procurement category management cascades from global to local
Waste Management Technologies in Japanese Cement Industry - from Manufacturing to EcofactuaringTM
... schedule to process 62,000 tons of ash from municipal waste incinerators and around 28,000 tons of industrial waste, including sewage sludge and ash, to generate approximately 110,000 tons of ... production of Portland cement Previously it was believed difficult to convert ash from incinerators into a cement raw material owing to the high chloride concentrations However, this has now been ... uses water to remove the majority of the chlorides and was put into operation in July 2001, after a 12-month trial run at the operational cement plant Today, the system can convert 63,000 tons of...
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Tài liệu Project Management Tips From web projects through to major change projects docx
... only for audit purposes but to ensure you have documents which enable you to monitor changes 31 Use a Planned v Actual form It is easy to create – it allows you to monitor how you are progressing ... plans and whether you are still on track to deliver on time, to budget and to the required quality standard 39 Set a tolerance figure and monitor e.g a tolerance figure of ±5% means as long as ... project management skills to deliver and your senior management contacts to check out the real priority of the project 63 Discover how project management software can help But, you will need to develop...
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Tài liệu The ZEN Approach™ to Project Management Working from your Center to Balance Expectations and Performance docx
... deviation from the plan creates discomfort The Zen Approach™ to Project Management / 13 Others want no structure They like to let the future unfold as it will and to creatively adapt to its conditions ... done to achieve results within a finite time and cost The Zen Approach™ to Project Management / 15 Projects are often more complex and stressful than they need to be Far too many of them fail to ... wander from the truth 22 \ The Zen Approach™ to Project Management Stop talking and thinking and there is nothing you will not be able to know … Do not search for the truth: only cease to cherish...
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UNIT 4. PRODUCTION AND MANAGEMENT OF ELECTRONIC DOCUMENTS LESSON 2. FROM HARDCOPY TO ELECTRONIC DOCUMENTNOTE doc
... it in the next folder Click on any folder to view which type of documents it contains To Register To Register To Scan To Scan To OCR To OCR To Edit To Edit Final Final Documents that you have ... in different subdirectories: To OCR: Digital image (e.g TIF) files that are ready to OCR To Edit: OCR files, ready to be proofread Final: Finished files It is a good idea to keep previous versions ... documents To Scan To Scan Documents that have been given subjects and that are ready for scanning To OCR To OCR Documents that have been scanned and that are ready for optical character recognition To...
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process plant design project management from inquiry to acceptance
... the period from the idea for the project to the invitation to tender usually requires one to three years Owing to difficulties in the field of research and development or problems arising from political ... the operator’s costs and revenues from the sale of the product over a period of time The aim is to reach the so-called break-even point, i.e the point at which total costs are equal to total sales ... uncertainties and risks entailed have to be borne by the company management Therefore, the results of the feasibility study have first to be submitted to the company management to decide upon the further...
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Báo cáo khoa học: " Surgical management of mediastinal liposarcoma extending from hypopharynx to carina: Case report" pptx
... Postoperatively the patient was extubated and was discharged to home on postoperative day eight He received postoperative radiation for a total of 60 Gy References Barbetakis N, Samanidis G, Samanidou ... complex anatomy of the mediastinum, can be daunting However, given the often encapsulated nature of the lesions, complete resection is often possible and debulking can lead to symptomatic relief ... because of their rarity, there is no consistent approach to management Warranting further study, radiology and chemotherapy alone seem to be insufficient forms of treatment but are possibly effective...
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Sinusitis From Microbiology to Management - part 1 pdf
... DK3789_half-series-title.qxd 7/19/05 3:26 PM Page Sinusitis From Microbiology to Management edited by Itzhak Brook Georgetown University School of Medicine Washington, D.C., U.S.A New York London DK3789_Discl.fm ... invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers For permission to photocopy or use material ... adult has two to three colds per year, and each child has three to eight colds per year (9) Up to 80% of these upper respiratory illnesses may be associated with rhinosinusitis, equating to over one...
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Sinusitis From Microbiology to Management - part 2 docx
... per year, with 5% to 10% progressing into ABRS (8) Due to this reason, children may be particularly susceptible to rhinosinusitis The time from onset of symptoms was found to play an important ... due to osteomeatal obstruction and/or 42 Benninger and Gottschall Table Factors Predisposing to Bacterial Rhinosinusitis Primary (local) factors Viral URI Allergic/nonallergic rhinitis Anatomic ... of acute respiratory illness due to the common cold is two–three/year in the adult with 0.5% to 2% progressing into an ABRS (7) Children on average have six to eight upper respiratory infections...
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Sinusitis From Microbiology to Management - part 3 doc
... four to five weeks, (B) five to six weeks, and (C) seven to eight weeks Source: From Ref Anatomy and Physiology of the Paranasal Sinuses 97 98 Krouse and Stachler size is estimated to be to cm3 ... developed to assist in the understanding of the relationship between these factors One approach to the variety of proposed etiologies is to divide them into three categories: systemic factors, local ... In contrast to ARS, the etiology of CRS is thought to be more multifactorial with the contribution of several systemic host, local host, and environmental factors Systemic host factors include...
