... Siegler M: The illusion of futility in clinical practice Am J Med 1989, 87: 81-84 10 Burt RA: The medical futility debate: patient choice, physician obligation, and end- of- lifecare J Palliat Med ... Kilcullen JK, Kelly DF: Three Patients: International Perspectives on Intensive CareattheEndofLife Boston, MA: Kluwer Academic Publishers; 2002 Cook DJ, Guyatt GH, Jaeschke R, Reeve J, Spanier ... Crit Care Med 1999, 16:1626-1633 American Thoracic Society Withholding and withdrawing lifesustaining therapy Ann Intern Med 1991, 115:478-485 The Ethics Committee ofthe Society of Critical Care...
... known by at least one ofthe researchers but not at all by the interviewer Phases ofthe study 1) Identification ofthe categories that define the object of investigation As well as the categories ... Table 3: The interview Free association ofthe term: "death" Images oflife and images of death (What makes you think oflife and death?) The presence of death in your history: when, on what occasion, ... considered the belated fruit ofthe realization of that process of charitas, which a follower of St Jerome, a matron ofthe gens Fabia, started in Rome in the IV century [40] Such a model of good death,...
... Thelife is attheendofthe road 2010 so sánh số với nước láng giềng Campuchia có 6%, Lào có 13% Thái Lan 9% Theo GS TS Lê Đình Quang, viện nghên cứu ... hứng gió rôto [m2] ρV3 [W/m2] Công suất trục rôto tính theo công thức: P = Think green and action green Page 2 Thelife is attheendofthe road 2010 Một số lưu ý lắp đặt tua bin gió Nói ... thiết kế cho nhà rẻ b ó máy phát điện NLG tùy theo nhu cầu s dụng y n G sử Thin nk green an nd action gr reen Pa age 4 Thelife is attheendofthe road 2010 Các bước để thiết kế hệ thống...
... me a life line, and of course that’s exactly what they were doing, God bless them, but I wasn’t going to choose life this time, at least not thelife they were offering “No.” “What will you then?” ... in a Lifetime’ and the blogs Note to Elf and Hot Seat) I attempted to create a scenario whereby the effects that the incorporation of ii digital interactivity into both the narrative and the form ... Weldon, declare that the PhD thesis entitled The Text Doesn’t Stop attheEndofthe Page (or does it?): an exploration of how the novel form responds to digital interactivity through the cross-sited...
... Figure shows the dependence ofthe relative intrinsic fluorescence intensity of PsbQ with the Fig Fluorescence quenching ofthe native PsbQ protein Stern– Volmer analyses ofthe quenching ofthe single ... interior ofthe protein matrix The script a is the peak–peak distance between the maximum at %287 nm and the minimum at %283 nm, and the script b is the peak–peak distance between the maximum at %295 ... maximum at %323 nm at 20 °C The normalization at 400 nm [66] ofthe two spectra of PsbQ, seen at 295 and 280 nm, shows that the fluorescence emission caused by tyrosine is weak This suggests that there...
... to” - attheendof June” – vào cuối tháng attheend (of something)” – vào lúc cuối, vào phần cuối (của kiện, thời gian) Ví dụ: attheendofthe street (cuối đường), attheendofthe book ... Cần ý phân biệt "at theendof " "In the end" để tránh nhầm lẫn “in theend = “finally” – cuối cùng, sau “in theend dùng muốn nói kết cuối tình huống, việc Ví dụ “In theend we went to school ... (cuối sách) Mạo từ the đứng trước từ bắt đầu nguyên âm “a, e, i, o, u”, the phát âm /ði/ - Trái nghĩa với attheendatthe beginning” – bắt đầu Ví dụ atthe beginning of May” – vào đầu...
... the soul is just the inherent organization ofthe matter ofthe body in a distinctive way, so that the matter constitutes an individual of a particular sort What sort of individual it is depends ... to date the beginning ofthe soul’s existence in association with the fetal organism from the time that there is independent evidence ofthe presence of consciousness If one accepts that the ... unrelated: each came to the island independently ofthe others, each lives a solitary life with no communication or cooperation with the others, and each is even unaware ofthe existence of most of...
... LOYALTY + SALES How to get into the cloud ? How to let the sun shine ? How to look for that pot of gold ? So what’s @ theendof social media ? ✓ ✓ ✓ ✓ ✓ ✓ knowledge inspiration golden network new products ... Media, the Rainbow theory Of course you want this Social Media has as many myths as the rainbow phenomenon Where will you be social tomorrow ? Make your own United Colors of Social Media The Conversation ... Decrock, @NOCUS the rainbow theory Picture by Manicho “If you want to spot a rainbow, you need to know where it starts or ends.” Define where you want need to start and want to achieve in theend - Social...
