abcde approach to an emergency patient

... ACE inhibitors, loop diuretics and calcium channel blockers Although warfarin is used in a significant number of elderly patients, we were unable to find any drug combinations leading to potential ... verified by DM and AB Authors’ information Ashis Banerjee has been a consultant in emergency medicine in London for the preceding 16 years, and is lead clinician at Chase Farm Hospital and honorary ... a consultant in emergency medicine at Chase Farm Hospital, Enfield Sayed Ebrahimi and Arshad Ali Khan are specialty doctors in emergency medicine at Chase Farm Hospital, Enfield T.F Chan is chief...

Ngày tải lên: 21/06/2014, 03:20

... my thanks and appreciation to Associate Professor LOKE Hung Yean, for his academic guidance and patience; Prof ZHU Cheng Bo, Prof LEE Soo Teck, Mr TANG U-Liang for their kindness to answer to my ... See [2] 1.1 MODULAR FORMS 1.1.5 Double coset and Hecke operator Let ∆ be any subgroup of any group G, and let ξ ∈ G be any element of G such that ∆ and ξ −1 ∆ξ are commensurable, i.e., their intersection ... smaller than a certain integer Furthermore, if a modular form is zero at infinity, it is called a cusp form Here “holomorphic at infinity” means an are zero for n < and “zero at infinity” means an are...

Ngày tải lên: 26/09/2015, 09:48

... Beggar—changed to The Fool The Popess—changed to The High Priestess The Pope—changed to The Hierophant The Hunchback (sometimes also known as Father Time)—changed to The Hermit The Traitor—changed to ... sculptor stands upon a pew, with a mallet and chisel in his hands A priest and an architect with blueprints in his hands stand near this craftsman, discussing the changes they need to make to the ... mysterious The Sticks/Batons/Staves were changed to Wands, and the suit of Coins was changed to Pentacles Many of the Major Arcana cards have been renamed too Notable name changes over the years...

Ngày tải lên: 17/02/2016, 11:57

... in patients or to surgery in six; of these 15 patients died within the first month (4/9 patients managed conservatively and 1/6 undergoing surgery) In another patient, bleeding was related to ... http://respiratory-research.com/content/8/1/11 blood loss averaged 240 ± 200 ml on admission to our unit (range, 10 to 1000 ml; median 200 ml) (Figure 1) Active tuberculosis, cancer and mycetoma were ... Statistical analysis The patients' demographics, clinical variables and laboratory data were analyzed using usual descriptive statistics Results were expressed as mean ± standard deviation (range),...

Ngày tải lên: 12/08/2014, 15:20

... provides an overall plan of assessment as well as approaches to the 'blue and breathless patient' , 'the patient with a disordered conscious level' and 'the oliguric patient' The 'A to G' approach ... encouraged to explain the cause of the call and subsequent management and follow-up plan to the medical and nursing staff, the patient and/or their next of kin The subsequent frequency of monitoring ... The 'A to G' approach to managing a MET call was subsequently developed to achieve these minimal standards Finally, the 'A to G' approach was adapted to provide a plan for the management of the...

Ngày tải lên: 12/08/2014, 23:21

... transfusion of clotting factors prior to 1987, as well as blood products or received organ transplantation prior to 1992 should be tested Patients with a recent or remote history of injection drug ... the liver biopsy can help in the selection of patients for treatment Those patients found to have mild chronic hepatitis on liver biopsy can often opt to be monitored rather than treated, particularly ... use, former history of transfusion of blood products, unexplained history of abnormal liver transaminases, or a known history of contact exposure to HCV The clinical history can also disclose...

Ngày tải lên: 02/11/2012, 09:51

Ngày tải lên: 06/11/2012, 10:35

... Vietnam national University, Hanoi College of Foreign Languages Department of Postgraduate Studies A study oF An alternative approach to teaching essay writing to TOEFL learners (Nghiên cứu Đổi ... learners (Nghiên cứu Đổi phơng pháp dạy viết Luận cho học viên chứng ToefL) By: Nguyen Thi Chung Mien Supervisor: Do Ba Quy, MA Hanoi, 2005 ...

Ngày tải lên: 06/11/2012, 10:35

... tables and other guides, and then produce an essay through answering a set of questions Minor changes and substitutions of blank space, punctuation marks, and capitalization are also added to expand ... “Show me the way to write automatically” “I would like my teacher to give more model essays and force us to analyze in order to remember the way to write.” “I can not brainstorm well so the teacher ... in an evening class with 1.5 hours a day studying They worked most of the time and did not want to have homework “I want to understand and practice everything in the class I have to work and...

Ngày tải lên: 06/11/2012, 10:35

... Parents are good so their children can follow Firstly, parents are old and experienced people They know many things in life and what they know they want their kids can know Moreover, they work, travel ... work hard to earn money to pay their children’s fee at school They buy their son or daughter with good food; make a good house where their children can come back to Also parents want to choose ... children go to school, they learn many things from books They learn many subjects so with each subjects they can learn the good things Moreover, through books they can learn from their teachers Many...

