a general urologist apos s guide current clinical urology

... structured interview questions Be careful to accurately assess for a rich fantasy life versus a diagnosis of psychosis Be sensitive to depression and low self-esteem as clinical issues Levels ... Disorder is a potential diagnosis, rule out substance abuse, sexual abuse, physical/emotional abuse, and ADHD Goals Assess for referral for medication evaluation Enhance parent education regarding ... company of peers Parents may have to be more accomodating and lack demonstrations of distress associated with accomodating Additional Considerations Assess parental response to new people and situations...

Ngày tải lên: 15/02/2014, 02:20

... transactions that have occurred since your last statement (purchases, payments, credits, cash advances, and balance transfers) Some credit card companies group them by type of transactions Others ... Consumer Credit 1) Summary of account activity A summary of the transactions on your account your payments, credits, purchases, balance transfers, cash advances, fees, interest charges, and amounts ... Fees and Interest Rates Annual fees and finance charges can significantly increase your credit costs Annual fees are set by the card issuer and interest rates may vary in accordance with the prime...

Ngày tải lên: 06/03/2014, 04:21

... Director American Diabetes Association Clinical Affairs, American Diabetes Association American Orthopaedic Foot & Ankle Society American Podiatric Medical Association Lower Extremity Amputation ... should avoid pointed-toe and open-toe shoes, high heels, thongs and sandals Assess the material and construction of footwear Unbreathable and inelastic materials such as plastic should be avoided ... to specialists and an educator as indicated (Always refer to a specialist if Charcot foot is suspected.) • Assess/prescribe appropriate footwear • Certify Medicare patients for therapeutic shoe...

Ngày tải lên: 14/03/2014, 17:20

... much emphasis, as you will see Why? Its syntax is usually simple and fast to process Because it does not contain many words and is less technical, it is easier to understand The last sentence ... A Reader and Writer s Guide ideas forward, since the sentences have the same meaning Needless paraphrases slow down reading and reduce conciseness (Sentence 3, in bold, repeats what sentences ... reader When ideas are not in motion, two things happen to a paragraph: its length grows and its cohesion decreases Additional length is often a consequence of paraphrasing Needless paraphrases...

Ngày tải lên: 28/03/2014, 18:20

... writers and attackers as criminals and at times even as terrorists The malicious code writers and attackers view the corporate giants as criminal and parasitic organizations dominated by greedy capitalists ... malicious code attacks are so successful How flaws and vulnerabilities in software increase the costs of defending against malicious code attacks • How weaknesses in system and network configurations software ... Red, Sircam, and Nimda caused billions of dollars in damage Trojans, Worms, and Spyware Although these situations and attacks are dramatic in and of themselves, it is important to understand that...

Ngày tải lên: 04/06/2014, 13:21

... much emphasis, as you will see Why? Its syntax is usually simple and fast to process Because it does not contain many words and is less technical, it is easier to understand The last sentence ... A Reader and Writer s Guide ideas forward, since the sentences have the same meaning Needless paraphrases slow down reading and reduce conciseness (Sentence 3, in bold, repeats what sentences ... reader When ideas are not in motion, two things happen to a paragraph: its length grows and its cohesion decreases Additional length is often a consequence of paraphrasing Needless paraphrases...

Ngày tải lên: 27/06/2014, 05:20

... much emphasis, as you will see Why? Its syntax is usually simple and fast to process Because it does not contain many words and is less technical, it is easier to understand The last sentence ... A Reader and Writer s Guide ideas forward, since the sentences have the same meaning Needless paraphrases slow down reading and reduce conciseness (Sentence 3, in bold, repeats what sentences ... reader When ideas are not in motion, two things happen to a paragraph: its length grows and its cohesion decreases Additional length is often a consequence of paraphrasing Needless paraphrases...

Ngày tải lên: 27/06/2014, 08:20

... qualifiers as well as conditional provisos and modified nouns As a result, the stress changes Sentence emphasises length, whereas sentence emphasises what creates length (the “qualifiers”, “provisos”, and ... As soon as he types the letter O, the list shrinks down to a few items, and among them are Hagoort s papers He turns towards me as I sit back into the chair facing his desk “You see,” he says,“it ... expectation that the main clause will minimise the subordinate clause Take because Placed at the beginning of a sentence, because announces a main clause that contains a consequence In both cases,...

Ngày tải lên: 12/08/2014, 16:21

... architectural quality Beware of shortcuts A thorough analysis of the different parts of a hastily assembled paper often reveals major cracks and faults: the shapeless structure is like a pair of baggy ... jeans that fit just about any frame, while the graphics and other visuals have a mouse- and mass-produced look and feel To construct a satisfactory set of parts, one must understand the role played ... wonder if Archimedes would have damaged his reputation as a scientist had he ended his “Eureka” statement with an exclamation mark) The colon introduces, explains, elaborates, recaps, and lists Unlike...

Ngày tải lên: 12/08/2014, 16:21

... in the abstract An abstract is CONCISE It is not longer than necessary, as a courtesy to the reader Justification of research is best done through significant results An abstract is STAND-ALONE ... different purposes: one guides, the other summarises Qualities of an abstract An abstract is COMPLETE It has four parts (what, how, results, impact) An abstract is TIED TO TITLE All title words are found ... identifiable parts The heart always lives for the present An abstract is always written in the present tense to keep it fresh and current Visuals in abstracts? Never say never! I used to think that abstracts...

