the old injured solid organ and non operative management a matter of controversy

Tài liệu Security+: The Foundation for Solid Network and Information Security pdf

Ngày tải lên : 21/12/2013, 06:18

... truly reap the benefits of the new technology, their employees, and I mean all employees, have to be educated and trained as to the appropriate ways of dealing with the dark side of information ... computer users have to learn the safe practices for their computers, their business networks, and the Internet The security basics of “what to do” and “what not to do” become the front-line defense ... be treated that way The technologies and topics introduced throughout the course are the absolute foundations for all of the other disciplines mentioned above The beauty of this certification...

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Báo cáo hóa học: " Non operative management of liver and spleen traumatic injuries: a giant with clay feet" pptx

Ngày tải lên : 21/06/2014, 19:20

... NOM failure, such as the injury grade, the presence of associated intra-abdominal injuries and the risk of missing injuries with the subsequent sequelae, of a failed NOM and of delayed surgical ... been observed and is associated with higher rates of NOM (80%) and lower rates of Page of failure (2-5%); nonetheless several concerns raise because it is labour intensive and there have been ... rare and can be minimized with polyvalent vaccines of encapsulated bacteria, whilst operative mortality of splenectomy in the otherwise normal patient is < 1% [38] Whereas Non Operative Management...

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Barriers to research utilization and research use among registered nurses working in the care of older people: Does the BARRIERS Scale discriminate between research users and non-research users on perceptions of barriers? potx

Ngày tải lên : 11/08/2014, 05:21

... and research use raises questions about the validity of the scale In the UK, the content and construct validity of the scale has been questioned [10] The registered nurses' role in the care of ... proportion of RNs working in the care of older people perceived several barriers to research utilization The barriers mainly concerned the characteristics of the organization and the presentation and ... accordance with Rogers' theory: • the characteristics of the adopter – the nurse's research values, skills and awareness – the Nurse subscale (eight items) • the characteristics of the organization –...

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báo cáo khoa học: " Barriers to research utilization and research use among registered nurses working in the care of older people: Does the BARRIERS Scale discriminate between research users and non-research users on perceptions of barriers?" pptx

Ngày tải lên : 11/08/2014, 16:21

... and research use raises questions about the validity of the scale In the UK, the content and construct validity of the scale has been questioned [10] The registered nurses' role in the care of ... proportion of RNs working in the care of older people perceived several barriers to research utilization The barriers mainly concerned the characteristics of the organization and the presentation and ... accordance with Rogers' theory: • the characteristics of the adopter – the nurse's research values, skills and awareness – the Nurse subscale (eight items) • the characteristics of the organization –...

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Báo cáo y học: " Non-operative management of blunt abdominal trauma. Is it safe and feasible in a district general hospital?" doc

Ngày tải lên : 13/08/2014, 23:20

... acquisition of data and drafting the manuscript PAP was involved in acquisition of data and drafting the manuscript MKD was involved in coordination of the study and revision of the manuscript ... of stay (days) †Median and range, ††Comparison between NOM-S and OP group, *Mann Whitney U test and 2, §Two of these patients died on the operating table The majority of authors concur that the ... operation Nevertheless, in the present series the majority of patients of the NOM-S group remained on the ward under close monitoring and only one patient who was intubated upon arrival to the ED due...

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fuchita (eds.) - growing old; paying for retirement and institutional money management after the financial crisis (2011)

Ngày tải lên : 03/11/2014, 14:23

... structure of pension fund reserves Japan’s GPIF does not have the equivalent of a governing body The chairman of the GPIF is the head of the asset management body and holds the bulk of the decisionmaking ... welfare, and family affairs, the head of the government ministry that supervises the National Pension Service Having the head of the supervisory agency also serve as the head of the governing body of ... ministers) The top four members of the asset management body (chairman and vice chairmen) also are members The deputy head of a labor union and an academic (head of the Development Research Center of the...

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Báo cáo y học: "Genetic polymorphisms in the nucleotide excision repair pathway and lung cancer risk: A meta-analysis"

Ngày tải lên : 31/10/2012, 14:59

... are: 1) low frequency of the "at-risk" genotype, which would reduce the statistical power of the studies and 2) small size of the studies Ethnic differences in the roles of the polymorphism may ... polymorphisms of three of the exons of the ERCC1 gene, all of which resulted in silent mutations No amino acid substitutions were observed among the ERCC1 polymorphisms [48] The functional effects of the ... around the start codon is GCCRCCAUGG, which is known as the Kozak consensus sequence [62] The R at position -3 and the G just downstream of the start codon are especially important, and the lack of...

