Jennifer McNulty, MD

  • Associate Clinical Professor
  • Department of Obstetrics and Gynecology
  • Division of Maternal Fetal Medicine
  • University of California at Irvine
  • Staff Perinatologist
  • Long Beach Memorial Women? Hospital
  • Long Beach, California

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It is recommended that the prophylactic use of minocycline be reserved for conditions by which the risk of meningococcal meningitis is excessive antibiotic 2 pills first day cheap ciplox 500mg without prescription. Although no managed scientific efficacy studies have been carried out, restricted medical data show that oral minocycline hydrochloride has been used efficiently within the therapy of infections brought on by Mycobacterium marinum. If any tetracycline is used during being pregnant or if the affected person turns into pregnant while taking these medicine, the affected person ought to be apprised of the potential hazard to the fetus. Skeletal DevelopmentAll tetracyclines form a secure calcium complicated in any bone-forming tissue. A decrease in the fibula progress fee has been observed in premature human infants given oral tetracycline in doses of 25 mg/kg every six hours. Use in PregnancyResults of animal studies point out that tetracyclines cross the placenta, are present in fetal tissues, and might have poisonous results on the creating fetus (typically related to retardation of skeletal development). If renal impairment exists, even usual oral or parenteral doses could result in systemic accumulation of the drug and possible liver toxicity. PhotosensitivityPhotosensitivity manifested by an exaggerated sunburn reaction has been noticed in some people taking tetracyclines. Central Nervous SystemCentral nervous system side effects including lightheadedness, dizziness, or vertigo have been reported with minocycline therapy. These symptoms might disappear throughout remedy and usually disappear rapidly when the drug is discontinued. If visual disturbance occurs throughout treatment, immediate ophthalmologic analysis is warranted. Since intracranial strain can remain elevated for weeks after drug cessation, sufferers must be monitored till they stabilize. General As with different antibiotic preparations, use of this drug could lead to overgrowth of non-vulnerable organisms, including fungi. If superinfection occurs, the antibiotic must be discontinued and appropriate remedy instituted. Incision and drainage or different surgical procedures ought to be performed in conjunction with antibiotic therapy when indicated. Information For Patients Diarrhea is a common problem caused by antibiotics which often ends when the antibiotic is discontinued. Unused provides of tetracycline antibiotics should be discarded by the expiration date. Laboratory Tests In venereal disease when coexistent syphilis is suspected, a dark-subject examination ought to be carried out before remedy is began and the blood serology repeated monthly for a minimum of four months.

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Geometric imply steady-state plasma Viramune extended-release pre-dose trough concentrations were three antibiotics used for diverticulitis generic 500 mg ciplox with visa,880 ng/ml, 3,310 ng/ml and 5,350 ng/ml in age groups three to In single dose, parallel group bioavailability research (research 1100. Dividing a 200 mg complete dose into 4 50 mg doses quite than two 100 mg doses produced a 7-eleven % higher overall absorption, however with comparable medicinal product launch rates. Non-scientific knowledge reveal no special hazard for humans apart from these observed in scientific research primarily based on conventional studies of security, pharmacology, repeated dose toxicity, and genotoxicity. These findings are more than likely related to nevirapine being a powerful inducer of liver enzymes, and never because of a genotoxic mode of action. Lactose (as monohydrate) Hypromellose Iron oxide yellow Magnesium stearate 3 years The medicinal product must be used inside 2 months of opening. Boehringer Ingelheim International GmbH Binger Strasse 173 55216 Ingelheim am Rhein, Germany Date of first authorisation: 5 February 1998 Date of latest renewal: 20 December 2012 13 November 2019 Detailed information on this medicinal product is on the market on the web site of the European Medicines Agency http://www. You are at best risk of such a response during the first 6 weeks of treatment. This is especially essential throughout the first 14 days of remedy (see more info in? Changes of body fat might occur in patients receiving combination antiretroviral remedy. Some patients taking combination antiretroviral remedy might develop a bone disease referred to as osteonecrosis (dying of bone tissue attributable to loss of blood supply to the bone). The size of combination antiretroviral remedy, corticosteroid use, alcohol consumption, severe weak spot of the immune system and better body mass index may be some of the many risk elements for creating this illness. Signs of osteonecrosis are joint stiffness, aches and pains (especially of the hip, knee and shoulder) and difficulty in movement. Your physician would possibly need to monitor whether or not your other medicines are still working and modify doses. Pregnancy and breast-feeding Ask your physician or pharmacist for recommendation earlier than taking any medicine. Etravirine Concomitant use of etravirine with nevirapine might cause a major decrease in the plasma concentrations of etravirine and loss of therapeutic impact of etravirine. Cobicistat, a cytochrome P450 3A inhibitor considerably inhibits hepatic enzymes, in addition to other metabolic pathways. However, as a result of the excessive interpatient variability some sufferers might experience giant will increase in rifabutin publicity and may be at greater risk for rifabutin toxicity. Physicians needing to deal with patients co-contaminated with tuberculosis and using a Viramune containing regimen may contemplate co-administration of rifabutin as a substitute. Because of the danger of increased publicity to Viramune, caution should be exercised if the medicinal products are given concomitantly and patients must be monitored carefully. The medical consequence of this observed reduction of boceprevir trough concentrations has not been immediately assessed. Due to the metabolic pathway of entecavir, no clinically related drug-drug interplay is anticipated. Due to the metabolic pathway of telbivudine, no clinically related drug-drug interaction is anticipated.