Ngày tải lên: 06/11/2012, 10:35

... must be competent in both bottom-up and top-down processing Interaction (“balance”) of bottom-up and top-down strategies: Bottom-up Bottom-up Top-down Top-down Why bottom-up ? “Despite the emergence ... syntactic, and historical) = comprehension Interactive Approach Reader uses both bottom-up and top-down strategies simultaneously or alternately to comprehend the text Example Reader uses top-down ... approaches to second language reading (pp 1-7) Cambridge, England: Cambridge University Press Eskey, D (1993) Holding in the bottom: An interactive approach to the language problems of second language...

Ngày tải lên: 20/07/2013, 01:26

... extended language work The Language Model The most common approach to literature in the EFL classroom is what Carter and Long (1991) refer to as the ‘language-based approach Such an approach ... separation of literature from language is a false dualism since literature is language and language can indeed be literary It is not difficult to find instances of standard transactional forms of discourse ... knowledge of lexical and grammatical structure Moreover, an integrated approach to the use of literature offers learners strategies to analyse and interpret language in context in order to recognize...

Ngày tải lên: 06/09/2013, 10:10

... understand and I said if I can't get better I want to die And if I can get better I will , And like said before, you have to want to things If you want to sit in a wheelchair okay So my husband ... the man as a nurse and Ginger as a patient You don't have to be a philosopher of language or a communications expert to see that this cartoon applies not only to Ginger (and the man) but to any ... involves translating the Bible from one language to another The problem was never that the translator was not fluent in both the language being translated (Hebrew, Greek) and the language into which...

Ngày tải lên: 16/10/2013, 11:15

... relations and national defense: A change to management Personnel, 1(July), 49-63 In M Weisbord (1987), Productive workplaces: Organizing and managing for dignity, meaning and community San Francisco: ... for help is analogous to admitting fault IT and OD practitioners are experts brought into an organization to solve the toughest problems, not to introduce new ones Whether from arrogance or insecurity, ... specific OD approaches or orientations This chapter presents a general approach that can be used in most technical projects and with many OD approaches This chapter brings IT and OD together to minimize...

Ngày tải lên: 24/10/2013, 08:20

... experience and deep knowledge of storage management to help customers create more efficient storage management operations Prior to EMC, Joel held technology management and consultant positions ... critical success factor and should be defined according to your role: storage managers, for example, will likely want to monitor more frequently, perhaps to publish a quarterly or annual report for ... for other areas of IT and upper-level management An investment in automated monitoring, data collection, and reporting systems, as well as modeling and forecasting tools, can be justified by ensuring...

Ngày tải lên: 26/10/2013, 22:15

Ngày tải lên: 18/02/2014, 11:20

... also to the German NEGRA and the Chinese CTB (Zollmann and Sima 'an 2005 propose a different consistent estimator for DOP, which we cannot go into here) UML-DOP Analogous to U-DOP, UML-DOP is an ... frequency estimator corresponds to maximum likelihood (Chi and Geman 1998), and which we shall refer to as "ML-PCFG" To this end, we used a random 90%/10% division of WSJ40 into a training set and a test ... parsing technique by Huang and Chiang (2005), but we have not yet incorporated this into our implementation To give an example of the dependencies that U-DOP can take into account, consider the...

Ngày tải lên: 20/02/2014, 12:20

... (Mann and Thompson, 1988; Lascarides and Asher, 1993; Knott and Sanders, 1998) are not easier to apply either because they assume the ability to automatically derive, in addition to the semantics ... we can automatically collect many examples of CONTRAST relations And by extracting sentences that contain the keyword “because”, we can automatically collect many examples of CAUSE - EXPLANATION ... boundaries, the “ ” stand for occurrences of any words and punctuation marks, the square brackets stand for text span boundaries, and the other words and punctuation marks stand for the cue phrases...

Ngày tải lên: 20/02/2014, 21:20

... spelling cot'rector and automatic phrase completion can interact in a disturbing manner A n y word that is outside the coverage will be treated ~s an error and an attempt will be made to correct it ... should be means of guiding the user to areas of the knowledge base that are incomplete and warrant further elaboration Future enhancements to the system will include explanation and modification ... instruction to start using INGLISH Initially there is a preference to tt~ the mouse to explore the coverage and then to begin to incorporate some typing We have not had any long-term use~ to observe...

Ngày tải lên: 21/02/2014, 20:20

... obliged to let land users continue to manage their land, if it has been used properly and if the land user wants to remain involved The State also contracts forestland to organizations, households and ... and value “Beauty” can here refer to both a scenic view, or to the likely sight of a rare and charismatic animal in the wild Both domestic and international tourists are willing to pay for landscape ... proposed forest management practice was relevant and that it conformed to prevailing forest management regulations An action plan was prepared and a monitoring system set up The roles and responsibilities...

Ngày tải lên: 05/03/2014, 11:22