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Sinusitis From Microbiology to Management - part 4 docx
... contributing to this disease process can be divided into systemic host, local host, and environmental factors Systemic host factors, such as genetic and autoimmune diseases, are important to identify ... Eikenella corrodens Group A streptococcus Group C streptococcus a-Streptococcus Peptostreptococcus Moraxella spp Source: Adapted from Ref 13 Multiple isolates Total 14 13 10 1 1 0 1 22 15 15 1 ... microorganisms native to the oropharynx are the alpha-hemolytic streptococci, which include Streptococcus mitis, Streptococcus milleri, Streptococcus sanguis, Streptococcus intermedius, Streptococcus salivarius,...
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Sinusitis From Microbiology to Management - part 5 ppt
... ketolide antibacterial to be approved for clinical use It is structurally related to the macrolides, but has a low propensity to select for or induce resistance to macrolide-lincosamide-streptogramin ... to site Lack of drainage (anatomical blockage or due to medication) Persistence of predisposing risk factors Impaired host defenses Factors within the sinus cavity that may enable organisms to ... Georgetown University School of Medicine, Washington, D.C., U.S.A INTRODUCTION The growing resistance to antimicrobial agents of all respiratory tract bacterial pathogens has made the management...
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Sinusitis From Microbiology to Management - part 6 pdf
... Buchaman CA, Yellon RF, Bluestone CD Alternative to endoscopic sinus surgery in the management of pediatric chronic rhinosinusitis refractory to oral antimicrobial therapy Otolaryngol Head Neck Surg ... an attempt to deliver a strong course of steroids topically and spare the patient from the harmful systemic side effects Chronic Rhinosinusitis 227 TOPICAL ANTIBIOTIC IRRIGATIONS Topical preparations ... symptoms and also as a daily prophylactic measure in those who suffer from recurrent sinus infections and allergic symptoms Leukotriene inhibitors are systemic medications that block the receptor...
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Sinusitis From Microbiology to Management - part 7 ppsx
... Their Management 273 Table Common Organisms Isolated from Patients with Orbital Infections Aerobic bacteria Streptococcus spp.: Streptocococcus pneumoniae, Streptococcus viridans, and Streptococcus ... of APCs to the lamina propria, to CD4 T-Helper and B cells Activated B cells begin to produce IgEs that in turn will bind to high-affinity IgE receptors of mast cells and basophils and to low-affinity ... antihistamines cannot selectively bind to H1-receptors, and therefore they also interact with dopaminergic, serotoninergic, and cholinergic receptors, leading to untoward effects such as dryness of...
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Sinusitis From Microbiology to Management - part 8 pps
... due to its ability to attach to the P aeruginosa biofilm, to have a faster growth, and to profit from the surface advantages of the biofilm (41) The biofilm-associated bacteria attain resistance to ... to be more aware of, particularly in refractory cases It could sometimes be worthwhile to stop the use of pharmaceuticals and only use physiologic saline rinse to find the basic level of symptomatology ... showed the sinuses to be free from bacteria Another study showed contradictory results, although the patients were not free from rhinosinus symptoms as sampling was done during septoplasty under...
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Sinusitis From Microbiology to Management - part 9 pot
... factors associated with CRS can be divided into three categories, which are outlined in Table These three categories include systemic host factors, local host factors, and environmental factors ... aggressive postoperative treatment with a number of new topical agents (Table 8) The use of topical steroids, topical diuretics, and topical antibacterial agents can result in symptom-free patients ... mechanism Downregulates inflammatory cytokines Downregulates inflammatory cytokines Decreases attachment of eosinophils to vascular endothelium Decreases attachment of eosinophils to vascular endothelium...
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Sinusitis From Microbiology to Management - part 10 pot
... patients is frequently asymptomatic, it can be recurrent and refractory to usual medical management (47,48,70) Symptoms of sinusitis are often nonspecific and may be attributed to other causes Usually, ... 3) Histopathological examination is very useful in differentiating infection due to the zygomycetes, which show characteristic broad non-septate hyphae from infection due to other filamentous fungi ... culture of material from the sinuses often yields no organisms, but the histopathological picture is distinctive enough to make a diagnosis However, histopathology alone is inadequate to differentiate...
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sheng - from asian to global financial crisis (2009)
... Bank Restructuring: Lessons from the 1980s (1996) and holds an honorary doctorate from the University of Bristol From Asian to Global Financial Crisis An Asian Regulator’s View of Unfettered Finance ... Japanese director Akira Kurosawa’s film as a See Fukuyama (1998) Data from www.bea.gov Data from www.ustreas.gov/tic/mfh.txt Data from www.ustreas.gov/tic/shl2007r.pdf 4 From Asian to Global Financial ... the 21st century was a marvel to wonder at From 2001 to 2007 global GDP increased by 75.8 percent from US$31 trillion to US$54.5 trillion.9 Over the same period, global bonds, equities and bank...
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underhill - global financial integration thirty years on; from reform to crisis (2010)
... is to the excellence of our contributors and their loyalty and patience in sticking with the effort to send the book to press A few of the scholars who contribute to this volume first came into ... benefit of looking at this trade-off historically is twofold: (1) to recognise its historical evolution; and (2) to consider the I would like to thank the editors of this volume and a range of discussants ... governance is to be adequate to the tasks set for it by the global financial system, it will need to adhere to this national/international formula Like the world of the 1920s, states today require...
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