Diseases

  • Midline field defects
  • Lymphedema hereditary type 1
  • Arachnoid cysts
  • Morquio syndrome
  • Collins Sakati syndrome
  • Congenital herpes simplex
  • Ischiopatellar dysplasia

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Proper food regimen and exercise so your dog’s pure immune system stays robust might help hold them healthy xcell antimicrobial dressing cheap 500 mg ciplox. However, in case your canine is diagnosed with viral conjunctivitis, the therapy will likely encompass steroid eye drops and maybe synthetic tears to assist hold the eyes away from discharge or crust. Conjunctivitis Treatment & Getting Rid of Your Dog’s Pink Eye Not surprisingly, the treatment for canine conjunctivitis will depend upon how your canine developed pink eye. If eye drops are prescribed, there are several ways to assist administer the treatment properly and safely. Next, wrap one arm across the canine’s shoulder and use your arm to lift the chin upward so the eyes are trying up. With the identical hand, gently open the dog’s eye by pulling the eyelid downward to create slightly pouch below the dog’s eyeball. His natural motion and blinking will cause the treatment to spread evenly over the eye. Don’t neglect to wash your arms completely earlier than and after administering eye drops and stay calm. Dogs can react to a human’s mood, so method this task with the proper mind set and your dog will follow your lead. Of course, this will likely require some apply as you and your pet get snug with the method. Always ask your veterinarian for recommendation and ensure to contemplate your canine’s age, measurement, health and general demeanor whenever you administer medicine. Don’t let the challenges of administering eye drops or medicine get in the way of proper treatment. Make certain the right dosage is actually getting administered, so keep your eyes open! Learn to determine irritants that set off your canine’s allergies such as perfumes, smoke, foods, grass and vegetation. Just like people, keep your dog’s eyes clean of dust, dust and other particles that cause eye irritation. If allergy symptoms lead to pink eye, your veterinarian will most likely prescribe an antihistamine or an anti-inflammatory drug in addition to steroid eye drops and artificial tears. A chilly compress will help relieve irritation for circumstances of canine conjunctivitis as a result of allergy symptoms. An injury to the cornea is very severe and could also be cured with treatment, however may also require surgery. Most importantly, medicines for pink eye may worsen an harm to the cornea and will trigger blindness. It is necessary to consult with a pet care professional earlier than administering any medication. Also, medicine for humans, including eye drops, are typically not the same for dogs.

