a practical solution to the problem of asphaltene deposits

... admissibility of scientific evidence; Americans' love of science and awe of scientists; and attorneys' need, both actual and perceived, to call in specialists to aid them at trial.2 Perhaps the most ... familiarity with handwriting and typewriting examination is able to qualify in the eyes of the trial judge Not even formal academic education or a baccalaureate degree is necessary Handwriting teachers, ... stand to explain why physical evidence is absent The unexplained absence of such evidence may lead jurors to conclude that the prosecution has failed to make its case The media has influenced the

Ngày tải lên: 04/11/2022, 07:30

... arrest: a 3-phase time-sensitive model JAMA 2002; 288: 3035–38 Cardiac arrest Aim 17 Cardiac arrhythmias: general approach 3 Cardiac arrhythmias: general approach Cardiac arrhythmia Yes Cardiac ... No Stabilize airway and... the AV node and back via the accessory pathway) – Fast conduction of atrial fibrillation down the accessory pathway (broad complex, irregular) – Rarely, antidromic ... principles • Stabilize airway and breathing: maintain arterial oxygen saturation >90% • Correct major arrhythmia... management of the airway 2 Respiratory rate Respiratory rate 30/min Give

Ngày tải lên: 10/08/2014, 18:21

... Antihistamines Paracetamol Salicylates... tests • Arterial blood gases and pH (respiratory alkalosis in early stage, progressing to metabolic acidosis) • Plasma paracetamol level (sample taker ... indications* and contraindications† Multiple-dose activated charcoal may be indicated Single-dose activated charcoal may be indicated Barbiturates Carbamazepine Dapsone Paraquat Quinine Theophylline ... reading American Academy of Clinical Toxicology, European Association of Poisons Centres and Clinical Toxicologists Position paper: gastric lavage Clin Toxicol 20 04; 42: 933–43 American Academy

Ngày tải lên: 10/08/2014, 18:21

... microscopy Further reading American College of Cardiology and American Heart Association. Guidelines for the management of patients with valvular heart disease (2006). American College of Car- diology ... Management and follow up of prosthetic heart valves. Heart 2004; 90: 818–24. Cardiac valve disease and prosthetic heart valves TABLE 30.3 Causes of acute pulmonary edema in native and prosthetic ... pulmonary edema should be excluded by clinical assessment, ECG and echocardiography Cardiac valve disease and prosthetic heart valves 30 Cardiac valve disease and prosthetic heart valves 194 Further

Ngày tải lên: 10/08/2014, 18:21

... The mechanisms, diagnosis, and management of severe asthma in adults. Lancet 2006; 368: 80–93. 258 SPECIFIC PROBLEMS: RESPIRATORY Acute asthma TABLE 39.3 Further management of acute severe asthma ... and monitoring in acute asthma Arterial blood gases • Check arterial blood gases if there are clinical signs of a severe or life-threatening attack (Table 39.1) or if arterial oxygen saturation ... focal shadowing indicative of pneumonia, or pneumothorax) • Arterial blood gases and pH • ECG • Echocardiography if there are clinical signs of congestive heart failure, raised plasma brain natriuretic

Ngày tải lên: 10/08/2014, 18:21

... Acetazolamide Clonazepam Phenobarbital Clobazam Focal at onset Carbamazepine Lamotrigine Valproate* Gabapentin Levetiracetam Pregabalin Tiagabine Zonisamide Acetazolamide... compression Transverse ... stockings and LWH heparin Prophylaxis against gastric Give proton pump inhibitor stress ulceration Fits Manage along standard lines (p. 349) Prophylactic anticonvulsant therapy not indicated ... 334), subdural empyema, brain abscess and cerebral malaria (p. 546) 2 Is immediate antibiotic therapy indicated? • If the clinical picture suggests meningitis, and the patient has shock, a reduced

Ngày tải lên: 10/08/2014, 18:21

... potassium, creatinine and urea* • Liver function tests: bilirubin, aspartate transaminase, alanine transaminase, gamma-glutamyl transferase, alkaline phosphatase, albumin • Amylase and lipase ... Diagnosis made by imaging and biopsy Cause unclear Retake the drug history Consider transjugular liver biopsy ALF, acute liver failure; ALT, alanine aminotransferase; AST, aspartate aminotransferase; ... Pancreatic... endocarditis (p 203) and myeloma as causes of renal failure • Has renal failure followed cardiac catheterization via the femoral artery (raising the possibility of renal atheroembolism)?

Ngày tải lên: 10/08/2014, 18:21

... sedimentation... hemorrhage Asthma Neuropathy Palpable purpura Gastrointestinal bleeding Abdominal pain Hematuria Palpable purpura Arthralgia Drug history Palpable purpura Maculopapular rash Microscopic ... lupus erythematosus ANCA, antineutrophil cytoplasmic antibodies; c-ANCA, antibodies with a cytoplasmic pattern of staining; p-ANCA, antibodies with a perinuclear pattern of staining; ESR, ... aspartate aminotransferase; gamma GT, gamma glutamyl transferase;... Microcytic anemia (MCV < 78 fl) Normal ferritin Hemoglobin electrophoresis normal in alphathalassemia trait and abnormal in betathalassemia

Ngày tải lên: 10/08/2014, 18:21

... from abroad after travel abroad • Full blood count • Blood film for malarial parasites if travel to or through an endemic area; the intensity of the parasitemia is variable in malaria... ... Comment Behavioral measures and... Lassa fever, visceral leishmaniasis Hepatomegaly Amoebiasis, malaria, typhoid, hepatitis, leptospirosis Splenomegaly Malaria, relapsing fever, trypanosomiasis, typhoid, ... neuropathy and severe mucositis can also occur although these take longer to develop Radiotherapy Can cause infl ammation and ulceration of exposed mucous membranes (e.g. gut, vagina, bladder)

