Breastfed infants develop a probiotic-rich gut microflora with less pathogenic bacteria, compared with formula-fed individuals. This effect has been considered one of the mechanisms that decreases the rate of infectious diarrhea in breastfed infants. It has been demonstrated recently that human milk is a source of lactic acid bacteria for the infant gut.

Infant and follow-up formulas supplemented with probiotics are currently marketed in several countries, aiming to mimic some of the beneficial effects of human milk.

Infants and children attending child care centers demonstrate a higher risk of respiratory and gastrointestinal infections. Several clinical studies have documented the efficacy of probiotic agents in the prevention and treatment of diarrhea, mainly of viral etiology.However, only a few studies have been published on the ability of these agents to prevent infectious illnesses in infants and children attending child care. Two of these studies used only 1 strain of a probiotic bacteria, and 1 study used a lysis extract obtained from 8 types of bacteria.

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Effect of a Probiotic Infant Formula on Infections in Child Care Centers: Comparison of Two Probiotic Agents

Zvi Weizman, MD, Ghaleb Asli, MD and Ahmed Alsheikh, MD

From the Pediatric Gastroenterology and Nutrition Unit, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University, Beer-Sheva, Israel

Objective. To investigate the effect of 2 different species of probiotics in preventing infections in infants attending child care centers.

Methods. A double-blind, placebo-controlled, randomized trial was conducted from December 1, 2000, to September 30, 2002, at 14 child care centers in the Beer-Sheva area of Israel in healthy term infants 4 to 10 months old. Infants were assigned randomly to formula supplemented with Bifidobacterium lactis (BB-12), Lactobacillus reuteri (American Type Culture Collection 55730), or no probiotics. Duration of feeding, including follow-up, for each participant was 12 weeks. All infants were fed only the assigned formula and were not breastfed due to parental decision before recruitment to the study. Probiotic or prebiotic food products or supplements were not allowed. Main outcome measures were number of days and number of episodes with fever (>38°C) and number of days and number of episodes with diarrhea or respiratory illness.

Results. Participants (n = 201) were similar regarding gestational age, birth weight, gender, and previous breastfeeding. The controls (n = 60), compared with those fed B lactis (n = 73) or L reuteri (n = 68), had significantly more febrile episodes (mean [95% confidence interval]: 0.41 [0.28–0.54] vs 0.27 [0.17–0.37] vs 0.11 [0.04–0.18], respectively). The controls also had more diarrhea episodes (0.31 [0.22–0.40] vs 0.13 [0.05–0.21] vs 0.02 [0.01–0.05], respectively) and episodes of longer duration (0.59 [0.34–0.84] vs 0.37 [0.08–0.66] vs 0.15 [0.12–0.18] days, respectively). The L reuteri group, compared with BB-12 or controls, had a significant decrease of number of days with fever, clinic visits, child care absences, and antibiotic prescriptions. Rate and duration of respiratory illnesses did not differ significantly between groups.

Conclusions. Child care infants fed a formula supplemented with L reuteri or B lactis had fewer and shorter episodes of diarrhea, with no effect on respiratory illnesses. These effects were more prominent with L reuteri, which was also the only supplement to improve additional morbidity parameters.

Key Words: probiotics • infant formula • child care • infections

Abbreviations: BB-12, Bifidobacterium lactis • CFU, colony-forming units

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ARTICLE

Probiotic Effects on Cold and Influenza-Like Symptom Incidence and Duration in Children

Gregory J. Leyer, PhD^a, Shuguang Li, MS^b, Mohamed E. Mubasher, PhD^c, Cheryl Reifer, PhD^d and Arthur C. Ouwehand, PhD^e

^a Department of Research and Development, Danisco, Madison, Wisconsin
^b Department of Preventive Medicine, Medical College of Tongji University, Shanghai, China
^c Department of Biostatistics, School of Public Health, University of Texas at Houston, Dallas Regional Campus, Dallas, Texas
^d Department of Scientific Affairs, SPRIM USA, Frisco, Texas
^e Department of Research and Development, Danisco, Kantvik, Finland

OBJECTIVE: Probiotic consumption effects on cold and influenza-like symptom incidence and duration were evaluated in healthy children during the winter season.

METHODS: In this double-blind, placebo-controlled study, 326 eligible children (3–5 years of age) were assigned randomly to receive placebo (N = 104), Lactobacillus acidophilus NCFM (N = 110), or L acidophilus NCFM in combination with Bifidobacterium animalis subsp lactis Bi-07 (N = 112). Children were treated twice daily for 6 months.