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Tài liệu A Matter of Security The Application of Attachment Theory to Forensic Psychiatry and Psychotherapy pptx

Ngày tải lên : 16/02/2014, 22:20

... understanding of their clients and for the improvement of the care they offer, both as individual therapists and as protagonists of the systems of detention in secure psychiatric units and in ... connect actions to their agents on the one hand, and to the world on the other, go far beyond the level of physical description, and we grow to understand much more about both of these relations ... intention The little ones had assumed an identity between their experience of their own desire and the likely experience of the other Around three- to- four years of age this understanding of agency...

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PRACTICAL TAXIDERMY A MANUAL OF INSTRUCTION TO THE AMATEUR IN COLLECTING, PRESERVING, AND SETTING UP NATURAL HISTORY SPECIMENS OF ALL KINDS doc

Ngày tải lên : 06/03/2014, 13:20

... (?), and sprinkled them with a powder made of the dust of decayed pine trees, and a sort of brushwood which the Spaniards call Brefsos, together with the powder of pumice stone Then they let the ... barbarians who clothed themselves with skins as a protection from the inclemency of the weather, and also in the case of the luxurious Greeks and Romans, who used skins in the adornment of their persons ... side and in front of the wings, the legs and tail being thrust through the other, one loop coming on each side of the body behind the wings A swivel is attached at one of the knots, and, by another...

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Retail Consolidation and Produce Buying Practices: A Summary of the Evidence and Potential Industry and Policy Responses pot

Ngày tải lên : 07/03/2014, 13:20

... to address the imbalance of power in the produce industry? Unfortunately, there have been few systematic studies of their performance Central was the grandfather of the breed of cooperatives ... either on the number of voters or on the volume of product marketed) from the producers who will be subject to its provisions Depending upon the provisions of the order, the agreement of handlers ... facing the industry Each of these types of charges are but symptoms of the greater problem The imbalance of power, which allows the retail chain to demand the fee if it desires, would, in the absence...

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Báo cáo khoa học: Binding of the volatile general anesthetics halothane and isoﬂurane to a mammalian b-barrel protein doc

Ngày tải lên : 07/03/2014, 16:20

... This software provides the best-ﬁt values for the heat of binding (DH°), the stoichiometry of binding (n), and the association constant (Ka) from plots of the heat evolved per mol of anesthetic ... unfolding events, the stability of the porcine odorant binding protein is estimated to be % kcalÆmol)1 The folded conformation of the porcine odorant binding protein was stabilized further by the ... a (s) is the control rate of hydrogen exchange in the absence of anesthetic The y-axis is the molar ratio of unexchanged hydrogen to protein The most rapid time point acheivable in these studies...

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Aligning the Stars - Improvements to General and Flag Officer Management potx

Ngày tải lên : 15/03/2014, 20:20

... sponsored by the Director for Officer and Enlisted Personnel Management in the Office of the Under Secretary of Defense (Personnel and Readiness) The research was conducted for the Office of the Secretary ... Chairman of the Joint Chiefs of Staff, the combatant commanders, and the specialized senior billets, such as the doctrine, training and education, nuclear, and the service component commands Last, there ... productive officers to retirement from the military, and the retirement of G/FOs without the minimum expected time in their last pay grade Additionally, the Office of the Secretary of Defense...

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Báo cáo khoa học: The b-N-acetylglucosaminidases NAG1 and NAG2 are essential for growth of Trichoderma atroviride on chitin doc

Ngày tải lên : 23/03/2014, 05:22

... 60% of that of the WT strain In addition, the ﬁnding that the sum of the NAGase activities in the Dnag1 and Dnag2 strains totalled more than 100% of that in the WT suggested that expression of ... strains and the WT could be detected with respect to the timing and frequency of spore swelling and germination, and the morphology of the germ tubes was also completely normal, indicating that the ... produced by the WT and the number of spores in the Dnag1 strain was 466 ± 105% The results on all other carbon sources showed no differences between the WT and the single knockout strains, and, most...

