outsmarting yourself in the heart of darkness
Tài liệu IN THE HEART OF AFRICA pptx
... ago The conversation of the Arabs is in the exact style of the Old Testament The name of God is coupled with every trifling incident in life, and they believe in the continual action of divine ... on the banks of the Atbara, fortunately just after the tents were pitched We thus had an example of the extraordinary effects of the heavy rain in tearing away the soil of the valley Trifling ... lack of pasturage, or by the want of water, even so must the flocks of the Arab obey the law of necessity, in a country where the burning sun and total absence of rain for nine months of the year...
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The French in the Heart of America doc
... as that of a room at the Sorbonne." There was the incident of the wandering of Nicolas Aubry, "more skilled in the devious windings of the [Latin Quarter] than in the intricacies of the Acadian ... midway of the valley it came out of the mystery of the Land of Frosts and passed silently on, or, in places, complainingly on, to the mystery of the Land of the Sun, into neither of which dared they ... determine its longitude; the landing on the shores of Texas, far beyond the mouth of the Mississippi; the loss of one of the vessels to the Spanish, the wreck of two others, and the return of the...
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Báo cáo y học: " From antibody insult to fibrosis in neonatal lupus – the heart of the matter" pps
... suggesting a diminished role in inflammation as the pathologic process evolves The fibrosing end of the line Perhaps CHB occurs as a consequence of unresolved scarring of the AV node secondary to the ... level The challenge rests on integrating the initial antibody insult with the final cardiac injury, and on reconciling the facts that the target antigens are intracellular and that most infants ... detection of myofibroblasts in all the affected CHB fetuses regardless of the timing of death relative to detection As expected, myofibroblasts were located in areas of fibrosis In the 20-week...
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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...
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Báo cáo y học: "Role of vasopressin in the treatment of anaphylactic shock in a child undergoing surgery for congenital heart disease: a case report" docx
... demonstrated Vasopressin inhibits the synthesis of iNOS, blunts the increase in cGMP induced by NO and directly inactivates KATP channels in vascular smooth muscle [10] Moreover, vasopressin is able to ... mcg/kg/min Arginine-vasopressin (Pitressin; Monarch Pharmaceuticals, Bristol, United Kingdom) infusion was started at a rate of 0.0003 U.I./Kg/min Within minutes, a pump flow at 100 ml/kg/min generated ... (iv) boluses of 500 mcg of epinephrine (by institutional protocol: 25 mcg/kg every minutes) were given while oxygen inspiratory fraction was increased to CPB was instituted in minutes in order to...
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Cardiovascular magnetic resonance imaging in the assesment of myocardial blood flow, viability, and diffuse fibrosis in congenital and acquired heart disease
... body weight per minute The peak effect of adenosine occurs 2-3 after start of the iv infusion, with an increase of the heart rate After stopping the iv infusion of adenosine, the heart rate returns ... intravenous injection of a contrast agent by using T1-weighted imaging In CMR perfusion imaging, the myocardial wash -in of contrast during the first pass of a contrast bolus forms the basis for assessing ... activation of the α2 receptors in the vessels In the field of CMR imaging, adenosine is most commonly used for stress perfusion imaging for the detection of CAD with an iv dosage of 140 μg/kg/min body...
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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 ... efficiently support the large body of UNIX software used within the academic community [16] In addition, from the point of view of a system designer, the Accent style of message/memory integration lacked ... once, possibly in different tasks The memory region specified by address in the vm_allocate_with_pager call will be mapped to the specified offset in the memory object The offset into the memory...
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Báo cáo y học: "Special considerations in the treatment of patients with bipolar disorder and medical co-morbidities"
... 2004, of portacaval shunting, thereby decreasing first pass metabolism; decrease in quantities and affinity of plasma proteins, thereby increasing free-drug levels; increase in volume of distribution ... hrs following the post-dialysis dose There is a case report in which lithium levels were maintained in the therapeutic range by intraperitoneal administration of lithium during continuous peritoneal ... syndrome), including carbamazepine, phenytoin, phenobarbital, and lamotrigine The triad of hypersensitivity includes fever, rash and internal organ involvement with onset of symptoms within to weeks of...
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Báo cáo y học: " the Value of Serum Biomarkers (Bc1, Bc2, Bc3) in the Diagnosis of Early Breast Cancer"
... surrounding cytoplasmic membrane in at least 10% of invasive carcinoma cells or presence of membranous staining in less than 30% provided that the staining is intense (++) Score 3: Presence of intense ... were included in the study Blood sampling was performed after surgery in the patients who were underwent surgical intervention (in group1 and 2) The serum samples in group were obtained after the ... groups The relevance of this finding is that it was the result of the first subgroup analysis for these biomarkers Bc1 should therefore be studied in terms of tumoral development and inflammatory...
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Báo cáo y học: "Technical Considerations in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury"
... the angles of the dural opening The most significant step involves constructing small supporting pillars on the bilateral sides of the vessels as they pass the edge of the dural window (the pillars ... and in most reports the involved patient populations are small, these experiences are valuable At present, in the absence of definite proof of the efficacy of decompressive craniectomy in the ... Following removal of part of the skull, they performed dural incisions in a stellate fashion In this step, it is important that entrance points of major vessels are close to the midpoint between the...
