initial+considerations+and+the+difficult+patient

... both the influence of these personality variables and the influence of the physician -patient relationship on the HRQOL of CHD patients after rehabilitation Of the studies mentioned above, only the ... analyzed the data and prepared the manuscript MM assisted in the analysis of the data Both authors contributed to the conception and design of the study Both authors read and approved the final ... Table provides information on the patients in the study Instruments At the beginning and end of the inpatient rehabilitation lasting an average of 21 (+/-3.1) days, the patients were asked to fill...

Ngày tải lên: 20/06/2014, 16:20

... delayed As the physician with the most (and often the only) contact with these patients, psychiatrists need to be vigilant in detecting early signs and symptoms of medical illness and facilitating ... across other populations [38,39] The effects of lamotrigine and topiramate on serum cholesterol and triglyceride levels have been reported in small studies and case reports [16,38] Neither of these ... of patients with bipolar disorder were obese Pharmacotherapy and affective episodes both influence appetite and physical activity, thereby increasing the risk for obesity Obesity in bipolar patients...

Ngày tải lên: 25/10/2012, 10:51

Ngày tải lên: 25/10/2012, 10:02

... part of the length and then branch in different directions These radial feeds from the CO provide coverage to a nominal circular area of between four and eight cabinets per main cable The reach ... potential issues and challenges throughout the life of the network Although there are capital expense implications in addressing most of these issues, they must be weighed against the potential ... considerations in the European market for building and future-proofing robust, flexible FTTN infrastructures Leveraging the existing ducts In deploying fiber from the central office (CO) to the...

Ngày tải lên: 24/01/2014, 11:20

... CAM focuses more on the patient and less on the therapy, giving patients the perception that they are more in control of their own health and that they can help themselves There is something inherently ... practitioner to either directly touch the individual or merely pass their hands over the patient to strengthen or rejuvenate the patient s energy These include, for example, therapeutic touch, ... contends that the more dilute the remedy, the more potent the cure The diluent, such as water, would then retain “trace memory” of the initial substance Homeopathy also proposes the concept of the single...

Ngày tải lên: 16/02/2014, 07:20

... IPv6, on the other hand, vastly expands the available address space and can help to support the proliferation of broadband, of Internet-connected mobile phones and sensor networks, as well as the ... allowing other parties to make decisions as to the validity and authenticity of the use of an address The efforts to improve the security of the routing system and offer capabilities to support the ... efficiency and minimise the cost of the network The end-to-end argument explaining the relationship between the network and its end points has arguably been one of the key elements of the Internet‟s...

Ngày tải lên: 06/03/2014, 21:20

... merited under the compensation rules of the health court The health court would be notified of all claims If either the patient or the provider was dissatisfied with the initial determination, they could ... Lost household production The loss of the injured patient s contribution toward household duties was calculated to the end of the patient s injuryrelated disability or the patient s expected death, ... supplies required by the injury and the number of months the patient would require each These estimates were multiplied by standard equipment costs per month Burial costs Standard burial costs...

Ngày tải lên: 07/03/2014, 17:20

... P[NL] the production of wood equivalents in the Netherlands, and I[c] the import of wood equivalents into the Netherlands from country c The various sorts of pulp produced in and imported into the ... flows in the paper and pulp industry in the USA (NCASI, 2009) 20 / The green and blue water footprint of paper products 3.2 The water footprint of paper consumption in the Netherlands The Dutch ... countries from which the Netherlands import pulp and paper would not recover paper as they currently (Table 4) and if also the Netherlands itself would not recover paper, the water footprint of...

Ngày tải lên: 09/03/2014, 00:20

... Geriatrics and the Law efforts to refer the patient to another competent health care professional, who agrees to care for the patient and whom the patient and family are willing to accept as their ... explanation to the anesthesia specialist The anesthesiologist should separately discuss the risks of anesthesia and alternative types and methods of administration and obtain the patient' s consent ... to the patient and family, in a gentle and warm way, why the particular intervention is imperative If that fails, the patient and family should be reminded that by refusing they now accept the...

Ngày tải lên: 16/03/2014, 05:20

... classification, and treatment approaches for managing both the MS disease p ­ rocess and ­ ssociated conditions, and to discuss these a approaches in the context of the aging MS patient An Overview ... weighed These synergistic effects of age and neurological illness present a unique challenge for the clinician and patient. 1–4 MS Classification The diagnosis of MS is usually clinical and defined ... is diagnosed in 85% of patients on initial diagnoses, and overall 55% have this subtype ­ nitially I in the disease, relapses occur with near recovery to baseline and the patient is clinically...

Ngày tải lên: 22/03/2014, 14:20

... information about the individual patient: both the selection of content and the manner of expression of that content may be determined by the patient s medical condition and their personal and cultural ... individual patient The selection of content of the brochure and manner of expression of that content may be determined by both the patient s medical condition and any other personal and cultural ... which is mentioned in some other sentence The other elements in the list represent the other two references in the sentence, i.e., to high blood cholesterol levels and to the risk of heart disease...

