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Page "Electroconvulsive therapy" ¶ 21
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relapse and rate
Testimony to morphine's addictive and reinforcing nature is its relapse rate.
This is similar to the rate of relapse after discontinuing antidepressant medication, and it has been suggested that it is due to the severity and chronicity of pre-existing illness for which ECT is generally used.
Pregnancy affects the susceptibility to relapse, with a lower relapse rate at each trimester of gestation.
Comparisons between immunomodulators ( all but mitoxantrone ) show that the most effective is natalizumab, both in terms of relapse rate reduction and halting disability progression.
One randomized control trial evaluated the over-the-counter medication methionine-methyl sulphonium chloride ( abbreviated MMSC, but more commonly referred to as Vitamin U ) and found a significant decreased rate of relapse when the medication was used in conjunction with oral sulfasalazine.
It was also noted the results of two studies ( one conducted in Germany, the other in Denmark ), which examined " ulcer relapse in healed patients " showed that the rate of relapse amongst those " healed " by the active drug treatment was five times that of those " healed " by the placebo treatment.
The patients experienced distinct withdrawal syndrome, expressed primarily as insomnia and dizziness, and the authors noted that a significant part of the relapse rate among the discontinued patients could possibly be accounted for by the withdrawal syndrome.
Predictors of the relapse, and that could influence treatment strategies, are considered the type of primary headache, from which MOH has evolved, and the type of drug abused ( analgesics, and mostly combination of analgesics, but also drugs containing barbiturates or tranquillisers cause significantly higher relapse rates ), while gender, age, duration of disease and previous intake of preventative treatment do not seem to predict relapse rate.
There is a 29 % to 69 % relapse rate, however, so the treatment may need to be repeated.
When given twice daily, BG-12 cut the relapse rate by 44 percent at two years compared with a placebo.
When given three times a day, it cut the relapse rate by 51 percent.
Ciprofloxacin and cotrimoxazole therapy is associated with an unacceptably high rate of relapse.
Any treatment lasting less than a year has an approximate relapse rate of 40 %.
This lower rate of relapse accounts for the increased success rate of allogeneic transplants, compared to transplants from identical twins, and indicates that allogeneic HSCT is a form of immunotherapy.
While it is impossible to compare results across different clinical trials, the older generation drugs, i. e. interferons and glatiramer acetate, are generally acknowledged as demonstrating about a 30-35 % decrease in relapse rate vs. placebo ; and only two drugs have been shown to decrease the progression of disability, but again only by around 20-40 %.
The relapse rate through these types of programs is lower than that of conventional homeless programs.
:* Itraconazole ( 400 mg / day ) appears to have efficacy equal to that of fluconazole in the treatment of nonmeningeal infection and have the same relapse rate after therapy is discontinued.
The researchers found no difference in relapse rate among those who used NRT for more than six weeks, with or without professional counseling.
APL has a high rate of relapse with conventional chemotherapy.

relapse and first
Hippocrates introduced the Hippocratic Oath for physicians, which is still relevant and in use today, and was the first to categorize illnesses as acute, chronic, endemic and epidemic, and use terms such as, " exacerbation, relapse, resolution, crisis, paroxysm, peak, and convalescence ".
During the first few months after delivery, however, the risk of relapse is increased.
At one point during the movie Jay, knowing boredom is the first step to relapse, dances to the song " Goodbye Horses " by Q Lazzarus after Silent Bob puts the tape in the boom-box.
The cognitive-behavioral treatment was first introduced to drug and alcohol addiction, one technique involved using relapse prevention ; to train a set of skills, cognitive interventions and life style changes to identify and cope with stressors of relapse.
Stories tell of the first precious supplies of bread being given specifically to the ( no longer ) sick children, prompting an immediate relapse.
Specialists claim that Naltrexone cuts relapse risk during the first 3 months by about 36 %.
At first she responded — recovering enough by the second week in February to sit on the verandah in a wheel chair for a short periods, and chat then came a relapse.
After publication of the first two randomized, controlled trials in 1992, a number of studies have confirmed its efficacy in reducing frequency and severity of relapse to drinking.
Relapses usually occur early, with about 55 % of patients having a relapse in the first year and 90 % in the first five years.
A hard-throwing left-hander, Howe's career was plagued by alcohol and cocaine abuse ; he first checked himself into a substance abuse clinic in, but a relapse resulted in him being suspended for the entire season.
Next, fifth, Sellman explains that addiction is characterized by frequent relapse, and that one should not expect to overcome addiction on the first try.
Reports have indicated that patients will initially respond to first line chemotherapy and treatment but that relapse is common.
It was also shown to improve the survival of children suffering from first relapse of acute lymphoblastic leukaemia.

