... aims In principle ,the main activities of the service will be based around education and improving standards of sexual health medicine within the primary care organisation as well as offering ... training • Base line experience working as a clinical assistant e Evidence of maintenance of competencies The GPwSI would be expected to maintain his or her competencies through continued professional ... arrangements, including links with others working in the same clinical area in primary care, at PCT level and in acute trusts The GPwSI will be accountable to the PCT Board with clinical responsibility...
Ngày tải lên: 14/02/2014, 21:20
... urticaria, just as the histology of the two groups is strikingly similar.27,45 All of these findings provide a basis for further investigation of the pathogenesis and treatment of this disease.46–48 ... prominent in the lesions of chronic urticaria than in the late-phase response Cytokine Production after Stimulation with PMA–Ionomycin: Phenotypic Characterization of the Cytokine-Producing Subpopulation ... against the eosinophil low-affinity IgE receptor (CD23), which activate eosinophils and induce histamine release by eosinophie cationic protein (ECP), major basic protein (MBP), or other eosinophil...
Ngày tải lên: 08/08/2014, 21:20
Báo cáo y học: "Computational challenges in the analysis of ancient DNA" ppsx
... seemingly paradoxical result can be explained in the following way The chance of finding a seed-match and of producing a local alignment of significant similarity rises with the length of the ... clock, the ratio of the number of changes specific to the human lineage to those specific to the chimpanzee lineage gives an estimate of the Neandertal-human divergence With prior knowledge of the ... (Figure S3 in Additional file 1) Therefore, requiring a minimum distance in bitscore between the best and second best hit is Page of 15 very effective in removing most of the remaining reads that...
Ngày tải lên: 09/08/2014, 20:22
NHỮNG KHÓ KHĂN CỦA VIỆC ÁP DỤNG ĐƯỜNG HƯỚNG DỰA TRÊN NHIỆM VỤ VÀO DẠY NÓI CHO SINH VIÊN KHÔNG CHUYÊN TIẾNG ANH TRƯỜNG ĐẠI HỌC SƯ PHẠM NGHỆ THUẬT TRUNG ƯƠNG = challenges in the implementation of the task-based approach to teaching speaking to non-major st
... summarizing the main points of the study, particularly the major findings of the research, presenting the limitations of the study and giving some suggestions for further research Summary of the ... as the medium of instruction in stead of using the target language In the lessons the role of the teacher dominates the role of students That is, the teacher often spends too much time presenting ... conclusion, the study consists of three chapters The introduction presents an overview of the study including the rationale of the study, the aim of the study, the scope of the study, the research...
Ngày tải lên: 03/03/2015, 08:59
Issues and challenges in the application of micro ball bearing for silicon based microsystems
... DEPARTMENT OF MECHANICAL ENGINEERING NATIONAL UNIVERSITY OF SINGAPORE ii PREFACE This thesis is submitted for the degree of Master of Engineering in the Department of Mechanical Engineering, National ... with the constraints of the MEMS silicon fabrication route However, the challenges facing such coatings are the high cost involved in solid coating, example diamond or carbon coating, and the inability ... layer of masking tape covers the Si disc during grinding to protect the surface from any scratches Water is allowed to flow during the process to reduce any thermal effect during grinding and at the...
Ngày tải lên: 08/11/2015, 17:16
Báo cáo nghiên cứu khoa học: "STUDY ON THE APPLICATION OF MELALEUCA CAJUPUT ACTIVATED CARBON IN THE TREATMENT OF WASTE WATER FOR TEXTILE INDUSTRY" pps
... and c*(ppm) are the concentrations of the adsorbate in the activated carbon and in the solution, that are in equilibrium with each other By logarithmizing the equation (1) and plot the calculated ... types of kinetics models have been used to evaluate the flow of the process: the outer mass transfer [3], the pseudo 1st order and the pseudo 2nd order [4] By plotting the experimental point and the ... 0.240(1/ppm) 3.3.Kinetics investigation Each volume of 1500 ml with determined initial concentration of dyestuffs is prepared for the kinetics investigations Two concentrations of the dyestuffs (20ppm...
Ngày tải lên: 22/07/2014, 03:20
Formulating Poorly Water Soluble Drugs pptx
... One of the main challenges in the delivery of poorly soluble drugs via the pulmonary and parenteral route is the limited number of approved excipients The development of novel excipients may offer ... Paclitaxel, a poorly water- soluble molecule with antineoplastic activity, was originally Route- Specific Challenges in the Delivery of Poorly Water- Soluble Drugs 11 formulated in form of a nonaqueous ... water- soluble molecules The volume begins with an analysis of the various challenges faced in the delivery of poorly water- soluble molecules according to the route of administration, i.e., oral,...
