Ryan’s Ballistic Trauma docx
... Training and Education Problems for Civilian Surgeons Civilian surgeons and their supporting teams are now exposed (and will continue to be exposed) to battlefield ballistic and blast injuries and ... emerged from failed and rogue states – most notable are Taliban and Al-Qaeda and countless allied groups They have a worldwide reach as is evident from earlier discussions The response from countries ... in war and trauma and new strategies are being tried These include 1.4.2.2 Courses and Workshops in War and Conflict Surgery These are run by military and humanitarian agencies The ICRC and the...
Ngày tải lên: 29/06/2014, 09:20
... treated conservatively with a collar and cuff due to her age and history of current alcohol abuse She was to Figure attemptsinjury, revealing primary callus 10 weeks primary 1at formation right shoulder ... malalignment of fracture ends and Anteroposterior view of right shoulder 10 weeks after the primary injury, revealing malalignment of fracture ends and attempts at formation of primary callus (arrow) ... literature review and constructed the manuscript RM was first assistant (brachial exposure), photographer, carried out the literature review and drafted and editing the manuscript AH was primary surgeon...
Ngày tải lên: 11/08/2014, 21:22
... differences between GIF and MT1 and MT2 include a Cys-Pro-Cys-Pro(6–9) motif and Thr5 in the b-domain of GIF and a different amino acid structure in the a-domain [32] Structural and cell biology studies ... monovalent and divalent metal ions with high affinity They have the ability to inhibit heavy metal toxicity [i.e Cd(II), Hg(II)] and regulate the transport and storage of essential heavy metals [Cu(I) and ... investigate and understand the physiological roles of GIF within the brain Further studies are required to determine the function of GIF within the normal, injured and neurodegenerative brain, and to...
Ngày tải lên: 16/02/2014, 15:20
Báo cáo khoa học: The 3¢-UTR of the mRNA coding for the major protein kinase C substrate MARCKS contains a novel CU-rich element interacting with the mRNA stabilizing factors HuD and HuR ppt
... alone (lanes and 4), with lg bovine serum albumin (BSA) (lanes and 5), with lg protein of total extract from Swiss 3T3 cells (lanes and 6) After RNase T1 digestion (lanes 2, 3, and 6) samples ... HuR and the neuron-specific HuD [51] The cDNAs of human HuR and HuD were cloned into prokaryotic expression vectors and recombinant GST-HuD and HuR were expressed in E coli Purified GST-HuD and ... (pTH82) and the control vector pBluescript (KS+) (pBS), were hybridized with 32P-labeled run-off transcripts from nuclei isolated from confluent Swiss 3T3 cultures transfected with pLuc and pDK1...
Ngày tải lên: 08/03/2014, 08:20
Type 1 Diabetes Clinical Management of the Athlete potx
... sportspeople and athletes manage their diabetes and physical activity successfully to reduce dysglycaemia with and following exercise, and to normalize physical performance Athletes and sports ... Technologies (CSII and CGM) and Novel Strategies in the Management of Type Diabetes for Sport and Exercise Alistair N Lumb Hypoglycemia and Hypoglycemia Unawareness During and Following Exercise ... hepatic glucose production did not increase, and plasma glucose initially decreased from 5.5 to 3.4 mmol/l (from 100 to ~62 mg/dl) and then leveled off and was 3.3 mmol/l (~60 mg/dl) at the end...
Ngày tải lên: 14/03/2014, 09:20
Assessment and Management of the Elderly Patient with Multiple Sclerosis pot
... myelopathies, primary or secondary vasculitis, metabolic disease, and degenerative and nutritional syndromes As a result, diagnosis is often delayed due to low clinical suspicion Assessment and Treatment ... 55 and a majority of patients over the age of 70 have some evidence of disease Joints including the knees, hips, spine, and hands are subject to degenerative changes secondary to overuse and ... inflammation and menstrual disorders.13 Fingolimod (Gilenya) is a novel medication that has recently received FDA approval and is currently being used as first line treatment of relapsingremitting and primary...