RESULTS: Relative to the placebo group, single and combination probiotics reduced fever incidence by 53.0% (P = .0085) and 72.7% (P = .0009), coughing incidence by 41.4% (P = .027) and 62.1% (P = .005), and rhinorrhea incidence by 28.2% (P = .68) and 58.8% (P = .03), respectively. Fever, coughing, and rhinorrhea duration was decreased significantly, relative to placebo, by 32% (single strain; P = .0023) and 48% (strain combination; P < .001). Antibiotic use incidence was reduced, relative to placebo, by 68.4% (single strain; P = .0002) and 84.2% (strain combination; P < .0001). Subjects receiving probiotic products had significant reductions in days absent from group child care, by 31.8% (single strain; P = .002) and 27.7% (strain combination; P < .001), compared with subjects receiving placebo treatment.

CONCLUSION: Daily dietary probiotic supplementation for 6 months was a safe effective way to reduce fever, rhinorrhea, and cough incidence and duration and antibiotic prescription incidence, as well as the number of missed school days attributable to illness, for children 3 to 5 years of age.

Key Words: Lactobacillus acidophilus NCFM • Bifidobacterium animalis subsp lactis Bi-07 • antibiotic usage • upper respiratory infections • colds • influenza • probiotics

Abbreviations: CFU—colony-forming unit • OR—odds ratio

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ARTICLE

Gastrointestinal Symptoms in Children With Type 1 Diabetes Screened for Celiac Disease

Priya Narula, MD, MBBS, DNB, MRCPCH^a, Lesley Porter, AMSPAR^b, Josephine Langton, MBChB^a, Veena Rao, MBBS, DCH, MRCPCH^a, Paul Davies, PhD, MSc, BSc^c, Carole Cummins, PhD, MSc, BA^c, Jeremy Kirk, MD, FRCP, FRCPCH^b, Timothy Barrett, PhD, MB, BS, MRCP, FRCPCH, DCH^b and Susan Protheroe, MD, MBChB, FRCPCH^a

 [Abstract] [Full text] [PDF] [Request Permissions]

^a Departments of Gastroenterology
^b Endocrinology
^c Research and Development, Birmingham Children’s Hospital, Birmingham, United Kingdom

BACKGROUND: The association between celiac disease (CD) and type 1 diabetes mellitus (DM) is recognized. Most cases of CD in patients with DM are reported to be asymptomatic.

OBJECTIVES: The objectives of this study were to (1) compare and audit our practice with the published standards for screening for CD in children with DM, (2) characterize the children with DM and biopsy-confirmed CD, in terms of growth and gastrointestinal symptoms, and compare them with children with DM and negative celiac serology, and (3) document the effects of a gluten-free diet (GFD) after 1 year of gastrointestinal symptoms, growth, and insulin requirement.

METHOD: We performed a retrospective case-note review of 22 children with DM, positive celiac serology ± biopsy-confirmed CD, and 50 children with DM and negative celiac serology.

RESULTS: Twenty-two children (3.9% of the total diabetic population) had positive celiac serology on screening, with 17 (3%) having biopsy-confirmed CD. Ninety-four percent of the children had standardized celiac serology testing. At diagnosis of CD, 13 of the 17 biopsy-positive children (76.4%) had 1 gastrointestinal symptom. The frequency of gastrointestinal symptoms in negative celiac serology diabetic children was 6% (3 of 50) (P < .0005). Symptoms resolved in all children after introduction of a GFD. A significant improvement in weight SD score (P = .008) and BMI SD score (P = .02) was noted in those compliant with a GFD after 1 year.

CONCLUSIONS: Children with DM and CD have a higher frequency of gastrointestinal symptoms than their diabetic peers with negative celiac serology and are not truly asymptomatic. Institution of a GFD has a positive effect on nutritional status and symptom resolution in the short-term.

