearman's...

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Programmatic update Use of Antiretroviral Drugs for Treating Pregnant Women and Preventing HIV Infection in Infants pptx

Ngày tải lên : 08/03/2014, 15:20

... ARV prophylaxis early in pregnancy and, in breastfeeding settings, providing extended ARVs to either the mother or child during the postpartum risk period The two recommended prophylaxis options, ... efficacious, if implemented appropriately, in reducing the risk of infant infections for women with CD4 counts >350 cells/ mm3 Because of the difference in the prophylaxis options, it is sometimes not well ... regimen, to minimize the risks of infant infection and maximize the benefit to their own health, and avoid inadvertently receiving a suboptimal ARV prophylaxis intervention, particularly in settings...

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Báo cáo sinh học: "Etiology and antibiotic resistance patterns of community-acquired urinary tract infections in J N M C Hospital Aligarh, India" potx

Ngày tải lên : 08/08/2014, 19:20

... acquired UTIs in J.N.M.C.H, Aligarh These organisms cause a variety of infections including UTIs [16] In this study urinary samples of children were also included A majority of pathogens were isolated ... Following the recommendations of Kass [12] in distinguishing genuine infection from contamination, significant monomicrobic bacteriuria was defined as culture of a single bacterial species from the ... Wretlind B: Carbapenem resistance mechanisms in Pseudomonas aeruginosa: alterations of porin OprD and efflux proteins not fully explain resistance patterns observed in clinical isolates APMIS 2005,...

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Báo cáo y học: " Echoviruses are a major cause of aseptic meningitis in infants and young children in Kuwait" ppsx

Ngày tải lên : 12/08/2014, 01:21

... There is no information on the role of EVs causing AM in Kuwait or other adjoining countries in the Arabian Gulf region of the Middle East This 3-year study was carried out to determine the role ... surveillance of AM due to EVs is crucial for early identification of such cases to avoid further testing, inappropriate use of antimicrobials and to arrest intrafamilial spread of EV infection [2,15] There ... detected in Kuwait The lower frequency of E30 and absence of E6 infections could be related to the absence of any outbreaks of AM in Kuwait during the study period The detection of E11 as the second...

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Báo cáo y học: " Exhaled nitric oxide and urinary EPX levels in infants: a pilot study" potx

Ngày tải lên : 13/08/2014, 13:22

... [23] The present findings indicate an early influence of dampness in the home on FeNO-levels in infancy Thus, measuring FeNO by the present method may be an interesting non-invasive way of evaluating ... out the planning of the study, participated in the sampling procedure, performed the statistical analyses and drafted the manuscript DL carried out most of the sampling and was involved in the ... despite the use of only orally exhaled air The trend in the present study that FeNO levels are lower in infants living in larger homes is also seen among the mothers Living in a larger home is about...

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Tài liệu Diagnostic Standards and Classification of Tuberculosis in Adults and Children doc

Ngày tải lên : 15/02/2014, 12:20

... against reinfection The likelihood of reinfection is a function of the risk of reexposure, the intensity of such exposure, and the integrity of the host’s immune system In the United States the ... administering and reading the test, and the results of epidemiologic and clinical experience with the test A Tuberculin The tuberculin test is based on the fact that infection with M tuberculosis ... Mycobacterium bovis may penetrate the gastrointestinal mucosa or invade the lymphatic tissue of the oropharynx when ingested in milk containing large numbers of organisms Human infection with M bovis has...

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Tài liệu Obesity guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children ppt

Ngày tải lên : 21/02/2014, 11:20

... recommendations, the term ‘specific’ is used if the training will be in addition to staff’s basic training The term ‘relevant’ is used for training that could be part of basic professional training or in addition ... fully into account when exercising their clinical judgement The guidance does not, however, override the individual responsibility of healthcare professionals to make decisions appropriate to the ... with existing standards and guidance This includes policies relating to building layout and recreational spaces, catering (including vending machines) and the food and NICE clinical guideline 43...

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Prevention of Rotavirus Gastroenteritis Among Infants and Children: Recommendations of the Advisory Committee on Immunization Practices (ACIP) pot

Ngày tải lên : 05/03/2014, 12:20

... of vaccinating the infant when age-eligible, clinically stable, and no longer in the hospital outweigh the theoretic risks Vaccine strains of rotavirus are shed in stools of vaccinated infants ... for vaccine ACIP considers that, in usual circumstances, the risk from shedding outweighs the benefit of vaccinating the infant who is age-eligible for vaccine but who will remain in the NICU ... stable, and the vaccine is administered at the time of discharge from the neonatal intensive care unit [NICU] or nursery, or Exposure of Pregnant Women to Vaccinated Infants Infants living in households...

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Obesity guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children docx

Ngày tải lên : 22/03/2014, 09:20

... recommendations, the term ‘specific’ is used if the training will be in addition to staff’s basic training The term ‘relevant’ is used for training that could be part of basic professional training or in addition ... fully into account when exercising their clinical judgement The guidance does not, however, override the individual responsibility of healthcare professionals to make decisions appropriate to the ... with existing standards and guidance This includes policies relating to building layout and recreational spaces, catering (including vending machines) and the food and NICE clinical guideline 43...