Ngày tải lên: 10/08/2014, 18:21

... any other statutory or common law theory governing liability Library of Congress Cataloging-in-PublicationData National Council on Radiation Protection and Measurements A practical guide to the ... 10,27 Planar dielectrics 37 Planar log-periodic antenna 98 Planar models 52 Planar wave 10,33 Polarization 53 Polarization charge 23 Polarization of EM wave 10 Police radar 165 operational characteristics ... intensity Hand-held portable radios 147,148 operational characteristics 148 Half-wave dipole antenna 97,98 disadvantage of 98 Hazard evaluation procedures 133 Hazards radiofrequency H polarization

Ngày tải lên: 20/09/2017, 21:46

... Common dosages of dexamethasone are to 12 mg given IV at the time of surgery Additional oral dosages of to mg twice a day for the day of surgery and days afterwards leads to the maximum relief of swelling, ... state of eruption 101 surgical anatomy 104 Surgical removal of impacted tooth 116, 184 Surgical removal of palatally impacted maxillary canine 211 approaches 212 choice of anesthesia 212 factors ... supernumerary is similar to that of maxillary canine As for the maxillary canine tooth, the position of the supernumerary tooth is first localized clinically and radiographically A mucoperiosteal flap

Ngày tải lên: 21/01/2020, 23:43

... construction of the JKB relating to the task at hand And at the same time, the JKB functions as a basis for accomplishing the task on which the team is working (see Fig 3) and can also be seen as an essential ... interactions and 2) the principal function of the leader needs to be that of a facilitator of collaborative problem- solving The objective is to greatly improve the quality of meetings, trying to ... knowledge bases in these individual areas, it would be more appropriate to speak of taken-asshared rather than shared knowledge The notion of a taken-as-shared knowledge or meaning implies that individual

Ngày tải lên: 27/09/2020, 15:01

... stage aims at characterizing; (a) the stakes involves in a decisional problem (b) the translation of these stakes into indicators and associated informational problems Thus, this stage is largely ... in the electronic information chain as he who consolidates and gives a value to information He is capable of facilitating the information specialists and the librarians with the management of their ... complete installation available, the infomediary will be in charged to audit the need, to provide a more adequate device, to monitor and to evaluate this with time  In a gradual integration of a complete

Ngày tải lên: 18/10/2022, 05:33

... this thesis I would also like to thank the great support staff at Cornell and the secretaries that take care of the paperwork and negotiate the grand bureaucracies of the academic world, Douglas ... through The function of this beam splitter is to direct the image of the sample and red laser into the camera (I) to align the red laser spot onto the resonator The detection laser then passes ... parts of this thesis disagreeable or in need of revision A crucial part of the success of many of the experiments in this thesis was the result of a fruitful collaboration with Harold Craighead

Ngày tải lên: 24/03/2014, 05:20

... The Catalan equation Further reading Exercises Preface It has been customary in Cambridge for many years to include as part of the Mathematical Tripos a brief introductory course on the Theory ... guides to further study are given at the ends of the chapters. By way of introduction, there is a short account of the Disqutsitiones atithmeticae of Gauss, and, to begin with, the reader can ... not all of the subject matter was new at the time of writing, and Gauss * This article was originally prepared for a meeting of the British Society for the History of Mathematics held in Cambridge

Ngày tải lên: 31/03/2014, 16:20

... year at Texas Stadium against the. .. day, my teammates and I stay in touch and are really close I was named Player of the Year in 1978 for the state of Texas after rushing for a state ... a victory tour Each day and each game was more than a dream come true I’ve said many times that I was lucky to have played in the. .. touchdown at RFK Stadium against the ’Skins, and ... best coach—and dares to name his ideal one. He takes fans backstage during the original College GameDay years and walks them through the preparations and prognostications for the season-changing

Ngày tải lên: 31/03/2014, 19:20

... N$ SUB-TOTAL PAYMENTS SUB-TOTAL BALANCE END OF PERIOD Fundamentals of NGO Management Theunis Keulder & Erika Benz A Practical Guide to the Financial Management of NGOs Published by Namibia ... Introduction to financial management Leaders and managers of NGOs have to develop, at the very least, basic skills in financial management. Expecting others in the organisation to manage finances is clearly ... understanding of the financial condition of the organisation. Financial analysis shows the ‘reality’ of the situation of an organisation – and as such, is one of the most important practices in management....

Ngày tải lên: 06/03/2014, 21:20

... (this approximate expansion explains 99.86% of the total variance of the process). The performance of both the SL and the WL estimators for n =10doesnot really vary substantially from the case of ... as great as the SL estimator. Notice also that the Hilbert space approach we have followed to derive the WL estimators allows us to give an alternative proof of the well-known fact that WL estimation ... linear processing Ana Mar a Martínez-Rodríguez, Jesús Navarro-Moreno, Rosa Mar a Fernández-Alcalá * and Juan Carlos Ruiz-Molina Abstract A general problem of continuous-time linear mean-square...

Ngày tải lên: 20/06/2014, 22:20

... AAhmet@cheo.on.ca 1 University of Ottawa, Children’s Hospital of Eastern Ontario, Ottawa, Ontario, Canada Full list of author information is available at the end of the article Ahmet et al. Allergy, Asthma & Clinical ... (ICSs) are the most effective anti-inflammatory medications available for the treat- ment of asthma and represent the mainstay of therapy for most patients with the disease. The current Cana- dian ... management of asthma over the past decade, as well as the availability of comprehensive and widely-accepted national and international clinical practice guidelines for thedisease[6,7],asthmacontrolinCanadaremains suboptimal....

Ngày tải lên: 08/08/2014, 21:20