The Asian Rotavirus Surveillance Network, begun in 2000 to facilitate collection of these data, is a regional collaboration of 36 hospitals in nine countries or areas that conduct surveillance for rotavirus hospitalizations using a uniform World Health Organization protocol. During this period, 45% of acute diarrheal hospitalizations among children 0-5 years were attributable to rotavirus, higher than previous estimates. Rotavirus was detected in all sites 175 Bibliography of Research Findings on Gastrointestinal Diseases in Myanmar year-round. This network is a novel, regional approach to surveillance for vaccine- preventable diseases. Such a network should provide increased visibility and advocacy, enable more efficient data collection, facilitate training, and serve as the paradigm for rotavirus surveillance activities in other regions. Although the therapeutic endoscopy is the definitive treatment for bleeding oesophageal varices, many patients respond poorly and rebleed after therapeutic endoscopy. For these patients, portal systemic shunt and transection devascularization (Sugiura and modified Sugiura) procedures are the two famous options currently available. The author modified the Sugiura procedure with a transabdominal approach and subcardial gastric transection instead of tloraco-abdominal approach and oesophageal transection. A total of 19 patients were included in the study during the study period of 4 years and 2 months. Out of 19 patients, 7 patients had hepatitis B positive, 5 patients had hepatitis C positive, one patient had both B and C positive and the remaining 6 patients were free of viral antigens. Among the study patients, there were 11 cases of post hepatitic cirrhosis, 6 cases of alcoholic cirrhosis and the remaining 2 cases were extrahepatic portal vein thrombosis without cirrhosis. The mean estimated intraoperative blood loss was 2120mls and the average blood transfusion during operation was 4. Since 7 of the 19 patients died within 30 days, the early operative mortality was 36. The major causes of death were early rebleeding, septicemia probably due to the effect of splenectomy and multiorgan failure especially liver failure. Twelve survivors were discharged from the hospital with the average hospital of 21. The duration of follow up ranged from 8 months to 51 months with the mean follow up of 27.
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We must the postponement of the appointment resulted in losing maintain our own health in order to be ft to care for society. The physician feels regretful and guilty at having taken the day off, but at the same time is frustrated by the patient s demanding tone. Refection for educators At the beginning of your residents rotation, have them keep a journal of the challenges they encounter with Introduction respect to meeting the expectations of their patients and Society is quite aware of basic lifestyle choices that promote maintaining their own health. You may wish to provide good health, such as maintaining a healthy diet, exercising your own example of challenges you have experienced. In regularly, avoiding smoking and street drugs, and limiting addition, you can keep your own journal of such physician alcohol use. Most Canadians also recognize the importance of health challenges and have a formal discussion half-way working with their primary care physician for health concerns, through the rotation on how you and your residents dealt follow-up and appropriate screening at different stages of life. At their regular evaluation However, how often do patients consider the health needs of meetings program directors can discuss with residents the their own doctors? The journal will provide clear examples of how the residents understand Healthy physician, healthy patient the key issue. Residents may also consider incorporating Some patients infuence the mental health of their physicians such discussions into their half-day educational sessions by virtue of challenging personality traits, the denial of their or at their regular retreats. Physicians may choose to prescribe unneces- sary antibiotics for a viral illness to pacify the expectations of a patient who wants a quick resolution of their ailment. However, while these physicians are well aware of the lack of effcacy of antibiotics in these situations and the potential to promote new strains of resistant bacteria, they may feel they lack the time or energy to go through the process of proper patient education. The evolution of medicine into the computer era has also contributed to the complexity of the physician patient relationship where physician health is concerned. Although one rarely hears of a house calls nowadays, e-mail is today s equivalent of yesterday s housecall. Patients can now follow doctors home, on vacation, or literally anywhere technology may go.
Sanuyem, 63 years: Respiratory bronchioles, alveolar ducts, and sacs compose the transitional and respiratory zones ( 94) and are the sites of gas exchange. Plasma may also be processed into a range of medical products, including immunoglobulins (antibodies) to provide protection from disease for patients with low levels of antibodies, coagulation factors (to improve blood clotting) and albumin (used for restoring blood volume). Database/retrieval system on the Internet with title ending in other than a period 15.
Enzo, 49 years: Although antibiotic generally refers to antibacterial, substance, produced by one microorganism (Denyer et antibiotic compounds are differentiated as antibacterials, al. Routine mortality data are, however, limited by the inaccuracies of death certicates and the lack of reliable information about different pathological types of stroke (13). Diseases such as clot formation within the pulmonary arteries (pulmonary embolism) and abnormalities of the aorta including tears (dissections) and dilatations (aneurysms) which can rupture, can be diagnosed effectively by this technique.