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Microsoft word - coma04final.doc

CLINICAL VIGNETTE An 18-year-old woman with medically intractable seizures An 18-year-old woman presented for evaluation of seizures that were not controlled by medical therapy. At the age of 6 months she was hospitalized with a fever and seizures, and was reported to have encephalitis. She lost motor and language developmental milestones, but these were gradually regained and she was treated for a year with phenobarbital and was without recurrent seizures. The phenobarbital was tapered at age 2 but at the age of 6 years she again experienced seizures, which occurred at low frequency until puberty, when the seizure frequency increased to two to three per day. The seizures were characterized by an initial aura of tightness in the head and chest and sweaty palms, followed by impaired consciousness, lip smacking, hand rubbing, and unresponsiveness. During a seizure she was unable to talk but could hear, and could not fully process information. She was treated with a variety of anticonvulsants, including phenobarbital, carbamazepine, phenytoin, valproate, and lamotrigine without significant success in seizure control. Her medical history was otherwise unremarkable. There was no family history of seizures. Physical Examination: Vital signs: normal. Bedside mental status examination: no significant abnormalities. Neuropsychological testing: full-scale IQ of 97, performance IQ of 97 and a verbal IQ of 96; mild difficulty acquiring certain types of information and some difficulty with uncued recall. Speech: normal. Cranial nerves: normal with only minimal, unsustained nystagmus on lateral gaze. Motor and sensory examinations: normal. Muscle stretch reflexes: normal. Coordination and gait: normal. Stop and Consider: What is the classification of her seizures according to the International Classification of Seizures? How should she be treated at this point? Laboratory Findings: CBC, serum chemistries with liver and renal functions, PT, PTT, ESR: normal. MRI: see figure, shows left hippocampal atrophy and increased T2 signal. Interictal EEG: left temporal sharp and slow wave activity suggestive of left temporal onset of seizures. Continuous video-EEG monitoring: several seizures captured. EEG, see figure, next page, shows left mesial temporal (EFO) onset. Interictal positron emission tomography (PET) scan: hypometabolism of the left temporal lobe. Diagnosis: Medically intractable partial complex seizures associated with hippocampal atrophy.

Pii: s0304-3940(00)01340-9

Neuroscience Letters 290 (2000) 137±140 Morphine and gabapentin decrease mechanical hyperalgesia and escape/avoidance behavior in a rat model of neuropathic pain Christopher J. LaBuda, Perry N Fuchs* Department of Psychology, University of Texas at Arlington, PO Box 19528, Arlington, TX 76019, USA Received 3 April 2000; received in revised form 30 June 2000; accepted 5 July 2000

Heilkraft der farben

Heilkraft der Farben Alternative Heilung "Medizin und Spiritualität"
 Wahlpraktikumsleiter: Dr. med. René Hefti Verfasser: Jérôme Vorburger HEILKRAFT DER FARBEN 1.1. Begründung 2.1. Energieebenen des Körpers 2.2. Zusammenspiel von Körper & Farbe 2.3. Therapiemöglichkeiten 2.3.1. Aura-Soma Therapie 3.2. Anwendung in der modernen Medizin


THE NATIONAL TELECOMMUNICATIONS REGULATORY COMMISSION ICT NEWSLETTER NTRC ICT NEWSLETTER ISSUE #68 December 2015 Cyber Tips Realize that you are an attractive target to hackers. Don't ever say "It won't happen to me." - management. Use a strong mix of characters, and don't use the same password for multiple sites.

