shaming and fear based instruction are standard means of teaching students about sexuality
CURRENT CONCEPTS IN GENERAL THORACIC SURGERY pdf
... (8/19) of variants of ADCs and in 60% (5/9) of formerly diagnosed BACs The occurrence of cavitations, expression of the speed of growth of the tumor cell and indicative of the presence of necrosis ... production, and sodium and water retention to maintain fluid volume and haemodynamic stability [4, 10] Sodium and water are retained avidly in the first few days, and convalescence and recovery are heralded ... lung parenchyma without other concomitant anomalies (not associated with atelectasis or adenopathy), and often asymptomatic Lesions bigger than cm are more properly called masses and are often...
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Current Concepts in General Thoracic Surgery Edited by Lucio Cagini pptx
... (8/19) of variants of ADCs and in 60% (5/9) of formerly diagnosed BACs The occurrence of cavitations, expression of the speed of growth of the tumor cell and indicative of the presence of necrosis ... production, and sodium and water retention to maintain fluid volume and haemodynamic stability [4, 10] Sodium and water are retained avidly in the first few days, and convalescence and recovery are heralded ... lung parenchyma without other concomitant anomalies (not associated with atelectasis or adenopathy), and often asymptomatic Lesions bigger than cm are more properly called masses and are often...
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Báo cáo y học: Advances in the Surgical Management of Chronic Rhinosinusitis" pot
... late 1980s6 and has become the widespread standard of care From a technical perspective, there has been the realization that meticulous handling of sinonasal mucosa results in a better and more ... demonstrate because the incidence of serious complications is, fortunately, already very low Image-guided surgery has not yet, and may never, become the standard of care and is not required for routine ... the endoscopic management of CRS Improved packing and ongoing refinements in postoperative care are active areas of innovation References Cummings CW Otolaryngology—head and neck surgery 2nd ed...
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Báo cáo y học: "Failed surgical ligation of the proximal left subclavian artery during hybrid thoracic endovascular aortic repair successfully managed by percutaneous plug or coil occlusion: a report of 3 cases" ppsx
... approval of the Ethical Committee is required for case reports Authors’ contributions GM has taken care of the concept, design and the acquisition of data SH as well as JV have taken care of the ... artery and cannulation of the proximal subclavian artery and false lumen, selective angiography revealed antegrade opacification of the left subclavian and vertebral artery: the left upper limb and ... the origin of the left subclavian artery, with complete disappearence of the endoleak Control CT-scan at one and two years follow-up revealed absence of any residual type II endoleak and stable...
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Báo cáo y học: "Surgical management of life threatening events caused by intermittent aortic insufficiency in a native valve: case report" ppsx
... http://www.cardiothoracicsurgery.org/content/5/1/94 Page of Figure Artist’s depiction of intraoperative appearance and surgical repair of aortic valve The left coronary cusp is small and the nodulus of Arantius is absent on ... placement of a prolene pledgeted suture near each of the commissural posts of both the left-right and the left-non commissures, creating partial fusion of these commissures uneventful recovery, and ... population, both in surface area and in weight [5,6] We postulate that the abnormal left coronary cusp and the absence of the nodulus of Arantius intermittently prevented formation of this vortex during...
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Báo cáo y học: " Intricacies in the surgical management of appendiceal mucinous cystadenoma: a case report and review of the literature" ppt
... appendix was identified Foci of dystrophic calcification, extensive areas of fibrosis and patchy acute and chronic non-specific inflammation were also seen in the wall of the appendix No significant ... invasion of the appendiceal wall by atypical glands was noted (Figures and 3) A final histopathological diagnosis of mucinous cystadenoma was made The patient remained well post-operatively and was ... patients with appendiceal mucoceles Page of It is important to exercise care in handling tissues intraoperatively to reduce the risk of dissemination of mucinproducing epithelium [1] Zagrodnik...
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Báo cáo y học: " Use of a Javid™ shunt in the management of axillary artery injury as a complication of fracture of the surgical neck of the humerus: a case report" ppsx
... Anteroposterior view of malalignment of fracture ends and Anteroposterior view of right shoulder 10 weeks after the primary injury, revealing malalignment of fracture ends and attempts at formation of primary ... of the fracture before bypass grafting The insertion of the Javid™ shunt served to confirm the viability of the limb and adequacy of distal thrombo-embolectomy The use of temporary shunting of ... thrombosis of the axillary artery and acute lower limb ischaemia [4,5,9] Pseudoaneurysm formation of the axillary artery is rare following blunt and penetrating trauma to the shoulder, often presenting...
