the multileaf collimator mlc in clinical practice

... received prior to the combination therapy The main efficacy objectives included determining the drugs used in the course of the combined therapy, the length of this combination therapy, biochemical ... evaluated the clinical use of the SSA lanreotide in combination with targeted agents in Spanish patients with advanced NETs in the setting of routine clinical practice As expected, in the majority ... analysis was to define the efficacy and safety of the SSA, lanreotide, in combination with antiangiogenic targeted therapies or inhibitors of the mTOR pathway in the routine clinical practice, to help

Ngày tải lên: 28/09/2020, 09:59

... Cyclosporine A is an immunosupressant that blocks interleukin-2 activation of T-helper cells by inhibit- ing calcineurin. While a controlled, double-blind clinical trial has shown its effectiveness in ... correlate with the presence of the P/Q-type or the N-type VGCC. In P-LEMS, evidence supports the hypothesis that antigens expressed on the underlying neoplasm may provoke and maintain the autoimmune ... The interpretation of positive serum antibody tests requires correlation with the clinical picture. Anti- bodies to VGCC can occur in other conditions not in association with clinical LEMS. In

Ngày tải lên: 10/08/2014, 00:20

... increase in intracellular freecalcium and inhibited 125I-α-bungarotoxin bind-ing in cells expressing α7nAChR The authors postulate that these antibodies may act by blocking the α7nAChR that influence ... throughout the brainincluding the hemispheral gray and white matter,basal ganglia, brainstem, and the leptomeninges.Diffuse gliosis is present in the cortical and deep graymatter, hippocampi, and the ... the release of a variety of excitatory neurotransmitters in the brain In addition, these antibodies themselves may mediateimmune attacks on neurons A study of inflammatory infiltrates in brains

Ngày tải lên: 10/08/2014, 00:20

... at the tumor, have yielded variable and limited success (Keime-Guibert et al., 2000; Vernino et al., 2003). In treating these patients, the clinician needs to keep in mind the following principles: ... perivascular inflammation of the adventitia, and intimal prolifera- tion resulting in narrowing of arterial lumina. Later investigators (Kernohan and Woltman, 1938) sum- marized the clinical and ... eosinophils, and lymphocytes, and leading to swelling of the media, and fibrinoid necrosis that clusters around the vasa vasorum, with fragmentation of the internal elastic lamina (Fig. 20.2). There

Ngày tải lên: 10/08/2014, 00:20

... disorders There-fore using a biomarker, such as ABGA, in addition tospecific clinical features, may be appropriate in definingthis emerging group of disorders The apparent over-lap between the clinical ... of the basal ganglia withconflicting evidence regarding disseminated braininvolvement (Table 21.2) The clinical similarities of SC to HD may have influenced early reports of ative changes in the ... pumps on the plasmamembrane allowing direct coupling of glycolysis tothe proton pump (Lu et al., 2001) The monomer ofpyruvate kinase acts as thyroid hormone (T3) bind-ing protein Binding of T3

Ngày tải lên: 10/08/2014, 00:20

... and their rational use in the medical area, with a specific focus on their therapeutic benefits and side effects We have reviewed the main clinical trials dividing them basing on their clinical ... and taking into account the ethical issue associated with the stem cell therapy. Methods: We have searched Pubmed/Medline for clinical trials, involving the use of human stem cells, using the key ... ASC without waiting for clinical trials to validate the safety of using them for health problems [117]. In treatments, involving the use of ASC, the cells are injected into the blood, lumbar region,

Ngày tải lên: 10/08/2014, 10:20

... the use of research findings in clinical practice within mental health care settings Journal of Advanced Nursing 1995, 22(5):855-861 89 Linde BJ: The effectiveness of three interventions to increase ... we have grouped findings on the extent of research use according to the class of instrument used in its assessment A summary of these findings is presented in Table Within each instrument group ... research The purpose of the systematic review reported in this paper was therefore to examine existing evidence on the extent to which nurses use research in clinical practice and by so doing, contribute

Ngày tải lên: 10/08/2014, 10:23

... more information In the same review, findings from six studies showed that the better the match between the information that was desired and the information that was received, the better the patient ... decision-making in their clinical practice These results should improve our understanding on how to effectively translate shared decision-making into health professionals' clinical practice Except ... to the outcome of interest: intencontribu-tion of health profes-sionals to implement shared decision-making in their practice Finally, these results provide some insight into the type of interventions

Ngày tải lên: 11/08/2014, 05:22

... Targets in Clinical Practice: Glycemic Targets in Clinical Practice: Postprandial vs Preprandial Postprandial vs Preprandial and Fasting? and Fasting? Steven D Wittlin MD Steven D Wittlin MD ... Prandial Insulin to Basal Therapy Further Improves... as the independent variables A1C/1,5-AG Ratio Correlated Better than A1C or 1,5-AG independently to the Postprandial Index Combination ... Nateglinide Monotherapy: Effect on Plasma Glucose and Insulin Nateglinide Insulin (pmol/L) Glucose (mg/dL) Pretreatment Time (hr) Hollander PA, et al Diab Care 24:983-988, 2001 Time (hr) Adding

