approach to patient with chest pain pdf
Apply CREAMS to your IT sourcing pain pdf
Ngày tải lên :
24/03/2014, 00:20
... the opportunity to apply some CREAMS, but the larger companies must apply
CREAMS to maintain their competitive advantage.
Put a smile on your face as well as your customers’ with the right cream. ... Management Executive with 20+ years of international
achievement in leveraging technology and strategic partnerships to drive growth, performance,
flexibility, and customer satisfaction. A ... proven change agent, capable of orchestrating transformative
business strategy. Champions innovation with a focus on developing flexible, scalable solutions for
customer and organisational problems....
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Báo cáo khoa học: "A Functional Approach to Generation with TAG " pptx
Ngày tải lên :
31/03/2014, 06:20
... Mumble-86.
3 Generator Architecture
There are many different ways of imple-
menting a TAG-based generator. We consider the
principles that we take to be common to any TAG
generator and indicate ...
sider the question of what needs to be done to
generate with TAGs and explain a generation sys-
tem that provides the necessary features. This
approach is compared with other TAG-based gen-
eration ...
(Linguistic Specification). An L-Spec captures the
content of what is to be generated along with the
goals and rhetorical force to be achieved. While
the form of the L-Spec is dependent on the...
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Báo cáo hóa học: "A Two-Step Hydrothermal Synthesis Approach to Monodispersed Colloidal Carbon Spheres" pdf
Ngày tải lên :
21/06/2014, 20:20
... conditions.
Using this approach, monodispersed CCS with diameters
ranging from 160 to 400 nm were synthesized with a
standard deviation around 8%. The monomer concentration
ranging from 0.1 to 0.4 M is ... divided equally into
four parts. Each part was then transferred into an autoclave
separately by fixing the total volume at 600 mL, followed
by addition of an appropriate amount of glucose with
concentrations ... in the product due to the
durative polycondensation [33].
Two-Step Approach for Monodispersed CCS
To achieve monodispersed CCS, the carbon colloids
obtained by the one-step approach served as...
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Báo cáo hóa học: " A Robust Color Object Analysis Approach to Efficient Image Retrieval" pdf
Ngày tải lên :
23/06/2014, 01:20
... membership, to feature vectors of each block in
the feature space. As a result, feature vector of a block usu-
ally belongs to multiple regions with different degrees of
membership as opposed to the ... is to treat each region as a fuzzy set of
blocks. To make our fuzzification scheme unified to be con-
sistent with the fuzzy color histogram representation, we
again use the Cauchy function to ... the color histogram approach is caused by the to-
tal loss of spatial information of pixels in the images. To at-
tempt to retain some kind of spatial information of color his-
togram, many heuristic...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
Ngày tải lên :
06/07/2014, 20:20
... lesions with a
generalized arrangement are common and suggest a systemic etiology.
Figure 52-9
Erythema multiforme.
This eruption is characterized by multiple erythematous plaques with ... represents a hypersensitivity reaction to drugs
(e.g., sulfonylamides) or infections (e.g., HSV). (Courtesy of the Yale Resident's
Slide Collection; with permission.)
Figure 52-10
...
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Báo cáo khoa học: "A Generic Approach to Parallel Chart Parsing with an Application to LinGO" pdf
Ngày tải lên :
31/03/2014, 04:20
... can there-
fore be useful for other parsing applications.
A Generic Approach to Parallel Chart Parsing with an
Application to LinGO
Marcel van Lohuizen
Faculty of Information Technology and Systems ... improvements to existing
parsing techniques have boosted the perfor-
mance of parsers by many factors (Oepen and
Callmeier, 2000). If a design of a parallel
parser is tied too much to a particular ... ap-
proach to parsing, it may be hard to incorpo-
rate such improvements as they become avail-
able. For this reason, a solution to parallel
parsing should be as general as possible. One
obvious way to...
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báo cáo hóa học: " Respiratory distress and chest pain: a perforated peptic ulcer with an unusual presentation" pdf
Ngày tải lên :
21/06/2014, 02:20
... perforation [17-20].
Initiation of treatment to reduce acid secretion with
proton pump inhibitors should also be started to try to
decrease spillage of acidic fluid into the abdomen. Also,
broad spectrum ... presented to the Emergency
Department with complaints of progressive dyspnea and
chest pain that had started simultaneously with acute
onset 10 h before arrival. He stated the chest pain
startedwhilegoingfromaseated ... managed
with an omental patch closure with or without a parietal
cell or truncal vagotomy.