Ngày tải lên: 22/03/2014, 14:20
Đề tài " (log t)2/3 law of the two dimensional asymmetric simple exclusion process " pdf
... (1996), 1779–1808 [8] C Landim, J Quastel, M Salmhofer, and H.-T Yau, Superdiffusivity of one and two dimensional asymmetric simple exclusion processes, preprint, 2002 [9] C Landim and H.-T Yau, Fluctuation-dissipation ... Phys 182 (1996), 396–456 [6] K Johansson, Shape fluctuations and random matrices, Comm Math Phys 209 (2000), 437–476 [7] C Landim, S Olla, and H.-T Yau, Some properties of the diffusion coefficient for ... site x is occupied and ηx = otherwise Denote η x,y the configuration obtained from η by exchanging the occupation variables at x and y: ηz if z = x, y, x,y (η )z = ηx if z = y and ηy if z...
Ngày tải lên: 22/03/2014, 16:20
Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy pot
... American guidelines7 and those from the ISSHP,66 with the exception of the gestational age criterion (see Prediction, Prevention, and Prognosis of Preeclampsia and Place of Care, and specific therapy) ... Marine and other oils (e.g., evening primrose oil) are rich in prostaglandin precursors and may be beneficial by reducing inflammation and vasoconstriction These oils (referred to as prostaglandin ... clinical preventive action Evidence obtained from at least one properly randomized controlled trial II-1: Evidence from well-designed controlled trials without randomization B There is fair evidence...
Ngày tải lên: 28/03/2014, 14:20
NASA’S MANAGEMENT OF THE MARS SCIENCE LABORATORY PROJECT potx
... the vibration and shock that MSL will experience during its entry, descent, and landing on Mars SA/SPaH has two primary functions, sample acquisition and sample processing and handling Sample ... and landing system; the size and mass of the rover (four times as heavy as the previous Martian rovers Spirit and Opportunity); the number and interdependence of its 10 science instruments; and ... extending upward from the MSL rover deck (body) The MastCam will be used to study the Martian landscape, rocks, and soils; to view frost and weather phenomena; and to support the driving and sampling...
Ngày tải lên: 29/03/2014, 22:20
Guideline for Management of the Clinical Stage 1 Renal Mass pptx
... collaboration and, above all, leadership For many, Andy Novick’s career was both the quintessence of leadership and the embodiment of the best in academic urology Andy’s clinical and intellectual ... application and repetitive reassessment of the data as a means of doing so Andy was an ardent supporter of basic and translational science in urology in both word and deed He was a passionate educator and ... passion, his high standards and a roadmap for future generations of caregivers and investigators interested in relieving suffering from kidney cancer It reflects the best that Andy was so consistently...
Ngày tải lên: 31/03/2014, 13:20
univ of minnesota press mechademia 3 limits of the human nov 2008
Ngày tải lên: 11/06/2014, 15:46
báo cáo hóa học: " The Dutch version of the knee injury and osteoarthritis outcome score: A validation study" pdf
... questionnaire, SF-36 and VAS for pain The correlation between KOOS Pain and SF-36 BP, between KOOS Pain and SF-36 PF, KOOS (all subscales) and VAS for Pain and KOOS ADL and SF-36 PF should be ... items), sport and function (Sport/recreation, five items), and knee-related quality of life (QoL, four items) Standardized answer options are provided and each question is rated on a scale from to ... (OA) and was developed for elderly with OA and assesses pain, stiffness and function in daily living [2-4] Traumatic knee injuries often cause damage to structures such as ligaments, menisci and...
Ngày tải lên: 18/06/2014, 22:20
STATE OF CALIFORNIA Page 3 RECONCILIATION OF THE PROVIDER''''S ADJUSTMENTS TO THE AUDIT REPORT _part1 pdf
... Laundry and Linen - Other - Nonlabor 60.02 Laundry and Linen - Fringe Benefits 149,685 60.01 Laundry and Linen - Salaries and Wages 60.03 Laundry and Linen - Agency Staff 0 60.00 Laundry and Linen ... 60.04 Laundry and Linen - Other - Nonlabor 60.03 Laundry and Linen - Agency Staff 60.02 Laundry and Linen - Fringe Benefits 60.01 Laundry and Linen - Salaries and Wages 60.00 Laundry and Linen 55.00 ... Salaries and Wages Housekeeping - Fringe Benefits Housekeeping - Other - Nonlabor Plant Operations and Maintenance Plant Operations and Maintenance - Salaries and Wages Plant Operations and Maintenance...