Part 13: First Aid: 2010 American Heart Association and American Red Cross International Consensus on First Aid Science With Treatment Recommendations David Markenson, Jeffrey D. Ferguson, Leon Chameides, Pascal Cassan, Kin-Lai Chung, Jonathan L. Epstein, Louis Gonzales, Mary Fran Hazinski, Rita Ann Herrington, Jeffrey L. Pellegrino, Norda Ratcliff and Adam J. Singer

AJCS 10(2):161-168 (2016) ISSN:1835-2707 Influence of row spacing and plant population density on management of "white mould" in soybean in southern Brazil David de Souza Jaccoud-Filho1, Felipe Fadel Sartori1,2, Miguel Manosso-Neto1, Cláudio Maurício Vrisman1,3, Marcelo L. da Cunha Pierre1, Ayrton Berger-Neto1, Hamilton Edemundo Túllio1, Altair Justino1, Adriel Ferreira da Fonseca1, Sérgio Zanon2

Wholesale Product Catalogue Professional Division Table of Contents About NaturTech . 3 Formulation Abbreviations . 4 Referral Program . 4 Dosage Information . 5 Understanding Dosage Ratios Children's Dosage Information Herbal Blends . 10 Herbal Drops . 13 Topical Herbal Blends . 14 Terms and Conditions . 15 Common - Latin Names . 16 Table of Contents NaturTech is a line of Canadian made remedies exclusively sold to health care professionals. We

Finding employees with undiagnosed diabetes

A Peer Reviewed Publication of the College of Health Care Sciences at Nova Southeastern University Dedicated to allied health professional practice and education Vol. 11 No. 2 ISSN 1540-580X Finding Employees with Undiagnosed Diabetes Thomas Lenz, PharmD1 Nicole Gil espie, PharmD2 Michael Monaghan, PharmD3 1. Associate Professor of Pharmacy Practice, Creighton University, Omaha, Nebraska 2. Assistant Professor of Pharmacy Practice, Creighton University, Omaha, Nebraska

TheJournal of Natural Health Solutions Access to hidden cures. powerful discoveries. breakthrough treatments. and urgent advances in modern, underground medicine Novisyn+ Can Help You Overcome The Painful Joint Stiffness And Swelling Of Osteoarthritis… And Can Even Ward Off Wrinkles Osteoarthritis is a widespread joint disease that destroys cartilage and can lead to deformed bone

Jordan FDA Registration Requirements for Herbal Medicine/ Herbal Drug Manufacturing Site 1-The foreign manufacturer should appoint Nobles Medical Supplies Co. LTD – Nobles Drug Store P.O Box 840102 Amman Zip Code 11184 Jordan, as their agent representative through the attached agency declaration form requested by Jordan FDA (duly legalized). Duly legalized means that: this agency declaration should be legalized from the manufacturer , chamber of commerce, notary public, ministry of justice, foreign affairs ministry and Jordanian Embassy. In case there is no Jordanian Embassy in your country then you can legalize from any Jordan Embassy available in the near country to your country.

Trends in antibiotic resistance of streptococcus pneumoniae and haemophilus influenzae isolated from nasopharyngeal flora in children with acute otitis media in france before and after 13 valent pneumococcal conjugate vaccine introduction

Angoulvant et al. BMC Infectious Diseases (2015) 15:236 DOI 10.1186/s12879-015-0978-9 Trends in antibiotic resistance of Streptococcuspneumoniae and Haemophilus influenzae isolatedfrom nasopharyngeal flora in children with acuteotitis media in France before and after 13 valentpneumococcal conjugate vaccine introduction François Angoulvant1*, Robert Cohen2,3,4,5, Catherine Doit6,7, Annie Elbez2, Andreas Werner5, Stéphane Béchet2,Stéphane Bonacorsi6,7, Emmanuelle Varon8 and Corinne Levy2,3,5


La revue de médecine interne 24 (2003) 165–171 Altérations des rythmes du sommeil dans la maladie d'Alzheimer Sleep rhythm disturbances in Alzheimer's disease F. Onen a,*, S.-H. Onen b a Service de médecine gériatrique, centre hospitalier universitaire Bichat, Claude-Bernard, 46, rue Henri-Huchard, 75877 Paris cedex 18, France b Centre de pharmacologie clinique, CHU de Clermont-Ferrand, BP 69, 63003 Clermont-Ferrand cedex 1, France