... women, on a farm attheendofthe lane The youngest of them claims that her duckpond is an ocean The oldest can remember the Big Bang The Ocean attheEndofthe Lane is a fable that reshapes modern ... bench The peeling wooden slats had been painted green a few years ago I sat on the bench, and stared atthe reflection ofthe sky in the water, atthe scum of duckweed atthe edges, and the half-dozen ... to the bathroom, atthe far endofthe house I washed my mouth out, drank directly from the cold tap, spat red into the white sink Only when I’d done that did I sit on the side ofthe white bathtub...
... anh Tom Mary is attheendof her rope Since her husband lost his job last year, she’s been the sole breadwinner for her family And now the doctor says she has cancer What in the world can she ... cho gia đình Giờ bác sĩ nói chị bị bịnh ung thư Chị phải làm bây giờ? Như vừa học thành ngữ AtTheEndof Your Rope nghĩa cảnh túng quẫn, khốn ...
... anh Tom Mary is attheendof her rope Since her husband lost his job last year, she’s been the sole breadwinner for her family And now the doctor says she has cancer What in the world can she...
... and bills piling up, Tom was attheendof his rope Then the good news arrived! A lawyer told him he was heir to ten million dollars worth of land belonging to his late uncle Chị Pauline nói: Khi ... anh Tom Mary is attheendof her rope Since her husband lost his job last year, she’s been the sole breadwinner for her family And now the doctor says she has cancer What in the world can she ... cho gia đình Giờ bác sĩ nói chị bị bịnh ung thư Chị phải làm bây giờ? Như vừa học thành ngữ AtTheEndof Your Rope nghĩa cảnh túng quẫn, khốn ...
... at different stem height levels: atthe base, at 5% of total height and subsequently at intervals of 10% up to 65% and at 90% of total tree height, that corresponded to a diameter of approximately ... cm and the limit ofthe commercial stem These discs were analysed in the laboratory The heartwood delimitation was made by visual observation ofthe wood disc crosssection; in E globulus, the heartwood ... level and the interaction between both factors The decomposition ofthe variance by sources of variation showed that the effect of height level explained between 85% and 88% ofthe total variation...
... oftheendof primary education and that oftheendof compulsory education, also called ISCED and (= International Standard Classification of Education, developed by UNESCO) From the categories ... education relates to situations in the private as well as in the public domain There are immediate insights and applications of science possible in everyday life and there are global issues at ... contributing to digestion the make-up of a sense organ the adaptation of mosquitoes to the living conditions of their environment For initiating or checking the understanding ofthe notion of development...
... paper is only one of many examples that demonstrate that standard operating procedures (SOPs) lead to improved treatment outcomes The Ulm team’s intervention program indicates that the following ... treatment outcomes: ● Evaluation of scientific data ● Interdisciplinary collaboration ● Rigorous implementation of guidelines ● Regular critical reflection of quality and complication indicators ... treatment costs, an issue that at a time of great economic pressure should not be underrated In this context it should be repeated that the DRG system too must reward quality, not complications...
... we can measure the quality of ICU care with risk-adjusted mortality or process ofcare measures, tools are just becoming available to measure the quality of end- of- lifecare in the ICU [14] Until ... guide end- of- lifecare in the 35 years since a panel reached consensus on guidelines to define brain death [20] Nevertheless, it is important to recognize that consensus on all aspects of end- of- life ... consensus on many aspects of end- of- lifecare in the ICU exist and have been written about at great length We should not let the exciting challenge of resolving areas of disagreement dissuade...
... Critical Care Medicine: Recommendations for end- of- lifecare in the intensive care unit: a consensus statement by the American College of Critical Care Medicine Crit Care Med 2008, 36:953-963 Soares ... DE; Improve PalliativeCare in the Intensive Care Unit Project: Models for structuring a clinical initiative to enhance palliativecare in the intensive care unit: a report from the IPAL-ICU ... programs of intensivists to ensure that, in the near future, our ability to care for dying patients and their families will improve significantly in Brazil Abbreviations EOL, end- of- life Competing...
... 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health ofthe public The Institute ... fitness relative to the rest ofthe population, which, in turn, is affected by the results of selection Thus, the outcome of selection manifests itself atthe level ofthe population The population ... Research atthe Intersection ofthe Physical and Life Sciences Research atthe Intersection ofthe Physical and Life Sciences Committee on Research atthe Intersection ofthe Physical and Life Sciences...
... this period Approximately 80% ofthe repair ofthe substrate is achieved within at a point where the proteins are dissociating from the DNA Therefore, cross-linking of Pol b and the XRCC1–DNA ligase ... mechanism of entry of these proteins and other BER partners into the repair process is unknown This mechanism should include identification of these lesions as a strand break, verification ofthe nature ... either by the ‘passing the baton’ mechanism by handing the substrate to the next enzyme required [29,30] or by nucleation of a transient damage-specific complex including a subset of enzymes that...