PMNNT-Hemato-Enox(1).mpaƒ  GinecologIaGinecoloPersonalPersonalVariosVariosMedicinaMedicina PediatriaPediatriCirugiaCirugia AntibioticosAntibiot€BusinessBusiness ‚MBEMBE@ ˙Handheld Basics • Press any application button to turn on your handheld computer and start a main application. • Tap New to create a new record. • Tap a record to edit it. • Tap Details to access more options or delete the record. • Tap the pick list in the upper-right corner to categorize records or create a new category. (Not in Date Book.) • Tap the information ("i") icon in dialog boxes for tips. • Press the HotSyncŽ button on the cradle to exchange and update data between your computer and your handheld.˙ü4 Ways to Enter Text 1. Type into your Desktop software, drop your handheld into the cradle, and press the HotSyncŽ button to transfer the typed data. 2. Use the onscreen keyboard. In the GraffitiŽ writing area below, tap the dot below "abc" for the alphabetic keyboard or the dot below "123" for the numeric keyboard. 3. Use the stylus to write Graffiti characters in the writing area. Characters are mainly uppercase, single-stroke letters. Write letters on the left, numbers on the right. Note: To call up a Graffiti reference screen, drag the stylus from the bottom of the writing area to the top of the screen. Or see the Graffiti Reference Card. 4. Connect a portable keyboard to your handheld and type the data directly into your handheld.˙ÔDownload Free Applications You can easily download lots of freeware, shareware, and commercial applications from the Internet. Just follow these 4 steps: 1. Select and download applications from any Palm™ related web site (e.g., www.palm.com). 2. If the downloaded application is a Zip file, unzip its contents to the add-on folder in the Desktop Software directory (e.g., c:\palm\add-on). 3. Do one of the following: • Run Instapp.exe from the Desktop software directory. • Open the Palm Desktop software and click Install. Then click Add. Select the applications you want to install. Click Open, and then Click Done. 4. Perform a HotSyncŽ operation to transfer your new applications to your handheld.˙EPower Tips • To improve your GraffitiŽ accuracy, write letters BIG. (Having trouble with "V"? Try writing it backwards.) • In Date Book Day View, press the scroll button on your handheld to move backward and forward one day at a time. To move an event to another day or time, tap Details and change the day or time there. • In Memo and To Do List, you don't have to tap New to create a new record; just start writing. In Date Book, this creates a new UNTIMED event. To create a new TIMED event, just write the time in the Graffiti number area. • To set up your business card for beaming, go to Address Book and select your own name & address. Tap Menu. Then tap Select Business Card. • To quickly find an application icon in the Launcher, switch to the All category and use Graffiti writing to write the first letter of the application's title. The icons with titles starting with that letter spring to view. • Want to hear the Date Book alarms better? In Date Book, tap Menu. Then tap Options and Preferences and select another Alarm Sound. • If your handheld has a brightness control, do the following: To conserve the life of your battery, adjust the brightness. Move the slider about 1/4 of the way across the bar in the Brightness Display dialog box. Under normal use, the battery can last up to 14 days at this setting. P6Pnh diagnosis ham flow cytometry sucrose lysis test P$Htn tx jnc vi guidelines anals 97 PoEBM annals 1985 103-596 bckground quest queation dicotomic question what is pancreatiyisforeground pico P÷hcv ab positive hcv rna plos 850 000 ast increased progrsivaly bikiary colic only pain but also stome ercp nrmaal liv biopsy hepatitis drug vs anti sm ab positie 1:160 falso posit?