6 5 decisions in the management functions

... Waves If you think about the ocean, you might think of boats on the water or driftwood dotting the sand You might imagine someone lying in a hammock near the shore or swimming in the surf But you ... stingrays and not step on them < A blue spotted stingray on the ocean floor, covering itself with sand 16 17 Crabs can walk on top of the mud, bury themselves in the sand, or hide in holes in the ... urchins eat seaweed from tide pools that form during high tide During low tide, they hide in holes in rocks to keep from drying out The holes also protect them from the force of the pounding...

Ngày tải lên: 11/02/2017, 15:44

... protect themselves from the pounding waves 114 169 17_LRD_TG_114_1 15 114 12/ 16/ 05 9:37 :57 AM Life in the Sea Name Vocabulary Directions Read the sentences below Write the word from the box that has the ... and the sea life found around them by going to the library or using the Internet Have them research scientists who are exploring these deep sea places and the forms of life found there Ask them ... however, the main idea is not stated In this case, readers must infer, or put into their own words, the main idea As students read each section, have them jot down notes about what they think is the...

Ngày tải lên: 20/03/2017, 13:21

... Waves If you think about the ocean, you might think of boats on the water or driftwood dotting the sand You might imagine someone lying in a hammock near the shore or swimming in the surf But you ... stingrays and not step on them < A blue spotted stingray on the ocean floor, covering itself with sand 16 17 Crabs can walk on top of the mud, bury themselves in the sand, or hide in holes in the ... urchins eat seaweed from tide pools that form during high tide During low tide, they hide in holes in rocks to keep from drying out The holes also protect them from the force of the pounding...

Ngày tải lên: 18/04/2017, 16:12

... 2001; 108:437–4 46 52 Evans L Antioxidants: they have a role in the management of insulin resistance Indian J Med Res 2007; 1 25: 355 -3 75 53 Honjo T, Inane N Antioxidants drugs as the strategy for ... improves insulin sensitivity in insulin-resistant individuals ( 16, 62) The acute effects of hyperglycemia-dependent endothelial cells dysfunction are counterbalanced by antioxidants (63 - 65 ) But clinical ... is associated in humans with reduced intracellular antioxidant (11) Interestingly, antioxidants improve insulin sensitivity and help in wound healing ( 16, 17) Along with others, the investigators...

Ngày tải lên: 26/10/2012, 09:39

... seconds of coming into contact with them Almost all of the remaining phenol binds to the nerve tissue during the following few minutes; by 15 minutes from the start of the phenol administration, ... 0.1% of the administered dose remains in the CSF (Ichiyanagi et al., 19 75) The magnitude of the clinical effect of the intrathecal block depends on the concentration of phenol and also on the volume ... test injection with 0 .5 ml of a local anaesthetic is given to ensure the correct placement of the needle in the subarachnoid space The patient usually reports tingling or skin sensory loss in the...

Ngày tải lên: 01/11/2013, 10:20

... had been enjoined upon them as, for example, when they left the door open in coming in or going out, in the winter; or interrupted their mother when she was reading, instead of standing quietly ... once into the idea of the children in regard to them, and treated them always as if they were real persons; often speaking of them and to them, in the presence of the other children, in the most ... not there, trusting to her sister's skill in diverting the child's mind, and amusing her with something else in the garden, until the chaise has gone And if, either from hearing the sound of the...

Ngày tải lên: 06/03/2014, 20:20

... implementing the next device on IPv6 In other words, once the cost of deploying IPv4 infrastructure – determined by the cost of obtaining the addresses themselves and the cost of designing and operating ... by sending dozens of network engineers to in- depth IPv6 training courses and created IPv6 labs that interconnected them across the Internet Bechtel then started to integrate IPv6 into the company‘s ... /64 (a single subnet within the end site) and a /48 (up to 65 5 36 routed subnets within the end site) The choice of the allocation policies to sites within these bounds is a matter for the LIR...