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Báo cáo khoa học: Spectroscopic and DNA-binding characterization of the isolated heme-bound basic helix–loop–helix-PAS-A domain of neuronal PAS protein 2 (NPAS2), a transcription activator protein associated with circadian rhythms docx

Ngày tải lên : 30/03/2014, 11:20

... further examine the nature of the heme environment of the bHLH-PAS-A domain of NPAS2, we analyzed the resonance Raman spectra of the Fe(III), Fe(II) and Fe(II)–CO complexes The spectra of the ... nm, and those of the Fe(II)–CO complex were at 422, 538 and 566 nm On the other hand, optical absorption spectra of the Fe(III), Fe(II) and Fe(II)–CO complexes of the PAS-A domain of NPAS2 were ... [7] Thus, truncation of the C-terminal domain and the binding of heme may affect the DNAbinding properties of the bHLH-PAS-A fragment We further examined the binding of CO to the Fe(II) bHLH-PAS-A...

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báo cáo hóa học: " Does quality of life among breast cancer survivors one year after diagnosis differ depending on urban and non-urban residence? A comparative study" potx

Ngày tải lên : 18/06/2014, 19:20

... ethical approval and the requirements of the cancer registry, doctor consent to contact eligible women (provided for 82% of the urban sample and 90% of the non- urban sample) and participant consent ... than the median, moderate to high stress levels and/ or perceived poor handling of stress could reduce the odds of good QOL two- to fourfold The cross-sectional nature of the data denotes that these ... scholarship support for the first author and fellowship support for the second author, and by the Cancer Council Queensland for the Queensland Cancer Risk Study Monika Janda is supported by NHMRC-CDA-553034...

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Báo cáo hóa học: " Research Article The Nonzero Solutions and Multiple Solutions for a Class of Bilinear Variational Inequalities Jianhua Huang" pptx

Ngày tải lên : 22/06/2014, 18:20

... u2 and u3 are nonzero solutions of VI (1.2) This completes the proof Theorem 3.2 Let all the conditions of Theorem 2.2 be satisﬁed and let g : K → X ∗ satisfy the conditions (G4 ) and (G5 ) Then, ... (G4 ) and (G5 ) Then, there exist three solutions of VI (1.2), at least two of which are nonzero solutions The proof of Theorem 3.2 is similar to the proof of Theorem 3.1 and so we omit it An ... semicontinuous mapping and antimonotone (i.e., g(u) − g(v),u − v ≤ 0, ∀u,v ∈ K), then there exists a unique solution of variational inequality (1.1) in K On the other hand, the existence of nonzero solutions...

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Báo cáo toán học: "The problem of integral geometry and intertwining operators for a pair of real Grassmanian manifolds " pptx

Ngày tải lên : 05/08/2014, 15:21

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báo cáo khoa học: "Pulmonary sclerosing hemangioma in a 21-year-old male with metastatic hereditary non-polyposis colorectal cancer: Report of a case" pps

Ngày tải lên : 09/08/2014, 01:25

... TSS, PNK and AK drafted the manuscript with committed and dedicated review and discussion of WET, MAK, RAH and KWJ DM prepared the histopathological data and figures including their review and evaluation ... in the left lower lobe of the lung (Figure 1b) with homogenous contrast media enhancement as well as two smaller lesions in the right upper lobe There were neither signs of infiltration of the ... However, to the best of our knowledge, we present the first case of a patient with the diagnosis of SH and a history of Lynch syndrome Case Presentation We first diagnosed a 21-year -old Caucasian...

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Báo cáo y học: "Trends towards an improved disease state in rheumatoid arthritis over time: influence of new therapies and changes in management approach: analysis of the EMECAR cohort" ppt

Ngày tải lên : 09/08/2014, 13:22

... introduction of new therapies, since we have confirmed that the use of these drugs was associated with an improvement of the average disease activity score and of the HAQ score Other factors related to the ... in the design of the study and the interpretation of data, and helped to draft the manuscript MAD performed the statistical analysis and helped to draft the manuscript IG-A participated in the ... design of the study and also in collection of the data at the Hospital Universitario de la Princesa, was involved in the interpretation of data and drafted the manuscript All rheumatologists of the...

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