procedures for physical assessment of the genitourinary system

... testing of the functions of the cervical spine by the examining physician (additional file 1) One hand of the physician fixes the axis of rotation on top of the head, the other hand pulls the chin ... Screening of the cervical spine For the examination of the cervical spine, the patient sits on the examination couch with the back of his (or her) knees at the edge of the couch During screening the ... the tibia forward with the other A soft end point or lack of a stop at the end of the range of movement ("drawer") is evidence of a lesion of the cruciate ligament [22] For reasons of practicability,...

Ngày tải lên: 20/06/2014, 00:20

... importance of the linkage types The goal is at the top of the model 4.4.2 The Actors Like the AHP model formulated for overall linkage judgment, the second level in the hierarchy model for individual ... preparation of questionnaire, pre-testing of questionnaire for the confirmation and interpretation of the factors and then processing of the completed questionnaire and reporting The second part of the ... all are there Another type of decision is one in which people are unsure of the importance of their criteria In this case to sharpen their knowledge of the criteria a wide selection of alternatives...

Ngày tải lên: 23/04/2013, 10:29

... column to keep the moisture content inside the column uniform while water was sprinkled over the top of the medium until the outflow from the bottom of the column equaled the volume of the water input ... HWCs while there is a slight change of the peak concentration in Andisol (Fig (b)) except for the more pronounced tailing of the BTCs with the increase of HWCs The peak concentrations for Andisol ... differences in the values of the distribution coefficient of two soils Given the fact that the distribution coefficient depends on the specific surface of the medium, Andisols provide the diversity of transport...

Ngày tải lên: 05/09/2013, 10:15

... curtailed The LOEE on the other hand estimates the expected amount of energy curtailed These indices not provide any indication of the number of times that load will be curtailed nor the extent of the ... appraisal of the unit and therefore of the system adequacy As a result, there is a growing tendency to utilize the three-state generating unit model shown in Figure The ERIS data base provides all the ... depend on the detail required for the particular application, the information available for the purpose and other considerations The more frequently used generating unit models and the ability of ERIS...

Ngày tải lên: 03/01/2014, 19:36

... landscape Most of the time they occur in the context of major instability events Since the turn of the last century, hundreds of thousands of civilians have lost their lives as a result of atrocities ... with the United States will remain important for Russia, Moscow is most likely to focus its foreign policy efforts on strengthening its influence over the states of the former USSR by binding them ... following two years of slow economic growth We noted last year that the outcome of the crisis has major implications not just for the United States but also for the world economy The risk of an unmanaged...

Ngày tải lên: 08/03/2014, 16:20

... DISSEMINATING INFORMATION The transfer of information is at the heart of all phases of the development and diffusion of new technology, and the channels of communication for the housing industry ... (NSTC C&B) SCOPE OF THE STUDY At the request of HUD, the National Research Council (NRC) assembled a panel of experts as the Committee for Review and Assessment of the Partnership for Advancing ... goals at the inception of the program that were overly ambitious for the size of the program Administration has also been hampered by the uncertainty of the program’s future Unfortunately, the administrative...

Ngày tải lên: 22/03/2014, 10:20

... (Invitrogen), and the isolation of RNA followed the manufacture’s protocol The synthesis of first-strand cDNA was performed using the Superscript preamplification system (Invitrogen) Either lg of total ... investigation on the cutaneous expression of each of the components of the P450scc enzymatic system In addition, we tested reconstituted and mitochondrial P450scc systems for their ability to ... characteristic of 7-DHP (Fig 5) The H-NMR spectrum of the biotransformation product is in agreement with that of the chemically synthesized standard (Fig 5) and with data from the literature [41] Thus, the...

Ngày tải lên: 23/03/2014, 13:20

... table show the area under the curve (representing the validity) for the CFS-AQ, the IPAQ and the API As can be seen, the validity of the API (0.643) was somewhat smaller than that of the two questionnaires ... between the area's under the ROC curves between the IPAQ, the CFSAQ and the API The data provide the formula's used to calculate the significance level (Z score) of the difference between the area's ... built up the database, designed and performed the statistical analysis and wrote the manuscript HK contributed to the development of the study design and advised about the performance of the statistical...

Ngày tải lên: 18/06/2014, 19:20

... in the decisions throughout the process of development and finalisation of the questionnaire They gave their approval at each of the milestones of the development and finalisation process The ... evaluation of the burden of the dry eye condition on patients The assumption about the pre-defined structure of the IDEEL as distinct modules and the lack of data from PCA and Multi-trait analyses on the ... and eye discomfort The Dry Eye Symptom-Bother module of the IDEEL was the dimensions most highly correlated with all of the DEQ items (0.21–0.83) All the IDEEL correlations showed the lowest correlations...

