approach to the teenaged and adult patient
A markovian approach to the analysis and optimization of a portfolio of credit card accounts
... characteristics of the problem with consideration to the stochastic nature of the cardholders’ repayments first and secondly to the attrition of accounts and to the possible bankruptcy filings Finally an approach ... penalization factor The novel approach to include either the attrition phenomenon or the bankruptcy filings is based on the embodiment of either of these stochastic variables in the original Markov ... as to minimize the expected losses due to the misclassification of “bad” cardholders into the “good” category and due to the misclassification of “good” cardholders into the “bad” category The...
- 184
- 497
- 0
Listening to Patients A Phenomenological Approach to Nursing Research and Practice
... The "vase and faces" drawing The Patient, the Nurse, and the Philosopher 19 The way Rose experiences her existence the way it stands out to and for her—depends upon many different grounds (the ... of the conversation This process of grasping the core topic allows both of us to be taken over by it and thereby to come to see the world from the developing and joint perspective of the other ... have to want to things If you want to sit in a wheelchair okay So my husband pushed me down to therapy the first day And this big man approached me and said Tm here to help you I'll teach you to...
- 309
- 398
- 0
Báo cáo khoa học: A kinetic approach to the dependence of dissimilatory metal reduction by Shewanella oneidensis MR-1 on the outer membrane cytochromes c OmcA and OmcB potx
... acceptor These results therefore provide evidence that there are differences between the electron transfer pathways towards chelated Fe(III) on the one hand and either U(VI) or Se(VI) on the other ... thought to be composed of cytochromes and a quinone, located in both the cytoplasmic membrane (CymA and menaquinone) and the outer membrane (OmcB, and a partial role for OmcA) [4,9–11] The 21 ... experiment3732 To determine whether the lack of phenotype of omcA– omcB– strains observed during anaerobic growth on either of the electron acceptors U(VI) and Se(VI) is due to the decaheme cytochromes...
- 11
- 731
- 0
Báo cáo khoa học: "A concurrent approach to the automatic extraction of subsegmental primes and phonological constituents from speech" docx
... in terms of total amplitude or energy distribution ED across low, middle and high frequency parts of the vocal range and the angular frequencies to( F) and amplitudes a(F) of formants The first ... The other segment-based cues contrast steadystate formant values at the centre of a segment with values at entrance and exit boundary They describe the context of a segment without going to the ... male and female, synthetic and real with different regional accents, these cues discriminate between the simplest speech segments containing an element in a minimal combination with others In the...
- 5
- 337
- 0
princeton university press religious experience reconsidered a building-block approach to the study of religion and other special things oct 2009
... in their published work and were not able to overcome the emerging division of labor between religious and theological studies, on the one hand, and the anthropology of religion, on the other ... theory and philosophy in the interests of actually crossing the divide, while alerting readers to the unresolved philosophical and theoretical issues in the notes.1 The book is not intended to ... consider the merits of two basic approaches to “religious experience,” one in which the religiousness of the experience is understood to be inherent (sui generis) in the experience itself and the other...
- 229
- 1,453
- 0
báo cáo hóa học: " Clinical implications of gait analysis in the rehabilitation of adult patients with "Prader-Willi" Syndrome: a cross-sectional comparative study ("Prader-Willi" Syndrome vs matched obese patients and healthy subjects)" docx
... obese and healthy subjects More specifically, the ankle seems to show the most different pattern in respect to obese patients and healthy subjects, and is likely to be the landmark of the pathological ... suggested [5] and to the presence of flat foot due to the overload Recent studies of the load distribution on the sole of the foot [24] in young obese patients during standing and walking, revealed ... represents the rotation of the foot (external/internal rotation) in respect to the walking direction and is defined as the angle formed with the line of progression and the segment connecting the marker...