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• Verkasalo MA, Raitakari OT, Viikari J, et al. Undiagnosed silent coeliac disease: a risk for underachievement? Scand J Gastroenterol. 2005;40 (12):1407 –1412[CrossRef][Web of Science][Medline]
• Pynnönen PA, Isometsa ET, Verkasalo MA, et al. Untreated celiac disease and development of mental disorders in children and adolescents. Psychosomatics. 2002;43 (4):331 –334[CrossRef][Web of Science][Medline]
• Pynnönen PA, Isometsa ET, Aronen ET, et al. Mental disorders in adolescents with celiac disease. Psychosomatics. 2004;45 (4):325 –335[CrossRef][Web of Science][Medline]
• Dretzke J, Cummins C, et al. Autoantibody testing in children with newly diagnosed type 1 diabetes mellitus. Health Technol Assess. 2004;8 (22):1 –183[Medline]
• National Institute for Clinical Excellence. Type 1 Diabetes: Diagnosis and Management of Type 1 Diabetes in Children and Young People. London, United Kingdom: National Institute for Clinical Excellence; September 2004
• Sanchez-Albisua I, Wolf J, Neu A, Geiger H, Wäscher I, Stern M. Coeliac disease in children with type 1 diabetes mellitus: the effect of the gluten-free diet. Diabet Med. 2005;22 (8):1079 –1082[CrossRef][Web of Science][Medline]
• Rami B, Sumnik Z, Schober E, et al. Screening detected celiac disease in children with type 1 diabetes mellitus: effect on the clinical course (a case control study). J Pediatr Gastroenterol Nutr. 2005;41 (3):317 –321[CrossRef][Web of Science][Medline]
• Amin R, Murphy N, Edge J, et al. A longitudinal study of the effects of a gluten-free diet on glycemic control and weight gain in subjects with type 1 diabetes and celiac disease. Diabet Care. 2002;25 (7):1117 –1122[Abstract/Free Full Text]
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• Goh C, Banerjee K. Prevalence of coeliac disease in children and adolescents with type 1 diabetes mellitus in a clinic based population. Postgrad Med J. 2007;83 (976):132 –136[Abstract/Free Full Text]
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Adenosine modulates oesophageal sensorimotor function in humans

J M Remes-Troche, P Chahal, R Mudipalli, and S S C Rao

Gut 2009; 58: 1049-1055.
Published Online First: 19 February 2008. doi:10.1136/gut.2006.116699

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Dysfunction of the longitudinal muscles of the oesophagus in eosinophilic oesophagitis

H Korsapati, A Babaei, V Bhargava, R Dohil, A Quin, and R K Mittal

Gut 2009; 58: 1056-1062.
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Collagen type III alpha I is a gastro-oesophageal reflux disease susceptibility gene and a male risk factor for hiatus hernia

B Åsling, J Jirholt, P Hammond, M Knutsson, A Walentinsson, G Davidson, L Agreus, A Lehmann, and M Lagerström-Fermer

Gut 2009; 58: 1063-1069.
Published Online First: 26 April 2009. doi:10.1136/gut.2008.167353

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Small intestine:

Structural and functional changes of the duodenum in human norovirus infection

H Troeger, C Loddenkemper, T Schneider, E Schreier, H-J Epple, M Zeitz, M Fromm, and J-D Schulzke

Gut 2009; 58: 1070-1077.
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Coeliac disease-associated risk variants in TNFAIP3 and REL implicate altered NF-B signalling

G Trynka, A Zhernakova, J Romanos, L Franke, K A Hunt, G Turner, M Bruinenberg, G A Heap, M Platteel, A W Ryan, C de Kovel, G K T Holmes, P D Howdle, J R F Walters, D S Sanders, C J J Mulder, M L Mearin, W H M Verbeek, V Trimble, F M Stevens, D Kelleher, D Barisani, M T Bardella, R McManus, D A van Heel, and C Wijmenga

Gut 2009; 58: 1078-1083.
Published Online First: 24 February 2009. doi:10.1136/gut.2008.169052

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Neurogastroenterology:

Full-thickness biopsy findings in chronic intestinal pseudo-obstruction and enteric dysmotility

G Lindberg, H Törnblom, M Iwarzon, B Nyberg, J E Martin, and B Veress

Gut 2009; 58: 1084-1090.
Published Online First: 9 January 2009. doi:10.1136/gut.2008.148296

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Inflammatory bowel disease:

Changes in gut microbiota control inflammation in obese mice through a mechanism involving GLP-2-driven improvement of gut permeability

P D Cani, S Possemiers, T Van de Wiele, Y Guiot, A Everard, O Rottier, L Geurts, D Naslain, A Neyrinck, D M Lambert, G G Muccioli, and N M Delzenne

Gut 2009; 58: 1091-1103.
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A new animal model of postsurgical bowel inflammation and fibrosis: the effect of commensal microflora

