fundamental principles of disaster management
Báo cáo khoa hoc:" Absence of autoantibodies connected to autoimmune polyendocrine syndrome type I and II and Addison''''s disease in girls and women with Turner syndrome" docx
Ngày tải lên :
11/08/2014, 08:21
... because of the lack of estrogens [25] Conclusion Antibodies to thyroid peroxidase (TPO) were recorded in 40% (36/91) of the Turner women analyzed, and of these 50% had hypothyroidism Of the women ... patients (15) Page of (page number not for citation purposes) Journal of Negative Results in BioMedicine 2007, 6:10 Except for blood donors having low titers of antibodies to TH, none of the 40 blood ... chromosome can be missing (45,X) or abnormal and mosaicism is often present Occurring in one of every 2000 female births, Turner syndrome is one of our most common sex chromosome abnormalities [1] Turner...
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Báo cáo y học: "Addison’s disease presenting with idiopathic intracranial hypertension in 24-year-old woman: a case report." pptx
Ngày tải lên :
11/08/2014, 11:23
... Care Unit with a presumptive diagnosis of acute meningoencephalitis with a secondary syndrome of inappropriate anti-diuretic hormone (SIADH) No measurements of serum or urine osmolality were made ... hypertension is defined as the clinical syndrome of raised intracranial pressure, in the absence of space-occupying lesions or vascular lesions, without enlargement of the cerebral ventricles, for which ... use of medication including various antibiotics (tetracyclines, nitrofurantoin, and nalidixic acid), amiodarone, cyclosporin, systemic and topical steroids, and the oral contraceptive pill Of...
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Cushing’s Disease in Children: Report of Three Cases potx
Ngày tải lên :
22/03/2014, 10:20
... He had a height of 148.6 cm (25−50th percentile), a weight of 34.3 kg (10−25th percentile) and blood pressure of 160/ 110 mmHg He had signs of puberty; both testes had volumes of mL and pubic ... between 12 years months and 13 years Laboratory tests showed serum sodium of 146 mmol/L, potassium of 2.4 mmol/L, and chloride of 101 mmol/L His plasma ACTH level was 73.9 pg/ mL (16.3 pmol/L), and ... and purpuric striae were noted She had a height of 149.8 cm (75−90th percentile), weight of 65 kg (above the 97th percentile), and blood pressure of 114/80 mmHg Her breasts were Tanner stage III,...
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Báo cáo khoa học: LRRK2 in Parkinson’s disease: in vivo models and approaches for understanding pathogenic roles pdf
Ngày tải lên :
23/03/2014, 04:20
... functions of the orthologs of LRRK2 in vivo (Table 1) Although rapid analysis of these models will undoubtedly facilitate an understanding of the function of LRRK2 function in PD, the lack of a sophisticated ... first to report the generation of LRRK2 KO mice Taking advantage of the lack of LRRK2 expression in these mice, they performed the comprehensive evaluation of a panel of commercial antibodies against ... reduction of chemotactic reaction towards cAMP [20] In addition, loss of GbpC was associated with a decrease in phosphorylation of myosin II and a change in subcellular localization of myosin...
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báo cáo khoa học: "Fulminant Leptospirosis (Weil’s disease) in an urban setting as an overlooked cause of multiorgan failure: a case report" pptx
Ngày tải lên :
11/08/2014, 02:22
... development of fine crackles at the bases of his lungs Arterial blood gas on L of oxygen revealed a pH of 7.45, PCO2 (partial pressure of carbon dioxide) of 28, PO2 (partial pressure of oxygen) of 55, ... creatinine of 2.3 mg/dL, platelets of 58,000 cells/mm , hemoglobin of 12.8 G/dL, white blood cell count of 8.9 × 10 cells/mm with lymphopenia of 2.4%, total bilirubin of 4.3 mg/dL, direct bilirubin of ... 2.6 mg/dL, alkaline phosphatase (ALP) of 143 U/L, aspartate aminotransferase (AST) of 201 U/L, alanine aminotransferase (ALT) of 246 U/L, and creatine kinase of 1219 U/L The urine analysis showed...
