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	<title>Level of Health - Medical Blog</title>
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		<title>Achalasia: Dilation, injection or surgery? EFFECT OF PREVIOUS TREATMENT</title>
		<link>http://www.levelofhealth.com/disease/achalasia-dilation-injection-or-surgery-effect-of-previous-treatment.html</link>
		<comments>http://www.levelofhealth.com/disease/achalasia-dilation-injection-or-surgery-effect-of-previous-treatment.html#comments</comments>
		<pubDate>Mon, 16 Jan 2012 09:08:53 +0000</pubDate>
		<dc:creator>Ben Judd</dc:creator>
				<category><![CDATA[Disease]]></category>
		<category><![CDATA[Achalasia]]></category>
		<category><![CDATA[Botulinum toxin]]></category>
		<category><![CDATA[Fundoplication]]></category>
		<category><![CDATA[Lower esophageal sphincter]]></category>
		<category><![CDATA[Myotomy]]></category>
		<category><![CDATA[Pneumatic dilation]]></category>

		<guid isPermaLink="false">http://www.levelofhealth.com/?p=2200</guid>
		<description><![CDATA[EFFECT OF PREVIOUS TREATMENT ON SURGICAL OUTCOME Patients unsuccessfully treated by endoscopic dilation or in- trasphinteric botulinum toxin injection are often referred for surgery. Transient tissue damage in the mucosa-submucosa layer has been documented by high resolution endoscopic ultrasonography, but it is unknown whether previous endoscopic treatment may cause histopathological changes leading to periesophageal inflammation, [...]]]></description>
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		<title>Achalasia: Dilation, injection or surgery? INJECTION</title>
		<link>http://www.levelofhealth.com/disease/achalasia-dilation-injection-or-surgery-injection.html</link>
		<comments>http://www.levelofhealth.com/disease/achalasia-dilation-injection-or-surgery-injection.html#comments</comments>
		<pubDate>Sun, 15 Jan 2012 09:08:03 +0000</pubDate>
		<dc:creator>Ben Judd</dc:creator>
				<category><![CDATA[Disease]]></category>
		<category><![CDATA[Achalasia]]></category>
		<category><![CDATA[Botulinum toxin]]></category>
		<category><![CDATA[Fundoplication]]></category>
		<category><![CDATA[Lower esophageal sphincter]]></category>
		<category><![CDATA[Myotomy]]></category>
		<category><![CDATA[Pneumatic dilation]]></category>

		<guid isPermaLink="false">http://www.levelofhealth.com/?p=2198</guid>
		<description><![CDATA[The results of a double-blind trial of intrasphincteric in­jection of botulinum toxin compared with placebo showed that 66% of patients remained in remission six months after treatment, and the mean duration of a favourable response was 1.3 years. After a median follow-up of 2.4 years, only one-third of the patients were still in remission despite [...]]]></description>
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		<title>Achalasia: Dilation, injection or surgery? PRINCIPLES OF THERAPY</title>
		<link>http://www.levelofhealth.com/disease/achalasia-dilation-injection-or-surgery-principles-of-therapy.html</link>
		<comments>http://www.levelofhealth.com/disease/achalasia-dilation-injection-or-surgery-principles-of-therapy.html#comments</comments>
		<pubDate>Sat, 14 Jan 2012 09:06:26 +0000</pubDate>
		<dc:creator>Ben Judd</dc:creator>
				<category><![CDATA[Disease]]></category>
		<category><![CDATA[Achalasia]]></category>
		<category><![CDATA[Botulinum toxin]]></category>
		<category><![CDATA[Fundoplication]]></category>
		<category><![CDATA[Lower esophageal sphincter]]></category>
		<category><![CDATA[Myotomy]]></category>
		<category><![CDATA[Pneumatic dilation]]></category>

		<guid isPermaLink="false">http://www.levelofhealth.com/?p=2197</guid>
		<description><![CDATA[Current treatment modalities for achalasia are palliative and aim at improving esophageal emptying by reducing lower esophageal sphincter resistance to passage of the bolus. This effect can be achieved endoscopically by means of either pneumatic dilation or botulinum toxin injection, and surgically by extramucosal myotomy. No firm consensus has been reached yet regarding the choice [...]]]></description>
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		<item>
		<title>Achalasia: Dilation, injection or surgery?</title>
		<link>http://www.levelofhealth.com/disease/achalasia-dilation-injection-or-surgery.html</link>
		<comments>http://www.levelofhealth.com/disease/achalasia-dilation-injection-or-surgery.html#comments</comments>
		<pubDate>Fri, 13 Jan 2012 09:05:45 +0000</pubDate>
		<dc:creator>Ben Judd</dc:creator>
				<category><![CDATA[Disease]]></category>
		<category><![CDATA[Achalasia]]></category>
		<category><![CDATA[Botulinum toxin]]></category>
		<category><![CDATA[Fundoplication]]></category>
		<category><![CDATA[Lower esophageal sphincter]]></category>
		<category><![CDATA[Myotomy]]></category>
		<category><![CDATA[Pneumatic dilation]]></category>

