... quality of life and activities of daily living also should be included in clinical trials to assess everyday functioning [72] Examples of two such measures are the Barthel index and the Functional ... beginning radiotherapy Many potential therapies being investigated also carry a risk of neurocognitive decline and the current focus of brain metastases research is to find ways to optimize the ... competing interests 15 Authors' contributions AB and KC participated in the conception of the work, compiled the information, reviewed and wrote the manuscript PW participated in the conception of...
Ngày tải lên: 09/08/2014, 09:22
... hypovolemia, hypothermia and hyperviscosity, were prevented by monitoring his vital signs and maintaining them within tight ranges Anaesthesia from the beginning up to the end of surgery lasted 80 minutes ... care, including fluid management and weaning off the respirator with extubation on the day of the surgery, was provided by the hospital’s Pediatric Intermediate Care Unit Pain was managed using ... was involved in providing a description of the perioperative procedures EC was involved in writing the introduction, analysis and data interpretation sections of this manuscript AS provided the...
Ngày tải lên: 11/08/2014, 12:20
Báo cáo y học: "Combined left hepatectomy with fenestration and using a harmonic scalpel, fibrin glue and closed suction drainage to prevent bile leakage and ascites in the management of symptomatic polycystic liver disease: a case report" pps
... Cincinnati, Ohio, USA) The diameter of the removed lobe was 17 cm (Figure 3) Cysts located on the surface of the right hepatic lobe, including the three dominant cysts, were surgically unroofed ... relief of symptoms The optimal treatment for symptomatic PLD is uncertain There is no clear consensus regarding the optimum timing of intervention and the surgical approach is based in part on the ... such as the use of fibrin glue to seal the cut liver surface or the type of surgery Conclusions Surgical management of patients with PLD remains a challenging issue for physicians The aim of the...
Ngày tải lên: 11/08/2014, 14:20
Báo cáo y học: "Bench-to-bedside review: Therapeutic options and issues in the management of ventilator-associated bacterial pneumonia" ppt
... guide the choice of antibiotic therapy and confirm the diagnosis of VAP What is clear is that avoiding delay in sampling and initiating therapy quickly are more important than the type of quantitative ... ventilated patients, the clinical diagnosis was correct in 62% of cases and therapeutic treatment plan was appropriate in only 33% of cases Given the difficulty in diagnosing pneumonia in the ventilated ... pneumoniae infections; cystic fibrosis increases the risk of P aeruginosa and S aureus infections; and trauma and neurologic patients are at increased risk for S aureus infection [16,22] The time of...
Ngày tải lên: 12/08/2014, 20:20
Báo cáo y học: " A heuristic approach and heretic view on the technical issues and pitfalls in the management of penetrating abdominal injuries" pdf
... particularly when the time interval between the injury and the operation is short Do not forget to insert a drain in the vicinity of the repair In a minority of cases, if you feel that there is an increased ... Concerning penetrating injury of the pancreas; if a parenchymal injury is noted, it is important to determine the integrity of the main pancreatic duct keeping in mind the intra operative criteria introduced ... collateral vessels Taking into consideration the effort, the loss of time and the additional loss of blood during the repair of the vein, it is worth considering ligation of the IVC in the patient with...
Ngày tải lên: 13/08/2014, 23:20
Báo cáo y học: "Ultra-low microcurrent in the management of diabetes mellitus, hypertension and chronic wounds: Report of twelve cases and discussion of mechanism of action"
... electron transport chain would normalize the pathways involved in the development of the oxidative stress (68) If our findings are proven by further studies involving a larger number of patients, ultra-low ... diabetic complications (11-13) The combination of the low levels of antioxidants and raised levels of free radical play a major role in delaying wound healing in aged rate and diabetic rats (14) It ... improve insulin sensitivity and help in wound healing (16,17) Along with others, the investigators have used microcurrent for treatment of chronic wounds and ulcers (18-20) In an earlier work, The...
Ngày tải lên: 26/10/2012, 09:39
INTERNET ADDRESS SPACE: ECONOMIC CONSIDERATIONS IN THE MANAGEMENT OF IPv4 AND IN THE DEPLOYMENT OF IPv6 pptx
... addresses in a hierarchical manner, to permit the grouping of routing information and limit the number of routing entries advertised in the Internet Aggregation is one of the main goals of Internet administration ... IPv6 In other words, once the cost of deploying IPv4 infrastructure – determined by the cost of obtaining the addresses themselves and the cost of designing and operating networks that use fewer ... this final pool of addresses This “global proposal” was discussed at the LACNIC X meeting in May 2007, in the APNIC 24 meeting in New Delhi in September, and in ARIN and RIPE meetings in October...
