an update to surgical management of inflammatory bowel diseases

... Trang 1AN UPDATE ON THE MANAGEMENT OF CAUSTIC ESOPHAGEAL INJURY BS Lâm Bội Hy Khoa Tiêu Hóa Trang 2REFERENCE • Up to date 2015 Caustic esophageal injury in children Trang 3• Caustic ... perforation → mediastinitis, peritonitis, respiratory distress & shock Trang 7CLINICAL MANIFESTION• The presence or absence of any of symptoms or signs of corrosive ingestion does not predict ... Grade 3A Small scattered areas of focal necrosis Grade 3B Extensive necrosis Trang 11Depend on 2 important factors: 1 Certainty of ingestion 2 Presence of symptoms Trang 12Suspected ingestion Ingestion:

Ngày tải lên: 14/11/2016, 06:05

... unaffordable Southern and northern parts of Africa have better access to newer cancer medications and promote the use of national guidelines in an attempt to standardize management of breast cancer in their ... Stefan DC Cancer care in Africa: An overview of resources J Glob Oncol 2015;1(1):30–6 47 Dare AJ AB, Sullivan R, et al Surgical Services for Cancer Care In: Gelband HJP, Sankaranarayanan R, editors ... immuno-histochemistry, expansion and upgrading of radiotherapy equipment across the continent in addition to more research opportunities Conclusion: This review is an update of the management of breast

Ngày tải lên: 19/11/2022, 11:41

... sig-nificantly advanced our understanding on the importance of genetic susceptibility in IBD The GWAS performed to date together with a meta-analyasis of several GWAS have identified a total of 163 ... Examples of statistically significant clusters af Trang 8production of IL27, and thus forms a cytokine environ-ment suitable for differentiation and maintenance of Th1 cells and Th17 cells and also, ... expression is associated with many inflammatory diseases such as IBD, Trang 6Fig 5 AUCs corresponding to 9 sets of clustersrheumatoid arthritis and asthma [44, 45] As a compo-nent of the LUBAC complex,

Ngày tải lên: 25/11/2020, 14:07

... gynecologic cancers, urologic cancers, melanoma, and lymphoma Both non-surgical and surgical management strategies have been developed and utilized, with the primary goal of all management strategies ... unsatisfactory to the patient despite strict adherence to compression and manual lymphatic drainage regimens [21] Non-surgical management Medical management Currently, there is no data to support use of ... waiver Trang 2urologic cancers, and head and neck malignancies (Fig 1)[3] This untoward complication has substantial morbidity for patients and significantly impacts quality of life of those

Ngày tải lên: 06/08/2020, 06:09

... ever-expanding Universe ends in the conversion of matter to an infinite sea of radiation at zero temperature, an infinite sea of useless energy And in this process, the operation of gravity appears to ... little islands of sufficient negative entropy in which the Universe can apparently, for a while, be understood But the evolution of structure demands an arrow of time, and that arrow points to the ... Radiation and expansion 4.4.1 Redshift and expansion 4.4.2 Evolution of the Planck spectrum 4.4.3 Evolution of energy density 4.4.4 Entropy of radiation 4.5 Nevertheless it moves 4.5.1 Measurements of

Ngày tải lên: 17/03/2014, 13:34

... number of compositions of n into even parts is 2n2 − 1 if n iseven and 0 if n is odd; (3) The number of compositions of n into an even number of parts isequal to the number of compositions of n into ... E(n) is the number of partitions of n into an even number of distinctparts and O(n) the number of partitions of n into an odd number of distinctparts We try to establish a one-to-one correspondence ... number of partitions of n into not more than m parts is equal to thenumber of partitions of n into parts not exceeding m Of a somewhat different nature is the following: The number of partitions of

Ngày tải lên: 31/03/2014, 16:21

... the analysis seems too close to what it is meant to analyse And, second, it resembles the case of games and playing in another way, in that the concept of consciousness, like the concept of playing, ... characteristic concern is with the essence of language any language and so his procedure is to examine the concept of language with a view to discovering how any language must be (It should be said ... study of the nature and significance of the results and methods of scientific psychology This latter discipline is to the philosophy of mind as the philosophy of linguistics is to the philosophy of

