... compared with 32% in patients who acquired hypernatraemia during their ICU stay [11] Lindner and colleagues described a similar incidence of hypernatraemia in a medical ICU in Austria, but reported ... rates in patients presenting with hypernatraemia than in those acquiring the disorder (43% versus 39%) [12] Similarly, in a retrospective five-year review of a medical ICU in France, Bennani and ... disturbances, and could potentially be used to help clinicians identify patients at increased risk An elevated baseline creatinine was associated with a 50% increased risk of ICU-acquired hypernatraemia and...
Ngày tải lên: 25/10/2012, 10:31
... hand intended, or, on the other, is a mere side effect, and between acting to kill and omitting to save As a result, although administering pain-killing medication and withdrawing life-sustaining ... is International Bar Association Professor of Law and Ethics in Medicine and Director of the Institute of Law and Ethics in Medicine at the University of Glasgow Intention and Causation in Medical ... judges, trained in criminal law, deciding issues which actually lie within the medical domain The criminal law errs, not only in applying a criminal standard to doctors when they are making end-of-life...
Ngày tải lên: 16/03/2014, 03:20
the unfinished revolution how a new generation is reshaping family work and gender in america dec 2009
... help with the title, and unstinting attention to large and small details at every turning point In an age of declining budgets and overburdened editors, I have been exceedingly fortunate to have ... employed.8 In fact, the recent ebbs and flows among working mothers with young children point to the competing pushes and pulls women continue to confront in balancing the needs of children and the demands ... stay in place In the home, privatized caretaking leaves parents, especially mothers, coping with seemingly endless demands and unattainable standards And the entrenched conflicts between work and...
Ngày tải lên: 10/06/2014, 21:30
he chart below shows information about heart attacks by age and gender in usa
Ngày tải lên: 15/06/2014, 16:39
báo cáo khoa học: " Assessing and improving needle exchange programs: gaps and problems in the literature" pptx
... surprising to find there are wide-ranging results on any given concept Comparing results across studies, synthesizing results, and constructing theories to predict, explain and control the manner in ... ethnicity and type of drug injected combine as a predictor of injection frequency Watters, Estilo, Clark and Lorvick [25] found that cocaine injection was a predictor of syringe sharing Gathering more ... measuring changes in drug paraphernalia sharing behaviors Beyond "using bleach," other examples include "boiling water" and "always cleaning the needle before use." Again, it could certainly be...
Ngày tải lên: 11/08/2014, 20:20
Báo cáo y học: "Global end-diastolic volume acquired by transpulmonary thermodilution depends on age and gender in awake and spontaneously breathing patient" ppt
... dependent on age and gender • The age and sex dependence of GEDV and ITBV is persistent after indexing to BSA • GEDVI and ITBVI show wide confidence intervals in spontaneously breathing patients ... perioperative monitoring and maintenance of anesthesia, patients undergoing craniotomy are routinely equipped with a central venous and an arterial line as standard of care in our department Instead of ... non-linear smoothing, sex as a factor, and height and actual body weight as linear explanatory variables The combination of single parameters and their possible interactions were compared using significance...
Ngày tải lên: 13/08/2014, 20:21
afd research literature review land and gender surveys in uganda.
... For both sexes being paid in kind and not being paid is more predominant in rural areas than urban areas There also existed an inverse relation between education attainment and inkind earnings21 ... Assessment (PSIA) Training, Ministry of Finance, Planning and Economic Development Nile Resort Jinja, Uganda 27 Rugadya Margaret, 2004 Gender and the Land Reform Process in Uganda, Associates for ... having the multiple income sources Professional skills included: possessing improved farming techniques, building and carpentry training, traditional medicine skills and basic arithmetic and...
Ngày tải lên: 02/06/2014, 09:22
Báo cáo y học: " Facilitators and obstacles in pre-hospital medical response to earthquakes: a qualitative study"
... lack of standardized disaster medical teams.” Another expert mentioned that “Due to the lack of structured medical teams, untrained medical volunteers that were involved in rescuing and caring for ... collection, analysis, revision, editing and manuscript writing HK was involved in the conception and design of study and took an active part in the data analysis and results interpretation GO participated ... force within a few hours of locating the earthquake Some of them were medical doctors, including surgeons and emergency medicine physicians The airport was full of casualties needing medical attention...