Ngày tải lên: 06/03/2014, 21:20
An Analysis of Business Administration Students Interest in the area of production and Operations pot
... Disciplines in the area of Production and operations are inserted in the dimension of professional education, along with disciplines in the areas of Marketing, Human Resources, Finance and others In ... On the other hand, the analysis of means indicate that student security in the command of management requirements of the area did not reach high levels in any of the groups For the group of the ... consistent interest in pursuing a career in the area, while the interested ones, despite pointing out high interest in the other constructs, have little interest in moving to this area in their professional...
Ngày tải lên: 23/03/2014, 05:22
Báo cáo y học: "Cold hands — strained heart? Advances in the management of Raynaud’s phenomenon and pulmonary hypertension" ppt
... Since there are commonalities in the pathophysiology of PAH and RP, particularly in the context of connective tissue disease, inhibition of the renin–angiotensin system may prove effective in ... than nifedipine in reducing both the frequency and the severity of attacks [14] PDE type V inhibitors such as sildenafil inhibit the degradation of cGMP, which mediates the signalling of several ... combine vasodilator and antiproliferative activity include angiotensin-converting enzyme inhibitors, angiotensin receptor blockers and PDE type V inhibitors [5] The use of angiotensin-converting...
Ngày tải lên: 09/08/2014, 06:23
Báo cáo khoa hoc:" Combined use of maxillomandibular swing approach and neurosurgical ultrasonic aspirator in the management of extensive clival chordoma: A case report" pptx
... JMA: Drafted the neurosurgical part of the management SJWD: Drafted the clinical presentation and acquired references ZI: Help in drafting the overall manuscript and performed final review All ... Sagittal and axial views of brain MRI scan Sagittal and axial views of brain MRI scan Image shows tumour in the nasopharynx extending from nasal cavity to brainstem posteriorly Page of (page ... surgery artery and pituitary gland Despite this there was a small dural tear at the level of the upper clivus where invasion was maximum At the end of the surgical procedure, the defect was filled...
Ngày tải lên: 11/08/2014, 10:23
novel secondary preventative strategies in the management of ischaemic stroke and transient ischaemic attack
... population, which is increasing in size Incidence is increasing in the younger population and the developing world Accordingly, the global burden of stroke is ... the 2nd leading single cause of adult mortality globally 3, reflecting high incidence in the developed world, increasing incidence in the developing ... exclusion of ICH with CT imaging prior to administration of randomised therapy, concomitant administration of high dose ASA in 50% of the UFH group (the authors...
Ngày tải lên: 22/12/2014, 21:59
The Duality of Memory and Communication in the Implementation of a Multiprocessor Operating System
... Finally, the kernel informs the hardware physical map module of the new virtual to physical mapping With the exception of the hardware validation, all of these steps are implemented in a machine-independent ... surviving the introduction of new hardware architectures and was never able to efficiently support the large body of UNIX software used within the academic community [16] In addition, from the point ... Mach runs on the majority of workstations and mainframes within the Department of Computer Science, and supports projects in distributed computing and parallel processing such as the Camelot distributed...
Ngày tải lên: 12/09/2012, 15:05
Organizing pairwork and groupwork in the context of high school classrooms at pham van nghi upper secondary school, nam dinh province: A case study
... effect The language proficiency of the the success of a pair teacher work and group The teacher’s ability of organizing The hardship of the students work ? The cooperation of the students The language ... found the work of the students in group of three was ineffective In the time of five minutes they only discuss some information about that place. They must collect information from the other groups ... control the kinds of communicative activities and the ways to carry out these activities, the ways to group the students, the appropriate amount of time for them and the purposes of the activities They...
Ngày tải lên: 07/11/2012, 14:54
Globalism and regionalism in the protection of the marine environment
... Garcia-Amador, ‘Latin America and the Law of the Sea’, in L M Alexander (ed.), The Law of the Sea: A New Geneva Conference Proceedings of the 6th Annual Conference of the Law of the Sea Institute, Kingston, ... Regionalism in the pre-UNCLOS III law of the sea The law of the sea is inherently global The International Law Commission assumed as much in its codification of the subject in the 1950s; and the words ... reflects both the diversity of state practice, and the complexity of international legal and political responses to the problems of protecting and preserving the marine environment That is the theme...
