approach to hyperglycemia in the patient with diabetes mellitus
Báo cáo khoa học: "Gastric outlet obstruction due to adenocarcinoma in a patient with Ataxia-Telangiectasia syndrome: a case report and review of the literature" pdf
Ngày tải lên :
09/08/2014, 04:21
... gastric cancer in those patients in whom levels were checked, suggesting that injury to the gastrointestinal mucosa in the form of chronic gastritis may predispose these patients to the formation ... Figure Hematoxylin and eosin stained sections of the gastric adenocarcinoma resected from our patient Hematoxylin and eosin stained sections of the gastric adenocarcinoma resected from our patient ... involved in the patient' s initial operation, and assisted in the writing and critical review of the manuscript All authors read and approved the final manuscript References The A-T patients with...
- 5
- 598
- 0
Báo cáo y học: "Effect of the dual endothelin receptor antagonist bosentan on untreatable skin ulcers in a patient with diabetes: a case report" ppsx
Ngày tải lên :
11/08/2014, 00:23
... bosentan in our patient These findings are consistent with current knowledge on the role of endothelin in vascular complications of diabetes and support continued investigation of endothelin in the ... myocardial infarction The patient s diabetes was poorly controlled, with neutral protamine Hagedorn insulin measurements of 40 IU in the morning and 15 IU in the evening, and glycosylated hemoglobin ... of the ulcer and, in our opinion, were not related to the development of his lesions Having acknowledged these limitations, we think that this case report adds to the increasing evidence in support...
- 4
- 337
- 0
Tài liệu Báo cáo khoa học: "A HYBRID APPROACH TO REPRESENTATION IN THE JANUS NATURAL LANGUAGE PROCESSOR" pot
Ngày tải lên :
21/02/2014, 20:20
... first-orderformuladefiningthe set of items that have ever been the actor in a flight Their definition is solely within NIKL using the QUA link [14], which is exactlythe set of fillers of a slot While having eve._ ... where the reference requiring bridging is underlined I looked into the room The ceilinq was very high I walked into the room The chandeliers sparkled brightly I went shopping yesterday The time ... the class associated with A to the class associated with B If no such role exists, the search is for a role relating the nearest ancestor of the class of A to any ancestor of the class of B The...
- 10
- 675
- 0
Report on the FAO Workshop on Sea Cucumber Fisheries An Ecosystem Approach to Management in the Pacific (SCEAM Pacific)
Ngày tải lên :
14/03/2014, 10:12
... assist them in interpreting and putting into practice the advice provided in the recent ACIAR and FAO manuals based on their fishery The workshop will centre on the principles within the ACIAR ... sent to the participants prior to the workshop (Annexes A and B) The workshop centred on the principles within the ACIAR and FAO manuals Each participant was told to become familiar with the principles ... the number of them in Papua New Guinea They are the resource owners, so limiting fishers would infringe on their rights to the resource Regulating the number of buyers and licensing them should...
- 56
- 481
- 0
báo cáo khoa học: "Complete clinical response of metastatic hepatocellular carcinoma to sorafenib in a patient with hemochromatosis: A case report" ppsx
Ngày tải lên :
10/08/2014, 22:20
... was a dramatic reduction in the patient' s alpha-fetoprotein to 4.5 ng/mL The patient' s follow-up visit the following month continued to show that the patient was tolerating his medication well ... Positron1Emission Tomography imaging scan prior to and following therapy Positron Emission Tomography imaging scan prior to and following therapy The top panels represent a coronal view whereas the bottom ... Journal of Hematology & Oncology 2008, 1:18 Sorafenib therapy was initiated at 400 mg, orally, twice daily dosing The patient tolerated the therapy well with minimal toxicities, except for the onset...
- 3
- 206
- 0
báo cáo khoa học: " ’It’s risky to walk in the city with syringes’: understanding access to HIV/AIDS services for injecting drug users in the former Soviet Union countries of Ukraine and Kyrgyzstan" ppt
Ngày tải lên :
11/08/2014, 14:21
... interviewees to the researchers The researchers described the study to the clients and elicited informed consent before proceeding to the interview All interviews were conducted in private spaces to maintain ... investigator triangulation approach was adopted: multiple researchers contributed to analysing the findings to reduce bias and enhance the internal validity of the synthesis The synthesis involved ... awareness lessons in some schools In Ukraine during the 1990s media reporting of HIV/ AIDS had the effect of instilling fear in society rather than providing informative commentary [5] Interviewees’...
- 15
- 477
- 0
Báo cáo y học: " A stronger approach to weakness in the intensive care unit" doc
Ngày tải lên :
12/08/2014, 20:20
... membranopathy/necrotizing varieties or creatine kinase may not be significantly elevated in cases with loss of myosin filaments To determine the relative contributions of nerve versus muscle disease in explaining ... vasculitis.) A flow chart giving an approach to generalized weakness and/or ventilatory failure in the intensive care unit CK, creatine kinase; CSF, cerebrospinal fluid; GBS, Guillain–Barré syndrome; EMG, ... if the needle biopsies are inadequate Being aware of the incidence and signs of ICU-acquired weakness with ventilatory failure and having an approach to such disorders will prove valuable in...
- 3
- 298
- 0
Báo cáo y học: "Ultra-low microcurrent in the management of diabetes mellitus, hypertension and chronic wounds: Report of twelve cases and discussion of mechanism of action"
Ngày tải lên :
26/10/2012, 09:39
... associated in humans with reduced intracellular antioxidant (11) Interestingly, antioxidants improve insulin sensitivity and help in wound healing (16,17) Along with others, the investigators have used ... bilaterally with poor capillary refill The left foot was red and inflamed up to and including the medial malleolus The lateral aspect of the great toe and second toe turned black Laboratory investigation ... removing tendons, skin and the capsular linings of joints from his right foot The patient was discharged after ten weeks in hospital with a large, infected, open wound requiring community nurses to...
