abdominal pain including the acute abdomen

... radiating down e the spine or into limbs with neck flexion (Lhermitte’s sign), dysesthetic pain, back pain, visceral pain and pain secondary to muscle spasms.17 In the older population, these pain conditions ... Care in the Elderly 2012:4 Elderly patient with multiple sclerosis Pain Pain is one of the most common symptoms of MS and can be seen in more than half of all patients with MS Pain can either be ... with other pain sources associated with normative aging (eg, osteoarthritis, diabetic neuropathy) The initial evaluation should determine if there is a physiologic or structural reason for the pain...

Ngày tải lên: 22/03/2014, 14:20

... Guidance The following guidance is based on the best available evidence The full guideline gives details of the methods and the evidence used to develop the guidance (see section for details) In the ... recommendations The public health recommendations are divided according to their key audiences and the settings they apply to: • the public • the NHS • local authorities and partners in the community ... difficulties) Adults • The decision to start drug treatment, and the choice of drug, should be made after discussing with the patient the potential benefits and limitations, including the mode of action,...

Ngày tải lên: 21/02/2014, 11:20

... Guidance The following guidance is based on the best available evidence The full guideline gives details of the methods and the evidence used to develop the guidance (see section for details) In the ... recommendations The public health recommendations are divided according to their key audiences and the settings they apply to: • the public • the NHS • local authorities and partners in the community ... difficulties) Adults • The decision to start drug treatment, and the choice of drug, should be made after discussing with the patient the potential benefits and limitations, including the mode of action,...

Ngày tải lên: 22/03/2014, 09:20

... they would both have to have the same key One person would use the key to encrypt the message, and the other person would use the same key to decrypt it The security of the scheme relies on the ... applies the hash algorithm to the password the user has supplied for authentication If the hash of the user-supplied password matches the hash stored on disk, the user is successfully authenticated ... system responds with a challenge The user then types the challenge into the device and the device displays a response, which the user then types in as the password Another form, which is less expensive,...

Ngày tải lên: 10/12/2013, 14:16

... general, the more numerous the inputs or assumptions, the more complex the model and the more experienced the modeler must be Models are only as good as the input data and the experience of the modeler ... than half the risk The fact that two exposure pathways contributed the majority of the risk suggests that the effect of adding multiple exposure pathways together did not unduly influence the outcome ... changes, including the elimination 87 of the state’s statutory mandate for encouraging the beneficial reuse of biosolids The recommendations also may have (i) had a major effect on the ability...

Ngày tải lên: 14/02/2014, 03:20

... guideline 115 Guidance The following guidance is based on the best available evidence The full guideline gives details of the methods and the evidence used to develop the guidance 1.1 Principles ... support the service user offer a carer's assessment where necessary negotiate with the service user and their family or carer about the family or carer's involvement in their care and the sharing ... to self or others the presence of any comorbidities or other factors that may need further specialist assessment or intervention Agree the initial treatment plan, taking into account the service...

Ngày tải lên: 21/02/2014, 11:20

... 11 3.7 The dose of the pesticide The level of the pesticide exposure, evaluated by the physician at the time of the call, is shown in Figure 11; the most frequent evaluation was “Low” The difficulty ... compensated in the Czech Republic The Registry records the information about the patient, exposure, job, diagnosis, noxious factors; on the other hand, it does not include the acute injuries ... influence further development of the exposure/intoxication To the most important parameters belonged especially the dose of the pesticide, time interval since the exposure, the symptoms of the patient,...

Ngày tải lên: 28/06/2014, 09:20

... of the survey and features of the investigated process These two issues are decisive for the selection of the season and the extent of the sampling length and are critical for the choice of the ... number of bands, their width and their location in the electromagnetic spectrum define the spectral resolution of the image Most of the sensors record the reflected energy in the visible range, ... network The aim of this study was the identification of the minimum number of monitoring stations, their location, their type and their instrumental equipment in accordance with the Italian and the...

Ngày tải lên: 29/06/2014, 13:20

... keeping the severity details in mind This study is a serious contribution to the better usage of the feeding routes On the basis of this study and others [2,8], the good news is that the simplest ... the general ICU population, but not in patients with pyloric dysfunction (that is, in the severest patients) We want to highlight the importance of not oversimplifying the interpretation of the ... failures in gastric feeding) Not surprisingly, the nutritional efficiency differences in favour of the gastric route disappear Despite these problems, the authors conclude that ‘early post-pyloric...

