assisting with the removal of orthodontics after treatment
Báo cáo y học: "Management of chest pain: exploring the views and experiences of chiropractors and medical practitioners in a focus group interview"
Ngày tải lên :
25/10/2012, 10:06
... referral) may depend on the nature of the condition, whether the referral is for reasons of diagnosis and/or treatment, the preference of the provider, and the relationship between the providers Medical ... coordination of care within the health care system, whether for diagnostic consult, referral for treatment, or continuity of care in the overall management of the patient's total care plan The potential ... came together to collapse their lists of themes into one set of themes as reached via consensus This process involved examining themes for commonality, classifying them for uniformity, and then reaching...
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Neuropathic pain - The pharmacological management of neuropathic pain in adults in non-specialist settings pot
Ngày tải lên :
31/03/2014, 13:20
... first-line treatment at the maximum tolerated dose, offer treatment with another drug instead of or in combination with the original drug, after informed discussion with the person If first-line treatment ... characteristics of the evidence, the detailed results for the primary outcomes and a description of the quality of the evidence Detailed evidence tables are included in appendix 10.9 The health economics ... (at the start of the guideline) and again in section 2.6 (towards the end of the guideline) Fox-Rushby JA, GL Griffith, JR Ross et al (2010) The clinical and cost-effectiveness of different treatment...
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Báo cáo y học: "Psychosocial aspects in the management of arthritis pain" pot
Ngày tải lên :
09/08/2014, 08:23
... parents with arthritis [5,11,16] Evans and colleagues [16] compared the psychosocial functioning and coping of mothers with chronic pain (including mothers with arthritis) to mothers without pain, with ... completed the trial, and the attrition was greatest in the two pain CST groups (19 and 18, respectively, completing the study), which threatens the strength of the conclusions Unexpectedly, the conventional ... [38] The treatment in this trial was group sessions of two hours duration, once per week for four weeks Could the different outcomes in the two trials be attributed to the intensity of the intervention...
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Báo cáo y học: "Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report" docx
Ngày tải lên :
11/08/2014, 12:20
... in a patient receiving chemotherapy for lymphoma [7], all of which can breach the integrity of the mucosa Our patient had none of these conditions except the history of recent pelvic surgery It ... should be avoided during the acute phase in the absence of bowel perforation due to friability of the mucosa and the delay in healing of the sutured margins [1] Air in the portal vein or its radicals ... showing air along the greater curvature of the stomach ures and 2) There was marked dilatation of the small and large bowel Esophagogastroduodenoscopy (EGD) of our patient showed areas of diffuse mucosal...
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Medical Management of Diabetes and Heart Disease - part 1 pps
Ngày tải lên :
14/08/2014, 07:20
... increase in the traditional CV risk factors, either proceeding or in the first few years after the onset of their diabetes CVD occurs only in type diabetics with a long duration of diabetes These observations ... history of type diabetes gave an odds ratio of 1.45 for the presence of CAD in their type cohort (23) The presence of insulin resistance in type diabetic patients was Table The Effect of Insulin Treatment ... with duration of diabetes These types of curves suggested that accelerated atherosclerosis was already present at the time of diagnosis of type diabetes and that it progresses with duration of...
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Medical Management of Diabetes and Heart Disease - part 2 pps
Ngày tải lên :
14/08/2014, 07:20
... proteins The summation of these processes results in the formation of organized atherosclerotic plaque (94–96) Therefore, from the evidence outlined above, one can appreciate the potential of the ... early observations noted with the clinical use of insulin therapy for treatment of diabetes suggested that there were two groups of diabetic patients, roughly divided by their glycemic response ... at the level of the IRS docking proteins, the IRS proteins have been appropriately referred to as the ‘‘metabolic switches’’ of the cell The specific cellular events promoting glucose uptake after...
