... Finally, large randomized studies not support the use of RMs in patients with ARDS In conclusion, the use of RMs cannot be recommended in the light of current knowledge, and if RMs are used they should ... areas in these patients Rothen and coworkers [22] found that a pressure of 40 cmH2O maintained for 7–8 s entirely re-expanded the collapsed lung tissue in anesthetized humans, although the net ... suggest that RMs have different effects depending on the type of lung insult and on the use of various combinations of tidal volume and PEEP Whether RMs are necessary to prevent alveolar collapse...
Ngày tải lên: 12/08/2014, 19:22
... time and - The dissertation does not study the climate of plant populations due to time and limitations of equipments 2 The scientific meaning and practice of the dissertation 4.1 In term of theory, ... of planning review of forest types in Vi Xuyen district, 2012) The area of forest land of Vi Xuyen district is about 118,691.36 and accounts for 79.2% of natural land area Of which, forest land ... During the research process of data collection, we use the method of survey routes and standard plots of Hoang Chung (2008) and Nguyen Nghia Thin (2004) * The method of survey routes (SR) The first...
Ngày tải lên: 19/09/2014, 09:45
Báo cáo y học: "Bench-to-bedside review: The MET syndrome – the challenges of researching and adopting medical emergency teams"
... evidence is the lack of rigour and generalisability Furthermore, the magnitude of the effect of the MET may be influenced by institution-specific administrative features and policies Buist and coworkers ... of centres Before -and- after studies lack rigour and generalisability they are In the words of the slogan of the American Society of Critical Care Medicine, we need to deliver the ‘right care, ... lack of statistical power due to the large variance in outcome incidence and wide standard deviation and the lower-than-expected incidence of the outcome measures under investigation Given the...
Ngày tải lên: 25/10/2012, 10:35
Tài liệu The Contribution of Sexual and Reproductive Health Services to the Fight against HIV/AIDS: A Review pptx
... care to the mother and reduce the likelihood of MTCT of HIV ‘ The core goal of all medical therapy is to bring the patient’s viral load to an undetectable level When that goal is reached, the chance ... agreement of the Department Ian Askew’s participation in the review was supported through the ‘Memorandum of Under- standing’ between the WHO Department of Reproductive Health and Research, the Population ... providers use their time, rather than the amount of time they have available, is what matters The contribution of MCH and delivery services In most developing countries, the great majority of pregnant...
Ngày tải lên: 13/02/2014, 15:20
Statute Prevents State Agencies From Considering Community Benefits When Granting Tax‑Exempt Status, While the Effects of Purchases and Consolidations on Prices of Care Are Uncertain ppt
... across their communities and whether the charity care and public benefit warranted their nonprofit status The audit analysis that the audit committee approved named six objectives Table lists the ... than 400 percent of the federal poverty level and if his or her annual out of pocket expense exceeds 10 percent of the total annual income of the patient or the patient’s family and the maximum government ... Community Hospital of Los Gatos To determine whether the acquisition affected the level of medical services provided to the community, we reviewed the data that identify the type and number of licensed...
Ngày tải lên: 15/03/2014, 23:20
STOCK ASSESSMENT AND FISHERY EVALUATION REPORT FOR THE GROUNDFISH FISHERIES OF THE GULF OF ALASKA AND BERING SEA/ALEUTIAN ISLANDS AREA: ECONOMIC STATUS OF THE GROUNDFISH FISHERIES OFF ALASKA, 2008 potx
... terms of economic activity and outputs using estimates of catch, bycatch, ex-vessel prices and value (i.e., revenue), the size and level of activity of the groundfish fleet, and the weight and ... type, and species The catch data in Table and the catch, ex-vessel value, and vessel information in the tables of the rest of this report are for the BSAI and GOA FMP fisheries, unless otherwise ... species bycatch and bycatch rates, the ex-vessel value of the groundfish catch, the ex-vessel value of the catch in other Alaska fisheries, the gross product value (F.O.B Alaska) of the resulting...
Ngày tải lên: 23/03/2014, 21:20
a systematic review of the research literature on the use of phonics in the teaching of reading and spelling
... Systematic Review of the Research Literature on the Use of Phonics in the Teaching of Reading and Spelling Carole J Torgerson * Greg Brooks ** Jill Hall * * University of York ** University of Sheffield ... University of Sheffield The views expressed in this report are the authors’ and not necessarily reflect those of the Department for Education and Skills © The University of Sheffield 2006 ISBN ... Effect size, as calculated by the reviewers (mean of word recognition and word attack measures; also mean of comprehension measures, mean of spelling measures, and synthetic versus analytic, where...
