community acquired pneumonia
... physician visits/year • Frequent reason for antibiotic use Recent Developments in C A P • • • • • Antimicrobial resistance New antibiotics New microbiology/technology Managed care Information management ... Loading dose • Dosing • Speed of delivery • Switch to oral from IV • Duration of therapy Delivery Time vs Mortality Meehan TP, et al JAMA 1997;278(23)2080- Case • 23 year old college student with ... Identification of pathogen – Susceptibility testing • Antibiotic – One dose – Good penetration • Real time decision making I D Resources • PubMed • ProMed • IDLinks.com – CDC – WHO – IDSA • Medscape...
Ngày tải lên: 12/08/2014, 20:31
... perinatal and obstetric factors measured, like age of mother at delivery, first time pregnancy, and gestational week, time between labour and birth or possible events of complications at delivery ... anatomically be reduced over time when the child grows up and the airways widen An implication for primary care as well as hospital care from this study is not to underestimate the importance of ... all children (92.7%) in group A reported occurrence of wheezing or whistling in the chest at any time in the past, which is significantly higher (p
Ngày tải lên: 26/10/2012, 09:48
... presentation rates were increased to make the flicker of the successive images less aversive At the same time cuts, dissolves, and fades were used to denote shots within the same scene, across scenes, ... along many perceptually relevant dimensions of film In this article we track four such trends over time First, and following film scholars (eg, Bordwell 2006; Bordwell and Thompson 2004; Salt 2006; ... with the measurements by Cutting et al (2010) Subsequently, each film has been gone over several times by several individuals both with computer assistance and by hand Although we occasionally...
Ngày tải lên: 30/03/2014, 14:20
spring web services 2 cookbook [electronic resource] over 60 recipes providing comprehensive coverage of practical real-life implementations of spring-ws
... type="QOrder:Customer"> IOrderServiceEndPointImpl and IOrderServiceEndPoint are simple service interface and implementation classes IOrderServiceEndPointImpl is annotated by @Service (orderServiceImpl)...
Ngày tải lên: 29/05/2014, 20:52
báo cáo sinh học:"Strategies to overcome physician shortages in northern Ontario: A study of policy implementation over 35 years Raymond W Pong" pdf
... Sabatier [18] has criticized American policy implementation research for using a short time frame A longer time frame is also needed in policy implementation studies in Canada because, as Fooks ... concerns, this study seeks to examine what policy instruments were used and how they changed over time It has been said that studies of policy instruments have contributed to a better understanding ... region However, a more recent study [27] shows that northern Ontario had an increase of 6.2 full-time-equivalent family physicians (specialists not included) per 100 000 population between 1993/1994...
Ngày tải lên: 18/06/2014, 17:20
Báo cáo hóa học: " Analysis of 22,655 presentations with back pain to Perth emergency departments over five years" pot
... their time in the hospital system, including admission, re-presentations and mortality, were extracted Data regarding their time in the ED and treatment time (time from being seen by a doctor to time ... a treatment time of less than an hour might be anticipated; however the treatment time observed was more than three times longer Given the high rate of discharge, this treatment time is likely ... the time of their first assessment in the ED, indicated that back pain was the most important reason for their presentation The patients’ age, sex, time of presentation (by day of week and time...
Ngày tải lên: 20/06/2014, 22:20
Over 35 Years of Reliable Investing™The Wisdom of Great Investors pot
... disciplined investment approach, which often includes buying at times of maximum pessimism and exploring out-of-favor areas at times of maximum optimism, is a key to building long-term wealth Domestic ... interest rates Overall, the economists’ forecasts were wrong in 35 of the 52 time periods–67% of the time! Do not waste time and energy focusing on variables that are unknowable and uncontrollable ... that timing the market is a loser’s game will be less prone to reacting to shortterm extremes in the market and more likely to adhere to their long-term investment plan The Danger of Trying to Time...
Ngày tải lên: 28/06/2014, 17:20
Dissertation summary for doctoral philosophy program in education: Methods to develop communication skills for children with autism 3 4 years old
... Observe 20 activities (learning sessions, playing, lunch time, CwA have Those investigation results are foundation to propose methods for napping time, greeting and going home activities) in preschools ... essential for Methods teachers used daily to develop CS for CwA as follows: Level Name method fry sometime - Understand CwA by searching information 25% about the child, assessment communication 0% ... Encouragement CwA use spoken language 0% 15% - Create problem situation in the daily to 0% 26,6% stimulate CwA communicate - Establish close relationship between 0% 10% teachers, other children...
Ngày tải lên: 02/07/2014, 20:28
assess the efficiency of dental plaque control in decay teeth, gingivitis prevention for the 12 years- old pupils at some schools in the suburb of hanoi
... Many times 404 - After the main meal : 22.5% - Number of teeth- brushing per day: 39.5% Scale (%) 22.5 39.5 Table 3.20 Time to brush and change the tooth brush (n = 1022) Index Amount Scale (%) Time ... Time to brush each time - more than three minutes 309 30.2 Time to change tooth brush: - months 332 32.5 13 -The number of pupils who brushed their teeth under the regulated time (more than three ... tooth brush timely ( three months one time) Table 3.23 Oral and dental care after Eating, drinking sweet food and beverage and beverages (n=1022) Index Amount Scale (%) Number of time of eating,...