Syndromes

  • Yellow eyes (icterus)
  • Hole (perforation) in the gut
  • Chest pain
  • Difficulty falling asleep
  • Loss of ability to function or care for self
  • Vomiting blood
  • A small drainage tube may be left in your chest for 1 day

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Cephalexin has the molecular formulation C16H17N3O4S•H2O and the molecular weight is 365 antibiotic for staph order ciplox 500 mg otc. Cephalexin has the following structural formulation: This picture is offered by the National Library of Medicine. Solubility in water is low at room temperature; 1 or 2 mg/mL could also be dissolved readily, but greater concentrations are obtained with rising difficulty. The cephalosporins differ from penicillins within the construction of the bicyclic ring system. Cephalexin has a D-phenylglycyl group as substituent at the 7-amino place and an unsubstituted methyl group on the 3-position. Each capsule for oral administration, contains cephalexin monohydrate equal to 250 mg (720 µmol) or 500 mg (1,439 µmol) of cephalexin. In addition, every capsule incorporates the next inactive components: D&C Yellow No. After mixing, every 5 mL of Cephalexin for Oral Suspension will include cephalexin monohydrate equal to 125 mg (360 µmol) or 250 mg (720 µmol) cephalexin. Pharmacodynamics There is proscribed info concerning Pharmacodynamics of Cephalexin in the drug label. Pharmacokinetics Cephalexin is acid secure and may be given with out regard to meals. Cephalexin is excreted within the urine by glomerular filtration and tubular secretion. During this period, peak urine concentrations following the 250 mg, 500 mg, and 1 g doses had been roughly 1,000, 2,200, and 5,000 mcg/mL respectively. Cephalexin has been shown to be active in opposition to most strains of the next microorganisms both in vitro and in scientific infections. Note — Methicillin-resistant staphylococci and most strains of enterococci (Enterococcus faecalis [formerly Streptococcus faecalis]) are resistant to cephalosporins, including cephalexin. Susceptibility Tests Quantitative strategies that require measurement of zone diameters provide reproducible estimates of the susceptibility of bacteria to antimicrobial compounds. One such standardized procedure1 that has been beneficial to be used with disks to test the susceptibility of microorganisms to cephalexin makes use of the 30 mcg cephalothin disk. Reports from the laboratory offering results of the standard single-disk susceptibility take a look at with a 30 mcg cephalothin disk ought to be interpreted according to the following criteria: This image is supplied by the National Library of Medicine. A report of “Susceptible” signifies that the pathogen is likely to be inhibited by usually achievable concentrations of the antimicrobial compound in blood. A report of “Resistant” signifies that normally achievable concentrations of the antimicrobial compound within the blood are unlikely to be inhibitory and that different remedy ought to be chosen. Standardized susceptibility take a look at procedures require the usage of laboratory control microorganisms. The 30 mcg cephalothin disk should present the next zone diameters in these laboratory take a look at high quality control strains: This image is supplied by the National Library of Medicine.

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As such ceftin 500 mg in a single day delivery bacteria classification gluten free antibiotics for sinus infection trusted ciplox 500mg, there are sundry benefits to undergoing bread allergy therapy ceftin 250 mg line antibiotics pimples pills. The doctor administers calibrate growing doses of allergens over a days of years order low-cost malegra dxt plus on-line. The most possessions remedy and governance of an allergy is avoidance of the allergen. IgE is launched to annihilate the allergen and causes the casting of chemicals that trigger the allergic revenge. Below is a sweep of sundry triggers and the symptoms they frequently cause in people who are allergic. Allergies are a acutely stock overreaction of the unsusceptible process to largely harmless substances. If a mortal bodily is allergic to a composition, such as pollen, their safe sample reacts to the meat as if it was foreign and dangerous, and tries to end it. Allergies are hypersensitive responses from the protected scheme to substances that both minute or into into communication with the torso. The allergy sharpshooter is ready within the arm and accommodates a profoundly minute prescribe of the allergen. It is estimated that 20% of Americans undergo from allergic conjunctivitis, but lone a fraction of those people come into proper therapy. Running can embody avoidance of environmental allergens corresponding to pat dander and grass pollen and captivating a cartel of mast stabilizers and histamine blockers, he stated. He encourages physicians to course a plan eye examination on patients suspected of allergy. Brand-new multimodality drugs can provender the efficacy of mast-cell stabilization and histamine blockade collectively to quarrel allergy, in accordance with Stefan D. Trocme establish a preponderance of his patients reported satisfaction and improved status of life-drive after therapy with a mixture of a twin-action upper, such as Alocril (nedocromil sodium, Allergan), with a В“softВ” steroid. DВ’Arienzo and Ober cite that only a minuscule curiosity of people that endure from allergy symptoms are benefiting from appropriate remedy. Eye drops with each an antihistamine to support itchiness and a mast-cell stabilizer support forbid style allergic reactions. Get to remember this report, the cornerstone of signed treatment for any youngster with a meals allergy. An stuff bread allergy therapy envisage consists of the next: Learn extra hither how to dealing with of unbending allergic reactions. Because the signs of anaphylaxis can slide with all pace, reactions be required to be treated convenient away. With viands allergic reactions, this may necessitate eliminating the allergen from your sustenance. The inhalant allergens that may be treated embody every little thing that subcutaneous immunotherapy treats except for the advantage of mould, cockroaches and unfailing animals.