Ngày tải lên: 20/06/2014, 03:20
STATE OF CALIFORNIA Page 3 RECONCILIATION OF THE PROVIDER''''S ADJUSTMENTS TO THE AUDIT REPORT _part2 pdf
... 42 CFR 413.20 and 413.24 CMS Pub 15-1, Sections 2300, 2302.4 and 2302.8 60.04 Laundry and Linen - Other - Nonlabor 60.03 Laundry and Linen - Agency Staff To reclassify laundry and linen contracted ... 413.20 and 413.24 CMS Pub 15-1, Sections 2300, 2302.4 and 2302.8 165.01 165.02 165.11 165.03 165.04 165.06 5.04 Plant Operations and Maintenance - Other - Nonlabor 5.03 Plant Operations and Maintenance ... determination 42 CFR 413.20 and 413.24 CMS Pub 15-1, Sections 2300, 2302.4 and 2302.8 5.04 Plant Operations and Maintenance - Other - Nonlabor 5.00 Plant Operations and Maintenance To reclassify...
Ngày tải lên: 20/06/2014, 03:20
Báo cáo khoa học: "Germination behaviour of 3 species of the genus Pinus in relation to high temperatures suffered during forest fires" pdf
... took only d after sowing to begin germination and showed a strong peak between d and In figures B and C, P pinaster and P radiata showed smaller and much less defined germination peaks P pinaster ... the control and 90°C for mn treatment, and germination decreased as the temperature and exposure time increased (table I), especially in those of 110°C for mn and 150°C for mn (fig C), and the differences ... MATERIALS AND METHODS The biological material used in this study were seeds of Pinus pinaster Aiton, Pinus radiata D Don and Pinus sylvestris L The seeds of P pinaster and P radiata came from harvest...
Ngày tải lên: 08/08/2014, 19:21
báo cáo khoa học: "Successful interdisciplinary management of the misdeployment of two self-expanding stents into the internal carotid artery: a case report" pps
... peri-procedural and post-procedural mortality and morbidity rate of between 3% and 5%, and an increased risk of peri-operative bleeding due to the antiplatelet medication Our patient accepted this, and the ... DJ, HvL and TH performed the surgical procedure and drafted the case report TG and HH performed the endovascular procedure HM participated in the diagnostic and therapeutic decisions and was ... the left and right V4 stenosis using a combination of moderately undersized balloon dilatation and deployment of oversized self-expanding stents (Enterprise) The surgical stent removal from the...
Ngày tải lên: 11/08/2014, 02:22
Báo cáo y học: "Roundtable debate: Controversies in the management of the septic patient – desperately seeking consensus" ppsx
... multifactorial and can be related to venodilation, fever and fluid losses, and diffuse capillary leak Vascular dysfunction presumably results from damage to underlying endothelium and likely results ... cortisol value [9] The subsequent randomized controlled trial by Annane and coworkers showed benefit from steroids in the ACTH nonresponder patients only Therefore, a random cortisol without cosyntropin ... determined from cumulative data, including serial hemodynamic measurements, measurements of arterial and central venous oxygenation, and the response to volume infusion Both the availability and potential...
Ngày tải lên: 12/08/2014, 20:20
Báo cáo y học: "GASNet.org: Management of the difficult airway" pdf
... http://www.asahq.org/publicationsAndServices/ Difficult%20Airway.pdf Updated in 2002, this is the consensus statement from the American Society of Anesthesiologists presenting the evidence (or lack thereof) and recommendations ... different airway management options Sponsors The GASNet airway tutorial was sponsored by a grant from Cook Critical Care, who manufacture many products for use in the patient with a difficult airway...
Ngày tải lên: 12/08/2014, 20:20
Báo cáo khoa học: "Optimal management of the high risk surgical patient: beta stimulation or beta blockade" pdf
... events (high RCRI scores) should be dissociated from Bland RD, Shoemaker WC, Abraham E, Cobo JC: Hemodynamic and oxygen transport patterns in surviving and nonsurviving postoperative patients Crit ... DO2 value may also be adequate Mixed venous and central venous (ScvO2) oxygen saturations reflect the balance between oxygen requirements and DO2, and may thus be used to assess the adequacy ... mortality was 6% to 7% in the patients with RCRI scores of and more A high-risk surgical procedure was performed in a minority of the patients, and the effects of beta-blockade were neutral in these...
Ngày tải lên: 12/08/2014, 23:20