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Create a iframe in html: <iframe id=" pdf -iframe">. Then change the src of that iframe and on load , print it. $('# pdf -iframe').attr("src", ... plete symptom relief In other patients, a trial off proton pump inhibitors should be considered Patients with prolonged symptomatic remissions (over 3 months) may be treated effectively with intermittent 4- to 8-week courses of short-term proton pump inhibitor therapy Patients with prompt recurrence of symptoms (within 3 months) require long-term maintenance therapy with either a proton pump inhibitor or an H2-receptor antagonist The therapy should be stepped down to the lowest dose that is effective in controlling reflux symptoms The maintenance doses of proton pump inhibitors may escalate over time, with over 20% of patients eventually requiring double or triple doses of proton pump inhibitors to control symptoms 4 Extraesophageal reflux manifestations Establishing a causal relationship between gastroesophageal reflux and extraesophageal symptoms (eg, asthma, hoarseness, cough) can be difficult Although ambulatory esophageal pH testing can document the presence of increased acid esophageal reflux, it does not prove a causative connection A trial of a twice-daily proton pump inhibitor for 2 3 months helps determine whether these symptoms improve after acid suppression However, response to empiric antisecretory therapy does not prove that acid reflux is the causative factor, since response to placebo therapy is high 5 Unresponsive disease Approximately 10 20% of patients with gastroesophageal reflux symptoms do not respond to once-daily doses of proton pump inhibitors, and 5% do not respond to twice-daily doses or a change to a different proton pump inhibitor These patients undergo endoscopy prior to escalation of therapy The presence of active erosive esophagitis usually is indicative of inadequate acid suppression and can almost always be treated successfully with higher proton pump inhibitor doses (eg, omeprazole 40 mg twice daily) Truly refractory esophagitis may be caused by gastrinoma with gastric acid hypersecretion (Zollinger-Ellison syndrome), pill-induced esophagitis, resistance to proton pump inhibitors, and medical noncompliance Patients without endoscopically visible esophagitis should undergo esophageal pH monitoring to determine the amount of esophageal acid reflux and to assess whether the symptoms are acid related If the pH study shows a normal amount of acid reflux, treatment with a low-dose tricyclic antidepressant (eg, imipramine or nortriptyline 25 mg at bedtime) may be beneficial Where clinically available, impedance monitoring may be useful to document nonacid reflux. javascript print pdf library: How to print Pdf file through window. Print () ? | The ASP.NET Forums print pdf file using javascript without opening Print .js - Javascript library for HTML elements, PDF and image files ...
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... id="content">. 2. <h3>Hello, this is a H3 tag</h3>. 3. . 4. <p>a pararaph</p>. 5. </div>. 6. <div id="editor"></div>. 7. <button id="cmd">generate PDF </button>. below for dosing) However, generic H2-receptor antagonists are significantly less expensive than proton pump inhibitors and provide effective symptomatic relief in most patients with mild to moderate reflux symptoms Patients whose symptoms persist despite 6 weeks of standard doses of H2-receptor antagonist therapy should be treated with an oral proton pump inhibitor (once daily omeprazole or rabeprazole 20 mg, lansoprazole 30 mg, esomeprazole or pantoprazole 40 mg) The decision to prescribe proton pump inhibitors is based on the presence of persistent symptoms, not endoscopic findings Omeprazole 20 mg is now available both as an over-the-counter formulation and as a generic formulation available by prescription In those who achieve good symptomatic relief with either an H2-receptor antagonist or a proton pump inhibitor, therapy should be discontinued after 8 12 weeks Patients whose symptoms relapse may be treated with either continuous therapy, intermittent 2 4 week courses, or on demand therapy (ie, drug taken until symptoms abate) depending on symptom frequency and patient preference Many patients have their symptoms controlled adequately with intermittent or on demand courses of therapy rather than continuous maintenance treatment 3 Severe symptoms and erosive disease For patients with severe symptoms and for patients who undergo endoscopy and have documented erosive esophagitis, Barrett s esophagus, or peptic stricture, the optimal initial therapy is an oral proton pump inhibitor (omeprazole or rabeprazole 20 mg, lansoprazole 30 mg, pantoprazole or esomeprazole 40 mg) once daily Proton pump inhibitors given once daily provide symptom relief and healing of esophagitis in over 80% and given twice daily provide relief in over 95% of patients compared with under 50% with standard doses of H2-receptor antagonists and are therefore the drugs of choice for severe or erosive disease Because there appears to be little difference between these agents in efficacy or side effect profiles, the choice of agent is determined by cost Esomeprazole, the S-isomer of omeprazole, provides slightly greater inhibition of 24-hour gastric acidity than the other agents, resulting in a small (4%) improvement in esophagitis healing rates compared with other proton pump inhibitors Approximately 10 20% of patients fail to achieve symptom relief with a once-daily dose within 2 4 weeks and require a higher dosage (twice-daily) proton pump inhibitor Therefore, some recommend initiating therapy with a twice-daily dose of proton pump inhibitor, reducing therapy after 2 4 weeks to a once-daily dose The initial course of therapy is usually 8 12 weeks As tissue healing correlates well with symptom resolution, repeat endoscopy is warranted in patients only if they do not respond to once-daily or twicedaily proton pump inhibitor therapy After discontinuation of proton pump inhibitor therapy, relapse of symptoms occurs in 80% of patients within 1 year the majority of relapses occurring within the first 3 months Therefore, long-term therapy to maintain symptom remission is required in most but not all patients Patients with severe erosive esophagitis, Barrett s esophagus, or peptic stricture should be maintained on long-term therapy with a proton pump inhibitor at a dose sufficient to provide com-. javascript print pdf object Load PDF into iframe and call print — SitePoint
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