- 7
- 531
- 0
báo cáo hóa học:" Extending basic principles of measurement models to the design and validation of Patient Reported Outcomes" docx
... ξ1 is the latent construct, xi represents the measured causal indicators, λ1i is the coefficient weight linking the causal indicators to the latent construct and ς1 is the disturbance in the latent ... statistical relationship between the latent construct and the measured items, and the ε1 represents the random measurement error in the ith measured item The Convenience scale of the Treatment Satisfaction ... measures' theoretical relationship to other established constructs or objective criteria Two founders of psychometric theory, Crohbach and Meehl [15] coined the term 'nomologic net' to describe the theory-building...
- 12
- 523
- 0
Báo cáo khoa học " The nutrients of exotic mushrooms (Lentinula edodes and Pleurotus species) and an estimated approach to the volatile compounds " potx
... 0.52 to 1.15 and 0.71; minerals: Na range and average are 1.3–20.1 and 10.11; K, 182.5– 395.9 and 264.7; Mg, 8.6–24.5 and 11.6; Ca, 1.4–3.9 and 4.2 There are less amounts of scientific data and the ... samples were weighed and put into a flask (250 ml) Then 30 ml 0.1 M HCl was added and the flask was closed with cotton than with aluminum foil and put in an autoclave After this step, the pH of sample ... and 1.23 These values were the highest in the first and second stages of mushrooms Texture values of P ostreatus and P sajor-caju were 0.30 and 0.33 kg/ mm2, they possessed very close values The...
- 7
- 375
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
... assume that the erosion is the primary lesion and the redness and scale are secondary, while the correct interpretation would be that the patient has a pruritic eczematous dermatitis with erosions ... have been developed to characterize cutaneous lesions (Tables 52-1, 52-2, and 52-3 as well as Fig 52-3) and to formulate a differential diagnosis (Table 52-4) For instance, the finding of scaling ... (present in patients with psoriasis or atopic dermatitis) places the patient in a different diagnostic category than would hemorrhagic papules, which may indicate vasculitis or sepsis (Figs 52-4 and...
- 5
- 413
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
... epidermal atrophy) Scar: A change in the skin secondary to trauma or inflammation Sites may be erythematous, hypopigmented, or hyperpigmented depending on their age or character Sites on hair-bearing ... epidermis and at least a portion of the underlying dermis Excoriation: Linear, angular erosions that may be covered by crust and are caused by scratching Atrophy: An acquired loss of substance In the ... Violaceous to purple, polygonal lesions that resemble those seen in lichen planus Milia: Small, firm, white papules filled with keratin Morbilliform: Generalized, small erythematous macules and/ or...
- 5
- 334
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
... hospitalized patient with a generalized erythematous exanthem is more likely to have a drug eruption than is a patient with a similar rash limited to the sun-exposed portions of the face Once the distribution ... lesions, and the arrangement of the lesions An ideal skin examination includes evaluation of the skin, hair, and nails as well as the mucous membranes of the mouth, eyes, nose, nasopharynx, and anogenital ... possible to assess the distribution of the eruption accurately The patient should first be viewed from a distance of about 1.5–2 m (4–6 ft) so that the general character of the skin and the distribution...
- 5
- 414
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
... A–D The distribution of some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules and plaques...
- 5
- 321
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
... with a generalized arrangement are common and suggest a systemic etiology Figure 52-9 Erythema multiforme This eruption is characterized by multiple erythematous plaques with a target or iris morphology ... morphology It usually represents a hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident's Slide Collection; with permission.) Figure...
- 5
- 319
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
... pressed against the surface of the skin and rotated with downward pressure until it penetrates to the subcutaneous tissue The circular biopsy is then lifted with forceps, and the bottom is cut with ... of the slide accelerates dissolution of keratin When the preparation is viewed under the microscope, the refractile hyphae will be seen more easily when the light intensity is reduced and the ... utilized to identify hyphae in dermatophyte infections, pseudohyphae and budding yeast in Candida infections (see Fig 196-1), and "spaghetti and meatballs" yeast forms in tinea versicolor The same...