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Duramycin 72 200 is efficient towards a variety of gram optimistic and gram adverse micro organism for beef cattle dairy cattle calves including pre ruminating veal calves and swine antibiotic vs probiotic discount 500 mg ciplox with amex. Arthritis in older goats can lead to lameness and sore joints and cold weather performs a part in arthritic ache. This is what I began out with La 200 For Goats Cave amp Gardens Gh Ltd is actively involved in Import Export and Distribution of Alcoholic and Non Alcoholic drinks enjoying native sales with wholesalers retailers trendy amp traditional Domestic canine are usually among the many largest risk to goats. The motion of oxytetracycline is based on inhibition of bacterial protein synthesis. Just because it has become increasingly in style to keep chickens in America s backyards extra persons are elevating goats on city and suburba New research confirms what goat lovers already know goats are sensible and have the capability for complex communication with folks. Sep 07 2020 Mostly the infection is annoying to the animal and should result in some weight loss. The topical remedy can be 7 iodine or undiluted formaldehyde the formaldehyde will kill all bacteria on contact great care have to be exercised in utilizing this product in order to not splash on your self. Thick use an 18 I care about my goats emotional well being in addition to physical well being. The environment of all goats ought to be kept sanitary to lessen the probabilities of a goat coming in touch with harmful bacteria. They grew up collectively and buddied round our homestead aspect by side continuously till Pearl got a mate. Male Boer goats are used for breeding and meat production and the feminine are for producing youngsters. She revealed Ruminations The Nigerian Dwarf and Mini Dairy Goat journal and Goat Health Care. You have to dose your goat for a full 5 days to complete the therapy as follows produced from 142 goats on four farms. Mountain goat males females and younger are often known as billies nannies and kids respectively. BuzzFeed Staff Give that factor 5 years and I assure you h Goat s milk is commonly a specialty merchandise within the United States but about sixty five % of the world inhabitants drinks goat s milk. However bloody diarrhea so often related to salmonellosis in different animals was not seen in any of the goats. Happy Trails Goat Farm in Calimesa California sells Registered Pygmy and Nigerian Dwarf Goats for present quality 4 H members and family pets. In the treatment of extreme foot rot and superior circumstances of other indicated diseases a dosage stage of 5 milligrams per pound of body weight per day is really helpful.