Eligability criteria

Assisted Conception Policy NHS Eligibility Criteria for assisted conception services (excluding In vitro fertilisation (IVF) Intracytoplasmic sperm injection (ICSI) treatment) for people with infertility in Nottinghamshire County. February 2011 Although Primary Care Trusts (PCTs) and East Midlands Specialised Commissioning Group (EMSCG) were abolished at the end of March 2013 with the formation of 5 Nottinghamshire County wide clinical Commissioning Groups (CCGs) policies that were in place prior to 1 April 2013 remain in place to ensure a consistent approach. The NHS Nottingham North & East Clinical Commissioning Group have adopted this policy, in its existing form, at a meeting of its Governing Body on 20 August 2013. This policy sets the overall parameters within which care will be delivered.

Secretion of glucagon-like peptide-1 (GLP-1) in type 2diabetes: what is up, what is down? M. A. Nauck & I. Vardarli & C. F. Deacon & J. J. Holst &J. J. Meier Received: 3 April 2010 / Accepted: 30 July 2010 # Springer-Verlag 2010 Abstract The incretin hormones gastric inhibitory poly- the variations in published findings of group differences in peptide and especially glucagon-like peptide (GLP) have an

Caring for gulf war i veterans

Caring for Gulf War I Veterans Revised October 2010 Released July 2011 Sponsored by: Department of Veterans Affairs Employee Education System This is a Veterans Health Administration system-wide training program, sponsored by the Employee Education System in cooperation with the Office of Public Health, Department of Veterans Affairs. It is produced by the Employee Education System.

MAJOR REFERENCE WORKS 1. Encyclopedia of Grain Science 2. Encyclopedia of Rose Science 3. Encyclopedia of Archaeology 4. Encyclopedia of Applied Plant Sciences 5. Encyclopedia of Dairy Sciences 6. Encyclopedia of Food Microbiology 7. Encyclopedia of Meat Sciences 8. Comprehensive Molecular Insect Science 9. Encyclopedia of Food Sciences and Nutrition 10. Encyclopedia of Hormones 11. Encyclopedia of Biological Chemistry 12. Encyclopedia of Genetics 13. Encyclopedia of Spectroscopy and Spectrometry 14. Comprehensive Glycoscience 15. Comprehensive Chemometrics 16. Comprehensive Heterocyclic Chemistry III 17. Comprehensive Organometallic Chemistry II 18. Encyclopedia of Separation Science 19. Comprehensive Medicinal Chemistry II 20. Encyclopedia of Analytical Science (Second Edition) 21. Comprehensive Organometallic Chemistry III 22. Comprehensive Coordination Chemistry II 23. Comprehensive Organic Functional Group Transformations II 24. Encyclopedia of Information Systems 25. Encyclopedia of Inland Waters 26. Encyclopedia of Ocean Sciences (Second Edition) 27. Encyclopedia of Geology 28. Encyclopedia of Quaternary Science 29. Encyclopedia of Atmospheric Sciences 30. Encyclopedia of Ocean Sciences 31. Treatise on Geophysics 32. Treatise on Geochemistry 33. Encyclopedia of Energy 34. Encyclopedia of Vibration 35. Comprehensive Microsystems 36. Comprehensive Structural Integrity 37. Encyclopedia of Forest Sciences 38. Encyclopedia of Soils in the Environment 39. Encyclopedia of Biodiversity 40. Encyclopedia of Ecology 41. Encyclopedia of Forensic and Legal Medicine 42. Encyclopedia of Forensic Sciences


Biophysical Chemistry 119 (2006) 69 – 77 Influence of N-dodecyl-N,N-dimethylamine N-oxide on the activity of sarcoplasmic reticulum Ca2+-transporting ATPase reconstituted into diacylphosphatidylcholine vesicles: Effects of bilayer physical parameters J. Karlovska´ a,*, D. Uhrı´kova´ a, N. Ku*erka a, J. Teixeira b, F. Devı´nsky a, I. Lacko a, P. Balgavy´ a a Faculty of Pharmacy, Comenius University, Odboja´rov 10, 832 32 Bratislava, Slovakia


