issues and trends in medical surgical nursing

... 18 year, a 3-point (absent, uncertain and certain), 7-item semistructured interview was devised for use in this study The items were intra- and extra-familial sexual abuse, intra- and extra-familial ... principally over more than one interview since the inquiries were extensive, and might exhaust the subjects if conducted in a single session Self-report scales were orally administered in the interviews ... reported each of domains of RLEs and LPs were RLEs and LPs in close relationships 69.7% and 60.0%, those in life-situation 61.9% and 63.2% and those in health conditions 18.1% and 52.9%, respectively...

Ngày tải lên: 11/08/2014, 16:22

... the channel and the GDLs as in well as the channel inlet conditions ( SR in , RH in , Ptot , y in ) which give Qiin and yiin ISSN 2076-2895 (Print), ISSN 2076-2909 (Online) ©2010 International ... (sections 3.1.2 and 3.1.3) focus on finding a pertinent location allowing to interpret the appearance of liquid water in terms of an ideal operating point 3.1.2 Onset of two-phase regime in the electrodes ... received the B.Sc and M.Sc degrees in mathematics from the University of Lome, Lome, Togo, in 1998 and 1999, respectively, and the M.Sc and Ph.D degrees in industrial engineering from the University...

Ngày tải lên: 05/09/2013, 14:58

... dose-dependent increases following localized orexin A administration in brain stem LC, pontis oralis and caudalis, and DRN, and an increased ACh release in the pontis oralis following administration in this ... vasotocin, vasoactive intestinal peptide, growth hormone– releasing hormone, somatostatin, prostaglandin D2, nitric oxide, and adenosine The role of these various sleep factors in maintaining homeostasis ... cognition, and mental processing (including reaction time) Sleepiness begins at sleep onset even before reaching stage NREM sleep (as defined later) with heaviness and drooping of the eyelids; clouding...

Ngày tải lên: 22/03/2014, 21:20

... Systems Protein-calorie Vitamin D Vitamin D, vitamin C Vitamin C Skin Vitamin A or essential fatty acids Vitamin C, vitamin K Niacin Nails Iron Hair Protein-calorie Face Protein-calorie Protein Eyes ... Bolus feeding has also been reported to result in less feeding intolerance and improved weight gain in preterm infants.90 However, in infants with intestinal73 or cardiac disease,92 the continuous ... solution.29 Using 1.7 mmol/dL of calcium and 2.0 mmol/dL of phosphorus in a parenteral solution containing Trophamine and cysteine, investigators were able to attain 65% of intrauterine calcium...

Ngày tải lên: 28/03/2014, 22:20

... sometimes retains an intact language comprehension (Kinsbourne and Warrington, 1963), and the interlocutor In Kinsbourne's words (1987), ignoring or denying disability is "implicitly failing to modify ... Hemi-inattention and hemisphere specialization: Introduction and historical review In E A Weinstein and Friedland R P (eds.), Advances in Neurology (Vol 18): Hemi-inattention and Hemisphere Specialization ... DEFICIT AFTER BRAIN INJURY Figure 1-7 Edwin A Weinstein, (Courtesy of Dr Edwin Weinstein.) M.D obtained—material which is new to the self-observer—it is possible to achieve the interpretation of...

Ngày tải lên: 11/06/2014, 09:45

... scales and subscales are scored in such a way that high scores denote presence of the characteristic c Dominance Scale (DS) which consists of MIN: Domineering Social Attitude and HA: Uninhibited ... significant findings concerning the number of episodes, and HT, DO and HA subscales of the PDS When PD was used as the sole factor variable, significant findings were found concerning the endogenous ... DMS and the HDRS depressive index The interaction of PD and DST produced significant findings concerning age, age of onset, number of atypical features, number of stressful life events, and the...

Ngày tải lên: 08/08/2014, 20:23

... reduction in IL-4 and IL-5, an increase in IL-10, and the induction of interferon-␥–secreting cells.22,24–31 SIT affects cytokine production, but how it does this and how the alteration of cytokine ... medications (including epinephrine and diphenhydramine), and storage facilities for allergen extract and vaccines must be available • Concomitant medications such as ␤-blockers (and possibly ACE inhibitors) ... life-threatening reactions An allergic reaction resulting from skin testing in a patient who is on ␤-blockers and possibly on angiotensin-converting enzyme inhibitors may be more enhanced and less...

Ngày tải lên: 08/08/2014, 21:20

... pyrin domain (PYD) in other proteins that have homology with pyrin’s N-terminal sequence [12] Members of the death domain superfamily are involved in the assembly and activation of apoptotic and ... motif containing Page of 10 (page number not for citation purposes) four cysteine-rich domains, a transmembrane domain, and an intracellular death domain Binding of soluble circulating TNF causes ... abdominal pain occurs in 80%; and skin manifestations, including erythematous rash (Figure 2), oedematous plaques (often overlying areas of mylagic pain), and discrete reticulate or serpiginous lesions,...