Ngày tải lên: 25/10/2012, 09:56
Báo cáo y học: " Regional coordination in medical emergencies and major incidents; plan, execute and teach"
... teenagers The following investigation revealed certain short-comings regarding the medical response, recognizing the need of a regional point of contact ("POC") and command and control centre ... the duration and intensity of consequent activities varied The data concerning the increase in mass-gatherings and sport events in the region are vital for planning and distributing the regional ... refineries, chemical and pyrotechnical industries, several airports, major highways, shipping and public gatherings all need to be included in the risk assessment regarding possible major incidents...
Ngày tải lên: 25/10/2012, 09:56
Báo cáo y học: "A prospective observational study of the relationship of critical illness associated hyperglycaemia in medical ICU patients and subsequent development of type 2 diabetes"
... of cytokine-induced insulin resistance in obesity and other inflammatory settings Curr Opin Clin Nutr Metab Care 2002, 5:377-383 15 Marik PE, Raghavan M: Stress-hyperglycemia, insulin and immunomodulation ... pre-existing increased insulin resistance and dysfunction of beta cells Insulin resistance is present in the acutely ill [13,15,18,28] in different intensity, but the factors determining the extent ... immunomodulation in sepsis Intensive Care Med 2004, 30:748-756 16 Aljada A, Ghanim H, Assian E, Dandona P: Tumor necrosis factor-alpha inhibits insulin-induced increase in endothelial nitric oxide synthase and...
Ngày tải lên: 25/10/2012, 10:02
Báo cáo y học: " Non-invasive stroke volume measurement and passive leg raising predict volume responsiveness in medical ICU patients: an observational cohort study"
... of the attending physician and included normal saline, Ringer's lactate and hetastarch The volume administered in each case was at least 500 ml, and was given as a pressurized rapid infusion Vasopressor ... correlated both during PLR and following VE [30] Lafanechère and colleagues examined 22 intubated and fully sedated patients with an esophageal Doppler monitor in place [31] An increase in aortic blood ... Changes in arterial pulse pressure and pulse contour-derived cardiac index during endexpiratory occlusion of the ventilator as well as changes in cardiac index during PLR were examined An increase in...
Ngày tải lên: 25/10/2012, 10:06
Báo cáo y học: "Users' guides to the medical literature: how to use an article about mortality in a humanitarian emergency"
... using systematic random sampling in 186 clusters [24.8%]) that had detailed information on residents, and proximity random sampling in 564 clusters [75.2%] that did not Few households declined ... This finding provides inferences about the medical response and advocacy that may be required In addition, this information can inform security concerns for both a regional response and international ... Can you corroborate these findings from local independent sources? In order to determine whether to apply the study findings to our field setting requires independent information from a variety...
Ngày tải lên: 25/10/2012, 10:31
Báo cáo y học: "Randomized trial comparing daily interruption of sedation and nursing-implemented sedation algorithm in medical intensive care unit patients"
... medications discontinued in the ABC trial, thereby resulting in a blunted stress response during sedation interruption and minimizing the symptoms of withdrawal during sedation interruption [32] ... for censoring included reintubation (DIS and SA 5), death on MV or medical treatment withdrawn (DIS and SA 6), tracheostomy (DIS and SA 0), and study withdrawal (DIS and SA 1) Patients randomly ... critical illness and shorter intensive care unit and hospital lengths of stay and interpretation, and drafting of the manuscript WIJ participated in data acquisition and drafting of the manuscript...
Ngày tải lên: 25/10/2012, 10:35
Báo cáo khoa học: "Veterinary decision making in relation to metritis - a qualitative approach to understand the background for variation and bias in veterinary medical records"
... feedback and interaction) Results of randomised clinical trials can supplement studies involving observational data by creating an understanding of connections between clinical signs and treatment ... the interaction and relations between the recording of metritis scores and veterinarians' decision making connected to metritis treatment and potential links to data quality This understanding ... applied in the dairy sector in many ways and for many reasons In the following we will discuss the consequences of variation and bias in relation to monitoring of animal disease incidence on herd and...
