an evidence based approach to diagnosis and treatment

... ability to deal with conflict and to renew creativity Individuals and teams need not only to see and feel the desire to change, they need to actually know how to change Many organizations try to reduce ... trainers and gurus on the one hand and behavioural researchers and professionals on the other who challenge the hype, want evidence, and debate about what coaching works, why and how Dan was a Human ... thank Andrew Bryant, Michelle Duval, Joseph O’Connor, Paul Tosey and Lisa Wake for their wri�en contributions And I am very grateful to Lisa, Michelle and Paul, as well as to Michael Hall and...

Ngày tải lên: 17/03/2014, 17:20

... Complementary and Alternative Medicine: An EvidenceBased Approach was the need to examine research evidence and claims purported by advocates, clinicians, and researchers of complementary and alternative ... papers by Harris and Ress47 and Wootton and Spaber120 illustrate how the field of CAM usage and demographics continues to expand through more focused regional and national studies that can be combined ... and vomiting associated with pregnancy, and Alzheimer’s and osteoarthritis and the important realm of quality-of-life issues In the final part, Future Directions and Goals for Complementary and...

Ngày tải lên: 29/03/2014, 07:20

... presentation and vital signs, laboratory tests results, chest radiography, fiberoptic bronchoscopy and CT scan findings when performed, severity of haemoptysis, and pre-ICU and in-ICU management ... of standardisation for quantifying it, since it is known to be related to death [5] Respiratory failure, a substantial drop of haemoglobin level, and haemodynamic failure all obviously mandate ... 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

... 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 ... processes and solutions that automate the complex data gathering and analysis process, capacity management helps organizations set better service level agreements (SLAs) and more accurately understand ... 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

... phrasing for Mandarin TTS synthesis based on word format and HMM and its variants We also evaluated these methods through experiments and demonstrated promising results According to the experimental ... word format and some POS -based ones on the same training set and test set Overall, HMMpath-I can achieve high accuracy by about 10% Conclusions/Discussions We described an approach to automatic prosodic ... experimental results, we can conclude that word -based prediction is an effective approach and has advantages over the POS -based ones It confirms that the syllable number of a word has substantial impact...

Ngày tải lên: 17/03/2014, 04:20

... if o = x and c = y F (o, c) =  0, otherwise Where “o” stands for outcome and “c” stands for context This function maps contexts and outcomes to a binary set For This paper presents an Improved ... limited to a single abbreviation To answer these questions, sets of tests were conducted: Local Context Model and Set A Combo Model and Set A Local Context Model and Set B Combo Model and Set ... step-by-step description and an explanation of the algorithm itself can be found in Manning and Shutze (2000) The ContextGenerator class of the maxent package was modified to allow for the features...

Ngày tải lên: 17/03/2014, 08:20

... Europe and Japan; and while these regions may be able to meet the increased cost of treatment, it can be safely assumed that the cost of novel anticancer drugs will continue to expand as an insurmountable ... suited to LMCs, few suggestions for this are: For older drugs a) To tailor treatment to patients, community and tumor factors (based on clinical, pathological and biological factors) b) To address ... Methotrexate and Fluorouracil), FAC (5 Fluorouracil, Doxorubicin and Cyclophosphamide), Tamoxifen and Ovarian ablation Innovative strategic thinking and approaches should be encouraged to improve...

Ngày tải lên: 09/08/2014, 04:21

... incision which is well tolerated and less painful than standard median sternotomy This approach gives excellent access to ascending aorta, arch and proximal supra aortic trunk Manubriotomy, being a less ... More Important Today than Before Tohoku J Exp Med 2004, 204:53-62 doi:10.1186/1749-8090-5-73 Cite this article as: Khalil and Nashef: An alternative surgical approach to subclavian and innominate ... angiography, duplex scanning, contrast enhanced spiral CT, magnetic resonance imaging and arch aortography The concept of extra-anatomic bypass was first introduced in 1952 by Freeman and Leeds [4],...

Ngày tải lên: 10/08/2014, 09:22

... live and choice of drug [1] The HR products distributed include condoms and lubricants, needles and syringes, alcohol swabs and sterile water and are funded by the BC Ministry of Health and subsidized ... e.g cookers, filters, tourniquets and sharps containers; miscellaneous e.g paper bags in which to hand out supplies and drinking water for clients, and finally those related to crack use e.g crack ... is the primary investigator for this study and was involved in the interview analysis and manuscript writing Emma Preston contributed to the qualitative interviews and manuscript writing SM was...

Ngày tải lên: 11/08/2014, 18:20

... of Mulla [5,6] and Peters [7] and their groups Following documentation of the advantages of using ECMO to manage neonatal respiratory insufficiency in terms of both mortality and morbidity, the ... general, there is an increase in distribution volume, which is most prominent in water soluble drugs, and a decrease in drug clearance Whether to initiate any treatment is a decision balanced by a cost-benefit ... who have undergone ECMO treatment, and the implementation of population pharmacokinetic models can further increase both the feasibility of such studies and the relevance of the results obtained,...

