... attempted for three SPT patients in whom the mass was located in the portion of body or tail ofthe pancreas For tumors of SPT located in the neck and body ofthe pancreas, resection ofthe midportion ... midportion ofthe pancreas and the mass with preserving the rim ofthe head and tail portion can be achieved However, forthe patient in whom the mass was located within the head ofthe pancreas, ... (SPN), the experience with themanagementof disseminated disease is very limited in the literature6, therefore, attention to the therapy strategy of this neoplasm in the future may allow a more...
... controversy, the evidence based evaluation by the authors ofthe BSG guidelines for adults with IBD has been used together with the ECCO consensus document [4] Guidelines fortheManagementof Inflammatory ... Development of guidelines [2-4] These guidelines are the work ofthe IBD working group ofthe British Society of Paediatric Gastroenterology Hepatology and Nutrition (BSPGHAN) and are for use by ... clinical practice forthe investigation and treatment of IBD in children which will promote consistency ofthemanagementof such conditions Individual cases must be managed on the basis of all clinical...
... understanding of and accommodate the target's MOAs and the trade-off of free choice and externalities The potential for success ofthe three sets of tools is derived from the target's assessment ofthe ... necessary On the individual's side ofthe ledger, apathy is a strong source of power The greater the value ofthe exchange for one side, the more power can be brought to bear by the other through ... after they are discovered, but others need the incentives of a marketing exchange or the coercion of law to be maintained When the target of critical mass consists ofthe entire community, the force...
... Behavioural therapy can increase the effectiveness of other weight-loss treatments, and the duration ofthe therapy influences the ability to maintain the weight loss No single behavioural therapy ... investigated in depth One ofthe reasons for this is the difficulty of measuring stress Another is the difficulty of determining whether stress is a consequence of obesity or a cause of it.44,45 This ... effectiveness of other weight-loss treatments; the duration ofthe therapy is related to the extent of weight-loss maintenance Evidence level Overall, behavioural therapy used in combination with other...
... to these guidelines The problem of early recognition of AF is greatly aggravated by the often ‘silent’ nature ofthe rhythm disturbance In about one-third of patients with this arrhythmia, the ... aware of so-called ‘asymptomatic AF’ Much earlier detection ofthe arrhythmia might allow the timely introduction of therapies to protect the patient, not only from the consequences ofthe arrhythmia, ... in sympathetic and parasympathetic tone result in variability ofthe ventricular rate during the diurnal cycle or during exercise The high variability ofthe ventricular rate is often a therapeutic...
... lipid-lowering trials the LDL-C level has been used as an indicator of response to therapy Therefore, LDL-C remains the primary target of therapy in most strategies of dyslipidaemia managementThe most recent ... 10% ofthe total caloric intake The optimal intake of SFAs should be further reduced (,7% of energy) in the presence of hypercholesterolaemia The intake of n-6 PUFAs should be limited to ,10% of ... enzymes Therefore, the beneficial clinical effects are indirect By binding the bile acids, the drugs prevent the entry of bile acid into the blood and thereby remove a large portion ofthe bile...
... recommend the wearing of a lumbar support forthe treatment of nonspecific chronic low back pain C4 (D) Shortwave diathermy Summary of evidence • There is no evidence forthe effectiveness of shortwave ... Summary of evidence • There is no evidence forthe effectiveness of thermotherapy compared with sham/placebo treatments in the treatment of chronic low back pain (level D) • There is no evidence for ... can define the presence of these lesions (Fisher 2002) The value of these studies is limited by the fact that only motor fibers are monitored, the specificity (for radiculopathy) ofthe physiological...
... decisions.9 The colorectal cancer risk in family members increases with the number of affected members, the closeness ofthe relationship to the patient, and earlier age of onset.10,11 Medical information ... vessels up to the origin ofthe primary feeding vessel is adequate.56–58 Thus for rectal cancer, this is at the origin ofthe superior rectal artery, just distal to the origin ofthe left colic artery.59 ... excision ofthe mesorectum is accomplished by sharp dissection in the plane between the fascia propria ofthe rectum and the presacral fascia Radial clearance of mesorectal tissue enables the en...
... development ofthe conceptual model (in particular the results of site investigation); the selection of criteria and assumptions; the evaluation ofthe potential risks; and the basis forthe decision ... other investigations may not provide an accurate reflection ofthe true or relevant characteristics ofthe site Risk-based decision making offers the opportunity to formalise themanagementof ... part ofthemanagementof environmental risks in a sustainable way, and is a formal component of particular stages of regulatory regimes It allows forthe structured and transparent balance of the...