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Medical Management of Diabetes and Heart Disease - part 3 ppt
Ngày tải lên :
14/08/2014, 07:20
... agents After a mean of years of follow-up, the Data and Safety Monitoring Committee of the ABCD trial recommended that the nisoldipine treatment be terminated because of the higher incidence of fatal ... population until the onset of diabetic nephropathy Hypertension not only develops with the onset of renal disease in these patients but also worsens with the progression of nephropathy The hypertension ... lipids), treatment of insulin resistance was associated with a decrease in PAI-1 and improvement of the fibrinolytic activity in the majority of these studies VI CLINICAL INTERVENTIONS IN THE MANAGEMENT...
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Medical Management of Diabetes and Heart Disease - part 4 docx
Ngày tải lên :
14/08/2014, 07:20
... entire lipid profile of the patient with DM, considering the various atherogenic components in toto, and choosing therapeutic goals consistent with the risk of the patient and the clinical trial ... On the other hand, if the apo B lipoproteins, after having become cholesteryl-ester enriched, are not efficiently removed by the liver, they have the potential of delivering themselves (and their ... DYSLIPIDEMIA A Nonpharmacological Therapy Weight loss, diet, and exercise are the mainstays of therapy for the treatment of diabetes The presence of dyslipidemia increases the rationale for intensive...
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Medical Management of Diabetes and Heart Disease - part 5 pot
Ngày tải lên :
14/08/2014, 07:20
... that the incidence of CHD will be increased in women with PCOS, secondary to the other manifestations of syndrome X, not to the characteristic signs and symptoms of the syndrome IV DIAGNOSIS OF ... measure of the ability of insulin to mediate disposal of an infused glucose load; the higher the SSPG concentration, the more insulin resistant the individual Figure SSPG concentrations of 490 ... population (i.e., the upper three deciles in terms of SSPG concentration) are at greatly increased risk of presenting with one or more of the manifestations of syndrome X If 25 to 33% of the population...
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Medical Management of Diabetes and Heart Disease - part 6 pdf
Ngày tải lên :
14/08/2014, 07:20
... underlies the development of these complications has provided the impetus for use of novel therapies, chief among them the insulin-lowering medications The ultimate role of these agents in the treatment ... sympathetic and/or the parasympathetic nervous system The progress of cardiac parasympathetic dysfunction in patients with diabetes may parallel that of the involvement of the sympathetic system Myocardial ... Using continuous electrocardiographic tracing, the ratio of the R-R interval of the 30th beat after assuming the standing position to the R-R interval of the 15th beat is calculated A ratio less than...
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Medical Management of Diabetes and Heart Disease - part 7 pps
Ngày tải lên :
14/08/2014, 07:20
... 34% in the intensive therapy arm The reductions were of similar magnitude regardless of whether the initial treatment was with insulin, a sulfonylurea, or metformin Myocardial in- Treatment of Diabetes ... test the impact of improved glycemic control on this or other measures of atherosclerosis are lacking However, there is mounting evidence that the risk of acute clinical complications of atherosclerosis ... consequence of the nature of the restenotic lesion, remains unclear Thus, the nature of the restenotic lesion in DM may be dominated by inhibition of proteolysis by PAI-1 during the evolution of lesion...
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Medical Management of Diabetes and Heart Disease - part 9 docx
Ngày tải lên :
14/08/2014, 07:20
... 95% of the treatment Therefore, he or she needs to learn the appropriate skills The patient decides whether to take the prescribed medications, what foods to eat, and whether to exercise The ... The care of the diabetic patient requires the expertise of many disciplines and a multidisciplinary team approach remains central to the care of the diabetic patient The team of health professionals ... health professional provides the information and support; the patient makes the choices The insulin resistance syndrome is the central tenet of the curriculum for patients with type diabetes The insulin...
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Medical Management of Diabetes and Heart Disease - part 10 potx
Ngày tải lên :
14/08/2014, 07:20
... synthesis of PAI-1 III ATHEROGENESIS IN THE PREDIABETIC STATE The 15% incidence of cardiac death in the first 10 years after the diagnosis of diabetes emphasizes the profound acceleration of progression ... the Editors BURTON E SOBEL is Amidon Professor and Chair of the Department of Medicine and Professor of Biochemistry at the University of Vermont College of Medicine and Physician-in-Chief, Fletcher ... is Associate Professor of Medicine and Director of the Vascular Biology Unit at the University of Vermont College of Medicine, Burlington, Vermont He is the author or coauthor of more than 50...