Ngày tải lên: 06/03/2014, 21:20

... SERVED IN THE RAC MEDICAL CLINIC Overall Total Patients Serviced n(%) 10,4 35 *** Age ( 65 ) 5, 8 46( 56 ) Gender Male Female Missing 10,341 *** 4 ,60 3(44 .5) 5, 738 (55 .4) ... prone to developing  35 Kilijanek TS, Drabek T (1979) Assessing long-term impacts of a natural disaster: A focus on the elderly The Gerontologist, 19 (6) , 55 5- 56 5 The authors used information collected ... resource in, disaster planning for the elderly in developing countries Huerta F, Horton R (1978) Coping behavior of elderly flood victims, The Gerontologist, 18 (6) , 54 1 -5 46 The data used in this...

Ngày tải lên: 28/03/2014, 16:20

... in drafting of the manuscript and in the interpretation of data TGB performed part of the literature review and contributed in the manuscript editing SP, EP, AK and GT contributing in analyzing ... 19 96, 78: 164 6 -57 Ocku G, Aktuglu K: Intraarticular fractures of the tibial plafond A comparison of the results using articulated and ring external fixators J Bone Joint Surg Br 2004, 86B: 868 - 75 ... fixator The proximal part of the devise was stabilized with the use of half-pins into the tibial shaft and the distal part with half-pins into the calcaneus and talus respectively, enabling at the...

Ngày tải lên: 20/06/2014, 04:20

... n (%) CGI-S 3.84 ± 1.07 Of the 2 45 subjects who were included in the safety sample, 163 (66 .5% ) experienced an AE during the switching treatment phase and, of the 153 subjects who entered long-term ... instrument, short version 64 weeks, the mean weight increased over the course of treatment (68 .9 ± 15. 4 kg at week 64 ) The mean weight at study endpoint (LOCF) decreased (66 .8 ± 15. 1 kg) Neither ... ( 26 and 52 weeks) clinical trials [9,12, 16, 17] However, whether these findings will translate into long-term improvements in real-life clinical practice in a Taiwanese population warrants further...

Ngày tải lên: 09/08/2014, 01:21

... antiproliferative activity include angiotensin-converting enzyme inhibitors, angiotensin receptor blockers and PDE type V inhibitors [5] The use of angiotensin-converting enzyme inhibitors in SScl to prevent ... and inhibition of NF-ΚB activation [5, 12,13] Since there are commonalities in the pathophysiology of PAH and RP, particularly in the context of connective tissue disease, inhibition of the renin–angiotensin ... Engl J Med 2004; 351 :14 25- 14 36 Channick RN, Simonneau G, Sitbon O, Robbins IM, Frost A, Tapson VF, Badesch DB, Roux S, Rainisio M, Bodin F, Rubin LJ: Effects of the dual endothelin-receptor antagonist...

Ngày tải lên: 09/08/2014, 06:23

... 63 55 34 17 21 29 26 16 Closest margin (mm) 5 Not specified 65 102 30 18 30 47 15 Re-excision Yes No 72 143 33 67 VNPI 3–4 5 7 8–9 Not specified 61 104 20 30 29 48 14 Table lists the ... Radiation therapy for ductal carcinoma in situ: is it really worth it? J Clin Oncol 2007, 25: 461 - 462 Silverstein MJ: An argument against routine use of radiotherapy for ductal carcinoma in situ ... 2008, 6: 61 http://www.wjso.com/content /6/ 1 /61 Background Patients and methods Screening mammography has led to a significant increase in the reported incidence of ductal carcinoma in situ (DCIS) in...

Ngày tải lên: 09/08/2014, 07:21

... pain coping skills training and pain coping skills training with a maintenance training component: A daily diary analysis of short- and long-term treatment effects J Pain 20 06, 7 :61 5 -62 5 25 Keefe ... to understanding and treating disease-related pain Annu Rev Psychol 20 05, 56 : 601 -63 0 Bradley LA, Alberts KR: Pain management in the rheumatic diseases Rheum Dis Clin N Am 1999, 25: 2 15- 230 Katz ... compared the psychosocial functioning and coping of mothers with chronic pain (including mothers with arthritis) to mothers without pain, with regard to their ratings of parenting efficacy There...