Ngày tải lên: 20/06/2014, 15:20

... of training materials of the same course provided by NZOQ  The pilot packer did not spend all effort and investment for the packing house in compliance to the selected standard; this is of the ... identification of weakness, instructions for improvements with the purpose of improvement of the packing house, farms in according to the requirements of project pilot model, meeting to the quality ... standards for group of farmers and a pilot packing house certified for BRC for exporter/packer To establish the quality systems which meet the requirements, SOFRI’s staff had organized a number of training...

Ngày tải lên: 22/06/2014, 12:20

... No.26/QD-BYT in 2005 of MOH At the DPMCs, “there is a shortage of capacity of HWs in disease prevention and control department therefore in the event of outbreak/epidemic, additional HWs of other departments/units ... analysis Otherwise, during the period of 20 2008-2009, there has not been any a tailor software for management of all CDs built in the system These findings are also in line with statements from other ... 7/2009 – 6/2010: - The model made changes in the structure of the surveillance system in the study district such as increasing the coverage of the system; improving and maintaining the reporting flow,...

Ngày tải lên: 25/07/2014, 14:07

... distances: for an objective recording of the average quality, the photos were taken from the directions of the smallest and of the largest DBH For the documentation of stem form features, a distance of ... contracts in the test regions The selection of these contracts was oriented on the validity period (1998–2002) and on the representativity of the contracts for the customer structure for the forest ... photo-documentation of sample trees can be used for the calculation of stem dimensions and for the interpretation of stem surface features The results form the basis for a nondestructive and objective assessment...

Ngày tải lên: 07/08/2014, 16:20

... give the variability of the transmitted radiation in the shaded area at the scale of the sensor Increasing the area of comparison improves the relationship: the regression coefficients in the ... radiation at the scale of the sensor Therefore this should increase the minimum of transmitted radiation measured under the trees and blur the edge of the shaded area Second, small errors in the canopy ... along the branches (Fournier, 1989) Therefore the threedimensional distribution of the leaf and wood area of the eight trees surrounding the tracking system was measured as follows (fig 2): i) for...

Ngày tải lên: 08/08/2014, 18:21

... spectra, whether the spectral sensitivity of the circadian system changes at two different times of the night and thereby determine whether there was evidence for a Page of (page number not for citation ... conditions, the differential effects of the two spectra at the two times of the night strongly suggest that there is a change in the spectral sensitivity of the retinal phototransduction mechanisms of the ... when they sat at the boxes Another small hole in the back of each box accommodated the zoom lens of a digital video camera, which was used to measure pupil size, as descried below The roofs of...

Ngày tải lên: 10/08/2014, 09:20

... density foam box The foam collapses under their weight and when they step out of the box there is a fairly close negative of the shape of their foot left in the foam The box can then either be filled ... manufacture the orthotics, this approach reduces the number of steps in the process as well as removing many of the sources of human error There are alternative methods of obtaining the shape of the ... directly on the 3D representations of the foot obtained by surface scanning The software, as well as matching the shape of the foot sole, allows the user to alter the shape and thickness of the orthotic...

Ngày tải lên: 10/08/2014, 21:24

... expression potentially contributing to the protective mechanisms of these therapies There is increasing evidence for the interplay of the renin–angiotensin system and inflammatory events [5] Pre-eclampsia ... in the genetic expression of ACE2 in pulmonary hypertension [10] Page of Although the ongoing study of the renin–angiotensin system has now surpassed the century mark, the characterization of ... [1] Despite the increased levels of the enzyme, ACE2 activity was markedly lower in comparison with the control group Indeed, the authors report the presence of circulating levels of ACE2 antibodies...

Ngày tải lên: 12/08/2014, 14:22

... class R, 50%; class I, 66.6%; and class F, 72%; P < 0.0001) The majority of patients (95%) died in the ICU within the first month of hospitalization Multivariate regression analysis, including ... approval of the version to be published Competing interests The authors declare that they have no competing interests References Bellomo R, Ronco C, Kellum JA, Mehta, RL, Palevsky P and the ADQI ... definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group...

Ngày tải lên: 13/08/2014, 03:20

... procedure performed in the ED The majority of patients requiring a central venous catheter (30/56, 53.6%) had the CVC inserted within the first hours of admission to the ICU Similarly, arterial catheters ... insertion in the ED In addition, invasive procedures not performed in the ED were often performed early in the ICU admission Other studies have reported variable procedure completion rates in the ED, ... determine the length of stay of critically ill patients receiving care in a tertiary care adult emergency department The secondary objective is to describe the invasive procedures performed in the...

Ngày tải lên: 13/08/2014, 23:20

... responsible for the 17.4% of the total number of transfers On the other hand, the fact that 34.3% of all transfers are from units with no requirements at all implies that the presence of a single ... in the frequency of transfers This indicates the demand of a more organized distribution of resources Limitations One of the major drawbacks of this study is that in most cases only one of the ... expedited by a systems approach [14,15] Quality assessment of any trauma system involves the evaluation of the transferring patterns [16] The geographic diversity and population distribution of Greece...

Ngày tải lên: 13/08/2014, 23:21