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Báo cáo khoa học: "Optimal management of the high risk surgical patient: beta stimulation or beta blockade" pdf
... requirements and DO2, and may thus be used to assess the adequacy of DO2 Pearse et al [9] also measured ScvO2 in most of the patients investigated in their study assessing the efficacy of GDT [8] ... Crit Care Med 1985, 13:85-90 Shoemaker WC, Chang PC, Czer LSC, Bland R, Shabot MM, State D: Cardiorespiratory monitoring in postoperative patients: I Prediction of outcome and severity of illness ... postoperative patients Crit Care Med 1982, 10:398-403 Boyd O, Grounds M, Bennett ED: A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality...
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Báo cáo y học: "surgical Management of Hidradenitis Suppurativa"
... treatment and incision and/ or surgical removal of the abscesses and fistulas are usually futile.1,14 The success of medical therapies, however, often is limited because of the indolent and recurrent ... that lack of personal hygiene and utilization of inadequate treatment modalities result in severe and widely disseminated lesions that affects the quality of life and general health status of the ... inguinal, and perineal regions after wide excision of the diseased areas and elevation and advancement of the skin flaps Primary closure is primarily preferred by non-plastic surgeons and inadequate...
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Báo cáo y học: Esterified Hyaluronic Acid and Autologous Bone in the Surgical Correction of the Infra-Bone Defects"
... differentiation of stem or progenitor cells before attaching to a surface (36a and 36b) [8,9] The application of exogenous HA and HA -based biomaterials showed good results in manipulating and accelerating ... probing was recorded and the presence of plaque was registred mesially, buccally, distally, and lingually Data were obtained at baseline before treatment and at 10 days, and 6,9, and 24 months after ... with hand and ultrasonic instruments [fig 5] Subsequently, the graft material was prepared and positioned: 0.5 cc of autologous bone from intra-oral donor sites blended with two bundles of EHA...
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Surgical management of spasticity
... Branches to brachialis (1 and 2) and to biceps brachii (3 and 4) The humeral artery (H) and the median nerve are situated medially (they are not dissected) and external rotation of the shoulder The ... flexors and extrinsic finger flexors, is indicated for spasticity in the wrist and the hand – the aim being to open the hand and improve prehension As the fascicular organization of the median and ... thirds are sensory Equinus and ankle clonus require section of the soleus nerve (5) and, if necessary, of the medial and lateral gastrocnemius nerve (4) Varus necessitates interruption of the...
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Type 1 Diabetes Clinical Management of the Athlete potx
... Role of Newer Technologies (CSII and CGM) and Novel Strategies in the Management of Type Diabetes for Sport and Exercise Alistair N Lumb Hypoglycemia and Hypoglycemia Unawareness During and ... Tyne and Wear, UK Lisa M Younk, B.S Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA Chapter Endocrine and Metabolic Responses to Exercise Kostas Tsintzas and ... muscles and the rate of CHO utilization required to meet the metabolic demand of exercise The metabolic effects of CHO ingestion during exercise depend on factors such as the type and intensity of...
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Assessment and Management of the Elderly Patient with Multiple Sclerosis pot
... adults undergoing treatment as usual, at 24 months 33% are well, 33% remain depressed, and 21% are deceased.41 There are only a handful of studies of depression in older adults with MS Results generally ... knees, hips, spine, and hands are subject to degenerative changes secondary to overuse and added stress Symptoms include pain, joint stiffness, and limited range of motion all of which might reduce ... headaches and infections.12 The efficacy, tolerability and safety of NTZ was recently looked at in a Cochrane review which demonstrated decreased Sorkin et al risk of exacerbations and progression of...
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Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy pot
... manifestations of preeclampsia: hypertension and proteinuria Accordingly, the measurement of blood pressure and proteinuria and the diagnosis of hypertension and clinically significant proteinuria are described ... American guidelines7 and those from the ISSHP,66 with the exception of the gestational age criterion (see Prediction, Prevention, and Prognosis of Preeclampsia and Place of Care, and specific therapy) ... Evaluation, and Management of the Hypertensive Disorders of Pregnancy Table Risk stratification for preeclampsia and intensity of antenatal care: EMMA Clinic, Vancouver Risk Nature of previous PET No of...
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Surgical Management of Movement Disorders potx
... Revised and Expanded, edited by William C Koller 14 Handbook of Pediatric Epilepsy, edited by Jerome V Murphy and Fereydoun Dehkharghani 15 Handbook of Tourette’s Syndrome and Related Tic and Behavioral ... Sidhu, Marc Laruelle, and Philippe Vernier 57 Handbook of Olfaction and Gustation: Second Edition, Revised and Expanded, edited by Richard L Doty 58 Handbook of Stereotactic and Functional Neurosurgery, ... Tusa and Steven A Newman 32 Handbook of Olfaction and Gustation, edited by Richard L Doty 33 Handbook of Neurological Speech and Language Disorders, edited by Howard S Kirshner 34 Therapy of Parkinson’s...
