early treatment or watchful waiting
Báo cáo y học: "Clinical Strategy for the Management of Solid Pseudopapillary Tumor of the Pancreas: Aggressive or Less"
... attempted for three SPT patients in whom the mass was located in the portion of body or tail of the pancreas For tumors of SPT located in the neck and body of the pancreas, resection of the midportion ... pancreatectomy with splenectomy, pylorous preserving pancreatoduodenectomy, Whipple’s operation or enucleation can be performed consquently.15 Furthermore, many reports had demonstrated less aggressive ... pseudopapillary tumor of the pancreas A case report and literature review World J Gastroenterol 2007;13:5158-5163 Sarr MG, Warshaw AL Tumor versus neoplasm: isn’t it time to use the correct term-neoplasm?...
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Báo cáo y học: " Unique challenges for appropriate management of a 16-year-old girl with superior mesenteric artery syndrome as a result of anorexia nervosa: a case report" pptx
... standardized mortality ratio of patients with anorexia nervosa compared with the general population is 11.6 for all causes of death and 56.9 for suicide, anorexia nervosa remains a very important disorder ... compression of the duodenum between the superior mesenteric artery anteriorly/dorsally and the aorta (and behind the aorta, the vertebral column) posteriorly/ventrally [4] This compression results ... appropriate management for one diagnosis seemed mutually exclusive of appropriate management for the other We therefore describe various treatment options for managing both anorexia and SMA syndrome,...
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Báo cáo y học: "Management of chest pain: exploring the views and experiences of chiropractors and medical practitioners in a focus group interview"
... reported that a good history and physical exam are essential and important to good diagnosis, that a history should include all prior care received for that condition, that records of prior care ... (cardiopulmonary or gastrointestinal) disorders in older patients, chest pain in older patients therefore may be more likely of multi-factorial etiology and more likely associated with comorbidities ... pain, and lack of evidence supporting effectiveness for medical drug interventions for musculoskeletal chest pain (e.g., oral nonsteroidal anti-inflammatory drugs or steroid injections into chest...
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Báo cáo y học: "surgical Management of Hidradenitis Suppurativa"
... previously been prescribed a treatment by non surgical or inadequate surgical treatment modalities such as short term antibiotic treatments, local wound care and abscess drainage for long periods (up ... excision and toracodorsal perforator based flap reconstructions were performed at a single stage To preserve the shoulder movements and to prevent contactures, skin grafts were not used for the reconstruction ... and pliable reconstruction that is suitable for axillary repair Thoracodorsal perforator flaps were used in especially wide defects http://www.medsci.org Int J Med Sci 2010, Conclusion Hidradenitis...
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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"
... transforming growth factor-β1, a major regulator of cell-mediated inflammation and tissue regeneration (29) Insulin resistance plays a major role in the development of several metabolic abnormalities and ... black Laboratory investigation revealed elevated blood glucose (17.9 mmol/L) and hyponatremia (Na+ 128 mEg/L) The http://www.medsci.org Int J Med Sci 2010, patient underwent a medial forefoot ... weeks after treatment, and to 128/66 during 6th to 8th weeks post -treatment while the patient was on no medication Her blood sugar was improved and HbA1c was dropped from 9.8 before treatment to...
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Báo cáo y học: "Management of HCV Infection and Liver Transplantation"
... limiting factor to pegylated interferon use We treat patients for 12 months and check monthly laboratory testing to exclude acute and chronic rejection The worsening organ donor shortage has necessitated ... months following OLT suggesting a role for therapy early in the course of HCV Importantly a predictor of interferon response was an absence of treatment for acute rejection [28] At our institution, ... significant portal and lobular infiltrates and hepatocyte necrosis, as well as portal-to-portal bridging fibrosis Early in the era of adult-to-adult live donor liver transplantation, preliminary reports...
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Báo cáo y học: "Management of HBV Infection in Liver Transplantation Patients"
... Transmission from Isolated Anti-HBc Positive Donor Livers Because of the shortage of deceased donor organs, livers from isolated anti-HBc-positive donors (negative for HBsAg and antiHBs) are being routinely ... reduced rate after IFN treatment [40] In the same era, results treatment with famciclovir were disappointing [41] Neither IFN nor famciclovir are currently indicated treatments or in of of Int J Med ... used to treat patients with LAM resistance prior to OLT Table Results of Lamivudine Monotherapy Prior to OLT (*Mean or Median NR; not reported.) Authors N= Duration of Negative HBV Resistant Reference...
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Báo cáo y học: "A Practical Approach to Management of Chronic Hepatitis B"
... goals for HBV treatments Predictors of HBV Treatment Response Knowing clinical, biochemical, and virological predictive factors to HBV treatment response is important for planning and monitoring ... response rates to IFN treatment [22] Duration of IFN treatment also affects response For instance, 32- weeks treatment is superior to 16 weeks treatment [12] The predictors of response to LAM ... duration of the HBV treatment For instance, those on IFN therapy may need to be monitored every 4-6 weeks, but those on LAM or ADV should be monitored every 3-6 months On -treatment monitoring should...
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Báo cáo y học: "Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS)"
... placed at the expiratory port of bag-valve mask • Place two filters per ventilator: Between expiratory port and the ventilator, and another on the exhalation outlet of the ventilator • Use closed-system ... J.W.M., et al Short term outcome and risk factors for adverse clinical outcomes in adults with severe acute respiratory syndrome (SARS) Thorax, 2003 58:686-9 60 Tsang O.T., et al Coronavirus-positive ... as predictor for severe acute respiratory syndrome mortality Emerg Infect Dis, 2003 9:1381-7 61 Leung W.K., et al Enteric involvement of severe acute respiratory syndrome-associated coronavirus...