Ngày tải lên: 05/03/2014, 11:20
SCIENTIFIC DEVELOPMENTS AND TECHNICAL CHALLENGES IN THE PROGRESSIVE CONTROL OF FMD IN SOUTH ASIA pot
... countries in the region source the vaccine from India Keeping abreast with the contemporary developments research efforts are going on in addressing the major challenge of increasing the duration of ... vaccine coverage, age of vaccinates, maintenance of the cold chain during vaccine shipping and application, and training of vaccinators for proper vaccine delivery Addressing these elements are prerequisite ... application of the vaccine Farm managers in Kenya maintain vaccination times a year as it proved to be effective in preventing clinical FMD even in the presence of infected buffalo and sick wildlife in...
Ngày tải lên: 18/03/2014, 00:20
Báo cáo hóa học: "Prognostic impact of clinical course-specific mRNA expression profiles in the serum of perioperative patients with esophageal cancer in the ICU: a case control study" potx
... prognostic indicator in fulminant hepatitis in patients without encephalopathy upon admission [10,11] In the present study, we examined 11 proinflammatory genes in patients receiving therapy in the ... of the diagnostic accuracy of CRP and mRNA levels (a) Change in circulating CRP mRNA expression during the clinical course in ICU Upregulation of CRP mRNA was induced at POD by the surgical intervention ... for the prognosis of fulminant hepatitis Hepatol Int 2008, 2:213-221 Wong FH, Huang CY, Su LJ, et al: Combination of microarray profiling and protein-protein interaction databases delineates the...
Ngày tải lên: 18/06/2014, 16:20
báo cáo hóa học: "Bayesian aggregation versus majority vote in the characterization of non-specific arm pain based on quantitative needle electromyography" pot
... MUPT The SMUP is determined by using the firing times of the main spike of each individual MUP firing within a MUPT and relating these to the potential observed at a surface electrode overlying the ... in which d is the dimensionality (the number of input features) in the problem As can be seen in (2), this factor drops out in the construction of the discriminant through the application of ... number of samples assigned to each target class; in the case of Table these are MUPTs, in the remaining tables these are muscles The value at the foot of the “Per-class accuracy” column is simply the...
Ngày tải lên: 19/06/2014, 08:20
Báo cáo y học: "Collagen type II (CII)-specific antibodies induce arthritis in the absence of T or B cells but the arthritis progression is enhanced by CII-reactive T cells" ppsx
... enhancement in the frequency of arthritis in the T cell-deficient mice and the B cell-deficient mice suggest that these cells might play regulatory roles in the initiation of disease 100 90 % of incidence ... have important roles either during the initiation phase of arthritis or in the perpetuation and exacerbation of the disease after the onset, or they might simply maintain immunity to CII and ... antigenpresenting cells/ml, 10 µg/ml rat CII) followed by weeks of resting in medium containing IL-2 At the time of re-stimulation, an aliquot of the cell line was tested for antigen specificity...
Ngày tải lên: 09/08/2014, 01:24
Báo cáo y học: "Improving the delivery of care for patients with diabetes through understanding optimised team work and organisation in primary care" ppt
... measured at the level of the practice and predictor variables measured at either the level of the practice or the level of the individual The theoretical models will be tested using standard ... J, Walker A, Johnston M, Pitts N: Changing the behaviour of healthcare professionals: the use of theory in promoting the uptake of research findings J Clin Epidemiol 2005, 58:107-112 Bradshaw ... further developed by Sniehotta [40], who proposes the two distinct dimensions of plans: action planning (planning the initiation of a behaviour) and coping planning (planning what to Page of...
Ngày tải lên: 11/08/2014, 05:21
báo cáo khoa học: " Improving the delivery of care for patients with diabetes through understanding optimised team work and organisation in primary care" ppt
... measured at the level of the practice and predictor variables measured at either the level of the practice or the level of the individual The theoretical models will be tested using standard ... J, Walker A, Johnston M, Pitts N: Changing the behaviour of healthcare professionals: the use of theory in promoting the uptake of research findings J Clin Epidemiol 2005, 58:107-112 Bradshaw ... further developed by Sniehotta [40], who proposes the two distinct dimensions of plans: action planning (planning the initiation of a behaviour) and coping planning (planning what to Page of...
Ngày tải lên: 11/08/2014, 16:20
Báo cáo y học: " Challenges in the prenatal and post-natal diagnosis of mediastinal cystic hygroma: a case report" docx
... definitively identified postoperatively We offer an overview of the role of imaging and suggest that both the local anatomy and the organisation of the cystic structure be borne in mind in the ... Isolated intrathoracic cystic hygroma is a rare finding; less than 1% of all cystic hygromas are purely mediastinal in origin In the majority of cases, these are located in the anterior mediastinum ... system They are reported to occur in between in 6000 and in 16,000 live births They can occur anywhere in the body, but 75% involve the posterior neck, 20% the axilla and 1% the mediastinum, groin...