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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"
... in the development of the oxidative stress (68) If our findings are proven by further studies involving a larger number of patients, ultra-low microcurrent therapy might change the concept of ... pathogenesis of insulin resistance in humans using magnetic resonance spectroscopy Obesity (Silver Spring) 2006;14 (Suppl 1): 34S–40S 31 Boden G Role of fatty acids in the pathogenesis of insulin resistance ... symptomatic instead of a causal treatment for oxidative stress (67) Interruption of the overproduction of superoxide by the mitochondrial electron transport chain would normalize the pathways involved in...
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Báo cáo y học: "Godoy & Godoy technique in the treatment of lymphedema for under-privileged populations."
... variations in working pressures of the main groups of muscles of the limbs whilst using compression mechanisms during exercising This is a new line of research that aims at developing facilitating devices ... technique aims at draining lymph (already in the collectors) and stimulating the formation of lymph (the flow of interstice fluid to the lymphatic capillaries) Increases in interstice pressures, ... which can be used in the control of exercising Eight devices have been developed that involve the main muscle groups with the objective of improving the mobility of joints and reducing trophic muscle...
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Báo cáo y học: " Safety and efficacy of undenatured type II collagen in the treatment of osteoarthritis of the knee: a clinical trial"
... withdrawn from the study (without penalty) if, in the opinion of the treating physician, it was not in the patient’s best interest to continue For instance, if during the course of the study a patient ... including glucosamine and chondroitin, one month prior to study and during the study, other than multivitamin and mineral supplements containing vitamins and minerals as the sole medicinal ingredients ... unwilling to stop taking pain medication other than the study medication (for arthritis or other types of pain) or is unwilling to stop taking other medications for the treatment of OA Any other...
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Báo cáo y học: " Vacuum-assisted closure in the treatment of early hip joint infection"
... of an endoprosthesis involving the local tissue and causing an immune reaction [15] The most common problem hereby is the draining sinus, prolongating and preventing wound healing The pathophysiological ... reduction, the V.A.C.-system is not often used in the treatment of prosthesis – related infections Currently, there exist only four reports about the use of the V.A.C – system in the infection ... overstrain the clearance function of the V.A.C.-therapy, thus being probably the reason for the system failure in the infection treatment in case 10 One limitation of our study is that we cannot define...
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Báo cáo y học: " Two-stage procedure in the treatment of late chronic hip infections spacer"
... by the ratio in which the antibiotics are mixed into the cement and therefore, the total dose of antibiotics should not exceed 10% of the weight of the cement in order to avoid fracture of the ... safety The most commonly used antibiotics in ALC include tobramycin, gentamicin and vanco- 254 mycin [26] The combination of vancomycin and one of the aminoglycosides provides a broad spectrum of ... salvage of the infected hip: rationale for the use of gentamicin-impregnated cement and heads The hip proceedings of the thirteenth open scientific meeting of the hip society 1985; :65-94 Ensing...
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Báo cáo y học: "Complications after spacer implantation in the treatment of hip joint infections"
... remove the femoral stem For loading of the bone cement, the combination of gentamicin and vancomycin was most frequently used followed by the combination of gentamicin and teicoplanin Data about the ... http://www.medsci.org Int J Med Sci 2009, sion of the haematoma is an indispensable premise in the prevention of a wound infection Besides draining sinus, other infections during the two-stage protocol ... complications (draining sinus, pneumonia, etc.) Despite the retrospective design of our study and the limited possibility of interpreting these findings and their causes, this rate indicates that these patients...
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In the Shadow of the Glen
... again, and they rolling up the bog, and hearing nothing but the wind crying out in the bits of broken trees were left from the great storm, and the streams roaring with the rain MICHEAL {Looking ... night the like of this night, and the sheep were lying under the ditch and every one of them coughing, and choking, like an old man, with the great rain and the fog Then I heard a thing talking ... little piles on the table.} Isn't it a long while I am sitting here in the winter and the summer, and the fine spring, with the young growing behind me and the old passing, saying to myself one...
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The Heart of an Assassin
... located in the library in the Hampton home There she would find instructions on where to leave the information Felicia was taken aback When did he put the instructions in the book? How cunning Who ... require the disconnection of the second NYC number within ten days of the initial contact and would cost them 25 percent of the original cost of $100,000 Payment would be made upon completion of the ... middle of it and suffered a black eye The intruders walked away, laughing out loud and mocking some of the members of the Costellino family “Dad, they aren’t They’re just trying to provoke us They...
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Heart of Darkness
... beginning of an interminable waterway In the offing the sea and the sky were welded together without a joint, and in the luminous space the tanned sails of the barges drifting up with the tide ... there I thought of these two, guarding the door of Darkness, knitting black wool as for a warm pall, one introducing, introducing continuously to the unknown, the other scrutinizing the cheery and ... him The fascination of the abomination you know Imagine the growing regrets, the longing to escape, the powerless disgust, the surrender, the hate." He paused "Mind," he began again, lifting...
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