introduction to internal medicine as a discipline

... carcinomas such as nasopharynx, eso phagus, or cervix; adenocarcinomas such as lung, breast, and GI tract tumors; melanoma) VASCULAR Wegener’s granulomatosis (multiple cavities with airspace disease), ... General Internal Medicine University of Calgary, Calgary, AB, Canada Research Fellow, Division of General Internal Medicine Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA ... antiarrhythmics and early ICD BALLOON PUMP a long balloon in the descending aorta that deflates during systole and inflates during diastole to augment coronary perfusion and cardiac output as well as decrease...

Ngày tải lên: 06/03/2014, 11:20

... Policy allow administrators to centrally manage a large number of users, computers, and network resources Senior administrators can delegate administrative tasks to other administrators Administrators ... management of all desktop computers in an organization and decentralize administrative tasks: ?? Centralize management Active Directory and Group Policy allow administrators to centrally manage ... resources as objects in a centralized database, Active Directory enables a single administrator to centrally manage and administer these resources ?? Active Directory contains attributes and information...

Ngày tải lên: 17/01/2014, 08:20

... Obstructive (e.g., massive PE and cardiac tamponade) Cardiac disease a Acute MI b Decompensated heart failure c Valvular heart disease d Arrhythmia with hemodynamic instability Trauma—massive, involving ... and coagulopathy is not necessarily a reason to delay paracentesis Complications are not increased with an elevated INR unless associated with disseminated intravascular coagulation (DIC) Patients ... Massachusetts Chapter Lisa Bellini, MD Associate Dean for Graduate Medical Education University of Pennsylvania Philadelphia, Pennsylvania Chapter 13 Lisa M Antes, MD Associate Professor of Medicine...

Ngày tải lên: 16/02/2014, 18:20

... to as necessary The testing session lasted about 15 and participants were debriefed following the experiment Results A Â Â repeated measure analysis of variance (ANOVA) with 71 participants was ... stimuli and LBR were treated as within subjects factors, and participant gender was treated as a between subjects factor The Greenhouse–Geisser correction was applied to results involving LBR, as ... the arms was altered accordingly The legs were measured as the distance between the bottom of the feet and top of the pelvic region (above the hips and below the waist) The body was measured as...

Ngày tải lên: 30/03/2014, 16:20

... if these equations may be hard to handle by an analytical approach In Chapter 12 we give a brief introduction to the Fourier transform and its application to partial differential equations Some ... counterparts We have attempted to present the material at an easy pace, explaining carefully both the ideas and details of the derivations This is particularly the case in the first chapters but ... are familiar with basic calculus and elementary linear algebra Some experience with ordinary differential equations would also be an advantage Introductory courses in partial differential equations...

Ngày tải lên: 31/03/2014, 15:56

... -10 Table 2.2: Payoff matrix Behavior strategies A behavior strategy is defined as a mapping which associates with the information available to Player j at a decision node where he is making a move ... In making a commitment a player can persuade the other players to take actions that are favorable to him To be effective commitments have to be credible A particular class of commitments are ... the information available to the players when they enter a game play A player has complete information if he knows • who the players are • the set of actions available to all players • all possible...

Ngày tải lên: 08/04/2014, 12:15

... if these equations may be hard to handle by an analytical approach In Chapter 12 we give a brief introduction to the Fourier transform and its application to partial differential equations Some ... counterparts We have attempted to present the material at an easy pace, explaining carefully both the ideas and details of the derivations This is particularly the case in the first chapters but ... are familiar with basic calculus and elementary linear algebra Some experience with ordinary differential equations would also be an advantage Introductory courses in partial differential equations...