		<guid isPermaLink="false">http://www.levelofhealth.com/?p=2195</guid>
		<description><![CDATA[Idiopathic achalasia is a motility disorder characterized by incomplete relaxation of the lower esophageal sphincter and impaired peristalsis of the esophageal body. Defective eso- phageal emptying leads to progressive dilation and tortuosity of the esophagus. Anatomic and physiological studies sug­gest a dysfunction of the myenteric plexus in these patients, and an autoimmune pathogenesis has been [...]]]></description>
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		<title>Taking action: Implementing your written investment plan. THE END OF A SERIES</title>
		<link>http://www.levelofhealth.com/main/taking-action-implementing-your-written-investment-plan-the-end-of-a-series.html</link>
		<comments>http://www.levelofhealth.com/main/taking-action-implementing-your-written-investment-plan-the-end-of-a-series.html#comments</comments>
		<pubDate>Fri, 13 Jan 2012 03:30:28 +0000</pubDate>
		<dc:creator>Ben Judd</dc:creator>
				<category><![CDATA[Main]]></category>
		<category><![CDATA[BITING THE BULLET]]></category>
		<category><![CDATA[investment plan]]></category>

		<guid isPermaLink="false">http://www.levelofhealth.com/?p=2185</guid>
		<description><![CDATA[THE END OF A SERIES AND THE BEGINNING OF A JOURNEY Upon addressing, debating and resolving the aforementioned topics and issues, the portfolio building process will be com­plete. Investment policy has been developed, macro- and micro- expectational factors relevant to investing have been identified, portfolio composition has been decided, and assets have been allocated and [...]]]></description>
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		<title>Taking action: Implementing your written investment plan. BITING THE BULLET part 5</title>
		<link>http://www.levelofhealth.com/main/taking-action-implementing-your-written-investment-plan-biting-the-bullet-part-5.html</link>
		<comments>http://www.levelofhealth.com/main/taking-action-implementing-your-written-investment-plan-biting-the-bullet-part-5.html#comments</comments>
		<pubDate>Thu, 12 Jan 2012 03:30:28 +0000</pubDate>
		<dc:creator>Ben Judd</dc:creator>
				<category><![CDATA[Main]]></category>
		<category><![CDATA[BITING THE BULLET]]></category>
		<category><![CDATA[investment plan]]></category>

		<guid isPermaLink="false">http://www.levelofhealth.com/?p=2182</guid>
		<description><![CDATA[Dollar cost averaging versus lump sum investing: Once money managers have been selected, either in the form of mu­tual fund managers or professional managers to whom you give discretionary power to make the day to day decisions in your in­vestment accounts, the final decisions to be made are about the timing of the actual placement [...]]]></description>
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		<title>Taking action: Implementing your written investment plan. BITING THE BULLET part 4</title>
		<link>http://www.levelofhealth.com/main/taking-action-implementing-your-written-investment-plan-biting-the-bullet-part-4.html</link>
		<comments>http://www.levelofhealth.com/main/taking-action-implementing-your-written-investment-plan-biting-the-bullet-part-4.html#comments</comments>
		<pubDate>Mon, 09 Jan 2012 03:28:45 +0000</pubDate>
		<dc:creator>Ben Judd</dc:creator>
				<category><![CDATA[Main]]></category>
		<category><![CDATA[BITING THE BULLET]]></category>
		<category><![CDATA[investment plan]]></category>

		<guid isPermaLink="false">http://www.levelofhealth.com/?p=2180</guid>
		<description><![CDATA[On the other hand, a large influx of cash from new investors may force the same manager to invest even when the markets are soft to prevent a larger cash position from pulling down the overall performance of the portfolio. Diversification: Most equity mutual funds hold 80 to 120 dif­ferent securities. In a separately managed [...]]]></description>
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