R J Rigby, M R Hunt, B P Scull, J G Simmons, K E Speck, M A Helmrath, and P K Lund

Gut 2009; 58: 1104-1112.
Published Online First: 26 April 2009. doi:10.1136/gut.2008.157636

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Magnetic resonance for assessment of disease activity and severity in ileocolonic Crohn’s disease

J Rimola, S Rodriguez, O García-Bosch, I Ordás, E Ayala, M Aceituno, M Pellisé, C Ayuso, E Ricart, L Donoso, and J Panés

Gut 2009; 58: 1113-1120.
Published Online First: 9 January 2009. doi:10.1136/gut.2008.167957

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Polymorphisms in E-cadherin (CDH1) result in a mis-localised cytoplasmic protein that is associated with Crohn’s disease

A M Muise, T D Walters, W K Glowacka, A M Griffiths, B-Y Ngan, H Lan, W Xu, M S Silverberg, and D Rotin

Gut 2009; 58: 1121-1127.
Published Online First: 26 April 2009. doi:10.1136/gut.2008.175117

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Colon:

Screening colonoscopy for the detection of neoplastic lesions in asymptomatic HIV-infected subjects

E J Bini, B Green, and M A Poles

Gut 2009; 58: 1129-1134.
Published Online First: 16 March 2009. doi:10.1136/gut.2008.165985

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Clinical Anatomy_ Applied Anatomy for Students and Junior Doct.pdf

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CARDIOLOGY
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CLINICAL EPIDEMIOLOGY
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Evidence-based Medicine Workbook.pdf

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Ferri’s Clinical Advisor 2004 – Instant Diagnosis and Treatment. 6th edition.pdb
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Pocket_Atlas_of_Human_Anatomy__H._Feneis__W._Dauber._4th_Ed._2000_.pdf
Pocket guide to diagnostic tests.chm
Stedman’s Electronic Medical Dictionary 6th Edition.pdf
Colour Atlas of Anatomical Pathology.pdf
Glossary of Biotechnology Terms, Third Edition.pdf
Clinical Neuropathology Text and Color Atlas.pdf
An Atlas Of Back Pain.pdf
An Atlas of Headache.maxiwarez.pdf
Atlas of Clinical Diagnosis 2nd Ed (2003).pdf
Henry Clinical Diagnosis and Management by Laboratory Methods 21st ed.chm

FLASH CARDS
- ANATOMY (NETTER)
- ANATOMY (ROHEN’S)
- PATHOLOGY
- PHARMACOLOGY

ABC SERIES

ABC of AIDS.pdf
ABC of Antenatal Care.pdf
ABC of Antithrombotic Therapy.pdf
ABC of Arterial and Venous Disease.pdf
ABC of Burns.pdf
ABC of Clinical Electrocardiography.pdf
ABC of Clinical Genetics.pdf
ABC of Clinical Haematology.pdf
ABC of Colorectal Cancer.pdf
ABC of Conflict and Disaster.pdf
ABC of Dermatology.pdf
ABC of Diabetes.pdf
ABC of Eyes.pdf
ABC of First Year.pdf
ABC of Heart failure.pdf
ABC of Intensive Care.pdf
ABC of Interventiona Cardiology 2004.pdf
ABC of Learning Teaching Medicine.pdf
ABC of Nutrition, 4th Edition.pdf
ABC of Occupational and Environmental Medicine.pdf
ABC of Preterm Birth.pdf
ABC of Psychological Medicine.pdf
ABC of Resuscitation.pdf
ABC of Sexually Transmitted Infections.pdf
ABC of Spinal Cord Injury 4th Ed.pdf
ABC of Subfertility.pdf
ABC of the Liver Pancreas and Gall Bladder.pdf
ABC of the Upper Gastrointestinal.pdf

—————————————————————
US MLE REVIEW SERIES

anatomy.pdf
basic epidemiology -beaglehole,bonita.pdf
behavioral sciences.pdf
beyond basic resp.pdf
biochemistry.pdf
clinical anatomy 11ed.pdf
clinical epidimiology -robert fletcher.pdf
kaplan lecture notes.pdf
lecture on visuals.pdf
microbiology,immunology.pdf
pathology.pdf
pharmacology.pdf
physiology.pdf
principles of epidemiology.pdf
Qbook.pdf
upper extremities cadaver pics.pdf
kaplan medical timeline.pdf