Ngày tải lên: 29/06/2014, 16:20

... Shibata H, Toyama K, Shioya H, Ito M, Hirota M, Hasegawa S, Matsumoto H, Takano H, Akiyama T, Toyoshima K, Kanamura R, Kanegae Y, Saito I, Nakamura Y, Shiba K, Noda T Rapid colorectal adenoma formation ... integrate as a tandem head -to- tail array Episomal forms of AAV have been found after up to 10 passages The production of large quantities of AAV vector for clinical use has been problematic Large-scale ... plasmid contains a 5¢ LTR, has a deletion of Y, expression of gag-pro-pol from a construct that also contains an inactive env gene, and has an SV40 polyadenylation site The second plasmid has a...

Ngày tải lên: 10/08/2014, 14:22

... techniques are advantageous for gene therapy approaches when applied to hematological diseases Aspects of ex vivo gene transfer as well as certain gene transfer vector systems are particularly useful ... molecule are attractive substrates for nucleases, and their action may lead to complete degradation Alternatively, the combined action of nucleases and a DNA ligase result in the connection of linear ... attempted to translate the genetic observations, and in some cases molecular tricks, found to work in lower eukaryotes or bacteria into the mammalian cell targeting arena An early observation by yeast...

Ngày tải lên: 10/08/2014, 14:22

... transfer as a therapeutic approach to cardiac disease Additionally, both adenoviral and adenoassociated viral vectors can be delivered to the myocardial and coronary vascular cells via either direct ... the extracellular matrix such as collagen and hyaluronic acid Natural oxygen radical scavengers, such as superoxide dismutase (SOD), catalase, glutathione peroxidase, and hemoxygenase (HO) function ... Globus Pallidus: internal external Subthalamic nucleus Thalamus Putamen Substantia nigra: Compacta Reticulata FIGURE 9.8 Circuits of the basal ganglia A variety of reciprocal connections are made...

Ngày tải lên: 10/08/2014, 14:22

... Mesothelioma pMAMneo MMTV-LTR H-ras c-myc c-fos Melanoma Melanoma Melanoma and ovarian pLNCX CMV H-ras Melanoma and pancreatic pLNT Tyrosinase H-ras Melanoma pRc CMW Pleiotrophin Melanoma Adenovirus ... Cancer Gene Therapya Cancer Cells Promotors Breast and Mammary carcinoma MMTV-LTR; WAP-NRE; b-casein; SLPI; DF3(MUC1); c-erbB2 Neuroblastoma and glioblastoma Calcineurin Aa; synapsin 1; HSV-LAT ... the raf serinetheonine kinase This complexing (ras/raf) starts a signal transduction cascade pathway Along this pathway is the activation MAP kinase, which is translocated to the nucleous and...

Ngày tải lên: 10/08/2014, 14:22

... a silica-based stationary phase, while others are based on an agarose stationary phase In most cases, the mechanism of binding is anion exchange These kits are aimed at a particular market niche: ... antifoam (a common fermentation additive) has been used, an analytical assay must be in place for its determination as well as a final release specification for its concentration Choosing the appropriate ... ultracentrifugation) have been developed, at least at laboratory scale They include gel filtration chromatography, hydroxyapaptite chromatography, acridine yellow affinity chromatography, anion...

Ngày tải lên: 10/08/2014, 14:22

... Mitchell AJ, Vaze A, Rao S: Clinical diagnosis of depression in primary care: a meta-analysis Lancet 2009, 374:609-619 Kawakami N, Takeshima T, Ono Y, Uda H, Hata Y, Nakane Y, Nakane H, Iwata N, ... of Health, Labour and Welfare We thank Ms Asako Yoshida and Mr Fumiji Takahashi for helping with patient interviews and Mr Nobuo Nomura, Mr Kazunori Yaegashi, Ms Mieko Okudera, and Ms Miyako Ishikawa ... present study was performed in a hospital located in a rural area where the proportion of the elderly is high Generally, medical resources are poorer in rural areas than in urban areas, and elderly...