- 7
- 813
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
Ngày tải lên :
06/07/2014, 20:20
... 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 different ... of erythema and scaling, he or she may incorrectly assume that the erosion is the primary lesion and the redness and scale are secondary, while the correct interpretation would be that the patient ... lesion with a color different from the surrounding skin This differs from a macule only in size Papule: A small, solid lesion,
- 5
- 413
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
Ngày tải lên :
06/07/2014, 20:20
... 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, ... 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 areas may be ... scratching Atrophy: An acquired loss of substance In the skin, this may appear as a depression with intact epidermis (i.e., loss of dermal or subcutaneous tissue) or as sites of shiny, delicate, wrinkled...
- 5
- 334
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
Ngày tải lên :
06/07/2014, 20:20
... on the lower legs are seen in this patient with cutaneous small vessel vasculitis (Courtesy of Robert Swerlick, MD; with permission.)[newpage] APPROACH TO THE PATIENT: SKIN DISORDER In examining ... examining the skin it is usually advisable 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 ... lesions, the shape of individual lesions, and the arrangement of the lesions An ideal skin examination includes evaluation of the skin, hair, and nails as well as the mucous membranes of the mouth,...
- 5
- 414
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
Ngày tải lên :
06/07/2014, 20:20
... 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 and plaques with ... papulosquamous skin disease is characterized by small and large erythematous papules and plaques with overlying adherent silvery scale Figure 52-8 ...
- 5
- 321
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
Ngày tải lên :
06/07/2014, 20:20
... dermatitis In 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 ... erythematous plaques with a target or iris morphology It usually represents a hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident's ... (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident's Slide Collection; with permission.) Figure 52-10 ...
- 5
- 319
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
Ngày tải lên :
06/07/2014, 20:20
... selected areas of the body In this procedure, a small area of skin is anesthetized with 1% lidocaine with or without epinephrine The skin lesion in question can be excised or saucerized with a scalpel ... 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 ... procedures can yield valuable information In most instances, they can be performed at the bedside with a minimum of equipment Skin Biopsy A skin biopsy is a straightforward minor surgical procedure;...
- 5
- 398
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
Ngày tải lên :
06/07/2014, 20:20
... 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 of ... be used to aid the evaluation of certain skin disorders For example, a Wood's lamp will cause erythrasma (a superficial, intertriginous infection caused by Corynebacterium minutissimum) to show ... 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...
- 5
- 367
- 0
Chapter 077. Approach to the Patient with Cancer (Part 1) potx
Ngày tải lên :
07/07/2014, 01:20
... decline in 1997 (Fig 77-2) The five leading causes of cancer deaths are shown for various populations in Table 77-2 Along with the decrease in incidence has come an increase in survival for cancer patients ... knows the diagnosis He or she is being attacked and invaded by a disease that could be anywhere in the body Every ache or pain takes on desperate significance Cancer is an exception to the coordinated ... malfunction one step further Not only is there a failure of the cancer cell to maintain its specialized function, but it also strikes out on its own; the cancer cell competes to survive using natural mutability...
- 8
- 275
- 0
Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
Ngày tải lên :
07/07/2014, 01:20
... treatment The family history may suggest an underlying familial cancer predisposition and point out the need to begin surveillance or other preventive therapy for unaffected siblings of the patient The ... examination The duration of symptoms may reveal the chronicity of disease The past medical history may alert the physician to the presence of underlying diseases that may affect the choice of therapy ... Burkitt's lymphoma 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...
- 5
- 306
- 0
Chapter 077. Approach to the Patient with Cancer (Part 4) pps
Ngày tải lên :
07/07/2014, 01:20
... examination, radiographs, isotopic scans, CT scans, and other imaging procedures; pathologic staging takes into account information obtained during a surgical procedure, which might include intraoperative ... tumors with lower growth fractions Information obtained from studying the tumor itself will increasingly be used to influence treatment decisions Host genes involved in drug metabolism can influence ... obtained from staging is used to define the extent of disease either as localized, as exhibiting spread outside of the organ of origin to regional but not distant sites, or as metastatic to distant...
- 6
- 265
- 0
Chapter 077. Approach to the Patient with Cancer (Part 5) doc
Ngày tải lên :
07/07/2014, 01:20
... is important to remember the comfort that is provided by holding the patient' s hand, continuing regular examinations, and taking time to talk 2 The National Cancer Institute maintains a database ... 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 administered to alleviate symptoms (see below), ... 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 The...
- 5
- 281
- 0
Chapter 077. Approach to the Patient with Cancer (Part 6) pdf
Ngày tải lên :
07/07/2014, 01:20
... gonadotropin Gestational trophoblastic Pregnancy disease, gonadal germ cell tumor Calcitonin Medullary cancer of the thyroid Catecholamines Pheochromocytoma Oncofetal Antigens Alphafetoprotein Hepatocellular ... Hepatocellular carcinoma, gonadal germ Cirrhosis, cell tumor Carcinoembryonic antigen Adenocarcinomas hepatitis Pancreatitis, of the colon, pancreas, hepatitis, lung, breast, ovary inflammatory bowel ... Lymphoma, Ewing's sarcoma Hepatitis, hemolytic many others Tumor-Associated Proteins anemia, Prostate-specific Prostate cancer Prostatitis, antigen prostatic hypertrophy Monoclonal Myeloma Infection,...
- 5
- 295
- 0