a critical review of the evidence

... from an efficiency perspective Critical appraisal of the economic analysis of IABP therapy in AMI patients The factors which we consider when critically appraising an economic analysis are summarized ... care Intracoronary thrombolysis was used in 42% of patients later randomized to IABP therapy compared to 46% of patients in the standard therapy arm Intravenous heparin was used for a mean of ... reperfusion of the IRA Rescue angioplasty was not attempted in any of these patients This study randomized patients at the end of initial coronary angiography to 48 h of prophylactic IABP therapy (n...

Ngày tải lên: 12/08/2014, 18:20

... in the parametrial areas [35], whereas Levenback found 9% of the sentinel nodes in the paraaortic area, 11% in the common iliac, 71% in the external iliac, and 9% in the parametrial area in a ... Of the cases, 90% are squamous cell carcinomas, while the rest are melanoma, adenocarcinoma, basal cell carcinoma and sarcoma [7] Nodal metastasis in vulva cancer is the main prognostic factor, ... Although majority of the nodes are located in internal iliac and external iliac areas, nodes have been found in also presacral, parametrial and pararectal areas [33] In a sentinel node study carried...

Ngày tải lên: 09/08/2014, 07:21

... developed from the transformation are retained and transferred to other problems and parts of the healthcare organization The two exceptions to the question of sustainability are Furman and Caplan's report ... and Management in the School of Rural Public Health at the Texas A& M Health Science Center in College Station, Texas Additional material Additional file Table S1 Summaries of organizational transformation ... Backoff RW: Organizational Transformation Journal of Management Inquiry 1997, 6:235-254 Van Tonder C: 'Organisational transformation': wavering on the edge of ambiguity SA Journal of Industrial...

Ngày tải lên: 11/08/2014, 05:21

... developed from the transformation are retained and transferred to other problems and parts of the healthcare organization The two exceptions to the question of sustainability are Furman and Caplan's report ... and Management in the School of Rural Public Health at the Texas A& M Health Science Center in College Station, Texas Additional material Additional file Table S1 Summaries of organizational transformation ... Backoff RW: Organizational Transformation Journal of Management Inquiry 1997, 6:235-254 Van Tonder C: 'Organisational transformation': wavering on the edge of ambiguity SA Journal of Industrial...

Ngày tải lên: 11/08/2014, 16:20

... they are generally downplayed and not affect the decisiveness of the conclusions Interpretation of the findings is often biased and obvious caveats and alternative explanations for the data are ... asked them, among other aspects of their experience, about addiction and loss of autonomy The claim that participants could validly report physical addiction to nicotine was based on the observation ... that “When asked what exactly it was they were addicted to, participants readily answered that it is the nicotine in cigarettes.” Clearly, the responders had no way of knowing this for a fact and...

Ngày tải lên: 11/08/2014, 18:20

... Perioral paresthesia, numbness in the hands, weakness, ataxia, lightheadedness, shortness of breath, apnea 6/23 pts renal impairment; 7/23 pts albuminuria Nausea, itching of the face, hands, and arms ... facial and peripheral paresthesia, partial deafness, visual disturbances, vertigo, confusion, hallucinations, seizures, ataxia, and neuromuscular blockade The last of these usually produces a myasthenia-like ... (48 cases E coli and 45 cases Shigella spp.) Episodes of ptosis, muscular weakness of the face and of the extremities Page of 13 Vol 10 No Medical wards 12 Critical Care 1965 [23] 11 Falagas and...

Ngày tải lên: 12/08/2014, 23:21

... to a standardized amount of carbohydrate in a food The glycemic load takes into account the amount of food eaten An international table of the glycemic index and glycemic load of a wide variety ... bacterial populations were seen between patients who recently had a colon polyp removed, Japanese-Hawaiians, North American Caucasians, native rural Japanese, and rural native Africans Lactobacillus ... vitamin E, and 69 percent less of the minerals (USDA Food database, data not shown) Concentrated sugars and refined flour products make up a large portion of the carbohydrate intake in the average...