Ngày tải lên: 22/03/2014, 15:21

... exception If there is no ßame contact on the shells of the adjacent vessels and the relief valves have not lifted, if there is sufÞcient distance between the Þre and the vessel shells of concern and cooling ... government and others in creating responsible laws, regulations and standards to safeguard the community, workplace and environment ¥ To promote these principles and practices by sharing experiences and ... vessel and the center of the pool Þre at which cooling water should be applied d As an example, if the diameter of the propane pool Þre is 20 feet, the distance between the vessel and the center...

Ngày tải lên: 27/03/2014, 14:07

... document updates the security considerations in [HMAC], which [HMAC-MD5] points to for its security considerations [HASH-Attack] summarizes the use of hashes in many protocols and discusses how ... conducted together with NMAC (Nested MAC) since they are closely related NMAC uses two independent keys K1 and K2 such that NMAC(K1, K2, M) = H(K1, H(K2, M), where K1 and K2 are used as secret initialization ... "message digest" of the input The published attacks against MD5 show that it is not prudent to use MD5 when collision resistance is required This document replaces the security considerations in...

Ngày tải lên: 29/03/2014, 20:20

... component of lipid A The structure of the lipid A component was established by NMR and MS The 1H NMR signals of the isolated lipid A were assigned using DQF-COSY and TOCSY, and the data are summarized ... in the induction of cytokines, including tumor necrosis factor, and the phosphate residue at the 4¢-position is a critical site for the activity [24] Therefore, the monophosphoryl lipid A in the ... heterogeneity can be explained by the degree of acylation and the chain length of the fatty acid The ions at m/z 1688.4, 1674.4, 1660.4, and 1646.3 Table Chemical composition of the LPS from B vulgatus...

Ngày tải lên: 31/03/2014, 23:20

... underwriter, the number of IPOs done by them ~N !, the mean and median starting time for the IPOs, the earliest and latest time at which the first trade takes place; and the difference in initial ... taken as the average of the bid quotes and the average of the ask quotes during the 30-second interval If the preopening is efficient, then the slope coefficient bt should be equal to one The figure ... with the conclusions of Barry and Jennings ~1992! and Schultz and Zaman ~1994! that the opening price captures almost all of the initial return The mean and median number of comanagers are 2.34 and...

Ngày tải lên: 23/04/2014, 16:09

... of the LASIK surgery The fourth part is an open area where patients can write their comments and/ or any ideas about the service they received Reliability and Validity Internal consistency and ... factors In addition, the eigenvalues criteria and Scree tests further confirmed these factors In order to see whether there were gaps between the patient' s expectations and perceptions, paired ... customers and provide prompt service Assurance: The knowledge and courtesy of employees and their ability to inspire trust and confidence Empathy: The caring, individualized attention the firm...

Ngày tải lên: 18/06/2014, 18:20

... in the FM patient population Both of these PRO measures were developed prior to the current emphasis on the involvement of patients at the concept elicitation and item generation phases [25], and ... that the pain of FM made it difficult for them to get comfortable, and therefore, they often "tossed and turned" in their attempts to find a pain-free position for sleep Participants who had difficulty ... important and similar to the type of information they provided to their physicians about the consequences of their nocturnal FM pain These findings, along with the brevity, ease of use, and daily...

Ngày tải lên: 18/06/2014, 18:20

... All the patients underwent radical surgery, and none of them had undergone either chemotherapy or radiotherapy before the collection of the samples The histopathologic characteristics of the ... staining ZJ and ZQ analyzed the results ZXS conceived the study, participated in the study design, and coordinated the writing and helped draft the manuscript All authors read and approved the final ... tests, including the mean, standard deviation, and median, were calculated according to standard methods The relationships between the various clinicopathologic characteristics and the MCC parameters...

Ngày tải lên: 18/06/2014, 19:20

... SR, GB, and VD conducted the analysis and drafted the paper, and all authors reviewed and approved the manuscript Acknowledgements We express our appreciation to the children, parents, and physicians ... Children years old and above and their proxies were asked to independently score how they considered the child was feeling over the last month Children years old and above and adults used a 0–10 ... reliability although the proxy-reports of the 5–7, 8–12, and 13–18 year-olds, and the 13–18 year-olds self-report were close or superior to the 0.70 mark (except for the emotional subscale of the 8–12 year-old...

Ngày tải lên: 18/06/2014, 19:20

... in the study design and wrote the manuscript TT, IM and DEG carried out the data analysis MK participated in the study design and critically reviewed the manuscript, and all authors read and ... spirituality and coping was analyzed A positive correlation was identified between the increase in the interpersonal and transcendental connectedness of the patients and their psychological wellbeing and ... from 20 to 60 years, and their mean duration of diabetes was 10.17 (SD = 7.2) All of the patients were recruited from the diabetes clinic of the Gülhane Hospital The majority of the participants...

Ngày tải lên: 18/06/2014, 19:20