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The invention additionally pertains to antibiotics for sinus infection breastfeeding buy ciplox 500 mg low cost a technique of producing or getting ready the package of elements in accordance with count 9, comprising the steps - making ready a vial comprising moxifloxacin and - if necessary - a pharmaceutical carrier, - getting ready a provider containing cefixime and - if necessary - a pharmaceutical provider, - combining the vials, probably with further compounds of the package to the equipment of components. The kit of parts also can comprise directions relating to the use of the equipment of parts. A pharmaceutical composition of the moxifloxacin-cefixime combination is formulated to be suitable with its meant route of administration. Solutions or suspensions used for parenteral, intradermal, or subcutaneous software can embody the next parts: a sterile diluent such as water for injection, saline resolution, fixed oils, polyethylene glycols, glycerine, propylene glycol or other synthetic solvents; antibacterial brokers such as benzyl alcohol or methyl parabens; antioxidants similar to ascorbic acid or sodium bisulfite; chelating agents such as ethylene- diaminetetraacetic acid; buffers corresponding to acetates, citrates or phosphates and agents for the adjustment of tonicity similar to sodium chloride or dextrose. The parenteral preparation can be enclosed in ampoules, disposable syringes or a number of dose vials made of glass or plastic. Pharmaceutical compositions suitable for injectable use include sterile aqueous options (the place water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable options or dispersions. In all cases, the composition should be sterile and must be fluid to the extent that straightforward syringability exists. It should be stable beneath the situations of manufacture and storage and have to be preserved against the contaminating motion of microorganisms corresponding to micro organism and fungi. The carrier can be a solvent or dispersion medium containing, for instance, water, ethanol, a pharmaceutically acceptable polyol like glycerol, propylene glycol, liquid polyetheylene glycol, and suitable mixtures thereof. The proper fluidity can be maintained, for instance, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by means of surfactants. In many circumstances, it is going to be preferable to include isotonic brokers, for example, sugars, polyalcohols such as mannitol, sorbitol, sodium chloride in the composition. Prolonged absorption of the injectable compositions may be caused by including in the composition an agent which delays absorption, for example, aluminum monostearate and gelatin. Sterile injectable solutions can be ready by incorporating the active compound (e. Generally, dispersions are ready by incorporating the lively compound right into a sterile automobile which accommodates a fundamental dispersion medium and the required different components from these enumerated above. In the case of sterile powders for the preparation of sterile injectable options, the popular strategies of preparation are vacuum drying and freeze-drying which yields a powder of the lively ingredient plus any additional desired ingredient from a previously sterile- filtered solution thereof. For the purpose of oral therapeutic administration, the energetic compound may be included with excipients and used in the type of tablets, troches, or capsules. Oral compositions may also be ready utilizing a fluid service for use as a mouthwash, whereby the compound within the fluid provider is utilized orally and swished and expectorated or swallowed. Pharmaceutically compatible binding agents, and/or adjuvant materials may be included as a part of the composition. The tablets, pills, capsules, troches and the like can include any of the next elements, or compounds of an identical nature: a binder corresponding to microcrystalline cellulose, gum tragacanth or gelatin; an excipient such as starch or lactose, a disintegrating agent corresponding to alginic acid, Primogel, or corn starch; a lubricant such as magnesium stearate or sterotes; a glidant such as colloidal silicon dioxide; a sweetening agent such as sucrose or saccharin; or a flavoring agent corresponding to peppermint, methyl salicylate, or orange flavoring. For administration by inhalation, the compounds are delivered within the type of an aerosol spray from a pressurized container or dispenser which accommodates a suitable propellant, e. For transmucosal or transdermal administration, penetrants acceptable to the barrier to be permeated are used within the formulation. Such penetrants are usually recognized within the art, and embody, for instance, for transmucosal administration, detergents, bile salts, and fusidic acid derivatives.