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Tài liệu Evidence-based Management of Acute Musculoskeletal Pain ppt
Ngày tải lên :
21/02/2014, 11:20
... (AAMPGG 2003) 1.2 Summary of the Findings of the Evidence Review The following are the main findings of the evidence review (AAMPGG 2003): Adopt a partnership approach Management of acute musculoskeletal ... precluded the inclusion of the results of Level III and IV studies on treatment > The authors acknowledge that the NHMRC Levels of Evidence used in this document are designed to rank studies of interventions ... evidence demonstrating the effectiveness of injection therapy (facet joint, epidural or soft tissue) in the treatment of acute low back pain • Adverse effects of injection therapy are rare but...
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WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses docx
Ngày tải lên :
07/03/2014, 04:20
... display none of the expected cues They may deny their pain for fear of more painful treatment, for example, they may be fearful of injections Absence of these signs does not mean absence of pain and ... However, the published material is being distributed without warranty of any kind, either expressed or implied The responsibility for the interpretation and use of the material lies with the reader ... amputation, foresees treatment with a two-step approach based on the severity of pain Paracetamol or ibuprofen are the medicines of choice in the first step and are used for treatment of mild pain Morphine,...
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EUROPEAN GUIDELINES FOR THE MANAGEMENT OF CHRONIC NON-SPECIFIC LOW BACK PAIN pot
Ngày tải lên :
08/03/2014, 14:20
... (F) Thermotherapy Summary of evidence • There is no evidence for the effectiveness of thermotherapy compared with sham/placebo treatments in the treatment of chronic low back pain (level D) • There ... evidence for the effectiveness of thermotherapy compared with other treatments in the treatment of chronic low back pain (level D) Recommendation We cannot recommend thermotherapy/heat as a treatment ... effectiveness of lumbar supports compared with other treatments in the treatment of chronic low back pain (level D) Recommendation We cannot recommend the wearing of a lumbar support for the treatment of...
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Low back pain - Early management of persistent non-specific low back pain pptx
Ngày tải lên :
31/03/2014, 13:20
... one-third of the UK adult population each year Around 20% of people with low back pain (that is, in 15 of the population) will consult their GP about it There is a generally accepted approach to the ... section 1.3.3), a course of manual therapy (see section 1.4.1) or a course of acupuncture (see section 1.6.1) Consider offering another of these options if the chosen treatment does not result ... imaging • Do not offer X-ray of the lumbar spine for the management of non-specific low back pain • Only offer an MRI scan for non-specific low back pain within the context of a referral for...
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A practical guide to the management of medical emergencies - part 1 ppt
Ngày tải lên :
10/08/2014, 18:21
... Australia The right of the Authors to be identified as the Authors of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988 All rights reserved No part of this ... have substantially broadened the scope of the book to cover all problems in general medicine likely to be encountered in the emergency department Integration of the use of echocardiography, which ... and European Society of Cardiology Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death (2006) American College of Cardiology website...
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A practical guide to the management of medical emergencies - part 2 pot
Ngày tải lên :
10/08/2014, 18:21
... hyperacute peaking of the T wave, which is often overlooked Further reading European Society of Cardiology Task Force on the Management of Chest Pain (2002) European Society of Cardiology website ... checked within h of starting oxygen, and FiO2 adjusted accordingly The target is a PaO2 of >8 kPa or SaO2 >92% Ventilatory support See Table 16.5 Further reading Lee WW, et al The accuracy of pulse ... and PaCO2, the partial pressures of oxygen and carbon dioxide (in kPa) in arterial blood Estimate the partial pressure of oxygen in alveolar gas (PAO2) from the simplified form of the alveolar...
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