Ngày tải lên: 25/07/2014, 13:57
study on the etiology of acute respiratory infection in children under 5 years old in nhatrang, 2009
... subdivided from the pneumonia-X rays (+) group and the healthy group was 4.8 times, bronchitis and healthy groups was 1.2 times Table 3.2 Findings from determining the background restriction of H ... researches were done at different times and places Furthermore, although co-trimoxazole had large acting scale, it oly had bacteria resisting functions Therefore, after long time widely used, the decrease ... A-flu virus – 151 bp - Respiratory Syncytial Virus – 201 bp - The samples which are positive for times of PCR are considered positive 2.3.5 Methods to determine the Minimum Inhibitory Concentration...
Ngày tải lên: 25/07/2014, 14:07
Báo cáo lâm nghiệp: "Evaluation of twenty-years-old pedunculate and sessile oak provenance tria" doc
... Lesnická práce: 367 (in Czech) V M., K D., B S P V., B J (2000): Estimation of genetic gain in a progeny trial of pedunculate oak (Quercus robur L.) Glasnik za šumske...
Ngày tải lên: 07/08/2014, 10:21
Báo cáo lâm nghiệp: "Floristic and structural recovery of a laurel forest community after clear-cutting: A 60 years chronosequence on La Palma (Canary Islands)" ppt
... soil parameters in relation to time after harvesting (Fig 7), indicating that the soil parameters analyzed are more affected by local substrate heterogeneity than by time after the harvest, being ... within the protected area “Parque Natural de Cumbre Vieja” This area has been designated to meet the timber and woody biomass requirements of the local population; different sectors are assigned for ... species followed [28] 2.2 Design of the experiment Although the chronosequence approach (space-for-time substitution, [40]) has some disadvantages such as possible small differences between the plots...
Ngày tải lên: 07/08/2014, 16:20
Báo cáo khoa học: "Adenosquamous carcinoma of breast in a 19 years old woman: a case report" pot
Ngày tải lên: 09/08/2014, 03:21
Báo cáo y học: " CD4 count at presentation for HIV care in the United States and Canada: Are those over 50 years more likely to have a delayed presentation" pps
... estimated mean CD4 count using a linear variable for year, stratified by age group and adjusting for cohort demographic and risk characteristics; 95% confidence intervals ([,]) were also estimated ... ≥50-year-olds compared to the
Ngày tải lên: 10/08/2014, 05:21
Báo cáo y học: "Microsurgical technique in obstetric brachial plexus repair: a personal experience in 200 cases over 10 years." doc
... delimitated, we perform an intraoperative electrostimulation Electrical stimulation of roots and distal branches Actually, we only use a stimulation device (Stimuplex® DIG, Braun Melsungen AG, Germany), ... of the upper (and sometimes middle trunk) and especially the suprascapular nerve (SSC) We appreciate if this nerve has been delocalised from its initial topography; sometimes it appears under ... we decide about a unique immobilisation type and timing? Which additional tools are helpful for good nerve regeneration: regular electrical stimulation? vitamine B complex? specific training...
Ngày tải lên: 10/08/2014, 09:22
Báo cáo y học: "De Garengeot’s hernia in a 60-year-old woman: a case report" pot
Ngày tải lên: 10/08/2014, 23:21
Báo cáo y học: "A 60-year-old man with chronic renal failure and a costal mass: a case report and review of the literature" docx
... calcium and phosphorus levels were within normal limits, 9.4 mg/dl and 3.4 mg/dl, respectively At the time of writing, the patient was awaiting parathyroidectomy as definite treatment for tertiary hyperparathyroidism ... pluripotent bonemarrow cells into osteoblasts These cells produce granulocyte macrophage colony stimulating factor, IL-6, IL-11 and stem-cell factor that induce the migration and differentiation ... reported 570 pg/ml; thus, it is probable that the pathological process evolved during this brief time Treatment of brown tumors relies on a definitive control of the underlying hyperparathyroid...
Ngày tải lên: 11/08/2014, 17:21
Báo cáo y học: " Vancomycin-induced thrombocytopenia in a 60-year-old man: a case repor" pot
... 40 mg once daily, olmesartan 40 mg once daily, colesevelam 625 mg three times a day, furosemide 20 mg once daily and ezetimibe 10 mg once daily The patient then underwent right shoulder arthroscopy ... vancomycin-sensitive Enterococcus spp and Serratia marcescens The patient had no known allergies After reviewing antimicrobial susceptibility, he was started on vancomycin 1500 mgs intravenously (IV) every 12 hours ... cytometry These results were reviewed three days after the blood specimen was drawn During this time, the patient received one unit of platelet transfusion, which raised his platelet count from...
Ngày tải lên: 11/08/2014, 17:21
Báo cáo y học: "Incarcerated transmesosigmoid hernia presenting in a 60-year-old man: a case report" pps
... through a normal or abnormal peritoneal or mesenteric aperture within the abdominal cavity It is estimated to account for 0.6% to 5.8% of small bowel obstructions with transmesosigmoid hernias constituting...
Ngày tải lên: 11/08/2014, 23:21
Báo cáo y học: " Genetic diversity and evolution of human metapneumovirus fusion protein over twenty years" ppt
... HPD 4.23 × 10-4, 1.01 × 103) The estimated time to most recent common ancestor (tMRCA) of all HMPV strains was 97 years (95% HPD 66194) (Figure 2) The estimated time of divergence of the A subgroup ... four distinct subgroups remained stable over time, and viruses within these lineages were closely related genetically, despite being isolated at time points separated by as many as twenty years ... often reverted in subsequent isolates, showing a lack of major drift over time Analysis of multiple sequences collected over time allowed a molecular clock calculation of viral nucleotide changes...
Ngày tải lên: 12/08/2014, 04:20