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Báo cáo khoa hoc:" Exclusion of PINK1 as candidate gene for the late-onset form of Parkinson''''s disease in two European populations" pps
Ngày tải lên :
11/08/2014, 08:20
... screening of potential promoter as well as enhancer/silencer regions of the gene to finally exclude any lack of influence of PINK1 variation on PD manifestation Yet, functional investigations of the ... analyses The most likely reason to explain the absence of mutations in our cohorts is the lack of influence of the PINK1 gene in the pathogenesis of late-onset PD Individual tagging SNPs and tag-defined ... identification of disease causing mutations in the Omi/HtrA2 gene [6] The hypothesis of mitochondrial impairment was further emphasized by postmortem studies of PD brains [7] and observation of PD syndromes...
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Báo cáo y học: "Manifestations of Ollier’s disease in a 21-year-old man: a case report" pdf
Ngày tải lên :
11/08/2014, 14:20
... intensity of uptake in lesions of the lower extremity was so high that the possibility of malignant degeneration of the enchondromas was raised [4] Hence, the patient underwent surgical excision of ... margins, suggestive of multiple enchondromas (Figures and 2) There was no cortical erosion, extension of the tumor into soft tissues or irregularity or indistinctness of the surface of the tumor A ... a unilateral distribution of the lesions (Figure 3) There were no deformities of the affected limbs The long bones of the left Figure Bone lesions in the small bones of the right foot consistent...
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Báo cáo y học: " Synchronously diagnosed eosinophilic granuloma and Hodgkin''''s disease in a 12-year-old boy: a case report" pptx
Ngày tải lên :
11/08/2014, 19:21
... hemoglobin of 11.6 g/dl with MCV = 86, platelet count of 275000/microliter and WBC of1 0000/microliter ESR was 35 and biochemical test results of blood were unremarkable Radiographic assessment of the ... parents of the patient for publication of this case report A copy of the written consent is available for review by the Editor-inChief of this journal Conclusion References We report a composite of ... history of chemotherapy, raises the possibility of a common etiologic agent which may be genetic More immediate questions include the impact of composite tumors on the management and prognosis of...
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Báo cáo y học: " Accidental Jorge Lobo''''s disease in a worker dealing with Lacazia loboi infected mice: a case report" doc
Ngày tải lên :
11/08/2014, 20:20
... nerves and tendons of the affected finger It consisted of a firm yellowish tumorallike mass resembling a lipoma, with a smooth bright surface Because of the initial diagnosis of a benign tumor, ... cells in chains (1000×) Note the staining of the cytoplasmic content, an indication of viable cells Page of (page number not for citation purposes) Journal of Medical Case Reports 2009, 3:67 http://www.jmedicalcasereports.com/content/3/1/67 ... or in small chains of cells linked by small tube-like structures (Figures Figure Hematoxylin-eosin stained section of the biopsied tissue Hematoxylin-eosin stained section of the biopsied tissue...
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Heart Disease in Pregnancy - part 1 doc
Ngày tải lên :
13/08/2014, 17:22
... California G.C Griffith Professor of Cardiology; Professor of Medicine Keck School of Medicine at USC; Griffith Center, Division of Cardiovascular Medicine, Department of Medicine; and LAC USC ... Hospital/UHN; and Associate Professor of Medicine, University of Toronto; Toronto Ontario, Canada Heidi M Connolly, MD, FACC Professor of Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, ... FRCP, FESC, FACC Professor (Emeritus) of Clinical Cardiology, Imperial College School of Medicine at Hammersmith Hospital, London, UK Carole A Warnes, MD, FRCP, FACC Professor of Medicine, Mayo...
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Heart Disease in Pregnancy - part 2 ppt
Ngày tải lên :
13/08/2014, 17:22
... presence of one of the above risk factor categories suggested a risk of a cardiovascular complication during pregnancy of over 20% and, when more than one risk factor category was present, the risk of ... result of a variety of bicuspid aortic valve with varying degrees of valve thickening and commissural fusion There may be some narrowing of the aortic root, asymmetry of the sinuses of Valsalva or ... increased risk of congenital heart disease in the offspring of these patient Ebstein’s anomaly of the tricuspid valve Ebstein’s anomaly is associated with caudal displacement of the septal and...
