Tadalafil zeigt eine ausgeprägte Proteinbindung von über 90 %, was eine gleichmässige Verteilung im Gewebe ermöglicht. Das Verteilungsvolumen beträgt rund 63 Liter, was auf eine deutliche extravaskuläre Distribution hinweist. Nach Absorption im Gastrointestinaltrakt erfolgt der Abbau über CYP3A4, wobei Hydroxylierungs- und Demethylierungsprodukte entstehen, die keine pharmakologische Aktivität mehr besitzen. Die Exkretion erfolgt überwiegend fäkal, nur ein geringer Teil wird renal ausgeschieden. Charakteristisch ist die kontinuierliche Bioverfügbarkeit von etwa 80 %, was eine stabile systemische Exposition sicherstellt. Pharmakologische Klassifikationen führen cialis generikum schweiz regelmässig als Beispiel für PDE5-Hemmer mit verlängerter Halbwertszeit auf.
Microsoft powerpoint - 010015.pptx
A trial to get GET Introduction In 1962,the first WHO control strategy for trachoma was implemented in the form of:
tetracycline eye ointment intermittent basis.
standardized trichiasis surgery.
health education . In 1998,the WHO Alliance for the Global Elimination of blinding Trachoma was established with mplementation implementation of strategy.
“S”:Surgery for trichiasis;
“A”:Antibiotics to treat C.trachomatis;
“F” F :Facial cleanliness;
“E”:Environmental improvement to reduce transmission.
Trachoma is an infectious disease responsible, at present for approximately 3% of the world s blindness blindness (WHO ,2010). To follow guidelines of GET Materials & methods
In a cross-sectional study,454 persons attending an ophthalmology campaign covering 4 villages in Abshaway district, Al- Fayoum governerate in 2007.
Complete ophthalmological examination &assessment were performed for any eye disease. Trachoma cases children incidence of trichiasis (fig.1) non-blind How did we try to get S:SURGERY
Trichiasis was corrected by the anterior lamellar recession .
Picking up of post trachomatis degeneration .
Electrolysis for one or two lashes . A:ANTIBIOTICS
YES (NOT MANY): AZITHROMYCIN
NO (THE MAJORITY): ERYTHROMYCIN ( systemic) CHLORAMPHENICOL (local eye F:FACIAL CLEANLINESS
We noticed that most of the normal people perform wod’ou 5 times daily.
HENCE, we advised the community to take care of their hygiene by regular performance of wod’ou 5 times daily with the assistance of soap if possible.
The eye is a precious jewel &so if you feel any discomfort wash your hands &your eyes with soap & clean water. E:ENVIRONMENT
The deteriorated infrastructure is beyond the capability of personal efforts to REconstruct. To be continued
North Branch Construction, Inc. 76 Old Turnpike Road Concord, NH 03301 (603) 224-3233 Fax (603) 225-7165 www.northbranch.net EMPLOYEE HANDBOOK Purpose of This Employee Handbook This Employee Handbook is intended to serve as a guideline, describing the basic personnel policies and practices ordinarily applied by North Branch Construction, Inc. This handbook is
municación eficaz con sus pacientes, los pa- Lo que crees que has cientes también deben ayudar al médico duran- dicho no es lo que te todo el proceso y aprender a preguntar y ex-presarse adecuadamente durante las consultas creen que has dicho. (ver como ejemplo el artículo en Health 1 quese cita en las referencias). Los efectos de los actos La comunicación sigue siendo un probl