Ngày tải lên: 06/03/2014, 02:21

... may be related to salt and NOC, in enhancing carcinogenesis after the epithelium is damaged[8] The aim of this article is to review and evaluate the available epidemiological evidence about the ... M, Natsukawa S, Shaura K, Koizumi Y, Kasuga Y, Hanaoka T, Tsugane S Association of Helicobacter pylori infection and environmental factors in non-cardia gastric cancer in Japan Gastric Cancer ... population: a 6-year survey Jpn J Cancer Res 1992; 83: 568-575 Inoue M, Tajima K, Kobayashi S, Suzuki T, Matsuura A, Nakamura T, Shirai M, Nakamura S, Inuzuka K, Tominaga S Protective factor against...

Ngày tải lên: 06/03/2014, 02:21

... than the national average—16.7 new cases versus 16.1 per 100,000 per year African American and Latino children in Massachusetts had approximately 25% more diagnosed cancers than white and Asian and ... benzo (a) anthracene, benzo(b)fluoranthene, and benzo (a) pyrene as probable human carcinogens, and the U.S Department of Health and Human Services has classified benzo (a) anthracene, According to Rao, ... pregnant women are exposed can cross the placenta and bind to fetal DNA (forming DNA adducts), causing mutations (damage to genetic material, the start of the cancer process) in the umbilical cord...

Ngày tải lên: 22/03/2014, 16:21

... Because of the relatively poor quality of the available data and the lack of other important information, the question of preferred treatment still remains unanswered, and there is clearly a need ... Journal of Oral and Maxillofacial 1997; 35: 230-6 Talwar RM, Ellis III E, Throckmorton GS Adaptations of the masticatory system after bilateral fractures of the mandibular condylar process J Oral ... recent advances in prevention, diagnosis and management Int J Oral and Maxillofacial Surgery 2005; 34: 823-33 27 Banks P A pragmatic approach to the management of condylar fractures Int J Oral Maxillofac...

Ngày tải lên: 08/08/2014, 17:20

... McBeth J, Silman AJ, Ray D, Macfarlane GJ: A population based study of chronic widespread pain and the hypothalamic–pituitary–adrenal (HPA) axis: results from a pilot study [abstract] Rheumatology ... stress and fibromyalgia We have shown that activities of several endocrine axes and neurotransmitters change in parallel in both fibromyalgia and stress In particular, there are decreased basal levels ... physician supply Arthritis Rheum 1991, 34:1209-1217 Aronoff GM: Myofascial pain syndrome and fibromyalgia: a critical assessment and alternate view Clin J Pain 1998, 14: 74-85 Aaron LA, Bradley LA,...

Ngày tải lên: 09/08/2014, 01:23

... (LPS)-induced GAG release [69] It also affected the activities of lysosomal enzymes, decreasing the activities of arylsulfatase A and arysulfatase B, an N-acetylgalactosaminidase-4-sulfatase, but increasing ... risk of developing OA in their near future Appendix Comparative discussion on the value of the Jadad and OA scores to evaluate the quality of clinical trials on OA To evaluate the quality of the ... the Jadad score in discriminating the quality of the trials Indeed, several trials, despite a maximal Jadad score and point allocated to the three criteria of the OA score evaluated in the Jadad...

Ngày tải lên: 09/08/2014, 08:22

... outcome The evaluation was a time series analysis from an early evaluation of a drug consumption room in Australia Whilst statistical analysis was reported in the paper, for the outcome of anti-HCV ... Both authors read and approved the final manuscript Additional material Additional File Summary of observational studies exploring the impact of primary prevention measures upon HCV prevalence and ... combined was calculated at a lifetime saving to costs of treatment of $3 653AUD million in treatment costs A total gain of 170 279 Quality Adjusted Life Years (QALYs) were also calculated due to avoiding...