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Prevention of Pneumococcal Disease Among Infants and Children — Use of 13-Valent Pneumococcal Conjugate Vaccine and 23-Valent Pneumococcal Polysaccharide Vaccine pdf

Ngày tải lên : 22/03/2014, 10:20

... against pneumonia, and somewhat effective in reducing otitis media episodes and related office visits (2–4) On the basis of the results of these clinical trials, in 2000, ACIP recommended routine ... administered at the same time as other routine childhood vaccinations if administered in a separate syringe at a separate injection site The safety and efficacy of concurrent administration of ... AOM (1) In a randomized, clinical trial conducted in Finland in which the bacterial etiology of AOM was determined by myringotomy, the efficacy of PCV7 in preventing culture-confirmed, vaccine serotype...

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Báo cáo sinh học: " Localization of deformed wing virus infection in queen and drone Apis mellifera L" ppt

Ngày tải lên : 19/06/2014, 08:20

... replication of DWV in this tissue could therefore have a negative effect on drone fertility The mucus glands and testis epithelia were also shown to be infected The presence of DWV in these tissues ... corresponding to the external wall of the rectal pads with no DWV detected in the longitudinal cells forming the inner wall (Figure 1D–F) In the midgut epithelium, the virus was clearly detected in ... observed in the digestive tract (Figure 1D–H) The virus was detected in a majority of epithelial cells located in the proventriculus, midgut and hindgut In the latter, the infection was confined to the...

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Báo cáo hóa học: " N-methylisatin-beta-thiosemicarbazone derivative (SCH 16) is an inhibitor of Japanese encephalitis virus infection in vitro and in vivo" ppt

Ngày tải lên : 20/06/2014, 01:20

... post-infection thereby indicating inhibition of viral protein synthesis In order to ascertain whether this was indeed also true for SCH 16 we adopted another approach to investigate the precise ... compromised the inhibitory action of SCH 16 and/or (ii) inability to achieve therapeutic concentrations of the drug in the brain either due to delay in the compound reaching the brain from the intraperitoneal ... replication in the periphery resulting in a very small amount of JEV entering the brain Consequently the virus was unable to establish a productive infection in the brain and the presence of viral...

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báo cáo hóa học:"Localization of deformed wing virus infection in queen and drone Apis mellifera L" pptx

Ngày tải lên : 20/06/2014, 04:20

... replication of DWV in this tissue could therefore have a negative effect on drone fertility The mucus glands and testis epithelia were also shown to be infected The presence of DWV in these tissues ... corresponding to the external wall of the rectal pads with no DWV detected in the longitudinal cells forming the inner wall (Figure 1D–F) In the midgut epithelium, the virus was clearly detected in ... observed in the digestive tract (Figure 1D–H) The virus was detected in a majority of epithelial cells located in the proventriculus, midgut and hindgut In the latter, the infection was confined to the...

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CLINICAL MANAGEMENT OF COMPLICATED URINARY TRACT INFECTION potx

Ngày tải lên : 28/06/2014, 05:20

... the incidence of ESBL producing infections is on the rise globally resulting in increasing difficulty in the diagnosis and treatment of these infections In vitro resistance studies for ESBL In- ... implementation of an intervention targeting the appropriate use of indwelling urinary catheters may result in a significant reduction in the duration of catheterization as well as in the occurrences of CAUTIs ... performed in the framework of the German KISS with the aim of investigating whether surveillance of CAUTI in ICUs leads to reduced infection rates When comparing the symptomatic CAUTI rates in the...

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NHIỄM TRÙNG ĐƯỜNG TIỂU (Urinary Tract Infection) pot

Ngày tải lên : 13/07/2014, 15:20

... xem kính hiển vi (urinalysis) cấy trùng (urine culture), bác sĩ cho bạn dùng trụ sinh (Cipro, Levaquin, Noroxin, ) xem lại bạn vòng vài ngày Thuyên giảm, bạn tiếp tục dùng trụ sinh đến 10-14 ngày, ... giết chết đồng minh trung thành dùng trụ sinh không cách Như lúc nhiễm cảm, cúm siêu-vi-trùng (virus), sinh vật trụ sinh không giết được, nhiều người hay dùng trụ sinh, nghĩ trụ sinh đuổi cảm, ... được, bác sĩ khuyên bạn vào nhà thương để chữa trị trụ sinh truyền qua đường tĩnh mạch (thuốc Cipro, Levaquin, Rocephin, Ofloxacin, Norfloxacin ) Nếu sau vài ngày, bạn sốt cao không thuyên giảm,...

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Báo cáo khoa học: "Survey of Helicobacter infection in domestic and feral cats in Korea" pdf

Ngày tải lên : 07/08/2014, 23:22

... Correlation between the infection rate and the clinical illness including gastrointestinal signs was not confirmative in this study due to the small number of cats involved Further study of a larger ... convincing considering the fact that the infection is typically acquired in early childhood in humans, specifically with epidemiologic vomiting and childhood overcrowding [2,23] Moreover, since infection ... surveyed the prevalence of Helicobacter infection and the specific presence of H felis and H pylori infection, as a means of clarifying the possible role of domestic and feral cats in Korea as...

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Báo cáo khoa hoc:"Heritability of susceptibility to Salmonella enteritidis infection in fowls and test of the role of the chromosome carrying the NRAMP1 gene" ppt

Ngày tải lên : 09/08/2014, 18:21

... or the chromosome region carrying the NRAMP1 gene, is involved in the control of the genetic resistance of S enteritidis infection in these two organs (liver and spleen), as in mice [16] The ... to the different genetic origins of the animals (a cross in the ﬁrst experiment and a pure line in the second one) But in both cases, the level of contamination was much higher in the Resistance ... 0.08 inheritance in the incidence of the contamination of these organs as early as days after intravenous inoculation of the 13-week-old chickens Genetic correlations between the number of bacteria...

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