Ngày tải lên: 09/08/2014, 08:23

... 50 51 52 53 54 55 56 57 58 59 60 61 62 with hippocampal avoidance and simultaneously integrated brain metastases boost: a planning study Int J Radiat Oncol Biol Phys 2007, 69 :58 9 -59 7 Wefel JS, ... measures are the Barthel index and the Functional Assessment of Cancer Therapy-Brain (FACT-Br), which previously have been used in studies of patients with brain metastases[ 56 , 63] The Barthel Index ... Radiation Oncology 2008, 3: 26 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 of RTOG BR-0018 International Journal of Radiation Oncology*Biology*Physics 2007, 69 :S103 Li J, Bentzen...

Ngày tải lên: 09/08/2014, 09:22

... Indications for therapy The 19 96 NCI Working Group established guidelines for initiating treatment for CLL, which were affirmed in 2008 by the International Workshop on CLL[1,2] Indications include ... Lymphocytic Leukemia updating the National Cancer Institute-Working Group 19 96 guidelines Blood 2008, 111 :54 46- 54 56 Eichhorst BF, Busch R, Hopfinger G, Pasold R, Hensel M, Steinbrecher C, Siehl S, ... FC FCR PCR PR PCR FCR III 164 164 137 141 387 194 1 96 51 53 300 409 408 64 33 92 92 24 23 15 38 47 28 72 23 45 41 30 17 83 94 59 74 72 80 94 90 77 94 85 93 91 79 45 58 20 48 19 32 Not Rep Not...

Ngày tải lên: 10/08/2014, 22:20

... eight cases into one case series because the surgical management of the eyelid injuries was the same, although the systemic managements of these patients as different according to the injury area ... fold on the graft, allowing extra skin for future graft contracture while still preserving the ability to close the eye adequately We widen the grafting area by separating and loosening the musculus ... possible Early skin grafting increases the risks of infection and complications However, delayed skin grafting also increases the risk of eyelid hypertrophic scarring, asymmetry and other deformities...

Ngày tải lên: 10/08/2014, 23:22

... advances in the treatment of headaches Curr Opin Anaesthesiol 20 05, 18: 56 3 - 56 8 Ashkenazi A, Levin M: Greater occipital nerve block for migraine and other headaches: is it useful? Curr Pain Headache ... reviewing and editing the manuscript EDS contributed to the review and editing of the manuscript All authors read and approved the final manuscript Competing interests The authors declare that they ... lidocaine as a local anesthetic, and the stimulating electrodes were introduced through a 14-gauge introducer needle (0 .5 cm to 0.7 cm below the skin surface) in a mediolateral position Positioning...

Ngày tải lên: 11/08/2014, 00:23

... Drafted the overall design of the manuscript, the otolaryngology management part and collect all the figures and photos JMA: Drafted the neurosurgical part of the management SJWD: Drafted the clinical ... of MR and CT in evaluating clival chordomas and chondrosarcomas Am J Roentgenol 1988, 151 (3): 56 7 -57 5 Hellquist HB: Pathology of the Nose and Paranasal Sinus London , Butterworth-Heinemann Medical; ... (Magnetic Resonance Imaging) brain sequence showed a large clival based tumour with involvement of the dura at the region of the whole clivus where the tumour had compressed the brain stem anteriorly...

Ngày tải lên: 11/08/2014, 10:23

... arterial thrombosis, there not appear to be any real alternatives in the management of fractures involving the anterior column of the acetabulum The ilio-inguinal route provides the benefits of a ... segments This force will act against the tethering effect of the medially coursing internal iliac and inferior epigastric vessels [7] The net forces may favour intimal lesions and plaque rupture, ... present case, the injury resulted from a fall on the hip The patient was operated on five days after the traumatic event, without any traction having been applied in the interim In retrospect,...

Ngày tải lên: 11/08/2014, 10:23

... phenytoin at more than 25 mg.ml-1 [1,8] Therefore, administration of phenytoin should be into a free-flowing infusion line, through a large bore intravenous catheter sited into a large vein of the ... of the intravenous catheter [1] The diagnosis of PGS is based on the characteristic clinical findings and a high index of suspicion when it occurs after the administration of phenytoin The management ... from injection site infection Intra-arterial injection of a highly alkaline solution would 20 G intravenous Cannula inserted into the interscalene groove for continuous infusion of bupivacaine...

Ngày tải lên: 11/08/2014, 11:22