/ seum anav autoinmune hepattis pt 8 probably so PÍOh liver oh equivalents whisky 30 ml 10g wine 100 ml 10g beer 250ml 10g no cirrhosis no oh hep <160mg/d <5y 50% px oh Ľ ~20yr cirrhosis P ˙“Alosentron for ibs Relief of abd symtoms nnt 8(5 -22) constipation nnt 4 (3 -5) alt elevada bil n ggt elevadp cronica hepatitis €€€ b a no icteric acethamiopb levrl alt 1280 ast 475 ap 237 ggt 1014 inr ,)92 bt n ldh 325 alb 3,7 stones gallstones cbd and intrahepatic ducts no ilated. gb was not dolated-  P aAntidepressive agents in fxnl gi dis acp jc jul.sug 2000 pll sx improvement nnt 4 (3-7) P ˙)Med cortifoam enemas 1u/nocx30d dash diet misschange/happen htn 300 step1 1200 step 2 30000 r1 70000fellow 400r1 100000privado omar 1,5 5llave 17hotel =20.5 debe miguel guerra miguel 1,5 buffet completo migue; 7. 25. cine completo miguel 1,5 cine monke P micromedex drug evaluation Med P ˙VEd Gest Ped 90% 10% 26 1110 650 28 1320 800 30 1540 950 31 1850 1100 32 2120 1200 33 2380 1320 34 2740 1530 35 3100 1820 36 3300 2080 37 3460 2430 poor pr 38 3580 2600 39 3800 2750 40 3900 2640 41 3920 2880 42 3945 2900 43 3810 2800 44 . 3700 2740 'puffy in aparience INFORMATICA MEDICA Eysenbach bmj jun 2000 bmj novż99 P.incluir correos mariacar@udec.cl Maria Jose P*Cds a com abba bob marley best santeria PęMarcadores tumorales coriocarcinoma hcg tumor seno endode10-20 afp disgerminoma ldh teratoma enolasa neuron espe mucinoso epit cae PĂNst 26 madurac snc 1 Desac temprana deflexion cabeza 2 Desac tardia iup 3 Desacvariable distocia funicular oct est pezones (test stresante ) 36  P˝isoinmunizacion Rh resuman 28-32 sem x 2da inv trofoblastica(se forma segmento oci ovan oc fisiol hasta diez cm ) 1ra 12sem Inmunizo ideal post 72horas ohasta 10 dias PŒEmbarazo ectopico 6-7sem intersticio 4meses intert intramural ampolla 10sem Primario:cualq anterior Secundario:se aborta PšPre eclampsia severa PAmed> 126 prot >300/d creati 0 .8 ac urico >3.5 fibrinogeno i400-800 <285 plaq <150000 d/c HEELP  P“Embarazo gemelar 3 /7 /12 />12 chance vaginal monocorionico diamnotico 14-16sem ideal 20sem ( sello cordon )otros producen distocia x cordon P7DPP si infiltra 50% atonia DBP <84 microcefalia POvulos tioconazol cginotrozid PAborto septico PXOh hta >30ml/d osea >720cc chela >300cc vino o >60cc whisky Mujer >10cc/d PFHTA -Med soporte Sobrepeso <4.5-10kg 126 mg/dl (7.0 mmol/l) or a casual plasma glucose >200 mg/dl (11.1 mmol/l) meets the threshold for the diagnosis of diabetes. If confirmed on a subsequent day, and precludes the need for any glucose challenge. In the absence of this degree of hyperglycemia, evaluation for GDM in women with average or high-risk characteristics should follow one of two approaches: One-step approach: Perform a diagnostic OGTT without prior plasma or serum glucose screening. The one-step approach may be cost-effective in high-risk patients or populations (e.g., some Native-American groups). Two-step approach: Perform an initial screening by measuring the plasma or serum glucose concentration 1 h after a 50-g oral glucose load (glucose challenge test [GCT]) and perform a diagnostic OGTT on