La tétracycline, connue sous le nom commercial Sumycin, agit en bloquant la fixation de l’ARNt sur la sous-unité 30S ribosomale, interrompant l’élongation de la chaîne protéique bactérienne. Ce mécanisme confère une activité sur un spectre large, incluant bactéries Gram positives, Gram négatives, rickettsies et spirochètes. Sa biodisponibilité digestive varie selon la prise alimentaire et les interactions avec les ions divalents comme calcium et magnésium. Sa diffusion tissulaire est importante, notamment dans les voies respiratoires et génito-urinaires. L’élimination se fait par voie rénale et biliaire. Les effets indésirables incluent photosensibilisation, troubles digestifs et coloration dentaire en cas d’administration précoce. Les guides thérapeutiques mentionnent sumycin prix, en soulignant la nécessité de restreindre son utilisation afin de limiter les résistances acquises.
Levels of care
COMPU-TOOLS TEEN/ADOLESCENT (ASAM) CRITERIA WORKSHEET (11/01/2004) LEVELS OF LEVEL III CRITERIA OUTPATIENT TX INTENSIVE OUTPATIENT MEDICALLY MEDICALLY DIMENSIONS MONITORED MANAGE INPATIENT INPATIENT TX Responses Responses Responses Responses Withdrawal No withdrawal risk No overt symptoms of Risk of Withdrawal but Severe Withdrawal risk Potential withdrawal risk manageable Contract = Can quit on Contract = Can quit on own Contract = Needs Contract = Needs Assistance to quit Assistance to quit Results = Possible or Results = Definite Problem Results = Definite Results = Positive Probable Problem Psychological results Questionnaire = Questionnaire = Recent Responses = Limited Health = Poor Recent Abstinence Abstinence Abstinence Contract = Agrees to Contract = Agrees to Abstain Prescription Meds = Seizures Biomedical None or Stable None or non-distracting Require Medical (2.4) 24 Hour medical care Conditions Monitoring Prescription Meds – Prescription Meds – Non Prescription Meds – Prescription Meds – Non Chronic Problems Chronic Problems –may need Chronic Problems Chronic Problems to be monitored Responses = 0 Serious Responses = 0 Serious Health Responses = Late Stage Prescription Meds - Health symptoms symptoms Symptoms of use Seizures Questionnaire = Responses = Late Stage Unwilling to stop use Symptoms of use Health = Poor Meds = Antabuse Emotional or None or Stable Mild Severity Moderate Severity (3.4) 24 Hour Psychiatric care Behavioral Results = 0 Positive Results = 0 Positive Results = Positive Results = Positive Psychological results Psychological results Psychological Test Psychological Test Responses = 0 Violent Results = Positive Anti- Results = Positive Anti- Behaviors Social Test results Social Test results Results = Legal History Results = Life Area - Legal Responses = Violent Responses = Violent behaviors behaviors Questionnaire = History Responses = Suicidal of Psychological Thoughts/Actions problems Questionnaire = Suicide Treatment Willing to Cooperate/Needs Needs Structured Outpatient Needs 24 Hour Structure Acceptance Motivation Qualify for Contract = Agreed to 12 Contract = Agreed to Outpatient Tx Contract = Refusal to Step Program Participate Responses = Admits to Responses = Previous Intervention Results = Positive IQ Score Effort(s) Questionnaire = Prior Tx Results = Positive Anti- Social results Questionnaire = Prior Tx Able to maintain abstinence High likelihood of relapse Unable to abstain in Potential outpatient environment Qualify for Contract = Agreed to Contract = Refuses to Participate in Responses = Previous Monitoring/Case Monitoring Program Intervention Efforts Management Recovery Supportive Unsupportive Dangerous Environment Qualify for Contract = Agreed to 12 Responses = Social, Family Responses = Life Area – Step Program Environment Unsupportive Contract = Agreed to Responses = Family encourages use Responses = Social, Family Monitoring/Case or uses extensively Management Contract = Agreed to “non- Questionnaire = Victim of Abuse Responses = Family compliance” conditions encourages use Responses = Family and Questionnaire = CAST test Positive Questionnaire = CAST test Friends not users positive Questionnaire = Self Test Results = Risk Factors 1-3 Results = Risk Factors 4+ Positive Results = CAST test Negative DIRECTIONS FOR COMPUTING ASAM ORIGIN OF EVALUATION CRITERIA CRITERIA Compu-Tools Assessment results include data that will assist a Contract = Performance Contract Conditions that are developed when an individual agrees to change behaviors in accordance with Clinician in determining the appropriate ASAM admission criteria. the Contract. Information on the Contract relates to the individuals’ willingness, or lack thereof, to change behaviors. (See the Specific information can be used to provide a quantitative analysis of Performance Contract included with the Assessment results. criteria and, therefore, minimize subjective conclusions that might Questionnaire = Assessment information is gathered through the use of a printed, or computerized questionnaire. Some of the otherwise be necessary. There are approximately 75 symptoms that questions asked therein relate to ASAM Criteria. (See printed questionnaire) can be categorized and counted in accordance ASAM criteria and Results = Compu-Tools provide a broad range of assessment results that relate to several of the ASAM criteria. (See Summary Page Level of Treatment. of Assessment results) Responses = A summary of client responses to questions is presented with Compu-Tools results. Each response that is related to ASAM criteria is labeled with the appropriate Dimension and Treatment Level. (e.g. 1.1, 2.3, etc…) (Count answers by Category)
Finite groups in which primary subgroups have cyclic cofactors∗1. School of Math. and Informational Science, Shandong Institute of Business and Technology,2. Department of Mathematics, Zhejiang University, Hangzhou 310007, ChinaIn this paper, we prove the following theorem: Let G be a group, q be the largest prime divisorof |G| and π = π(G) \ {q}. Suppose that the factor group X/coreGX is
Giornata della Memoria 2014 Sabato 25 gennaio 2014 (ore 18,00 – precise) Real Albergo dei Poveri Piazza Carlo III° n. 1 - Napoli (presso Palestra Kodokan ) Psichiatria Democratica Dai campi e dagli shtelt Musica e oblio La musica klezmer ( tratto da “La musica klezmer per promuovere la pace”) La musica Klezmer accompagna da tempo “i pass