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FAILURES IN LOGISTICS MANAGEMENT OF VINALINK’S LOGISTICS DEPARTMENT AND RECOMMENDATIONS
... crating, import export consulting, certificate of origin, insurance, fumigation, culture checking, authorized import and export formalities, local inland transit and on forwarding from main ports to ... consisting of: - Logistics services for import and export cargoes: such as custom declaration, import export formality, project and exhibition cargoes delivery, door to door delivery, cargoes packaging ... more rail transport for long distance travels which are not urgent instead of road transport This can lighten working load for road transport operation and resources, as well as reduce transport...
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the management of environmental quality
... knowledge, sense for communities and tourists § Economic Solutions § Priority or no tax exemptions in certain time with the pure form of investment for environmental protection or tourism investment ... Layers of information about terrain Layers of information about population Layers of information about the area Layers of administrative information Thematic layers: Layers information in ... resort must have waste water treatment system standards before being discharged into the environment § Sort waste at source and collection system, save the standard containing § The transportation...
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Risk Management of Water Environment in New Paradigm
... SYNTHETIC ORGANIC S SYNTHETIC ORGANIC S PRODUCED IN TREATMENT TAST E,ODOR & COLOR PHENOLS GEOSMIN & 2MIB HUMAN ACTIVITIES nutrie nt s HUMAN ACTIVITIES Fe & M N SUSPENDED SOLID DAMAGE FACILITIES CORR ... another new norm on water service or drinking water based on a new concept Water service is the only way to supply water necessary for life and social activities; therefore, what is needed for water ... including groundwater and hot spring Pollution caused by geological factors, such as arsenic, fluoride, boron, or antimony, inorganic hazardous substances occurs nationwide, and it prevents effective...
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An overview of the clinical management of spasticity
... individual more prone to pressure sores (O’Dwyer et al., 1996) Flexor and extensor spasms Severe muscle spasms are often found in UMN syndrome These can be in either a flexor pattern or an extensor pattern ... flexion is produced If spasms worsen suddenly, it is worth looking for aggravating factors such as pressure sores, bladder infections, irritation from a catheter or even such apparently mild stimulants ... for putting on trousers This emphasizes the importance of detailed discussion with the disabled person and his or her carer before assuming that the spasm will need treatment Finally, extensor...
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Chemical neurolysis in the management of muscle spasticity
... indications for obturator nerve blocks in ambulatory patients is ‘scissoring gait’ In nonambulatory patients this treatment may be considered when severe spasticity of the hip adductors prevents ... appropriate equipment or expertise is not available or the financial cost of treatment is an important consideration The motor points of a muscle is the area of arborization of the motor nerve terminals ... posterior muscles arise more distally Further branches below the popliteal fossa innervate the flexor digitorum longus and flexor hallucis longus muscles The terminal branches innervate the toe flexors...
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Management of spasticity in children
... generalized r Poor cognitive ability r Fixed deformity r Poor selective motor control r Associated medical disease r Inadequate home support r No access to appropriate physiotherapy or orthotics Methods ... anaesthetic may be invaluable Oral medications: generalized temporary Oral medications for the management of spasticity in children are in the temporary/generalized category of the treatment compass The ... Petrillo et al., 1980) For this reason, pure motor nerves are better targets for these agents than mixed motor and sensory nerves We use phenol injections for the management of adductor spasticity by...
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Pharmacological management of spasticity
... activity (e.g positioning, care or comfort) and if treatment is likely to ameliorate this interference (see Table 7.2) Management strategy Spasticity treatment is worthwhile if there is impairment ... al., 1987) Clifford (1987) reported that THC improved motor co-ordination in out of multiple sclerosis patients who were severely disabled with tremor and ataxia, and a case report suggests that ... dantrolene sodium or benzodiazepines are probably the commonest, but these are more likely to affect higher cerebral functioning More importantly, though, they can be used with newer treatments, such...
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Tìm thêm: hệ việt nam nhật bản và sức hấp dẫn của tiếng nhật tại việt nam xác định các mục tiêu của chương trình khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo gắn với các giáo trình cụ thể tiến hành xây dựng chương trình đào tạo dành cho đối tượng không chuyên ngữ tại việt nam điều tra đối với đối tượng giảng viên và đối tượng quản lí khảo sát thực tế giảng dạy tiếng nhật không chuyên ngữ tại việt nam nội dung cụ thể cho từng kĩ năng ở từng cấp độ xác định mức độ đáp ứng về văn hoá và chuyên môn trong ct phát huy những thành tựu công nghệ mới nhất được áp dụng vào công tác dạy và học ngoại ngữ mở máy động cơ lồng sóc đặc tuyến hiệu suất h fi p2 đặc tuyến mômen quay m fi p2 đặc tuyến tốc độ rôto n fi p2 động cơ điện không đồng bộ một pha sự cần thiết phải đầu tư xây dựng nhà máy thông tin liên lạc và các dịch vụ phần 3 giới thiệu nguyên liệu chỉ tiêu chất lượng theo chất lượng phẩm chất sản phẩm khô từ gạo của bộ y tế năm 2008 chỉ tiêu chất lượng 9 tr 25