Ngày tải lên: 02/06/2014, 09:22
Báo cáo khoa học: " Intensity modulated radiotherapy (IMRT) in the treatment of children and Adolescents - a single institution''''s experience and a review of the literature" pps
... and treatment of the children HB is responsible for the anaesthesia management of the children PH is responsible for the clinical treatment of the children as head of the division of radiation ... helical tomotherapy have the potential of selectively sparing the thyroid gland and breast tissue in craniospinal irradiation The number of children treated with IMRT and the hard evidence for the benefit ... evaluation they illustrate the possibilities of helical tomotherapy (as one solution of IMRT) to cover a target volume of this size avoiding the problems of field junctions and the resulting dangers of...
Ngày tải lên: 09/08/2014, 10:20
Báo cáo y học: "Dendritic cells: In the forefront of immunopathogenesis and vaccine development – A review." doc
... These bacteria colonize the gut and express and release the immunogen in the intestine DCs in the mucosal site will then capture the immunogen via DC-binding peptide motifs They internalize the ... Mohamadzadeh is the corresponding author and designed the draft of the manuscript Dr R Luftig contributed to the viral-related segments and overview of the manuscript Both authors read and approved the final ... replication of HIV-1 virus occurs during cognate CD4+ T cell activation through DCs On the other hand, there is evidence that the features of HIV pathology are an accumulation of HIV virus in the germinal...
Ngày tải lên: 11/08/2014, 10:23
Báo cáo y học: " Comparison of the efficacy of lamivudine and telbivudine in the treatment of chronic hepatitis B: a systematic review" pdf
... estimate of the relative risk of LdT versus LAM by use of a random-effects approach The results of the five trials showed therapeutic response rates in the LdT group as 77.5%, compared to 68.2% in the ... 2010), the Cochrane Central Register of Controlled Trials and the Cochrane Database of Systematic Review Of these databases, CNKI, WANFANG and VIP databases provide literatures in Chinese The search ... estimate of the relative risk of LdT versus LAM by use of a random-effects approach The results of the eight trials showed virological response rate in the LdT group as 41.6%, compared to 28.3% in the...
Ngày tải lên: 12/08/2014, 01:21
Báo cáo khoa học: "Bench-to-bedside review: Oxygen debt and its metabolic correlates as quantifiers of the severity of hemorrhagic and posttraumatic shock" pptx
... quantifier of severity of posttrauma hemorrhagic shock, Siegel [29], Rutherford [47], Davis [50], and Rixen [49] and their groups studied the value of BD as a single predictor of the severity of post-trauma ... only positive values of BD (without the minus sign) are used in the present review As the concept of O2D as the key process determining outcome evolved, one of the major goals of experimental studies ... Survival Survival Survival Survival MOF, sepsis MOF, ARDS Survival MOF MOF, ARDS Intracranial pressure MOF, survival Survival MOF Survival Survival MOF MOF MOF MOF, survival Infection, survival ‘Postoperative...
Ngày tải lên: 12/08/2014, 22:21
Báo cáo khoa học: "Bench-to-bedside review: The role of activated protein C in maintaining endothelial tight junction function and its relationship to organ injury" pot
... antibody to PAR1, the endothelial protective effects of APC and the endothelial disruptive effects of thrombin could both be blocked, which suggests that the opposing effects of the two proteases ... biologically plausible because this is the site of protein C activation, the endothelium contains the receptor for APC (EPCR), and the endothelium contains the PARs, which may also mediate APC ... endothelial barrier protection Another direct mechanism of action of APC on the endothelium is modulation of the endothelial monolayer, leading to increased cell-cell contact and decreased permeability...
Ngày tải lên: 13/08/2014, 03:20
Báo cáo y học: "Clinical review: The role of the intensive care physician in mass casualty incidents: planning, organisation, and leadership" pot
... [3] The successful outcome of the vast majority of patients admitted to the RLH ICU on July was multi-factorial and included the relatively low number of seriously injured casualties and the ... intensive care In their experience, the greatest use of ICU personnel and equipment occurs during the resuscitation and resource allocation phases of the response to the incident; their presumption ... (anaesthetist, surgeon, and operating department practitioner) to each of the patients to follow them from admission to the hospital through to the operating theatre and ultimately delivery into the...