Ngày tải lên: 12/08/2014, 16:21

... of the presented facts and conclusions The authors praise the standard narrative In addition, they observe that today, as a result of the increased role played by visuals, it is necessary to go ... Writing: A Reader and Writer s Guide Scientific Writing: A Reader and Writer s Guide the last one concludes Also, not all papers have verbless headings In some journals, each heading is a full sentence ... guides the shape of a structure In the example above, three headings are standard: “Introduction”, “Results and discussion”, and “Conclusion” Standard headings are disconnected from titles, since...

Ngày tải lên: 12/08/2014, 16:21

... the same assumption as in [7], we assume that ; (2) Without loss of generality, it is also assumed that ; and (3) Because we assume that the event is slow varying, it is reasonable to update ... references to be easily assembled The shallow analysis of related works is fast because it does not require extensive reading of other people s work (abstracts or titles are enough in most cases) Are ... considered: citations and precision The Introduction Is Active and Personal The analysis of Mary and Kumar s views revealed that the way an introduction is written is just as important as what...

Ngày tải lên: 12/08/2014, 16:21

... ion mass around a unitary mass is summed within a window and displayed as a bar graph with 1-amu increments on the m/z mass axis, as shown in Figure 1.8 FIGURE 1.8 Mass fragment spectra (mass spectra) ... supercritical fluid sample extraction in automated sample preparation and analysis In SFC/MS, gases such as carbon dioxide can be used in their supercritical fluid state as a mobile phase for separation ... will provide us with a display of molecular mass versus ion concentration called a mass fragment spectra or simply a mass spectra (Fig 1.8) Generally, these data are not displayed as an ion continuum...

Ngày tải lên: 06/10/2016, 09:34

... a case by case basis Stents are also used to provide urinary drainage in nongenitourinary causes of ureteral obstruction, such as pregnancy and malignant ureteral obstruction An alternative and ... Complications of Percutaneous Approaches, Including Incisions 283 Brian R Matlaga, Ojas D Shah, and Dean G Assimos 18 Complications of Ureteroscopic Approaches, Including Incisions 299 Farjaad ... orifice facilitate spontaneous passage of smaller stones Stent Comfort and Quality of Life There is an increasing awareness that stents impact patients’ quality of life Stents may cause morbidity in...

Ngày tải lên: 11/08/2014, 01:22

... the access sheath Ureteral access sheaths offer the advantages of better flow of irrigation, and thus visualization, concomitant intra-operative drainage of the bladder, and ease of access for ... rigid instruments will cause 50 Kim and Lingeman Fig Upper pole access can be can be performed by a supracostal, intercostal or infracostal approach A supracostal approach most closely aligns the ... stones as the incidence of sepsis is almost threefold higher in this population as compared to the overall sepsis rate for SWL (49) Staghorn calculi are best managed with PCNL as any and all stone...

Ngày tải lên: 11/08/2014, 01:22

... within a calyx Ureteral Access Sheaths Ureteral access sheaths are available that can facilitate repeated ureteroscopic access to the intrarenal collecting system These 12- to 14-Fr sheaths allow ... ureteroscope to access and fully fragment the stone For these cases, an access sheath is usually unnecessary A new sheath (Aquaguide, Bard Urology, Covington, GA) is available with a built in second ... is a detailed account of the instrumentation available Some tips and tricks for successful stone removal are presented, such as the use of the ureteral access sheath to improve renal access and...

Ngày tải lên: 11/08/2014, 01:22

... incision Additionally, passage of an antegrade access sheath has not been associated with significant risk of hemorrhage If antegrade and retrograde access sheaths are used, two surgical teams may ... access, retrograde endoscopy is easily performed An access sheath may be gently passed in a retrograde manner Care should be taken to avoid damage to the ureteroenteric anastomosis If resistance ... ureteral access sheath is advanced to the UPJ under fluoroscopic guidance and the guidewire is removed In males, a 55-cm access sheath is usually required, whereas in females, a 35-cm access sheath...

Ngày tải lên: 11/08/2014, 01:22

... Percutaneous management is ideal when the UPJO is associated with upper tract stone disease because the stones can be managed concomitantly In such cases, percutaneous access is established with a wire ... pigs Subsequently, two survival pigs were sacrificed at and weeks, respectively All cases were successfully dismembered and a precisely sutured mucosa-to-mucosa anastomosis was created Intraoperative ... two survival animals had minimal apparent morbidity from the procedure and retrograde pyelogram at euthanasia revealed a patent anastomosis without extravasation A 6-Fr catheter easily crossed...

Ngày tải lên: 11/08/2014, 01:22

... tract can then be safely dilated and the diverticulum entered and fulgurated from an antegrade approach as previously described In this case, ureteroscopic assistance facilitates safe access to ... endourological techniques in the management of ureteral strictures is generally less than that of formal resection and anastomosis Nonetheless, these minimally invasive approaches are preferred ... retreated ureteroscopically Grasso and associates (21) treated four patients with five caliceal diverticula via an endoscopic approach Although ureteroscopy was attempted in all patients, a completely...

Ngày tải lên: 11/08/2014, 01:22