Ngày tải lên: 25/10/2012, 10:45
Báo cáo y học: "Mirror-Image Arachnoid Cysts in a Pair of Monozygotic Twins: A Case Report and Review of the Literature"
... an AC in the other twin (twin B), when the concerned parents took him to our department Brain CT and MRI of twin B who did not have any com- 403 plaints revealed a mirror-imaging of the AC in the ... with mirror-imaging of AC in the literature In this case, we describe the second case of MZ with mirror-imaging of AC and discuss the possible clinical implications First, Helland and Wester11 reported ... NF, Mandl RC, et al Language lateralization in monozygotic twin pairs concordant and discordant for handedness Brain 2002; 125: 2710-8 Vernooij MW, Ikram MA, Tanghe HL, et al Incidental findings...
Ngày tải lên: 25/10/2012, 11:00
Coming to terms with the past in postwar literature and philosophy
... gathering), or Die Wandlung (The transformation) in the Western zones, Ost und West (East and west) or Sinn und Form (Meaning and form) in the East – and before the cold war divided Germany into ... man nicht eng u Black milk of morning we drink it at evening we drink it at noon and at daybreak we drink it at night we drink and we drink we shovel a grave in the skies there is room enough ... guilt and victimisation In the opening chapter and several times thereafter Pilenz relates an incident on a playing field; Mahlke was lying in the sun and his enormous Adam’s apple, perpetually in...
Ngày tải lên: 01/11/2013, 09:20
Interruption in age based and gender based conversationsstudy on types, outcomes and functions = nghiên cứu về thể loại, tác động và chức năng của sự ngắt lời trong đàm thoại trên cơ sở về tuổi và giới
... and tone), in addition to speech and written communication In turn, a smiling, nodding face indicates that the listener is interested in what we are saying and encourages us to continue 1.1.2 ... are doing one or more of the following: commiserating, directing, declaring, expressing or asserting Speech acts was also closer defined in a formal logic framework, such as by Searle and Vanderveken ... Their main concern has been to explain the competencies social participants draw upon in producing, understanding and co-coordinating interactional behavior The actions which are embedded in conversation...
Ngày tải lên: 19/12/2013, 10:39
Ghosts in english literature and dracula by bram stoker
... strange day, windy and noisy, Stephen stood in the garden and felt as if was full of ghosts- people he could not see - who were flying in the wind and trying to contact with living people in the real ... 12 or in "Voodoo Island" by Michael Duckworth: When old Kee finishes a strange song, a cold wind began to move in the wind There were clouds in the sky, and it began to rain Soon the wind and the ... be studied more in CHAPTER and CHAPTER Both in ordinary life and in literature, people who believe in existence of ghosts, also believe that ghosts have emotional feelings According to them, just...
Ngày tải lên: 20/12/2013, 18:25
The effect of using light and darkness expressions in symbolism in english literature
... is lit and held in the hand to give light 1.2.2 Adjectives used in expressions indicating Light: -blazing: burning brightly and fiercely/ shining brightly -bright: full of light/ shining strongly/ ... now, in all that brilliant light? (Charles Dickens, Oliver Twist) -dazzling: confusingly bright -flaming: glowing brightly -flashing: shining suddenly -glaring: shining oppressively -glistening: ... seem pressing him,Night, in which everything was lost, went reaching out, beyond stars and sun Stars and sun, a few bright grains went spinning round for terror, and holding each other in embrace,...
Ngày tải lên: 22/12/2013, 12:59
Tài liệu Socio-demographic characteristics and sexual health related attitudes and practices of men having sex with men in central and southern Malawi doc
... being implemented in the prevention of HIV For instance, in many cultures and religions, concurrent sexual partnerships, extra-marital and pre-marital sex are discouraged Encouraging correct and ... MSM in Malawi is problematic It is illegal for men to have sex with other men In an environment where HIV infection prevalence in adults is 12% and with the “bridging” or mixing between heterosexual ... homosexuality in diverse settings and largely in schools and the majority identified in this study were Malawian nationals Furthermore, unprotected sexual intercourse was reported by about a third and...
Ngày tải lên: 14/02/2014, 21:20