This virtual endoscopy simulator is capable of identifying differences between beginners and experts in gastrointestinal endoscopy. A 3-week training improves the performance of beginners significantly. This quite fast improvement in endoscopic skills certainly cannot be seen in clinical practice; no conclusions can be made about the impact of virtual simulator training on real-life endoscopy, and this must be evaluated.
Objective To determine the time taken to achieve comwith no relapses, remaining dry with no further treatment, 7% achieved dryness after relapses during plete dryness, the management of desmopressin dosage to reduce the relapse rate, the mean dosage in those or after therapy, 7% improved (no more than two wet nights per week) and 15% did not respond to therapy responding and any side eCects of long-term treatment. Patients and methods Enuretic children (155, 68% boys or improved only slightly (>2 wet nights per week). The mean duration of therapy was 28 weeks, the and 32% girls, mean age 8 years, range 5-19) were treated with desmopressin and assessed. Treatment mean dose of desmopressin was 30 mg and the median follow-up 18 months. There were no significant side-(intranasal spray) was started with 20 mg desmopressin and titrated to 40 mg (maximum 50 mg) after eCects. Conclusion This study indicates that rapid titration until 2 days if the child did not become dry within 48 h. The maximum dosage was maintained for at least dryness within 1-3 days, a long maintenance therapy of at least 4-6 weeks and a slow stepwise reduction 4-6 weeks. After 4 weeks of complete dryness, the dosage was reduced by 10 mg initially, and after each of dose decreases the frequency of relapse and improves the outcome. additional 4 dry weeks, by a further 10 mg; medication was stopped only after 4 dry weeks at 10 mg.
Objective: A large share of rheumatism patients who are treated by rheumatologists use unconventional therapies additionally. What is the frequency in patients with ankylosing spondylitis who present for treatment at a radon spa? Patients: 75 patients with ankylosing spondylitis presenting for treatment at the Gasteiner Heilstollen Hospital agreed to participate in the study (6 refused). Design: In an open interview a research assistant asked the patients to name all interventions which they have used for the treatment of ankylosing spondylitis. Results: Unconventional therapies (beside treatment at the Gasteiner Heilstollen) were used by 39 patients. Most frequently cited were acupuncture (15×), diet (8×), herbal therapy (7×), and homeopathy (6×). In total 40 different forms of unconventional therapies were mentioned. All patients claimed to have used at least two conventional therapies. Conclusion: Patients presenting for treatment at a radon spa claim to have used conventional therapies more frequently than unconventional forms of treatment.
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