should have their TFTs measured annually. If the dose of thyroxine is altered‚ TFTs should be re measured after 2-3 months. The gold standard should be 100%‚ ie all patients receiving thyroid replacement should have TFTs measured at least annually. Criteria 1 All patients should have TFTs measured annually Data Collection Tool 1. No of patients reviewed 2. No of patients with TFTa measured on an annual basis Criteria 2 No of patients with an dose adjustment of thyroxine should have TFTs
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to withdrawal symptoms‚ and thus contribute to higher NAS complications. Many methods when giving methadone is used. The most common one is a single dose daily. The second is restricted doses to prevent fetal exposure. Another
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assumed that the complete dose distributions are computed in the central plane and in other planes (sections) and with inhomogeneity corrections‚ when appropriate. The computer planning system can develop digitally reconstructed radiographs (DRRs) that give beams-eye-views of the radiation fields. 6. Dosimetry. Dosimetry is calculation of the amount of radiation dose absorbed by the patient. Beam data for treatment units are available as depth dose charts that allow simple dose calculation For simple
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Expanded Program on Immunization (Approved by DOH) Vaccine | Minimum Age at 1st Dose | No. of Doses | Dose | Minimum Interval Between Doses | Route | Site | Reason | Reaction and Management | Nursing Roles and Responsibilities | Bacillus Calmette-Guérin (BCG) | Birth or anytime after birth | 1 dose | 0.05 mL | none | ID | Right deltoid region of the arm | BCG given at earliest possible age protects the possibility of TB meningitis and other TB infections in which infants are prone[3] | Pus
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MANAGEMENT OF ACUTE SEVERE ASTHMA Dr DHANNURAM MANDAVI INTRODUCTION Asthma is a chronic lung disease with airway obstruction‚ airway inflammation and airway hyperreactivity to various stimuli‚ often reversible with bronchodilators and anti-inflammatory drugs. PATHOPHYSIOLOGY 1)Extrinsic cause(IgE mediated/allergens) 2)intrinsic cause (non IgE mediated/Infection) Allergens leads to a) Early Reaction within 10 min Due to histamine; leukotriene- C;D;E ;PAF & bradykinin Mucosal edema; bronchoconstriction
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attributed risk of symptomatic side effects have distracted radiation oncologist from delivering second courses of RT with higher doses [1-3]. Preclinical and clinical data have revealed that radiation memory of normal tissue is only limited over time‚ meaning
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radiation in areas containing the pituitary gland usually have a defect in the pituitary axis. The amount of damage of the total dose may be low as the one used to treat children with acute leukemia (18-40Gy) or many as 60Gy to treat a range of cancers such as pituitary tumors‚ nose‚ pharynx‚ and skull tumors‚ as well as dose size‚ Time for treatment. The higher the dose of radiation on the axis of the pituitary gland‚ the more time needed to adjust pituitary deficiency is the loss of one or more
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1.0 INTRODUCTORY STATEMENT AND GENERAL INVESTIGATIONAL PLAN 1.1. Drug and Broad Objectives Harvoni is a fixed-dose combination of ledipasvir and sofosbuvir for the treatment for the chronic hepatitis C. Ledipasvir is an inhibitor of the HCV NS5A protein‚ which is required for viral replication. Resistance selection in cell culture and cross-resistance studies indicate ledipasvir targets NS5A as its mode of action. Sofosbuvir is an inhibitor of the HCV NS5B RNA-dependent RNA polymerase‚ which is
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able to deliver a minimum dose of 400 Gy‚ while it is still predominately used for the application of a minimum dose of 25 kGy. The presentation will describe the practicality of commercial processing utilizing a very low dose for the phytosanitary treatment of fresh fruits in Thailand for the Pre-Clearance Program for importation into the USA. The presentation will describe the technical aspects of the irradiator‚ and how it can be commercially utilized to deliver a wide dose range from 400 Gy to more
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conjugation with either glucuronic acid or glycine‚ in which both have different metabolic pathways. The primary pathway is the conjugation with glycine‚ which is saturable and approximately 90% of salicylate is metabolised through this pathway with low doses of aspirin. When the maximum capacity of this pathway is achieved‚ the other pathways with a lower clearance become more important. Therefore‚ the half-life of the salicylate depends on the significant metabolic pathway used at a given concentration
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