Ngày tải lên: 11/08/2014, 21:22
Báo cáo y học: "Identification of an endogenous retroviral envelope gene with fusogenic activity and placenta-specific expression in the rabbit: a new "syncytin" in a third order of mammals" ppt
... (right) and haematoxylin and eosin staining of a day 12 placenta section (left) with the main layers of the placenta indicated (B) Higher magnification of the areas framed in A Abbreviations: frbc: ... subunits and the CWLC domain involved in SU-TM interaction indicated in red; the hydrophobic signal peptide and fusion peptide and the transmembrane domain are shaded in light gray, and the putative ... fv) All of these characterize the definitive labyrinthine placenta [9,11] ORF A 1900 bp specific amplicon could be obtained from the Lepus species, but neither from the Sylvilagus nor from the Ochotona...
Ngày tải lên: 12/08/2014, 23:22
Báo cáo y học: "Selected amino acid mutations in HIV-1 B subtype gp41 are Associated with Specific gp120V3 signatures in the regulation of CoReceptor usag" pot
... for the establishment of the initial infection, and they predominate in the majority of drug-naïve patients (prevalence, > 80%) [33-36] However, in roughly 50% of all infected individuals, the ... localized in the extracellular domain of gp41 is consistent with the idea that gp41 may act as a scaffold in order to maintain the stability of the gp120/gp41 complex, and therefore finally influencing ... those of co-circulating R5-tropic clones, indicating the presence of CXCR4 tropism determinants also in domains different from V3 [41] Interestingly, the threonine in position 96 that we find mutated...
Ngày tải lên: 13/08/2014, 01:20
Báo cáo y học: "Bench-to-bedside review: The importance of the precision of the reference technique in method comparison studies – with specific reference to the measurement of cardiac output" ppsx
... performing the studies and analysing the data The understanding of the precision of a new device is vital prior to accepting it into clinical practice and prior to using it for significant therapeutic ... assessing the combined error of the two This has been studied extensively with ITD and the variance can range from 5% to 15% depending on the technique used The main limitation of this ± 30% cutoff, ... confusion in how to interpret studies and therefore in whether (or not) to accept new measuring or monitoring devices into routine clinical practice Validation of cardiac output monitoring devices Ideally,...
Ngày tải lên: 13/08/2014, 11:23
Báo cáo y học: "Universal access: the benefits and challenges in bringing integrated HIV care to isolated and conflict affected populations in the Republic of Congo" potx
... especially in the early phases of integration This had the effect of initially reducing the confidence of the inexperienced medical staff in managing ART, and reinforced fears around safety of ART ... quality of the ongoing HIV program Challenges for the future of the program The integrated HIV programme in Pool is faced with a number of challenges Most significantly, the numbers of people living ... the benefits and the means of minimising the risks of testing were required Benefits of introducing HIV/AIDS activities into medical programs 'Towards Universal Access' While there is clear international...
Ngày tải lên: 13/08/2014, 13:21
Báo cáo y học: "Spinal manipulative therapy versus Graston Technique in the treatment of non-specific thoracic spine pain: Design of a randomised controlled trial" potx
... spine pain [11] Definition of non specific Thoracic spine pain Midline back pain – for the purposes of this trial, the pain will be bound by the lateral margins of the thorax laterally and the ... asked to indicate which point along the line best represents their pain intensity The distance from the no-pain end to the mark made by the participant is their pain intensity score The Oswestry ... stainless steel instruments The promoters of the Graston Technique [4] claim that the instruments are much like tuning forks as they reportedly resonate in the clinician's hands allowing the clinician...
Ngày tải lên: 13/08/2014, 14:20
Báo cáo y học: " Research In silico modeling of the specific inhibitory potential of thiophene-2,3-dihydro-1,5-benzothiazepine against BChE in the formation of β-amyloid plaques associated with Alzheimer''''s disease" doc
... a deeper insight into the mechanism of their interactions and thus helping in the design of potent new ChE inhibitors The interaction mode of the selected pose within the active sites of ChEs ... overlapping regions Apart from minor differences, a major diversity in the ligand-AChE complexes was the variation in the positioning of the side chain of Phe330 The divergence in the orientation of ... BChE, including numerous aromatic regions present in the latter but not in the former Both ChEs have their active sites at the base of enzyme cleft of about 20 Å depth In AChE, the binding of the...
Ngày tải lên: 13/08/2014, 16:20