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2 Aug 2018 ... A personal project I'm currently working on involves turning a styled HTML node tree into a printable PDF asset on client side. I will share with ...

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1 Upper endoscopy Upper endoscopy is the study of choice to diagnose gastroduodenal ulcers, erosive esophagitis, and upper gastrointestinal malignancy Upper endoscopy is indicated to look for gastric cancer or other serious organic disease in all patients over age 55 years with newonset dyspepsia and in all patients with alarm features such as weight loss, dysphagia, recurrent vomiting, evidence of bleeding, or anemia It is also helpful for patients who are concerned about serious underlying disease For patients born in regions in which there is a higher incidence of gastric cancer, an age threshold of 45 years may be appropriate 2 Empiric management In patients younger than 55 years with uncomplicated dyspepsia (in whom gastric cancer is rare), initial noninvasive management strategies should be pursued In most clinical settings, a noninvasive test for H pylori (IgG serology, fecal antigen test, or urea breath test) should be performed first Although serologic tests are inexpensive, performance characteristics are poor in low-prevalence populations If test results are negative in a patient not taking NSAIDs, peptic ulcer disease is virtually excluded Most of these H pylori negative patients have functional dyspepsia or atypical gastroesophageal reflux disease and can be treated with an antisecretory agent (proton pump inhibitor) for 4 weeks For patients who have symptom relapse after discontinuation of the proton pump inhibitor, intermittent or long-term proton pump inhibitor therapy may be considered For patients in whom test results are positive for H pylori, antibiotic therapy proves definitive for over 90% of peptic ulcers and may improve symptoms in a small subset (< 10%) of infected patients with functional dyspepsia Patients with persistent dyspepsia after H pylori eradication can be given a trial of proton pump inhibitor therapy In clinical settings in which the prevalence of H pylori infection in the population is low (< 10%), it may be more costeffective to initially treat all young patients with uncomplicated dyspepsia with a 4-week trial of a proton pump inhibitor Patients who have symptom relapse after discon-.



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How to Use JavaScript to Print a PDF | Techwalla.com
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Most patients have mild, intermittent symptoms that respond to reassurance and lifestyle changes Alcohol, caffeine, and fatty foods should be reduced or discontinued A food diary, in which patients record their food intake, symptoms, and daily events, may reveal dietary or psychosocial precipitants of pain





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Drugs have demonstrated limited efficacy in the treatment of functional dyspepsia One-third of patients derive relief from placebo Antisecretory therapy for 2 4 weeks with proton pump inhibitors (omeprazole, esomeprazole, or rabeprazole 20 mg, lansoprazole 30 mg, or pantoprazole 40 mg) may benefit 10 15% of patients, particularly those with dyspepsia and heartburn ( reflux-like dyspepsia ) Low doses of antidepressants (eg, desipramine or nortriptyline, 10 50 mg at bedtime) are believed to benefit some patients, possibly by moderating visceral afferent sensitivity However, side effects are common and response is patient specific Doses should be increased slowly The prokinetic agent metoclopramide (5 10 mg three times daily) may improve symptoms, but improvement does not correlate with the presence or absence of gastric emptying delay Long-term metoclopramide use is associated with a high incidence of neuropsychiatric side effects and cannot be recommended Recently, a randomized, placebo-controlled study has demonstrated efficacy of the novel prokinetic agent itopride in the treatment of functional dyspepsia This agent enhances the release of gastric acetylcholine through dual inhibition of D2 receptors and acetylcholinesterase This agent is not yet available in the United States The prokinetic agent tegaserod has been withdrawn from the US market by the Food and Drug Administration (FDA)

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Figure 15-2 An EXFO AXS-100 OTDR (photo courtesy of EXFO)

A meta-analysis has suggested that a small number of patients (< 10%) derive benefit from H pylori eradication therapy

Psychotherapy and hypnotherapy may be of benefit in selected motivated patients Herbal therapies (peppermint, caraway) may offer benefit with little risk of adverse effects

Gupta S et al Management of nonsteroidal, anti-inflammatory, drug-associated dyspepsia Gastroenterology 2005 Nov;129(5): 1711 9 [PMID: 16285968] Holtmann G et al A placebo-controlled trial of itopride in functional dyspepsia N Engl J Med 2006 Feb 23;354(8):832 40 [PMID: 16495395] Jarbol DE et al Proton pump inhibitor or testing for Helicobacter pylori as the first step for patients presenting with dyspepsia A cluster-randomized trial Am J Gastroenterol 2006 Jun;101 (6):1200 8 [PMID: 16771937] Moayyedi P et al Can the clinical history distinguish between organic and functional dyspepsia JAMA 2006 Apr 5;295(13): 1566 76 [PMID: 16595759] Talley NJ et al; American Gastroenterological Association American Gastroenterological Association Medical Position Statement: Evaluation of dyspepsia Gastroenterology 2005 Nov;129(5):1753 5 [PMID: 16285970] Talley NJ et al; Practice Parameters Committee of the American College of Gastroenterology Guidelines for the management of dyspepsia Am J Gastroenterol 2005 Oct;100(10):2324 37 [PMID: 16181387] Torpy JM et al JAMA patient page Dyspepsia JAMA 2006 Apr 5;295(13):1612 [PMID: 16595768] Veldhuyzen van Zanten S et al Esomeprazole 40 mg once a day in patients with functional dyspepsia: the randomized, placebo-controlled ENTER trial Am J Gastroenterol 2006 Sep;101(9):2096 106 [PMID: 16817845]

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be stimulated by drugs and chemotherapeutic agents, toxins, hypoxia, uremia, acidosis, and radiation therapy Although the causes of vomiting are many, a simplified list is provided in Table 14 1 Complications of vomiting include dehydration, hypokalemia, metabolic alkalosis, aspiration, rupture of the esophagus (Boerhaave s syndrome), and bleeding secondary to a mucosal tear at the gastroesophageal junction (Mallory-Weiss syndrome)

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How to Print a PDF Document using JavaScript - Encodedna
Usually, we download a PDF file on our computer, open the file and click the print button to print its contents. However, you can easily print a PDF document directly from your web page using JavaScript .

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Load PDF into iframe and call print — SitePoint
javascript ; October 20, 2013; By Sam Deering. Load PDF into iframe and call print . Code snippet to Load PDF into iframe and call print . Also see: 10 JQUERY  ...












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