> Transplantation – Immunsuppresiva> Pfl ege von Betroffenen und Hoffenden Weitere Themen dieser Ausgabe > Bericht über das Geschäftsjahr 2010> Neue Gesichter im Vorstand des fnb> Einladung zur Jahreshauptversammlung & zum Hauptstadtseminar in Berlin-Spandau> Serie Gesundheitssysteme: Reform in Deutschland fnb – FORUM – AUSGABE 01·2011 nephrologische Fachweiterbildung fürGesundheits- und Krankenpfl ege (FKN)

National Inpatient Medication Chart Guidelines for use of the National Inpatient Medication Chart All nursing, medical and pharmacy staff and administrative and allied Audience: health staff who are authorised to access and use patient medication Exceptions: The National Inpatient Medication Chart is intended to be used as a record

Final draft scoping report


Nmh report 2015 final version.indd

NMH Annual Report 2015 UCD School of Medicine and Royal College of Surgeons in UCD runs an extensive research and teaching programme at The Forty-four undergraduates from the Royal College of Surgeons National Maternity Hospital. Undergraduate students attend attended The National Maternity Hospital for their seven weeks the hospital in four iterations for a period of six weeks during

Bevor der Mensch eingriff, brannte der Pollen zeigen, dass die Bergföhre bereits in Wald im Gebiet des Nationalparks etwa dieser frühen Phase die vorherrschende Baumart im Ofenpass-Gebiet war. Vielleicht alle 250 Jahre. Die Feuer halfen mit, eine auch wegen der häufigen Feuer: Denn nach charakteristische Vegetation zu formen.

Ncrd's business review : e-journal, volume 2, issue 2 (jan-dec 2016) issn: 2455-0264

NCRD's Business Review : e-Journal, Volume 2, Issue 2 (Jan-Dec 2016) ISSN: 2455-0264 A STUDY ON YOUTH'S GREEN BUYING BEHAVIOR WITH SPECIAL REFERENCE TO DOMBIVLI, MUMBAI Mr. Mathew Lawrence, Ph.D Research Scholar ABSTRACT Business organizations need to contribute significantly to healthily environment through the adoption of green marketing. The activities of some of this business may result to environmental pollution which makes the environment becomes inimical to human habitation. India is still in its nascent stage of developing green and sustainable marketing strategies. In India majority population is young. Any behavioral change among youth can create a huge turnaround for any company as well as entire country. This study throws light on green marketing and its impact on youth. The research is conducted with probing questions on environmental awareness, knowledge, and perception of consumers towards green marketing and perceived barriers faced by consumers in adopting green marketing. Both primary and secondary data has been used for the research. Exploratory research was carried out; convening sampling technique has been used. Sample Size was 500 respondents from Dombivli area. Data has been analyzed using SPSS. Research findings reveal that green marketing is more effective than regular marketing. Keywords: Green Marketing, Youth, Attitude, Perception INTRODUCTION Industries around the world have started the green initiative to counter ill effects of business processes particularly transformation and consumption of products on natural environment and its inhabitants. Today citizens and policy makers across the world are focused on issues such as terrorism and economic meltdown. But at the same time environmental issues also remain high on list of concern. Green marketing research has come a long way. Consumers from the developed countries including USA and Western Europe were found to be more conscious about the environment (Curlo, 1999). Research in the last decade(Lee, 2008 2009, Rahbar and Wahid, 2011, D Souza 2004) has indicated those consumers are aware and are willing to pay more to "go green". Green marketing came into prominence in the late 1980s and early 1990s; it was first discussed much earlier. The American Marketing Association (AMA) held the first workshop on "Ecological Marketing" in 1975. The proceedings of this workshop resulted in one of the first books on green marketing entitled "Ecological Marketing". According to Polonsky (1994) green or environmental marketing consists of all activities, designed to generate and facilitate any exchange intended to satisfy human needs and wants, such that the satisfaction of these needs and wants occur with minimum detrimental impact on the natural environment. LITERATURE REVIEW Green marketing is a vital constituent of the holistic marketing concept today. It is particularly applicable to those businesses that are directly dependent on the physical environment. Changes in the physical environment may pose threat to fishing, processed foods tourism and adventure sports industries. (Yasmin and Shamshuddin; 2014) There is no one single strategy that will work for all companies, it all depends on the own individual objectives, target market, resources