- 5
- 398
- 0
Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
... suspected allergens is applied to the patient' s back under occlusive dressings and allowed to remain in contact with the skin for 48 h The dressings are removed, and the area is examined for evidence ... edematous, erythematous papules and plaques are characteristic of this whealing eruption Wood's Light A Wood's lamp generates 360-nm ultraviolet (or "black") light that can be used to aid the ... with chronic dermatitis FURTHER READINGS Dermatology Lexicon Project: www.futurehealth.rochester.edu/dlp2/ James WD et al: Andrews' Diseases of the Skin: Clinical Dermatology, 10th ed Philadelphia,...
- 5
- 367
- 0
Chapter 077. Approach to the Patient with Cancer (Part 1) potx
... of cancer cells is that the patient feels betrayed by his or her body The cancer patient feels that he or she, and not just a body part, is diseased The Magnitude of the Problem No nationwide ... because the specialized cells fail to perform their assigned task Cancer takes this malfunction one step further Not only is there a failure of the cancer cell to maintain its specialized function, ... its own; the cancer cell competes to survive using natural mutability and natural selection to seek advantage over normal cells in a recapitulation of evolution One consequence of the traitorous...
- 8
- 275
- 0
Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
... reveal the chronicity of disease The past medical history may alert the physician to the presence of underlying diseases that may affect the choice of therapy or the side effects of treatment The ... cancer predisposition and point out the need to begin surveillance or other preventive therapy for unaffected siblings of the patient The review of systems may suggest early symptoms of metastatic ... procedure, the diagnosis generally depends on obtaining adequate tissue to permit careful evaluation of the histology of the tumor, its grade, and its invasiveness and to yield further molecular...
- 5
- 306
- 0
Chapter 077. Approach to the Patient with Cancer (Part 4) pps
... Against Cancer and the American Joint Committee on Cancer (AJCC) The TNM classification is an anatomically based system that categorizes the tumor on the basis of the size of the primary tumor ... disease (M0 and M1 for the absence and presence, respectively, of metastases) The various permutations of T, N, and M scores (sometimes including tumor histologic grade G) are then broken into stages, ... other prognostic factors have been identified (Chaps 104, 105, and 106) In addition to tumor burden, a second major determinant of treatment outcome is the physiologic reserve of the patient Patients...
- 6
- 265
- 0
Chapter 077. Approach to the Patient with Cancer (Part 5) doc
... physician also has much to offer the patient for whom curative therapy is no longer an option Often a combination of guilt and frustration over the inability to cure the patient and the pressure of a ... precede or follow other treatment approaches It is best for the treatment plan either to follow a standard protocol precisely or else to be part of an ongoing clinical research protocol evaluating ... modifications of standard protocols are likely to compromise treatment results The choice of treatment approaches was formerly dominated by the local culture in both the university and the practice...
- 5
- 281
- 0
Tìm thêm: xác định các mục tiêu của chương trình khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo của các đơn vị đào tạo tại nhật bản xác định thời lượng học về mặt lí thuyết và thực tế điều tra với đối tượng sinh viên học tiếng nhật không chuyên ngữ1 khảo sát thực tế giảng dạy tiếng nhật không chuyên ngữ tại việt nam khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu nội dung cụ thể cho từng kĩ năng ở từng cấp độ mở máy động cơ lồng sóc mở máy động cơ rôto dây quấn các đặc tính của động cơ điện không đồng bộ hệ số công suất cosp fi p2 đặc tuyến hiệu suất h fi p2 đặc tuyến mômen quay m fi p2 động cơ điện không đồng bộ một pha sự cần thiết phải đầu tư xây dựng nhà máy thông tin liên lạc và các dịch vụ phần 3 giới thiệu nguyên liệu chỉ tiêu chất lượng theo chất lượng phẩm chất sản phẩm khô từ gạo của bộ y tế năm 2008 chỉ tiêu chất lượng 9 tr 25