Ngày tải lên: 10/06/2014, 21:27

... stone; and so on In short, rather than knowing directly what’s going on in a human body and being able to animate that body by direct acts of the will,... of fruit and became an orange? ... thing to say is that it started as an apple and remained so for an indeterminate period; it finished as an orange and had been such for an indeterminate period; and in between, for an ... the human faculty of reason as it finds itself at work within the minds of normal people is up to the task of discovering the truth here and our faculty of language up to the

Ngày tải lên: 10/06/2014, 21:54

... indicators of pneumonia case-management quality. the following: cough or difficult breathing, duration of symptoms, 60-second respiratory rate, and danger signs (history of seizure, inability to ... conditions, and because the complex-ity of disease-specific portions of IMCI guidelines seemed different (e.g management of respiratory infections seemed more complex than management of fever), ... Trang 1Open AccessResearch Improving pneumonia case-management in Benin: a randomized trial of a multi-faceted intervention to support health worker adherence to Integrated Management of Childhood

Ngày tải lên: 18/06/2014, 17:20

... quality according to standard criteria to. .. health and profitability of bank borrowers Management Quality A key to determine banks performance but is difficult to measure as it ... • Is a nancial performance monitoring system that consists of a set of a nancial ratios of indicators that help standardize terminology between institutions. • Oer management guidance for ... Links growth of assets to protability and other key areas by evaluang the strength of the system as a whole PEARLS Objective  Execuve management tools: monitoring the performance of credit

Ngày tải lên: 26/06/2014, 00:20

... Trang 2An Introduction to the Mathematics of MoneyTrang 3David Lovelock Marilou Mendel A Larry WrightAn Introduction to the Mathematics of Money Saving and Investing Trang 4Department of Mathematics ... (48) andHugh (50) Kendrick, are husband and wife They have three children, twinsWendy (25) and Tom (25), and Amanda (20), a college freshman Jana Carmel(35) is one of Hugh’s coworkers Trang 8This ... preparation ofthe manuscript: Pat Brockett, Han Gao, Joe Harwood, Pavan Korada, RobertMaier, Charles Newman, Keith Schlottman, Michael Sobel, and AramianWasielak We also thank the reviewers of the manuscript

Ngày tải lên: 28/06/2014, 21:20

... the anionic element or polyanionic group of elements that occur in the mineral An anion is a negatively charge atom, and a Trang 18polyanion is a strongly bound group of atoms consisting of a ... density as a means of separating organo-mineral complexes, and use this method to explore the role of mineralogy on OM storage and cycling In an early study along the western flank of California’s ... diffraction to identify the dominant mineral species, C/N and stable isotopes of C and N as indices of the degree of decomposition of the OM (Baisden et al., 2002; Ehleringer et al., 2000; Nadelhoffer and

Ngày tải lên: 29/06/2014, 09:20

... disorders and thrombocytopenia, 500 79 Management of anticoagulation, 507 80 Sickle cell crisis, 514 81 Anaphylaxis and anaphylactic shock, 519 82 Complications of cancer, 523 Miscellaneous 83 ... American College of Cardiology, American Heart Association and European Society of Cardiology Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden ... Connect an ECG monitor and obtain IV accessSee p 18 for management of cardiac arrhythmia 5 Blood pressure Systolic BP <90 mmHg, Give oxygen 60–100% or fall in systolic Connect an ECG BP

Ngày tải lên: 10/08/2014, 18:21

... American Academy of Clinical Toxicology, European Association of Poisons Centres and Clinical Toxicologists Position paper: gastric lavage Clin Toxicol 20 04; 42: 933–43 American Academy of ... and meta-analysis. BMJ 2004; 329; 480–4. Annane D, et al. Septic shock. Lancet 2005; 365: 63–78. Dellinger RP, et al. Surviving Sepsis. Campaign guidelines for management of severe sepsis and ... coma, hypertension and dilated pupils Secure the airway with an endotracheal tube and ventilate to maintain a normal arterial PO2 and PCO2 Consider mannitol to reduce intracranial pressure