Ngày tải lên: 13/08/2014, 10:20
Báo cáo y học: "Clinical review: The impact of noise on patients’ sleep and the effectiveness of noise reduction strategies in intensive care units" ppsx
... modification: they must be easy to implement and they must not diminish the safety of the patients Both noise and light are often the primary paired concerns of behaviour modification A randomised ... lower the noise level and the number of alarms of hemodynamic monitoring in the surgical ICU Noise reduction strategies included cutting down the intensity of the alarm sound and talking, and switching ... signal to enhance the sleep of men and women 65 years of age and older in the critical care environment PhD Thesis The University of Texas at Austin; 1990 59 Williamson JW: The effects of ocean sounds...
Ngày tải lên: 13/08/2014, 11:23
Báo cáo y học: "Bench-to-bedside review: Understanding the impact of resistance and virulence factors on methicillin-resistant Staphylococcus aureus infections in the intensive care unit" ppsx
... DP: Therapeutic monitoring of vancomycin in adult patients: A consensus review of the American Society of Health-System Pharmacists, the Infectious Diseases Society of America, and the Society of ... supports the hypothesis that the course of an MRSA infection can be altered in recognition of host-specific signals The changing epidemiology and impact of resistance and virulence on outcomes The ... daptomycin therapy [16,17] Linezolid is a synthetic oxazolidinone that inhibits the initiation of protein synthesis by binding to the 23s ribosomal RNA and thereby preventing formation of the 70s...
Ngày tải lên: 13/08/2014, 18:22
Báo cáo y học: "Clinical review: The role of biomarkers in the diagnosis and management of communityacquired pneumonia" potx
... early diagnosis and appropriate therapy, and use of the procedure will probably become the standard of care in the next few years Indicators of prognosis CAP is the leading cause of death from ... in the diagnosis of sepsis but also in less severe infections such as CAP The value of PCT depends Page of 11 on the clinical setting in which it is used and, crucially, on the sensitivity of the ... evidence and consistency of the data Older literature and existing meta-analyses or other systematic reviews of the topic were included when they added additional significant insights and evidence...
Ngày tải lên: 13/08/2014, 19:20
Báo cáo y học: " Immune status in sepsis: the bug, the site of infection and the severity can make the difference" docx
... with a higher number of NK cells as compared with the other groups, and only intraabdominal infection was associated with an enhanced number of CD8+ cells The latter group was the only one with ... those with severe sepsis and septic shock, the number of significant differences in terms of the number of circulating NK cells, CD4+ T lymphocytes, CD8+ T lymphocytes, and B lymphocytes was limited ... Cite this article as: Cavaillon J-M, Adib-Conquy M: Immune status in sepsis: the bug, the site of infection and the severity can make the difference Critical Care 2010, 14:167 ...
Ngày tải lên: 13/08/2014, 20:22
cheap talk, valuable results- a causal attribution model of the impact of promises and apologies on short-term trust recovery
... oneself for trusting and at the other party for exploiting that trust Depending on these analyses, and the impact of the reparative efforts by the offender, the outcome of the relationship can ... expectations of the intentions or behavior of another” (p 395) There is often confusion between trust and the closely related construct of cooperation (Bateson, 1988) Much of the game theory research ... the trustworthiness of the other, but also the veracity of their own perceptions and assumptions that allowed for trust in the first place This leads us to consider the harmful consequences of...
Ngày tải lên: 02/11/2014, 00:26
gold et al - 2012 -the effect of engagement and review partner tenure and rotation on audit quality - evidence from germany [mapr]
... evaluation of the performance of the audit engagement partner and team (Epps and Messier 2007) As such, the review partner plays a vital role in the audit review process and for the attainment of a ... explicitly states that the partner providing the audit quality review signs the left-hand side of the audit report and the audit engagement partner signs the right-hand side of the report Thus, we ... tenure and rotation of the review partner separately from the engagement partner by means of the location of their respective signatures in the audit report While (excessive) tenure of the engagement...
Ngày tải lên: 06/01/2015, 19:42
Studying the status of asthma in students at primary and secondary schools in Thai Nguyen city and the effectiveness of controlling asthma with ICS + LABA
... Of which, the rate of BA in male pupils is 10.4% and is higher than that of female pupils (8.6%) (p
Ngày tải lên: 24/06/2015, 00:57