Lgg - summatim

Second, updated edition Maija Saxelin, Ph.D. Published byValio Ltd, R&DP.O. Box 30, FIN-00039Helsinki, FinlandTel. +358 10 381 121Fax +358 10 381 3019 Lay-out by Imageneering Printed in Finland by Hämeen Kirjapaino Oy2002 © Valio Ltd 2002 Table of contents

Microsoft word - sc guideline pallcare nhsl dec 09.doc

Guidelines for the Use of Subcutaneous Medications in Acknowledgments These guidelines have been adapted for local use with kind permission from NHS Greater Glasgow and Clyde. Drug compatibility data has been extracted from the revised (2009) version of the Lanarkshire Palliative Care Guidelines. Contents Part 1 - Bolus Administration 1.

Allergy immunotherapy

Allergy Immunotherapy in the College Health Setting New York State College Health Association 2010 ANNUAL MEETING Mary Madsen RN – BCAssistant Director, Clinical OperationsUniversity Health ServiceUniversity of Rochester Allergies: immune system overreacts by producing antibodies called Immunglobulin E (IGE) these travel to cells and release chemicals, causing the

And the Nominees are. The Airport Group The Airport Group is an informal alliance of 13 like-minded, stock transfer housing associations that are committed to The following project team delivered this working in collaboration on issues of project on behalf of the Airport Group; common interest. Together we manage Amber Shaw 175,000 social homes across the North


Update on cVEMP and oVEMP testing in Superior Canal Dehiscence Erin Piker, AuD PhD Doug Garrison, AuD • VEMP Background • Recording a VEMP • Clinical Utility of VEMP • Superior Canal Dehiscence • Case Studies Peripheral Vestibular System • 3 semicircular canals (SCC) – Angular acceleration and deceleration • Utricle and saccule – Linear acceleration and deceleration

Part one final.pmd


Nuance Healthcare Solutions Data Sheet Dragon Medical Practice Edition Speech-enable the practice's EPR for faster, more efficient, and profitable History of Present Il ness, Review How can clinicians efficiently of Systems, Physical Examination, Key benefits document patient care in their own

Democratic people's republic of korea 2015 human rights report

DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA 2015 HUMAN RIGHTS REPORT See endnote. EXECUTIVE SUMMARY The Democratic People's Republic of Korea (DPRK or North Korea) is an authoritarian state led by the Kim family for more than 60 years. Shortly after Kim Jong Il's death in late 2011, his son Kim Jong Un was named marshal of the DPRK and supreme commander of the Korean People's Army. Kim Jong Un's grandfather, the late Kim Il Sung, remains "eternal president." The most recent national elections, held in March 2014, were neither free nor fair. Authorities maintained effective control over the security forces. Citizens did not have the ability to change their government. The government subjected citizens to rigid controls over many aspects of their lives, including denial of the freedoms of speech, press, assembly, association, religion, movement, and worker rights. The government operated a network of political prison camps in which conditions were often harsh, life threatening, and included forced and compulsory labor. Defectors continued to report extrajudicial killings, disappearances, arbitrary detention, arrests of political prisoners, and torture. The judiciary was not independent and did not provide fair trials. There were reports of female victims of trafficking among refugees and workers crossing the border into China. Forced labor was practiced domestically, through mass mobilizations and as a part of the re-education system. NGOs noted that DPRK foreign contract workers also faced conditions of forced labor. The government made no known attempts to prosecute officials who committed human rights abuses. Impunity was a widespread problem. Section 1. Respect for the Integrity of the Person, Including Freedom from: a. Arbitrary or Unlawful Deprivation of Life There were numerous reports that the government committed arbitrary and unlawful killings.