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NASA’S MANAGEMENT OF THE MARS SCIENCE LABORATORY PROJECT potx
... firmware, software that executes in the resident central processing units of the science instruments, test software, simulation software, ground operations software, and mission support software ... design and initiated testing in November 2010 As of March 2011, MSL managers had completed development and initiated testing of most of the flight software; however, development of software to ... delays in development of flight software and fault protection systems and we are concerned that their development remains incomplete As of March 2011, the majority of the software needed for launch,...
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Guideline for Management of the Clinical Stage 1 Renal Mass pptx
... American Board of Urology with pride and conviction In the midst of all this, he mentored hundreds of students, residents and fellows, cared for thousands of patients and developed one of the premier ... renal mass Standard: Complete surgical excision by partial nephrectomy is a standard of care and should be strongly considered [Based on review of the data and Panel consensus.] Both open and laparoscopic ... oncologic risk STANDARD ‐ RN: Complete surgical excision by PN should be discussed as a standard of care with increased surgical risk in this patient Should be discussed as standard of care with ...
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Báo cáo tin học: "Matroid automorphisms of the F4 root system" pdf
... edge There are 24 flats of rank 3, each of which contains points Half of these flats are visible in Γ and the other half can be seen in Γ In Γ, these flats consist of points from A and from B (this ... 4.6(3) of [4] = 2 By part (1), we have H3 ∼ H2 H1 , the subgroups of Lemmas 3.2 and 3.3 We = will show that conjugation of any element of H3 remains in H3 by conjugating the generators of H1 and ... of the 12 points of B appears exactly once (as a vertex of one of the components), but each point of A appears three times (once as an edge in each of the three components E, F and G) Then in the...
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Báo cáo khoa học: "Effects of sustained subculture on apparent rejuvenation of the apple rootstock M.9 in vitro and in vivo" pps
... compared with ± 3.3% from the severely pruned conventional source In vitro rooting of the two 1986 culture lines increased from a mean of 12 ± 7.8% after mo on proliferation medium to a maximum of ... with the 1982 and 1978 culture lines, but there was no significant difference between them subculture of M.9 appeared to ’rejuvenation’ which was expressed as improved shoot production and rooting ... production and rooting in vitro and subsequently of micropropagated plants in the field Similar increased rooting ability of cuttings from micropropagated stockplants of the plum rootstock Pixy has...
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Báo cáo khoa học: " Surgical management of mediastinal liposarcoma extending from hypopharynx to carina: Case report" pptx
... 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 and often ... images of well-differentiated mediastinal liposarcoma (a) indicates the position of the esophagus and (b) indicates the position of the trachea Conclusions Despite the complex nature of the anatomy ... Journal of Surgical Oncology 2010, 8:13 http://www.wjso.com/content/8/1/13 Page of Discussion In the literature, less than 150 cases of primary mediastinal liposarcomas have been reported [1,4] and...
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Tìm thêm: hệ việt nam nhật bản và sức hấp dẫn của tiếng nhật tại việt nam xác định các mục tiêu của chương trình khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo của các đơn vị đào tạo tại nhật bản xác định thời lượng học về mặt lí thuyết và thực tế điều tra đối với đối tượng giảng viên và đối tượng quản lí điều tra với đối tượng sinh viên học tiếng nhật không chuyên ngữ1 khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu nội dung cụ thể cho từng kĩ năng ở từng cấp độ xác định mức độ đáp ứng về văn hoá và chuyên môn trong ct mở máy động cơ lồng sóc đặc tuyến mômen quay m fi p2 đặc tuyến tốc độ rôto n fi p2 đặc tuyến dòng điện stato i1 fi p2 động cơ điện không đồng bộ một pha sự cần thiết phải đầu tư xây dựng nhà máy phần 3 giới thiệu nguyên liệu từ bảng 3 1 ta thấy ngoài hai thành phần chủ yếu và chiếm tỷ lệ cao nhất là tinh bột và cacbonhydrat trong hạt gạo tẻ còn chứa đường cellulose hemicellulose chỉ tiêu chất lượng theo chất lượng phẩm chất sản phẩm khô từ gạo của bộ y tế năm 2008 chỉ tiêu chất lượng 9 tr 25