Ngày tải lên: 13/08/2014, 03:20

... these hygiene factors than the absence of motivators We fully agree that more effort and research in management and leadership issues in the ICU can increase the adequacy, skills and thus job satisfaction ... 12 No Ersson and Chew to accomplish This is also our conviction Apart from the extra references provided in their letter, the two-factor theory as formulated by Frederick Herzberg and colleagues ... directors Competing interests The authors declare that they have no competing interests References Strack van Schijndel RJM, Burchardi H: Bench -to- bedside review: Leadership and conflict management...

Ngày tải lên: 13/08/2014, 08:21

... the diagnosis and management of asthma in 1991.The guidelines were based on expert opinion and experience The purpose of the guidelines was to provide assistance to clinicians in the diagnosis and ... special thanks: To Prof Lim Tow Keang and consultant Dr Malcolm, for their professional assistance as well as constant support that enabled me to both learn and write what is found herein To the ... more recent and current evidence suggests that in many patients, asthma is an inflammatory disease of the airways Pathologic evidence shows that many inflammatory cells and mediators take part...

Ngày tải lên: 26/09/2015, 11:07

... amiodarone and procainamide must be infused slowly (amiodarone over 20 to 60 minutes and procainamide over 30 to 60 minutes), depending on the urgency, while the ECG and blood pressure are monitored ... effect and there are no signs of toxicity, give additional doses • Avoid the simultaneous use of amiodarone and procainamide without expert consultation • Ectopic SVT does not response to adenosine, ... be suspected in any child with a heart rate exceeding 180 bpm and any infant with a heart rate greater than 220 bpm summary • The initial treatment in stable patients is vagal maneuvers • Adenosine...

Ngày tải lên: 14/11/2016, 06:20

... adolescents and adults: analysis of 55 cases Chin Med J 1981;94:309-14 28 Sharma SK, Mohan A, Banga A, Saha PK, Guntupalli KK Predictors of development and outcome in patients with acute respiratory ... and respond to non-steroidal antiinflammatory drugs, corticosteroids may be used to treat severe TB-IRIS reactions and those unresponsive to non-steroidal anti-inflammatory drugs 33 In a recently ... statistically significant due to inadequate sample size.37 Matrix metalloproteinase-9 (MMP-9) and vascular endothelial growth factor (VEGF) are purported to play an important role in the disruption...

Ngày tải lên: 06/03/2014, 04:20

... quantification to resolve pro-forms and VP ellipses to their antecedents The variable quantification in TLG is comparable to the use of memory in storing antecedents and anaphora The verbs V1 and ... 2002; Baldridge and Kruijff, 2003) restricts generative power for a particular language by annotating modalities to the slashes to allow or ban specific combinatory operations Due to the page limitation, ... s\np/np and ape o plying the serialization rule in (14) In (16), the derivation can be done by assigning r¢Xp ‘hurry’ % and †¢x ‘run’ as s\np, and kh ¢Xm ‘cross’ as % — s\np/np Since Chinese and...

Ngày tải lên: 08/03/2014, 21:20

... increased resistance to diseases and pests, and enhanced quality with respect to nutrition and food processing Advances in cellular genetics and cell biology methods in the 1960s contributed to the so-called ... use and traded on the international food and feed markets These include herbicide- and insect-resistant maize (Bt1 maize), herbicide-resistant soybean, rape (canola) oilseed, and insect- and ... Virus-resistant crops, such as papaya (resistant to ringspot virus), potato (tolerant to potato virus Y and potato leaf roll virus) and yellow crookneck squash (resistant to watermelon mosaic virus) are commercially...

Ngày tải lên: 13/03/2014, 21:48

Ngày tải lên: 16/03/2014, 03:20

... translation In Proceedings of the EMNLP and VLC, pages 20–28, University of Maryland, Maryland S Sato 1992 CTM: an example -based translation aid system using the character -based match retrieval method In ... 8, 9, and 10 For each French sentence, we had access to the humangenerated English translation in the test corpus, and to translations generated by two commercial systems We produced translations ... only the statistical translation model, one used the translation model and the FTMEM, and one used the translation model and the PTMEM We initially assessed how often the translations obtained from...

Ngày tải lên: 17/03/2014, 07:20

... single word form can be much higher than in languages having less complex morphologies The two possible stems are: 'szem' (eye) and 'szemdt' (rubbish) An enhancement: shallow and full parsing ... quite simplified, and does not show an important aspect of the parser, namely, it retains the unification -based approach introduced in the morphological analyzer This means that all atomic elements ... symbols and other sophisticated elements in order to produce the necessary surface forms Non-linguist users need an easyto-extend dictionary into which words can be inserted (almost) automatically...

Ngày tải lên: 23/03/2014, 19:20

... single word form can be much higher than in languages having less complex morphologies The two possible stems are: 'szem' (eye) and 'szemdt' (rubbish) An enhancement: shallow and full parsing ... quite simplified, and does not show an important aspect of the parser, namely, it retains the unification -based approach introduced in the morphological analyzer This means that all atomic elements ... symbols and other sophisticated elements in order to produce the necessary surface forms Non-linguist users need an easyto-extend dictionary into which words can be inserted (almost) automatically...

Ngày tải lên: 23/03/2014, 19:20