B816679j 435.454 Chemical Society Reviews Artemisinin and its derivatives: a novel class of anti-malarialand anti-cancer agentsw Devdutt Chaturvedi, Abhishek Goswami, Partha Pratim Saikia, Nabin C. Barua*and Paruchuri G. Rao Received 3rd February 2009First published as an Advance Article on the web 24th August 2009DOI: 10.1039/b816679j In this tutorial review, an effort towards presentation of a comprehensive account of the recentdevelopments on various kinds of artemisinin derivatives including artemisinin dimers, trimersand tetramers has been made and their efficacy towards malaria parasites and different cancercells lines was compared with that of artemisinins, and various other anti-malarial and anti-cancerdrugs. It is expected that this review will provide first-hand information on artemisinin chemistryto organic/medicinal chemists, and pharmacologists working on anticancer and anti-malarial drugdevelopment.

Phs 398/2590 (rev. 06/09), biographical sketch format page

BIOGRAPHICAL SKETCH Provide the following information for the Senior/key personnel and other significant contributors in the order listed on Form Page 2. Follow this format for each person. DO NOT EXCEED FOUR PAGES. eRA COMMONS USER NAME (credential, e.g., agency login) chenzf EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and residency training if applicable.)

Mics4 preliminary findings

Monitoring the situation of children and women Multiple Indicator Cluster Survey SUMMARY REPORT Federal Republic of Nigeria National Bureau of Statistics MICS Nigeria, 2011 Summary Report In Memory This report is dedicated to the 24 people killed, and those who were injured, by the bomb attack on UN House in Abuja on the 26th August 2011. Amongst the people who lost their lives was Johnson Awotunde who devoted his time, energy and personal resources to the success of the survey until his untimely departure.

Pnas201214605 1.5

Pain relief produces negative reinforcement throughactivation of mesolimbic reward–valuation circuitryEdita Navratilovaa,1, Jennifer Y. Xiea,1, Alec Okuna, Chaoling Qua, Nathan Eydea, Shuang Cia, Michael H. Ossipova,Tamara Kingb, Howard L. Fieldsc, and Frank Porrecaa,2 aDepartment of Pharmacology, Arizona Health Sciences Center, University of Arizona, Tucson, AZ 85724; bDepartment of Physiology, University of NewEngland, Biddeford, ME 04005; and cErnest Gallo Clinic and Research Center, University of California at San Francisco, Emeryville, CA 94608

Psychotropic medications: an update for school psychologists

Psychology in the Schools, Vol. 50(6), 2013  2013 Wiley Periodicals, Inc. View this article online at DOI: 10.1002/pits.21696 PSYCHOTROPIC MEDICATIONS: AN UPDATE FOR SCHOOL PSYCHOLOGISTS NANCY RAPPAPORT AND DEBORAH KULICK University at Buffalo This article provides an overview of medications used frequently in the treatment of pediatricdepression, anxiety, and bipolar disorder. The need for a collaborative relationship between theprescribing physician, school personnel, and the family is outlined. School psychologists can playcrucial roles by providing the physician with information at the time of referral, developing school-based psychosocial interventions that augment pharmacological treatment, completing periodicevaluations to assist in symptom monitoring, and alerting the family and physician to any adverseside effects. C

PHARMACOLOGICAL PRINCIPLESPsychopharmacology, one of the most active and developing areas of psychiatric research, is the use of psychotropic medication to treat psychiatric disorders. Psychiatric–mental health nurse practitioners (PMHNPs) must have a thorough understanding of the science and art of prescribing—of the pharmacokinetic and pharmacodynamic actions of a given drug, as well as the client's motivation to take the drug. The basic pharmacological principles are discussed in this chapter.