Ngày tải lên: 13/08/2014, 20:21

... also strengthens people’s responsibility toward the health of them, their families and surrounding communities; thereby contributed to improvement of feasibility and sustainability of the interventions ... in the mothers’ practice In parallel to receiving knowledge, they also had a supporting environment to easily change behavior Self taking care and monitor of the sick child was a new term for the ... mothers knew to give more tasty foods, 56.8% knew to keep the children warm in winter and cool in summer Only 54.6% knew to provide more to drink Making the airway free was the method that the...

Ngày tải lên: 25/07/2014, 13:57

Ngày tải lên: 25/10/2012, 10:02

... business Nowadays, the company increasingly develops with the management of the director, Vu Thi Thuy Hang The structure of the company is described in the above chart Like other subsidiaries, ... to implement the process of the quality management system of the company based on the voluntary and self-control spirit The regular discussions among them will contribute to enhance the effectiveness ... affects directly to the quality of their work When it's time for a promotion or to deal with an important client, how could they finish their job if they come late Moreover, how they could manage...

Ngày tải lên: 18/04/2013, 17:09

... how you have felt over the past week Directions to the Examiner: Read the questions to the patient and record their responses If appropriate, allow the client to complete the form on his/her ... Say: Read the words on this page and then what it says Then, hand the person the sheet with CLOSE YOUR EYES on it If the subject just reads and does not close eyes, you may repeat: Read the words ... Draw lines matching the same letters in the correct response and the response given These lines MUST NOT cross each other Draw only one line per letter The person’s score is the maximum number...

Ngày tải lên: 13/02/2014, 18:20

... location of pain • the characteristics/a description of the pain • the severity/intensity of the pain • the duration of the pain • any aggravating factors • any relieving factors • the effect of pain ... understanding of their condition • what the pain means to the individual and their family • how the pain may impact upon relationships within the patient’s family • whether the pain influences the patient’s ... breakthrough pain include: • the presence of breakthrough pain • the frequency and number of episodes per day • the duration, with the time in minutes • the intensity and the time to peak in severity • the...

Ngày tải lên: 14/02/2014, 21:20

... to preserve the native biological diversity of the southeastern United States, or any other region of the world, over the next thousand, or even hundred, years is still uncertain There are those ... became the dominant products of the area By 1950, when the government acquired the land, much of the site had been cut repeatedly and most of the uplands were in agricultural fields or bare ground The ... cattle grazing probably occurred in the SRS between the 1730s and the 1760s, but the dates and extent are not known (Brown 1894; Meriwether 1940; Brooks 1988) The The Savannah River Site, Past and...

Ngày tải lên: 17/02/2014, 19:20

... adopted a national perspective, the goal of which was to assess the progress of the AHRQ initiative and the activities of other federal agencies in the context of the larger U.S patient safety ... be critical to synthesize them in ways that make the information accessible to various end users These include the scientific community, which will use the results for updating the body of evidence ... is being tested These users then can help in future dissemination efforts as early adopters of the system With respect to the content of the data to be reported, the work that the patient safety...

Ngày tải lên: 18/02/2014, 01:20

... specified whether exercise should be provided by the NHS or whether the healthcare professional should provide advice and encouragement to the patient to obtain and carry out the intervention themselves ... inhibitor, the first choice should be either a standard NSAID or a COX-2 inhibitor (other than etoricoxib 60 mg) In either case, these should be coprescribed with a PPI, choosing the one with the lowest ... with the recommendations in the guideline, there are three core treatments that should be considered for every person with osteoarthritis – these are given in the central circle Some of these...

Ngày tải lên: 21/02/2014, 11:20

... classes of agents at the same time The appropriateness of therapeutic choice is dependent on the type and severity of VWD, the severity of the hemostatic challenge, and the nature of the actual or potential ... example, the lowest band in the 0.65% gel (1) can be resolved into bands in the 3% agarose gel, but the 3% gel fails to demonstrate the loss of high molecular weight multimers seen at the top in the ... is usually recessive; the person is either homozygous or compound heterozygous (one allele is type 2N, and the other is a type or “null” allele) In either case, the VWF in the circulation does...

Ngày tải lên: 21/02/2014, 12:20

... Vietnam (TCVN 5942/95/B) [4, 9] The two reasons for this situation are the discharges of cattle waste into channels then to river and the uses of fertilizer The concentrations of DO, BOD, COD ... craft village) brought about serious pollution for the reach run thought there The cause is the discharging directly untreated waste water into the stream [1] In general, except a few heavy pollution ... desired by the user The model is applicable to dendritic streams that are well mixed It uses a finite-difference solution of the advective-dispersive mass transport and reaction equations The model...

Ngày tải lên: 05/03/2014, 10:20