OTHERS:

1. Journal Medical Passwords 2003.pdf
——————————————————
1. Anatomy.tv – Anatomy Study Guides.chm
2. Cranial_Nerves_Functional_Anatomy.pdf
3. Outline of Biology – Fried, George H..pdf
——————————————————
1. Gray’s Anatomy for Students.chm
2. Chest Radiology The Essentials, 2nd Edition.CHM
3. Clinical Anatomy by Regions – 8th Ed.CHM
4. Grant’s Dissector.pdf
5. Clinical Radiology Made Ridiculously Simple (MedMaster Series 2003 Ed
6. Clinical Anatomy_ Applied Anatomy for Students and Junior Doct.pdf
7. The Medical Student’s Guide to the Plain Chest Film.pdf
——————————————————
1. Clinical Interviewing 3rd edition.pdf
2. What They Didnt Teach You at Medical School.pdf
3. Medical English.pdf
4. Medical Law and Moral Rights (Springer, 2005).pdf
5. Neuroethics.pdf
——————————————————
1. Ferri’s Clinical Advisor 2008_ Instant Diagnosis and Treatment.CHM
2. Current Medical Diagnosis & Treatment 2007, 46th Ed.chm
3. Handbook of Neurology.CHM
4. Professional Guide to Signs and Symptoms – 5th Ed.chm
5. Colour Atlas of Anatomical Pathology.pdf
6. Glossary of Biotechnology Terms, Third Edition.pdf
7. Clinical Neuropathology Text and Color Atlas.pdf
8. An Atlas Of Back Pain.pdf
9. An Atlas of Headache.maxiwarez.pdf
10. Atlas of Clinical Diagnosis 2nd Ed (2003).pdf
11. Atlas of functional neuroanatomy 2nd ed.pdf
12. Kahle, Color Atlas of Human Anatomy, vol 3 (2003).pdf
13. Neuroanatomy An Atlas of Structures, Sections, and Systems – Duane E. Haines.pdf
14. Pocket Atlas of Echocardiography.pdf
15. Pocket Atlas Of Radiographic Anatomy 2d ed – Torsten B. Moller, Emil Reif.pdf
16. Pocket_Atlas_of_Human_Anatomy__H._Feneis__W._Dauber._4th_Ed._2000_.pdf
17. Stedman’s Electronic Medical Dictionary 6th Edition.pdf
——————————————————
1. Skill 01[1].Temperature..pdf
2. Skill 02[1]..Pulse.pdf
3. Skill 03[1]..Respiration.pdf
4. Skill 04[1]..Blood Pressure.pdf
5. Skill 05[1]..Pulse Oximetry.pdf
6. Skill 06[1]..Capillary Blood Draw.pdf
7. Skill 07[1]..Venipuncture.pdf
8. Skill 08[1]..Blood Draw from a Central Venous Catheter.pdf
9. Skill 09[1]..Nasopharyngeal Swab.pdf
10. Skill 10[1]..Throat Culture.pdf
11. Skill 11[1]..Collection of Stool Specimen.pdf
12. Skill 12[1]..Collection of Urine Specimen.pdf
13. Skill 13[1]..Collection of a Midstream.pdf
14. Skill 14[1]..Assisting with Child during Bone Marrow.pdf
15. Skill 15[1]..Assisting with Child during Lumbar Puncture.pdf
16. Skill 16[1]..Assisting with Collection of Cerebrospinal.pdf
17. Skill 17[1]..Sponge Bath.pdf
18. Skill 18[1]..Insertion of a Peripheral IV Line.pdf
19. Skill 19[1]..Dressing Change Central Venous Line.pdf
20. Skill 20[1]..Insertion of a Nasogastric Tube.pdf
21. Skill 21[1]..Management of Gastrointestinal Suction.pdf
22. Skill 22[1]..Nasogastric Tube Irrigation.pdf
23. Skill 23[1]..Nasogastric Tube Lavage.pdf
24. Skill 24[1]..Administration of a Bolus Feeding.pdf
25. Skill 25[1]..Administration of NG, NJ, Gastrostomy and.pdf
26. Skill 26[1]..Changing a Fecal Ostomy Appliance.pdf
27. Skill 27[1]..Emptying an Ostomy Pouch.pdf
28. Skill 28[1]..Administration of Enemas.pdf
29. Skill 29[1]..Urinary Catheterization.pdf
30. Skill 30[1]..Petaling a Cast.pdf
31. Skill 31[1]..Pin Site Care.pdf
32. Skill 32[1]..Care of the Child in an External Fixation.pdf
33. Skill 33[1]..Pin Care, External Fixation Device.pdf
34. Skill 34[1]..EVD Maintaining System at Correct Level and Functioning.pdf
35. Skill 35[1]..EVD Client Assessment.pdf
36. Skill 36[1]..EVD Monitoring Cerebrospinal Fluid (CSF).pdf
37. Skill 37[1]..EVD Changing the Drainage Bag.pdf
38. Skill 38[1]..EVD General Nursing Care and Safety.pdf
39. Skill 39[1]..Assisting with Chest Tube Insertion.pdf
40. Skill 40[1]..Preparing the Chest Tube Drainage System.pdf
41. Skill 41[1]..Care of the Child with a Chest Tube.pdf
42. Skill 42[1]..Assisting with Removal of Chest Tube.pdf
43. Skill 43[1]..Oxygen Administration.pdf
44. Skill 44[1]..Bulb Suctioning.pdf
45. Skill 45[1]..Nasotracheal Suctioning.pdf
46. Skill 46[1]..Tracheostomy Monitoring.pdf
47. Skill 47[1]..Tracheostomy Tube Change.pdf
48. Skill 48[1]..Tracheostomy Tube.pdf
49. Skill 49[1]..Tracheostomy Suctioning.pdf
50. Skill 50[1]..Endotracheal Tube Monitoring (ETT).pdf
——————————————————