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Bioactivity bacteria 5 types purchase 500mg ciplox free shipping, energy, selectivity to organic goal and antibacterial motion, specifically against Gram- optimistic/adverse micro organism, extremely rely upon modifications within the groups of decrease and upper pheripheral zones of the tetracycline skeleton. The presence of an amino group in place C4 and ketoenolic tautomers in place C1 and C3 of the A ring is necessary for tetracycline to take action as inhibitor of protein synthesis. The presence of the amino group in the C4 position is vital for antibiotic actions (Figure 2). Antibacterial activity against Gram-unfavorable micro organism could also be decreased by epimerization of natural 4S isomer of C4-dimethlyamino group to its 4R isomer (41). Chemical modification of the positions C5 to C9 gives various derivatives of tetracyclines with varying antibacterial activities. Modification of R1, R2, R3 teams provides higher selectivity to the organic target in antifungal however not for antibacterial exercise. All modifications of R4, R5 and R6 groups are required to give extremely bacterial specificity and deep altering in pharmacokinetics (Figure 2) [35]. The whole tetracycline household is biologically and chemically vibrant with a number of mechanisms of actions and is succesful to act against multiple targets, both by way of ribosomal or cell membranes. Various mechanism of motion of tetracycline is related with the attachment of different species within the skeleton corresponding to hydroxyl and amine groups. Antibacterial tetracycline act another way as compared to antifungal and antitumor tetracycline. First, tetracycline get forward of the eukaryotic cell to kind complexes in several positions with calcium and magnesium ions present in the blood by changing the digital stability equilibrium sequestering divalent ions. In the next step, tetracycline adopt typical and atypical mechanism in opposition to micro organism either by binding with ribosomal subunits to inhibit the synthesis of protein or by the direct killing of bacteria [2]. In gram positive and gram unfavorable micro organism, tetracyclines intermingle with targets by passing by way of one or more membrane techniques. Hence, mechanism of action of tetracycline requires understanding of uptake and ribosomal binding mechanism. Tetracycline crosses over the outer membrane of gram negative micro organism by way of outer membrane protein F and outer membrane protein C channels, as positively charged cation (largely magnesium)-tetracycline coordination complexes. The Donnan potential of the outer membrane appeal to the cationic metal ion-antibiotic complex to mount up within the periplasm. At this place, metal ion-tetracycline advanced probably dissociate to release uncharged tetracycline, which is a weakly lipophilic molecule efficiently and diffuse through the lipid bilayer areas of the inner (cytoplasmic) membrane. Similarly, tetracycline in electroneutral and lipophilic varieties transferred across the cytoplasmic membrane of gram constructive micro organism. Within the cytoplasm, tetracycline molecules become chelate at particular situations when inside pH and divalent metallic ion concentrations are higher in comparison with the circumstances outdoors the cell. Magnesium tetracycline complex is an active drug species which binds to the ribosome of the micro organism. Bacteriostatic effects of antibiotics may be explained by understanding the association of tetracycline with ribosome during reversible reaction.

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Charles, 41 years: Retinoids If your hormonal acne is delicate, you could possibly use topical retinoids. Cases of torsades de pointes have been reported throughout postmarketing surveillance in sufferers receiving fluoroquinolones, including ciprofloxacin.

Gonzales, 51 years: It can raise blood strain and ldl cholesterol while growing the danger of coronary heart illness. Maintaining Uniform Cooling Uniform cooling of the myocardium by infusion of cold cardioplegic answer is an integral a part of myocardial protection.

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Ines, 32 years: The free nitro- radical generated because of this reduction may be answerable for the antiprotozoal exercise. We observe how an awareness of these components adds to the significance of seeking to find areas of mutual settlement and concern, where particular insurance policies may be supported by various audiences for diverse reasons.

Kaelin, 60 years: Parsley ditch-water: cook a whacking huge spray of original parsley in a quart of weaken in direction of three minutes. Feeling sick (nausea) or being sick (vomiting), tummy (belly) ache Stick to easy meals - avoid rich or spicy meals Diarrhoea Drink loads of water to replace misplaced fluids.

Iomar, 57 years: Top 10 List of Common Infections Treated with Antibiotics Top 10 List of Generic Antibiotics Top 10 List of Brand Name Antibiotics Top 10 List of Antibiotic Classes (Types of Antibiotics) Most antibiotics fall into their individual antibiotic courses. Darunavir; Cobicistat: (Major) The plasma concentrations of tinidazole could also be elevated when administered concurrently with darunavir.

Enzo, 34 years: Ivermectin must be carefully used in any herding breed like collies shelties aussies and so forth. Chemical probing indicated that the macrolide lankamycin, a second antibiotic produced by the same species, binds at a neighboring site, on the ribosome exit tunnel.

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References

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  • Das A, Chancellor MB, Watanabe T, et al: Intravesical capsaicin in neurologic impaired patients with detrusor hyperreflexia, J Spinal Cord Med 19(3):190, 1996.
  • Kvale P, Ranga V, Kopacz M, et al. Pulmonary resection. South Med J 1977; 70: 64-69.
  • Robak T, Huang H, Jin J, et al. Bortezomib-based therapy for newly diagnosed mantle-cell lymphoma. N Engl J Med 2015;372(10):944-953.
  • Lehman, CD, Gatsonic C, Kuhl C, et al. MRI evaluation of the contralateral breast in women with recently diagnosed breast cancer. New Engl J Med. 2007;256:1295-1303.
  • Horton KM, Corl FM, Fishman EK. CT evaluation of the colon: inflammatory disease. RadioGraphics 2000; 20:399-418.