Ngày tải lên: 11/08/2014, 16:22

... just as likely to cause cancer as smoking cigarettes [20] These findings are in direct contrast to the general agreement among tobacco research and policy experts that ST use is far less hazardous ... ST and pharmaceutical nicotine in a regulatory, legal and social context further suggests that the potential of ST as a cessation aid has been under-realized Nicotine gum and the nicotine patch ... the American Cancer Society Great American Smokeout [25] In 1999 an estimated $200 million was spent on print and broadcast advertising for smoking cessation products [26] In contrast to the heavy...

Ngày tải lên: 11/08/2014, 18:20

... Bilingualism Clevedon: Multiingual Matters, 96-116 Canagarajah, A S (2006) Negotiating the local in English as a lingua franca Annual Review of Applied Linguistics 26, 1970218 Canagarajah, A S (2005) ... Linguistics, Madison, WI Canagarajah, A S (2007) Lingua franca English, multiplingual communities, and language acquisition The Modern Language Journal, 91, 923-939 Canagarajah, S., & Said, S B (2009) ... English as a global language TESOL Quarterly, 35, 605-606 Nunan, D (2003) The impact of English as a global language on educational policies and practices in the Asia-Pacific Region TESOL Quarterly,...

Ngày tải lên: 04/08/2015, 09:39

... University of Alberta Edmonton, AB Canada Alexander A Leung, MD, MPH, FRCPC, MRCP(UK), FACP University of Calgary Calgary, AB, Canada Editors: David Hui, Alexander A Leung, Raj Padwal Assistant Editor: ... carcinomas such as nasopharynx, esophagus, or cervix; adenocarcinomas such as lung, breast, and GI tract tumors; melanoma) VASCULAR—granulomatosis with polyangiitis (GPA; multiple cavities with airspace ... heparin/LMWH/fondaparinux for at least days and until INR is between and for at least 48 h Factor Xa inhibitors (rivaroxaban, apixaban) and direct thrombin inhibitors (dabigatran) not recommended for initial...

Ngày tải lên: 11/06/2016, 20:39

... in the explanations, is entirely my own List of Abbreviations 16-QAM 1G 1xRTT 2G 3G 3GPP 3GPP2 4G 64-QAM AAA ABMF ACK AES AF AKA AM AMBR AMR APN APN-AMBR ARIB ARP ARQ AS ASME ATIS AuC BBERF BCCH ... Estimation Peak Data Rates of LTE and LTE-Advanced 20.2.1 Increase of the Peak Data Rate 20.2.2 Limitations on the Peak Data Rate Typical Data Rates of LTE and LTE-Advanced 20.3.1 Total Cell Capacity ... smaller, non-overlapping units known as tracking areas (TAs) These are used to track the locations of mobiles that are on standby and are similar to the location and routing areas from UMTS and...

Ngày tải lên: 02/07/2016, 00:32

... Create Computer Viruses Virus writers can have various reasons for creating and g spreading malware Viruses have been written as: • • • • • • • • • Research projects Pranks Vandalism To attack ... load than normal Computer's hard drive constantly runs out of free space Files have strange names which are not recognizable Programs act erratically Resources are used up easily Hardware Threats ... program ti due to i l t f data in Software Attacks: • Intentionally launched malicious programs enable the attacker to use the computer in an unauthorized manner • General Categories: • Viruses and...

Ngày tải lên: 31/07/2014, 04:20

... conception and design: EAA, RM, MCW, AM, and HJS; acquisition of data: EAA, RM, AS, MCW, AM, and TR; analysis and interpretation of data: EAA, GHG, and HJS; drafting of manuscript: EAA; critical revision ... A, Vedavalli A, Schunemann HJ, Akl EA, Mustafa R, Slomka T, Alawneh A, et al.: An educational game for teaching clinical practice guidelines to Internal Medicine residents: development, feasibility ... ] Staton L, Kraemer S, Patel S, Talente G, Estrada C: Peer chart audits: A tool to meet Accreditation Council on Graduate Medical Education (ACGME) competency in practice-based learning and improvement...

Ngày tải lên: 11/08/2014, 05:21