Churchill Livingstone – 2001 – Grainger & Allison’s Diagnostic Radiology. A Textbook of Medical I.pdb
Classifications and Scores of the Shoulder – Habermeyer.pdf
Clinical Examination of Musculoskeletal System – Assessing Rheumatic Conditions.pdf
Clinical Interviewing.pdf
Clinical Orthopaedic Examination, Fifth Edition (2004).pdf
Clinical Tests for the Musculoskeletal System.pdf
Clinical.Anatomy.11ed.1405138041.Oct.2006.pdf
Clinical.Knowledge.Management.Opportunities.and.Challenges.pdf
clinical_evidence_vol_10.pdb
clinical_evidence_vol_9.pdb
clinical_laboratory_medicine_-_clinical_applications.pdb
Clinician’s Pocket Reference_0838515525.pdf
Color Atlas of Pharmacology.pdf
Color Atlas of Physiology.pdf
Common Symptom Answer Guide.pdf
Complementary Therapies in Neurology.pdf
Comprehensive Management of Chronic Obstructive Pulmonary Disease (2002) – COPD.iso
Core Topics in Pain.pdf
Cranial Nerves Functional Anatomy (2005).pdf
Current Diagnosis & Treatment in Orthopedics 3rd ed.pdb
Current Medical Diagnosis & Treatment, 2005 full pic.pdb
DeLee and Drez’s – Orthopaedic Sports Medicine. Editor DeLee (2nd Ed. 2003).pdb
Differential Diagnosis in Neurology and Neurosurgery.pdf
Drawing the Line. Art Therapy with the Difficult Client.pdf
Dynamics_of_Human_Gait.pdf
Electrodiagnosis in Diseases of Nerve and Muscle – Principles and Practice.chm
Elsevier’s Medical Terminology for the Practicing Nurse (1998).pdf
Encyclopedia of Infectious Diseases.pdf
Essentials of Complementary and Alternative Medicine.pdf
Essentials_of_Physical_Medicine_and_Rehabilitation.pdb
Evaluation of the Low Back Pain Practice Guideline Implementation in the Army.pdf
Evidence Based Practice in Primary Care [ILLUSTRATED].pdf
Evidence-Based Imaging – Optimizing Imaging in Patient Care.pdf
Evidence-based Medicine Workbook.pdf
evidence_base_of_clinical_diagnosis.pdf
Exercise Leadership in Cardiac Rehabilitation – An Evidence-based Approach – 0470019719.pdf
Ferri’s Clinical Advisor 2004 – Instant Diagnosis and Treatment. 6th edition.pdb
Foundations of Sport-Related Brain Injuries.pdf
Fractures_Classification_in_Clinical_Practice__2006_.pdf
Fractures_in_children_5ed.pdb
Functional Neuroanatomy of Pain.pdf
General Practice, 3rd Edition (J. Murtagh).pdb
Geriatric Medicine An Evidence-based Approach.pdf
Hand Bone Age.pdf
Handbook of couples therapy.pdf
Healing or Stealing. Medical Charlatans in the New Age.pdf
Healing_Back_Pain_The_Mind.pdf
How to Present at Meetings 2001.pdf
How to Read a Paper.pdf
Human Biology_0071218068.pdf
Human Body Dynamics – classical mechanics and human movement – A.Tozeren.pdf
Image-guided spine interventions.pdf
Information Technologies in Medicine – Volume I.pdf
Instant Pain Control – Using the Body’s Trigger Points.djvu
Interpretation of Diagnostic Tests 7th ed.pdb
Interviewing And Diagnostic Exercises For Clinical And Counseling Skills Building – ISBN 08058464.pdf
Kelley’s Textbook of Rheumatology 6th Edition, 2-Volume Set – ISBN.pdb
Lab Notes Guide to Lab and Diagnostic Tests (2005).pdf