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Heart Disease in Pregnancy - part 3 pdf
Ngày tải lên :
13/08/2014, 17:22
... a marker of the tolerance of mitral stenosis but not of its severity.18 However, the measurement of mean mitral gradient is useful for patient follow-up and evaluation of the effect of medical ... frequently assessed from the presence of clinical signs of right heart failure Principles of treatment Diuretics can be used in the case of clinical signs of congestive heart failure Beta blockers ... fetal risk of pregnancy in the setting of PAH, the prevention of pregnancy is paramount in risk management The degree of PAH that significantly augments risk of pregnancy is uncertain, although it...
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Heart Disease in Pregnancy - part 4 pot
Ngày tải lên :
13/08/2014, 17:22
... Fragmentation of the reticulum fibers, a diminished amount of acid mucopolysaccharides and loss of the normal corrugation of elastic fibers have been observed in the aortic wall of pregnant patients.13 ... In many of these cases the back pain could be related to crush fractures of vertebrae.46 Few evidence-based guidelines exist for obstetric management of fetuses affected with any form of osteogenesis ... spectrum of manifestations, the diagnosis of lupus relies mostly on clinical judgment and the presence of these serologic markers The widely used classification criteria of the American College of Rheumatology...
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Heart Disease in Pregnancy - part 5 potx
Ngày tải lên :
13/08/2014, 17:22
... definition of PHT In addition, a decreasing diffusing capacity for carbon monoxide (DLCO) in the absence of significant interstitial involvement of the lungs is a good predictor of the presence of PHT ... the leading causes of death in patients with both forms of systemic sclerosis.24 Therefore, early detection and treatment of these conditions are a major issue in the management of patients with ... hypertension during pregnancy Mode of delivery and anesthetic management of 15 consecutive cases Anesthesiology 2005;102:1133–7 60 McMillan E, Martin WL, Waugh J et al Management of pregnancy in women with...
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Heart Disease in Pregnancy - part 6 ppt
Ngày tải lên :
13/08/2014, 17:22
... developing in the last month of pregnancy or within months of delivery Absence of other detectable cause Apparent absence of myocardial disease before the last month of pregnancy Left ventricular ... hemodynamic changes of pregnancy, all of which have been suggested as possible contributory causes.32–34 Although the time of clinical onset does not necessarily mark the time of onset of the cardiac ... Over 90% of cases of PPCM present in the puerperium when the increased hemodynamic load of pregnancy has diminished This is inconsistent with the condition being simply an exacerbation of a pre-existing...
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Heart Disease in Pregnancy - part 7 doc
Ngày tải lên :
13/08/2014, 17:22
... Presyncope or syncope at the end of an episode of palpitations may suggest an ‘offset’ pause resulting from delay in resumption of sinus rhythm; this is a marker of intrinsic sinus node disease ... the beginning of the QRS complex and cause a slurring of the initial up- or downstroke of the QRS complex, together with an increase in the width of the QRS complex and shortening of the P–R interval ... sound is absent Table 17.2 Symptoms and signs of pulmonary embolism Symptoms of pulmonary embolism Signs of pulmonary embolism Acute onset of shortness of breath Collapse, syncope, faintness Pleuritic...
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Heart Disease in Pregnancy - part 8 pptx
Ngày tải lên :
13/08/2014, 17:22
... possible prophylactic therapy Management of hypertension in pregnancy There are two important differences between the management of hypertension in pregnancy and the management of hypertension outside ... or reduction of cardiac preload or afterload.54 Other essential features of the management of severe pre-eclampsia such as the correction of coagulopathy, and the timing and route of delivery ... Lack of reproducibility in pregnancy of Korotkoff phase IV as measured by mercury sphygmomanometry Lancet 1996;347: 139–42 17 Brown MA, Buddle ML, Farrell T et al Randomised trial of management of...
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Heart Disease in Pregnancy - part 9 pps
Ngày tải lên :
13/08/2014, 17:22
... content of the media) under hormonal influence are the basis of the pathogenesis of aortic as well as coronary dissection The increased risk of thrombosis during pregnancy is a result of profound ... because of the rise in cardiac output As a result of the higher metabolism of pregnancy, a possible acceleration of the disease process can occur It is well known that progressive calcification of ... may also occur in the third stage as a result of autotransfusion from the contracting uterus The management of most of these patients includes the use of beta-blocking agents to limit left ventricular...
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