that subset of women exceeding the glucose threshold value on the GCT. When the two-step approach is employed, a glucose threshold value >140mg/dl (7.8 mmol/l) identifies approximately 80% of women with GDM, and the yield is further increased to 90% by using a cutoff of >130 mg/dl (7.2 mmol/l). With either approach, the diagnosis of GDM is based on an OGTT. Diagnostic criteria for the 100-g OGTT are derived from the original work of O'Sullivan and Mahan, modified by Carpenter and Coustan, and are shown in the top of the Table, below. Alternatively, the diagnosis can be made using a 75-g glucose load and the glucose threshold values listed for fasting, 1 h, and 2 h (bottom of the Table, below); however, this test is not as well validated as the 100-g OGTT. 2 P&˙Diagnosis of GDM with a 100-g or 75-g glucose load mg/dl mmol/l 100-g Gluc load Fasting 95 5.3 1-h 180 10.0 2-h 155 8.6 3-h 140 7.8 75-g Glucose load Fasting 95 5.3 1-h 180 10.0 2-h 155 8.6 Two or more of the venous plasma concentrations must be met or exceeded for a positive diagnosis. The test should be done in the morning after an overnight fast of between 8 and 14 h and after at least 3 days of unrestricted diet (ł 150 g carbohydrate per day) and unlimited physical activity. The subject should remain seated and should not smoke throughout the test. Diabetes Care 2000 Jan;23(1):S4-S19 1 P(Pfannenstiel's=IATB4 P)˙[Insuf Cardiaca Congestiva Criterios >s 1.-DPN 2.-IY 3.-Crepitos 4.-Cardiomegalia 5.-Edema agudo pulmonar 6.-III ruido/ritmo galope 7.-PVC >16 8.-RHY+ Criterios120 6.-Cap vital reduc 1/3 normal Perdida peso 4,5kg en 5d tx dx: 1> y 2 100mg/dl alt mem reciente tambaleo romberg >350 abol eesp Delirium treaens Pfdyund etad de confosin aguda alt rec gana TX tiamina 100mgiv folato tmgpo cid vitamindk 5 10mgsoxa si inrt1$ diazepam 5 10mg po sc 15 20 min o 5 10 mg iq c 5 10 min si es seqero add hauoperidol 5 10mg iv c 4 homas ˙˙˙˙ÉNNT-Hemato-Warf(1) Condición o desórden: tromboembolismo venoso idiopático Intervención vs control: Warfarina vs placebo Duración seguimiento: 3 meses % tasas eventos: tromboembolismo venoso recurrente CER:20.5 , EER: 1.3 Sangrado total CER:1.2 , EER: 11.4 NNT (95% CI) tromboembolismo venoso recurrente 6 (3 a 9) Sangrado total 10 (5 a 30) Referencia Kearon C, Gent M, Hirsh J, Weitz J, Kovacs MJ, Anderson DR, Turpie AG, Green D, Ginsberg JS, Wells P, MacKinnon B, Julian JA. Related Articles, OMIM A comparison of three months of anticoagulation with extended anticoagulation for a first episode of idiopathic venous thromboembolism. N Engl J Med. 1999 Mar 25;340(12):901-7. ˙˙˙˙“NNT-Hemato-Enox(1) Condición o desórden: Reducción de tromboembolismo venoso despues de neurocirugía electiva Intervención vs control: Enoxaparina vs placebo Duración seguimiento: 8 días % tasas eventos: embolismo pulmonar (EP) o tromboembolismo venoso profundo (TVP) CER:33 , EER:17 EP o TVP proximal CER:14 , EER:5 TVP general CER:32 , EER:17 TVP proximal CER:13 , EER:5 NNT (95% CI) embolismo pulmonar (EP) o tromboembolismo venoso profundo (TVP) 7 (4 a 18) EP o TVP proximal 12 (6 a 73) TVP general 7 (4 a 20) Referencia Agnelli G, Piovella F, Buoncristiani P, Severi P, Pini M, D'Angelo A, Beltrametti C, Damiani M, Andrioli GC, Pugliese R, Iorio A, Brambilla G. Related Articles Enoxaparin plus compression stockings compared with compression stockings alone in the prevention of venous thromboembolism after elective neurosurgery. N Engl J Med. 1998 Jul 9;339(2):80-5.