... used to estimate and store the time profile ofthe forces, to be generated by the robot during the subsequent Subject Training phase The algorithm aims at determining the forces that shift a subject’s ... (bottom) summarizes the study design Note that the forces used fortraining were calculated at the beginning of each session Therefore, the protocol automatically adapted to the patient’s specific ... subjects caused not by the treatment itself but by variation ofthe clinical scale at the beginning ofthe therapy To test the overall effect of adaptive training, we compared the primary outcome...
... the design ofthe study did not allow for an accurate assessment ofthe duration ofthe pre-operative disability, which might have influenced the post-operative course Nevertheless, despite these ... [8] None ofthe patients had prior surgery for clubfoot, and the botulinum toxin was utilized as a substitute for tenotomy to attenuate the function ofthe triceps surae muscle complex The patients ... Nicholas JA: The influence of flexibility on the economy of walking and jogging J Orthop Res 1990, 8:814-823 Thomas HO: The classic Diseases ofthe hip, knee and ankle joint with their deformities...
... guidelines for therapeutic exercises and manual therapy in themanagementof osteoarthritis Phys Ther 2005, 85:907-971 American College of Rheumatology: Recommendations forthe medical managementof ... passive therapies, but their role and place in themanagementof knee osteoarthritis was unclear This is probably related to the weaker evidence regarding the effectiveness of these interventions The ... [8,11] had the highest quality and were the only ones mentioning the use ofthe AGREE instrument in the elaboration Even these guidelines, however, failed to effectively address the majority of domains...
... between the end ofthe formal training period and time of follow-up, but neither of these studies provided information concerning how much exercise subjects undertook during the time prior to the ... Health Related Quality of Life Table Level of evidence for evaluating the efficacy of exercise therapy in themanagementof osteoarthritis ofthe hip Level of evidence Definition Strong evidence ... performance based), and quality of life Examples of self-reported pain included the VAS; the pain subscale ofthe Harris Hip Score; and/or the pain subscale ofthe Health Related Quality of Life...
... types of work The scope ofthe potential involvement of different providers of illness management requires a clearer conceptual understanding ofthe practices of illness management as they take ... nonhealth professionals, and, to a more limited extent, health professionals The distribution ofthe responsibilities for LTCM between groups of involved actors outside ofthe immediacy ofthe health ... disease management remain the province of health professionals, a social-network approach means that the main focus of self -management shifts to the person with the condition, members of their...
... technique forthemanagementof visceral PA located elsewhere are promising Another issue of concern is the possibility of stenosis at the ends ofthe stent or within the stent The use of stents ... remains the gold standard forthemanagementof post-PCNL PA, especially for lesions located at the distal branches ofthe renal artery However, the short-term data regarding the use ofthe technique ... achieve endovascular exclusion ofthe PA A control angiogram at the end ofthe procedure revealed the absence of opacification ofthe PA, with the appropriate preservation of renal parenchymal perfusion...
... The a posteriori calculated ICC forthe knowledge test at baseline was 0.054 The a posteriori calculated ICC forthe change of knowledge scores was 0.080 The a posteriori calculated ICC forthe ... they can change the performance of physicians and/or improve the quality of life of patients [69] Ethics Approval Approval was granted by the Ethics Committee ofthe Medical Faculty of Witten/Herdecke ... improvement of knowledge, though the knowledge gain at t2’ (1.48; p = 0.019) was lower compared to the intervention groups at both times Page of 10 Discussion Summary ofthe findings The purpose of the...
... The a posteriori calculated ICC forthe knowledge test at baseline was 0.054 The a posteriori calculated ICC forthe change of knowledge scores was 0.080 The a posteriori calculated ICC forthe ... they can change the performance of physicians and/or improve the quality of life of patients [69] Ethics Approval Approval was granted by the Ethics Committee ofthe Medical Faculty of Witten/Herdecke ... improvement of knowledge, though the knowledge gain at t2’ (1.48; p = 0.019) was lower compared to the intervention groups at both times Page of 10 Discussion Summary ofthe findings The purpose of the...
... small proportion of patients (one-fourth of patients with presumed diagnosis of infection and one-tenth ofthe patients with the diagnosis of colonization) At first glance, these results seem ... are not included in the proposed criteria and they should be added to the list This may avoid the misclassification of these high risk patients if semiquantitative culture of bronchoalveolar lavage ... classification [2] The significance of a positive respiratory culture for Aspergillus spp in a non-immunodepressed patient causes the clinician great uncertainty and doubt Nowadays, the isolation of Aspergillus...
... patient research forums has also highlighted themanagementof cough as an unmet need in lung cancer For these reasons, the development of clinical guidelines forthemanagementof cough in lung ... were: the rationale and need forthe guidelines (original score = 4.6); the need forthe development ofthe guidelines (= 4.8); completeness of literature search (= 4.3); the description of evidence ... other respiratory diseases (e.g chronic obstructive pulmonary disease-COPD) and cough may be the result ofthe underlying respiratory pathology rather than the cancer The timing ofthe start of...