Ngày tải lên: 10/08/2014, 18:21

... non-steroidal anti-inflammatory drug Further reading European Society of Cardiology Guidelines on the diagnosis and management of pericardial diseases (20 04) European Society of Cardiology ... and microscopy Further reading American College of Cardiology and American Heart Association. Guidelines for the management of patients with valvular heart disease (2006). American College of ... (http://www.acc.org/qualityandscience/clinical/topic/topic.htm). Butchart EC et al. Recommendation for the management of patients after heart valve surgery. Eur Heart J 2005; 26: 2463–71. European Society of Cardiology.

Ngày tải lên: 10/08/2014, 18:21

... the management of asthma Thorax 2003; 58 (suppl I): i1–i94. Holgate ST, Polosa R The mechanisms, diagnosis, and management of severe asthma in Trang 2 by oxygen-driven nebulizer, every 30 min to ... disturbance, normal effort tolerance, and PF >80% of predicted/best) As a rule of thumb, oral prednisolone should be continued for double the length of time it takes for PF to return to this ... change • Effort tolerance: usual (e.g ability to cope with activities of daily living unaided; distance walked on the fl at; number of stairs climbed without stopping) and recent change • Previous

Ngày tải lên: 10/08/2014, 18:21

... Guillain–Barré syndrome in any patient with paresthesiae in the fi ngers and toes or weakness of the arms and legs Respiratory failure and autonomic instability are the major complications Trang 23Guillain–Barré ... rate of <2.5 mg/min Risk of sudden apnea with faster injectionDose should not be repeated more than twice, or to a total dose >40 mg, because of the risks of respiratory depression and ... stockings to reduce the risk of DVT • Antihypertensive therapy is not of proven benefi t in preventing rebleeding and may cause cerebral ischemia If hypertension is sustained and severe (systolic

Ngày tải lên: 10/08/2014, 18:21

... gallstones Nausea and vomiting Nasogastric Surgical opinionUrgent ultrasound of biliary tract Continued Trang 17Biliary tract disorders and acute pancreatitisDisorder Clinical features and Management ... upper Analgesia (e.g cholangitis quadrant, may be mild pethidine) of biliary tractBiliary drainage by ERCP ALT, alanine aminotransferase; ERCP, endoscopic retrograde cholangiopancreatography Trang ... diagnosis and treatment of acute cholangitis and cholecys-titis: Tokyo guidelines J Hepatobiliary Pancreatic Surg 2007; 14: 27–34. UK Working Party on Acute Pancreatitis UK guidelines for the management

Ngày tải lên: 10/08/2014, 18:21

... lupus erythematosus ANCA, antineutrophil cytoplasmic antibodies; c-ANCA, antibodies with a cytoplasmic pattern of staining; p-ANCA, antibodies with a perinuclear pattern of staining; ... Allergic reaction to No ascending lymphangitis insect sting or bite Itching Continued [...]... polyarteritis Antinuclear antibody Anti-double-stranded DNA antibody Rarely, p-ANCA Low complement ... typical of cellulitis? IV antibiotic therapy (Table 74.3) Supportive care Improvement after 24–48 h? Change to oral antibiotics Consider other diagnoses (Table 74.2) Refer to dermatologist 470

Ngày tải lên: 10/08/2014, 18:21

... for the Management of Inflammatory Bowel Disease (IBD) in Children in the United Kingdom Index Introduction Inflammatory Bowel Disease Management of Crohn’s Disease Management of Ulcerative Colitis ... 2006;118:124-9 24 Guidelines for the Management of Inflammatory Bowel Disease (IBD) in Children in the United Kingdom [19] Graham TO, Kandil HM Nutritional factors in inflammatory bowel disease Gastroenterol ... Kingdom Management of Crohn’s Disease [26] Benefits and risks of any treatment should be discussed openly with patient and their family particularly in relation to steroids and immunomodulators Factors...

Ngày tải lên: 12/02/2014, 11:20