Hepatitis C Treatment (Dutch)

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Achtergrond

-Hepatitis C virus in 1989 ontdenkt als verwekker non-A non-B hepatitis
-Replicatiesnelheid zeer hoog: 1012 deeltjes/dag
-Zes belangrijke genotypen
West-europa: 1, 2, 3 en 4
Genotype 1: m.n. bloed Tx
Genotype 3: m.n. drugsverslaafden

-HCV overdracht vooral via bloed; sexuele en verticale transmissie veel zeldzamer
-Prevalentie 3%
-Jaarlijks 3-4 miljoen nieuwe patiënten
-Prevalentie NL <0.5% (600.000 mensen)
-Cirrose en HCC t.g.v. HCV = belangrijkste indicatie voor lever Tx

Meckels

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INTRODUCTION

=Meckel diverticulum is the most common congenital abnormality of the small intestine
=It is caused by an incomplete obliteration of the vitelline duct (ie, omphalomesenteric duct).
=Originally described by Fabricius Hildanus in 1598
=Johann Friedrich Meckel established its embryonic origin in 1809 and it is now known by his name
Pathophysiology
=Midgut elongates faster than trunk: herniates into umbilical cord in 6th week
=Midgut loop connected to yolk sac via a yolk stalk
=Cranial limb of loop: jejunum and most of ileum

Diabetic foot

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Diabetic Foot

-Any foot pathology that results directly from diabetes or its long term complications – ( Boulton 2002)
-The foot of a diabetic patient that has the potential risk of pathologic consequences including infection, ulceration and or destruction of deep tissues associated with neurologic abnormalities, various degrees of peripheral vascular disease and/or metabolic complications of diabetes in the lower limb

–Diabetic foot ulcer
Diabetic foot infections
–Charcot Joints

Dub medical management

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NORMAL MENSTRUATION

=MEAN INTERVAL OF 28 DAYS
(+ 7DAYS)
=DURATION OF 4 – 7 DAYS
=LOSS OF 35 ml ( 31 – 44 ml )

ANOVULATORY BLEEDING

-UNOPPOSED ESTROGEN
-ENDOMETRIAL HYPERPLASIA
-LACK OF PROGESTERONE STABILISATION OF ENDOMETRIUM
-NO CYCLICAL WITHDRAWAL

Educational philosophy

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Philosophy of education

philosophy of education is the philosophical 

study of the purpose, process, nature and 

ideals of education. 

For example, it might

=Study what constitutes upbringing and
education,
=The limits and legitimization of education as
an academic discipline

Educational objectives
-Individual development
-Modernization
-Productivity
-Communication participation
-Social and national development
-Acquisition of values

Drug resistant tuberculosis

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HISTORY of Tuberculosis

Tuberculosis Is an Ancient Disease  Identified as Spinal Tuberculosis in Egyptian  Mummies  History dates to 1550 – 1080 BC

Global Status

-Nine million people suffer from tuberculosis
-Two million people die each year.
-Tuberculosis accounts for one-third of AIDS deaths world wide every year.

Metal Free Catalysis

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Content:

Introduction
Examples
Utility in different reactions
Emphasis on
Organocatalysis
Asymmetric Catalysis ( Proline )
Carbon dioxide utilization
Dendrimer Catalysis
Mesoporous dendrisilicas
Conclusion

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