Learning_Medicine_An_Informal_Guide_to_a_Career_in_Medicine.pdf
Living well with Parkinson’s.pdf
Lovell_and_winter_s_pediatric_orthopaedics_3rd_ed.pdb
Managing the symptoms of multiple sclerosis.pdf
Managing Your Multiple Sclerosis.pdf
Manual of Clinical Problems In Pediatrics 5th Edition (2000).pdb
Manual of Family Practice 2nd ed.pdb
Manual of Rheumatology and Outpatient Orthopedic Disorders Diagnosis and Therapy 4th ed.pdb
Marketing health services.pdf
Massage For Dummies.pdf
MCQ.Companion.to.Applied.Radiological.Anatomy.3HAXAP.pdf
Means Ends and Medical Care.pdf
Medical and Psychosocial Aspects of Chronic Illness and Disability, Third Edition (2005).pdf
Medical Malpractice – A Physician’s Sourcebook.pdf
Medical_Physiol_2nd_Ed.pdf
Merritt – Merritt’s Neurology 10th Ed.pdb
MILLER’S_REVIEW_OF_ORTHOPEDICS.pdf
Modern Neuromuscular Techniques (Modern Neuromuscular Techniques (WCD)) (2003).ISO
MP Van De Graaff Human Anatomy.pdf
Musculoskeletal.Diseases.DIAGNOSTIC IMAGING AND INTERVENTIONAL TECHNIQUES.pdf
Nelson.Textbook.of.Pediatrics.17th.ed – Behrman.pdb
Nervous System and Sensory Organs – Color Atlas and Textbook of Human Anatomy – Volume 3.pdf
Neuroanatomy – Atlas of Structures Sections Systems 6ed.pdf
Neuroscience – D.Purves, et al.pdf
Neurotransmitters, Drugs and Brain Function Wiley (2001).pdf
Nurses manual of laboratory and diagnostic tests 4th Ed 2003.pdf
Nursing practice in multiple sclerosis – a core curriculum.pdf
Occupational Health Practice – Arnold.Publishers.Fourth.EditionISBN0750627204.pdf
Opportunities in Physician Careers_0071438483.pdf
Outpatient and Primary Care Medicine, 2005 Edition (2004).pdf
Oxford Textbook Of Rheumatology, 2nd ed (1998).pdb
Oxford_Dictionary_of_Medical_Quotations.pdf
Oxford_textbook_of_public_health_4th_ed.pdb
Pediatric Musculoskeletal Diseases.pdf
Pediatric Radiography.pdf
Pain and Depression – An Interdisciplinary Patient-centered Approach.pdf
Pain.Medicine.and.Management.Just.the.Facts.pdf
Pain.Psychological.Perspectives.eBook-DDU.pdf
PATHOPHYSIOLOGY OF DISEASE.pdf
Pediatric Orthopedics for Primary Care Physicians.pdf
Pediatric Orthopedics in Practice.pdf
Physical Medicine and Rehabilitation Board Review.pdf
Pocket Atlas of Radiographic Anatomy 2nd ed, 2000.pdf
Pocket Guide to Diagnostic Tests-0838581358.pdf
Pocket.Guide.to.Musculoskeletal.Diagnosis.3HAXAP.pdf
Primary_care_medicine_office_evaluation_and_managem.pdb
Principles.and.Practice.of.Burn.Surgery.3HAXAP.pdf
Quick reference dictionary for massage therapy and bodywork.pdf
Robbins Pathologic Basis of Disease (with pictures).pdb
Rosen’s Emergency Medicine.chm
Scientific Writing Easy When You Know How (2002).pdf
Screening Notes Rehabilitation Specialists Pocket Guide (Davis Notes S) ISBN0803615736.pdf
Soft Tissue Rheumatology.CHM
Sports Injuries – Mechanisms, Prevention, Treatment. 2nd edition.pdb
SPORTS MEDICINE Just the Facts.pdf
strength training anatomy.pdf
Stretching – anderson bob.pdf
Super Joints Russian Longevity Secrets for Pain-Free Movement, Maximum Mobility & Flexible Strength (2001).pdf