Ngày tải lên: 09/08/2014, 01:22

... analysis (and, in part, in the cluster analysis) are displayed in Table Variables are categorised according to Andersen’s behavioural model for predisposing factors, enabling factors, and needs-related ... General practitioners and psychologists practising in private clinics complete the primary mental health-care system in this area Selection criteria and sample To be included in the survey, participants ... since linguistic or cultural differences can be barriers to healthservice access The most important enabling factor is income (household and main source) Needs-related factors include type and...

Ngày tải lên: 11/08/2014, 15:22

... younger age, being male, not being in a relationship, greater pre-enlistment vulnerability, holding a lower rank, being in the Army, having a combat or combat support role and not being medically ... changes in the culture of drinking in the UK in general and the Armed Forces in the last decade [33,34], although the measures used were different in the two studies Prevalence of PTSD in this ... may be explained by differences in training and experience between US and UK reserves Initial comparisons between US and UK prevalence of PTSD after the Iraq War revealed differences using an identical...

Ngày tải lên: 11/08/2014, 17:20

... multicenter trial comparing imipenem/cilastatin to tobramycin/clindamycin for intra-abdominal infections Ann Surg 1990, 212:581-591 Solomkin JS, Reinhart HH, Dellinger EP, Bohnen JM, Rotstein OD, Vogel ... value in treating infections caused by ESBL-producing strains of Enterobacteriaceae Antipseudomonal carbapenems are indicated for a variety of hospitaltreated infections, including intra-abdominal, ... Slama urinary tract infections, and bloodstream infections either remained similar or declined, significant increases were seen in infections caused by cephalosporin-resistant E coli and Klebsiella...

Ngày tải lên: 13/08/2014, 11:22

... of therapy and 24 weeks later in order to determine whether the virological response is sustained (Figure 1B) [1, 18] HCV genotypes 4, and In the absence of any clinical trial including a sufficient ... Hadziyannis SJ, et al Peginterferon-alpha2a and ribavirin combination therapy in chronic hepatitis C: a randomized study of treatment duration and ribavirin dose Ann Intern Med 2004, 140: 346-55 ... teaching, diagnosis and research in virology, primarily hepatitis C and hepatitis viruses He earned his medical degree and a Thesis in molecular virology from the University of Paris, France In...

Ngày tải lên: 02/11/2012, 09:56

... play a key role in the difficulties of managing hepatitis B infection Hence, further research and understanding in this sector may bring exciting new information and better understanding of the natural ... East, and India; genotype E, in West Africa and South Africa; genotype F, in South and Central America; genotype G, in the United States and Europe [1] Genotype H was recently identified in individuals ... typical of infection in children and young adults It usually lasts for 2-4 weeks, but can last for years in those who acquired the infection during the perinatal period [11] Individuals in this...

Ngày tải lên: 02/11/2012, 11:17

Ngày tải lên: 03/11/2012, 11:11

Ngày tải lên: 01/11/2013, 10:20

... distinct and can be used independently or in tandem In this section we look at some ways to use autohandlers and dhandlers together Most important about the way dhandlers and autohandlers interact ... often no filtering is necessary Inspecting the Wrapping Chain When Mason processes a request, it builds the wrapping chain and then executes each component in the chain, starting with the topmost ... not caring whether the article had its own component file or whether it was generated by the dhandler Remember, autohandlers and dhandlers are distinct features in Mason, and by combining them...

Ngày tải lên: 14/12/2013, 12:15

... complete voiding Thus, these individuals have urge incontinence and urinary retention Urge incontinence and stress incontinence may be concomitant Stress incontinence of urine is the involuntary ... of urine associated with increased intraabdominal pressure Examples of activities that increase intraabdominal pressure include sneezing, coughing, laughing, stepping up or down, and lifting It ... tumors, and gynandroblastomas Only free androgen is biologically active and almost all androgens in the circulation are bound to sex hormonebinding globulin or albumin Thus, decreased androgen binding...

Ngày tải lên: 10/02/2014, 14:37

... tract infections (RTI) Two studies have examined the effect in adults of a combined multi-strain probiotic and multivitamin/mineral supplement containing L gasseri, B longum and B bifidum on the incidence, ... help in influencing the growth of a favourable intestinal ecosystem, decreasing the quote of Clostridium, Bacillus and Bacteroides Fragilis and increasing the rate of bifidobacteria, also improving ... can alter the intestinal microflora and reduce the growth of pathogenic microorganisms in the intestines of preterm infants, decreasing the incidence of necrotizing enterocolitis and sepsis Moreover,...

Ngày tải lên: 12/02/2014, 16:20

... disorders and EC exposures – in particular the enormous practical issues and costs involved in trying to establish this in a rigorous, scientific manner Understanding these uncertainties and difficulties ... whereas in Afro-American men it is increasing (McGlynn et al 2005; Shah et al 2007) A similar trend is perhaps also emerging in Europe, as TGCT 13 incidence is increasing in Finland (where the incidence ... trends in testicular seminoma and nonseminoma incidence Nat Clin Pract Urol 3: 532-543 Bray F, Richiardi L, Ekbom A, Pukkala E, Cuninkova M, Møller H 2006b Trends in testicular cancer incidence and...

Ngày tải lên: 13/02/2014, 10:20