Ngày tải lên: 11/08/2014, 20:20

... most of the triage scales developed in the 1990s and 2000s being designed as 5-level scales Of these, the Australian Triage Scale (ATS), Canadian Emergency Department Triage and Acuity Scale (CTAS), ... clear, internal validity is good while sample size is of uncertain adequacy ATS = Australasian Triage Scale; CTAS = Canadian Emergency Department Triage and Acuity Scale; MTS = Manchester Triage ... but many patients All studies are observational triage levels, we could not evaluate the validity of the triage scales across all triage levels as regards the risk of early death To estimate the...

Ngày tải lên: 13/08/2014, 23:20

... be established as follows: A1 A2 An A1 a1 /a1 a1 /a2 a1 /an A2 a2 /a1 a2 /a2 a2 /an An an /a1 an /a2 an/an 149 where ai/aj = aj/ai for all i, j = 1, 2,, n (ai/aj expressed in another ... that matrix The following is a brief summary of the mathematical theory of the AHP, as reference to Saaty and Vargas (1991) and Harker (1989) The matrix of pair-wise comparisons A = (aij) can ... Underpinning mathematical theory The application of the Analytic Hierarchy Process is (1) to establish a matrix of pair-wise comparisons A = (aij), and (2) to establish weights of a set of criteria (w1,...

Ngày tải lên: 16/09/2015, 08:29

... GBC, as expressed in equation (12), include the total site area (Asite), building footprint area (Af), percentage of hard-paved area of the site (P), and total net usable area of the building (Anet) ... (Af) and the percentage of hard-paved area of the site (P) should be kept as low as possible, and the total net usable area of the building (Anet) should be as large as possible In Singapore, scarcity ... being the third lowest among the scores of all case studies This is due to the large surface parking area, resulting in small percentage of greenery area in the total site area, and the rather large...

Ngày tải lên: 16/09/2015, 08:29

... potential sustainable performance of the project, based on the information available at the end of the Design phase Because the information available during the Pre-Design and Design phases are likely ... practice into their established ways of designing (Hagan, 2003) The Integrated Framework encourages and facilitates architectural students to engage in a truly interdisciplinary approach as early ... potential sustainable performance of the project, based on the information available at the end of the Pre-Design phase." The Design phase assessment is intended to indicate the future potential...

Ngày tải lên: 16/09/2015, 08:29

... data for further discussions in Part III Part III compiles a set of empirical analyses and discussion in order to substantiate the theoretically critical review of the practice of BEAMs and the ... discourse (Hagan, 2001) As a result of the analysis above and the contestation between the three domains, the approaches towards sustainable built environment from the three domains are often fragmented, ... places, they had easy access to plant food and water Small animals that came to drink and feed there were easy prey The humans had only to protect themselves from attack from predatory animals...

Ngày tải lên: 16/09/2015, 08:29

... higher rates than usual radical rearrangements [98,312] On the other hand, the timing of radical rearrangement (radical clocks) may depend critically on the tightness of the radical cage and the ... [68], the enzyme variant still mediated N-oxygenation of the tertiary arylamine at a rate less than half that of the wild-type-catalyzed reaction [142], so that reasonable interpretation of the data ... permit the unmasking of radical intermediates that rearrange at a rate faster than that of the recombination step [16,93] Despite the apparent predominance of the hydrogen transfer mechanism as the...

Ngày tải lên: 19/02/2014, 16:20

... Psychiatric Research, USA; Faiza Anwar, Women’s Health Educator, Australia; Victor Aparicio Basauri, WHO Collaborating Centre, Spain; Lara Asuncion Ramon de la Fuente, National Institute of Psychiatry, ... Ahmed G Abou El-Azayem, Eastern Mediterranean Regional Council of the World Federation for Mental Health, Egypt; Mlay Akwillina, Reproductive Health Project, Tanzania; Mary Jane Alexander, Nathan ... gather state of the art information on reproductive and mental health issues from a variety of researchers and interested parties Valuable data from consultant reports, national programme evaluations...

Ngày tải lên: 06/03/2014, 02:20