relapse and six
Half those who remit then relapse within six months.
: A study found that 93 percent of over-the-counter NRT users relapse and return to smoking within six months.
The patient is considered cured at six months ( although there is still a relapse rate of 2 to 3 %).
Griffiths believed that addiction has six components: salience, mood modification, tolerance, withdrawal, conflict, and relapse.

relapse and months
To ensure that children withdrawn from the hazardous sectors do not relapse, Transitional Education Centres ( TEC ) were established to ease the mainstreaming of children back into schools within 24 months.
This study demonstrated that only 11 % of patients experienced a relapse of their illness in the subsequent 6 months with a regimen of simple maintenance antidepressant medication monotherapy and TMS reintroduction as needed for symptom recurrence.
Although there were recorded cases of remission of the symptoms, especially if they had not passed beyond the stage of psychosis, these individuals almost invariably suffered relapse within a few months to a few years.
Limitations of the 2008 Guideline include its not evaluating studies of " cold turkey " methods (" unaided quit attempts ") and its focus on studies that followed up subjects only to about 6 months after the " quit date " ( even though almost one-third of former smokers who relapse before one year will do so 7 – 12 months after the " quit date ").
For patients treated for stage I non-seminoma, a randomised trial ( Medical Research Council TE08 ) showed that, when combined with the standard surveillance tests described above, 2 CT scans at 3 and 12 months were as good as 5 over 2 years in detecting relapse at an early stage.
In the initial Malaysian outbreak, a patient presented with relapse encephalitis some 53 months after his initial infection.
However, 10 – 15 % of patients might experience a relapse of symptoms during the 6 months after acute illness.
All available studies collected in the 2005 Australian National Evaluation of Pharmacotherapies for Opioid Dependence suggest that maintenance treatment is preferable, with very high rates ( 79 – 100 %) of relapse within three months of detoxification from LAAM, buprenorphine, and methadone.
While Lulu is talking, Laura appears to wake up and tells Lulu that a few months after her relapse, the doctors were present as she began " waking up ".
Unfortunately, relapse is the rule, and median survival is only 18 to 24 months.
In one review of 24 patients who developed isolated chloromas after treatment for acute myeloid leukemia, the mean interval until bone marrow relapse was 7 months ( range, 1 to 19 months ).< ref >
However at the year end, and to avoid a CFS relapse she took a leave of 2 months.
Acute withdrawal syndromes can last days, weeks or months, and protracted withdrawal syndrome, also known as " post-acute withdrawal syndrome " or " PAWS "-a low-grade continuation of some of the symptoms of acute withdrawal, typically in a remitting-relapsing pattern, that often results in relapse in to active addiction and prolonged disability of a degree to preclude the possibility of lawful employment-can last for months, years, or, in relatively common to extremely rare cases, depending on individual factors, indefinitely.
If primaquine is not administered to patients with proven P. vivax or P. ovale infection, there is a very high likelihood of relapse within weeks or months ( sometimes years ).
After several months, Deisler rejoined the squad, but suffered a relapse in October 2004 and received ambulant treatment.
After successful treatment of the acute depressive episode, patients should be maintained on milnacipran for several months ( normally 9 months ) in order to prevent relapse of depression.

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