Conclusion
Our patient s presentation was particularly unusual
because the presenting signs and symptoms...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
Ngày tải lên :
06/07/2014, 20:20
...
(Part 1)
Harrison's Internal Medicine > Chapter 52. Approach to the Patient with
a Skin Disorder
APPROACH TO THE PATIENT WITH A SKIN DISORDER:
INTRODUCTION
The challenge of examining ... interpretation would be that the patient has a
pruritic eczematous dermatitis with erosions caused by scratching.
Figure 52-1
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 1) ... Fig. 52-3) and to
formulate a differential diagnosis (Table 52-4). For instance, the finding of scaling
papules (present in patients with psoriasis or atopic dermatitis) places the patient
in...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
Ngày tải lên :
06/07/2014, 20:20
... the desire to scratch. Pruritus is often the
predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis,
allergic contact dermatitis); it is also commonly associated with xerosis ... representation of several common primary skin lesions
(see Table 52-1).
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 2)
Table 52-2 Description of Secondary Skin Lesions ...
depression with intact epidermis (i.e., loss of dermal or subcutaneous tissue) or as
sites of shiny, delicate, wrinkled lesions (i.e., epidermal atrophy).
Scar: A change in the skin secondary to trauma...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
Ngày tải lên :
06/07/2014, 20:20
... correlates highly with diagnosis (Fig. 52-6).
For example, a hospitalized patient with a generalized erythematous exanthem is
more likely to have a drug eruption than is a patient with a similar ...
Swerlick, MD; with permission.)[newpage]
APPROACH TO THE PATIENT: SKIN DISORDER
In examining the skin it is usually advisable to assess the patient before
taking an extensive history. This ... it possible to assess the distribution of the eruption accurately. The
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 4)
Figure 52-5
...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
Ngày tải lên :
06/07/2014, 20:20
... characterized by small and
large erythematous papules and plaques with overlying adherent silvery scale.
Figure 52-8
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 5)
Figure...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
Ngày tải lên :
06/07/2014, 20:20
... Family history (particularly relevant for patients with melanoma,
atopy, psoriasis, or acne)
10. Social, sexual, or travel history as relevant to the patient
DIAGNOSTIC TECHNIQUES
Many ... chronic eruptions
2. Symptoms associated with the eruption
a. Itching, burning, pain, numbness
b. What, if anything, has relieved symptoms
c. Time of day when symptoms are most severe
3. ... of the
skin and rotated with downward pressure until it penetrates to the subcutaneous
tissue. The circular biopsy is then lifted with forceps, and the bottom is cut with
iris scissors. Biopsy...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
Ngày tải lên :
06/07/2014, 20:20
... Granulomas often have an opaque to
transparent, brown-pink "apple jelly" appearance on diascopy.
Figure 52-11
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 8) ... and
in recognition of ash leaf spots in patients with tuberous sclerosis.
Figure 52-12
Diascopy is designed to assess whether a skin lesion will blanch with
pressure as, for example, in determining ... Dermatology Lexicon Project: www.futurehealth.rochester.edu/dlp2/
James WD et al: Andrews' Diseases of the Skin: Clinical Dermatology,
10th ed. Philadelphia,...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
Ngày tải lên :
07/07/2014, 01:20
...
Chapter 077. Approach to the
Patient with Cancer
(Part 1)
Harrison's Internal Medicine > Chapter 77. Approach to the Patient with
Cancer
Approach to the Patient with Cancer: Introduction ... two of three
patients diagnosed with cancer. Nevertheless, patients experience the diagnosis of
cancer as one of the most traumatic and revolutionary events that has ever
happened to them. Independent ... the prognosis of the person with aortic stenosis who develops the first
symptoms of congestive heart failure (median survival, ~8 months). However, the
patient with heart disease may remain...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
Ngày tải lên :
07/07/2014, 01:20
... Chapter 077. Approach to the
Patient with Cancer
(Part 3)
Cancer Around the World
In 2002, 11 million new cancer cases ... evidence links the expression of certain genes with the
prognosis and response to therapy (Chaps. 79, 80).
Occasionally a patient will present with a metastatic disease process that is
defined ... history
and physical examination. The duration of symptoms may reveal the chronicity of
disease. The past medical history may alert the physician to the presence of
underlying diseases that may...
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