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Dec 22, 2017 · Generating PDF file format in client-side JavaScript is now trivial with a great library we have probably heard of. The library allows you to select ... 1 Graves ophthalmopathy The risk of having a flare of ophthalmopathy following 131I treatment for hyperthyroidism is about 6% for nonsmokers and 23% for smokers Graves ophthalmopathy can also be aggravated by thiazolidinediones (eg, pioglitazone, rosiglitazone); these oral diabetic agents are best avoided or withdrawn in patients with Graves disease For acute, progressive exophthalmos, intravenous methylprednisolone, begun promptly, is superior to oral prednisone, possibly due to improved compliance Methylprednisolone is given intravenously, 500 mg weekly for 6 weeks, then 250 mg weekly for 6 weeks If oral prednisone is chosen for treatment, it must be given promptly in daily doses of 40 60 mg/d orally, with dosage reduction over several weeks Higher initial prednisone doses of 80 120 mg/d are used when there is optic nerve compression Prednisone alleviates eye symptoms in 64% of nonsmokers, but only 14% of smokers respond well Progressive active exophthalmos may be treated with retrobulbar radiation therapy using a supervoltage linear accelerator (4 6 MeV) to deliver 20 Gy over 2 weeks to the extraocular muscles, avoiding the cornea and lens Prednisone in high doses is given concurrently Patients who respond well to orbital radiation include those with signs of acute inflammation, recent exophthalmos (< 6 months), or optic nerve compression Patients with chronic proptosis and orbital muscle restriction respond less well Retrobulbar radiation does not cause cataracts or tumors; however, it can cause radiation-induced retinopathy (usually subclinical) in about 5% of patients overall, mostly in diabetics For severe cases, orbital decompression surgery may save vision, though diplopia often persists postoperatively General eye protective measures include wearing glasses to protect the protruding eye and taping the lids shut during sleep if corneal drying is a problem Methylcellulose drops and gels ( artificial tears ) may also help Tarsorrhaphy or canthoplasty can frequently help protect the cornea and provide improved appearance Hypothyroidism and hyperthyroidism must be treated promptly 2 Cardiac complications a Sinus tachycardia Treatment consists of treating the thyrotoxicosis A -blocker (as described above) such as. create pdf from base64 string javascript: Is it possible to generate PDF using jQuery ? - Stack Overflow javascript pdf generator media - How can I convert first page of a pdf as its thumbnail ...
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