Symptoms of Unknown Origin.pdf
T’Ai Chi for Seniors. How to Gain Flexibility, Strength, and Inner Peace .pdf
Textbook of Clinical Trials Wiley (2004).pdf
Textbook of Medical Physiology.pdf
Textbook Of Physical Diagnosis History – Examination Swartz.djvu
The Aging Spine.pdf
The A-Z Medical Writing.pdf
The Circuitry of the Human Spinal Cord_Its Role in Motor Control and Movement Disorders_0521825814.pdf
The Clinical Drug Therapy Rationales for Nursing Practice (Field Guide Series) (2006).pdf
The Clinical Science of Neurologic Rehabilitation (Contemporary Neurology Series, 66) (2003).pdf
The Coiled Spring.pdf
The Handbook of Brain Theory and Neural Networks – ISBN 0262511029.pdf
The healthcare quality book- vision, strategy, and tools.pdf
The Massage connection – ANATOMY AND PHYSIOLOGY.pdf
The Trigger Point Therapy Workbook – Your Self-Treatment Guide for Pain Relief – Clair Davies.pdf
The.Ultimate.New.York.Body.Plan.eBook-TLFeBOOK.pdf
TMJ Disorders and Orofacial.doc
Toward.Replacement.Parts.for.the.Brain.Implantable.Biomimetic.Electronics.PDF.eBook-YYePG.pdf
Trauma.E.Moore, et al – 5th edition.pdb
Treating Pediatric Bed-wetting With Acupuncture & Chinese Medicine.pdf
Treatment of Osteoarthritic Change in the Hip – Joint Preservation or Joint Replacement.pdf
Treatment.of.Pediatric.Neurologic.Disorders.3HAXAP.pdf
Tyranny of Health Doctors and the Regulation of Lifestyle.pdf
Understanding Human Anatomy and Physiology 5th edition.pdf
Using Alternative Therapies – A Qualitative Analysis.pdf
Visions of the Future. Chemistry and Life Science.pdf
Weight Training Basics.pdf
What They Didn’t Teach You at Medical School.pdf
What’s Wrong With Me – The Frustrated Patients’ Guide to Getting an Accurate Diagnosis.pdf
When.Walking.Fails.eBook-DDU.pdf
WHO manuals of diagnostic imaging – Radiographic Anatomy and Interpretation of the Musculoskeletal System.pdf
Who s who in orthopedics.pdf
World of Microbiology and Immunology.pdf
Writing Skills in Practice (Health Professionals).pdf

Supported  by
CLINICAL PEDIATRIC ONLINE 

Yudhasmara Foundation 

email : judarwanto@gmail.com, 

http://clinicalpediatric.wordpress.com/

Copyright © 2009, Clinical Pediatric Online Information Education Network. All rights reserved.

Supported  by
CLINICAL PEDIATRIC ONLINE

Yudhasmara Foundation

JL Taman Bendungan Asahan 5 Jakarta Indonesia 102010

phone : 62(021) 70081995 – 5703646

email : judarwanto@gmail.com,

http://clinicalpediatric.wordpress.com/

Clinical and Editor in Chief :

DR WIDODO JUDARWANTO

Copyright © 2009, Clinical Pediatric Online Information Education Network. All rights reserved.

Supported  by
CLINICAL PEDIATRIC ONLINE

Yudhasmara Foundation

JL Taman Bendungan Asahan 5 Jakarta Indonesia 102010

phone : 62(021) 70081995 – 5703646

email : judarwanto@gmail.com,

http://clinicalpediatric.wordpress.com/

Clinical and Editor in Chief :

DR WIDODO JUDARWANTO

Copyright © 2009, Clinical Pediatric Online Information Education Network. All rights reserved.