Ngày tải lên: 01/11/2013, 09:20
Language and alterity in the thought of Levinas
... structure of predicative propositions that express the meaning of being and that at the same time retain the inscription of the trace In analysing the said, Levinas brings to the fore the intrinsic binarism ... is the mark of everything that is present’.27 The ‘moving force’ of the showing of saying that brings beings into their own is owning or appropriation that yields the opening of a clearing in ... relations of possession, the realm of economy understood in terms of money, ownership and exchange The calling in question of the I, coextensive with the manifestation of the Other in the face,...
Ngày tải lên: 01/11/2013, 10:20
Chemical neurolysis in the management of muscle spasticity
... within seconds of coming into contact with them Almost all of the remaining phenol binds to the nerve tissue during the following few minutes; by 15 minutes from the start of the phenol administration, ... 0.1% of the administered dose remains in the CSF (Ichiyanagi et al., 1975) The magnitude of the clinical effect of the intrathecal block depends on the concentration of phenol and also on the ... circumstances the foot equinus usually prevents the correct placement of the patient’s foot in stance and causes insufficient clearance of the foot from the ground in the swing phase of the gait cycle,...
Ngày tải lên: 01/11/2013, 10:20
The victorious laugh of love, frienship, justice and commonsence in the merchant of venice by shakespeare
... to the extremely important invention of the printing machine, the number of ancient writers' readers increased greatly and the reading and studying of the Greek and Roman culture became an interest ... only " the revival of interest in the ancient culture of Greece and Rome "but also "the discovery of the world and humanbeings" More than that, it implies "the awakening of man's mind and capacity, ... dispossessed them of their right to a proper life on earth and their right to creation .The progressive thinkers of Renaissance placed their interest in humanbeings They agreed with the ancient thinkers in...
Ngày tải lên: 18/12/2013, 21:45
Tài liệu Báo cáo khoa học: Hypothalamic malonyl-CoA and CPT1c in the treatment of obesity pptx
... tissue and gastrointestinal tract, as well as other sites, are known to reach the CNS to effect changes in feeding behavior and energy expenditure Thus, insulin, leptin and ghrelin, as well as other ... closely and rapidly with reciprocal changes in the levels of the orexigenic and anorectic Signaling mediators in the treatment of obesity neuropeptide expression in the hypothalamus [22] Thus an increase ... explored further Other areas of the brain have also been shown to regulate feeding via AMPK [35,36] Of interest is the extensive use of fructose as a sweetener in the human diet [37] Glucose and fructose...
Ngày tải lên: 14/02/2014, 22:20
Tài liệu Báo cáo khoa học: Osmosensing and signaling in the regulation of mammalian cell function docx
... Thus, integrin-dependent cell volume sensing and signaling integrates into the overall context of insulin signaling Similarly, sensing of glutamine-induced hepatocyte swelling by integrins feeds into ... Osmosensing and signaling in mammalian cell function F Schliess et al [7] On the other hand, hyperosmotic shrinkage prevents insulin-induced hepatocyte swelling and proteolysis inhibition, indicating ... swelling [12,13], insulin-induced hepatocyte swelling is registrated by the integrin system, leading to a Src-dependent activation of the p38-type MAPK and thereby inhibition of 5800 autophagic...
Ngày tải lên: 18/02/2014, 16:20
Tài liệu History Of Egypt, Chaldæa, Syria, Babylonia, And Assyria In The Light Of Recent Discovery pdf
... "Tell of the Tablets," and the "Great Tell," and, rising as they in the centre of the site, they mark the position of the temples and the other principal buildings of the city CHAPTER IV 51 An indication ... Memphite kings These facts, of the situation of Itht-taui, of their burial in the southern an ex of the old necropolis of Memphis, and of the fori of their tombs (the true Upper Egyptian and Thebian ... tell, then, Aha and Narmer were the first conquerors of the North, the unifiers of the kingdom, and the originals of the legendary Mena In their time the kingdom's centre of gravity was still in the...
Ngày tải lên: 22/02/2014, 04:20