Ngày tải lên: 13/08/2014, 09:38

... painful It can occur at the beginning of the urinary stream, at the end of the urinary stream, or be present throughout the stream Haematuria at the begin-ning of the stream may indicate urethral or ... dependent on the age, the side of the pain, and the sex of the patient The multiple causes of flank pain, to an extent, reflect the fact that the nerve roots subserving pain sensation from the kidney ... reaching a peak within minutes or may increase more slowly over the course of 1 to 2 hours The patient cannot get comfortable, and tries to move in an attempt to relieve the pain The pain is

Ngày tải lên: 14/08/2014, 11:20

... The pain may change in location, from the flank to the groin, but the loca-tion of the pain does not provide a good indicaloca-tion of the posi-tion of the stone, except in those cases where the ... This not infre-quently occurs after spinal or other surgery The spinal surgery may change the ‘angle’ of the stoma or their bladder may become overfull in the post-operative period which again may ... ACUTE FLANK PAIN—URETERIC OR RENAL COLIC Sudden onset of severe pain in the flank is most often due to the passage of a stone formed in the kidney, down through the ureter The pain is characteristically

Ngày tải lên: 14/08/2014, 11:20

... tract infection (frequency, urgency, suprapubic pain, urethral burning or pain on voiding) that led to the ascending infection, which resulted in the subsequent acute pyelonephritis The infecting ... plain abdominal x-ray Note the presence of gas within the left kidney b: A CT of the same case The gas in the kidney (like that in the bowel) is black on CT c: A percutaneous drain has been inserted ... inserted with the patient lying prone Note the J loop of the drain in the kidney a Trang 9F 3.13 Continuedb c Trang 10and abdominal pain, with radiographic evidence of gas within and around the kidney

Ngày tải lên: 14/08/2014, 11:20

... drains, from the abdominal wound, or from the vagina This fluid should be sent to the lab for creatinine estimation If the creatinine level is higher than that of serum, the fluid is urine (the ... bleeding through the nephrostomy tube is managed by clamping the nephrostomy tube and waiting for the clot to tamponade the bleeding. While this may control bleeding in some cases, in others ... Combined JJ stent and nephrostomy drainage of the ureter following perforation of the ureter during ureteroscopy surance that they have not The atmosphere in. .. operations including spinal

Ngày tải lên: 14/08/2014, 11:20

... treatment, particularly where the injury does not involve the entire circumference of the ureter and continuity, therefore, is maintained across the region of the ureteric injury. In situations where a ... guidewire down the ureter and into the bladder. We instill some diluted methylene blue into the bladder via catheter and fill the bladder with saline, clamping the catheter so that the bladder can ... psoas minor Hitch stitches between bladder and psoas minor Ureter reimplanted into bladder The incision is lengthened at right angles to the line of incision Oblique incision in bladder The incision

Ngày tải lên: 14/08/2014, 11:20

... of them can be true” (p 39) The following findings suggest that clinical decisions can be improved: The Need for Critical Thinking in Clinical Practice There are wide variations in practices including ... since the publication of the first edition are a fascinating mix of progress and challenges These are described in this book Progress and increases in critical thinking in clinical practice include ... Thinking in Clinical Practice Critical Thinking in Clinical Practice Improving the Quality of Judgments and Decisions Second Edition Eileen Gambrill John Wiley & Sons, Inc This book is printed...

Ngày tải lên: 14/08/2014, 19:20

... Present Extraarticular Intraarticular involving radiocarpal joint Intraarticular involving distal radioulnar joint Intraarticular involving radiocarpal and distal radioulnar joint I III II IV V VI ... line passing from anterior body through the inferior subchondral plate Stage IV: Inferoposterior margin displaced

Ngày tải lên: 06/03/2014, 18:20

... allergens, including the skin, respiratory tract, and intestine [28] They are best understood for their role in triggering inflammation, degranulating in response to the cross-linking of FcεR ... antigen (CLA)-bearing T cells home to sites in the skin layers and reinforce the innate system in resolving the inciting injury Through an increasingly sophisticated understanding of this immune ... characteristically involved in each of these diatheses With the introduction of activated T cells into the skin (or their activation in situ), the immune circuit is complete Inflammation and the immune...

Ngày tải lên: 22/03/2014, 21:20

... of art in museums and images in the internet, but we know of no use-case in a clinical context Other, more complex types of query can be expressed over these Medical Imaging in Clinical Practice ... is indicated for diagnosing and following up gastrointestinal diseases The long acquisition time for most examinations increases the sensitivity for detecting gastrointestinal abnormalities Scintigraphy ... which differ in the type of queries they support and the dimensionality of the space where they are advantageous The R-tree [22] and its varia‐ 13 14 Medical Imaging in Clinical Practice tions...

Ngày tải lên: 23/03/2014, 05:21

... of the maxillary incisors should be set perpendicular to the dental midline of the maxillary incisors The incisal edge of the maxillary incisors should parallel the interpupillary line in individuals ... patients the choice of filling out the new patient information at the time of their appointment or receiving the 29 30 Esthetic Dentistry in Clinical Practice forms via mail to be completed at their ... and analytical thinking It excels in naming and categorizing things, symbolic abstraction, speech, reading, writing, and arithmetic The right brain, on the other hand, functions in a nonverbal...

Ngày tải lên: 29/03/2014, 11:20