Clinical Surgery in General - part 1 ppsx

... flexion con- tracture are all late signs. With myoglobinuria ensure that the urinary output is maintained at over 10 0 ml h- 1 in an adult, or 2 ml kg- 1 h- 1 in a child. Alkalinization ... catheter after inspecting the perineum for bruis- ing and bleeding, and carrying out a rectal examination in an injured patient (see Ch. 2). PART 2: MONITORING Ke...

Ngày tải lên: 12/08/2014, 00:22

... start glucose-potassium- insulin sliding scale regimen Omit medication and monitor blood glucose 1- 2 hourly; if > ;12 mmol l~ 1 start glucose-potassium-insulin sliding scale regimen Unless ... management. Most insulin now used is bioengineered human sequence insulin. Recently the first two artificial insulin analogues, lispro and insulin aspart, have been...

Ngày tải lên: 12/08/2014, 00:22

... mmHg) 10 . 0 -1 3.3 kPa (7 5 -1 00 mmHg) 2 2-2 6 mmol 1 -1 2 4-2 8 mmol 1 -1 2 2-2 6 mmol 1 -1 -2 to +2 mmol I -1 -3 to +3 mmol 1 -1 >95% 11 . 5 -1 6.5gdl- 1 temperature. Blood gas machines are programmed ... 600 ml min m Oxygen consumption3 > 17 0ml min -1 m-2 Cardiac index > 4. 51 min -1 m-2 Howerver, one argument...

Ngày tải lên: 12/08/2014, 00:22

... ratio* 16 .1 5.2 5 .1 6.4 0.2 *Significant at p < 0. 01 . Adapted from Centers for Disease Control 95% Cl 6. 1- 4 4.6 1. 8 -1 7.7 1. 9 -1 4.8 2. 2 -1 8.9 0. 1- 0 .6 (19 88). 217 ADJUNCTS TO SURGERY 18 INSTRUMENTS Surgeons ... paramedian versus midline incisions. Journal of the Royal Society of Medicine 79: 71 1- 7 12 Harland RNL, Irving MH 19 88 Sur...

Ngày tải lên: 12/08/2014, 00:22

... major Table 27 .1 The most common cancers in 19 97 Males Females Lung Prostate Breast Colorectal 24 440 (19 ) 21 770 (17 ) 18 13 0 (14 ) 14 430 (11 ) 38 000 (29) 16 18 0 (12 ) Values in parentheses ... part of operative planning. Establish a pathological diagnosis and the extent of Fig. 27 .1 Changes in 5 year survival rates from 19 7 1- 1 975...

Ngày tải lên: 12/08/2014, 00:22

... Rosemont, pp 18 6 -1 87 McKibbin B 19 78 The biology of fracture healing in long bones. Journal of Bone and Joint Surgery 60B: 15 0 -1 62 O'Sullivan ME, Chao EYS, Kelly PJ 19 89 The ... Blackwell, Oxford, pp 15 7 0 -1 602 Rawal N 2002 Editorial: Acute pain services revisited - good from far, far from good? Regional Anaesthesia and Pain Medi...

Ngày tải lên: 12/08/2014, 00:22

... regimens, 11 0, 11 1 in burn injury, 43 choice of fluids, 11 4 -1 15 in continuing loss, 11 1 in dehydration, 11 1- 1 12 in hypotension, 3 91, 3 91 intraoperative, 11 8 -1 19 postoperative, 350, 35 1- 3 52 in ... and, 16 2 -1 63 implied, 15 7 legal aspects, 15 7 -1 59 in mental handicap, 15 9 moral aspects, 15 5 -1 56 in practice, 15 6...

Ngày tải lên: 12/08/2014, 00:22

... 1, 0) (9, 4, 0) (59, 6, 5, 4, 3, 1, 0) (10 , 3, 0) (60, 1, 0) (11 , 2, 0) ( 61, 5, 2, 1, 0) (12 , 6, 4, 1, 0) (62, 6, 5, 3, 0) (13 , 4, 3, 1, 0) (63, 1, 0) (14 , 5, 3, 1, 0) (64, 4, 3, 1, 0) (15 , 1, ... single full-word exclusive-or operation: #define IB1 1 Powers of 2. #define IB2 2 #define IB5 16 #define IB18 13 1072 #define MASK (IB1+IB2+IB5) int irbit2(unsigned long...

Ngày tải lên: 01/07/2014, 10:20

... by Ian Travis. p. cm. ISBN: 0-7 63 7 -1 81 7-3 1. C++ (Computer program language) I. Kirch-Prinz, Ulla. II. Title. QA76.73.C153 P73 713 20 01 005 .13 '3—dc 21 20 010 29 617 2090 Chief Executive Officer: ... string, which is used to repre- sent strings. In addition to defining strings, the chapter looks at the various methods of string manipulation. These include inserting and...

Ngày tải lên: 06/07/2014, 17:21

... of IR, 10 8 – 11 1 the abundant expression in muscle, liver and fat, 10 9, 11 0, 11 2 11 5 the 10 THE INSULIN RECEPTOR AND DOWNSTREAM SIGNALLING L1′L2 L2′ insulin Fn Fn CR CR′ e1 e2 L1 Figure 1. 3 Insulin ... hormone metabolism 217 8 .16 Glucocorticoid metabolism and obesity 217 8 .17 11 β-hydroxysteroid dehydrogenase (11 β-HSD) 218 8 .18 Isoenzymes of 11 β-HSD 218 8 .19 11 β-...

Ngày tải lên: 09/08/2014, 15:20